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29 Cards in this Set

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10 CN exam list
Voice check -
there is 1 N branch =
recurrent larngeal Nerve
pt will have =
-hoarsness
-ipsi lateral paralysis of soft palate / pharynx

-loss of carotid sinus reflex....
-9th N carotid sinus
(which nucleus' innervates =
dorsal motor nucleus / ambiguous

(alt Answer) if 9 is not present)
-10 aortic arch
Pt has wounded eye orbit which N =
6
4
3
Tx of diplopia
Eye patch
Prism

Surgx (is end therapy after 6 months = answ)
5 dz offered to recognize =
Sinusitus
Migraine
Role of Medial Vestibule Spinal tract =
Lateral =
full body


medial tract =
eye - head coordination
which N-s involved in corneal reflex
5 sensorial
7 Motor
(innervates orbital Myo & blinking)
2ct

1) mechanical trauma of branches of 7th N =

2) bells palsey of Peripheral 7th N
1a) central leision = decusates on mouth droop-paralysis

1b) peripheral Leision (same side) facial paralysis (Answ)


2) Damage is of CN7 thru styloid mastoid foreman
Which Nucleus do the fibers for pupilary reflex
N2 afferent Sensory
&
N3 constriction-bilat
Motor nucleus of 3rd N
(WESTPHAL/EttINGER nucleus)
Parasympathetic N
Pt has Leision on 1 side of 12th N
where is the tongue to protrued on which side
Same side (peripheral Leision)
Which Nucleus are the fibers for the pupillary reflex
Ettinger Westphal

N2 optic afferent Sensory
&
N3 pretectal nuclei constriction-bilat
Motor nucleus of 3rd N
(WESTPHAL/EttINGER nucleus)
Parasympathetic N
Cerebellum:

what fibers are the input for purkinge fibers
Climbing fibers (Indirect)
Mossey (direct)
Which cells are negative in the cerebellum = granular cells (inhibitory)
what is Dismetria =

What is Dysoli
Over shoot the target while trying to catch it.
(Dysmetria (English: difficult to measure) refers to a lack of coordination of movement typified by the undershoot or overshoot of intended position with the hand, arm, leg, or eye. It is a type of ataxia. It is sometimes described as an inability to judge distance or scale)

What is Dysdiadochokinesia
= fast alternative movements have leison in cerebellum and they can not due to the leision
dys "bad", diadocho "receive", kinesia "movement"),
often abbreviated as DDK,
is the medical term for

impaired ability to perform rapid, alternating movements
What part of cerebellum is damaged in cerebellar leision =
Vermis

Vermis damage =
action of patient is Ataxic /ataxia
cerebellar leision you can expect
Tremor
Ataxia

last S/S: Positive Rhomberg
(Proprioception ....
medial lemniscus pathway Leison)
What is the course of the cortical pons cerebellar fibers
starts in
cortex
to
Pons
decustaes to
medial cerabellar peduncle ends in
cerebellum
(answ)
Mid barain
Pons
Medulla
leision damages
(53 minutes)
dorsal medial -
dorsal anterior - ......
related to Limbic
motor nuclei
Emotion long term behavior


ventral anterior -
ventral lateral....
input motor
output is prefrontal & premotor
medial thalamic nucliei
input is reticular
output = prefrontal aurora
for
arousal
attention
memory

lateral reticular nucliei is NOT associated with reticular formation.
2Q
ventral anterior Nucleus
what is the

input
&
output
(motor-input / / / prefrontal
&
premotor cortex -output
medial thalamic nuclieic topic
role is
3 Q
(assoc-Reticular formation)
-Arousal
-attention
-Memory

Input is: =

Output: =
Input is: reticular system

Output: prefrontal cortex
Hypothalamus
leison of lat-hypo thalamus ...what can you expect:
aphagia (Not Hungry)
What is suprachiasmatic Nucleus =

inputs for Darkness which triggers =
Circadian Rhythm


Seratonin in pineal gland to produce melationin
Hypothalamus Slide #42
Arcuate Nucleus
What is the role =
-Feeding centers
-release hormones for stimulating anti-pituitary gland to release dopa & stops prolactin

What starts prolactin =
When Breast feeding it inhibits the Arcuate Nucleus
Pt has tumor in 3rd ventricle = compresses arcuate nucleus & will stop the hormone & galactarhea
Hypothalamus Slide #29
which nucleus makes you have the sense of fullness (satiety) =
ventral Medial nucleus of hypothalamus
Hypothalamus Slide #10
what can mod the autonomic nervous system
Hypothalamus
amygdila (part of the Lymbic System)
can modualate the ANS.

They will send impulses to the solitary nucleus
Cranial N slide # 47

Pt has px after swallow & cough
Leison is of 9 CN
Cranial N slide # 47

glossopharyngeal has 2 componants

motor componant =
motor componant = nucleus ambiguous


Sensory Componant =
superior ganglion
7th cranial Nerve
3Q

-loss of taste but no Damx of taste receptors =
sensory N..Solitary Nucleus
CN 7, 9,10
-loss of taste but no receptor Problem nor in solitary Nucleus ... where is it. = genticulate ganglion
-where is leision loss of taste in 2/3anterior tongue = carried by 7th nerve
Pt has difficulty in walking down stairs and looking down reading:
where is the leision =
mid Brain

what Nerve =
Trochlear 4th
Pt has infectious dz
& experience marked instability in blood pressure:
Which Cranial N :
receptors in CN 9/10
5 dz mentioned know migrane
(3rd Dz)
trigeminal neuroglia demylenation causes =
migrains