Podcast
Questions and Answers
Damage to the cribriform plate of the ethmoid bone would most directly affect which cranial nerve?
Damage to the cribriform plate of the ethmoid bone would most directly affect which cranial nerve?
- Trigeminal Nerve (CN V)
- Oculomotor Nerve (CN III)
- Olfactory Nerve (CN I) (correct)
- Facial Nerve (CN VII)
- Optic Nerve (CN II)
Which cranial nerve is primarily responsible for conveying sensory information related to smell?
Which cranial nerve is primarily responsible for conveying sensory information related to smell?
- CN V
- CN I (correct)
- CN II
- CN III
- CN VIII
A patient presents with anosmia following a head injury. Which cranial nerve is most likely affected?
A patient presents with anosmia following a head injury. Which cranial nerve is most likely affected?
- Olfactory nerve (correct)
- Vestibulocochlear nerve
- Optic nerve
- Trigeminal nerve
- Facial nerve
Which cranial nerve passes through the optic canal?
Which cranial nerve passes through the optic canal?
Which of the following sets of cranial nerves pass through the superior orbital fissure?
Which of the following sets of cranial nerves pass through the superior orbital fissure?
The Foramen Rotundum is the exit point for which cranial nerve branch?
The Foramen Rotundum is the exit point for which cranial nerve branch?
Through which foramen does the Mandibular branch of the Trigeminal nerve (V3) pass?
Through which foramen does the Mandibular branch of the Trigeminal nerve (V3) pass?
Which cranial nerves pass through the internal acoustic meatus?
Which cranial nerves pass through the internal acoustic meatus?
The Jugular Foramen is a significant opening for which group of cranial nerves?
The Jugular Foramen is a significant opening for which group of cranial nerves?
Which cranial nerve exits the cranium via the hypoglossal canal?
Which cranial nerve exits the cranium via the hypoglossal canal?
Which of the following cranial nerves is classified as purely sensory?
Which of the following cranial nerves is classified as purely sensory?
Which of the following cranial nerves is NOT primarily involved in motor function?
Which of the following cranial nerves is NOT primarily involved in motor function?
Which group of cranial nerves contains parasympathetic components?
Which group of cranial nerves contains parasympathetic components?
The Edinger-Westphal nucleus is associated with which cranial nerve and function?
The Edinger-Westphal nucleus is associated with which cranial nerve and function?
Which cranial nerve nucleus is located in the pons and is responsible for motor function of facial expression?
Which cranial nerve nucleus is located in the pons and is responsible for motor function of facial expression?
The Dorsal Vagal Nucleus is associated with which cranial nerve and what broad function?
The Dorsal Vagal Nucleus is associated with which cranial nerve and what broad function?
Damage to the olfactory bulb would directly impair:
Damage to the olfactory bulb would directly impair:
The olfactory pathway is unique because it directly projects to the olfactory cortex without synapsing in the:
The olfactory pathway is unique because it directly projects to the olfactory cortex without synapsing in the:
What is the approximate temporal extent of the monocular visual field?
What is the approximate temporal extent of the monocular visual field?
Central (macular) vision is primarily used for activities such as:
Central (macular) vision is primarily used for activities such as:
Binocular vision enhances which of the following visual capabilities most significantly?
Binocular vision enhances which of the following visual capabilities most significantly?
In the visual pathway, fibers from the nasal retina of the left eye project to the:
In the visual pathway, fibers from the nasal retina of the left eye project to the:
A lesion in the optic chiasm would most likely result in which visual field defect?
A lesion in the optic chiasm would most likely result in which visual field defect?
Meyer's loop, a part of the optic radiation, primarily carries information from which part of the visual field?
Meyer's loop, a part of the optic radiation, primarily carries information from which part of the visual field?
During a confrontation test for the left eye, the patient covers their right eye, and the examiner covers their left eye. What is the purpose of this setup?
During a confrontation test for the left eye, the patient covers their right eye, and the examiner covers their left eye. What is the purpose of this setup?
Snellen's chart is used to assess:
Snellen's chart is used to assess:
Cranial nerves III, IV, and VI are primarily responsible for:
Cranial nerves III, IV, and VI are primarily responsible for:
Which extraocular muscle does NOT originate from the common tendinous ring?
Which extraocular muscle does NOT originate from the common tendinous ring?
The medial rectus muscle is primarily responsible for which eye movement?
The medial rectus muscle is primarily responsible for which eye movement?
To best test the Superior Rectus muscle, in which position should the eye be placed?
To best test the Superior Rectus muscle, in which position should the eye be placed?
Which axis is primarily associated with the movement of elevation and depression of the eye?
Which axis is primarily associated with the movement of elevation and depression of the eye?
The superior oblique muscle primarily performs which movement of the eye?
The superior oblique muscle primarily performs which movement of the eye?
To optimally test the Superior Oblique muscle, the eye should be in which position?
To optimally test the Superior Oblique muscle, the eye should be in which position?
The mnemonic LR6(SO4)3 indicates that the Lateral Rectus muscle is innervated by CN VI and the Superior Oblique by CN IV. Which cranial nerve innervates all other extraocular muscles?
The mnemonic LR6(SO4)3 indicates that the Lateral Rectus muscle is innervated by CN VI and the Superior Oblique by CN IV. Which cranial nerve innervates all other extraocular muscles?
Levator palpebrae superioris (LPS) is primarily innervated by which cranial nerve?
Levator palpebrae superioris (LPS) is primarily innervated by which cranial nerve?
The parasympathetic component of the oculomotor nerve (CN III) controls which intraocular muscles?
The parasympathetic component of the oculomotor nerve (CN III) controls which intraocular muscles?
Sympathetic innervation to the pupillary dilator muscle originates from which spinal cord level?
Sympathetic innervation to the pupillary dilator muscle originates from which spinal cord level?
Complete CN III palsy typically results in 'down and out' eye position. This is primarily due to the unopposed action of which muscles?
Complete CN III palsy typically results in 'down and out' eye position. This is primarily due to the unopposed action of which muscles?
In a patient with diabetic neuropathy affecting CN III, pupil sparing is observed. This suggests that:
In a patient with diabetic neuropathy affecting CN III, pupil sparing is observed. This suggests that:
The trochlear nerve (CN IV) is unique because it:
The trochlear nerve (CN IV) is unique because it:
A patient presents with vertical diplopia that worsens when looking down and to the right. Which cranial nerve palsy is most likely?
A patient presents with vertical diplopia that worsens when looking down and to the right. Which cranial nerve palsy is most likely?
The abducens nerve (CN VI) innervates which extraocular muscle?
The abducens nerve (CN VI) innervates which extraocular muscle?
Horizontal diplopia that worsens on looking to the affected side is characteristic of palsy of which cranial nerve?
Horizontal diplopia that worsens on looking to the affected side is characteristic of palsy of which cranial nerve?
In conjugate gaze, simultaneous contraction of the left lateral rectus and right medial rectus muscles would result in:
In conjugate gaze, simultaneous contraction of the left lateral rectus and right medial rectus muscles would result in:
The parapontine reticular formation (PPRF) in the pons is crucial for controlling:
The parapontine reticular formation (PPRF) in the pons is crucial for controlling:
Internuclear ophthalmoplegia (INO) is characterized by:
Internuclear ophthalmoplegia (INO) is characterized by:
Which cranial nerves are typically affected in cavernous sinus thrombosis?
Which cranial nerves are typically affected in cavernous sinus thrombosis?
The afferent limb of the corneal reflex is mediated by which cranial nerve?
The afferent limb of the corneal reflex is mediated by which cranial nerve?
In the pupillary light reflex, the pretectal nucleus projects bilaterally to which nucleus?
In the pupillary light reflex, the pretectal nucleus projects bilaterally to which nucleus?
An efferent pupillary defect (like CN III palsy) would result in:
An efferent pupillary defect (like CN III palsy) would result in:
A Relative Afferent Pupillary Defect (RAPD) indicates:
A Relative Afferent Pupillary Defect (RAPD) indicates:
During the swinging flashlight test, if the pupils dilate when light is moved from the left to the right eye, and then constrict normally when light is shone back into the left eye, this indicates RAPD in the:
During the swinging flashlight test, if the pupils dilate when light is moved from the left to the right eye, and then constrict normally when light is shone back into the left eye, this indicates RAPD in the:
In accommodation-convergence reflex, the blurred image of a near object on the retina acts as the:
In accommodation-convergence reflex, the blurred image of a near object on the retina acts as the:
Which of the following is NOT a common cause of cranial nerve dysfunction?
Which of the following is NOT a common cause of cranial nerve dysfunction?
The olfactory nerve (CN I) passes through which bony structure to enter the cranium?
The olfactory nerve (CN I) passes through which bony structure to enter the cranium?
Which cranial nerve is classified as purely sensory based on its primary function?
Which cranial nerve is classified as purely sensory based on its primary function?
Which of the following cranial nerves is responsible for motor innervation of the tongue?
Which of the following cranial nerves is responsible for motor innervation of the tongue?
The superior orbital fissure serves as a passage for which group of cranial nerves?
The superior orbital fissure serves as a passage for which group of cranial nerves?
The largest cranial nerve in terms of size is:
The largest cranial nerve in terms of size is:
Which cranial nerve exits the cranium through the hypoglossal canal?
Which cranial nerve exits the cranium through the hypoglossal canal?
A patient presents with loss of taste sensation in the anterior two-thirds of the tongue. Which cranial nerve is most likely affected?
A patient presents with loss of taste sensation in the anterior two-thirds of the tongue. Which cranial nerve is most likely affected?
The 'tendinous ring,' from which most extraocular muscles originate, is also known as the:
The 'tendinous ring,' from which most extraocular muscles originate, is also known as the:
Movement of the eye towards the nose is termed:
Movement of the eye towards the nose is termed:
The primary action of the medial rectus muscle is:
The primary action of the medial rectus muscle is:
To optimally test the superior rectus muscle, the eye should be positioned in:
To optimally test the superior rectus muscle, the eye should be positioned in:
The axis of eye movement primarily responsible for elevation and depression is the:
The axis of eye movement primarily responsible for elevation and depression is the:
According to the LR6(SO4)3 mnemonic, which cranial nerve innervates the lateral rectus muscle?
According to the LR6(SO4)3 mnemonic, which cranial nerve innervates the lateral rectus muscle?
The levator palpebrae superioris (LPS) muscle, responsible for eyelid elevation, is primarily innervated by:
The levator palpebrae superioris (LPS) muscle, responsible for eyelid elevation, is primarily innervated by:
In complete CN III palsy, the 'down and out' eye position is a result of the unopposed action of which muscles?
In complete CN III palsy, the 'down and out' eye position is a result of the unopposed action of which muscles?
Pupil sparing in a CN III palsy, as seen in diabetic neuropathy, suggests that:
Pupil sparing in a CN III palsy, as seen in diabetic neuropathy, suggests that:
The trochlear nerve (CN IV) is unique among cranial nerves because:
The trochlear nerve (CN IV) is unique among cranial nerves because:
A patient presents with vertical diplopia that worsens when looking down and towards their nose (adduction). Which cranial nerve palsy is most likely?
A patient presents with vertical diplopia that worsens when looking down and towards their nose (adduction). Which cranial nerve palsy is most likely?
Horizontal diplopia that increases when looking to the side of the affected eye is a hallmark sign of palsy of which cranial nerve?
Horizontal diplopia that increases when looking to the side of the affected eye is a hallmark sign of palsy of which cranial nerve?
In conjugate gaze to the left, which muscles are simultaneously contracting?
In conjugate gaze to the left, which muscles are simultaneously contracting?
The parapontine reticular formation (PPRF) in the pons is essential for controlling:
The parapontine reticular formation (PPRF) in the pons is essential for controlling:
Internuclear ophthalmoplegia (INO) is typically characterized by:
Internuclear ophthalmoplegia (INO) is typically characterized by:
Which group of cranial nerves are most likely to be affected in cavernous sinus thrombosis?
Which group of cranial nerves are most likely to be affected in cavernous sinus thrombosis?
In the pupillary light reflex pathway, the pretectal nucleus projects bilaterally to which nucleus?
In the pupillary light reflex pathway, the pretectal nucleus projects bilaterally to which nucleus?
An efferent pupillary defect, such as in CN III palsy, would result in:
An efferent pupillary defect, such as in CN III palsy, would result in:
In the accommodation-convergence reflex, what acts as the stimulus for the reflex?
In the accommodation-convergence reflex, what acts as the stimulus for the reflex?
Which structure is responsible for the decussation of nasal retinal fibers in the visual pathway?
Which structure is responsible for the decussation of nasal retinal fibers in the visual pathway?
Meyer's loop, a part of the optic radiation, carries visual information primarily from which quadrant of the visual field?
Meyer's loop, a part of the optic radiation, carries visual information primarily from which quadrant of the visual field?
Damage to the optic tract on the left side would result in which visual field defect?
Damage to the optic tract on the left side would result in which visual field defect?
Flashcards
Causes of CN Dysfunction?
Causes of CN Dysfunction?
Diabetic/hypertensive neuropathy, stroke, tumors, trauma, vasculitis, congenital issues.
Key Anatomy for Cranial Nerves?
Key Anatomy for Cranial Nerves?
Origin, pathway, and important relations of the cranial nerves.
List the Cranial Nerves
List the Cranial Nerves
CN I: Olfactory, CN II: Optic, CN III: Oculomotor, CN IV: Trochlear, CN V: Trigeminal, CN VI: Abducens, CN VII: Facial, CN VIII: Vestibulocochlear, CN IX: Glossopharyngeal, CN X: Vagus, CN XI: Accessory, CN XII: Hypoglossal.
CN and Foramina?
CN and Foramina?
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Functional Classification of CN?
Functional Classification of CN?
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Olfactory Pathway
Olfactory Pathway
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Visual Field
Visual Field
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Extent of Monocular Visual Field?
Extent of Monocular Visual Field?
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Binocular Vision
Binocular Vision
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Visual Field Representation in Retina?
Visual Field Representation in Retina?
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Retina Visual Pathway
Retina Visual Pathway
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Visual Pathway Components?
Visual Pathway Components?
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Complete Oculomotor Palsy?
Complete Oculomotor Palsy?
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Cranial Nerves of Eye Movement?
Cranial Nerves of Eye Movement?
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Innervation of Extra Ocular Muscles?
Innervation of Extra Ocular Muscles?
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Levator palpebrae superioris (LPS)?
Levator palpebrae superioris (LPS)?
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Iris vs. Ciliary MuscleFunction?
Iris vs. Ciliary MuscleFunction?
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Postganglionic Neurons?
Postganglionic Neurons?
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Where does the trochlear nerve run?
Where does the trochlear nerve run?
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Trochhlear Nerve Palsy Symptom?
Trochhlear Nerve Palsy Symptom?
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Abducens Palsy
Abducens Palsy
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Voluntary conjugate?
Voluntary conjugate?
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Cavernous Sinus
Cavernous Sinus
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reflex function
reflex function
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Study Notes
Why Study Cranial Nerves (CN)?
- Cranial nerves can be impacted by various medical and surgical conditions.
- Common causes of CN dysfunction include diabetic/hypertensive neuropathy, stroke, compressive lesions (tumors/aneurysms), trauma (fractures/lacerations), vasculitis, and congenital issues.
- Knowledge of CN functions, anatomy (origin, pathway, important relations) is essential for diagnostic testing, interpreting neurological signs, and determining causes of dysfunctions.
Overview of Cranial Nerves
- CN I is the Olfactory nerve, which goes through nerves via bones.
- CN II is the Optic Nerve, know origin and exit points.
- CN III is the Oculomotor Nerve, it is between cerebral peduncles.
- CN IV is the Trochlear Nerve.
- CN V is the Trigeminal Nerve, the largest nerve.
- CN VI is the Abducens Nerve, tiny and at the midline.
- CN VII is the Facial Nerve, lateral location.
- CN VIII is the Vestibulocochlear Nerve, it is seen at the cerebellopontine angle points of 7 & 8.
- CN XI is the Glossopharyngeal Nerve.
- CN X is the Vagus Nerve, located in the medulla between the olive.
- CN XI is the Accessory Nerve, medulla between the olive and the inferior cerebellar peduncle.
- CN XII is the Hypoglossal Nerve, located between pyramid and olive.
Cranial Nerves and Their Foramina
- CN I (Olfactory) passes through the cribriform plate of the ethmoid bone.
- CN II (Optic) passes through the optic canal.
- CN III (Oculomotor), CN IV (Trochlear), and CN V1 (Ophthalmic branch of Trigeminal) pass through the superior orbital fissure.
- CN VI (Abducens) passes through the superior orbital fissure.
- CN V2 (Maxillary branch of Trigeminal) passes through the foramen rotundum.
- CN V3 (Mandibular branch of Trigeminal) passes through the foramen ovale.
- CN VII (Facial) and CN VIII (Vestibulocochlear) pass through the internal acoustic meatus and stylomastoid foramen.
- CN IX (Glossopharyngeal), CN X (Vagus), and CN XI (Accessory) pass through the jugular foramen.
- CN XII (Hypoglossal) passes through the hypoglossal canal.
Cranial Nerves and Their Functions (Sensory, Motor, Parasympathetic)
- CN I (Olfactory), CN II (Optic), and CN VIII (Vestibulocochlear) are sensory nerves.
- CN III (Oculomotor), CN IV (Trochlear), CN VI (Abducens), CN XI (Accessory), and CN XII (Hypoglossal) are motor nerves.
- Sensory and motor nerves of mixed function include CN V (Trigeminal), CN VII (Facial), CN IX (Glossopharyngeal), and CN X (Vagus).
- Parasympathetic nerves include CN III (Oculomotor), CN VII (Facial), CN IX (Glossopharyngeal), and CN X (Vagus).
Olfactory Nerve (CN I) Pathway
- Olfactory neuroepithelium in the nasal roof sends nerves pass through the cribriform plate of ethmoid
- Then goes to the olfactory bulb, olfactory tract, and olfactory cortex.
- Bilateral cortical representation is present.
- Commonly use alcohol wipe/coffee for assessment.
- Anosmia can come from damage to olfactory neurons (URTI, head injury) and basal frontal lobe tumours.
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