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Open Source Multiple Choice Questions in Neurology. With answers. Most of them.

Tag: Trochlear nerve

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91. Function of the trochlear nerve

  1. The trochlear nerve innervates only one muscle, the superior oblique muscle of the eye. (T/F?)
  2. The superior oblique muscle abducts, depresses and externaly rotates the eye. (T/F?)
  3. An injury to the trochlear nerve causes horizontal diplopia. (T/F?)
  4. An injury to the trochlear nucleus will result in symptoms in the eye on the same side. (T/F?)
  5. An injury to the trochlear nerve, after it exits the mesencephalon, will result in symptoms in the eye on the same side. (T/F?)
  6. An eye affected with the trochlear nerve palsy is positioned upwards relative to the unaffected eye. (T/F?)

  1. T
  2. F
  3. F
  4. F
  5. T
  6. T

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89. The tarts

The cranial nerves passing through the superior orbital fissure in order from top to bottom:

  1. Lacrimal nerve. (T/F?)
  2. Frontal nerve. /T/F?)
  3. Trochlear nerve. (T/F?)
  4. Superior branch of the oculomotor nerve. (T/F?)
  5. Nasocilliary nerve. (T/F?)
  6. Abducens nerve. (T/F?)
  7. Inferior branch of the oculomotor nerve. (T/F?)

Answers...

  1. T
  2. T
  3. T
  4. T
  5. T
  6. F
  7. F

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64. Cavernous sinus (Gray-571)

Henry Vandyke Carter [Public domain], via Wikimedia Commons

1 . . .

2 . . .

3 . . .

4 . . .

5 . . .

6 . . .

7 . . .

8 . . .


Ophtalmic nerve

Internal carotid artery

Maxillary nerve

Oculomotor nerve

Cavernous sinus

Sphenoidal sinus

Trochlear nerve

Abducens nerve

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58. Structures that leave or enter the skull through the superior orbital fissure

  1. Oculomotor nerve. (T/F?)
  2. Trochlear nerve. (T/F?)
  3. Frontal nerve. (T/F?)
  4. Superior and inferior ophthalmic veins. (T/F?)
  5. Ophthalmic artery. (T/F?)
  6. Abducens nerve. (T/F?)

  1. T
  2. T
  3. T
  4. T
  5. F
  6. T

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19. Cranial nerve nuclei – location

  1. Trochlear nucleus: Mesencephalon?
  2. Dorsal cochlear nucleus: Pons?
  3. Ventral cochlear nucleus: Medulla?
  4. Oculomotor nucleus: Mesencephalon?
  5. Facial nucleus: Pons?
  6. Edinger-Westphal nucleus: Pons?

  1. T
  2. T
  3. F
  4. T
  5. T
  6. F

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1. Trochlear nerve

  1. Is the smallest cranial nerve in terms of the number of axons it contains. (T/F?)
  2. Has the shortest  intracranial length. (T/F?)
  3. Is the one of two cranial nerves that exit from the dorsal (rear) aspect of the brainstem. (T/F?)
  4. Innervates superior oblique muscle, on the opposite side (contralateral) from its origin. (T/F?)
  5. Emerges from the dorsal aspect of the brainstem at the level of the caudal mesencephalon, just below the inferior colliculus, (T/F?)
  6. Enters the orbit through the superior orbital fissure. (T/F?)

  1. T
  2. F
  3. F
  4. T
  5. T
  6. T

  1. It is the smallest  in terms of the number of axons it contains.  The shortest is the olfactory nerve.
  2. Trochlear nerve has the longest intracranial length.
  3. Trochlear nerve is the only cranial nerve that exits from the dorsal aspect of the brainstem.

    Henry Vandyke Carter [Public domain], via Wikimedia Commons
  4. It is the only cranial nerve with contralateral innervation. It decussates within the mesencephalon before emerging on the opposite side of the brainstem. An injury to the trochlear nucleus in the brainstem will result in an contralateral superior oblique muscle palsy, whereas an injury to the trochlear nerve (after it has emerged from the brainstem) results in an ipsilateral superior oblique muscle palsy.


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