Cranial Nerves and Anatomy Quiz

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Questions and Answers

The optic canal is an opening in the:

  • lesser wing of sphenoid (correct)
  • occipital
  • frontal
  • squamous part of temporal

Mandibular foramen transmits which of the following?

  • Mandibular division of trigeminal nerve (correct)
  • Facial nerve
  • Massetic nerve
  • Inferior alveolar nerve

The most appropriate muscle responsible for elevation of mandible is:

  • Lateral pterygoid muscle
  • Temporalis muscle (correct)
  • Stylohyoid muscle
  • Mylohoid muscle

The orbital margins superiorly are bounded by frontal bone & which other one laterally?

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

Which one of the following is a characteristic feature of a typical cervical vertebra?

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

If the blood accumulates between outer layer of Dura matter and cranial bone, the hemorrhage is known as:

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

A person is bleeding profusely after a stab wound in front of the zygomatic arch. Bleeding is most likely from:

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

Which of the following movement of the mandible would be affected by the injury to the nerve supplying the lateral pterygoid muscle?

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

Infections may be spread from the nasal cavity to the meninges along the pathway of olfactory nerves as its fibers pass from the mucosa of the nasal cavity to the olfactory bulb via the:

<p>Cribriform plate of ethmoid (D)</p> Signup and view all the answers

Structures passing through the superior orbital fissure include:

<p>Occulomotor nerve (A), Opthalmic division of trigeminal nerve (B), Abducent nerve (D)</p> Signup and view all the answers

A 13 year olf girl complains of dryness of the nose, indicating a lesion of which of following ganglia:

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

Which of the following nerve is located in cavernous sinus?

<p>Occulomotor (A), Abducent (D)</p> Signup and view all the answers

The arachnoid villi for cerebro-spinal fluid absorption protrude mainly in the:

<p>Superior sagittal sinus (D)</p> Signup and view all the answers

The submandibular ganglion receives pre-ganglionic parasympathetic axons from which of the following cranial nerve?

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

Which one of the following muscle would remain functional, if the nerves passing through the jugular foramen are severed as a result of cranial fracture?

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

An acoustic neuroma is a tumor of the Vestibulocochlear nerve as it exits the cranial cavity. Because this tumor compresses surrounding structures or invades nearby tissue, in addition to hearing loss & equilibrium problem such patientds would most likely demonstrate ipsilateral:

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

The middle ear:

<p>has floor overlies the auditory tube (B), Communicates with the mastoid antrum (D)</p> Signup and view all the answers

Regarding lingual musculature, which of the following is correct?

<p>Longitudinal muscles maintain the shape of the tongue (B), Genioglossus depresses the tongue (C)</p> Signup and view all the answers

An abscess was surgically removed from the middle of the posterior triangle on the right side. During recovery the patient noticed that the shoulder drooped and he could no longer move his right hand above his head to brush his hair,

<p>Spinal part of accessory nerve (C)</p> Signup and view all the answers

The muscle forming the floor of the posterior triangle of neck is:

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

Following thyroidectomy hoarseness of voice may occur. The condition is caused by injury to:

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

What is the vertebral extent of thyroid gland?

<p>C5 to T1 (D)</p> Signup and view all the answers

Which of the following nerves is related to the neck of the mandible?

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

Which of the following muscle is connecting Hyoid bone to the mandible?

<p>Stylohyoid (B), Anterior belly of digastric (C)</p> Signup and view all the answers

Nasolacrimal duct opens into:

<p>Vestibule of inferior meatus (A)</p> Signup and view all the answers

Suprahyoid muscles comprise the following except:

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

Which of the following is not forming the root of the neck?

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

This of the following is not sub-divisions of anterior triangle of neck?

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

The carotid sheath:

<p>encloses the jugular vein and vagus nerve (B)</p> Signup and view all the answers

Loss of sensation from the temporal region and loss of secretory function of the parotid gland would be caused by interruption of which of the following nerve:

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

Which of the following passes through the parotid gland:

<p>External carotid artery (B)</p> Signup and view all the answers

Parotid duct of Stensen's open into the:

<p>Vestibule of mouth at the level of upper third molar (A)</p> Signup and view all the answers

Which laryngeal muscle is NOT paired?

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

A 60 year old man is unable to open his eye beause of a rare neuromuscular disease. Which of the following muscle would most likely be paralyzed?

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

Which of the following structures does not pierce the Sclera?

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

Epiphyseal ends of long bones contain which of the following:

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

The organic component of bone matrix is produced by:

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

Select the true example of pivot synovial joint:

<p>Median atlanto-axial joint (A)</p> Signup and view all the answers

Which of the following is not the location of elastic cartilage?

<p>Inter-vertebral disc (D)</p> Signup and view all the answers

All of the following cranial nerves carry preganglionic parasympathetic fibers except:

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

Which of the following bones ossify in membrane?

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

Median opening present in roof of 4th ventricle is:

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

Which of the following nerve arises from dorsal surface of brain stem?

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

Filum terminale is projection of:

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

The stem of lateral sulcus contains:

<p>Middle cerebral artery (A), Anterior cerebral artery (B)</p> Signup and view all the answers

A 60 year old man presented in casualty with stroke. He had facial palsy, squint and hemiplegia. The possible damage is at the level of:

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

Flashcards

Optic canal

An opening in the lesser wing of the sphenoid bone, located at the anterior part of the middle cranial fossa, that serves as a passageway for the optic nerve and ophthalmic artery.

Mandibular foramen

A foramen in the mandibular bone, located on the medial side of the ramus, that transmits the inferior alveolar nerve, inferior alveolar artery, and inferior alveolar vein.

Temporalis muscle

A large muscle that arises from the temporal fossa and inserts on the coronoid process of the mandible. It plays a major role in elevating the mandible, closing the jaw.

Zygomatic bone

A bone located on the side of the face, forming part of the cheekbone. It forms the lateral part of the orbital margin and articulates with the frontal, sphenoid, maxilla, and temporal bones.

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Foramen transversarium

A characteristic feature of typical cervical vertebrae. This is a bony opening present in the transverse process of each cervical vertebra, allowing passage of the vertebral artery and vein and sympathetic nerves.

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Epidural hemorrhage

A type of intracranial hemorrhage that occurs between the dura mater and the skull. It is commonly caused by a tear in the middle meningeal artery.

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Facial artery

The major artery supplying the face, providing branches to the nose, lips, and chin. It is a terminal branch of the external carotid artery.

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Lateral pterygoid muscle

A muscle that originates from the lateral pterygoid plate and inserts on the mandible. It functions in depressing and protracting the mandible, as well as moving it side to side.

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Cribriform plate of ethmoid

A sieve-like structure that forms the roof of the nasal cavity and allows olfactory nerve fibers to pass through.

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Foramen magnum

A large opening in the skull, located at the base, that transmits the spinal cord and several cranial nerves, including the vagus nerve.

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Cavernous sinus

A complex network of venous channels in the head, located close to the pituitary gland. It drains blood from the brain, eye, and face.

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Pterygopalatine ganglion

A ganglion associated with the facial nerve. It receives preganglionic parasympathetic fibers from the facial nerve and sends postganglionic fibers to the lacrimal gland.

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Superior sagittal sinus

An important venous sinus located in the midline of the cranial vault, just above the falx cerebri. It drains venous blood from the brain into the transverse sinus.

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Submandibular ganglion

A ganglion located in the neck that receives preganglionic parasympathetic fibers from the facial nerve and sends postganglionic fibers to the submandibular and sublingual glands.

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Jugular foramen syndrome

A type of nerve damage that occurs when the nerves passing through the jugular foramen are severed. It results in paralysis of the sternocleidomastoid and trapezius muscles.

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Acoustic neuroma

A benign tumor of the vestibulocochlear nerve, which is located in the internal auditory canal. It can cause hearing loss, tinnitus, vertigo, and facial weakness.

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Middle ear

A cavity located in the temporal bone, containing ossicles (malleus, incus, and stapes). It acts as a passage for sound waves and amplifies these waves before sending them towards the inner ear.

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Stylohyoid muscle

A muscle that originates from the hyoid bone and inserts on the styloid process of the temporal bone. It functions in elevating and retracting the hyoid bone, which aids in swallowing.

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Spinal accessory nerve

A nerve that arises from the spinal cord and travels through the jugular foramen. It is responsible for the motor innervation of the trapezius and sternocleidomastoid muscles, controlling shoulder elevation, head turning, and neck extension.

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Splenius capitis

A muscle located in the posterior neck, responsible for rotating and extending the head. It attaches to the mastoid process of the temporal bone.

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Recurrent laryngeal nerve

A nerve that originates from the vagus nerve and supplies the larynx, except for the cricothyroid muscle, which is supplied by the external laryngeal nerve. Damage to this nerve can lead to hoarseness of voice.

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Parotid gland

The largest of the salivary glands, located in front of the ear. It secretes saliva through the parotid duct (Stensen's duct), which opens into the mouth opposite the second upper molar.

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Levator palpebrae superioris

A muscle located in the eyelid, responsible for opening the eye. It is innervated by the oculomotor nerve.

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Sclera

The transparent outer layer of the eye, responsible for maintaining the shape of the eye and protecting the inner structures. It is pierced by the optic nerve, central retinal vessels, and ciliary vessels.

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Spongy (cancellous) bone

A type of bone tissue that is characterized by a network of interconnected spaces filled with bone marrow. It is lighter than compact bone and provides strength and flexibility.

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Osteoblasts

A type of bone cell that produces new bone matrix. They are responsible for bone growth and repair.

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Pivot joint

A type of joint that allows for rotation around a central axis. It's characterized by a bony peg (pivot) that fits into a ring formed by bone and ligament. Example: the first two cervical vertebrae (atlanto-axial joint).

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Hyaline cartilage

A type of cartilage that contains very fine collagen fibers. It is strong and flexible, providing structural support and cushioning in the joints.

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Occulomotor nerve

A nerve that arises from the midbrain and controls several eye muscles, including the superior rectus, inferior rectus, medial rectus, and inferior oblique muscles. It also carries parasympathetic fibers that control pupillary constriction.

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Intramembranous ossification

The process of bone formation that occurs directly from mesenchyme, without a cartilage model. It forms the flat bones of the skull and the clavicle.

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Foramen of Magendie

A small opening in the roof of the fourth ventricle, located in the hindbrain, that connects the fourth ventricle to the subarachnoid space. It allows for the passage of cerebrospinal fluid.

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Ligamentum denticulate

A thin, fibrous extension of the pia mater that anchors the spinal cord to the filum terminale. It prevents the cord from moving excessively within the vertebral canal.

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Middle cerebral artery

A major artery that branches off the internal carotid artery and supplies the lateral surface of the cerebral hemisphere with blood.

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Precentral gyrus

A gyrus located in the frontal lobe of the brain, immediately anterior to the central sulcus. It is responsible for controlling voluntary movement of the opposite side of the body.

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Association fibers

A type of white matter fiber that connects different areas within the same hemisphere of the brain. It allows for communication and integration of information within the same hemisphere.

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Frontal lobe

The most anterior part of the brain, responsible for higher cognitive functions, such as planning, decision-making, language, and personality.

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Posterior communicating artery

A branch of the internal carotid artery, responsible for supplying blood to the posterior cerebral artery and part of the circle of Willis.

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Meckel's cartilage

A cartilaginous structure found in the first pharyngeal arch, which forms several parts of the face, including the mandible, malleus, incus, and sphenomandibular ligament.

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Stratified squamous epithelium

A type of epithelium that consists of multiple layers of cells, with the most superficial layer being flattened and the deepest layer being cuboidal or columnar. It provides protection and can be found in areas that experience abrasion, such as the skin.

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Sinusoidal capillary

A type of capillary with large, irregular gaps in the endothelium, allowing for the passage of large molecules and cells. An example is in the liver.

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Holocrine secretion

A type of glandular secretion where the entire cell, along with its secretory product, is released. Example: Sebaceous glands secreting sebum.

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Study Notes

Cranial Nerves and Anatomy

  • Optic Canal: Located in the temporal bone
  • Mandibular Foramen: Transmits the mandibular division of the trigeminal nerve
  • Elevation of Mandible: Primarily facilitated by the temporalis muscle
  • Orbital Margins: Superiorly bounded by the frontal bone and laterally by the zygomatic bone
  • Cervical Vertebrae: Characteristically feature a bifid spinous process
  • Superior Orbital Fissure: Path for the abducens nerve, oculomotor nerve, and ophthalmic division of the trigeminal nerve
  • Cavernous Sinus: Houses the abducens, oculomotor and ophthalmic nerves
  • Cerebrospinal Fluid Absorption: Occurs via arachnoid villi primarily within the superior sagittal sinus
  • Submandibular Ganglion: Receives preganglionic parasympathetic axons from the facial nerve
  • Jugular Foramen: Severance can result in loss of function for the styloglossus muscle.
  • Vestibulocochlear Nerve Tumor: Compressing surrounding structures can cause hearing loss, balance issues, or facial paralysis on the same side as the tumor
  • Middle Ear: Innervated by the vestibulocochlear nerve, communicates with the mastoid antrum, and contains the vestibular ganglion
  • Lingual Muscles: Supplied primarily by the hypoglossal nerve; the genioglossus muscle depresses the tongue.

Head and Neck Anatomy and Physiology

  • Hemorrhage Between Dura Matter and Cranial Bone: Known as an epidural hemorrhage
  • Bleeding From Zygomatic Arch: Likely originates from the middle meningeal artery due to the injury location
  • Lateral Pterygoid Muscle: Involved in mandibular depression. Damage to the nerve supplying it can affect this movement
  • Infections from Nasal Cavity to Meninges: Spread via the olfactory nerve fibers through the cribriform plate of the ethmoid bone
  • Superior Orbital Fissure: Opening for the occulomotor, trochlear, and ophthalmic divisions of the trigeminal nerves.
  • Posterior Triangle of Neck Floor: Formed primarily by the splenius capitis muscle
  • Thyroidectomy and Voice Hoarseness: Possible nerve damage is to the recurrent laryngeal nerve
  • Thyroid Gland: Extends from C5 to T1 vertebrae
  • Neck of Mandible Nerve: The inferior alveolar nerve provides the sensation for the neck of the mandible
  • Hyoid Bone Connection: The anterior belly of the digastric muscle connects the hyoid bone to the mandible
  • Nasolacrimal Duct Opening: Into the vestibule of inferior meatus
  • Suprahyoid Muscles: The digastric, stylohyoid, geniohyoid, and mylohyoid muscles all comprise the suprahyoid muscle group.
  • Root of the Neck: Formed by the xiphisternum, first rib, the first thoracic vertebra, and the manubrium sterni,
  • Carotid Sheath: Encloses the jugular vein and the vagus nerve, and fuses with the pleura inferiorly
  • Temporal Region Sensation and Parotid Gland Function: Impaired if the facial nerve is damaged.
  • Parotid Gland Passage: The external carotid artery passes through the parotid gland.
  • Stensen's Duct Opening: Into the vestibule of the mouth at the level of the upper second molar
  • Laryngeal Muscles: The posterior cricoarytenoid is the only unpaired laryngeal muscle
  • Eye Opening Muscle: The muscle that is most likely paralyzed in the given scenario is the levator palpebrae superioris
  • Sclera Piercing Structures: The optic nerve pierces the sclera but the vertical veins and ophthalmic nerves do not.
  • Long Bones Epiphyses: Contains spongy bone
  • Bone Matrix Organic Component Production: Osteoblasts
  • Pivot Synovial Joint: The median atlanto-axial joint is an example of a pivot synovial joint.
  • **Correct Answer for questions provided in the text**

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