Cranial Nerves

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Questions and Answers

Which cranial nerve is responsible for the sense of smell?

  • Facial Nerve (CN VII)
  • Optic Nerve (CN II)
  • Trigeminal Nerve (CN V)
  • Olfactory Nerve (CN I) (correct)

The optic nerve (CN II) is responsible for hearing and balance.

False (B)

Which cranial nerve controls the lateral movement of the eye?

  • Trigeminal Nerve (CN V)
  • Oculomotor Nerve (CN III)
  • Trochlear Nerve (CN IV)
  • Abducens Nerve (CN VI) (correct)

Which cranial nerve is responsible for chewing?

<p>Trigeminal Nerve</p> Signup and view all the answers

The facial nerve (CN VII) is responsible for taste sensation in the anterior ______ of the tongue.

<p>2/3</p> Signup and view all the answers

Match the cranial nerve with its primary function:

<p>Vagus Nerve (CN X) = Parasympathetic control of internal organs Hypoglossal Nerve (CN XII) = Tongue movement Accessory Nerve (CN XI) = Shoulder and neck movement Vestibulocochlear Nerve (CN VIII) = Hearing and balance</p> Signup and view all the answers

Which of the following cranial nerves has both sensory and motor functions?

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

The trochlear nerve (CN IV) controls pupillary constriction.

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

Which cranial nerve is responsible for elevating the pharynx and larynx?

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

What is the mnemonic for remembering the functions of the cranial nerves (sensory, motor, or both)?

<p>Some Say Marry Money But My Brother Says Big Brains Matter More</p> Signup and view all the answers

Damage to the ______ nerve can result in difficulties with swallowing, hoarseness, and impaired gag reflex.

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

Match the cranial nerve branch with its specific function:

<p>Ophthalmic branch of Trigeminal Nerve (CN V) = Sensation from the forehead and scalp Maxillary branch of Trigeminal Nerve (CN V) = Sensation from the cheek and upper jaw Mandibular branch of Trigeminal Nerve (CN V) = Sensation from the lower jaw and motor control of chewing muscles Vagus Nerve (CN X) = Parasympathetic innervation of the heart and digestive system</p> Signup and view all the answers

Which cranial nerve provides parasympathetic innervation to the parotid gland for salivation?

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

The hypoglossal nerve (CN XII) controls all muscles of the tongue.

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

Which cranial nerve is tested by asking the patient to shrug their shoulders against resistance?

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

The olfactory nerve (CN I) is commonly tested using visual acuity charts.

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

Which cranial nerve is responsible for taste sensation from the posterior 1/3 of the tongue?

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

Which cranial nerve is tested by assessing pupillary light reflex?

<p>Oculomotor Nerve</p> Signup and view all the answers

The ______ nerve is assessed by testing the gag reflex.

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

Match the nerve with the eye movement it controls:

<p>Oculomotor Nerve (CN III) = Most eye movements (MR, IR, SR, IO) Trochlear Nerve (CN IV) = Superior oblique muscle Abducens Nerve (CN VI) = Lateral rectus muscle</p> Signup and view all the answers

Damage to which cranial nerve can lead to Bell's palsy?

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

The vestibulocochlear nerve (CN VIII) has only a vestibular component and no cochlear component.

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

Which cranial nerve is responsible for sensation from the middle ear?

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

What is the function of the Jacobson's nerve, a branch of the facial nerve?

<p>Sound dampening</p> Signup and view all the answers

The corneal reflex, which involves blinking in response to touching the cornea, is primarily mediated by the ______ nerve.

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

Match each cranial nerve with its type:

<p>Olfactory (CN I) = Sensory Oculomotor (CN III) = Motor Facial (CN VII) = Both Vagus (CN X) = Both</p> Signup and view all the answers

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

<p>Oculomotor Nerve (CN III) (B)</p> Signup and view all the answers

The accessory nerve (CN XI) originates solely from the brainstem.

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

Which of the following cranial nerves does NOT pass through the cavernous sinus?

<p>Optic Nerve (CN II) (C)</p> Signup and view all the answers

Damage to which cranial nerve results in the tongue deviating towards the affected side when protruded?

<p>Hypoglossal Nerve</p> Signup and view all the answers

The ______ nerve provides taste sensation from the epiglottis.

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

Match the cranial nerve with the correct foramen it passes through:

<p>Olfactory Nerve (CN I) = Cribriform plate Optic Nerve (CN II) = Optic canal Mandibular branch of Trigeminal Nerve (CN V3) = Foramen ovale Facial Nerve (CN VII) = Internal acoustic meatus</p> Signup and view all the answers

Which cranial nerve is responsible for the afferent limb of the corneal reflex?

<p>Trigeminal Nerve (CN V) (D)</p> Signup and view all the answers

The glossopharyngeal nerve (CN IX) is responsible for motor innervation of the muscles of facial expression.

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

Which cranial nerve provides sensory innervation to the carotid sinus and carotid body?

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

Which cranial nerve is responsible for innervating the stapedius muscle in the middle ear?

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

The ______ nerve is responsible for the motor component of the gag reflex.

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

Match the following cranial nerve lesions with their associated clinical sign:

<p>Optic Nerve (CN II) lesion = Blindness Oculomotor Nerve (CN III) lesion = Ptosis (drooping eyelid) Facial Nerve (CN VII) lesion = Facial paralysis (Bell's Palsy) Hypoglossal Nerve (CN XII) lesion = Tongue deviation</p> Signup and view all the answers

Which structure does the trochlear nerve (CN IV) innervate?

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

Which cranial nerve passes through the superior orbital fissure canal?

<p>CN V1 (C)</p> Signup and view all the answers

Flashcards

CNI Olfactory

Kranialnerve I, ansvarlig for luktesansen.

CNII Optic

Kranialnerve II, ansvarlig for syn.

CNIII Oculomotor

Kranialnerve III, kontrollerer de fleste øyemuskler og pupillreaksjon.

CNIV Trochlear

Kranialnerve IV, kontrollerer superior oblique muskelen i øyet.

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CNV Trigeminal

Kranialnerve V, ansvarlig for sensorikk i ansiktet og motorisk kontroll av tyggemuskler.

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CNVI Abducens

Kranialnerve VI, kontrollerer lateral rectus muskelen i øyet.

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CNVII Facial

Kranialnerve VII, styrer ansiktsuttrykk, smak på fremre 2/3 av tungen, og salivasjon.

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CNVIII Vestibulocochlear

Kranialnerve VIII, ansvarlig for hørsel og likevekt.

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CNIX Glossopharyngeal

Kranialnerve IX, ansvarlig for smak og sensasjon fra bakre 1/3 av tungen, svelging og spyttsekresjon.

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CNX Vagus

Kranialnerve X, har mange funksjoner inkludert svelging, tale, og regulering av indre organer.

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CNXI Accessory

Kranialnerve XI, kontrollerer musklene som beveger hodet, nakken og skuldrene.

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CNXII Hypoglossal

Kranialnerve XII, kontrollerer de fleste tungemuskler og tungens bevegelse.

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CNI Funksjon

Sensorisk nerve, ansvarlig for lukt.

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CNII Funksjon

Sensorisk nerve, ansvarlig for syn.

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CNIII Funksjon

Motorisk og sensorisk nerve, kontrollerer øyemuskler.

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CNIV Funksjon

Motorisk og sensorisk nerve, kontrollerer superior oblique øyemuskel.

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CNV Funksjon

Motorisk og sensorisk nerve, sensorisk fra ansikt og munn, motorisk til tyggemuskler

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CNVI Funksjon

Motorisk og sensorisk nerve, kontroller lateral rectus øyemuskelen.

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CNVII Funksjon

Motorisk og sensorisk nerve, kontrollerer ansiktsuttrykk, lacrimale kjertler, og spyttkjertler.

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CNVIII Funksjon

Sensorisk nerve, ansvarlig for likevekt og hørsel.

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CNIX Funksjon

Motorisk og sensorisk nerve, ansvarlig for svelging, smak, og spyttsekresjon.

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CNX Funksjon

Motorisk og sensorisk nerve, har mange funksjoner inkludert sensasjoner fra indre organer.

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CNXI Funksjon

Motorisk og sensorisk nerve, styrer muskler som beveger hodet, nakken og skuldrene.

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CNXII Funksjon

Motorisk og sensorisk nerve, styrer tungens muskler.

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Study Notes

  • Cranial nerves are assessed for anatomy and function.

Functions

  • S = sensory.
  • M = motor.
  • P = parasympathetic.
  • S/M = sympathetic.

CN I: Olfactory Nerve

  • Function: Smell (sensory).
  • Carries sensory information related to smell.
  • Assessment involves client identifying different mild aromas with eyes closed.

CN II: Optic Nerve

  • Function: Sight (sensory).
  • Assessment involves evaluating visual acuity and fields; reading newsprint and determining objects.

CN III: Oculomotor Nerve

  • Function: Eyeball movement (MR, IR, SR, IO), movement of upper eyelid, pupillary constriction (motor), pupillary light reflex (parasympathetic).
  • Serves muscles of the eye.
  • Assessment: Assess ocular movements and reaction to light/accommodation.

CN IV: Trochlear Nerve

  • Function: Eyeball movement (superior oblique) (motor).
  • Assessment involves downward and inward eye movement, moving eyeballs obliquely.

CN V: Trigeminal Nerve

  • Has three divisions: ophthalmic, maxillary, and mandibular.
  • Ophthalmic and maxillary are sensory; mandibular also controls chewing.
  • Sensory from face and mouth; motor to muscles of mastication (chewing).
  • Assessment: Sensations of face, chewing movements, eliciting blink reflex by lightly touching lateral sclera.

CN VI: Abducens Nerve

  • Function: Eyeball movement (lateral rectus) (motor).
  • Serves the lateral rectus eye muscle.
  • Assessment involves lateral eye movement, moving eyeballs laterally.

CN VII: Facial Nerve

  • Function: Taste (anterior 2/3 of tongue) (sensory), facial expression (motor), eyelid closing (motor), stapedius muscle dampening sound (motor), salivation (submandibular and sublingual glands) (parasympathetic).
  • Serves the muscles of facial expression, lacrimal glands, and salivary glands.
  • Assessment: Taste on anterior 2/3 of the tongue, facial movements, eye closure, labial speech, do different facial expressions like smiling, frowning and raising of eyebrows; ask client to identify various tastes.

CN VIII: Vestibulocochlear Nerve

  • Function: Hearing (cochlea) and balance (vestibular apparatus) (sensory).
  • Assessment: Hearing and balance, assess client's ability to hear.

CN IX: Glossopharyngeal Nerve

  • Function: Sensation from posterior 1/3 of tongue, tonsils, middle ear, pharynx (sensory), taste from posterior 1/3 of tongue (sensory), stylopharyngeus muscle - elevates pharynx/larynx (motor), salivation - parotid gland (parasympathetic).
  • Serves the pharynx (throat) for swallowing, posterior third of tongue, parotid salivary gland.
  • Assessment: Posterior taste of tongue, swallow and gag reflex, and swallowing and phonation muscles of the pharynx.

CN X: Vagus Nerve

  • Function: Swallowing, elevation of palate, talking, coughing, gag reflex (motor), heart rate, GI peristalsis (parasympathetic), sweating, vasovagal syncope, peripheral chemoreceptors (sympathetic).
  • Sensations from visceral (internal) organs, and parasympathetic motor regulation of visceral organs.
  • Assessment: Swallowing sensation from pharynx, carotid sinus, clients speech for hoarseness.

CN XI: Accessory Nerve

  • Function: Head turning (SCM), shoulder shrugging (trapezius) (motor).
  • Serves muscles that move head, neck, and shoulders.
  • Assessment: Sternocleidomastoid and trapezius muscle movement.

CN XII: Hypoglossal Nerve

  • Function: Most muscles of tongue (except palatoglossus), tongue movement (motor).
  • Serves muscles of the tongue.
  • Assessment: Tongue movement for speech, sound articulation and swallowing.

Mnemonic for Cranial Nerves

  • Some Say Marry Money But My Brother Says Big Brains Matter More (sensory, motor, or both).

Mnemonic for Cranial Nerve Function

  • Oh Oh Oh To Touch And Feel Very Good Velvet Ah H.

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