474-475: Neuro Anatomy/Physio Flashcards Preview

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Flashcards in 474-475: Neuro Anatomy/Physio Deck (32):
1

What is the cavernous sinus?

a collection of venous sinuses on either side of the pituitary

2

What drains into the cavernous sinus?

blood from the eye and superficial cortex

3

Where does the cavernous sinus drain to?

internal jugular vein

4

Which cranial nerves pass through the cavernous sinus?

III, IV, V1, V2, and VI

5

Which sympathetic nerves pass through the cavernous sinus?

postganglionic sympathetic fibers en route to the orbit

6

Which artery passes through the cavernous sinus?

the cavernous portion of the internal carotid artery

7

What deficits characterize the cavernous sinus syndrome? What is not affected?

ophthalmoplegia and decreased corneal and maxillary sensation; normal visual acuity

8

What are three causes of cavernous sinus syndrome?

mass effect, fistula, thrombosis

9

What artery lies between the optic chiasm inferiorly and the base of the brain superiorly?

ACA

10

A patient presents with a jaw deviated toward the right on physical examination. You suspect a CN lesion. Which CN? What side is the lesion on?

Motor component of CN V on the right; jaw deviates toward side of lesion due to unopposed force from the opposite pterygoid muscle

11

On CN exam you note the uvula deviates toward the right. Which CN is affected on which side?

CN X on the left; uvula deviates away from weakened left side

12

On CN exam you note weakness when the patient turns her head to the left. Which CN is affected on which side? Which muscle?

CN XI on the right is affected --> SCM

13

In a patient with weakness in turning her head to the right, what do you expect on examination of her shoulder elevation? Which nerve and muscle is affected in the shoulder?

CN XI lesion on the left --> left trapezius weakness --> drooping shoulder

14

On CN exam your patient's tongue deviates to the right. Which CN is affected on which side?

CN XII on the right ("lick your wounds")

15

What are the components of the outer ear?

Pinna, auditory canal, eardrum

16

What is the middle ear? What is it's main function?

An air-filled space with the ossicles (malleus, incus, stapes); amplifies sound

17

What is the name of the structure in the cochlea that vibrates with sound waves? Describe its structural variation as it coils through the cochlea.

basilar membrane; thin and rigid at base of cochlea --> wide and flexible at apex near helicotrema

18

What part of the basilar membrane vibrates in response to low frequency sound waves?

the apex

19

What part of the basilar membrane vibrates in response to high frequency sound waves?

the base

20

What are the Rinne and Weber test results in conductive hearing loss?

Rinne: bone > air (abnormal)
Weber: localizes to affected ear

21

What are the Rinne and Weber test results in sensorineural hearing loss?

Rinne: air > bone (nml)
Weber: localizes to unaffected ear

22

Why should you wear ear protection at a loud concert? What will be damaged, and what function will be lost first?

damage to stereocilliated cells in the organ of Corti --> loss of high-frequency hearing first

23

What is the risk of a sudden extremely loud noise to your inner ear structures?

hearing loss due to tympanic membrane rupture

24

A patient presents with paralysis of the face below the forehead on the right side. Where is the lesion?

UMN on the left (i.e. corticobulbar tract; or cortical lesion)

25

A patient presents with paralysis of the left side of the upper and lower face. Where is the lesion?

LMN on the left (i.e. facial nerve proper)

26

What are the components of the facial nucleus? Does complete destruction of the facial nucleus present like a UMN or LMN lesion, or components of both?

Upper division - receives input from both sides of cortex
Lower division receives input from contralateral cortex only
Presents as a LMN lesion

27

What is the name given to idiopathic lesions of the facial nerve? What is the prognosis?

Bell's palsy; gradual recovery in most cases

28

What are 6 causes of facial nerve palsy?

1. Lyme dz
2. herpes simplex
3. herpes zoster
4. sarcoidosis
5. tumors
6. diabetes

29

What is the treatment for facial nerve palsy?

Corticosteroids

30

What 3 mm. close the jaw?

Masseter
teMporalis
Medial pterygoid
(M's Munch)

31

Which single muscle is responsible for jaw opening?

Lateral pteryoid ("Lateral Lowers")

32

What is the innervation to the muscles of mastication?

trigeminal nerve (V3)