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

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
What is a symptom of CN XII damage
Tongue will move towards side of lesion, ipsilateral
26
Hemilegia vs hemiparesis
hemiplegia refers to complete paralysis, while hemiparesis refers to partial weakness
27
What is the sensation of the middle ear
CN IX - Glossopharyngeal
28
What joints are between the three ossicles
Synovial joints
29
What muscles affect the stiffness of the middle ear
Tensor tympani and stapedius - innervated by CN V
30
How many coils are in the cochlea
2.5 - 2.75
31
Which window do sound waves enter
oval
32
How does the width of the basilar membrane change
Base = narrower + stiffer --> high Apex = wider + more flexible --> low
33
What deafness occurs first with age
High sounds
34
What is the ratio of outer hair cells to inner cells
4/5 : 1