Oculomotor Nerve [Important Notes] Flashcards

1
Q

Two smooth muscles innervated by CN III?

A

sphincter/constrictor pupillae + ciliary body

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2
Q

Five skeletal muscles innervated by CN III?

A

levator palpebrae, inferior oblique and 3 rectus (superior, medial & inferior)

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3
Q

Three components of the near triad?

A

3 by CN III; convergence of eyes, pupillary constriction, contraction of ciliary muscle

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4
Q

Action of superior rectus muscle?

A

intorsion, adduction and elevation [turns pupil up and in]

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5
Q

Action of inferior rectus muscle?

A

extorsion, adduction and depression [turns pupil down and in]

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6
Q

Action of inferior oblique muscle?

A

extorsion, abduction and elevation [turns pupil up and out]

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7
Q

Muscle innervated by CN IV?

A

superior oblique

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8
Q

Action of muscle innervated by CN IV?

A

intorsion, abduction and depression [turns pupil down and out]

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9
Q

Action to test [isolate] muscle innervated by CN IV?

A

adduct and depress [in and then down]

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10
Q

Muscle innervated by CN VI?

A

lateral rectus

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11
Q

Action of lateral rectus muscle?

A

abducts eye

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12
Q

Action to test [isolate] the superior rectus muscle?

A

abduct + look up

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13
Q

Action to test [isolate] the inferior rectus muscle?

A

abduct + look down

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14
Q

Action to test [isolate] the inferior oblique muscle?

A

adduct + look up

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15
Q

What two extraocular muscles are used to look straight up?

A

superior rectus and inferior oblique

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16
Q

What two extraocular muscles are used to look straight down?

A

inferior rectus and superior oblique

17
Q

Signs of compressive injury to CN III?

A

dilated pupil with normal eye movements

18
Q

Aneurysm compressing CN III on what artery?

A

posterior communicating artery

19
Q

Signs of diabetic infarct in CN III?

A

oculomotor palsy with normal pupil

20
Q

Sign of injury to CN IV?

A

diplopia worse when walking down stairs; improves with head tilt to opposite side [Bielschowsky sign]