Lecture 20: Cranial Nerves - B Flashcards

1
Q

_____: Organ made of nerve fibers (+ connective tissue) that connects CNS to periphery (muscles, glands, skin)

A

Nerve

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2
Q

How many spinal nerves serve the body? cranial?

A

31 spinal nerves (body)
12 cranial nerves (head and neck)

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3
Q

The vagus nerve also supplies the ___ and ___

A

thorax and abdomen

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4
Q

Most cranial nerve nuclei receive ___ innervation from the cortex
A. bilateral
B. unilateral

A

A. bilateral

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5
Q

True or False: If one has an UMN lesion, ipsilateral muscles are paralyzed. However, if one has a LMN lesion, muscle function is intact

A

False

LMN lesion = ipsilateral m paralyzed
UMN lesion = function intact

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6
Q

True or False: The number of cranial nerves decreases rostral to caudal

A

False - there’s an INCREASE

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7
Q

The medial cranial nerves tend to have ____ function while the lateral ones have ____ function

A

motor; sensory

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8
Q
A
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9
Q

Which CN’s have sensory function?

A

fdf

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10
Q

Which CN’s have motor function?

A

fdds

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11
Q

Which CN’s have both motor and sensory function?

A
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12
Q

Which four CN’s are found in the medulla?

A

CN 9-12

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13
Q

Which three CN’s are found in the pons?

A

CN 5-7

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14
Q

Which two CN’s are found in the midbrain?

A

Oculomotor and Trochlear

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15
Q

Which CN innervates the superior, inferior & medial rectus, inferior oblique
A. CN 3
B. CN 4
C. CN 5
D. CN 6

A

A. CN 3

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16
Q

CN ___ innervates the superior oblique while CN ____ innervates the lateral rectus
A. CN 4; CN 6
B. CN 6; CN 4
C. CN 2; CN 6

A

A. CN 4; CN 6

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17
Q

True or False: CN 3 adducts and abduccts

A

True

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18
Q

True or False: CN IV is important for intorsion of superior oblique while CN III is important for extorsion of inferior oblique

A

True

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19
Q

Where are the oculomotor nerve and the Edinger-Westphal nucleus located?
A. medulla
B. midbrain
C. pons

A

B. midbrain

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20
Q

Which CN mediates conscious eye
movements and reflexes?

A

Oculomotor nerve

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21
Q

Which 2 structures are innervated by the oculomotor nerve??

A

extraocular muscles &
levator palpebrae superioris

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22
Q

Which two structures does the Edinger-Westphal nucleus innervate?

A

pupillary sphincter &
ciliary muscle

23
Q

What are the effects of a lesion on the oculomotor nerve or the Edinger-Westphal nucleus?

A

1) Ipsilateral ptosis
2) mydriasis
3) lateral strabismus

24
Q

Which CN causes depression &
intorsion of the eye + has a nucleus located in the midbrain?

A

Trochlear nerve

25
Q

Which CN is the smallest and only one nerve to exit via: dorsal surface?

A

Trochlear Nerve

26
Q

Which cranial nerve innervates contralateral superior oblique muscle?
A. Trochlear Nerve
B. Abducens Nerve
C. Oculomotor Nerve
D. Trigeminal Nerve

A

A. Trochlear Nerve

27
Q

Which CN mediates lateral
eye movements?
A. Trochlear Nerve
B. Abducens Nerve
C. Oculomotor Nerve
D. Trigeminal Nerve

A

B. Abducens Nerve

28
Q

Which CN has a nucleus that is located in the pons and innervates lateral rectus muscle?
A. Trochlear Nerve
B. Abducens Nerve
C. Oculomotor Nerve
D. Trigeminal Nerve

A

B. Abducens Nerve

29
Q

True or False: CN III controls medial
rectus of other eye
simultaneously

A

True

30
Q

Lesion of which CN results in diplopia?

A

Abducens nerve

31
Q

Damaged left abducens nerve results in ___ strabismus and impaired ___ gaze to side of lesion

A

medial; lateral

32
Q

Which CN mediates head
turning?

A

Spinal Accessory

33
Q

The Spinal Accessory is located in an unusual location – namely: in the …

A

upper cervical spinal cord

34
Q

Which CN innervates
sternocleidomastoid to turn
head to opposite side + trapezius to
elevate shoulder?

A

Spinal accessory

35
Q

Which CN mediates
movement of the tongue and has its nucleus in the medulla?

A

Hypoglossal nerve

36
Q

Which two structures does the hypoglossal nerve innervate?

A

Intrinsic & extrinsic tongue muscles

37
Q

Lesion of which CN nuclei results in deviation of tongue towards damaged side?

A

Damage to hypoglossal nerve

38
Q

Which CN mediates facial
sensation and chewing?

A

Trigeminal

39
Q

Mesencephalic, chief & spinal
trigeminal nuclei are located
throughout brainstem and
upper SC. What are their function?

A

Touch, pain, temperature sensation
& proprioception for face

40
Q

The trigeminal motor nucleus in
___and innervates mastication
muscles in ____

A

pons; (V3) mandibular division

41
Q

Lesions in which CN nuclei would result in a pronounced jaw-jerk reflex?

A

CN V

42
Q

Which CN allows one to express,
taste, cry & salivate?

A

Facial nerve

43
Q

True or False: Both the facial nucleus and the superior salivatory nucleus are located in the pons

A

True

44
Q

Which of the following innervates muscles of facial expression?
A. Facial nucleus
B. Superior salivatory nucleus

A

A. Facial nucleus

45
Q

Which of the following provides parasympathetic innervation to
lacrimal and salivary (sublingual &
submandibular) glands?
A. Facial nucleus
B. Superior salivatory nucleus

A

B. Superior salivatory nucleus

46
Q

True or False: Aberrant regeneration of the salivary
fibers that innervate the lacrimal
glands can lead to “crocodile tears”

A

True

47
Q

Where are the Inferior Salivatory + Nucleus Ambiguus located?

A

Medulla

48
Q

Which CN functions
in swallowing & salivation + provides sensation to posterior 1/3 of the tongue?

A

Glossopharyngeal nerve

49
Q

Nucleus ambiguus innervates the ____ while the Inferior Salivatory innervates the ____

A

stylopharyngeous muscle; Parasympathetic innervation of parotid
gland

50
Q

Check integrity of ____ nerve with cotton swab to test pharyngeal (gag) reflex

A

Glossopharyngeal

51
Q

____ is cranial nerve that is the major
parasympathetic line + provides sensory info from all viscera?

A

Vagus nerve

52
Q

Nucleus ambiguus (medulla) and Dorsal Motor Nucleus (medulla) are associated with which CN? Innervation?

A

Vagus

Nucleus ambiguus: Innervates pharyngeal & laryngeal mu

Dorsal Motor Nucleus: smooth muscles & glands of abdominal/thoracic cavities

53
Q

Unilateral lesion of vagus produces
____ ____of soft palate and uvula deviation to intact side

A

ipsilateral plegia