L8 Cranial Nerves IX-XII Flashcards

1
Q

Origins of the Glossopharyngeal Nerve (CN IX)?

A

Leaves Medulla Oblongata dorsal to the Olive

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2
Q

Origins of the Vagus Nerve (CN X)?

A

Leaves Medulla Oblongata dorsal to the Olive

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3
Q

Origins of the Accssory Nerve (CN XI)?

A

Emerges via rootlets from the Upper Cervical Cord

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4
Q

Origins of the Hypoglossal Nerve (CNXII)?

A

Leaves between the Pyramids and Olives (Upper Medulla) by many roots

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5
Q

What nerves pass through the Jugular Foramen?

A

Cranial nerves IX, X, and XI, originate from the brainstem and exit the cranium via the jugular foramen

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6
Q

Which nerve is responsible for the Gag Reflex?

A

Glossopharyngeal Nerve (CNIX)

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7
Q

Functions of the Glossopharyngeal Nerve (CN IX)?

Sensory: SVA, GVA, GSA

Motor: SVE, GVE

A

Sensory

SVA: Taste (Posterior ⅓ Toungue)

GVA:

  • Carotid Body (O2, CO2, pH)
  • Carotid Sinus (Baroreceptors)
  • Oropharynx (Gag Refelx)

GSA:

  • Middle Ear
  • Posterior ⅓ of Toungue
  • Upper Pharynx

Motor

  • SVE: Stylopharygeous
  • GVE: Secretomotor to Parotid Gland
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8
Q

Origins/Pathways of Glossopharyngeal Nerve (CN IX)?

A
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9
Q

The brachial motor portion (SVE) of the Glossopharyngeal Nerve (CN IX) supplies which one muscle?

What is the role of this muscle?

Where does the nerve originate?

A

Stylopharyngeus

Elevates pharynx during talking/swallowing

Originates in the Nucelus Ambiguus

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10
Q

Supply of the Parotid Gland?

A
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11
Q
A
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12
Q

Describe the Gag Reflex?

A

Irritant on posterior toungue=> Afferent through Glossopharyngeal Nerve to the Nucleus Solitarius => Interneuron to Nucleus Ambiguous => lower motor neurons leave Nucleus Ambiguous via Vagus Nerve to various constrictors of GI tract => GAG Reflex

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13
Q

To what nucleus are taste fibers of the Poster ⅓ of the tongue directed?

A

Glossopharyngeal Nerve (CN IX)=> Nucleus Solitariues

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14
Q

To what nucleus are input from baro/chemoreceptors at the carotid as well as the Pharyngeal Wall (Gag Reflex) Directed?

A

CAUDAL Nucleus Solitariues => Glossopharygeal Nerve (CN IX)

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15
Q

Describe the Pathway/Nucelus involved in innervation of the Parotid Gland

A

Preganglionic fibers arise from Inferior Salivatory Nucleus => Leave CNIX via Tympanic Nerve & join Lesser Petrosal Nerve to synapse in Otic Ganglion => Postganglionic neurons supply Parotid Gland

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16
Q
A
17
Q

Origins/Pathways of Vagus Nerve (CN X)?

A
18
Q

Functions of the Vagus Nerve (CN X)?

Sensory: SVA, GVA, GSA

Motor: SVE, GVE

A

Sensory

GSA:

  • Pharynx
  • Larynx
  • External Ear/Auditory Canal
18
Q

Functions of the Vagus Nerve (CN X)?

Sensory: SVA, GVA, GSA

Motor: SVE, GVE

A

Sensory

SVA: Taste From Epiglottis

GSA:

  • Pharynx/Larynx
  • External Ear/Auditory Canal/External Tympanic Membrane
  • Meniges (Posterior Cranial Fossa)

GVA:

  • Aortic Arch/Bodies
  • Pharynx/Larynx
  • Esophagus
  • Trachea

Motor

SVE: Muscles of Pharynx/Larynx (Photonation,Swallowing,Coughing)

GVE: Smooth muscle, cardiac muscle, lungs abdominal viscera (DORSAL MOTOR NUCLEUS of VAGUS)

19
Q

How to test Cranial Nerves IX/X?

A
20
Q
A
21
Q

Innervation of the Trapezius and Sternocleidomastoid?

A

Accessory Nerve CNXI Arises from Spinal Accessory Nucleus:

  • Contralateral supply to TRAPEZIUS
  • Ipsilateral supply to STERNOCLEIDOMASTOID (rotates head to contralateral side)
22
Q

How to test Cranial Nerve XI?

A
23
Q
A
24
Q

How to test Cranial Nerve XII?

A
25
Q

Effect of Lower vs. Upper Motor Neuron Lesion of CNXII?

A

LMN Lesion: Tongue deviates to SAME side as lesion

UMN Lesion: Tongue deviates to CONTRALATERAL side of lesion