Innervations and Blood supply for Respiratory system
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Questions and Answers

Which cranial nerve is responsible for sensory input to the upper portion of the nose?

  • CN V (Trigeminal nerve)
  • CN IX (Glossopharyngeal nerve)
  • CN I (Olfactory) (correct)
  • CN VII (Facial Nerve)
  • Which cranial nerve is responsible for sensory input to the laryngopharynx?

  • CN IX (Glossopharyngeal nerve)
  • CN X (Vagus) (correct)
  • CN VII (Facial Nerve)
  • CN V (Trigeminal nerve)
  • Which cranial nerve is responsible for taste sensation to the body of the tongue's anterior 2/3?

  • CN VII (Facial Nerve) (correct)
  • CN IX (Glossopharyngeal nerve)
  • CN X (Vagus)
  • CN V (Trigeminal nerve)
  • Which cranial nerve is responsible for motor innervation of the sternocleidomastoid muscle?

    <p>CN XI (Spinal accessory)</p> Signup and view all the answers

    Which cranial nerve is responsible for sensory input to the root of the tongue's posterior 1/3?

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

    Which cranial nerve is involved in regional anesthesia that blocks the maxillary nerve and parasympathetic function?

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

    Which nerve is responsible for motor supply to the cricothyroid muscle?

    <p>External branch of SLN</p> Signup and view all the answers

    What is the sensory landmark for awake intubation?

    <p>Internal Laryngeal Nerve</p> Signup and view all the answers

    From which cranial nerve are the motor fibers in the Pharyngeal Plexus derived, except for the stylopharyngeus muscle?

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

    Which nerve supplies the lower vocal cords and larynx below the vocal cords?

    <p>Inferior Laryngeal Nerve</p> Signup and view all the answers

    Which nerve supplies the upper vocal cords and larynx above the vocal cords?

    <p>Superior Laryngeal Nerve</p> Signup and view all the answers

    What is the sensory function of the Inferior Laryngeal Nerve?

    <p>Lower vocal cords and larynx below vocal cords</p> Signup and view all the answers

    Which nerve innervates the cricothyroid muscle?

    <p>External Branch of SLN</p> Signup and view all the answers

    What is the motor function of the Recurrent Laryngeal Nerve?

    <p>All muscles of larynx except cricothyroid muscle</p> Signup and view all the answers

    Which artery supplies the nasal cavity?

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

    Which artery supplies Kiesselbach’s area, a common site of chronic EPISTAXIS?

    <p>labial artery (facial artery branch)</p> Signup and view all the answers

    The Glossopharyngeal nerve is responsible for sensory input to the anterior 2/3 of the tongue.

    <p>False</p> Signup and view all the answers

    The Spinal accessory nerve is responsible for motor innervation of the palatoglossus muscle.

    <p>False</p> Signup and view all the answers

    The Vagus nerve supplies motor innervation to the palatoglossus.

    <p>True</p> Signup and view all the answers

    The Sphenopalatine ganglion receives preganglionic parasympathetic neurons from CN IX.

    <p>False</p> Signup and view all the answers

    The Olfactory nerve is responsible for sensory input to the nasopharynx.

    <p>False</p> Signup and view all the answers

    The Hypoglossal nerve is responsible for motor innervation of the palatoglossus muscle.

    <p>False</p> Signup and view all the answers

    The pharyngeal plexus contains sensory and motor fibers derived from cranial nerve X (CN X).

    <p>True</p> Signup and view all the answers

    The external branch of the superior laryngeal nerve (SNL) innervates the cricothyroid muscle.

    <p>True</p> Signup and view all the answers

    The recurrent laryngeal nerve (RLN) supplies motor innervation to all muscles of the larynx except the cricothyroid muscle.

    <p>True</p> Signup and view all the answers

    The inferior laryngeal nerve (a branch off RLN) provides sensory innervation to the lower vocal cords and larynx below the vocal cords.

    <p>True</p> Signup and view all the answers

    Pectoral nerves innervate the pectoralis major and minor muscles, while the long thoracic nerve innervates the serratus anterior muscle.

    <p>True</p> Signup and view all the answers

    The pulmonary plexus provides autonomic innervation to smooth muscle and glands of the lungs.

    <p>True</p> Signup and view all the answers

    Sympathetic fibers of T1-T4 have a strong effect on airway diameter, including some vasoconstriction and inhibition of gland secretion.

    <p>False</p> Signup and view all the answers

    The lingual artery is responsible for supplying the oropharynx.

    <p>False</p> Signup and view all the answers

    Branches of superior and inferior thyroid arteries provide supply to the larynx.

    <p>True</p> Signup and view all the answers

    Pulmonary veins are responsible for draining pulmonary vessels to parenchymal tissue, bronchioles, and alveoli.

    <p>True</p> Signup and view all the answers

    Bronchial vessels supply vascular support to the stroma, conducting airways, and visceral pleura of the lungs.

    <p>True</p> Signup and view all the answers

    The parietal pleura of the lungs is primarily supplied by the internal thoracic artery and intercostal artery.

    <p>True</p> Signup and view all the answers

    Match the following nerves with their primary function:

    <p>Recurrent Laryngeal Nerve (RLN) = Motor innervation of all muscles (except cricothyroid muscle) of larynx Superior Laryngeal Nerve (SNL) = Internal Branch: Sensory to upper vocal cords and larynx above vocal cords, External Branch: Motor to cricothyroid muscle Inferior Laryngeal Nerve = Sensory to lower vocal cords and larynx below vocal cords Phrenic Nerve(s) = Sensory to entire diaphragm minus periphery, Motor to entire diaphragm</p> Signup and view all the answers

    Match the following nerve blocks with their targeted muscles:

    <p>Pectoral nerves = Pectoralis major and minor Long thoracic nerve = Serratus anterior Phrenic Nerve(s) = Entire diaphragm Pulmonary plexus = Trachea and bronchial tree</p> Signup and view all the answers

    Match the following nerve fibers with their primary function in the lungs:

    <p>Parasympathetic fibers = Secretomotor (glands of airways) and bronchoconstrictive (smooth muscle of airways) Sympathetic fibers (T1-T4) = Some vasoconstriction and inhibition of gland secretion Non-adrenergic/non-cholinergic (NANC) fibers = Inhibition of parasympathetic bronchoconstriction Visceral afferent fibers via CN X = Transmission of nociceptive and reflexive sensations, primarily from bronchopulmonary stretch receptors and irritant receptors</p> Signup and view all the answers

    The posterior 1/3 of the tongue is innervated by ______ .

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

    The external branch of the superior laryngeal nerve (SNL) innervates the ______ muscle.

    <p>cricothyroid</p> Signup and view all the answers

    The lingual artery is responsible for supplying the ______.

    <p>tongue</p> Signup and view all the answers

    The sensory landmark for awake intubation is the ______.

    <p>Internal Laryngeal Nerve</p> Signup and view all the answers

    Study Notes

    Cranial Nerves and Their Functions

    • Cranial Nerve I (Olfactory) is responsible for sensing the upper portion of the nose.
    • Cranial Nerve V (Trigeminal) is responsible for sensing pain, touch, and temperature in the body of the tongue, soft palate, external nose (but not the upper portion), paranasal sinuses, and nasopharynx.

    Taste and Touch Sensations

    • Cranial Nerve VII (Facial Nerve) is responsible for sensing taste in the anterior 2/3 of the tongue and stimulating mucous gland production in the nose.
    • Cranial Nerve IX (Glossopharyngeal) is responsible for sensing taste, pain, and touch in the posterior 1/3 of the tongue, and is involved in the afferent limb of the gag reflex.

    Motor Functions

    • Cranial Nerve X (Vagus) is involved in motor functions of the palate and laryngopharynx.
    • Cranial Nerve XI (Spinal Accessory) is involved in motor functions of the sternocleidomastoid muscle.
    • Cranial Nerve XII (Hypoglossal) is involved in motor functions of all muscles of the tongue except the palatoglossus.

    Pterygopalatine Ganglion

    • The Pterygopalatine Ganglion (Sphenopalatine Ganglion/SPG) connects to the sphenopalatine nerve and lies inferior to Cranial Nerve V.
    • It receives preganglionic parasympathetic neurons from Cranial Nerve VII.
    • Regional anesthesia blocks the maxillary nerve, and parasympathetic block.
    • Cholinergic neurons innervate cerebral blood vessels that dilate with stimulation.

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