Motor Cranial Nerves - Oculomotor Nerve (III)
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Questions and Answers

What is the origin of the hypoglossal nerve (XII)?

  • Caudal part of the groove bounding to pons
  • Rostral part of the groove bounding to pyramids of medulla oblongata
  • Caudal part of the groove bounding to pyramids of medulla oblongata (correct)
  • Rostral part of the groove bounding to cerebellum
  • What is the function of the hypoglossal nerve (XII)?

  • Supply the pharyngeal muscles
  • Supply the facial muscles
  • Supply 3 Intrinsic muscles of the tongue
  • Supply 3 Extrinsic muscles of the tongue (correct)
  • What is the origin of the trigeminal nerve (V)?

  • One root from the end of the cerebellum
  • Two roots from the end of the medulla oblongata
  • Two roots from the end of the pons (correct)
  • One root from the end of the spinal cord
  • What is the name of the ganglia associated with the trigeminal nerve (V)?

    <p>Semilunar ganglia</p> Signup and view all the answers

    What nerve emerges from the orbital foramen along with the ophthalmic nerve?

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

    What is the function of the lacrimal nerve?

    <p>Supply the lacrimal gland and upper eyelid</p> Signup and view all the answers

    What is the name of the nerve that passes rostrally under the dorsal rectus muscle?

    <p>Naso-ciliary nerve</p> Signup and view all the answers

    What nerve does the chorda tympani unite with to supply the cranial tongue with taste sensation?

    <p>Lingual nerve of mandibular</p> Signup and view all the answers

    What is the course of the maxillary nerve?

    <p>From the round foramen (rotundum foramen)</p> Signup and view all the answers

    Which nerve arises from the facial nerve and supplies the skin on the concave aspect of the external ear?

    <p>Internal auricular nerve</p> Signup and view all the answers

    What is the function of the parotid branches of the facial nerve?

    <p>Supply the guttural pouch and parotid salivary gland</p> Signup and view all the answers

    What is the origin of the glossopharyngeal nerve?

    <p>Lateral part of the ventral surface of the medulla oblongata</p> Signup and view all the answers

    What is the function of the tympanic nerve?

    <p>Is a branch of the glossopharyngeal nerve</p> Signup and view all the answers

    What is the course of the glossopharyngeal nerve?

    <p>From the foramen lacerum caudalis to the foramen magnum</p> Signup and view all the answers

    What is the function of the dorsal buccal branch of the facial nerve?

    <p>Supplies the dorsal aspect of the cheek</p> Signup and view all the answers

    What is the function of the ramus colli?

    <p>Supplies the ventral auricular muscles</p> Signup and view all the answers

    What is the main function of the superficial branch of the lingual nerve?

    <p>Supplying the sublingual salivary gland, floor of the mouth, and MM of the tongue</p> Signup and view all the answers

    What nerve connects with the beginning of the lingual nerve to supply the cranial 2/3 of the tongue with taste sensation?

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

    What nerve arises from the mandibular nerve and supplies the mylohyoid muscle, skin of the mandibular space, and rostral belly of the digastric muscle?

    <p>Mandibular alveolar nerve</p> Signup and view all the answers

    What nerve supplies the caudal belly of the digastric muscle?

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

    What is the origin of the facial nerve?

    <p>Lateral end of the trapezoid body</p> Signup and view all the answers

    What nerve is larger and lateral to the facial nerve?

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

    What is the function of the greater superficial petrosal nerve?

    <p>Carrying parasympathetic fibers to form the nerve of the pterygoid canal</p> Signup and view all the answers

    What is the function of the stapedial nerve?

    <p>Supplying the stapedial muscle of the middle ear</p> Signup and view all the answers

    Which cranial nerve is responsible for supplying the dorsal oblique muscle?

    <p>Trochlear nerve (IV)</p> Signup and view all the answers

    What is the clinical significance of a problem in the dorsal branch of the oculomotor nerve?

    <p>Dropping of the upper eyelid</p> Signup and view all the answers

    Through which foramen does the trochlear nerve exit?

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

    What is the origin of the abducent nerve (VI)?

    <p>Cranial part of the groove bounding the pyramids of the medulla oblongata</p> Signup and view all the answers

    What is the supply of the large ventral branch of the oculomotor nerve (III)?

    <p>Ventral rectus, ventral oblique, and medial rectus</p> Signup and view all the answers

    What is the reason why the accessory nerve is termed 'spinal accessory nerve'?

    <p>It has a medullary root and a spinal root</p> Signup and view all the answers

    Which muscle is supplied by the ventral branch of the accessory nerve (XI)?

    <p>Sternocephalic muscle</p> Signup and view all the answers

    What is the result of any problem in the nerves that supply the extrinsic muscles of the eye?

    <p>Any type of squint</p> Signup and view all the answers

    What is the function of the tympanic plexus?

    <p>To supply the muscles of the tympanic cavity and auditory tube</p> Signup and view all the answers

    Which nerve supplies the caudal stylopharyngeal muscle?

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

    What is the origin of the vagus nerve?

    <p>Medulla oblongata</p> Signup and view all the answers

    What is the function of the pharyngeal branch of the vagus nerve?

    <p>To supply the muscles of the pharynx</p> Signup and view all the answers

    Which nerve is the largest cranial nerve?

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

    What is the function of the recurrent laryngeal nerve?

    <p>To supply the intrinsic muscles of the larynx</p> Signup and view all the answers

    What is the function of the cardiac plexus?

    <p>To supply the heart and great vessels</p> Signup and view all the answers

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

    <p>To supply the caudal third of the tongue with general and taste sensation</p> Signup and view all the answers

    Study Notes

    Motor Cranial Nerves

    • Oculomotor Nerve (III)
      • Origin: middle of medial border of cerebral peduncle (crus)
      • Course: exits from orbital foramen, divided into small dorsal and large ventral branches
      • Supplies: dorsal rectus muscle, levator palpebral superioris, ventral rectus, ventral oblique, and medial rectus muscles
      • Clinical significance: ptosis (dropping of upper eyelid) can result from problems in the dorsal branch of the oculomotor nerve or levator palpebral superioris
    • Trochlear Nerve (IV)
      • Origin: rostral cellular peduncle
      • Course: exits from trochlear foramen (if present) or orbital foramen
      • Supplies: dorsal oblique muscle
    • Abducent Nerve (VI)
      • Origin: cranial part of the groove bounding to pyramids of medulla oblongata
      • Course: exits from orbital foramen
      • Supplies: lateral rectus and retractor oculi muscles
      • Clinical significance: problems in the nerves that supply extrinsic eye muscles can cause squint (any type of strabismus)
    • Accessory or Spinal Accessory Nerve (XI)
      • Origin: lateral part of ventral aspect of medulla oblongata
      • Course: exits from foramen lacerum caudalis and branches into dorsal and ventral branches
      • Supplies: trapezius and brachiocephalic muscles
      • Note: termed spinal accessory nerve because its origin not only from medulla oblongata (medullary root) but also from 1st, 2nd, and 3rd cervical spinal nerves
    • Hypoglossal Nerve (XII)
      • Origin: caudal part of the groove bounding to pyramids of medulla oblongata
      • Course: exits from hypoglossal foramen
      • Supplies: 3 extrinsic tongue muscles (styloglossus, hyoglossus, and genioglossus)

    Mixed Cranial Nerves

    • Trigeminal Nerve (V)
      • Origin: two roots (large sensory and small motor root) from the end of the pons
      • Course: exits from orbital foramen
      • Supplies:
        • Ophthalmic nerve (pure sensory): supplies lacrimal gland and upper eyelid
        • Maxillary nerve (pure sensory): supplies skin of face
        • Mandibular nerve (mixed): supplies muscles of mastication and skin of face
      • Clinical significance: problems in the trigeminal nerve can cause facial pain and disorders of mastication
    • Facial Nerve (VII)
      • Origin: lateral end of the trapezoid body
      • Course: enters internal acoustic meatus and passes in facial canal
      • Supplies:
        • Greater superficial petrosal nerve: carries parasympathetic fibers to the lacrimal gland
        • Chorda tympani: carries taste sensation from the anterior two-thirds of the tongue
        • Stapedial nerve: supplies stapedial muscle of the middle ear
      • Clinical significance: problems in the facial nerve can cause facial paralysis and disorders of taste and hearing
    • Glossopharyngeal Nerve (IX)
      • Origin: lateral part of ventral surface of medulla oblongata
      • Course: exits from foramen lacerum caudalis (jugular foramen)
      • Supplies:
        • Tympanic nerve: supplies the middle ear
        • Carotid sinus branch: forms carotid plexus with sympathetic fibers
        • Lingual branch: supplies the caudal one-third of the tongue with general and taste sensations
    • Vagus Nerve (X)
      • Origin: lateral part of ventral surface of medulla oblongata
      • Course: exits from foramen lacerum caudalis (jugular foramen)
      • Supplies:
        • Pharyngeal branch: forms pharyngeal plexus with sympathetic fibers
        • Cranial laryngeal nerve: supplies the larynx and floor of the pharynx
        • Recurrent laryngeal nerve: supplies the intrinsic laryngeal muscles except for the cricothyroid muscle
      • Clinical significance: problems in the vagus nerve can cause disorders of swallowing, speech, and heart rate

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    Description

    This quiz covers the origin, course, and branches of the oculomotor nerve, including its clinical significance in relation to ptosis.

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