Cranial Nerves Overview

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Questions and Answers

Which cranial nerve is responsible for the sensory limb of the pupillary light reflex?

  • CN II - Optic nerve (correct)
  • CN IV - Trochlear nerve
  • CN I - Olfactory nerve
  • CN III - Oculomotor nerve

Damage to the oculomotor nerve (CN III) can result in which of the following?

  • Inability to move the eyeball down and out
  • Loss of smell
  • Monocular blindness
  • Mydriasis (fixed dilated pupil) (correct)

Which of the following muscles is NOT innervated by the oculomotor nerve (CN III)?

  • Superior rectus
  • Inferior oblique
  • Medial rectus
  • Lateral rectus (correct)

What is the function of the trochlear nerve (CN IV)?

<p>Innervates muscles responsible for eye movement (B)</p> Signup and view all the answers

Where does the olfactory nerve originate?

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

What is the term used to describe a notable difference in pupil size between the eyes?

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

Which of the following is NOT a function of the olfactory nerve (CN I)?

<p>Control of eye movement (D)</p> Signup and view all the answers

Where does the optic nerve (CN II) converge?

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

Which of the following structures is NOT innervated by the facial nerve (CN VII)?

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

Which cranial nerve is responsible for providing the sense of taste to the anterior 2/3 of the tongue?

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

What is the primary function of the vestibular branch of the vestibulocochlear nerve (CN VIII)?

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

Damage to which cranial nerve can result in hearing impairment?

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

Which cranial nerve provides motor innervation to the stylopharyngeus muscle involved in swallowing?

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

Which cranial nerve is responsible for providing autonomic innervation to the lacrimal gland, resulting in tear production?

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

Which of the following is a common symptom associated with damage to the vestibulocochlear nerve (CN VIII)?

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

Which cranial nerve is responsible for providing sensory innervation to the posterior 1/3 of the external acoustic meatus?

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

What structure in the eye is responsible for refracting light as it enters?

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

Which of the following muscles is responsible for controlling the size of the pupil?

<p>Sphincter pupillae muscle (A), Dilator pupillae muscle (D)</p> Signup and view all the answers

What is the name of the structure in the eye that contains the highest concentration of cone cells, responsible for detailed, color vision?

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

Which of the following muscles is NOT involved in controlling the movement of the eye?

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

What is the name of the transparent structure that sits behind the cornea and helps to focus light onto the retina?

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

What is the main function of the paranasal sinuses?

<p>To drain mucus from the nasal cavity (B), To decrease the weight of the skull (D)</p> Signup and view all the answers

What is the name of the fluid-filled chamber that lies behind the lens and in front of the retina?

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

Which of the following structures is NOT part of the soft palate?

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

Which of the following structures is responsible for transmitting sound waves to the middle ear ossicles?

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

What is the name of the three middle ear ossicles?

<p>Malleus, incus, stapes (A)</p> Signup and view all the answers

What is the name of the collection of lymphoid tissue that is located in the nasopharynx?

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

What nerve innervates the tensor veli palatini muscle?

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

Which of the following is NOT a function of the paranasal sinuses?

<p>Protecting the skull from injury (A)</p> Signup and view all the answers

What is the name of the bony structure that separates the oral cavity from the nasal cavity?

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

What is the name of the small cavities that make up the ethmoid sinus?

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

Which of the following is a common treatment for sinusitis?

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

Which cranial nerve is responsible for the gag reflex?

<p>CN X - Vagus nerve (B), CN IX - Glossopharyngeal nerve (D)</p> Signup and view all the answers

What is the primary function of the spinal accessory nerve (CN XI)?

<p>Motor innervation of the trapezius and sternocleidomastoid muscles (B)</p> Signup and view all the answers

Which of the following is NOT a symptom of damage to the vagus nerve (CN X)?

<p>Loss of taste (D)</p> Signup and view all the answers

Which cranial nerve transmits sensory information from the carotid body and sinus?

<p>CN IX - Glossopharyngeal nerve (A), CN X - Vagus nerve (D)</p> Signup and view all the answers

Damage to which cranial nerve can result in dry mouth?

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

Which cranial nerve plays a role in swallowing and speech production?

<p>CN X - Vagus nerve (D)</p> Signup and view all the answers

Which cranial nerve provides motor innervation to the tongue?

<p>CN XII - Hypoglossal nerve (D)</p> Signup and view all the answers

Which cranial nerve is responsible for transmitting taste from the posterior third of the tongue?

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

Which of the following is NOT a boundary of the nasal cavity?

<p>Posterior wall- formed by the nasopharynx (A)</p> Signup and view all the answers

Which cranial nerve transmits information regarding the sensation of hearing?

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

What structure located in the middle ear is responsible for equalizing atmospheric pressure?

<p>Pharyngotympanic (Eustachian) tube (B)</p> Signup and view all the answers

Which of the following is an inflammatory condition affecting the middle ear?

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

Which of the following structures is NOT involved in the transmission of sound wave vibrations?

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

Which artery is NOT involved in the vascularization of the nasal cavity?

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

Which cranial nerve is responsible for the sense of smell, and is found in the roof of the nasal cavity?

<p>CN I (Olfactory) (C)</p> Signup and view all the answers

Which of the following is NOT part of the nasal septum?

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

Flashcards

CN IX (Glossopharyngeal Nerve)

Transmits sensory info from the carotid body, taste, and contributes to the gag reflex.

Function of CN IX

Affects gag reflex, taste from posterior tongue, and regulates blood homeostasis.

Damage to CN IX

Leads to dry mouth, dysphagia, loss of taste, and loss of gag reflex.

CN X (Vagus Nerve)

Innervates muscles of the larynx, pharynx, and provides parasympathetic control to heart and GI tract.

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Function of CN X

Contributes to gag reflex, swallowing, and perception of blood pH and volume.

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Damage to CN X

Results in hoarseness, dysphagia, loss of gag reflex, increased heart rate, and slowed GI peristalsis.

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CN XI (Spinal Accessory Nerve)

Provides motor innervation to trapezius and sternocleidomastoid muscles, aiding head movement and shoulder shrugging.

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Damage to CN XI

Causes weakness in shoulder shrugging and turning the head to the opposite side.

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Facial Nerve Functions

The facial nerve provides sensory and motor functions, including taste and muscle control.

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Sensory Role of Facial Nerve

Innervates facial expression muscles, lacrimal and salivary glands, and provides taste to anterior 2/3 of the tongue.

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Motor Role of Facial Nerve

The facial nerve has branches that innervate muscles for facial expressions like smiling or frowning.

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Greater Petrosal Nerve

Innervates lacrimal gland for tear production and palatonasal glands for mucus secretion.

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Chorda Tympani Nerve

Runs near CN V3, innervates submandibular and sublingual glands for saliva and provides taste to anterior 2/3 of the tongue.

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Vestibulocochlear Nerve (CN VIII)

Divided into vestibular and cochlear branches; responsible for balance and hearing.

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CN VIII Damage Effects

Damage can lead to hearing loss, balance problems, or motion sickness due to hypersensitivity.

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Glossopharyngeal Nerve (CN IX)

Originates from the medulla, providing motor innervation to stylopharyngeus muscle and parotid gland.

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Middle ear ossicles

Small bones in the middle ear that transmit sound vibrations.

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Oval window

Membrane that the stapes contacts to transmit sound to the cochlea.

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Cochlea

Snail-shaped structure in the inner ear that processes sound waves.

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Vestibular sense

Sense of balance, acceleration, and head tilt conveyed by semicircular canals.

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Otitis externa

Inflammation of the outer ear.

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Nasal cavity

Divided area in the nose, lined with mucous membrane.

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Nasal septum

Wall dividing the nasal cavity into two compartments.

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Meatus

Passages between the nasal conchae in the lateral wall.

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Cranial Nerves

Paired nerves branching off the brain with sensory and motor functions.

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CN I - Olfactory Nerve

Nerve responsible for the sense of smell, associated with memory and emotion.

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CN II - Optic Nerve

Nerve that transmits visual information from the retina to the brain.

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Monocular Blindness

Loss of vision in one eye caused by optic nerve damage.

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CN III - Oculomotor Nerve

Nerve controlling most eye movements and pupil constriction.

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Mydriasis

Fixed dilated pupil, often due to oculomotor nerve damage.

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CN IV - Trochlear Nerve

Nerve that innervates the superior oblique muscle for eye movement down and out.

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Anisocoria

Notable difference in pupil size between the eyes.

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Sclera

The white fibrous covering of the eye where muscles insert.

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Cornea

A bulging transparent region that refracts light entering the eye.

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Ciliary muscles

Muscles that changes the shape of the lens for focusing.

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Astigmatism

A condition where the cornea is misshaped, causing blurred vision.

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Iris

The colored part of the eye that controls the size of the pupil.

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Retina

The innermost layer of the eyeball that contains receptor cells.

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Tympanic membrane

Also known as the eardrum; it transmits sound waves to the middle ear.

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Epistaxis

Medical term for nosebleeds.

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Paranasal Sinuses

Hollow cavities in skull bones helping with mucus and sound.

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Ethmoid Sinus

Unique sinus with small cavities called air cells.

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Sinusitis

Inflammation of the sinuses, often needing longer treatment.

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Oral Cavity

Space in the mouth separated from nasal cavity by palates.

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Hard Palate

Bony front portion of the palate, made of two bones.

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Soft Palate

Muscular posterior part of the palate, involves swallowing.

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Palatine Tonsils

Lymphoid tissues in the oral cavity for immune function.

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Study Notes

Cranial Nerves

  • Cranial nerves are paired nerves that branch off the brain, performing sensory and motor (somatic and autonomic) functions.

CN I - Olfactory Nerve

  • Position: Adjacent to the nasal cavity, on the cribriform plate of the skull. Projects through the bone into the superior nasal cavity.
  • Function: Provides the sense of smell; closely associated with memory and emotion centers (amygdala and hippocampus).

CN II - Optic Nerve

  • Position: Originates in the central portion of the retina (optic disc). Each nerve travels to the optic chiasm. At the chiasm, 50% of sensory information crosses over. The optic tract then travels to the lateral geniculate nucleus of the thalamus and finally to the occipital lobe for processing.
  • Damage: Can result in monocular blindness and loss of the pupillary light reflex.

CN III - Oculomotor Nerve

  • Position: Originates in the midbrain; travels through the superior orbital fissure.
  • Function:
    • Somatic motor: Innervates the superior rectus, medial rectus, inferior rectus, inferior oblique, and levator palpebrae superioris muscles.
    • Visceral motor: Innervates the sphincter pupillae and ciliary body muscles; for pupillary constriction and lens accommodation.
  • Damage:
    • Mydriasis (fixed dilated pupil)
    • Ptosis (droopy eyelid)
    • Loss of accommodation reflex
    • Limited eye movement
    • Anisocoria (notable difference in pupil size between eyes).

CN IV - Trochlear Nerve

  • Position: Originates in the dorsal aspect of the brainstem.
  • Function: Innervates the superior oblique muscle, controlling eye movement downward and outward.

CN VI - Abducens Nerve

  • Position: Originates in the pons, enters the orbit via the superior orbital fissure.
  • Function: Innervates the lateral rectus muscle; responsible for abducting the eye (moving it outward).
  • Damage: Can result in diplopia (double vision).

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