Anatomy Flashcards
What are the pure sensory cranial nerves?
I, II, VIII
What are the mixed motor and sensory nerves?
V, VII, IX, X
What is the only nerve that doesn’t originate within the cranial cavity?
XI - Accessory nerve
What are the pure motor nerves?
III, IV, VI, XI, XII
Which nerves carry parasympathetic components?
III, VII, IX, X
What are the 4 peripheral sensory ganglia?
ciliary, pterygopalatine, otic, submandibular
What nerves supply each of the pharnygeal arches?
Arch 1 - V3
Arch 2 - VII
Arch 3 - IX
Arch 4&6 - X
Which nerves carry GVA components?
IX and X
What peripheral sensory ganglia carry the cell bodies of nerves IX and X?
inferior and superior sensory ganglia
How does sympathetic innervation get to the cranium?
pre-ganglionic sympathetic fibers leave the spinal cord T1-T2; course superiorly to the cervical chain ganglia; post-ganglionics form the peri-arterial carotid plexus; then branches to innervate targets
What foramen carries the optic nerve?
Optic canal
What runs in the optic canal?
optic nerve and ophthalmic branch of the ICA
Where does the vagus nerve exit the cranial cavity?
jugular foramen
What is the path of venous drainage from the eye?
cavernous - superior/inferior petrosal - sigmoid - IJV
What’s the path of venous drainage from the sagittal sinuses?
superior/inferior sagittal - straight - transverse - sigmoid - IJV
What are the attachments of the tentorium cerebelli?
Anterior: posterior clinoid process
Lateral: temporal bone
Posterior: occipital bone
What are the 4 dural partitions?
falx cerebri
tentorium cerebelli
falx cerebelli
diaphragma sellae
What’s the part of the skull that is vulnerable to injury and lies over the middle meningeal artery?
pterion
Through what foramen passes the middle meningeal artery?
foramen spinosum
What does the diaphragma sellae cover?
the pituitary
What pierces the diaphragma sellae?
the pituitary stalk
What 2 veins does the superior sagittal sinus communicate with?
emissary and diploic veins
What 2 veins communicate with the sigmoid sinus?
mastoid and condyloid emissary veins
How do the cavernous sinuses communicate with each other?
via intercavernous sinuses
With what does the cavernous sinuses communicate?
ophthalmic veins, pterygoid plexus (veins of the deep face), and superior/inferior petrosal sinuses
What nerves innervate the meninges?
- trigeminal nerve (all 3 branches)
- meningeal nerve branch off V3 enters via foramen spinosum
A dural sinus is formed from what layers of the dura mater?
periosteal dura and meningeal dura
What drains via arachnoid villi? and where do they drain?
- CSF
- into dural sinuses
What is the mental protuberance?
the chin of the mandible
What skull bone is the mastoid process part of?
temporal bone
What is the origin and attachment of the sternocleidomastoid musle?
from manubrium/clavicle to the mastoid process
What are the contents of the carotid sheath?
common carotid artery, internal jugular vein, vagus nerve
What are the borders of the thyroid gland?
lateral: carotid sheath post, SCM anterior
anterior: strap muscles
posterior: prevertebral fascia
medially: trachea and esophagus
What are the contents of the visceral or pre-tracheal fascia of the neck?
esophagus, trachea, thyroid
Where is the buccopharyngeal fascia located?
the posterior portion of the pretracheal fascia
How far does the retropharyngeal space extend?
base of the skull down into the thorax
What is the boundary between the anterior and posterior triangles?
sternocleidomastoid muscle
What are the borders of the anterior triangle?
superior: mandible
medial: midline
lateral: sternocleidomastoid
What are the borders of the posterior triangle?
medial: sternocleidomastoid
inferior: clavicle
lateral/posterior: trapezius
Where does the omohyoid muscle originate?
originates medial to suprascapular notch
What is the nerve point of the neck and what nerves branch here?
punctum nervosum; great auricular runs anterior to ear; lesser occipital runs posterior to ear; transverse cervical runs directly anterior
Where is the punctum nervosum located?
midpoint of the SCM
What set of cutaneous nerves forms in between the ventral ramus of C3 and C4, and where do they run?
Supraclaviculars: medial, intermediate, lateral; run down over the clavicle
The platysma is the muscle of…
facial expression
What is the major superficial vein of the neck and what 2 cutaneous veins from the head form it?
External jugular vein; retromandibular and posterior auricular vein
What are the 3 subdivisions of the anterior triangle?
muscular
carotid
submandibular
What are the borders of the muscular anterior triangle?
superior belly of omohyoid, SCM, and midline
What are the main contents of the muscular anterior triangle?
strap muscles and thyroid gland
What does the intermediate tendon of the omohyoid muscle attach to?
clavicle
Name the superficial and deep strap muscles.
superficial: sternohyoid and omohyoid
deep: sternothyroid and thyrohyoid
What are the lobes of the thyroid gland?
left and right, isthmus, and pyramidal (not always present)
What are the levels that supply the cervical plexus?
C1-C4
What is the ansa cervicalis?
nerve loop between branch from C1 and branch from C2/C3 that innervates the strap muscles
The hypoglossal nerve travels with…
the ansa cervicalis
What is the only strap muscle not innervated by the ansa cervicalis, and what innervates it?
the thyrohyoid, and it’s innervated by C1 which travels with the hypoglossa nerve
What nerve comes mainly from C4 but also has contributions from C3 and C5?
phrenic nerve
What are the boundaries of the carotid triangle?
lateral: SCM
inferior: superior belly of omohyoid
superior: posterior belly of ac
At what level does the common carotid branch into internal and external?
upper level of thyroid cartilage, @C4
Which of common, external, and internal have branches in the neck, and how many?
External carotid only–8 branches
What cartilage makes the Adam’s apple?
thyroid cartilage, especially the laryngeal prominence
What suspends the larynx from the hyoid bone?
the thyrohyoid membrane
What ligament extends inferiorly from the thyroid cartilage and to where?
the cricothyroid ligament, attaches to the cricoid cartilage
Where does the median cricothyroid ligament run?
anterior midline between thyroid and cricoid cartilage
What are the arytenoids?
bilateral pyramidal cartilages that sit behind the trachea and above the cricoid
What do the corniculate and cuneiform cartilages support?
arytenoid cartilages and wall of the laryngeal vestibule, resp.
What is the epiglottis?
cartilage attached to the posterior thyroid and base of the tongue; closes off airway during swallowing
What does the Superior laryngeal nerve innervate?
inlet, vestibule, and ventricle&saccule of larynx
What structures are located in the laryngeal inlet?
epiglottis mucosa, aryepiglottic fold, and interarytenoid notch mucosa
In what region is the conus elasticus found?
glottic space
What does the ventricle & saccule contain?
muscosa (lining ventricle) and sacculus
What does the inferior laryngeal nerve innervate?
infraepiglottic space
What does the vestibule contain?
mucosa of quadrangular membrane and vestibular fold
What nerve innervates the intrinsic muscles of the larynx?
Vagus nerve: superior laryngeal nerve branch
What are the intrinsic muscles of the larynx?
cricothyroid, posterior cricoarytenoid, lateral cricoarytenoid, thyroarytenoid, transverse arytenoid, oblique arytenoid, and vocalis