Anatomy Flashcards

1
Q

In what bone is the supraorbital notch?

A

Frontal bone

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2
Q

In what bone is the optic canal?

A

Sphenoid bone

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3
Q

In what bone is the infraorbital foramen?

A

Maxilla

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4
Q

In what direction does the optic canal lie?

A

Medially

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5
Q

Which walls of the orbit are thin?

A

Medial wall

Orbital floor - maxilla

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6
Q

What surrounds the globe in the orbit?

A

Periorbital fat

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7
Q

Name the muscle, and its parts, which makes up the external later of the eye

A

Orbicularis oculi
Palpebral
Orbital

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8
Q

What does the orbital septum do?

A

Separates the superficial layer from the deep.

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9
Q

What is the orbital septum made from?

A

Thickened connective tissue

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10
Q

What does the tarsus do?

A

Gives shape to eyelid

Contains tarsal glands which produces lipids that stop tears from overflowing

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11
Q

Where is the lacrimal gland?

A

Superolateral to the globe

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12
Q

What is the hole in the posteromedial eyelid called?

A

Punctum

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13
Q

What is the conjunctival fornix?

A

Angle where lower eyelid meets conjunctiva

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14
Q

What is the limbus?

A

Where sclera meets cornea

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15
Q

Where does the lacrimal sac drain to?

A

Nasolacrimal duct

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16
Q

Where does nasolacrimal duct empty?

A

Inferior meatus

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17
Q

What nerve innervates the lacrimal gland?

A

Parasympathetic of CNVII

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18
Q

What makes up the outer layer of eye?

A

Sclera

Cornea

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19
Q

What is the middle layer of eye?

A

Uvea

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20
Q

What is contained in the urea?

A

Iris
Ciliary body
Choroid

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21
Q

What is within the retina?

A

Macula

Optic disc

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22
Q

What are the segments of the eye?

A

Anterior

Posterior

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23
Q

Where is the anterior segment?

A

In front of the lens

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24
Q

The anterior segment is divided into anterior and posterior chamber.
What is in the anterior chamber?

A

Aqueous humour.

Between cornea and iris

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25
Where is the posterior chamber?
Between iris and suspensory ligaments
26
What is contained in the posterior segment?
Vitreous humour
27
What is the iridocorneal angle?
Angle between the iris and the cornea. Different from limbus!
28
What does the ciliary body do?
Constricts and dilates the pupil
29
Where is aqueous humour produced?
Ciliary body
30
What is the pathway for aqueous humour?
Circulates in posterior chamber to nourish lens Pass through pupil - nourish cornea Reabsorbed into Canal of Schlemm
31
Where is canal of schlemm?
Iridocorneal angle
32
What is canal of Schlemm?
Scleral venous sinus
33
What nerve supplies the optic disc?
CNII
34
What is the macula?
High density of cones
35
What area has the most acute vision?
Fovea
36
What is the blind spot?
No rods or cones. | In the optic disc
37
Where are the retinal vessels in relation to the photoreceptors?
Anterior to photoreceptors
38
Where does the ophthalmic artery come from?
Internal carotid
39
Where do ciliary arteries supply?
Choroid - the vessels which can be seen inflammed in conjunctivitis
40
Which is the main artery to the retina?
Central retinal artery
41
What is the danger triangle?
Upper lip and external nose. | Likely to burst a vein here which could cause infection going to brain
42
Which veins drain the orbit?
Facial vein | Superior and Inferior ophthalmic vein
43
Where does the orbit drain to?
Cavernous sinus
44
Where do all the extra ocular muscles originate from?
Tendinous ring
45
Which muscle is involved with the trochlea?
Superior oblique
46
What is the trochlea made of?
Cartilage
47
What is the purpose of the suspensory ligament of the eye?
Sling which holds the eye in the orbit
48
When fractured, how does the zygoma rotate?
Medially
49
What structure is at risk if the zygoma rotates medially?
Infraorbital NVB
50
Where is the infraorbital NVB?
In the infraorbital canal
51
Where, precisely, does CN V1 innervate?
Upper eyelid Cornea Conjunctiva anterior surface of nose
52
Where, precisely, does CN V2 innervate?
Skin of lower eyelid Maxilla Ala of the nose Upper lip
53
What nerve supplies the angle of the mandible?
C2, C3
54
Where are action potentials from the cornea directed to?
Trigeminal ganglion to CN V to the pons
55
How does the eyelid close in the blink reflex?
Connections between CN V and CN VII means that APs are conducted to the palpebral part of orbicularis oculi
56
In sympathetic nerves, where doe the pre and post synaptic axon synapse?
At the ganglion in the cervical part of the sympathetic trunk
57
Which neurotransmitters are involved in sympathetic outflow?
Presynaptically, acetylcholine | Postsynaptically, noradrenaline
58
Where do presynaptic sympathetic axons exit the spinal cord?
At T1 | Then ascend to the cervical sympathetic trunk
59
What are the 3 parts of the cervical sympathetic trunk?
Superior Middle Inferior ganglia
60
Where do the presympathetic axons synapse?
Superior cervical ganglion
61
Where do the post-synaptic axons go?
They enter the internal and external carotid nerves which are on the surfaces of the arteries
62
Which artery carries sympathetic postsynaptic axons to the eye?
Ophthalmic artery
63
Where does the ophthalmic artery come from?
Internal carotid artery
64
Anatomically, where is the superior cervical sympathetic ganglion?
On the posterior side of the superior constrictor
65
What is the stellate ganglion?
Fusion of the inferior cervical ganglion with the 1st thoracic ganglion
66
Which 4 cranial nerves are involved in parasympathetic innervation?
3, 7, 9 and 10
67
Which neurotransmitter is involved in synapses in parasympathetic axons?
Acetylcholine, both pre and post synaptically
68
Where is the parasympathetic ganglion?
Within the target organ
69
Which other nerves are parasympathetic supply important in?
Sacral spinal nerves
70
How do presynaptic parasympathetic leave the CNS?
Leave with their respective cranial nerves
71
What motor function does the inferior branch of CN III have?
Innervates medial and inferior rectus and inferior oblique and ciliary ganglion
72
What motor function does the superior branch of CN III have?
Superior rectus and levator palpebrae superioris
73
What are the ciliary ganglion?
Supply ciliary nerves, autonomic axons, to control the diameter of the pupil
74
What are the two divisions of the ciliary nerve?
Long ciliary nerve | Short ciliary nerve
75
What does the long ciliary nerve do?
Sympathetic and somatic sensory nerve
76
What does the short ciliary nerve do?
Sympathetic and somatic sensory and parasympathetic
77
Which ciliary nerve is involved in the blink reflex?
Long ciliary
78
What is the accommodation reflex?
Focussing the lens to far and near
79
What is the vestibulo-ocular reflex?
Ability to focus on an object while head is turned.
80
Which functions of the eye is parasympathetic ally controlled?
Less light into eyes by pupillary constriction Focus on near objects Reflex lacrimation
81
Which structure contains both skeletal and smooth muscle?
Levator palpebrae superioris
82
Which fibres are responsible for pupillary constriction?
Circular sphincter or pupillae fibres in the internal circumference
83
What is the consensual light reflex?
Other eye will constrict in the presence of indirect light
84
Which nerves are responsible for the direct and consensual light reflexes?
Afferent ipsilateral CN II connects in thalamus to produce a bilateral motor response via CN III
85
See rest of that lecture for rest
Light reflexes are complicated