Cranial Nerves and Muscle Innervation Quiz

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Questions and Answers

Which cranial nerve is responsible for innervating the cricothyroid muscle?

  • CN IX
  • CN X (correct)
  • CN VII
  • CN XII

What is the function of the cricothyroid muscle?

  • Stabilizes the larynx
  • Shortens the vocal cords
  • Lengthens the vocal cords (correct)
  • Raises the larynx

Which of the following nerves is associated with the inferior laryngeal nerve?

  • CN IX
  • CN X (correct)
  • CN VI
  • CN IV

Which muscle group is primarily innervated by CN VII?

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

The stabilization of the larynx is primarily a function of which muscle group?

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

Which cranial nerve is involved in the motor innervation of the infrahyoid muscles?

<p>C1 via CN XII (C)</p> Signup and view all the answers

What role do the suprahyoid muscles play in the neck?

<p>Elevating the hyoid bone (C)</p> Signup and view all the answers

Which nerve is critical for the action of the cricothyroid muscle?

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

Which branch of the Trigeminal Nerve is responsible for sensory innervation to the medial forehead and upper eyelid?

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

What structure does the Maxillary branch of the Trigeminal Nerve innervate?

<p>Upper teeth and maxillary sinus (B)</p> Signup and view all the answers

Which sensory function is associated with the Ophtalmic branch of CN V?

<p>Sensation from the medial eyelid and conjunctiva (A)</p> Signup and view all the answers

Which of the following is NOT innervated by the Maxillary branch of the Trigeminal Nerve?

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

What is the primary function of the Trigeminal Nerve's Ophthalmic branch?

<p>Sensory innervation to the forehead (D)</p> Signup and view all the answers

Which area is primarily supplied by the Maxillary branch of the Trigeminal Nerve?

<p>Lower eyelid and upper lip (C)</p> Signup and view all the answers

Which nerve branch is responsible for sensory innervation of the dura mater of the middle cranial fossa?

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

Which sensory area is associated with the Mandibular branch of the Trigeminal Nerve?

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

Which muscle is responsible for controlling the diameter of the pupil?

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

Which nerve is associated with the sensation from the post â…“ of the tongue?

<p>Glossopharyngeal nerve CN IX (A)</p> Signup and view all the answers

What structure is innervated by the glossopharyngeal nerve CN IX apart from the tongue?

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

Which ganglion is associated with the lesser petrosal nerve?

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

Which area does the vagus nerve CN X innervate that is NOT related to the tongue?

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

The carotid body and sinus receive sensory information from which cranial nerve?

<p>Glossopharyngeal nerve CN IX (C)</p> Signup and view all the answers

Which structure is not a function associated with the ciliary muscle?

<p>Influencing tear production (D)</p> Signup and view all the answers

Which muscle is primarily involved in elevating the pharynx during swallowing?

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

Which of the following muscles is innervated by the vagus nerve?

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

Which nerve is responsible for innervating the sternocleidomastoid muscle?

<p>Accessory Nerve (CN XI) (A)</p> Signup and view all the answers

Which of the following statements is correct regarding the hypoglossal nerve?

<p>It primarily supplies intrinsic muscles of the tongue. (C)</p> Signup and view all the answers

What is the function of the dilator pupillae muscle?

<p>It dilates the pupil. (C)</p> Signup and view all the answers

Which muscles are classified as infrahyoid muscles?

<p>Sternohyoid, Sternothyroid, Omohyoid (D)</p> Signup and view all the answers

Which blood vessel supplies the cheeks, lips, and nose?

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

What structures does the vagus nerve provide cardiac branches to?

<p>Thoracic and abdominal organs (A)</p> Signup and view all the answers

The tensor veli palatini is primarily responsible for which of the following functions?

<p>Tensing the soft palate (B)</p> Signup and view all the answers

Which anatomical structures are included in the drainage of the superficial veins of the face?

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

What is the primary region drained by the internal carotid artery?

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

Which of the following is associated with the superficial veins of the face?

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

Which structure is NOT drained by the internal carotid artery?

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

Which area does the venous drainage of the lateral face include?

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

Which muscle is included in the posterior scalp drainage area?

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

Which of the following regions does NOT receive drainage from superficial veins?

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

What part of the face does the superficial venous drainage specifically NOT target?

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

Which type of nerves entering the pterygopalatine fossa does not synapse with a ganglion?

<p>Sensory nerves (B), Sympathetic nerves (C)</p> Signup and view all the answers

Which cranial nerve provides parasympathetic innervation to the pterygopalatine fossa?

<p>CN VII (Facial Nerve) (D)</p> Signup and view all the answers

What structure do the nerves from the pterygopalatine fossa pass through to provide innervation to the palate?

<p>Greater palatine canal (A), Palatovaginal canal (B), Sphenopalatine foramen (C)</p> Signup and view all the answers

Which of the following fibers synapse at the pterygopalatine ganglion?

<p>Parasympathetic fibers from CN VII (C)</p> Signup and view all the answers

Which of the following options best describes the PSNS fibers in relation to the pterygopalatine fossa?

<p>They contribute to the nerve of the pterygoid canal. (C)</p> Signup and view all the answers

Which anatomical feature is associated with providing both sensory and autonomic innervation from the pterygopalatine fossa?

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

What is the function of the nerves that exit the pterygopalatine ganglion?

<p>Provide both sensory and autonomic innervation. (D)</p> Signup and view all the answers

Flashcards

Cricothyroid muscle

A muscle located at the front of the Larynx, innervated by the superior laryngeal branch of the vagus nerve (CN X), responsible for lengthening the vocal cords

Inferior Laryngeal Nerve

The inferior laryngeal branch of the vagus nerve (CN X) innervates a group of muscles located at the back of the Larynx

Digastric muscle

A suprahyoid muscle, one of the muscles above the hyoid bone, innervated by the facial nerve (CN VII), responsible for elevating the hyoid bone

Mylohyoid muscle

A suprahyoid muscle, innervated by the facial nerve (CN VII) and the trigeminal nerve (CN V), responsible for elevating the hyoid bone and lowering the mandible

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Geniohyoid muscle

A suprahyoid muscle, innervated by the trigeminal nerve (CN V), responsible for depressing the mandible and elevating the hyoid bone

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Stylohyoid muscle

A suprahyoid muscle, innervated by the hypoglossal nerve (CN XII), responsible for depressing the mandible and elevating the hyoid bone

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Omohyoid muscle

An infrahyoid muscle, located below the hyoid bone, innervated by the ansa cervicalis, responsible for depressing the hyoid bone

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Sternothyroid muscle

An infrahyoid muscle innervated by the ansa cervicalis, responsible for depressing the hyoid bone

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What does CN Va innervate?

The ophthalmic branch of the trigeminal nerve (CN V) is responsible for sensory innervation of the forehead, scalp, and upper eyelid.

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What does CN Vb innervate?

The maxillary branch of the trigeminal nerve (CN V) provides sensory input to the upper teeth, maxillary sinus, lower eyelid, upper lip, and cheek.

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What is the trigeminal nerve's role?

The trigeminal nerve (CN V) is a mixed nerve with both sensory and motor functions. The sensory component is responsible for sensation in the face. The motor component is responsible for controlling muscles of mastication, like chewing.

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What does the PSNS component of CN Va control?

The ophthalmic branch of the trigeminal nerve (CN V) also provides parasympathetic innervation (PSNS) to the lacrimal gland, controlling tear production.

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What does CN Vc innervate?

The mandibular branch of the trigeminal nerve (CN V) is responsible for motor innervation of the muscles of mastication. The sensory component provides sensation to the lower teeth, chin, and anterior two-thirds of the tongue.

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Where does the trigeminal nerve provide sensation in the skull?

The trigeminal nerve (CN V) is responsible for sensation in the dura mater (a tough membrane covering the brain) of the middle cranial fossa, a part of the skull.

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Besides the face, what else does the trigeminal nerve innervate?

The trigeminal nerve (CN V) also contributes to the sensation of the hard and soft palate, which form the roof of the mouth, and the nasopharynx, which is the upper part of the throat.

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What are some possible issues with the trigeminal nerve?

The trigeminal nerve (CN V) can be affected by various conditions, causing pain, numbness, weakness, or other symptoms in the face. This can result from conditions like trigeminal neuralgia, a disorder causing intense facial pain, or nerve damage.

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What part of the tongue does the glossopharyngeal nerve innervate?

The glossopharyngeal nerve (CN IX) supplies general and special sensation to the posterior one-third of the tongue. This includes taste sensation.

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What sensory function does the glossopharyngeal nerve have?

The glossopharyngeal nerve (CN IX) carries taste sensation from the posterior one-third of the tongue. This is why you can taste the back of your tongue.

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What muscle does the glossopharyngeal nerve innervate?

The glossopharyngeal nerve (CN IX) supplies motor innervation to the stylopharyngeus muscle. This muscle helps with swallowing and voice production.

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What structures are involved in blood pressure regulation that are innervated by the glossopharyngeal nerve?

The glossopharyngeal nerve (CN IX) innervates the carotid sinus and body, which are important for regulating blood pressure.

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How is the glossopharyngeal nerve involved in parotid gland innervation?

The glossopharyngeal nerve (CN ΙX) contributes to the otic ganglion through the lesser petrosal nerve. This ganglion innervates the parotid gland, responsible for saliva production.

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What parts of the ear are innervated by the vagus nerve?

The vagus nerve (CN X) innervates the external ear, external auditory canal, and part of the tympanic membrane. This makes it responsible for some sensation in the ear.

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What part of the brain does the vagus nerve innervate?

The vagus nerve (CN X) innervates the dura mater of the posterior cranial fossa, which is the tough outer layer of the brain.

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What is the overall function of the vagus nerve?

The vagus nerve (CN X) plays a key role in controlling the heart, lungs, digestive system, and other visceral organs. This is why it's sometimes called the "wandering nerve."

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Internal Carotid Artery

This artery supplies blood to the orbit, eyeball, forehead, and nose.

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Superficial Facial Vein

Drains blood from the submental region, cheeks, lips, eyelids, conjunctiva, forehead, and scalp.

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Facial Vein

Drains blood from the lateral face and deep structures of the maxilla.

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Glossopharyngeal Nerve (CN IX) function

The Glossopharyngeal nerve (CN IX) innervates muscles of the pharynx except Tensor veli palatini, Palatoglossus, and all infrahyoid muscles. It is also responsible for some sensory functions like taste on the posterior tongue and sensation in the oropharynx.

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Vagus Nerve (CN X) function

The Vagus nerve (CN X) innervates muscles of the pharynx, larynx, and soft palate, except Tensor veli palatini and Palatoglossus, which are innervated by CN V and CN XII, respectively.

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Accessory Nerve (CN XI) function

The Accessory nerve (CN XI) controls sternocleidomastoid and trapezius muscles, which are responsible for head rotation and shoulder elevation.

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Hypoglossal Nerve (CN XII) function

The Hypoglossal nerve (CN XII) is responsible for innervating intrinsic and extrinsic tongue muscles, except Palatoglossus which is innervated by CN X.

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External Carotid Artery function

The external carotid artery supplies blood to superficial structures like cheeks, lips, nose, and the median corner of the eye.

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Internal Carotid Artery function

The internal carotid artery supplies blood to deeper structures of the head like the brain, eyes, and the meninges.

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Subclavian Artery function

The subclavian artery is the major artery supplying blood to the upper limbs, neck, and thoracic region.

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Vertebral artery function

The vertebral artery is one of the two main arteries supplying blood to the brain. It branches from the subclavian artery and travels through the vertebral canal before joining with the other vertebral artery to form the basilar artery.

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Pterygopalatine Fossa

The pterygopalatine fossa is a space in the skull that houses the pterygopalatine ganglion. It is related to the maxilla, palatine bone, and sphenoid bone.

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Pterygopalatine Ganglion

The pterygopalatine ganglion is a parasympathetic ganglion that receives input from the facial nerve (CN VII) and sends output to various structures in the head and neck.

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Sensory Nerves

Sensory nerves transmit signals from sensory organs (like your skin) to the brain.

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Sympathetic Nervous System (SNS)

The sympathetic nervous system (SNS) is responsible for 'fight or flight' responses.

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Parasympathetic Nervous System (PSNS)

The parasympathetic nervous system (PSNS) is responsible for 'rest and digest' functions.

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Nerve of the Pterygoid Canal

The nerve of the pterygoid canal is formed by the combination of parasympathetic and sympathetic nerves that enter the pterygopalatine ganglion.

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Openings for Nerve Passage

The palatovaginal canal, sphenopalatine foramen, greater and lesser palatine canals are openings in the skull that allow nerves and blood vessels to pass through.

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Nerves Exiting the Ganglion

Nerves exiting the pterygopalatine ganglion carry both sensory and autonomic signals to target tissues.

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Study Notes

Foramina

  • Cribriform plate: CN I (Olfactory nerve)
  • Optic canal: CN II (Optic nerve), ophthalmic artery
  • Superior orbital fissure: CN III (Oculomotor nerve), CN IV (Trochlear nerve), CN V1 (ophthalmic branch of trigeminal nerve), CN VI (Abducens nerve)
  • Inferior orbital fissure: branch of CN V2 (maxillary branch of trigeminal nerve)
  • Foramen rotundum: CN V2 (maxillary branch of trigeminal nerve)
  • Foramen ovale: CN V3 (mandibular branch of trigeminal nerve), accessory meningeal artery
  • Carotid canal: internal carotid artery
  • Foramen spinosum: middle meningeal artery (EC)
  • Foramen lacerum: filled with cartilage
  • Internal acoustic meatus: CN VII (Facial nerve), CN VIII (Vestibulocochlear nerve), labyrinthine artery and vein
  • Jugular foramen: internal jugular vein, CN IX (Glossopharyngeal nerve), CN X (Vagus nerve), CN XI (Accessory nerve)
  • Hypoglossal canal: CN XII (Hypoglossal nerve)
  • Stylomastoid foramen: CN VII (Facial nerve)
  • Foramen magnum: spinal cord, vertebral arteries, roots of CN XII (upwards)

Muscles of Facial Expression - CN VII

  • Orbital GP: Orbicularis oculi, Corrugator supercilii
  • Nasal GP: Nasalis, Procerus
  • Oral GP: Orbicularis oris, Buccinator, Depressor septi nasi

Muscles of Mastication - CN V3

  • Masseter
  • Temporalis
  • Medial pterygoid
  • Lateral pterygoid

Muscles of the Tongue

  • Intrinsic (CNXII): Superior longitudinal, Inferior longitudinal, Transverse, Vertical
  • Extrinsic (CNXII): Genioglossus, Hypoglossus, Styloglossus, Palatoglossus

Muscles of the Floor of the Oral Cavity

  • Mylohyoid
  • Geniohyoid

Muscles of the Soft Palate

  • Tensor veli palatini: CN V3
  • Levator veli palatini: CN X
  • Palatopharyngeus: CN X
  • Palatoglossus: CN X
  • Musculus uvulae: CN X

Muscles of the Pharynx

  • Superior constrictor: CN X
  • Middle constrictor: CN X
  • Inferior constrictor: CN X
  • Stylopharyngeus: CN IX
  • Salpingopharyngeus: CN X
  • Palatopharyngeus: CN X, Sphincters: palatopharyngeal sphincter, Cricopharyngeus

Muscles of the Larynx

  • Cricothyroid
  • Musculature for vocal cord function (Transverse, Oblique, Lateral cricoarytenoid, Posterior Cricoarytenoid, Thyroarytenoid, Vocalis, Aryepiglottic, Thyroepiglottic)

Muscles of the Neck

  • Suprahyoid and infrahyoid groups (including specific muscle names)

Other Muscles of the Neck

  • Anterior scalene
  • Middle scalene
  • Posterior scalene
  • Sternocleidomastoid
  • Platysma

Orbital Muscles

  • Levator palpebrae superioris
  • Superior Tarsal Muscle
  • Superior Rectus
  • Inferior Rectus
  • Medial Rectus
  • Lateral Rectus
  • Superior Oblique
  • Inferior Oblique

Nerve to medial pterygoid

  • Nerve to lateral pterygoid
  • Masseteric nerve
  • Deep temporal nerve

Trigeminal Nerve (CN V)

  • Ophthalmic branch (CN V1), Maxillary branch (CN V2), Mandibular Branch (CN V3)
  • Specify sensory & motor functions of each branch
  • List branch names for ophthalmic branch (frontal, lacrimal, nasociliary), Maxillary branch (superior alveolar, middle meningeal, infraorbital), Mandibular Branch (meningeal, buccal, auriculotemporal)

Oculomotor Nerve (CN III)

  • Specify muscles innervated

Otic Ganglion

  • Sensory & PSNS innervation routes

Other cranial nerve routes and functions

  • Include all cranial nerves and their branches

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