Area under SCM (BUCK) Flashcards

1
Q

what are the 5 main contents of the carotid sheath

A
common and internal carotid
internal jugular vein
vagus nerve
ansa cervicalis (superior root) 
deep cervical lymph nodes
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2
Q

what are the 5 main contents of the carotid sheath

A
common and internal carotid
internal jugular vein
vagus nerve
ansa cervicalis (superior root) 
deep cervical lymph nodes
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3
Q

within the sheath where does the main artery lie in relation to the vein

A

artery- medial and anterior

vein is lateral and somewhat posterior

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4
Q

where does the vagus nerve sit in the carotid sheath

A

sits between the two vessels in the posterior groove

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5
Q

where do the deep cervical lymph nodes lie in the sheath

A

form a change along the internal jugular vein and may be embedded within the sheath

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6
Q

what is the difference b/w left and right common carotid arteries

A

left comes off aorta

right comes off brachiocephalic

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7
Q

where does the common carotid extend to and then branch

A

to superior horn of thyroid cartilage opposite CV3

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8
Q

what does the carotid sinus control

A

blood pressure

increase in pressure –> decrease HR

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9
Q

what does the carotid body control

A

located at carotid bifurcation

chemoreceptor–> decrease in O2–> increase rate and depth of respiration

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10
Q

where does the internal carotid artery travel in the neck

A

within the carotid sheath
enters carotid canal in the skull

no branches in the neck

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11
Q

what are the branches of the external carotid artery

A
Sallie- Superior thyroid artery
Anne - ascending pharyngeal 
Likes- Lingual
Flirting- facial
On - occipital 
Philadelphia's - posterior auricular 
Main- maxillary 
streets- superficial temporal
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12
Q

where does the external carotid give off its first four branches

A

in the carotid triangle

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13
Q

where does the external carotid give off its 5th and 6th branches (occipital and posterior auricular)

A

where it is crossed laterally by the posterior belly of the digastric and stylohyoid muscle

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14
Q

what nerve crosses the external carotid near the point of origin of the occipital artery

A

hypoglossal nerve that is passing through the carotid sheath en route to the tongue

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15
Q

what is the first branch off the external carotid and what are its main branches

A
superior thryoid artery
has three branches:
superior laryngeal 
anterior branch
posterior branch
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16
Q

what are the 4 branches off the ascending pharyngeal

A

pharyngeal
palatine
inferior tympanic
meningeal a

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17
Q

what are the 3 branches off the lingual artery

A

dorsal lingual
deep lingual
sublingual

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18
Q

what are the 5 branches off the facial artery

A
tonsillar
ascending palatine
glandular artery
muscular 
submental
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19
Q

what nerve does the occipital artyer follow

A

greater occipital nerve

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20
Q

what are the 5 branches of the occipital artery

A
sternocleidomastoid 
meningeal
auricular 
mastoid
descending branch (to deep neck)
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21
Q

which nerve crosses the occipital artery at its origin from the external carotid

A

hypoglossal (CNXII)

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22
Q

what are the 5 branches off the posterior auricular artery

A
muscular branches
parotid branches
sylomastoid 
auricular 
occipital
23
Q

via what does the internal jugular vein receive blood

A

dural venous sinuses

24
Q

what does the internal jugular vein begin as

A

superior jugular bulb

25
Q

what is the relation of the internal jugular vein to the carotid arteries as it descends

A

superiorly–> posterlateral

mid– lateral

inferior– lays anterior

26
Q

what is the inferior bulb

A

the end dilation of the internal jugular vein that lies posteiror to the sternoclavicular joint where it joins subclavian vein to form brachiocephalic

27
Q

what tributaries does the internal jugular receive

A
occipital 
pharyngeal
lingual
facial v as common facial
superior and middle thyroid
28
Q

why is the right internal jugular vein used for vein puncture and what direction do you point the needles

A

insert needle inferiorly at the apex of the triangle b/w the clavicular and sternal heads of teh SCM

point needle a finger’s breadth lateral

29
Q

within the sheath where does the main artery lie in relation to the vein

A

artery- medial and anterior

vein is lateral and somewhat posterior

30
Q

where does the vagus nerve sit in the carotid sheath

A

sits between the two vessels in the posterior groove

31
Q

where do the deep cervical lymph nodes lie in the sheath

A

form a change along the internal jugular vein and may be embedded within the sheath

32
Q

what is the difference b/w left and right common carotid arteries

A

left comes off aorta

right comes off brachiocephalic

33
Q

where does the common carotid extend to and then branch

A

to superior horn of thyroid cartilage opposite CV3

34
Q

what does the carotid sinus control

A

blood pressure

increase in pressure –> decrease HR

35
Q

what does the carotid body control

A

located at carotid bifurcation

chemoreceptor–> decrease in O2–> increase rate and depth of respiration

36
Q

where does the internal carotid artery travel in the neck

A

within the carotid sheath
enters carotid canal in the skull

no branches in the neck

37
Q

what are the branches of the external carotid artery

A
Sallie- Superior thyroid artery
Anne - ascending pharyngeal 
Likes- Lingual
Flirting- facial
On - occipital 
Philadelphia's - posterior auricular 
Main- maxillary 
streets- superficial temporal
38
Q

where does the external carotid give off its first four branches

A

in the carotid triangle

39
Q

where does the external carotid give off its 5th and 6th branches (occipital and posterior auricular)

A

where it is crossed laterally by the posterior belly of the digastric and stylohyoid muscle

40
Q

what nerve crosses the external carotid near the point of origin of the occipital artery

A

hypoglossal nerve that is passing through the carotid sheath en route to the tongue

41
Q

what is the first branch off the external carotid and what are its main branches

A
superior thryoid artery
has three branches:
superior laryngeal 
anterior branch
posterior branch
42
Q

what are the 4 branches off the ascending pharyngeal

A

pharyngeal
palatine
inferior tympanic
meningeal a

43
Q

what are the 3 branches off the lingual artery

A

dorsal lingual
deep lingual
sublingual

44
Q

what are the 5 branches off the facial artery

A
tonsillar
ascending palatine
glandular artery
muscular 
submental
45
Q

what nerve does the occipital artyer follow

A

greater occipital nerve

46
Q

what are the 5 branches of the occipital artery

A
sternocleidomastoid 
meningeal
auricular 
mastoid
descending branch (to deep neck)
47
Q

which nerve crosses the occipital artery at its origin from the external carotid

A

hypoglossal (CNXII)

48
Q

what are the 5 branches off the posterior auricular artery

A
muscular branches
parotid branches
sylomastoid 
auricular 
occipital
49
Q

via what does the internal jugular vein receive blood

A

dural venous sinuses

50
Q

what does the internal jugular vein begin as

A

superior jugular bulb

51
Q

what is the relation of the internal jugular vein to the carotid arteries as it descends

A

superiorly–> posterlateral

mid– lateral

inferior– lays anterior

52
Q

what is the inferior bulb

A

the end dilation of the internal jugular vein that lies posteiror to the sternoclavicular joint where it joins subclavian vein to form brachiocephalic

53
Q

what tributaries does the internal jugular receive

A
occipital 
pharyngeal
lingual
facial v as common facial
superior and middle thyroid
54
Q

why is the right internal jugular vein used for vein puncture and what direction do you point the needles

A

insert needle inferiorly at the apex of the triangle b/w the clavicular and sternal heads of teh SCM

point needle a finger’s breadth lateral