Neuro Flashcards

1
Q
A
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2
Q

Which cranial nerves act contralaterally

A

Trochlear nerve (CNIV) and Facial nerve (CNVII) is contralateral to the lower half of the face

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3
Q

What nerve supplies the nasal septum

A

CN V 1 ophthalmic

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4
Q

When do the opposite cranial nerves first come together

A

In the optic chiasm

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5
Q

Where does the optic radiation start

A

Lateral geniculate body (thalamus)

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6
Q

What is the path of the upper optic radiation

A

Carries fibres from the superior retinal quadrants (inferior visual field) through the parietal lobe to the visual cortex

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7
Q

What is the path of the lower optic radiation

A

Carries fibres from the upper retinal quadrants (superior visual field) through the temporal lobe ‘Meyers Loop’ to the visual cortex

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8
Q

What causes pupils to constrict in the pupillary light reflex

A

Afferent limb = CN II - Optic
Efferent limb = CN III - Occulomotor

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9
Q

What goes through the cavernous sinus

A

CN III, IV, Vi + ii, VI, and internal carotid

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10
Q

What cranial nerves include parasympathetic innervation

A

CN III, VII, IX, X
Occulomotor, facial, glossopharyngeal, vagus

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11
Q

What is the accessory nucleus of CN III called

A

Edinger - Westphal nucleus in the midbrain - constriction to bright light

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12
Q

What nerve can be affected by a middle ear infection

A

CN VII facial

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13
Q

What is the innervation of the upper face

A

CN VII. Half of the fibres decussate to the contralateral side. So the eyes and forehead receive innervation from both hemispheres

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14
Q

Symptoms of motor cortex lesions eg cerebral stroke

A

Contralateral facial weakness on the lower half of face. Upper half preserved due to dual facial nerve innervation

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15
Q

Symptoms of lesions on brainstem or after brainstem

A

Ipsilateral facial weakness in both upper and lower half

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16
Q

What nerves are involved in taste sensation

A

CN VII Facial = Anterior 2/3 of tongue
CN IX Glossopharyngeal = Posterior 1/3 of tongue
CN X Vagus = Epiglottis

Fame Gets Vain

17
Q

What is the sympathetic innervation of the glands in the face

A

Superior cervical ganglion (C1- 4)

18
Q

What is the parasympathetic innervation of the glands in the face

A

CN VII = lacrimal, mucous, submandibular, sublingual
CN IX = parotid

19
Q

What can be a symptom of vestibulocochlear damage

A

Nystagmus

20
Q

What can nerve can a tumour of the vestibulocochlear nerve affect?

A

Compression of CN VII (they run together via the internal acoustic miatus). Results in facial weakness

21
Q

What nerve controls the gag reflex

A

Afferent fibres predominantly from CN IX - Glossopharyngeal
Efferent fibres by CN X - Vagus nerve

22
Q

What nerve supplies motor innervation to the muscles of the tongue and pharynx

A

CN XII - Hypoglossal

23
Q

What is the innervation of the pharynx muscles

A

CN X except the stylopharyngeus which is innervated by CN IX

24
Q

What are the nuclei of the cranial nerves

A

Forebrain = Olfactory and optic
Spinal cord = Accessory ( 2 roots - cranial and spinal)
Brainstem = the rest

25
Q

What is a symptom of CN XII damage

A

Tongue will move towards side of lesion, ipsilateral

26
Q

Hemilegia vs hemiparesis

A

hemiplegia refers to complete paralysis, while hemiparesis refers to partial weakness

27
Q

What is the sensation of the middle ear

A

CN IX - Glossopharyngeal

28
Q

What joints are between the three ossicles

A

Synovial joints

29
Q

What muscles affect the stiffness of the middle ear

A

Tensor tympani and stapedius - innervated by CN V

30
Q

How many coils are in the cochlea

A

2.5 - 2.75

31
Q

Which window do sound waves enter

A

oval

32
Q

How does the width of the basilar membrane change

A

Base = narrower + stiffer –> high
Apex = wider + more flexible –> low

33
Q

What deafness occurs first with age

A

High sounds

34
Q

What is the ratio of outer hair cells to inner cells

A

4/5 : 1