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Sensory and Motor Function of the Cranial Nerves
9/15/11 First Lecture
33
Medical
Graduate
09/16/2011

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Cards

Term
Which cranial nerve does not actually originate from the brainstem, and where does it originate from?
Definition
11, spinal accessory nerve, it originates from the cervical cord
Term
What type of receptors are involved in olfactory sensing?
Definition
chemoreceptors that react to chemicals
Term
Where does the olfactory nerve run to in the brain and where does the information spread to in the brain from there?
Definition
1. Heads to the olfactory bulb

2. Spreads to the thalamus and the limbic system
Term
What is the term for a loss of smell and what is the most common cause of it?
Definition
1. Anosmia

2. Common cold

Note: Most people complain of inability to taste instead of inability to smell
Term
How do you test for anosmia?
Definition
1. Look up nose for continuity and rule out an occlusion in the nasal cavity

2. Have an odor in the room and test one nostril at a time
Term
Why do you not use ammonia when testing for anosmia?
Definition
Ammonia binds to a pain receptor, not an olfactory receptor
Term
What is the path of information from the retina to the primary visual cortex?
Definition
Retina --> optic nerve --> optic chiasm --> optic tract --> lateral geniculate body --> primary visual cortex
Term
What information from the retina stays ipsilateral and which information goes contralateral?
Definition
Lateral retina info stays ipsilateral

Medial retina info goes contralateral
Term
In the brain, does info from the superior and inferior retina stay superior or inferior in its optic tract?
Definition
Superior info stays superior

Inferior info stays inferior
Term
Which geniculate body does the right visual field get processed in?
Definition
Right
Term
Does information about the medial part of a visual field get processed in the superior or inferior aspect of the geniculate body? What about lateral visual field information?
Definition
Medial visual field info - inferior geniculate

Lateral visual field info - superior geniculate
Term
What does the Edinger-Westphal nucleus do?
Definition
Supplies parasympathetic information to the 3rd nerve
Term
Name 2 unique aspects of the trochlear nerve
Definition
1. Only nerve to exit the dorsal part of the brainstem

2. Only nerve to migrate to the contralateral side of the body after it exits the brain
Term
What muscle is innervated by the trochlear nerve?
Definition
Superior oblique
Term
What type of movement does the superior oblique apply?
Definition
Downward and inward movement of the eye (towards the nose)
Term
What does the trigeminal nerve control?
Definition
Sensory and motor information of the face
Term
What are the names of the 3 branches of the trigeminal nerve that supply sensory information?
Definition
1. Superorbital (superior, v1)

2. Maxillary (middle, v2)

3. Mandibular (inferior, v3)
Term
What part of the face's sensation is not controlled by the trigeminal nerve and what controls it instead?
Definition
1. Angle of the jaw

2. Cervical branches
Term
What are the 3 nuclei of the trigeminal nerve and what information do they process?
Definition
1. Mesecephalic - proprioceptive information

2. Spinal nucleus - pain and temperature

3. pontine nucleus - information regarding touch
Term
What muscle does the abducens nerve innervate and what type of motion does it control?
Definition
1. lateral rectus

2. lateral eye movement (go figure...)

ex. right eye moving to the right... left eye moving to the left
Term
What 2 main functions does the facial nerve serve?
Definition
1. Innervation of salivary glands (visceral function)

2. Innervates muscles of facial expression
Term
What part of the body is innervated by both cerebral hemispheres?
Definition
forehead
Term
Why do CNS lesions not typically cause deafness?
Definition
The vestibulocochlear nerve has both ipsilateral and contralateral components. Lesions to the PNS aspect of the nerve more commonly cause deafness.
Term
What are the 3 parts of the vestibular system?
Definition
1. saccule canal
2. utricle canal
3. semicircular canal
Term
What part of the brainstem are the vestibular nuclei located in?
Definition
Medulla
Term
What is the typical symptom of lesions in the vestibular system?
Definition
Vertigo
Term
What does the glossopharyngeal nerve control and where is its nuclei?
Definition
1. Salivary glands, palate muscles, and taste on the back 1/3 of the tongue

2. Medulla
Term
What are the major functions of the vagus nerve
Definition
1. Control of palate and uvula

2. Autonomic visceral function in the heart, lungs, and gut
Term
What does the spinal accessory nerve control?
Definition
Innervation of the sternocleidomastoid and upper trapezius muscle.

Allows you to shrug your shoulders and turn head side to side
Term
What does the hypoglassal nerve control and how can you tell if its malfunctioning?
Definition
1. Tongue

2. Trying to stick your tongue out will result in it going to the side
Term
Explain how the pupillary light reflex works
Definition
3rd CN carries light information to the pretectal area where they synapse on the Edinger-Westphal nucleus, which controls the pupillary constrictor
Term
Describe the accomodation reflex
Definition
The eyes turn inward for close objects or outward for farther ones. The ciliary muscle constricts or loosens around the lens. This varies refraction in the lens (loose ciliary muscle leads to thick lens, for close objects)
Term
Explain the blink reflex
Definition
Objects coming in contact with your eye cause sensation in the cornea, which cranial nerve V carries to the mid pons, triggering cranial nerve 7 to close the eye (via the obicularis oris)
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