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Anatomy · USMLE Step 1 · Healthcare and Nursing

USMLE Anatomy: Cranial Nerves

Cranial nerve origins, functions, and lesion presentations tested on USMLE Step 1.

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31 basic cards for USMLE Step 1 Anatomy. Set 4 of 14 in USMLE Anatomy. It opens with "What is the primary function of the olfactory nerve (CN I)?" and "Through which skull opening does CN I pass?". Study it alongside the other USMLE Step 1 sets below.

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What is the primary function of the olfactory nerve (CN I)?
Show answerSmell (olfaction)
Through which skull opening does CN I pass?
Show answerCribriform plate of the ethmoid bone
What is the primary function of the optic nerve (CN II)?
Show answerVision
Through which skull opening does CN II pass?
Show answerOptic canal
A lesion of CN II causes what visual deficit?
Show answerMonocular blindness in the affected eye
Which extraocular muscles does CN III innervate?
Show answerAll extraocular muscles except the lateral rectus and superior oblique
Through which skull opening does CN III pass?
Show answerSuperior orbital fissure
Describe the classic resting eye position in a complete CN III palsy.
Show answerThe eye is deviated down and out
A CN III palsy with a dilated, nonreactive pupil suggests what type of cause?
Show answerCompressive lesion, such as a posterior communicating artery aneurysm
A CN III palsy that spares the pupil suggests what type of cause?
Show answerIschemic or microvascular cause, such as diabetes
Which muscle does CN IV innervate?
Show answerSuperior oblique
A CN IV lesion causes difficulty with what eye movement?
Show answerLooking down and inward, causing vertical diplopia
What is the general sensory function of CN V?
Show answerSensation of the face and anterior scalp
Besides sensation, what motor function does CN V provide?
Show answerMuscles of mastication (chewing)
Through which opening does the ophthalmic division (V1) of CN V pass?
Show answerSuperior orbital fissure

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