1.32 Neck and Pharynx Flashcards

1
Q

What are the compartments of the neck?

A

Investing - surround neck - continuous with deep fascia in the face - splits around SCM, trapezius and glands
Prevertebral - vertebral column and associated muscles - all the way to occipital bone - forms axillary sheaths
Pretracheal - trachea, oesophagus - continuous with buccal fascia

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2
Q

Due to the neck fascias, where can infection from the neck spread?

A

Dental infection all the way down through the mediastinum

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3
Q

Which muscles create the posterior triangle of the neck?

A

SCM, trapezius and middle third of clavicle

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4
Q

Which fascia and nerves are found in the posterior triangle?

A

Prevertabral fascia

XI - supply scm and trapezius

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5
Q

What are the contents of the posterior triangle?

A
Roots of brachial plexus 
prevertabral muscles 
Phrenic nerves 
Suprascapular artery 
Transverse cervical artery 
apex of lungs
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6
Q

Where do the brachial plexus roots emerge from?

A

Between anterior and middle scalene

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7
Q

Where do scaleneus ant. And medius attach to?

A

1st rib - accessory respiratory

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8
Q

Which muscles make up the floor of the posterior triangle?

A

Splenus capitus, levator scapulae, scalene muscles, posterior

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9
Q

What are the borders of the anterior triangle?

A

SCM, midline of neck, lower border of mandible

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10
Q

What is found in the anterior triangle of the neck?

A

ECA, ICA and INJ

Suprahyoid and infrahyoid muscles

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11
Q

What salivary volume does the submandibular gland produce?

A

65%

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12
Q

Where does the submandibular duct open?

A

Either side of frenulum

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13
Q

What is the parasympathetic innervation of the submandibular gland?

A

Preganglionic - chordae t via V3
Post ganglionic - V3
anterior triangle

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14
Q

What are the branches of th external carotid artery?

A

Some Anatomists Like Freaking Out Poor Medical Students

Superior thyroid, Ascending pharyngeal, Lingual, Facial, Occipital, Posterior auricular, Maxillary, Superficial temporal

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15
Q

Where do most of the veins from face neck drain into?

A

External Jugular Vein

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16
Q

What could cause a raised JVP?

A

Increased right ventricular pressure, right sided HF, sup. vena cava obstruction, obstruction of blood flow from right atrium to right ventricle and positive intrathoracic pressure

17
Q

Where does the common carotid artery bifurcate?

A

C3-C4

18
Q

Which nerve roots supply sensation over scalp, neck and ear?

A

c5 - c8

19
Q

What innervation does the ansa cervicalis supply and which nerve roots does it originate from?

A

c1-c3

20
Q

Which roots make up the brachial plexus?

A

C5-C8

21
Q

What innervation in the neck does the vagus nerve provide?

A

Most soft palate muscles, most pharynx and larynx muscles and sensory to the larynx

22
Q

Through which foramen do vertebral arteries travel through?

A

Foramen trasversarium to enter cranial cavity through the foramen magnum

23
Q

What is the function of the thyroid gland?

A

Differentiation of all cells - regulate protein fat and carbohydrate metabolism - protein, bone and neuronal growth, - inc, catecholamine activity

24
Q

Which nerve provides the main sensory innervation for the pharynx?

A

IX glossopharyngeal

25
Q

Which nerve provides the main motor innervation for the pharynx?

A

Pharyngeal branch of vagus

26
Q

What is the attachement of the superior constrictor of the pharynx?

A

Midline Raphe

27
Q

Which cranial nerves make up the pharyngeal plexus and what does it innervate?

A

IX, X, XI - all muscles of the pharynx except for stylopharyngess which is innervated by a direct branch from IX

28
Q

For each section of the pharynx, which nerve is responsible for sensation?

A

Nasopharynx - V2
Oropharynx - IX
Laryngopharynx - X

29
Q

What are the longitudinal muscles of the pharynx?

A

Palatopharyngeus - X
Salpingopharyngeus - X
Stylopharyngeus - IX