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BRAINSTEM AND CRANIAL NERVES I. MULTIPLE CHOICE: Circle all correct answers. There may be more than one correct answer per question. 1. Fibers of the corticospinal tract can be found in: a. b. c. d. e. the pyramid of the medulla the internal capsule the cerebral peduncle Lissauer's tract the cerebellar peduncles 2. Fibers of the lateral corticospinal tract (i.e., the component that runs in the lateral funiculus) decussate a. b. c. d. e. at all levels of the brainstem in the midbrain in the lower medulla in the upper pons in the spinal cord 3. The roof of the midbrain is formed by the a. b. c. d. e. cerebellum cerebral cortex pontine nuclei cerebral peduncles superior and inferior colliculi 4. There are no motorneurons rostral to the level of the a. b. c. d. e. pyramidal decussation pontine nuclei oculomotor nucleus hypoglossal nucleus inferior olive 5. Motorneurons innervating the extraocular muscles can be found in a. b. c. d. e. the oculomotor nucleus the trigeminal nucleus the facial nucleus the abducens nucleus the trochlear nucleus 6. Which of the following nerves carry information concerning taste? a. b. c. d. e. the glossopharyngeal nerve (IX) the facial nerve (VII) the hypoglossal nerve (XII) the vestibulocochlear nerve (VIII) the accessory nerve (XI) 7. Which of the following can be found in the medulla? a. b. c. d. e. inferior olive hypoglossal nucleus corticospinal fibers nucleus ambiguus dorsal motor nucleus of the vagus 8. Which of the following can be found in the pons? a. b. c. d. e. abducens nucleus dorsal column nuclei medial lemniscus lateral geniculate nucleus point of entry of trigeminal sensory fibers into brain 9. Which of the following can be found in the midbrain? a. b. c. d. e. superior colliculus cerebral aqueduct fourth ventricle axons originating in cells of the dorsal column nuclei oculomotor nucleus 10. Preganglionic parasympathetic motorneurons contribute axons to a. b. c. d. e. the oculomotor nerve the hypoglossal nerve the trochlear nerve the trigeminal nerve the vagus nerve 11. The facial nerve (VII) contains axons that a. b. c. d. e. innervate muscles of facial expression innervate muscles of the tongue innervate taste buds of the tongue arise from preganglionic parasympathetic cell bodies in the brainstem innervate muscles of mastication 12. Which of the following nerves exit the brainstem at the junction of the pons and medulla? a. b. c. d. e. oculomotor (III) trigeminal (V) facial (VII) vagus (X) abducens (VI) 13. Motorneurons contributing axons to the vagus (X) nerve are found in: a. b. c. d. e. anterior horn of cervical spinal cord the dorsal motor nucleus of the vagus the inferior salivatory nucleus the nucleus ambiguus the nucleus of the solitary tract II. TRUE OR FALSE: Circle T or F as appropriate: T F 1. There are more cortical efferent fibers in the cerebral peduncle than the medullary pyramid because many of these fibers synapse in the pons rather than in the medulla and spinal cord. T F 2. A stroke destroying the motor cortex in the right hemisphere will produce axonal degeneration in the anterior funiculus of the spinal cord on the same side. T F 3. The cranial nerves of the midbrain contain essentially no sensory axons. T F 4. The trigeminal nerve does not contain any axons of motorneurons. T F 5. Two surface features of the medulla oblongata are the pyramid and the olive. T F 6. The pontine nuclei (pontine gray) lie rostral to the hypoglossal nucleus and caudal to the oculomotor nucleus. T F 7. The inferior olive lies ventral to the dorsal motor nucleus of the vagus and dorsal to the hypoglossal nucleus. T F 8. The oculomotor nerve, cerebral peduncles and superior colliculi are all visible on the ventral surface of the midbrain. T F 9. The visceromotor nuclei of the cranial nerves generally lie medial to those of the somatomotor nuclei. T F 10. The dorsal column nuclei receive direct synaptic input from axons of dorsal root ganglion cells. T F 11. The Edinger-Westphal nucleus contributes parasympathetic preganglionic axons to the oculomotor nerve. III. FILL IN THE BLANK For each of the schematic drawings on this and the following pages, depicting transverse sections through different levels of the brainstem, fill in the appropriate letter for each of the structures listed below. A. Caudal medulla _____ Pyramidal tract (corticospinal tract) _____ Central canal B A B. Rostral medulla _____ Inferior olive _____ Corticospinal tract (pyramidal tract) _____ Hypoglossal nucleus _____ Fourth ventricle _____ Dorsal motor nucleus of the vagus nerve _____ Inferior cerebellar peduncle C. Pons _____ Facial nucleus _____ Fourth ventricle _____ Abducens nucleus _____ Corticospinal tract _____ Middle cerebellar peduncle _____ Pontine nuclei D. Midbrain _____ Superior colliculus _____ Cerebral peduncle (crus cerebri) _____ Red nucleus _____ Oculomotor nucleus _____ Oculomotor nerve _____ Substantia nigra _____ Cerebral aqueduct BRAINSTEM AND CRANIAL NERVES I. Multiple Choice 1. 2. 3. 4. a, b, c c e c 5. 6. 7. 8. II. True or False a, d, e a, b a, b, c, d, e a, c, e 9. a, b, d, e 10. a, e 11. a, c, d 12. c, e 13. b, d 1. 2. 3. 4. 5. 6. III. Fill in the blanks A. Caudal Medulla A Pyramidal (corticospinal) tract) B Central canal T T T F T T 7. F 8. F 9. F 10. T 11. T B. Rostral Medulla H E G C A Inferior olive Corticospinal (pyramidal) tract Hypoglossal nucleus Fourth ventricle Dorsal motor nucleus of the D Inferior cerebellar peduncle vagus C. Pons C Facial nucleus A Fourth ventricle cerebri) E Abducens nucleus B Corticospinal tract F Middle cerebellar peduncle D Pontine nuclei D. Midbrain E Superior colliculus D Cerebral peduncle (crus F B A G C Red nucleus Oculomotor nucleus Oculomotor nerve Substantia nigra Cerebral aqueduct