COM2 anataomy W6 Part 2 Flashcards

(43 cards)

1
Q

Name the 3 main nuclei that the facial nerve contains

A
  • Main motor nucleus
    -Parasympathetic nucleus
    -Sensory nucleus
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2
Q

Explain the main motor nucleus of the facial nerve:
-location
-What it supplys
-What fibers the upper and lower face recieves

A
  • Reticular formation of the lower pons
    -Muscles of facial expression, stapedius, posterior belly of digastric, stylohyoid
    -upper face: Recieves bilateral corticnuclear fibers
    -Lower face: recieves controalateral fibers
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3
Q

Explain the parasympathetic nuclei of the facial nerve:
-location
-What it includes + what those supply
-Where it recieves inputs from

A
  • Posterolateral to the motr nucles
    -Superior salivatiry nucleus- submandibular, and sublingual glands, nasal and palatine glnads
    -Lacrimal nucleus- Lacrimal gland
    Inputs from: Hypothalamus, nucles of solitary tract and trigeminal nerve sensory nuclei
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4
Q

Explain the sensory nucleus of the facial nerve :
-What is it apart
-Function- what does it process
-Location of its cell bodies
-in its pathway were does it end

A

Part of upper portion of nucleus of tractus solitarius
-Processes taste from anterior 2/3 of tounge, soft palate, floor of mouth
-Cell bodies in geniculate ganglion
-Ends in gustatory cortex( lower postcentral gyrus)

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5
Q

Explain the course of the facial nerve :
-Starting from exit
-passes through
-Enters
-forms what
-turns above the
-exits what via what

A

-Exits the brainstem
-passes through internal acoustic meatus
-Enters the facial canal in temporal bone
-Forms geniculate ganaglion
-Turns abve the promontory
-Exits skull via stylomastoid foramen

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6
Q

What type of nerve is vestibulocochlear-8

A

special Sensory

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7
Q

Name the 2 components of the vestibulocochlear nerve and what they are for

A
  • Vestibular nerve - for balance and head movements
    -Cochlear nerve - for hearing
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8
Q

Where does the vestibulochochlear nerve as a whole
-arise from
-pass through
-Then enters what and splits into what and where do they go to

A

Arises from pontomedullary junction
-Passes through internal acoustic meatus
-Enters the inner ear
-Splits into:
-Vestibular nerve -utricle, saccule and semicircular canals
-Cochlear nerve - cochlea

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9
Q

Explain the vestibular nerve of the vestibulocochlear nerve:
-Where it carries impulses from + the functions of those

A
  • Carries impulses from :
    -Utricle and saccule- for head position
    -Semicircular canals- head movements
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10
Q

Explain the pathway of the vestivular nerve in the vestibuocochlear nerve:
-where peripheral fibers come from
-Location of cell bodie
-What eneters where + GOes to what
-Then what is divided and into what

A

-Peripheral fibers from utricle,saccule and canals
-Cell bodies in vestibular ganglion
-Their central processes enter the brainstem and goes to the 4 vestibular nuclei: lateral,medial,superior and inferior
-Then the fibers divided into : short ascending and long ascending

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11
Q

Where do efferent from the vestibular nuclei go to

A
  • Cerebellum
    spinal cord
    Eye movement nuclei
    Thalamus
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12
Q

What is the function of the cochlear nerve in the vestibulocochlear
-what does it carry+
pathway:
-Where do peripheral fibers come from
-cell body location
-What enters where
-And wher do some fibers go + others

A

Carries sound signals from the organ of corti
pathway:
-Peripheral fibers from hair cells of organ of cort
-cell bodies in spiral ganglion
-Their central process enter brainstem and some fibers go to Anterior cochlear nucleus+ others posterior cochlear nucleus

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13
Q

What type of nerve is the glossopharyngeal nerve

A

Motor+ sensory+ parasympathetic

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14
Q

Name the 3 nuclei the glossopharyngel nerve contains

A

-Main motor nucleus
-Parasympathetic nucleus
-Sensory nucleus

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15
Q

Explain the main motor nucleus of the Glosspharyngeal nerve :
-location
-What is it apart of
-Whtere does it recieve input from
-Function- what does it supply

A
  • Loacted in the reticular formation of the medulla oblongata
    -It is apart of the nucleus ambiguus
    -Recievec inout from coticonuclear fibers
    -Supplys the Stylopharyngeus muscles
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16
Q

Explain the parasympathetic nucelus of the glosspharyngeal nerve:
-Its alternative name
- Where its loacted
-Where it recieves inputs from
-Function-what does it stimulate

A

name: inferior salivatory nucleus
Location: medulla
-Recieves input from : hypothalmus, olfactory system
-Supplies Partoid salivary gland

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17
Q

Explain the sensory nucleus of the glossopharyngeal nerve:
-What is it apart of
-Name the 3 types of sensations it carries and from where

A
  • Apart of the nucleus of teh tractus solitarius
  • Taste+ general fromm the posteriro 1/3 of the tounge
    -Viscerall sensations from carotid sinus
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18
Q

Explain the glosspharyngeal nerve:
what does it exit the skull via
+ descend into
-

A

-Exits skull via jugular foramen
-descend into cartoid sheath

19
Q

What is the vagus

20
Q

Name the 3 nuclei the vagus nerve contains

A
  • Main motor nucleus
    -Parasympathetic nucleus
    -Sensory nucleus
21
Q

Explain the main motor nucleus of Vagus nerve:
-Location
-What its part of
-Function- what does it supply

A

-Reticular formation of the medulla oblongata
-Part of nucleus ambiguus
-Supplies constrictor muscles of the pharynx and intrinsic muscles of larynx

22
Q

Explain the parasympathtic nucleus of the vagus nerve:
-Alternative name
-Location
-What does it supply
-

A
  • Dorsal nucles of the vagus
    -Posterolateral to the hypoglossal nucleus
    -Supplies smooth muscles of bronchi, heart intestines
23
Q

Explain the sensory nucleus of the vagus nerve:
-Function- where does it carry sensatins of taste from
-Whats it apart of

A

Taste from epigglottis and pharynx
-Lower nucleus of the tractus solitarius`

24
Q

Explain the pathway of the vagus nerve:
-Where it emerges from , between what
-What it leaves + through what

A
  • Emerges from medulla bwteen the olives and inferiro cerebellar peduncle
    -Leaves the skull through jugular foramen
25
In the neck what does the vagus nerve travel in the cartoid sheath with
- Internal jugular vein -Common+ internal cartoid arteries
26
Where is cartoid sinus reflex located+ what does it act as
- At the birfication of the common cartoid artery -Acts as a baroreceptor- deects increased blood pressure
27
Explain how carotid sinus+ aortic arch reflexes work -Starting form what happens as blood pressure rise -Explain where afferent fibers from cartoid sinus ascend to + terminate -Explain where the affernet fibers from aortic arch ascend
- As the blood pressure rises, nerve endings are stimulates . -The affernet fibers from the cartoid sinus ascendin the Glosspharyngeal nerve + terminate in Nucleys soliatrus - The afferent fibers from aortic arch ascen in the vagus nerve .
28
What can masssage fo cartoid sinus be used to relieve
Supraventricular tachycardia
29
How is the gag reflex tested+ explain what happens once its done : -Effect on pateint + muscles -Where the afferent + efferent neurons of gag reflex/pharyngeal reflex1 run into a
- By touching the lateral walla of the pharnyx- -Causes the pateint to gag+ pharnygeal muscles contract -Afferent neruosn run into glosspharyngeal nerve -Efferent neruosn run into glosspharyngeal and vagus nerves
30
In relation to gag reflex: - What will unilateral lesiosn of the vagus show
Litlle or no gag reflex on that side
31
What is hoarsness a result of what nerve: -What is the symptoms+ why What is hoarsness a common complication of
Vaguse nerve - vagus nerve palsy -Hoarsness or loss of voice due to laryngeal muscle paralasysi -thyroid surgery
32
What is the Accessory nerve-11
Motor nerve
33
Name the 2 parts of the accessory nerve + what it joins to
Cranial root - joins to vagus Spinal root - jojns to neck muscles
34
Explain the cranial root of the accessory nerve: - Orign -Which fibers does it recieve -Where does it emerge from+ what nerve does it join
-Nucles ambiguus in the medull oblongata -Recieives corticonuclear fibers -Emegrs from medulla betwene the olive and inferiro cerebellar peduncle -Joins the vagus nerve
35
What is the function of the cranial root of the accesory nerve- does what does it supply
It supplies the muscles of the soft palate, pharynx, larynx
36
Explain the spinal root of the Accessory nerve: -Origin -What fibers it recievs -Where it emegres from + FUNCTION- What does it supply
- Origin: spinal nucleus in anterior gray column -Recieves corticospinal fibers -emerges from spinal cord between anterior and posterior roots. -Supplies: sternocleidomastoid + trapezius
37
Explain 2 clinical tests to test the accesory nerve+ what muscle it tests
Aask the patient to rotate the head agains a resistance- Testes sternocleidomastodi Ask patient to strug their shoulders against reistanc: -Testst trapezius muscle
38
What is the affect of paralysis of Sternocleidomastoid + trapezius in the hypoglossal nerve
- Paralysis of SCM: - Weakness in turing head to opposite side+atrophy Paralysis of trapezius: -Shoulder droop on affected side
39
What type of nerve is hypoglossal
Motor nerve
40
-What does the hypoglossal nerve control -What muscles does it supply
-Controls movement and shape of the tounge -Supplies : all intrinsic muscles + extrinsicl muscles : genioglossus, hypoglossus,styloglossus
41
-Explain the hypoglossal nerve : -Where is the nucles of the hypoglossal nerve located -What fibers does it recieve -What is it joined by
Beneath the floor of the lower fourth ventricl# -Recieves bilateral corticonuclear -Joined by C1 fibers from cervial plexus
42
How is hypoglossal nerve tested
By asking the patient to stick out their tounge -If there is a LMN lesion : the tounge deviaes towrd the paralyzed side
43