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How many pairs of cranial nerves?
12 pairs
T/F Nuclei of origin contain LMN and have motor function
True
T/F Nuclei of termination have sensory function and house cell bodies of 2nd order sensory neurons
True
T/F Cranial nerves can be compromised where they exit the skull
False- can NOT
How many pairs of of spinal nerves are there?
31 pairs
Spinal nerves are attached to the CNS by___
Anterior rootlet
Posterior rootlet
How many neurons does it take to get from CNS to muscle?
1 neuron
How many neurons does it take to get from cerebral cortex to muscle?
2 neurons
T/F Every peripheral nerve has a postganglionic sympathetic neuron
True
In sympathetic nervous system, preganglionic sympathetic neurons are carried at what level?
T1-L2
Sympathetic NS uses what pathway?
Adrenergic pathway- Ach is used
Two efferent neurons are used to reach target in Sympathetic NS, what are they called?
Preganglionic sympathetic neuron (short)
Postganglionic sympathetic neuron (long)
Ach released first then NE released
What are the two main structures that carry sympathetic innervation?
Sympathetic trunk
Splanchnic nerves
There are two efferent neurons used to reach target in parasympathetic NS, what are they?
Preganglionic neuron (long)
Postganglionic neuron (short)
Ach released
What pathway is parasympathetic NS apart of?
cholinergic “Ach released at both”
Splachnic nervers are located where?
located and effect pelvis
Where are the cell bodies for visceral afferent neurons located?
Dorsal root ganglion or C.N. ganglion
Which CN doesn’t go through the thalamus?
Olfactory nerve
What CN’s have NO motor components?
Olfactory nerve
Optic nerve
What nerves carry preganglionic parasympathetic neurons?
CN 3,7,9,10
S2,S3, S4
What CN has two special senses?
Vestibulocochlear nerve (CN 8)
What two special senses does CN 8 have?
Hearing
Equillibrium
Where is hearing integrated from CN 8?
transverse temporal gyrus
Where is equillibrium integrated from CN 8?
cerebellum
What special sense does glossopharyngeal nerve hold?
supplies taste from posterior 1/3 of tongue
T/F Glossopharyngeal provides general sensory to the ear?
True
Where does the glossopharyngeal nerve carry parasympathetics to?
Parotid glands
What muscle does CN 9 innervate?
Stylopharyngeus
What is the longest cranial nerve?
vagus nerve
Vagus is the most important___
parasympathetic nerve
Vagus nerve provides parasympathetic innervation where?
thorax and abdomen
Does accessory nerve have sensory or motor function?
Motor
What muscles are innervated by CN 11?
SCM and Trapezius
Does hypoglossal nerve have motor or sensory function?
Motor
What CN provides innervation to almost all tongue muscles?
Hypoglossal nerve
What is the skull opening for CN 8?
Internal acoustic meatus
What is the skull opening for CN 9,10,11?
Jugular foramen
What is the skull opening for CN 12?
Hypoglossal canal
What are the two neurons from cerebral cortex to target in somatic motor pathway?
UMN
LMN
What are the two types of upper motor neurons?
Pyramidal
Extrapyramidal
What is the cell body location of a pyramidal neuron?
cerebral cortex
What is the cell body location of an extrapyramidal neuron?
brain stem
What are the synapse locations of upper motor neurons?
Anterior horn of gray matter
CN nucleus of origin
T/F UMN are completely within the CNS
True
Where are the cell bodies located in a LMN?
Anterior horn of gray matter
CN nucleus of origin
What is the course of a LMN?
into the PNS and then carried to named nerve
How many neurons in the somatic sensory pathway?
3
What is the general pathway of the somatic sensory pathway?
1st order goes thorugh IVF into posterior gray horn
2nd order crosses sides→goes to thalamus
3rd order integrated into cortex (CNS)
What does the IVF contain?
primary sensory axons
LMN travel through here
Where are olfactory neurons found?
superior nasal cavity- between supporting cells
What cells are affected by Covid-19 and are important for smell?
supporting cells
T/F Supporting cells have no olfactory receptors
True
What type of neurons are olfactory neurons?
Bipolar
Where do olfactory hairs go through?
cribriform plate
Where do olfactory neurons synapse?
Olfactory bulb
How many olfactory nerves are formed/collected on axons?
10-20
T/F Myelinated olfactory axons pass through cribriform plate
Unmyelinated
What do olfactory neurons synapse on in the olfactory bulb?
mitral cells
What are mitral cells?
secondary sensory neurons
Cell bodies in bulb
Where do mitral cells send axons?
posteriorly in olfactory tract
Fiber bundle (olfactory tract) splits where?
Anterior perforated substance
What does olfactory tract split into?
Medial and Lateral stria
Where do medial stria fibers cross?
in anterior commissure
travel to opposite bulb
Where are lateral stria fibers carried?
primary olfactory cortex (medial side of temporal lobe)
What two structures relating to olfaction are in the uncus?
Periamygdaloid area
Prepiriform area
What structure is in the secondary olfactory cortex?
entorhinal area in parahippocampal gyrus
What structure does the sensory olfactory pathway NOT synapse in?
Thalamus
What nerve is important for tracking prey?
Vomeronasal nerve
What is anosmia?
inability to smell
T/F Olfactory neurons can regenrate
True
Skull fractures can lead to CSF leakage which can cause a ____which is different from mucus
Halo sign
What are the three layers of the eyeball (external and internal)?
Fibrous
Vascular
Retina
What makes up the fibrous tunic?
Sclera
Cornea
What is the vascular tunic made up of?
Ciliary body
Iris
Choroid- loaded with BV
What are the 10 retinal layers?
Pigmented layer
Photosensitive outer segments
External limiting membrane
Outer nuclear layer
Outer plexiform layer
Inner nuclear layer
Inner plexiform layer
Ganglion cell layer
Nerve fiber layer
Internal limiting layer
What retinal layer has rod/cone receptors?
Photosensitive outer segments
What layer has rod/cone cell bodies?
Outer nuclear layer
Where do photoreceptors synapse on ganglion cells?
outer plexiform layer
Where are bipolar cell bodies found?
Inner nuclear layer
Where do bipolar cells synapse on ganglion cells?
Inner plexiform layer
Where do axons from ganglion cell layer go?
to nerve fiber layer to then leave eye through optic nerve
What are cones?
allow us to see in fine detail
Red
Green
Blue
T/F Cones require light?
True
T/F Cones decrease concentration closer to fovea
False- increased
What is fovea centralis?
point of clearest vision
When unmyelinated axons leave the eyeball and enter optic nerve they become __
myelinated
What cells form myelin?
interfascicular oligodendrocytes
Where do fibers from optic nerve go to?
optic chiasm
Which fibers cross over in the optic chiasm?
axons from medial side of retina
Fibers carrying peripheral visual field info
Where do fibers from optic tract synapse?
Lateral geniculate nucleus- largest # and then relayed to occipital lob
Superior colliculus- vision reflex information relayed to tectospinal tract
Pretectal nucleus of midbrain
If there was a lesion involving the optic nerve, what would it cause?
loss of depth perception
If there was a lesion involving the optic tract, what would it cause?
loss of ½ of visual field
If there is a lesion involving optic chiasm, what would it cause?
loss of peripheral vision
narrowing of visual field “tunnel vision”
What CN are involved in light reflexes?
CN II-CN III
What is a direct light reflex?
eye with light shown in will constrict
What is a consensual light reflex?
when light is shown, opposite eye will constrict
What is a corneal reflex?
touch cornea to look for response- CN 5- CN 7
What is convergence?
eyes converge as objects get closer
What is accomodation?
eyes can adapt from objects far to close
T/F Light reflexes use afferent component only
True