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134 Cards in this Set
- Front
- Back
Layers of scalp?
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SCALP (skin, CT, aponeurosis, LCT, pericranium)
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Layer of scalp with blood vessels/nerves?
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Connective tissue
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Sensory innervation of forehead/anterior scalp?
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V1 (opthalmic)
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Lymph drainage of scalp?
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Deep cervical nodes
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Artery deep to the pterion?
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Middle meningeal artery
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Intersection of coronal suture and sagittal suture?
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Bregma/anterior fontanelle
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Does anything pass through the foramen lacerum?
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no, covered by membrane
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Contains V3 (mandibular) and lesser petrosal n.?
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Foramen ovale
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Contains V2 (maxillary)?
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Foramen rotundum
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Contained in internal acoustic meatus?
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CN VII, VIII
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Contained in jugular foramen?
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CN IX, X, XI
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Contained in superior orbital fissure?
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CN III, IV, V1, VI; opthalmic vein
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Location of carotid canal?
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Petrous portion of temporal bone
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Components of anterior cranial fossa?
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Frontal, ethmoid, and sphenoid bones
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Components of middle cranial fossa?
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Sphenoid, temporal, and parietal bones
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Components of posterior cranial fossa?
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Temporal, occipital, sphenoid, and parietal bones
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Dura separating left/right hemispheres?
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Falx cerebri
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Separates cerebellum from occipital lobe?
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Tentorium cerebelli
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Separates right/left cerebellar hemispheres?
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Falx cerebelli
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Artery supplying dura and passing through foramen spinosum?
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Pterion
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Innervation of falx cerebri and tentorium cerebelli?
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V1 (opthalmic)
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Dural layer not entering grooves of brain?
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Arachnoid mater
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Dural layer entering entering all grooves/fissures?
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Pia mater
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Responsible for CSF formation?
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Ventricles
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Common site of stenosis for cerebral arteries?
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Carotid sinus
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Where does the great cerebral vein of Galen drain?
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Straight sinus
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Where do dural sinuses ultimately drain?
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Internal Jugular Vein (IJV)
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What drains into the confluence of sinuses?
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Superior sagittal, straight, and occipital sinuses
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Collection of nerve cell bodies outside of the CNS?
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Ganglion
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Responsible for taste on anterior 2/3 of tongue?
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CN VII (Facial)
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Responsible for taste on posterior 1/3 of tongue?
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CN IX (Glossopharyngeal)
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Supplies all muscles of the tongue except palatoglossus?
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CN XII (Hypoglossal)
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Carries PS to lacrimal, nasal, and palatine glands?
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Greater petrosal n.
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Branch of CN VII carrying taste fibers to anterior 2/3 of tongue?
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Chorda tympani
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Supplies stylopharyngeus m.?
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CN IX (Glossopharyngeal)
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Innervates the SCM?
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CN XI (Spinal accessory)
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Possible complication of pulling on a child's head during birth?
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Torticollis
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Contents of carotid sheath?
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Internal carotid arteries, internal jugular vein, and vagus nerve
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Contents of posterior triangle?
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Brachial plexus roots, CN XI, cervical plexus, external jugular vein, third part of subclavian artery
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Receive head/neck lymph drainage?
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Deep cervical nodes
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Runs with superior thyroid artery?
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External laryngeal n.
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Runs with inferior thyroid artery?
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Recurrent laryngeal n.
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Only thyroid vein not draining into the IJV and instead into the left brachiocephalic vein?
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Inferior thyroid vein
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Unilateral damage to recurrent laryngeal nerve may cause?
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Hoarseness
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Possible cause of monotonous voice?
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External laryngeal nerve unilateral damage
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Supplies all intrinsic laryngeal muscles EXCEPT cricothryoid?
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Recurrent laryngeal n.
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Location of bifurcation of common carotid?
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Upper border of thyroid cartilage
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Innervates the carotid sinus and carotid body?
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CN IX (Glossopharyngeal)
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Nerve branch receiving taste fibers from chorda tympani?
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Lingual nerve (branch of V3)
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May be damaged by fracture of ramus of mandible, and what symptoms may occur?
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Inferior alveolar nerve
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Nerve vulnerable to injury in children due to the incomplete formation of the mastoid at birth?
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Facial nerve
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Nerve plexus supplying all facial muscles?
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Parotid plexus
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Possible cause of facial paralysis?
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Bells palsy due to otitis media (middle ear infection) or tumor
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Venous plexus connected to cavernous sinus via emissary veins?
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Pterygoid venous plexus
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Terminal part of maxillary artery supplying the nasal cavity?
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Sphenopalatine a.
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Drainage of superior meatus?
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Posterior ethmoid sinus
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Drainage of middle meatus?
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Frontal, anterior ethmoid, middle ethmoid, maxillary sinuses
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Innervates anterior nasal cavity?
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Anterior ethmoid n. (branch of V1)
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Largest nerve branch supplying medial and lateral walls of posterior nasal cavity?
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Nasopalatine n. (V2)
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Sensory innervation to soft palate?
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Lesser palatine nerves (V2)
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Veins at posterior border of hypglossus m. ultimately draining into the IJV?
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Deep lingual veins
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Supplies general sensory information to anterior 2/3 of tongue?
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Lingual n. (V3)
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Supplies general sensory information to posterior 1/3 of tongue?
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CN IX
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Innervates all extrinsic muscles of the tongue EXCEPT palatoglossus?
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CN XII
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Innervates palatoglossus?
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CN X
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Patient extends tongue, but instead of straight it points to the patient's right. What nerve is paralyzed?
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Right CN XII
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Innervation of nasopharynx?
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V2
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Innervation of oropharynx?
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CN IX
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Innervation of laryngopharynx?
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CN X
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Contains pharyngeal plexus of CN IX, X?
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Buccopharyngeal fascia
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Motor innervation to external muscles of pharynx?
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CN X
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Motor innervation to internal muscles of pharynx EXCEPT stylopharyngeus?
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CN X
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Motor innervation to stylopharyngeus, the only pharyngeal muscle not innervated by CN X?
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CN IX
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Located on each side of auditus (inlet of larynx) and often becomes lodged with food or objects in children?
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Piriform recess
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Passes through optic canal?
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CN II, opthalmic a.
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Facial muscle innervated by CN III (oculomotor)?
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Levator palpebrae superioris
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Ocular muscle not invested by the fascial sheath (covers optic nerve and all extrinsic ocular muscles)?
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Levator palpebrae superioris
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Innervates superior oblique?
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CN IV (trochlear)
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Innervates lateral rectus p?
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CN VI (abducent)
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Pass superior to common tendinous ring?
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Trochlear n., Frontal n. (V1), Lacrimal n. (V1)
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Sensory innervation to auricle?
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C2, C3, V3
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Sensory innervation to external acoustic meatus?
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V3, CN VII, CN X
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Innervates tensor tympani?
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V3 (mandibular)
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Innervates stapedius?
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CN VII
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Result of paralysis of either tensor tympani or stapedius?
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Hyperacusia
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Control of pupillary constrictor m.?
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PS (miosis)
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Control of pupillary dilator m.?
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SS (myadrisis)
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Control of ciliary body and its function?
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PS, accomodation
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Location of PS preganglionic cell body innervating iris/ciliary body?
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Edinger-Westphal nucleus
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Location of PS postganglionic cell body innervating iris/ciliary body?
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Ciliary ganglion
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Function of PS innervating eye?
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Miosis (contraction), accommodation
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Location of SS preganglionic cell body innervating iris?
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Intermediolateral cell column (T1-T2)
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Location of SS postganglionic cell body innervating iris?
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Superior Cervical Ganglion (SCG)
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Function of SS innervating eye?
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Myadrisis (contraction)
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Problem with lesion to SS fibers innervating the eye?
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Partial ptosis (due to tarsal mm. innervation)
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Carries PS fibers to iris/ciliary body?
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CN III (oculomotor)
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Symptoms of unilateral lesion of CN III?
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Ipsilateral myadrisis, loss of direct light reflex, loss of ipsilateral accommodation reflex
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Symptoms of Horner's syndrome (destruction of central SS)?
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Miosis, partial ptosis, dry and flushed skin
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Control of tears, mucus secretion?
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PS
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Location of PS preganglionic cell body innervating glands (lacrimal/nasal/oral)?
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Superior salivatory nucleus
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Location of PS postganglionic cell body innervating glands (lacrimal/nasal/oral)?
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Pterygopalatine ganglion (PG)
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Location of PS preganglionic cell body innervating glands (submandibular, sublingual)?
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Superior salivatory nucleus
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Location of PS postganglionic cell body innervating glands (submandibular, sublingual)?
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Submandibular Ganglion
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Location of PS preganglionic cell body innervating parotid gland?
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Inferior salivatory nucleus
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Location of PS postganglionic cell body innervating parotid gland?
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Otic gland
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PS fibers innervating lacrimal/nasal/oral/salivary glands travel with what nerves?
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CN VII, greater petrosal
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PS fibers innervating submandibular/sublingual glands travel with what nerves?
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CN VII, chorda tympani, then lingual n. (V3)
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PS fibers innervating parotid gland travel with what nerve?
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Tympanic branch CN IX, lesser petrosal
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Function of SS on all head/neck salivary glands?
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Decreased secretion and blood flow
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Result of ipsilateral CN VII lesion?
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Ipsilateral dry eye and decreased salivary secretion
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Result of penetrating wound to parotid gland, resulting in diversion of PS fibers?
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Frey's syndrome
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Effect of increased CO2 concentration on brain autoregulation?
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Vasodilation, increased blood flow
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Powerful brain vasodilator in endothelial wall ensuring adequate vasodilation?
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Nitric Oxide (NO)
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Location of PS preganglionics innervating blood vessels/glands in larynx?
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Dorsal Motor Nucleus of X
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PS fibers innervating blood vessels/glands travel with what nerve?
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Laryngeal branch of X
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Afferent limb of corneal reflex?
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V1
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Efferent limb of corneal reflex (closes eye)?
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CN VII (orbicularis oculi)
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Afferent limb of carotid sinus reflex?
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CN IX, X
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Efferent limb of carotid sinus reflex?
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CNS centers
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Afferent limb of gag reflex?
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CN IX (glossopharyngeal)
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Efferent limb of gag reflex?
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CN X (vagus)
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Ipsilateral lesion of olfactory nerve?
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Ipsilateral loss of smell
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Optic nerve lesion?
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Ipsilateral blindness, loss of ipsilateral direct light reflex
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Result of oculomotor (CN III) lesion?
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Eye depressed, abducted; lose accommodation; fixed, dilated pupil
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Lesion of trochlear (CN IV)?
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Lose superior oblique; cannot look down and out
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Lesion of trigeminal?
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Loss of general sensation of face
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Lesion of lingual n. distal to chorda tympani?
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Lose ipsilateral anterior 2/3 taste
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Lesion lingual n. proximal to chorda tympani?
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ONLY general sensory losses to face
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Lesion CN VI (abducens)?
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Lose lateral rectus, eye adducted
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Likely cause of sudden onset, temporary paralysis of facial muscles?
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Bells palsy
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Lesion CN VIII (vestibulocochlear)?
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Hearing loss
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Symptoms of vagus nerve lesion?
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Hoarseness, weak voice, difficulty swallowing
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Symptom of CN XI (accessory) nerve lesion?
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Inability to shrug shoulders
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Result of lesion of CN XII (hypoglossal)?
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Deviation of tongue to ipsilateral side
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