Cranial Nerves VIII & IX Overview
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Questions and Answers

Which nerve primarily supplies the posterior part of the upper neck and adjacent scalp behind the auricle?

  • Lesser occipital nerve (correct)
  • Transverse cervical nerve
  • Great auricular nerve
  • Supraclavicular nerve
  • The great auricular nerve is responsible for the skin of the face over the angle of the mandible and the parotid gland.

    True

    What are the three roots entering each parasympathetic ganglion?

    Parasympathetic root, sympathetic root, sensory root

    The ______ nerve supplies the skin of the front of the neck from chin to sternum.

    <p>transverse cervical</p> Signup and view all the answers

    Which group of branches from the supraclavicular nerve supplies skin as far down as the second rib?

    <p>Intermediate group</p> Signup and view all the answers

    Which of the following is NOT a component of the Vestibulocochlear Nerve (VIII)?

    <p>Facial component</p> Signup and view all the answers

    The sympathetic root carries presynaptic parasympathetic fibers.

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

    Match the following nerves with their primary areas of supply:

    <p>Lesser occipital nerve = Skin behind the auricle Great auricular nerve = Skin over the mandible and parotid gland Transverse cervical nerve = Skin of the front of the neck Supraclavicular nerve = Skin down to spine of the scapula</p> Signup and view all the answers

    The cochlear nerve enters the brainstem at the upper border of the pons.

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

    What is the primary role of the vestibular fibers in the Vestibulocochlear Nerve?

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

    Which nerve crosses the acromion to supply skin halfway down the deltoid muscle?

    <p>Supraclavicular nerve</p> Signup and view all the answers

    The glossopharyngeal nerve supplies the _____ gland using secretomotor fibers.

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

    Match the branches of the glossopharyngeal nerve with their descriptions:

    <p>Tympanic nerve = Supplies the middle ear and forms tympanic plexus Carotid branch = Supplies carotid sinus and body Pharyngeal branch = Forms pharyngeal plexus with vagus Lingual branch = Responsible for taste and sensation of posterior tongue</p> Signup and view all the answers

    Which cranial nerve is responsible for taste and general sensation in the posterior one-third of the tongue?

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

    The vagus nerve is considered the largest cranial nerve.

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

    Where does the glossopharyngeal nerve exit the skull?

    <p>Jugular foramen</p> Signup and view all the answers

    Which of the following muscles does NOT receive direct supply from the cervical plexus?

    <p>Biceps brachii</p> Signup and view all the answers

    The phrenic nerve is solely responsible for motor supply to the diaphragm.

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

    What fibers contribute to the formation of the inferior root of the ansa cervicalis?

    <p>C2 and C3 fibers</p> Signup and view all the answers

    The branches from _____ and _____ to the trapezius are mainly proprioceptive.

    <p>C3, C4</p> Signup and view all the answers

    Match the cervical nerves to their functions:

    <p>C1 = Hypoglossal nerve branches C2 = Inferior belly of omohyoid C3 = Phrenic nerve contributions C4 = Sole motor supply to the diaphragm</p> Signup and view all the answers

    Which of the following muscles is supplied by the cervical plexus?

    <p>Longus capitis</p> Signup and view all the answers

    Explain the route of the phrenic nerve after it is formed.

    <p>It runs down vertically over the scalenus anterior muscle and passes behind the subclavian vein into the mediastinum.</p> Signup and view all the answers

    The cervical plexus contributes to the sensory supply of the scalp, face, and chest.

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

    Which ganglion is suspended from the maxillary nerve?

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

    The ciliary ganglion is suspended from the lingual nerve.

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

    What type of fibers arise from the Edinger-Westphal nucleus?

    <p>Preganglionic parasympathetic fibers</p> Signup and view all the answers

    The _______ ganglion supplies the sphincter pupillae muscle.

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

    What is the name of the small nerve that arises from the facial nerve in the middle ear?

    <p>Chorda tympani nerve</p> Signup and view all the answers

    Match the following ganglia with their suspended nerves:

    <p>Ciliary ganglion = Nasociliary nerve Sphenopalatine ganglion = Maxillary nerve Submandibular ganglion = Lingual nerve Otic ganglion = Mandibular nerve</p> Signup and view all the answers

    The greater superficial petrosal nerve joins with the deep petrosal nerve before entering the pterygoid canal.

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

    Name one muscle supplied by postganglionic fibers from the ciliary ganglion.

    <p>Sphincter pupillae or Ciliary muscle</p> Signup and view all the answers

    What does the glossopharyngeal nerve provide to the submandibular and sublingual glands?

    <p>Parasympathetic motor fibers</p> Signup and view all the answers

    The lesser superficial petrosal nerve connects directly to the submandibular ganglion.

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

    What is the function of the tympanic branch of the glossopharyngeal nerve?

    <p>Contributes to tympanic plexus in the middle ear</p> Signup and view all the answers

    The cervical sympathetic trunk extends to the __________ of the vertebral column.

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

    Which ganglia fuse to form the superior cervical ganglion?

    <p>Upper four cervical ganglia</p> Signup and view all the answers

    Match each type of ganglion with its associated cervical nerves:

    <p>Superior cervical ganglion = Upper four cervical nerves Middle cervical ganglion = Cervical nerves 5 and 6 Cervical sympathetic trunk = Preganglionic fibers from upper thoracic segments Otic ganglion = Mandibular nerve distribution</p> Signup and view all the answers

    The preganglionic fibers of the cervical part of the sympathetic chain only run downwards.

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

    What is the name of the ganglion that is formed at the coccyx?

    <p>Ganglion impar</p> Signup and view all the answers

    Study Notes

    Vestibulocochlear Nerve (VIII)

    • Carries sensory information for hearing and balance.
    • Composed of two divisions: vestibular (balance) and cochlear (hearing).
    • Vestibular fibers originate in the vestibular ganglion, entering the brainstem between the pons and medulla.
    • Cochlear fibers originate in the spiral ganglion of the cochlea, entering the brainstem at the lower pons, lateral to the facial nerve.

    Glossopharyngeal Nerve (IX)

    • Possesses motor, sensory, and parasympathetic nuclei.
    • Intracranial course: Exits the medulla oblongata, passes through the jugular foramen.
    • Extracranial course: Descends in the neck, innervating the stylopharyngeus muscle, parotid gland, posterior tongue, pharynx, carotid sinus, and body.
    • Branches: tympanic (forms tympanic plexus, supplies middle ear structures), carotid (supplies internal carotid artery, carotid sinus, and body), pharyngeal (forms pharyngeal plexus), muscular (to stylopharyngeus), tonsillar (to tonsil, joins lesser palatine nerve), lingual (taste and sensation to posterior third of tongue).

    Vagus Nerve (X)

    • Largest cranial nerve.
    • C1 fibers ascend with the hypoglossal nerve; C1 and C2 fibers ascend with the vagus nerve; C2 and C3 fibers ascend through the foramen magnum.
    • Muscular branches innervate prevertebral muscles (longus capitis, longus colli, scalenes), contribute to the ansa cervicalis (innervating muscles of the neck), and innervate sternocleidomastoid and trapezius (mostly proprioceptive).
    • Phrenic nerve (C3-C5, mainly C4) is the sole motor supply to the diaphragm, also has extensive afferent distribution to the pericardium, pleura, and peritoneum.
    • Cervical plexus supplies rectus capitis anterior, rectus capitis lateralis, and levator scapulae muscles.
    • Cutaneous branches supply the neck, scalp, face, and chest (lesser occipital, great auricular, transverse cervical, supraclavicular nerves).

    Parasympathetic Ganglia of the Head and Neck

    • Each ganglion receives parasympathetic (presynaptic), sympathetic (postsynaptic), and sensory roots.
    • Suspended from branches of the trigeminal nerve: ciliary (from nasocilliary), sphenopalatine (from maxillary), submandibular (from lingual), otic (from mandibular).

    Parasympathetic Nervous System: Cranial Nerves

    • Oculomotor Nerve (III): Preganglionic fibers from the Edinger-Westphal nucleus synapse in the ciliary ganglion; postganglionic fibers innervate the sphincter pupillae and ciliary muscle.
    • Facial Nerve (VII): Superior salivary nucleus in the pons; greater petrosal nerve synapses in the sphenopalatine ganglion (innervates glands of nose, orbit, palate, pharynx, lacrimal gland); chorda tympani joins the lingual nerve (innervates submandibular and sublingual glands and anterior two-thirds of tongue for taste).
    • Glossopharyngeal Nerve (IX): Tympanic branch contributes to the tympanic plexus; lesser petrosal nerve synapses in the otic ganglion (innervates parotid gland).

    Cervical Sympathetic Trunk

    • Two chains, one on each side of the vertebral column extending from the atlas to the coccyx (ganglion impar).
    • Contains three cervical ganglia (superior, middle, inferior), as well as thoracic, lumbar, sacral, and coccygeal ganglia.
    • Located between the prevertebral fascia and carotid sheath, behind the carotid arteries, and medial to the vagus nerve.
    • Preganglionic fibers from upper thoracic segments ascend to synapse in cervical ganglia; postganglionic fibers leave as grey rami to cervical and cranial nerves.
    • Superior cervical ganglion receives input from the four upper cervical ganglia and sends grey rami to the upper four cervical nerves.
    • Middle cervical ganglion receives input from the fifth and sixth cervical ganglia and sends grey rami to the fifth and sixth cervical nerves.

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    Description

    This quiz focuses on the vestibulocochlear nerve (VIII) and the glossopharyngeal nerve (IX), including their structure, functions, and pathways. Understand the roles these nerves play in hearing, balance, and various sensory and motor functions. Test your knowledge of their anatomy and clinical significance.

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