S3_L3: Cranial Nerves Flashcards
TRUE OR FALSE: Vagus nerve is the longest cranial nerve. Trigeminal nerve is the longest intracranial nerve.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
C. Only the 1st statement is true
NOTE: Trochlear nerve is the longest intracranial nerve
The (1)_______ nerve, also known as the (2)_______ nerve, is the smallest cranial nerve.
- Trochlear
- Stupid
The following statements are true about the cranial nerves, EXCEPT:
A. The Trigeminal Nerve has both sensory and motor component.
B. The Vagus Nerve has both sensory and motor component.
C. The Glossopharyngeal Nerve has both sensory and motor component.
D. The Vestibulocochlear Nerve has both sensory and motor component.
E. None of the above
D. The Vestibulocochlear Nerve has both sensory and motor component.
NOTE: The Vestibulocochlear Nerve is purely sensory.
Match the following cranial nerve to its corresponding number.
- Glossopharyngeal Nerve
- Maxillary Division of Trigeminal Nerve
- Oculomotor Nerve
A. CN V2
B. CN V3
C. CN IX
D. CN VII
E. CN III
- C
- A
- E
Match the following cranial nerve to its corresponding number.
- Olfactory Nerve
- Trochlear Nerve
- Vestibulocochlear Nerve
A. CN IV
B. CN I
C. CN II
D. CN VIII
E. CN X
- B
- A
- D
TRUE OR FALSE: The facial nerve has both a sensory and motor component.
True
CN V1 corresponds to (1)_______, while CN XI corresponds to (2)_______.
- Trigeminal Nerve -Ophthalmic Division
- (Spinal) Accessory Nerve
CN VI corresponds to (1)_______, while CN VII corresponds to (2)_______.
- Abducens Nerve
- Facial Nerve
CN X corresponds to (1)_______, while CN XII corresponds to (2)_______.
- Vagus Nerve
- Hypoglossal Nerve
TRUE OR FALSE: CN II is the Optic Nerve
True
Determine whether a nerve is sensory, motor, or both.
- Hypoglossal Nerve
- Vestibulocochlear Nerve
- Olfactory Nerve
- Trochlear Nerve
- Oculomotor Nerve
A. Sensory
B. Motor
C. Both
- B
- A
- A
- B
- B
Determine whether a nerve is sensory, motor, or both.
- Abducens Nerve
- Accessory Nerve
- Trigeminal Nerve
- Optic Nerve
- Facial Nerve
A. Sensory
B. Motor
C. Both
- B
- B
- C
- A
- C
The following nerves are matched with their corresponding nuclei, EXCEPT:
A. Accessory Nerve - Nucleus ambiguus
B. Vagus Nerve - Spinal nucleus of trigeminal nerve
C. Facial Nerve - Superior salivatory nucleus
D. Hypoglossal Nerve - Nucleus of solitary tract
E. None of the above
D. Hypoglossal Nerve - Nucleus of solitary tract
The following nerves utilizes the nucleus of solitary tract, EXCEPT:
A. Trigeminal Nerve
B. Facial Nerve
C. Vagus Nerve
D. Glossopharyngeal Nerve
E. None of the above
A. Trigeminal Nerve
The parasympathetic nuclei of the oculomotor nerve is the _______
Edinger-westphal nucleus
These 2 cranial nerves do not have a nuclei. Which are they?
- Olfactory Nerve
- Optic Nerve
TRUE OR FALSE: The superior and inferior salivatory nucleus is the sensory nuclei of the facial nerve. Along with this is the lacrimal nucleus, which is a parasympathetic nuclei.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
D. Only the 2nd statement is true
NOTE: The inferior salivatory nucleus is the motor nuclei of the glossopharyngeal nerve.
Match the cranial nerve and their exiting foramina.
- Internal acoustic meatus
- Foramen ovale
- Cribriform plate of ethmoid bone
A. Olfactory Nerve
B. Trigeminal Nerve - Maxillary Division
C. Trigeminal Nerve - Mandibular Division
D. Vestibulocochlear Nerve
E. Hypoglossal Nerve
- D
- C
- A
Match the cranial nerve and their exiting foramina.
- Foramen rotundum
- Hypoglossal canal
- Internal acoustic meatus, facial canal, stylomastoid foramen
A. Optic Nerve
B. Trigeminal Nerve - Maxillary Division
C. Facial Nerve
D. Vagus Nerve
E. Hypoglossal Nerve
- B
- E
- C
There are 4 nerves which exit the superior orbital fissure. Which are they?
- Oculomotor Nerve
- Trochlear Nerve
- Trigeminal Nerve - Ophthalmic Division
- Abducens Nerve
There are 3 nerves which exit the jugular foramen. Which are they?
- Glossopharyngeal Nerve
- Vagus Nerve
- (Spinal) Accessory Nerve
Where does the optic nerve exit?
optic canal
Determine in which fossa do the following cranial nerves exit.
- CN III
- CN V3
- CN X
- CN VII
- CN II
A. Anterior Cranial Fossa
B. Middle Cranial Fossa
C. Posterior Cranial Fossa
- B
- B
- C
- C
- A
Determine in which fossa do the following cranial nerves exit.
- CN IV
- CN XII
- CN VIII
- CN V1
- CN I
A. Anterior Cranial Fossa
B. Middle Cranial Fossa
C. Posterior Cranial Fossa
- B
- C
- C
- B
- A
Determine which nerve performs the following function.
For movement of the head, balance and hearing
A. Vagus Nerve
B. Accessory Nerve
C. Vestibulocochlear Nerve
D. Hypoglossal Nerve
E. Trochlear Nerve
C. Vestibulocochlear Nerve
Determine which nerve performs the following function.
innervates muscles of soft palate (except tensor veli palatini), pharynx (except stylopharyngeus), and larynx (except cricothyroid)
A. Vagus Nerve
B. Accessory Nerve
C. Vestibulocochlear Nerve
D. Hypoglossal Nerve
E. Trochlear Nerve
B. Accessory Nerve
Determine which nerve performs the following function.
Muscles of tongue controlling its shape and movements
A. Vagus Nerve
B. Accessory Nerve
C. Vestibulocochlear Nerve
D. Hypoglossal Nerve
E. Trochlear Nerve
D. Hypoglossal Nerve
Determine which nerve performs the following function.
gives the sensation that you are hungry and full
A. Vagus Nerve
B. Accessory Nerve
C. Vestibulocochlear Nerve
D. Hypoglossal Nerve
E. Trochlear Nerve
A. Vagus Nerve
Determine which nerve performs the following function.
Assists in turning eyeball downward and laterally
A. Vagus Nerve
B. Accessory Nerve
C. Vestibulocochlear Nerve
D. Hypoglossal Nerve
E. Trochlear Nerve
E. Trochlear Nerve
Determine which nerve performs the following function.
Taste from anterior two-thirds of tongue
A. Facial Nerve
B. Glossopharyngeal Nerve
C. Abducens Nerve
D. Trigeminal Nerve
E. None
A. Facial Nerve
Determine which nerve performs the following function.
Supplies lateral rectus muscle
A. Facial Nerve
B. Glossopharyngeal Nerve
C. Abducens Nerve
D. Trigeminal Nerve
E. None
C. Abducens Nerve
Determine which nerve performs the following function.
innervates stylopharyngeus and pharyngeal constrictors
A. Facial Nerve
B. Glossopharyngeal Nerve
C. Abducens Nerve
D. Trigeminal Nerve
E. None
B. Glossopharyngeal Nerve
Determine which nerve performs the following function.
taste of posterior ⅓ tongue
A. Facial Nerve
B. Glossopharyngeal Nerve
C. Abducens Nerve
D. Trigeminal Nerve
E. None
B. Glossopharyngeal Nerve
Olfactory Nerve is responsible for a person’s (1)______, while the optic nerve is responsible for (2)______.
- sense of smell
- vision
Which cranial nerve constricts the pupil and accommodates the eye?
Oculomotor Nerve
Which cranial nerve innervates stapedius for dampening sound vibrations?
Facial Nerve
Which cranial nerve innervates trapezius and sternocleidomastoid?
(Spinal) Accessory Nerve
Which cranial nerve innervates heart, larynx, trachea, bronchi, lungs, alimentary tract from pharynx to splenic flexure of colon, liver, kidneys, and pancreas, and palatoglossus muscle?
Vagus Nerve
TRUE OR FALSE: CN X helps to fasten digestion.
True
Oculomotor Nerve raises (1)_____ and turns the eyeball (2)_____, (3)_____, and (4)______.
- upper eyelid
- upward
- downward
- medially
Which division/ branch of the Trigeminal Nerve innervates cornea, skin of forehead, scalp, eyelids, and nose?
Ophthalmic Division
Which division/ branch of the Trigeminal Nerve innervates mucous membrane of mouth and anterior part of tongue?
Mandibular Division
Which division/ branch of the Trigeminal Nerve innervates the mylohyoid, anterior belly of digastric, tensor veli palatini, and tensor tympani?
Mandibular Division
Which division/ branch of the Trigeminal Nerve innervates mucous membrane of nose, the maxillary sinus, and palate?
Maxillary Division
Which division/ branch of the Trigeminal Nerve innervates mucous membrane of paranasal sinuses and nasal cavity?
Ophthalmic Division
Which division/ branch of the Trigeminal Nerve innervates skin of cheek, skin over mandible and side of head, teeth of lower jaw and TMJ?
Mandibular Division
Which division/ branch of the Trigeminal Nerve innervates the skin of face over maxilla and teeth of upper jaw?
Maxillary Division
Which division/ branch of the Trigeminal Nerve innervates the muscles of mastication?
Mandibular Division
These 2 cranial nerves work together for phonation and swallowing. What are they?
Vagus Nerve and Glossopharyngeal Nerve
TRUE OR FALSE: The facial nerve innervates anterior digastric muscle and mylohyoid muscles.
False
NOTE: It innervates posterior digastric muscle and stylohyoid muscles
Affectation of CN VII will result in difficulty in smiling. This is due to the paralysis of which muscles?
risorius and zygomaticus major muscle
Affectation of CN VII and IX will result in difficulty of what?
tasting food
Affectation of CN XII will result in what s/sx of the tongue?
Tongue deviation upon protrusion
Affectation of CN XI will result in what s/sx?
Inability to shrug shoulders
Affectation of CN VII will result in what s/sx in the eye?
Difficulty in closing eyes
What eye muscle becomes paralyzed in a CN VII affectation?
orbicularis oculi
What tongue muscle becomes paralyzed in a CN XII affectation?
Genioglossus muscle
What muscle becomes weak or paralyzed in a CN XI affectation?
trapezius
Lesion to spinal part of the accessory nerve leads to _______
drooping of the shoulders
When a lesion in the oculomotor nerve occurs, in which direction will the eye look at rest?
downward and laterally
When a lesion in the oculomotor nerve occurs, it will affect all extraocular muscles except the (1)_______ and (2)______ muscle
- superior oblique
- lateral rectus
When the Hypoglossal nerve is affected, to which side will the tongue protrude?
Affected side/ Ipsilateral side
When the oculomotor nerve is affected, what condition will arise?
External Strabismus
What chart is used to test the optic nerve?
Snellen chart
TRUE OR FALSE: In testing the far vision of CN II, the Snellen chart must be read 14 inches away.
False.
This is for the near vision. To test the far vision, the chart must be 20 feet away.
Myopia pertained to being (1)______ , while Presbyopia means (2)______.
- nearsighted
- farsighted
This is referred to as the adjustment from near to far vision
Accommodation
This is referred to as the action of both eyes moving inward as they focus on a close object using near vision
Convergence
When shining a penlight on one pupil, what is the expected response of the pupil?
quickly constrict
What nerves are tested in pupillary reactions, eye movement, and eye convergence & accommodation
Oculomotor, Trochlear, and Abducens Nerve
In testing the integrity of CN I, the patients eyes must be (1)_____, and the odor introduced must be (2)____.
- closed
- common
When the eye views a near object, what happens to the pupils?
It constricts
When the eye views a distant object, what happens to the pupils?
It dilates
_______ occurs when convergence doesn’t work properly
Diplopia (double vision)
This is the rounding up of lens shape by relaxation of ligament to increase refractive index to increase power to bend light
Suspensory ligament reflex
This is part of the accommodation reflex that restrict entry of light rays diverging from a near object.
Pupillary constriction
This is part of the accommodation reflex wherein the size of eyes is exaggerated to keep the object of interest centered on the fovea where resolution is highest
Convergence
This is a possible abnormal finding of CN III, IV, or VI wherein when one pupil is larger or one pupil responds more slowly than the other to light
“Sluggish response”
This is a possible abnormal finding of CN III, IV, or VI wherein there is involuntary shaking of the eye as it moves
Nystagmus
This is a possible abnormal finding of CN III, IV, or VI wherein there is weakness of levator palpebrae superioris
Ptosis
What nerve is being tested when testing for the corneal reflex?
Trigeminal Nerve
To test the afferent integrity of CN VII, apply a (1)______ solution and (2)_____ solution using a cotton swab the on (3)_____ of tongue
- saline
- sugar
- anterior ⅔
NOTE: Salty and sweet → taste on anterior ⅔ of tongue
A PT places a vibrating tuning fork on top of head and checks if sound heard in one ear, or equally in both. What function is being tested?
Cochlear function of CN VIII
A PT places a vibrating tuning fork on top of head and checks if sound heard in one ear, or equally in both. What test is being done?
Lateralization or Weber test
A PT places a vibrating tuning fork on mastoid bone, then close to ear canal. What test is being done?
Rinne test
TRUE OR FALSE: Sound is heard longer through bone than air.
False
What reflex is being tested when targeting for CN IX or X?
Gag Reflex
TRUE OR FALSE: (+) Gag reflex implies the ability to swallow without risk of aspiration. (-) Gag reflex means there is a loss of sensation and/or loss of motor contraction.
A. Both statements are true
B. Both statements are false
C. Only the 1st statement is true
D. Only the 2nd statement is true
D. Only the 2nd statement is true
(+) Gag reflex does not imply the ability to swallow without
When there is a UMN vagus nerve lesion, to where will the uvula deviate to?
ipsilateral side
When there is a LMN vagus nerve lesion, to where will the uvula deviate to?
contralateral side
What are the possible abnormal findings when testing for CN XI?
- atrophy of SCM
- open door winging pattern of scapula (moved laterally)
In cases of stroke and the CN XII is affected, in which side will the tongue deviate when protruded?
opposite/ contralateral side
NOTE: UMN lesions → points to the opposite side
When there is a peripheral hypoglossal nerve lesions, to where will the tongue deviate?
same side/ ipsilateral side
NOTE: LMN lesions → points to the side of lesion
TRUE OR FALSE: Fibrillations in the tongue area are common in amyotrophic lateral sclerosis
True
The following nerves has the nucleus ambiguus as its nuclei, EXCEPT:
A. Accessory Nerve
B. Vagus Nerve
C. Glossopharyngeal Nerve
D. Abducens Nerve
E. None of the above
D. Abducens Nerve