Deck 16: Cranial Nerves
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Deck 16: Cranial Nerves
1
What three fiber types are found in spinal nerves?
Efferent (motor) fibers to skeletal muscle, afferent (sensory fibers), autonomic (motor) fibers
2
How do preganglionic sympathetic fibers gain access to ganglia of the sympathetic trunk?
White communicating rami
3
Through what branch of a spinal nerve do postganglionic sympathetic nerve fibers leave the ganglia of the sympathetic trunk?
Gray communicating ramus
4
What are the three divisions of the trigeminal nerve (CN V)?
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5
Which divisions of the trigeminal nerve (CN V) only contain sensory nerve fibers that supply structures of the head?
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6
What are the five main branches of CN VII that innervate the muscles of facial expression?
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7
What are the motor functions of the glossopharyngeal nerve?
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8
Which nerve delivers postganglionic sympathetic fibers to the pterygopalatine fossa?
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9
What ganglion gives rise to the cochlear portion of the VIII nerve?
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10
Postganglionic sympathetic nerve fibers leave the sympathetic trunk via gray communicating rami.
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11
All cranial nerves have both motor and sensory roots.
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12
None of the cranial nerves contain preganglionic sympathetic fibers.
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13
Some cranial nerves have gray and white communicating rami.
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14
General sensation is associated with both cranial and spinal nerves.
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15
The facial nerve (CN VII) provides afferent fibers for taste to the posterior one-third of the tongue.
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16
The ophthalmic nerve contains only afferent fibers.
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17
The greater petrosal nerve is a branch of the glossopharyngeal nerve (CN IX).
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18
The trigeminal nerve (CN V) contains motor fibers.
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19
The chorda tympani nerve contains preganglionic parasympathetic fibers.
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20
Sensory information from the olfactory nerve filaments reaches the olfactory area of the cerebrum through the ____________________.
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21
The mucous glands forming most of the central region of the soft palate are supplied by postganglionic parasympathetic fibers whose cell bodies are found in the ____________________.
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22
The trunk of the facial nerve can be found in the ____________________ gland before it divides into the five primary branches that supply the muscles of facial expression.
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23
Taste fibers that terminate on the anterior two-thirds of the tongue are found in the ____________________ nerve.
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24
Photoreceptors are responsible for transferring sensory information to the ganglia on the surface of the ____________________.
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25
Axons from ganglion cells on the surface of the retina form the ____________________.
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26
The ____________________ division of the trigeminal nerve contains both sensory and motor fibers.
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27
The facial nerve exits the skull at the ____________________ to reach the muscles of the face.
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28
The ____________________ branch of the facial nerve is responsible for taste to the anterior two-thirds of the tongue.
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29
Postganglionic sympathetic nerve fibers in the head reach their target tissue by traveling on the ____________________ plexus.
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30
The major salivary gland that is supplied by parasympathetic fibers originating in the glossopharyngeal nerve is the ____________________.
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31
The location of postganglionic neurons that supply postganglionic sympathetic fibers to the head is the ____________________ ganglion.
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32
The glossopharyngeal nerve leaves the skull through the ____________________ foramen.
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33
Taste fibers to the posterior one-third of the tongue are found in the ____________________ nerve.
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34
The sensory ganglion associated with CN V is called the ____________________ ganglion.
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35
Nerve filaments of the olfactory nerve (CN I) pass through which of the following openings?
A) Foramen rotundum
B) Superior orbital fissure
C) Cribriform plate of the ethmoid bone
D) Foramen ovale
E) Foramen lacerum
A) Foramen rotundum
B) Superior orbital fissure
C) Cribriform plate of the ethmoid bone
D) Foramen ovale
E) Foramen lacerum
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36
What is the location of the cell bodies for preganglionic parasympathetic nerve fibers of the oculomotor nerve (CN III)?
A) Ciliary ganglion
B) Nucleus of Edinger-Westphal
C) Geniculate ganglion
D) Nucleus ambiguus
E) Superior salivatory nucleus
A) Ciliary ganglion
B) Nucleus of Edinger-Westphal
C) Geniculate ganglion
D) Nucleus ambiguus
E) Superior salivatory nucleus
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37
Which of the following cranial nerves arise from the dorsal surface of the midbrain?
A) Trochlear nerve
B) Trigeminal nerve
C) Abducens nerve
D) Facial nerve
E) Vagus nerve
A) Trochlear nerve
B) Trigeminal nerve
C) Abducens nerve
D) Facial nerve
E) Vagus nerve
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38
All of the following cranial nerves contain parasympathetic fibers as they leave the brain except the
A) trigeminal.
B) facial.
C) oculomotor.
D) glossopharyngeal.
E) vagus.
A) trigeminal.
B) facial.
C) oculomotor.
D) glossopharyngeal.
E) vagus.
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39
The trochlear nerve (CN IV) exits the skull through which of the following foramen?
A) Foramen ovale
B) Inferior orbital fissure
C) Foramen rotundum
D) Superior orbital fissure
E) Optic canal
A) Foramen ovale
B) Inferior orbital fissure
C) Foramen rotundum
D) Superior orbital fissure
E) Optic canal
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40
The trochlear nerve (CN IV) innervates which of the following extrinsic muscles of the eye?
A) Medial rectus
B) Lateral rectus
C) Superior oblique
D) Inferior oblique
E) Superior rectus
A) Medial rectus
B) Lateral rectus
C) Superior oblique
D) Inferior oblique
E) Superior rectus
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41
Which of the following cranial nerves supplies motor innervation to the lateral rectus muscles?
A) Trochlear nerve
B) Trigeminal nerve
C) Abducens nerve
D) Facial nerve
E) Vagus nerve
A) Trochlear nerve
B) Trigeminal nerve
C) Abducens nerve
D) Facial nerve
E) Vagus nerve
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42
A patient in your dental office presents with diplopia (double vision). Which of the following cranial nerves is most likely injured?
A) Oculomotor nerve
B) Optic nerve
C) Trochlear nerve
D) Trigeminal nerve
E) Abducens nerve
A) Oculomotor nerve
B) Optic nerve
C) Trochlear nerve
D) Trigeminal nerve
E) Abducens nerve
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43
Which of the following nerves carries pain and temperature sensations to the tongue?
A) Lingual nerve
B) Chorda tympani nerve
C) Glossopharyngeal nerve
D) Facial nerve
E) Vagus nerve
A) Lingual nerve
B) Chorda tympani nerve
C) Glossopharyngeal nerve
D) Facial nerve
E) Vagus nerve
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44
What type of nerve fibers can be found in the greater petrosal nerve?
A) Afferent
B) Preganglionic parasympathetic
C) Preganglionic sympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
A) Afferent
B) Preganglionic parasympathetic
C) Preganglionic sympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
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45
What type of nerve fibers can be found in the deep petrosal nerve?
A) Afferent
B) Preganglionic parasympathetic
C) Preganglionic sympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
A) Afferent
B) Preganglionic parasympathetic
C) Preganglionic sympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
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46
The glossopharyngeal nerve (CN IX) supplies afferent innervation to all of the following structures except the
A) tongue.
B) pharyngeal wall.
C) tonsils.
D) taste buds.
E) parotid gland.
A) tongue.
B) pharyngeal wall.
C) tonsils.
D) taste buds.
E) parotid gland.
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47
Which of the following muscles is not innervated by the hypoglossal nerve?
A) Styloglossus
B) Palatoglossus
C) Intrinsic muscles of the tongue
D) Hyoglossus
E) Genioglossus
A) Styloglossus
B) Palatoglossus
C) Intrinsic muscles of the tongue
D) Hyoglossus
E) Genioglossus
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48
Which of the following cranial nerves has nerve fibers that innervate both skeletal and smooth muscle?
A) Oculomotor
B) Vestibulocochlear
C) Spinal accessory
D) Trigeminal
E) Hypoglossal
A) Oculomotor
B) Vestibulocochlear
C) Spinal accessory
D) Trigeminal
E) Hypoglossal
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49
While talking to one of your patients, you notice that he cannot move his right eye laterally, but his left eye moves in the medial direction. What nerve is affected?
A) Oculomotor nerve
B) Facial nerve
C) Abducens nerve
D) Trochlear nerve
E) Optic nerve
A) Oculomotor nerve
B) Facial nerve
C) Abducens nerve
D) Trochlear nerve
E) Optic nerve
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50
Which of the following functions is not affected in response to damage of the vestibular apparatus?
A) Blink reflex
B) Balance
C) Stabilization of the eyes while turning the head
D) Sense of motion and spatial arrangement
E) Posture
A) Blink reflex
B) Balance
C) Stabilization of the eyes while turning the head
D) Sense of motion and spatial arrangement
E) Posture
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51
Which of the following is a sensory ganglion?
A) Otic
B) Submandibular
C) Pterygopalatine
D) Geniculate
E) Ciliary
A) Otic
B) Submandibular
C) Pterygopalatine
D) Geniculate
E) Ciliary
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52
A patient complains of a loss of taste and is not capable of smiling on the left side of the face. Which of the following cranial nerves is most likely affected?
A) Hypoglossal
B) Glossopharyngeal
C) Trigeminal
D) Vagus
E) Facial
A) Hypoglossal
B) Glossopharyngeal
C) Trigeminal
D) Vagus
E) Facial
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53
Preganglionic parasympathetic fibers that synapse in the otic ganglion leave the brainstem in which of the following cranial nerves?
A) Facial
B) Trigeminal
C) Glossopharyngeal
D) Oculomotor
E) Vagus
A) Facial
B) Trigeminal
C) Glossopharyngeal
D) Oculomotor
E) Vagus
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54
Preganglionic nerve fibers in the nerve of the pterygoid canal arise from neurons found in which of the following locations?
A) Superior salivatory nucleus
B) Geniculate ganglion
C) Nucleus ambiguus
D) Intermediolateral cell column
E) Edinger-Westphal nucleus
A) Superior salivatory nucleus
B) Geniculate ganglion
C) Nucleus ambiguus
D) Intermediolateral cell column
E) Edinger-Westphal nucleus
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55
Postganglionic nerve fibers in the nerve of the pterygoid canal arise from neurons found in which of the following locations?
A) Pterygopalatine ganglion
B) Trigeminal ganglion
C) Otic ganglion
D) Superior cervical ganglion
E) Geniculate ganglion
A) Pterygopalatine ganglion
B) Trigeminal ganglion
C) Otic ganglion
D) Superior cervical ganglion
E) Geniculate ganglion
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56
Which of the following cranial nerves does not have a sensory ganglion?
A) Abducens
B) Facial
C) Vestibulocochlear
D) Glossopharyngeal
E) Vagus
A) Abducens
B) Facial
C) Vestibulocochlear
D) Glossopharyngeal
E) Vagus
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57
Most of the nerve fibers that emerge from the stylomastoid foramen arise from cell bodies located in which of the following?
A) Superior cervical ganglion
B) Dorsal motor nucleus of the vagus nerve
C) Nucleus ambiguus
D) Facial motor nucleus
E) Inferior salivatory nucleus
A) Superior cervical ganglion
B) Dorsal motor nucleus of the vagus nerve
C) Nucleus ambiguus
D) Facial motor nucleus
E) Inferior salivatory nucleus
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58
The volume of secretion from the parotid gland is increased by stimulation of nerve fibers arising from neurons located in the
A) otic ganglion.
B) trigeminal ganglion.
C) superior salivatory nucleus.
D) geniculate ganglion.
E) superior cervical ganglion.
A) otic ganglion.
B) trigeminal ganglion.
C) superior salivatory nucleus.
D) geniculate ganglion.
E) superior cervical ganglion.
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59
Which of the following nerve fiber types can be found in the facial nerve (CN VII)? (Select all that apply.)
A) Preganglionic sympathetic
B) Preganglionic parasympathetic
C) Afferent
D) Efferent to skeletal muscle
E) Postganglionic parasympathetic
A) Preganglionic sympathetic
B) Preganglionic parasympathetic
C) Afferent
D) Efferent to skeletal muscle
E) Postganglionic parasympathetic
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60
Which of the following fiber types are found in spinal nerves? (Select all that apply.)
A) Afferent
B) Efferent to skeletal muscle
C) Preganglionic parasympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
A) Afferent
B) Efferent to skeletal muscle
C) Preganglionic parasympathetic
D) Postganglionic sympathetic
E) Postganglionic parasympathetic
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61
Which of the following afferent modalities are considered general sensation? (Select all that apply.)
A) Taste
B) Pain
C) Vision
D) Touch
E) Temperature
A) Taste
B) Pain
C) Vision
D) Touch
E) Temperature
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62
Which of the following afferent modalities are considered special sensation? (Select all that apply.)
A) Smell
B) Hearing
C) Pressure
D) Temperature
E) Equilibrium
A) Smell
B) Hearing
C) Pressure
D) Temperature
E) Equilibrium
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63
Which of the following nerve fiber types are found in the oculomotor nerve (CN III)? (Select all that apply.)
A) Preganglionic sympathetic
B) Preganglionic parasympathetic
C) Afferent
D) Efferent to skeletal muscle
E) Postganglionic parasympathetic
A) Preganglionic sympathetic
B) Preganglionic parasympathetic
C) Afferent
D) Efferent to skeletal muscle
E) Postganglionic parasympathetic
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64
Which of the following muscles are involved in depression of the eyeball? (Select all that apply.)
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
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65
Muscles capable of elevating the eyeball include (select all that apply)
A) superior rectus.
B) superior oblique.
C) lateral rectus.
D) inferior rectus.
E) inferior oblique.
A) superior rectus.
B) superior oblique.
C) lateral rectus.
D) inferior rectus.
E) inferior oblique.
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66
Abduction of the eyeball is accomplished by which of the following muscles? (Select all that apply.)
A) Superior rectus
B) Superior oblique
C) Lateral rectus
D) Inferior rectus
E) Inferior oblique
A) Superior rectus
B) Superior oblique
C) Lateral rectus
D) Inferior rectus
E) Inferior oblique
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67
Which of the following muscles are involved in adduction of the eyeball? (Select all that apply.)
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
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68
Which of the following muscles are innervated by the oculomotor nerve (CN III)? (Select all that apply.)
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
A) Superior rectus
B) Superior oblique
C) Medial rectus
D) Inferior rectus
E) Inferior oblique
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69
Fibers from the trigeminal nerve exit the skull through which of the following openings? (Select all that apply.)
A) Optic canal
B) Superior orbital fissure
C) Foramen lacerum
D) Foramen ovale
E) Foramen rotundum
A) Optic canal
B) Superior orbital fissure
C) Foramen lacerum
D) Foramen ovale
E) Foramen rotundum
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70
Which of the following muscles receive efferent (motor) innervation from the facial nerve (CN VII)? (Select all that apply.)
A) Stylohyoid
B) Anterior belly of the digastric
C) Zygomaticus major
D) Masseter
E) Posterior belly of the digastric
A) Stylohyoid
B) Anterior belly of the digastric
C) Zygomaticus major
D) Masseter
E) Posterior belly of the digastric
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71
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Mandibular division of V
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Mandibular division of V
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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72
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Abducens nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Abducens nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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73
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Accessory nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Accessory nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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74
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Facial nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Facial nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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75
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Optic nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Optic nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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76
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Maxillary division of V
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Maxillary division of V
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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77
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Vagus nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Vagus nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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78
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Glossopharyngeal nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Glossopharyngeal nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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79
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Trochlear nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Trochlear nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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80
Match each cranial nerve with the correct foramen by which it exits the cranial cavity. Answers may be used once, more than once, or not at all.
-Hypoglossal nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
-Hypoglossal nerve
A) Foramen lacerum
B) Cribriform plate of the ethmoid bone
C) Jugular foramen
D) Optic canal
E) Superior orbital fissure
F) Foramen rotundum
G) Inferior orbital fissure
H) Hypoglossal canal
I) Internal acoustic meatus
J) Foramen ovale
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