Autonomic Innervation of Ocular Structures
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Questions and Answers

What is the function of the sensory root in the parasympathetic pathway to ocular structures?

  • Carries sensory fibers from the globe to the brain (correct)
  • Carries sympathetic fibers to the brain
  • Carries parasympathetic fibers to the ciliary ganglion
  • Carries motor fibers to the extraocular muscles

What is the effect of parasympathetic stimulation on the pupil?

  • Pupillary fixation
  • Pupillary dilation
  • No effect on the pupil
  • Pupillary constriction (correct)

What is the role of the short ciliary nerves in the parasympathetic pathway to ocular structures?

  • Carries sympathetic fibers to the brain
  • Carries sensory, sympathetic, and parasympathetic fibers to the globe (correct)
  • Carries motor fibers to the extraocular muscles
  • Carries parasympathetic fibers to the ciliary ganglion

What is the state of the pupil during sleep?

<p>Small (D)</p> Signup and view all the answers

What is the term for the physiologic pupillary unrest caused by the balance between parasympathetic and sympathetic nerves?

<p>Hippus (B)</p> Signup and view all the answers

Which nerve do the sympathetic fibers travel with to innervate the iris dilator and the ciliary muscle?

<p>Nasociliary nerve (D)</p> Signup and view all the answers

What is the effect of sympathetic stimulation on the ciliary muscle?

<p>Relaxation (A)</p> Signup and view all the answers

Which nucleus in the midbrain contains the preganglionic neuron fibers in the parasympathetic pathway to intrinsic ocular structures?

<p>Edinger-Westphal nucleus (B)</p> Signup and view all the answers

What is the effect of sympathetic stimulation on the choroidal blood vessels?

<p>Vasoconstriction (D)</p> Signup and view all the answers

Where do the parasympathetic fibers synapse in the parasympathetic pathway to ocular structures?

<p>Ciliary ganglion (A)</p> Signup and view all the answers

Which type of innervation is necessary for normal iris melanocyte pigmentation?

<p>Sympathetic innervation (D)</p> Signup and view all the answers

What is the characteristic of the pupil in Horner's syndrome?

<p>Miosis and anisocoria (D)</p> Signup and view all the answers

What is the most common cause of disruption in the sympathetic pathway leading to Horner's syndrome?

<p>All of the above (D)</p> Signup and view all the answers

What is the area of involvement in Horner's syndrome with 6th nerve paresis?

<p>Cavernous sinus (B)</p> Signup and view all the answers

Which of the following is a characteristic of postganglionic fiber damage in Horner's syndrome?

<p>Enter the skull through the carotid plexus (B)</p> Signup and view all the answers

What part of the Autonomic Nervous System innervates the Iris sphincter?

<p>Parasympathetic system (B)</p> Signup and view all the answers

Which part of the central nervous system stimulates the sympathetic pathway for ocular structures?

<p>Hypothalamus (C)</p> Signup and view all the answers

Where do the postganglionic fibers leave the ganglion in the sympathetic pathway to ocular structures?

<p>Superior cervical ganglion (A)</p> Signup and view all the answers

What is the origin of the parasympathetic pathway for ocular structures?

<p>Midbrain and Pons (B)</p> Signup and view all the answers

What is the result of disruption in the sympathetic pathway on the pupil?

<p>Constriction of the pupil (A)</p> Signup and view all the answers

Which of the following ocular structures is NOT innervated by the parasympathetic system?

<p>Eyelid smooth muscles (B)</p> Signup and view all the answers

What is the name of the syndrome characterized by a lack of sympathetic innervation to the iris?

<p>Horner's syndrome (D)</p> Signup and view all the answers

What percent of the population is estimated to have benign anisocoria?

<p>20% (A)</p> Signup and view all the answers

Which nerve is responsible for the motor pathway to the orbicularis muscle?

<p>Facial nerve (D)</p> Signup and view all the answers

What is the result of irritation of any branch of the trigeminal nerve?

<p>Increased lacrimation (B)</p> Signup and view all the answers

What is the term for the reflex that involves the simultaneous contraction of the medial rectus muscle, ciliary muscle, and iris sphincter?

<p>Accommodation reaction (C)</p> Signup and view all the answers

Which pathway is responsible for transmitting the pupillary light reflex from the retina to the brain?

<p>Optic nerve and optic tract (A)</p> Signup and view all the answers

What is the term for the condition where the pupil is small and does not react to light, but constricts with near response?

<p>Argyll Robertson pupil (D)</p> Signup and view all the answers

What is the term for the unequal size of the pupils?

<p>Anisocoria (A)</p> Signup and view all the answers

Which nerve is responsible for transmitting the pupillary light reflex from the Edinger-Westphal nucleus to the iris sphincter?

<p>Oculomotor nerve (A)</p> Signup and view all the answers

What is characteristic of a pupil in Adie's Tonic Pupil?

<p>It is large and has a slow near response (B)</p> Signup and view all the answers

What is the effect of damage to the ciliary ganglion or the short ciliary nerves?

<p>Delayed and slow near response with poor pupillary light response (C)</p> Signup and view all the answers

What is the characteristic of a pupil in a disruption of the Efferent Pathway?

<p>It is large and has a poor near response (C)</p> Signup and view all the answers

What is the age group of patients typically associated with Adie's Tonic Pupil?

<p>20-40 years old (D)</p> Signup and view all the answers

What is the probable association of Adie's Tonic Pupil?

<p>Autoimmune diseases (B)</p> Signup and view all the answers

What is the characteristic of a pupil in Adie's Tonic Pupil during examination with a biomicroscope?

<p>Segmental constriction affecting only a section of the iris (B)</p> Signup and view all the answers

What is the effect of pilocarpine solution on a pupil with Adie's Tonic Pupil?

<p>Causes significant miosis (A)</p> Signup and view all the answers

What is the differential diagnosis for a fixed dilated pupil?

<p>Drug-induced mydriasis (B)</p> Signup and view all the answers

What is the characteristic of a pupil in Adie's Tonic Pupil over time?

<p>It becomes smaller and does not dilate in dark (C)</p> Signup and view all the answers

What is the clinical presentation of a pupil in a disruption of the Efferent Pathway?

<p>A large pupil with a poor near response (B)</p> Signup and view all the answers

Where do the parasympathetic fibers synapse in the parasympathetic pathway to ocular structures?

<p>In the anterior edge of the ciliary ganglion (A)</p> Signup and view all the answers

What is the function of the sensory root in the parasympathetic pathway to ocular structures?

<p>To transmit sensory signals from the globe (B)</p> Signup and view all the answers

What is the effect of sympathetic stimulation on the pupil?

<p>Pupillary dilation (D)</p> Signup and view all the answers

Which nerve is responsible for transmitting the corneal reflex?

<p>Trigeminal nerve (B)</p> Signup and view all the answers

What is the effect of parasympathetic stimulation on the ciliary muscle?

<p>Contraction of the ciliary muscle (C)</p> Signup and view all the answers

What is the term for the physiologic pupillary unrest caused by the balance between parasympathetic and sympathetic nerves?

<p>Hippus (B)</p> Signup and view all the answers

What is the origin of the sympathetic innervation for ocular structures?

<p>Segments T-1 through T-3 (A)</p> Signup and view all the answers

What is the function of the sympathetic innervation to the iris?

<p>Dilation of the pupil (A)</p> Signup and view all the answers

Which structure is innervated by both sympathetic and parasympathetic systems?

<p>Ciliary muscle (C)</p> Signup and view all the answers

What is the sequence of the sympathetic pathway to ocular structures?

<p>Hypothalamus → Spinal cord → Ganglion → Ocular structures (A)</p> Signup and view all the answers

What is the role of the parasympathetic system in the eye?

<p>Maintenance and restoration of the resting state (C)</p> Signup and view all the answers

Where do the postganglionic fibers leave the ganglion in the sympathetic pathway to ocular structures?

<p>Sympathetic ganglion chain (A)</p> Signup and view all the answers

What is the pathway of sympathetic fibers that travel with the ophthalmic division of the trigeminal nerve?

<p>They travel with the nasociliary nerve and then follow the long ciliary nerves. (B)</p> Signup and view all the answers

What is the effect of sympathetic stimulation on the ciliary muscle?

<p>It causes relaxation of the ciliary muscle. (B)</p> Signup and view all the answers

Where do the parasympathetic fibers synapse in the parasympathetic pathway to ocular structures?

<p>In the ciliary ganglion. (A)</p> Signup and view all the answers

What is the role of the sympathetic pathway in the regulation of choroidal blood vessels?

<p>It causes vasoconstriction of the choroidal blood vessels. (C)</p> Signup and view all the answers

Which nerve do the sympathetic fibers travel with to innervate the smooth muscle of the upper eyelid?

<p>Oculomotor nerve. (B)</p> Signup and view all the answers

What is the effect of sympathetic stimulation on the pupil?

<p>It causes pupillary dilatation. (D)</p> Signup and view all the answers

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