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181 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
Cornea
a. Epithelium on outer surface
b. Name of outer basement membrane
c. Name of inner basement membrane
d. Type of internal epithelium
a. Stratified squamous, nonkeratinized

b. Bowman's

c. Descemet's

d. Endothelium
The 10 layers of the retina from internal (next to vitreous humor) to external
1. Inner limiting membrane
2. Optic nerve fiber
3. Ganglion cell layer
4. Inner plexiform layer
5. Inner nuclear layer
6. Outer plexiform layer
7. Outer nuclear layer
8. Outer limiting membrane
9. Photoreceptor cells
10. Pigment cells
Nerves of orbit
a. CN III - Divisions and their innervation
b. CN V1 - Branches and innervation
a. CN III
I. Superior division - Levator palpebrae superioris, superior rectus
II. Inferior division - The rest

b. CN V1
I. Frontal nerve -> Supraorbital, supratrochlear
II. Lacrimal nerve - Carries sensory and parasympathetic impulses to the lacrimal gland
III. Nasociliary nerves - Infratrochlear nerve, long ciliary nerves, anterior and posterior ethmoidal nerves
Ear
a. Reticular lamina - Function
b. the hair cells are supported by
c. Inner tunnel - Made by, function
a. Prevents abnormal displacement of the stereocilia of hair cells and subsequent depolarization
(Rigid plate of cytoplasm)

b. Phalangeal cells

c. Inner tunnel
I. Made by inner and outer pillar cells
(Filled with microtubules to provide a rigid, triangular inner tunnel)
II. Remains rigid to allow the organ of Corti to rock back and forth, instead of collapsing on itself by the vibrations
Auricle
a. Ligaments
b. Extrinsic muscles of auricle
c. Proper muscles
d. Motor innervation
a. Lig. auriculare ant., sup., post.

b. Extrinsic muscles of auricle
I. Mm. auriculares ant., post., sup.
II. M. Temporoparietalis

c. Proper muscles
I. M. tragicus
II. M. antitragicus
III. Mm. Helicis major & minor
IV. Mm. obliquus & transversus auriculae
V. M. pyramidalis auriculae

d. Facial nerve
Auricle
a. Parts of helix (rim)
b. Concha - Parts
a. Helix
1. Crus
2. Spina
3. Cauda
4. Tuberculum Auriculare Darwini
5. Apex auriculae

b. Cymba, cavitas
Auricle
a. Arterial supply
b. Venous drainage
c. Lymphatic drainage
d. Sensory innervation
a. Temporal artery -> Anterior auricular branches

b. External jugular vein

c. Parotid and mastoid lymph nodes

d. Sensory innervation
I. Auriculotemporal nerve -> Anterior auricular nerves
II. CN VII -> Posterior auricular nerve
III. CN X -> Auricular branch
Meatus acusticus externus
a. Path
b. Structure
a. Path of external acoustic meatus
1. Opening\porus ->
2. Oblique ventromedial ->
3. Medial ->
4. Oblique ventromedial
(= 160 degrees ventrally and convex downward)

b. Structure
I. Outer 2\3 - Cartilage
(Lamina tragi - A longitudinal curved plate of cartilage, the beginning of the cartilaginous portion of the external acoustic meatus)

II. Inner 1\3 - Bony, incisura tympanica Rivini\Tympanic notch
(The notch in the superior part of the tympanic ring, bridged by the flaccid part of the tympanic membrane)

III. Filled with
1. Tragi
(The hairs growing at the entrance of the external acoustic meatus)
2. Glandulae ceruminosae
(Tubuloalveolar glands, waxy cerumen, modified apocrine glands)
Tympanic cavity\Middle ear
a. Walls\paries and their components (Except for posterior wall)
b. The 4 arteries and their origin
a. Walls\Paries
1. Paries tegmentalis\Tegmental wall - Roof

2. Paries jugularis\Jugular wall - Floor
I. Prominentia styloidea\Styloid prominence
(Correspond to the base of the styloid process)

3. Paries labyrinthicus\Labyrinthine wall - Medial
I. Promontorium
(Rounded eminence, caused by the first coil of the cochlea)
II. Sulcus promontorii\Groove of promontory
(Branched groove running vertically, lodge tympanic plexus)
III. Fenestra vestibuli\Oval window
IV. Fenestrae cochlea\Round window
(Covered by membrana tympanica secundaria)

4. Paries mastoideus\Mastoid wall - Posterior

5. Paries caroticus\Carotid wall - Anterior

6. Paries membranaceus\Membranous wall - Lateral

b. Arterial supply tympanic cavity
1. Ascending pharyngeal artery -> fossula petrosa -> canaliculus tympanicus -> Inferior tympanic artery
2. External carotid -> Posterior auricular artery -> Foramen stylomastoideum -> Canaliculus chordae tympani posterior -> Posterior tympanic artery
3. Middle meningeal artery\A. meningea media -> Canalis nervi petrosi minoris -> Superior tympanic artery
4. Maxillary artery -> petryotympanic fissure -> Anterior canal of chorda tympani -> Anterior tympanic artery
Paries mastoideus\Mastoid wall of tympanic cavity - Prominences
Paries mastoideus
1. Aditus ad antrum mastoideum

2. Prominentia canalis semicircularis lateralis

3. Prominentia canalis n VII

4. Eminentia pyramidalis
(A conical projection to the vestibular window in the middle ear. it is hollow and contains the stapedius muscle)

5. Fossa incudis\Fossa of incus
(A small depression in the lower and posterior part of the epitympanic recess that lodges the short limb of the incus)

6. Apertura tympanica canaliculi chordae tympani\Tympanic aperture of canaliculus for chorda tympani
(Lateral to the pyramidal eminence)
External acoustic meatus
a. Arterial supply
b. Venous drainage
c. Lymphatic drainage
d. Innervation
a. Arterial supply
I. Temporal artery -> Anterior auricular branches
II. Maxillary artery ->deep auricular artery

b. Venous drainage
I. V. temporalis spf -> (+ maxillary vein = retromandibular vein)
II. V. auricularis post. -> retromandibular vein

c. Same as auricle - Parotid and mastoid lymph nodes

d. Innervation
I. CN X -> Auricular branch
II. CN V -> Auriculotemporal nerve -> Branch of external acoustic meatus
Tympanic membrane
a. Tympanic sulcus
b. Size
c. Fibrocartilaginous ring of tympanic membrane
a. Tympanic sulcus
I. The groove on the inner aspect of the tympanic part of the temporal bone in which the tympanic membrane is fixed

b. Size
I. 0.1 mm thickness
II. 9x10 mm

c. Fibrocartilaginous ring of tympanic membrane\Gerlach annular tendon
I. The thickened portion of the circumference of the tympanic membrane that is fixed in the tympanic sulcus
Tympanic membrane
a. Umbo of tympanic membrane
b. Malleolar stria
c. Prominentia mallearis\Mallear prominence
a. Umbo of tympanic membrane
I. The projection on the inner surface of the tympanic membrane at the end of the manubrium of the malleus
II. Corresponds to the most depressed point of the membrane

b. Malleolar stria
I. A bright line seen through the membrana tympani
II. Produced by the attachment of the manubrium of the malleus

c. Mallear prominence
I. A small prominence at the upper end of the stria mallearis produced by the lateral process of the malleus
Membrana tympani
a. Mallear folds\Plicae mallearis
b. Trigonum Woodi
c. Pars flaccida - What, eponym
d. Position
e. Paracentesis - Where is it performed
a. Mallear folds\Plicae mallearis
I. Ant. & post.
II. Ligamentous bands
III. Extend from each extremity of the tympanic notch to the mallear prominence
IV. Mark the boundary between the tense and flaccid portions of the tympanic membrane

b. Trigonum Woodi
I. Site of reflection of light reflex of otoscope

c. Pars flaccida of Shrapnell\Shrapnell membrane
I. Triangular loose part of tympanic membrane between the malleolar folds

c. Position
I. Sagittal - 50 degrees declination
II. Transvserse - 45 degrees inclination

d. Lower posterior quadrant
Membrana tympani
a. Arterial supply
b. Lymphatic drainage
c. Innervation
a. Arterial supply
I. Maxillary artery -> a. auricularis prof. (Outer surface)
II. Tympanic arteries (inner surface)

b. Mastoid and parotid lymph nodes

c. Innervation
I. CN X -> Auricular branch
II. CN V -> Auriculotemporal nerve -> branch of membrana tympani
Middle ear
a. Arterial supply
b. Venous drainage
a. Arterial supply
I. 4 tympanic arteries
(Anterior tympanic from maxillary)
II. Caroticotympanic arteries
(Of ICA)

b. Venous drainage
I. Plexus pterygoideus
II. Sinus petrosus superior\Superior petrosal sinus
Ossicles
a. Malleus - Parts
b. Incus - Parts
c. Stapes - Parts
a. Malleus
1. Manubrium
2. Caput
3. Collum
4. Processus lateralis
(Attached to membrana tympani)
5. Processus anterior
(Slender spur running anteriorly from the neck of the malleus toward the petrotympanic fissure)

b. Incus
1. Corpus
2. Crus longus\Processus lenticularis
(Articulates with stapes)
3. Crus breve
(The process that fits into a depression (fossa incudis) in the epitympanic recess)

c. Stapes
1. Caput
2. Crus anterior and posterior
3. Basis\Foot plate
Middle ear - Joints and type
Joints
1. Art. incudomallearis
I. Sellar\Saddle

2. Art. Incudostapedia
I. Spheric
II. Between lenticular process of on the long crus of the incus and the head of the stapes

3. Syndesmosis tympanostapedialis
Middle ear - Ligaments
Ligaments
1. Anterior ligament of malleus - 2 parts
I. Meckel band - Pass from the base of the anterior process to the spine of the sphenoid through the petrotympanic fissure
II. Anterior ligament of Helmholtz\Superior mallear ligament - From the anterior aspect of the neck of the malleus to the anterior boundary of the tympanic notch

2. Membrana stapedialis\Stapedial membrane
I. The delicate mucosal layer that bridges the space between the crura and base of the stapes

3. L. anulare stapediale
I. Ring of elastic fibers that attaches the base of the stapes to the margin of the fenestra vestibuli\oval window
Antrum mastoideum
a. Antrum mastoideum
b. Mastoid cells - Types
c. Close relation to
a. Antrum mastoideum\Mastoid antrum
I. A cavity in the petrous portion of the temporal bone
II. Communicate posteriorly with the mastoid cells and anteriorly with the epitympanic recess of the middle ear via the aperture of the mastoid antrum

b. Mastoid cells
1. Pneumatic type
2. Diploic type
3. Sclerotic type

c. Sigmoid sinus
Auditory tube
a. Synonyms
b. Pharyngeal opening - Where, opened by which muscles
a. Auditory tube\Tuba pharyngotympanica\Eustachian tube

b. Pharyngeal opening
I. In the level of inferior nasal meatus
II. Opened by tensor tympani and salpingopharyngeus

(Contains glandulae tubariae)
Inner ear\Auris interna
a. Bony labyrinth\Labyrinthus osseus - Parts
b. Membranous labyrinth\Labyrinthus membranaceous - Parts
a. Bony labyrinth
1. Vestibulum
2. Semicircular canals
3. Cochlea
4. Internal acoustic meatus
5. Perilymphatic space

b. Membranous labyrinth
1. Labyrinthus vestibularis
2. Labyrinthus cochlearis
3. Spatium endolymphaticum
Semicircular canals
a. Eminentia arcuata
b. Crura - Which are common, which is singular
a. Eminentia arcuata
I. Prominence on the anterior surface of the petrous portion of the temporal bone indicating the position of the superior semicircular canal

b. Crus commune - Ant & post, crus simplex - Lateral
Bony labyrinth - Cochlea
a. Cochlear cupula
b. Basis cochlea
c. Helicotrema
a. Cochlear cupula
I. The domelike apex of the cochlea

b. Basis cochlea\Base of cochlea
I. The enlarged part of the cochlea that is directed posteriorly and medially and lies close to the internal acoustic meatus

c. Helicotrema (spiral, trema - hole)
I. A semilunar opening at the apex of the cochlea
II. the scala vestibuli and scala tympani communicate via it
Cochlea
a. Canalis spiralis cochlea
b. Lamina spiralis
c. Lamina spiralis - Components
d. Hamulus of the spiral lamina
a. Spiral canal of cochlea
I. The winding tube of the bony labyrinth that makes 2.5 turns about the modiolus of the cochlea
II. Divided into two compartments by a winding shelf of bone - the bony spiral lamina

b. Lamina spiralis ossea
I. A double plate of bone winding spirally around the modiolus dividing the spiral canal of the cochlea incompletely into two - scala tympani and scal vestibuli
II. Between the two plates of this lamina, the fibers of the cochlear nerve reach the spiral organ of Corti

c. Lamina spiralis ossea
1. Lamella vestibularis
I. The thicker of the two plates of bones
II. The two plates are incompletely separated from each other by canals for peripheral fibers from the spiral ganglion
III. Lies on the side of scala vestibuli
IV. A thickening of the periosteum - the spiral limbus, is attached to the vestibular lamella within the cochlear duct

2. Lamella spiralis

d. Hamulus of the spiral lamina
I. The upper hooklike termination of the bony spiral lamina at the apex of the cochlea
Cochlea
a. Cochlear canaliculus
b. External opening of cochlear canaliculus
a. Cochlear canaliculus
I. Minute canal in the temporal bone
II. Passes from the cochlea inferiorly to open in front of the medial side of the jugular fossa
III. It contains the perilymphatic duct

c. External opening of cochlear canaliculus
I. The external opening of the cochlear aqueduct on the temporal bone medial to the jugular fossa
Modiolus
a. Modiolus
b. Base of modiolus
c. Lamina of modiolus
d. Longitudinal canals of modiolus
a. Modiolus
I. The central cone-shaped bone about which turns the spiral canal of the modiolus

b. Basis modioli cochlea\Base of modiolus
I. The part of the modiolus enclosed by the basal turn of the cochlea
II. It faces the lateral end of the internal acoustic meatus

c. Lamina of modiolus
I. A bony plate
II. Extend upward toward the cupula
III. Form with the hamulus the helicotrema

d. Longitudinal canals of modiolus
I. Centrally placed channels that convey vessels and nerves to the apical turns of the cochlea
Internal acoustic meatus - Parts
Internal acostic meatus
1. Porus\opening acusticus internus

2. Fundus meatus acusticus internus
(Lateral end of the internal acoustic meatus, the wall of which is formed by the thin cribriform plate of bone separating the cochlea and vestibule from the internal acoustic meatus)

3. Crista transversa
I. A horizontal ridge that divides the fundus into a superior and an inferior area
II. In the superior area are the introitus of the facial canal and openings for the branches of the vestibular nerve to the utricle and to the ampullae of the anterior and lateral semicircular canals
III. In the inferior part are openings for the cochlear nerve, and for branches of the vestibular nerve to the saccule and to the posterior semicircular canal

4. Crista verticalis

5. Area n VII

6. Area cochlearis - Tractus spiralis foraminosus
I. The area inferior to the transverse crest
II. Through which the filaments of the cochlear nerve pass to enter the cochlea
III. Forms the base of the conical modiolus about which the cochlear canal spirals
IV. Tractus spiralis foraminosus - Openings in the cochlear area of the bottom of the internal acoustic meatus through which the fibers of the cochlear nerve leave the bony labyrinth to enter the cranial cavity

7. Area vestibularis sup. + inf.

8. Foramen singulare
I. Posterior to the cochlear area
II. Transmits the nerves to the ampulla of the posterior semicircular duct
Membranous labyrinth - Parts
Membranous labyrinth
1. Utricle - Macula, membrana statoconiorum
2. Sacculus - Macula, membrana statoconiorum
3. Semicircular ducts - Ampulla, crura, sulcus, cupula
4. Ductus utriculosaccularis
5. Ductus reuniens
(Saccule->cochlear duct)
Membranous labyrinth - Labyrinthus cochlearis
a. Walls
b. Spiral ligament
c. Prominentia spiralis
a. Walls
1. Paries vestibularis - Membrana vestibularis\Reissner membrane

2. Paries externus - Stria vascularis, prominentia spiralis, vas prominens, lig. spirale

3. Paries tympanicus - Crista basilaris, lamina basilaris, vas spirale

b. Spiral ligament of cochlear duct\scala media
I. The thickened periosteal lining of the bony cochlea
II. Form the outer wall of the cochlear duct to which the basal lamina attaches

c. Prominentia spiralis
I. Projecting portion of the spiral ligament of the cochlea
II. Bound to the lower edge of the stria vascularis
III. Contain within a blood vessel - vas prominens
Labyrinthus cochlearis
a. Crista basilaris
b. Lamina basilaris
a. Crista basilaris
I. Inward projection of the spiral ligament
II. The basilar membrane\basal lamina of the cochlear duct is attached to it

b. Basal lamina of cochlear duct
I. The membrane extending from the bony spiral membrane to the basilar crest of the cochlea
II. It forms the greater part of the floor of the cochlear duct separating the latter from the scala tympani
III. Supports the organ of corti
Labyrinthus cochlearis
a. Vas spirale
b. Limbus spiralis
c. Supporting cells of spiral organ
a. Vas spirale
I. Large blood vessel that runs in the tympanic layer of the basilar membrane\basal lamina just beneath the tunnel of Corti
(Corti tunnel - The spiral canal in the organ of Corti, formed by the outer and inner pillar cells\rods of Corti, filled with fluid)

b. Limbus spiralis\Limbus of osseous spiral lamina
I. The border of the spiral lamina
II. The thickened periosteum covering the upper plate of the bony spiral lamina of the cochlea
III. Labium limbi tympanici and labium limbi vestibularis

c. Supporting cells of spiral organ of Corti
1. Pillars\Rods of Corti
2. Cells of Hensen
3. Cells of Claudius

(The tectorial membrane is a gelatinous membrane that overlies the spiral organ of Corti)
Endo- and perilymph
a. Endolymph - Composition, path
b. Perilymph - Composition, path of drainage
a. Endolymph
I. Similar to intracellular fluid
II. Path - Stria vascularis -> scala media -> ductus endolymphaticus -> saccus endolymphaticus (blind) -> veins

b. Perilymph
I. Similar to ECF
II. Drainage - Canalicus cochlea -> Subarachnoid space
Inner ear - Nerves, ganglia, and their parts
1. Nervus vestibularis
I. Ggl vestibulare Scarpae
II. Pars superior - N. utriculoampullaris
III. Pars inferior - N saccularis, n ampullaris posterior

2. Nervus cochlearis
I. Ggl cochleare Corti
Association pathways\Fibrae associationis telencephali
a. What
b. Short association pathways\Fibrae associationis breves
b. Long association pathways\Fibrae assciationis longae
a. Connect regions in the same hemisphere

b. Short association pathways
I. Fibrae arcuatae cerebri\Arcuate fibers of cerebrum

b. Long association pathways
1. Fasciculus occipitofrontalis sup., inf (2,6)

2. Fasciculus longitudinalis sup., inf. (6,3)
(Sup: Connect frontal, occipital, and temporal lobes. Frontal lobe -> operculum -> lateral sulcus -> occipital and temporal lobe)

3. Fasciculi occipitales verticales, horizontales (4,5)

4. Fasciculus uncinatus (1)
(Frontal<-->Temporal lobes)

5. Cingulum (7)
(Parahippocampal gyrus <--> Anterior perforated substance)
Cortical commissural pathways\Fibrae commissurales telencephali - Which, fibers
Cortical commissural fibers
1. Fibrae corporis callosi
I. Connect regions of all lobes
II. Only auditory from the temporal lobe

2. Commissura fornicis
I. Connects parahippocampal gyrus, dentate gyrus, and subiculum
(Original commissure of archicortex)

3. Commissura anterior - Pars anterior
I. Connects olfactory parts
(Original commissure of paleocortex)

4. Commissura anterior - Pars posterior
I. Connects regions of temporal lobe except auditory and hippocampal parts
Commissural pathways of brain stem - Which, connections
Commissural pathways of brainstem
1. Commissura habenularum
I. Connects habenular nuclei

2. Commissura posterior - Commissural fibers
I. Connect posterior nuclei of thalamus, superior colliculi, and pretectal nuclei

3. Commissura posterior - Non-commissural fibers
I. Fibers from interstitial nucleus of Cajal and posterior commissural nuclei of Darksevic to contralateral MLF
Projection pathways - Ascending
a. Sensitive\Somatosensory
b. Special sensory
a. Sensitive
1. Direct
I. Lemniscus system (lemniscus medialis)
II. Anterolateral system (lemniscus spinalis) - Spinothalamic, spinoreticular, spinotectal, cranial nerves

2. Indirect - Cerebellar pathways

b. Sensorial
1. Visual
2. Auditory
3. Vestibular
4. Olfactory
5. Gustatory
Projection pathways - Descending
a. Pyramidal pathways
b. Extrapyramidal pathways
c. Descending pathways of the brainstem
a. Pyramidal pathways
1. Corticospinal fibers
2. Corticonuclear fibers

b. Extrapyramidal pathways
1. Tectospinal tract
2. Rubrospinal tract
3. Reticulospinal tract
4. Vestibulospinal tract

c. Descending pathways of the brainstem
1. MLF
2. Fasciculus longitudinalis dorsalis Schutz
Dorsal column-medial lemniscus system
a. Modalities
b. Pathway
a. Modalities - Touch, deep pressure, tension, vibrations, proprioception from joints, tendons, and muscle

b. Pathway
1st neuron
I. Peripheral nerve
II. Spinal ganglion
III. Fasciculus gracilis et cuineatus
IV. Synapse in nuclei gracilis et cuneatus

2nd neuron
I. Internal arcuate fibers - decussate ('Decussatio lemnisci medialis) ->
II. Lemniscus medialis
III. Synapse in thalamus

3rd neuron
I. Tractus thalamocorticalis ->
II. Synapse in parietal lobe - postcentral gyrus area 3,1,2

(Tractus spino-bulbo-thalamo-corticalis, projection -> ascending -> sensitive -> direct, 3-neuronal pathway)
Spinothalamic tract
a. Modalities
b. Pathway
a. Modalities
I. Sharp\fast pain, heat, cold, gross sensitivity

b. Pathway

(Type: projection -> ascending -> sensitive -> direct -> anterolateral system)
Spinoreticular tract
a. Modalities
b. Pathway
a. Dull, "slow" pain. Activate ARAS

b. 2-neuronal pathway, end in reticular formation. Continue as tractus reticulothalamicus and other lines

(Type: Projection -> Ascending -> Sensitive -> Direct -> Anterolateral system)
Spinotectal tract
Spinotectal tract
I. Very old pathway
II. Regressed into systems for motorics of muscles of eye, head, and neck
Alternating hemiplegia
a. Alternating hemiplegia
b. Hemiplegia alternans superior - What, eponym
c. Hemiplegia alternans media - What, eponym
d. Hemiplegia alternans inferior - What, eponym
a. Alternating hemiplegia
I. Hemiplegia on one side with contralateral cranial nerve palsies

b. Heimplegia alternans superior\Weber
I. CN III

c. Hemiplegia alternans media\Millard-Gubler
I. CN VI

d. Hemiplegia alternans inferior\Jackson II
I. CN XII
Tractus tectospinalis
a. Function
b. Decussation
a. Motorics of head and neck

b. Decussatio tegmenti posterior
Tractus rubrospinalis
a. Function
b. Decussation
a. Function
I. Excitation of flexors and inhibition of extensors
(Allow fine movement - extensors are more characterized by continuous activation for postural function)

b. Decussatio tegmenti anterior
Extrapryamidal motor systems
a. Tractus reticulospinalis - Function
b. Tractus vestibulospinalis - Function
a. Tractus reticulospinalis
I. Excitation of gamma-neurons
II. Alternating excitation and inhibition of flexors and extensors

b. Tractus vestibulospinalis
I. Excitation of extensors (=Posture)
Fasciculus longitudinalis medialis
a. Pathway
b. Function
a. Pathway
I. Uncrossed
II. From
1. CN III
2. Superior colliculi
3. Interstitial nuclei of Cajal
4. Vestibular nuclei
5. Posterior commissural nucleus of Darksevitch
III. To cervical spine

b. Function
I. Synkinesis of eyes, head and neck
Fasciculus longitudinalis dorsalis
a. Eponym
b. Pathway
c. Function
a. Schutz

b. Pathway
I. Uncrossed
II. Medial hypothalamus -> parasympathetic nuclei of CN, RF

c. Function
I. Bidirectional coordination of autonomic system
Optical pathway
Optical pathway
1st neurons - Rod and cones
2nd neurons - Bipolar cells
3rd neurons - Ganglionic cells
4th neurons - Lateral geniculate body
(-> Geniculocortical tract\Radiatio optica Gratioleti -> Occipital lobe, area 17)
Optical pathway - Branches from 3rd neuron\LGN
Optical pathway - Branches from 3rd neuron
1. Retinohypothalamic tract
I. Convert optical signals to the highest vegetative centers
(See -> Salivate)
II. Suprachiasmatic nuclei

2. Pathway of pupillary reflex
I. Through area pretectalis

3. To Edinger-Westphal nucleus\Nucleus accessorius dorsalis CN III
I. Miosis, accommodation

4. To reticular formation
I. Tractus reticulospinalis -> centrum ciliospinale\Budge\C8-Th1 -> Sympathetic pathway in sympathetic trunk -> Superior cervical ganglion -> Plexus caroticus internus and ophthalmicus -> nn ciliares breves -> m dilator pupillae -> Mydriasis

5. Pathway for convergence
I. -> Nucleus interstitialis Cajal -> MLF -> Oculomotor nuclei

6. Tectal optic circuit
I. Tractus tectospinalis
(Control of synkinesis of eye, head, neck to visual stimuli and for coordination with gross movements of body)
Auditory pathway
Auditory pathway - 4 neurons, crossed
1st neuron - Bipolar cell of cochlear ganglion ->
I. Travel in CN VIII
II. Synapse in cochlear nuclei

2nd neurons
I. Cells in posterior cochlear nuclei -> striae medulares ventriculi quarti\medullary stria of fourth ventricle, dive into depth in median sulcus
II. Cells of anterior cochlear nuclei - through trapezoid body
III. Converge in lateral lemniscus
IV. Synapse in inferior colliculi

3rd neurons - Cells in inferior colliculi

4th neurons - Cells of MGN
I. -> Thalamus
II. or -> Temporal lobe, transverse gyrus of Heschl, area 41 and 42
Vestibular pathway
Vestibular pathway - 3 neurons, crossed
1st neuron
I. Bipolar cells of vestibular ganglion
II. CN VIII
III. Synapse in vestibular nuclei
(Part of fibers goes directly without relay as tractus vestibulocerebellaris directus)

2nd neuron
I. Cells of nuclei vestibulares pontis
II. Several pathways
1. Tractus vestibullaris indirectus to cerebellum
2. To spinal cord
3. To cranial nerve nuclei
4. To MLF
5. To RF
6. To thalamus

3rd neurons
I. Cells of ventral nuclei of thalamis
II. Synapse in temporal lobe, area 41,42, transverse temporal gyrus of Heschl and in area 3\postcentral gyrus of parietal lobe
Olfactory pathway
Olfactory pathway - 2 neurons
1st neuron
I. Neuroepithelial cells in olfactory part of nasal cavity
II. Fila olfactory\olfactory filaments cross through cribriform plate of ethmoid bone into cranial cavity

2nd neurons
I. Mitral cells of olfactory bulb ->
II. Olfactory tract ->
III. Olfactory trigonum ->
IV. Gyri\Stria olfactory med. et lat.->
1. Limbic system - Amygdaloid body, temporal lobe: uncus gyri parahippocampalis, area entorhinalis\area 28, periamygdalar, and prepiriform cortex -> Hypothalamus, insular lobe

2. Nucleus mediodorsalis thalami -> orbitofrontal cortex\area 11
(+12,47?)
Gustatory pathway
Gustatory pathway - 3 neurons
1st neuron - CN VII, IX, X

2nd neuron
I. Nucleus tractus solitarius
II. -> VPM of thalamus
III. -> Motoric nuclei of cranial nerves
IV. -> RF

3rd neuron - VPM
I. -> Parietal lobe - area 43\gyrus postcentralis
II. -> Rostral part of insula
III. -> Parahippocampal gyrus
IV. -> Habenula
Sensory motor loop
Primary motor, somatosensory, premotor <--> Supplementary motor

1. -> Supplementary motor area ->
2. Putamen ->
3. Globus pallidus int. segment, substantia nigra ->
4. VL of thalamus -> Supplementary motor area...
Oculomotor loop
Posterior parietal, prefrontal <--> Frontal eye field

1. -> Frontal eye field ->
2. Caudate nucleus ->
3. Globus pallidus int\med segment, substantia nigra ->
4. VL and DM nuclei of thalamus -> frontal eye field..
Association loop
Posterior parietal, premotor <--> Prefrontal

1. --> Prefrontal ->
2. Head of caudate ->
3. Globus pallidus medius, substantia nigra ->
4. VL and DM nuclei of thalamus -> prefrontal..
Limbic loop
Medial and lateral temporal, hippocampal formation <--> ventral part of cingulate gyrus, orbitofrontal cortex

1. Ventral part of cingulate gyrus, orbitofrontal cortex ->
2. Ventral striatum, head of caudate ->
(Ventral striatum - Nucleus accumbens, some nuclei of the olfactory tubercle)
3. Pallidum ventrale, globus pallidus medialis, substantia nigra ->
4. VA and DM nuclei of thalamus -> 1.
Cerebellar output system - Ncl fastigii
Ncl fastigii ->
1. Lateral vestibular nucleus\Deiter
2. RF pontis and oblongata
Cerebellar output - Interposed nuclei
Interposed nuclei (emboliform, globose) ->
1. Red nucleus
2. Thalamus
3. Inferior olive
Cerebellar output - Dentate nuclei
Dentate nuclei ->
1. Lateral vestibular nuclei\Deiter
2. RF pontis
3. Superior olive
4. CN III
5. Interstitial nucleus of Cajal
6. Nuclei of Darkschewitz
7. Red nuclei
Papez circuit
Papez circuit
1. Amygdala ->
2. Hippocampus ->
3. Fornix ->
4. Septum pellucidum ->
5. Mamillary bodies ->
6. Subthalamus -> 1.
Direct vestibulocerebellar tract - Pathway
Direct vestibulocerebellar tract
1st neuron - Bipolar cell in vestibular ganglion
2nd neuron - granular cell in nodulus and flocculus

(Function - Informations about head position in space and its movement. Transmits these info to eyeball muscles)
Indirect vestibulocerebellar tract - Pathway
Indirect vestibulocerebellar tract
1st neuron - Bipolar cell in vestibular ganglion

2nd neuron - Cells in all vestibular nuclei

3rd neuron - Granular cells in nodulus, flocculus, and uvula

(Function - Informations about head position in space and its movement. Transmits these info to eyeball muscles)
Posterior spinocerebellar tract
a. Pathway
b. Function
a. Posterior spinocerebellar tract
1st neuron - Pseudounipolar cell in spinal ganglion

2nd neuron - Cells in Rexeds lamina V, VII -> Cerebellum

b. Proprioception from lower limbs and lower half of the body
Anterior spinocerebellar tract and cuneocerebellar tract
a. Function
b. Path of cuneocerebellar tract
a. Proprioception (kinetic part) from upper limbs

b. Cuneocerebellar tract
1st neuron - Pseudounipolar

2nd neuron - Nucleus cuneatus lateralis -> Mossy fibers
Reticulocerebellar tract
a. Pathway
a. Reticulocerebellar tract
1st neuron - T-cell
2nd neuron - VI Rexed lamina
3rd neuron - Precerebellar RF nuclei
Pontocerebellar tract
a. Path
b. Function
a. Pontocerebellar tract
1st neuron - Cortical cell (premotor, motor (frontopontine), sensory (parietopontine), visual (tempero-occipito-pontine))

2nd neuron - Pontine ncl

b. Info about prepared movement
Spino-olivo-cerebellar tract
a. Path
b. Function
a. Path
1. 1st neuron - T-cell
2. 2nd neuron - VI Rexed lamina
3. 3rd neuron - Accessory olivary nucleus -> Cerebellum

b. Function
I. Climbing fibers
II. Integrative center for spino-cerebellar connections
Cortico-olivo-cerebellar tract
a. Path
b. Function
a. Cortico-olivo-cerebellar tract
1st neuron - Area 4,6
2nd neuron - Inferior olive (Climbing fibers)

b. Function
I. Info about preceding movements
Reticulocerebellar tract
a. Path
b. Function
a. Path
1st neuron - Motor, sensory, and visual cells
2nd neuron - Ncl reticularis potnis (Bechterew) - > Cerebellum

b. Function
I. Inform cerebellum about prepared movement under limbic system
Cerebellar efferent tracts
Cerebellar efferent tracts
1. From deep cerebellar nuclei
I. Brachium conjunctivum - Red nucleus, inferior olive, RF, VL & VA of thalamus
II. Fasciculus uncinatus - RF, inferior olive, vestibular nuclei

2. From cerebellar cortex
I. Tr. flocculo- et nodulo-vestibularis
II. Tr. flocculo-reticularis
III. Tr. Flocculo-nuclearis
Archicortex - Parts
Archicortex
1. Gyrus dentatus
2. Cornu ammonis
3. subiculum
4. Indusium griseum
5. Area subcallosa
6. Stria longitudinales
Periarchicortex - Parts
Periarchicortex
1. Area entorhinalis
2. Presubiculum
3. Parasubiculum
4. Area perirhinalis
5. Cingulate gyrus
6. Parahippocampal gyrus
Limbic system 1-3 neurons
Limbic system
1. 1st neuron - Subiculum -> Fornix

2. 2nd neuron -
I. Hypothalamus
II. Mammillary bodies
III. Anterior thalamic nuclei
IV. Habenular nuclei
V. Septal nuclei
VI. Ncl accumbens
VII. Amygdala

3rd neuron
I. RF
II. Entorhinal cortex
III. Ncl interpeduncularis
IV. Raphe dorsalis
V. Nucleus accumbens
VI. Amygdala
Amygdalar connections - Subcortical
a. Stria terminalis
b. Ventral amygdalo-fungal path
c. Brainstem circuit
a. Stria terminalis
1st neuron - Amygdala
2nd neuron - OF (olfactory?), ventromedial hypothalamic nuclei, area subcallosa, adolfactoria

b. Ventral amygdalo-fungal path
1st neuron - Centromedial amygdala
2nd neuron - Anterior hypothalamic nuclei, ncl basalis, ventral striatum, medial hypothalamus

c. Brainstem path
1st neuron - Centromedial amygdala
2nd neuron - Monoaminergic, RF, dorsal nucleus of CN X
Auricle - Parts on posterior surface
Posterior surface
1. Eminentia conchae
2. Scaphae & fossa triangularis
3. Fossa antihelica
4. Sulcus crus helicis
5. Fissura antitragohelicina
Middle ear
a. Lymph
b. Innervation
a. Lymph
I. Parotid lymph nodes
II. Mastoid lymph nodes
III. Deep cervical lymph nodes
IV. Retropharyngeal lymph nodes

b. Innervation
I. CN IX -> N tympanicus
II. V2 -> Pharyngeal branch
(Inner part of auditory tube)
III. Sympathetic - caroticotympanic nerves
Auditory tube - Components of the wall
Components of wall
1. Pars cartilaginea
I. Medial lamina of cartilage
(The broad medial portion of the cartilaginous part)
II. Lateral lamina of cartilage
(The narrow lateral portion of the cartilaginous part)
III. Membranous lamina of cartilage
(The connective tissue membrane that, with the lateral and medial laminae, complete the lateral and inferior walls of the cartilaginous part of the pharyngotympanic tube)

2. Pars ossea
I. Semicanal of auditory tube\Canal for pharyngotympanic tube
(The inferior division of the musculotubal canal that forms the bony part of the pharyngotympanic tube)
II. tubal air cells of pharyngotympanic tube\Cellulae pneumaticae
(Occassional small air cells in the inferior wall of the pharyngotympanic tube, near the tympanic orifice, communicate with the tympanic cavity)
Bulbus oculi - Parts
1. Tunica fibrosa - External
2. Tunica vasculosa - Media
3. Tunica interna - Nervosa
4. Lens
Camerae bulbi - Parts
1. Anterior chamber
2. Posterior chamber
3. Vitreous chamber seu postrema
Origin of the visual organ
1. Neuroectoderm of the forebrain
2. Surface ectoderm of the head
3. Mesoderm between
4. Neural crest cells
Development of the visual organ
Development of the visual organ
I. Begin in the fourth week

1. Optic sulci in the neural folds ->
2. Evaginate into optic vesicles & optic stalks -> Optic cup
(Optic vesicles - Evagination, > Retina. Optic stalk - Constricted proximal portion of optic vesicle, -> Optic nerve)
(Optic cup - Double-walled cup, formed by invagination of the optic vesicle. Its inner layer becomes sensory retina, its outer layer the pigment retina)

II. Induction of surface ectoderm
1. -> Lens placodes -> Lens pits -> Lens vesicles
(Lens placodes - Ectoderma placodes\local thickening, Lens pits - Depression as lens placodes sink in toward the optic cup. Lens vesicle - Primordium of lens, ectodermal invagination)

III. Vascular mesenchyme along optic stalk develops into vasa centralis retinae
Origin of retina
1. Pigment epithelium <- Outer layer of optic vesicle

2. Inner layer <- Pars nervosa retinae

(Is a intraretinal space that gradually disappears)
Tunica nervosa - Retina - Parts
1. Pars caeca - Pars iridica, pars ciliaris

2. Pars optica - Discus n optici, macula lutea

3. Ora serrata
Cones - photopigment
Iodopsin
Color vision - Spectra
1. Blue - 420 nm
2. Green - 535 nm
3. Red - 565 nm
What forms external limiting membrane of retina
Muller cells (macroglial cells)
What forms internal limiting membrane of retina
Zonulae adherentes with rods and cones
Origin of the iris
From the anterior part\rim of the optic cup
1. Outer zone - epithelial cells -> smooth muscle
2. Inner layer - pigment epithelium
Iris - Structure
1. Anterior surface - without epithelium

2. Posterior site
I. Inner epithelial layer
II. Outer myoepithelial layer

3. Stroma
I. M sphincter pupillae
II. M dilator pupillae
Tunica vasculosa - Choroidea - Parts
1. Lamina suprachoroidea sclerae
(Loose, pigmented CT between the inner surface of the sclera and the outer surface of the choroid. The lamina fusca and suprachoroid lamina were considered to be two adjacent layers)

2. Lamina choriocapillaris\Capillary lamina of choroid
(The internal or deep portion of the choroidea of the eye, composed fo a very close capillary network)

3. Lamina basalis choroidea Bruch
(Transparent, nearly structureless inner layer of the choroid in contact with the pigmented layer of the retina)
Cornea - Cells from
1. Surface ectoderm
2. Mesenchyme
3. Neural crest cells
Choroid and sclera - Developed from
Adjacent mesenchyme
Tunica fibrosa - Sclera - Parts
1. Tenon capsule\Fascial sheath of eyeball
(Outer aspect of sclera, separated from sclera by episcleral space, attached to sclera near the sclerocorneal junction, blends with fascia of extraocular mm)

2. Lamina episclerais
(Moveable loose CT, between the external surface of the sclera and tenon capsule)

3. Lamina suprachoroidea

4. Sclerocorneal junction\Angulus\Limbus corneae

5. Schlemm's canal


(Fibroblasts + dense CT)
Cornea
a. Vessels
b. Layers
a. None

b. Layers
1. Epithelium - Epithelium anterior cornea
2. Bowman membrane\lamina limitans anterior
3. Substantia propria cornea - Stroma
4. Descemet membrane - L. limitans posterior
5. Endothelium - Epithelium post corneae
Lens development
Lens vesicle ->
(Ectodermal invagination that forms opposite the optic cup)

1. Anterior epithelium -> capsula lentis (thickened BM)
2. Posterior surface -> Primary fibers, secondary fibers
Hyaloid artery
Terminal branch of primitive ophthalmic artery.

Forms vascular tunic around lens in vitreous body.

(Atrophies almost completely by 8.5 months)
The lens - Parts
1. Capsule - Elastic

2. Epithelium (anterior) - Simple, cuboidal

3. Matrix
I. Cortical - Long cells (organelles, nuclei)
II. Nuclear - Cell fibers
(specific proteins - filensin, crystalins)

4. Zonula ciliaris Zinni\Suspensory ligaments of lens are elastic fibers that attach to the lens
Conjunctiva
a. Epithelium
b. Structure
a. Stratified columnar

b. Structure
1. Glandulae conjunctivales Wolfringi
2. Caruncula lacramalis
Eyelids - Development
1. 6th week - Surface ectoderm folds (containing mesenchyme) over the cornea

2. 10th week - Meet and adhere

3. Conjunctival sac forms meanwhile anterior to the cornea

4. 28th week - Eyes open
Eyelids - Origin of muscles, tarsal plates, and glands
1. Muscles <- 2nd pharyngeal arch

2. Tarsal plate and glands <- Mesenchyme
Eyelids\Palpebrae - Components
1. Sebaceous glands of Zeiss on outer skin surface

2. Ciliary glands of Moll on eyelashes

3. M orbicularis oculi

4. Tarsal plate - Tarsal\Meibomian glands
(Fibroelastic plate, chalazion = chronic inflammatory granuloma of gland)
Lacrimal gland - Origin, type
Surface ectoderm invaginations

(Out of order till the 6th week of postnatal life)

Tubuloalveolar glands with myoepithelial cells. serous fluid
(12-15 ducts lyzozyme-rich)
Ear - origin
1. 1st pharyngeal pouch, groove, and membrane

2. 1st and 2nd pharyngeal arch mesenchyme

3. Surface ectoderm of the head

4. Neurofibers of the mesencephalon
Auricle
a. Synonym
b. Made of
c. Origin
a. Pinna

b. Elastic cartilage

c. 2nd and 1st pharyngeal arches - auricular hillocks
External auditory meatus - Origin
1st pharyngeal groove

(Groove is external)
Tympanic membrane - Structure and origin
1. External covering - Very thin epidermis <- 1st pharyngeal groove

2. Tough collagen tissue <- 1st and 2nd pharyngeal arch mesoderm

3. Internal epithelium - Simple cuboidal <- 1st pharyngeal pouch
Middle ear - origins
a. Tympanic cavity and tuba auditiva
b. Auditory ossicles
a. 1st pharyngeal pouch (Tubotympanic recess)

b. 1st and 2nd pharyngeal arches
(Ossicles, tendons, and ligaments)
Inner ear development
1. 4th week - Otic placode
(Otic placode - From surface ectoderm of the myelencephalon) -
> Otic pits ->
(Otic pits - Mark location of future auditory vesicles)

2. Otic vesicle\Otocyst -> Primordial labyrinth
(Invaginated ectoderm, -> membranous labyrinth of inner ear)
I. Dorsal utricular portion
II. Ventral saccular portion

3. 20-22th week - Ossification of the cartilaginous otic capsule
Basilar membrane - Thicker to ...
Apex
(Lower pitch sounds at apex)
Cells of scala media
1. Inner and outer hair cells - have stereocilia

2. Supporting cells
I. Pillar - Outer, inner
II. Phalangeal
III. Of Hensen
IV. Of Claudius
V. OF Boettcher
Centers important for speech are
a. Area 44
b. Broca’s center
c. Area 22
d. Area 39
e. Gyrus temporalis superior
A,b,c,d,e
Optic pathway
a. Is 4-neuronal
b. Terminates in area 17
c. Is conducted by tractus geniuclo-corticalis
d. Is interpolated in colliculus superior
e. Begins from primary receptor
A,b,c,d,e
Auditory pathway
a. Is 4-neuronal
b. Terminates in area 42
c. Terminates in gyrus temporalis transverses
d. Is interpolated in inferior colliculus
e. Is interpolated in corpus geniuculatum mediale
A,b,c,d,e
Extrapyramidal tract
a. Is tractus spinoreticularis
b. Is tractus spinorubralis
c. Is tractus spinovestibularis
d. Is tractus spinotectalis
e. Conducts involuntary motor information
E
To membranous labyrinth belong
a. Ductus reunions
b. Ductus endolymphaticus
c. Saccus endolymphaticus
d. Ductus utriculosaccularis
e. Ductus cochlearis
A,b,c,d,e
Slow pain
a. Is interpreted in RF
b. Is percepted in free nerve endings
c. Is interpolated in ncl intralaminar thalami
d. Has a cortical projection area 5 and 9
A,b,c,d
Somatosensory loop runs via
a. Area 4
b. Area 3,1,2
c. Putamen
d. Globus pallidus
e. Thalamus
A,b,c,d,e
Fasciculus longitudinalis medialis
a. Begins in ncl interstitialis
b. Begins in cajal’s nucleus
c. Begins in ncl commissurae posterioris
d. Begins in Darschevitsch nucleus
e. Runs to vestibular nuclei
A,b,c,d,e
Fasciculus longitudinalis posterior
a. Runs from hypothalamus
b. Runs to RF
c. Is decussated
d. Runs to parasympathetic nuclei of CNs
e. Is bidirectional
A,b,d,e
To specific diencephalic nuclei belong
a. Ncl. Ventralis posteromedialis
b. Ncl. ventralis posterolateralis
c. Ncl. Corporis geniculati medialis
d. Ncl. Corporis geniculati lateralis
e. Ncl. Ventralis lateralis
none
Fasciculus longitudinalis medialis
a. Begins in ncl interstitialis
b. Begins in cajal’s nucleus
c. Begins in ncl commissurae posterioris
d. Begins in Darschevitsch nucleus
e. Runs to vestibular nuclei
A,b,c,d,e
Fasciculus longitudinalis posterior
a. Runs from hypothalamus
b. Runs to RF
c. Is decussated
d. Runs to parasympathetic nuclei of CNs
e. Is bidirectional
A,b,d,e
Tractus pyramidalis
a. Begins from pyramidal cells
b. Runs via crus posterius capsulae internae
c. Runs via crus cerebri
d. Begins from area 4
e. Runs via pyramids of medulla oblongata
A,b,c,d,e
To hippocampal nuclei belong
a. Hippocampus
b. Gyrus dentatus
c. Subiculum
d. Fornix
e. Indusium griseum
A,b,c
Which structures are to be found on the anterior surface of the middle ear cavity
a. Canaliculus caroticotympanici
b. Canalis musculotubarus
c. Fissure petrotympanica
d. Eminentia pyramidalis
e. Atticus
A,b,c
Pain
a. Is conducted by tractus spinothalamicus anterior
b. Is conducted by tractus spinoreticularis
c. Is conducted by tractus spinobrachialis
d. Is conducted by lemniscus spinalis
e. Is suppressed by descending fibers from periaqueductal gray matter of mesencephalon
A,b,c,d,e
Cerebellar nucleus
a. Is ncl dentatus series connected in neocerebellum
b. Is ncl olivarius inferior
c. Is ncl emboliformis series connected in archicerebellum
d. Are ncll fastigi series connected in paleocerebellum
e. Is ncl globosus series connected in archicerebellum
none
Which layer belong to cornea
a. Squamous multilayered epithelium
b. Flat one-layered epithelium
c. Descemet membrane
d. Lamina limitans anterior
e. Epithelium anterius
A,b,c,d,e
Tunica vasculosa bulbi (uvea) is composed of
a. Corpus ciliare
b. Retina
c. Iris
d. Choroidea
e. Corpus vitreum
A, b,c
Medial wall of the orbit is composed of
a. Os ethmoidale
b. Os lacrimale
c. Ala major ossis sphenoidalis
d. Maxilla
e. Os zygomaticum
A,b,d
Musculus obliquus superior
a. Inserts dorsally to the equator bulbi
b. Passes across the spina trochlearis
c. Is innervated by N IV
d. Pulls the eyeball laterocaudally
e. Begins above annulus tendineus communis
A,b,c,d,e
To smooth muscles of optic apparatus belong
a. M ciliaris
b. M tarsalis superior
c. M tarsalis inferior
d. M orbitalis superior
e. M orbitalis inferior
A,b,c
Structures responsible for tear drainage out of the eye are
a. Glandula
b. Punctum
c. Canaliculus
d. Saccus
e. Locus
B,c,d
Humor aquosus
a. Springs from ciliary body
b. Is absorbed in iris
c. Is absorbed in iridocorneal angle
d. Is absorbed in Schlemm’s canal
e. Is absorbed in fontana’s spaces
A,b,c,d,e
To optic apparatus glands belong
a. Glandulae sebaceae
b. Glandulae tarsales
c. Glandulae metatarsals
d. Glandulae conjunctivales
e. Glandulae lacrimalis
A,b,d,e
Which structures opens into vestibulum
a. Ductus reunions
b. Ductus endolymphaticus
c. Canaliculus cochleae
d. Crus commune
e. Crus simplex
D,e
Middle ear is supplied by branch of
a. Arteria pharynea ascendens
b. Arteria auricularis posterior
c. Arteria maxillaries
d. Arteria meningea media
e. Arteria carotis interna
A,b,c,d,e

Arteria auricularis posterior -> Stylomastoid foramen -> anterior auricular artery
Cavitas tympani forms cavities or pouches called
a. atticus\epitympanic recess
b. b. recessus epitympanicus
c. recessus hypotympanicus
d. antrum mastoideum
e. promontorium
a,b,c,d
The wall of ductus cochlearis is
a. membrane vestibularis
b. lamina basilaris
c. membrane tectoria
d. reissner’s membrane
e. prominentia spiralis
a,b,c,d,e
Middle ear is innervated by
a. chorda tympani
b. n petrosus minor
c. n petrosus major
d. n VIII
e. n VII
b,e
Which structures are to be found in dermis
a. vater-paccini’s corpuscles
b. meissner’s corpuscles
c. merkel’s discs
d. ruffini’s corpuscles
e. langerhans’ corpuscles
b, d
Olfactory mucosa
a. contains bowman’s glands
b. contains primary receptors
c. contains stem cells
d. contains supporting cells
e. contains neurons
a,b,c,d,e
Taste buds are
a. primary ones
b. situated close by the papillae vallatae
c. situated in valleculae epiglotticae
d. situated on the tongue root
e. cleaned by serous ebner’s glands
a,b,c,d,e
proprioception
a. is conducted by fasciculus cuneatus
b. is felt by muscle spindles
c. its cortical area is in the gyrus postcentralis
d. is conducted via VPL\VPM nuclei
e. is afflicted in syringomyelia
a,b,c,d
Dorsal fascicule tracts (spino-bulbo-thalamic)
a. is decussated
b. is 3-neuronal
c. is conducted by lemniscus medialis
d. conducts proprioceptive information
e. conducts vibration information
none
Cornea
a. is a derivative of neuroectoderm
b. is supplied by the arteria ophtalmica
c. is covered with conjunctiva
d. its curved surface is a cause of the physiological astigmatism
e. its internal surface is called the lamina limitans posterior
b,c,d
(Astigmatism – A lens or optical system having different refractivity in different meridians. Meridian – A line encircling a globular body)
Humor aquosus
a. is created in the zonula ciliaris
b. is absorbed in the cloquet’s angle
c. its higher pressure is a cause of the cataract
d. its lower pressure is a cause of coloboma retinae
e. is present in the camera postrema
d
(Camera postrema\Postremal chamber of eyeball – the large space between the lens and the retina. Filled with vitreous body)
(Coloboma – Any defect, congenital, pathological, or artificial, especially of the eye due to incomplete closure of the optic fissure)
Retina
a. is a derivative of ectoderm
b. its caecal part does not contain the cones
c. its caceal part does not contain the rods
d. its macula lutea is situated in the geometrical axis of the eyeball
e. in avulsion retinae its pigmentous part adheres to the choroidea
b,c,e
Lens
a. its fibers are produced by cells of its superficial neuroectodermal epithelium
b. is supplied by the nervus hyaloideus during the fetal period
c. is supplied via the lauth’s canal
d. its capsule is a derivative of mesoderm
e. its dimensions and shape changes depend on the contraction of the muscularis ciliaris
e
Palpebra
a. hordeolum is an inflammation of its glandulae sebaceae
b. contaisn the moll’s glands
c. contains the tarsus
d. is covered by both the skin and conjunctiva
e. contains apocrine glands
a,b,c,d,e
(Hordeolum – Suppurative inflammation of a gland of the eyelid)
Position and movement of the
a. palpebra inferior is dependent on the nervus facialis
b. palpebra superior is dependent on nervus facialis
c. palpebra superior is dependent on nervus oculomotorius
d. palpebra inferior is dependent on nervus oculomotorius
e. palpebra superior si dependent on sympathetic
a,c,e
Orbit contains following structures
a. tuberculum marginale
b. processus orbitalis
c. foramen nasolacrimale
d. canalis supraorbitalis
e. incisura frontalis
a, b, e
(Incisura frontalis\frontal notch, orbital process of palatine bone)
Which muscles pull the eye-ball laterally
a. musculus rectus bulbi lateralis
b. musculus obliquus bulbi superior
c. musculus obliquus bulbi inferior
d. musculus orbicularis oculi
e. musculus rectus bulbi medialis
a,b,c
which structures is part of the auricle\pinna
a. cymba
b. concha
c. scapha
d. tragus
e. helix
a,c,d,e
which embryonal layers are responsible for the tympanic membrane development
a. ectoderm
b. mesoderm
c. endoderm
d. first branchial cleft
e. first branchial pouch
a,b,c,d,e
which structures is\are neighbors of the tympanic cavity
a. sinus sigmoideus
b. vena jugularis interna
c. arteria carotis interna
d. sinus sphenoidalis
e. lobus temporalis
a,b,c,e
Recessus epitympanicus contains
a. corpus mallei
b. caput incudis
c. chorda tympani
d. muscles stapedius
e. basis stapedi
c
which structures open into the utriculus
a. aquaeductus vestibule
b. ductus reunions
c. canalis semicircularis anterior
d. canalis semicircular posterior
e. canalis semicircularis lateralis
none
Inner ear
a. helicotrema connects the scala tympani and scala vestibule
b. canalis spiralis modioli contains the bipolar neurons
c. canalis longitudinalis modioli contains the axons of bipolar neurons
d. canaliculus cochlea contains the perilymph
e. membrane tympani secundaria obturates the fenestra cochlea
a,b,c,d,e
Sensory innervations of the acoustic apparatus is served by
a. V2
b. VII
c. IX
d. Plexus cervicalis
e. V3
c,d,e
Inner ear is supplied by
a. Arteria labyrinthi
b. Arteria cerebellaris anterior superior
c. Arteria basilaris
d. Arteria vestibulocochlearis
e. Arteria carotis interna
A,c, d
Gustatory buds
a. Contain stem cells
b. Contain supporting cells
c. Contain neuroepithelial cells
d. Contain primary receptors
e. Are present on the inferior surface of the tongue
A,b,c
The olfactory organ
a. Is a derivative of the endoderm
b. Is a pouch of the telencephalon
c. Covers the concha nasalis superior
d. Are cleaned by the ebner’s serous glands
e. Its receptors are the multipolar neurons
C
Epidermis contains
a. Meckel’s cells
b. Langhans’s cells
c. Free nerve endings
d. Stratum germinativum
e. Melanocyte epidermal unit
C,d,e
Hypodermis contains
a. Vater-pacini corpuscles
b. Stratum membranosum
c. Scarpa’s fascia
d. Colles’ fascia
e. Corpuscula lamellosa
A,b,c,d,e
(Corpuscula lamelloma\lamellated corpuscles\vater-pacini corpuscles)
Which of the following people were real
a. Sandwich
b. Boycotte
c. Badminton
d. Sartorius
e. Mecenas
A,b,c,e
Area pretectalis
a. Is a centre of the papillary reflex
b. Is resposnibel for the coordination of the accommodation and convergence
c. Is responsible for the accommodation reflex
d. Is a centre of the circadial rhythms
e. Contaisn the ncl perlia
A,b,c,e
Autonomic system
a. Is controlled by the hypothalamus
b. Is controlled by the RF
c. Is controlled by the tractus reticulospinalis
d. Its centres are connected via the MLF
e. Its centres are connected via the tractus tegmentalis centralis
A,b,e
Acoustic tract
a. Is interpolated in the thalamus
b. Runs via the corpus trapezoideum
c. Terminates in the lobus temporalis
d. Its cortical centre is supplied by the ateria cerebri posterior
e. Its second neuron is situated in the ncll cochleares (ant.post)
a, B,c,e
Olfactory tract
a. Is 3-neuronal
b. First neuron is situated in the bulbus olfactorius
c. Is interpolated in the diencephalon
d. Is interpolated in the ncl mediodorsalis
e. Its cortical centre is supplied by arteria cerebri media
none
Reticular formation
a. Dopamine is produced in the area ventralis tegmentalis tsai\ncl subbrachialis
b. Dopamine is produced in the pars reticularis substantia nigra
c. Serotonin is produced in the ncll raphes
d. Acetylcholine is produced in the ncl basalis meynert
e. Enkephalins is produced in the substantia grisea centralis
A,c,d,e
(Substantia grisea centralis\Central gray substance – surrounding central canal of the spinal cord and the third and fourth ventricles)
Cerebrospinal fluid is in the
a. Ventriculus lumbalis
b. Cisterna sacralis
c. Spatium subarachoideale
d. Cavum septi pellucid
e. Fissure telodiencephalica
C
Control cerebellar circuits runs via
a. Nucleus ruber
b. Ncll Olivares
c. Ncll pontis
d. Ncll VA + VL thalami
e. Area 4
a,b

Papez circuit of the limbic system runs via
a. Epithalamus
b. Tegmentum mesencephali
c. Amygdale
d. Fimbria hippocampi
e. Corpus callosum
D
Slow pain is transmitted via
a. Tractus spinothalamicus anterior
b. Tractus spinothalamicus lateralis
c. Anterolateral system
d. Ncll VA, VL thalami
e. Crus cerebri
C
Corpus callosum connects
a. Lobus insularis
b. Thalamus
c. Hypothalamus
d. Basal ganglia
e. Hippocampal formation
A
Voluntary movements
a. Are controlled in the area 5
b. The impulses run via the radiato thalami
c. The impulses originate in the pyramidal cells of the fourth neocortical layer
d. The impulses run via the tegmentum pontis
none