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