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65 Cards in this Set

  • Front
  • Back
Cranial nerves III, IV and VI are responsible for ___
moving the eye
Extraoccular muscles
Attach to the eye (there ares six of them)
Lateral rectus
Moves pupl laterally
Medial rectus
Moves pupil medially
Superior oblique
Depression
Inferior Rectus
Depression
Inferior oblique
Elevation
Superior Rectus
Elevation
LR6SO4AR3
Lateral Rectus (CN VI), Superior Oblique (IV)
Number of movements in clinical eye testing
6 movements (testing at each location of 6 eteball muscles)
Test for lateral rectus
Direct pupil laterally
Superior rectus
Direct pupil laterally then up (stroinger wihen laterally)
Inferior rectus
Direct pupil laterally then down (stronger when first looking laterally)
Medial rectus
Medially back to nose
Inferior oblique
Direct medially then up (Strong elevator when medially)
Superio oblique
Direct medially then down (string depressor when pupil moved laterally)
CN III has two major functions:
Skeletal motor and parasympathetic (smooth muscle)
Four cranial nerves with parasympathetic function
CN IX, X, VII and III
Parasympathetic nucleus of CN III
Edinger-Westphal
CN III also has a ____ nucleus
Motor
CN III function
Distributes to four muscles that move the eye (superior rectus, medial rectus, inferiroi rectus, inferior oblique, Levator palpebrae superior)
Lavator palpebrae superioris function
To open the eye
Lavator palpebrae superioris insertion
Upper eyelid
Define: Ptosis
Drooping of the eyelid due to injury of CN III (CN VII keep sit shut)
Upper eyelid also contains _____ muscle and is innervated by ____
Smooth; sympathetic portion of ANS
Sympathetic lesion may cause _____
Partial ptosis (subtle)
Parasympathetic component of CN III
supplies 2 of 3 intrinsic muscles that change the size of the pupil/shape of the lens (ciliary musclke and sphincter pupillae)
Two intrinsic muscles supplied by CN III
Sphincter pupillae, ciliaris
Function of sphincter pupillae
Constriction of pupil
Ciliaris
Changes the shape of the lens
___ is involved in the pupilary light reflex
Pupilary light reflex
___ is involved with the ciliary light reflex
Ciliaris
Function of dialtor pupillae
Dilates the pupil (innervated by sympathetic system)
Direct response
Constriction of the same eye that the light is shone in
Consensula response
Response of the eye that you are not shining the light in
Pretectal nuceli
Optic nerve connected to it
Lesions of third nerve affects
Loss of pupillary response
Accomodation reflex:
Adaptation of visual appearance of the eye for near viision (oblong lens becomes more spherical
Which is responsible for cough?
Vagus nerve (Q 19)
How to test for accomodation reflex
Bring object towards face
What happens during accomodation reflex?
1) Lens rounds up
Which nerve is the nerve of accomodation?
CN III
Lesion of CN III results in
Occulomotor opthamoplegia (CN III Palsy)
Occulomotor Opthamoplegia results in paralysis of ______
4 out of the 6 eye muscles (eye can only abduct and depress)
Nerves not affected by OO
Lateral rectus and superior oblique
Lateral strabismus
ASt rest pupil is directd laterally and downward
Diplobia
Double vision
Damage of CN III also results in ____
Ptosis of upper eyelid
Mydriasis
Dilated pupil resulting from damage to CN III
Other effect of CN III
Pupil will also be unresponsive to light with CN III damage
Other effect of CN III
Loss of accomodation reflex
Causes of CN III damage
Head injury, diabetes, anaerysm
CN IV is also called the ____
trochlear nerve
Function of CN IV
Innervates the superior oblique
Origin of CN IV
Tegmentum of midbrtain at level of inferior colliculus
One function of medial lingitudinal fasciculus (MLF)
interconnects vestibular system of cranial nerves III, IV and VI
Vestibular occular reflex (VOR)
Reflex set up to maintain stable image when your head is moving back and forth
Major function of superior oblique
downward and lateral movement of the pupil ("down and out")
Paralysis of CN IV may result in
Diplobia and weakness of downard gaze (i.e. going down stairs, reading)
Patients with CN IV injury may tilt their head because?
SO muscle also imparts a rotation to your eye (torsional movements)
Rotational movement of the pupil rom CNIV is known as i
Intortion
CN VI is also called _______
Abducens
CN VI supplies the _____ muscle
lateral rectus
Where is the abucens nucleus located?
Caudal pons beneat the floor of the fourth ventricle
Damage to CN VI casuses ______
medial strabismus and diplobia