exam 2 vagus nerve Flashcards

(64 cards)

1
Q

what type of information does the vagus nerve carry?

A

motor, parasympathetic, and sensory information

including some taste from the epiglottal region

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2
Q

what are two unique chaacteristics of the vagus nerve?

A

longest cranial nerve

most important parasympathetic nerve

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3
Q

where are the cell bodies for the motor fibers of the vagus nerve located?

A

in the nucleus ambiguus

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4
Q

where does the nucleus ambiguus receive its information from?

A

both cerebral hemispheres, (its a motor nuclues so from a higher level.)

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5
Q

where do the preganglionic parasympathetic fibers of the vagus nerve arise from?

A

posterior (dorsal) nucleus of the vagus

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6
Q

where does the posterior nucleus of the vagus receive its information from?

A

receives information indirectly from the hypothalamus and carotid sinus

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7
Q

incoming somatic sensory information carried in the vagus nerve terminates where?

A

spinal nucleus of C.N 5

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8
Q

taste and viscerosensory information carried in the vagus nerve terminates where?

A

nucleus of the solitary tract

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9
Q

what are the two peripheral ganglia associated with the vagus nerve?

A

superior and inferior ganglion

NOT the same as glossopharyngeal

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10
Q

what is the superior ganglion of the vagus nerve also known as?

A

the jugular ganglion

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11
Q

what is the inferior ganglion of the vagus nerve also known as?

A

the nodose ganglion

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12
Q

sensory information is carried in neurons whose cell bodies are located where?

A

superior ganglion

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13
Q

where does the sensory information of the vagus come from?

A
Dura (infratentorial/posterior fossa)
auricle
external auditory canal
lateral tympanic membrane
mucosa from the larynx and laryngopharynx
viscera in the thoracic and abdominal cavities
pressure receptors in the aortic arch
chemoreceptors in the para-aortic body
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14
Q

taste from the epiglottis is carried by neurons whose cell bodies are located where?

A

inferior ganglion

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15
Q

where does taste from the epiglottis terminate?

A

superior part of the nucleus of the solitary tract

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16
Q

visceral sensory information is carried by neurons in the inferior ganglion to where?

A

inferior part of the solitary tract

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17
Q

the vagus nerve carries visceral sensory information from where?

A

larynx and laryngopharnx
viscera in the thoracic and abdominal cavities
pressure receptors in the aortic arch
chemoreceptors in the para-aortic body

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18
Q

what is the apparent origin of the vagus nerve?

A

emerges from lateral aspect of the medulla oblongata as a series of rootlets

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19
Q

when the rootlets combine and form a trunk what does the vagus nerve do before exiting the skull?

A

gives off a meningeal branch that supplies the dura of the posterior cranial fossa

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20
Q

where does the vagus nerve exit the skull?

A

jugular foramen

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21
Q

what does the meningeal branch supply?

A

dura of the posterior cranial fossa

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22
Q

how is the jugular foramne compartmentalized?

A

by a fibrous septum

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23
Q

what nerves travel anterior to the fibrous septum of the jugular foramen?

A

vagus nerve

accessory nerve

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24
Q

what nerve travels posterior to the fibrous septum of the jugular foramen?

A

glossopharyngeal nerve

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25
what do the vagus and accessory nerve also share during their travels through the jugular foramen?
they share a meningeal sheath (arachnoid and dura)
26
where is the superior ganglion of the vagus nerve located?
jugular foramen
27
where is the inferior ganglion of the vagus nerve located?
just inferior to the jugular foramen (outside)
28
where is the auricular branch of the vagus nerve given off at?
the superior ganglion
29
what two structures does the auricular branch pass through on its way to the external auditory meatus?
mastoid canaliculus and the tympanomastoid fissure
30
what information does the auricular branch carry?
sensory information from the meatus and a small portion of the auricle
31
upon exiting the jugular foramen what does the vagus nerve travel inferiorly in?
the carotid sheath
32
while in the carotid sheath traveling inferior what two structures does it travel between?
internal carotid artery and the internal jugular vein
33
inferior to the carotid bifurcation it will travel between what two structures?
internal jugular vein and common carotid artery
34
where does the pharyngeal branch leave the vagus?
at the level of the inferior ganglion
35
what is the first thing the pharyngeal branch does upon leaving the vagus?
combines with fibers from the glossopharyngeal and with symathetic fibers from the sympathetic trunk
36
when the pharyngeal branch combines with glossopharyngeal and sympathetic trunk it form what?
pharyngeal plexus.. you should already known this
37
vagal fibers of the pharyngeal plexus will provide motor innervation to what?
pharyngeal constrictor muscles and the levator veli palatine muscle of the soft palate
38
what other branches besides the pharyngeal are given off at the inferior ganglion?
branches to the carotid
39
what do the branches of the carotid carry?
they carry viscerosensory fibers that relay information from chemoreceptors in the carotid body
40
where do the branches of the carotid carry the viscerosensory information to?
inferior part of the nucleus for the solitary tract
41
what nerve is given off just inferior to the inferior ganglion?
superior laryngeal nerve
42
what are the two divisions of the superior laryngeal nerve?
external laryngeal nerve | internal laryngeal nerve
43
what does the external laryngeal motor supply?
cricothyroid muscle
44
what does the internal laryngeal nerve sensory supply?
laryngeal mucosa as far inferior as the vocal folds
45
what does the recurrent laryngeal nerve motor supply?
supplies motor fibers to all muscles of the larynx, except the cricothyroid?
46
what nerve supplies the cricothyroid?
external laryngeal nerve
47
what does the recurrent laryngeal nerve sensory supply?
supplies from the larynx inferior to the vocal folds
48
what is the path of the recurrent laryngeal nerve of the left side?
comes off the vagus as it passes in front of the aortic arch, then passes under the aortic arch and ascends, eventually becoming the inferior laryngeal nerve
49
what is the path of the recurrent laryngeal nerve on the right side?
passes posteriorly under the subclavian artery before ascending
50
what fibers do the superior and inferior cervical cardiac branches?
parasympathetic information to the cardiac plexus
51
which cervical cardiac branch travels with the great vessels to the cardiac plexus?
the superior cervical cardiac branch
52
where does the inferior cervical cardiac branch come from?
its a branch off of the recurrent laryngeal nerve
53
one of the cervical cardiac branches will carry viscerosensory information concerning what?
pressure of the wall of the aorta.
54
when is the cervical cardiac branch carrying viscerosensory information of the pressure of the aorta wall stimulated?
the nerve is stimulated when the pressure becomes too high
55
as the vagus nerve enters the thorax and passes posterior to the root of the ipsilateral lung and contributes to what?
pulmonary plexus
56
after entering the thorax and contributing to the pulmonary plexus what is the path variations of the right and left vagus nerve?
the right passes posteriorly and the left passes anteriorly of the esophagus, contributing to the esophageal plexus
57
how does the right vagus nerve enter the abdmonial cavity?
through the esophageal opening
58
what does the right vagus nerve become when it enters the abdominal cavity?
becomes the posterior vagal trunk
59
the posterior vagal trunk sends branches to the posterior stomach which terminate where?
terminates in a large celiac branch
60
where does the large celiac branch send branches to?
duodenum liver kidneys small intestine and proximal 2/3 of the large intestine
61
how does vagal supply reach the organs innervated by the the celiac branch?
through the celiac, superior mesenteric, and renal plexuses
62
what does the left vagal nerve become after entering the abdominal cavity?
anterior vagal trunk
63
how does the left vagus nerve enter the abdominal cavity?
esophageal opening
64
where does the anterior vagal trunk supply?
sends branches to the stomach, liver, pancreas and superior part of the duodenum