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
what is the relation of the internal jugular vein to the carotid arteries as it descends
superiorly--> posterlateral mid-- lateral inferior-- lays anterior
26
what is the inferior bulb
the end dilation of the internal jugular vein that lies posteiror to the sternoclavicular joint where it joins subclavian vein to form brachiocephalic
27
what tributaries does the internal jugular receive
``` occipital pharyngeal lingual facial v as common facial superior and middle thyroid ```
28
why is the right internal jugular vein used for vein puncture and what direction do you point the needles
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
within the sheath where does the main artery lie in relation to the vein
artery- medial and anterior | vein is lateral and somewhat posterior
30
where does the vagus nerve sit in the carotid sheath
sits between the two vessels in the posterior groove
31
where do the deep cervical lymph nodes lie in the sheath
form a change along the internal jugular vein and may be embedded within the sheath
32
what is the difference b/w left and right common carotid arteries
left comes off aorta | right comes off brachiocephalic
33
where does the common carotid extend to and then branch
to superior horn of thyroid cartilage opposite CV3
34
what does the carotid sinus control
blood pressure | increase in pressure --> decrease HR
35
what does the carotid body control
located at carotid bifurcation | chemoreceptor--> decrease in O2--> increase rate and depth of respiration
36
where does the internal carotid artery travel in the neck
within the carotid sheath enters carotid canal in the skull no branches in the neck
37
what are the branches of the external carotid artery
``` Sallie- Superior thyroid artery Anne - ascending pharyngeal Likes- Lingual Flirting- facial On - occipital Philadelphia's - posterior auricular Main- maxillary streets- superficial temporal ```
38
where does the external carotid give off its first four branches
in the carotid triangle
39
where does the external carotid give off its 5th and 6th branches (occipital and posterior auricular)
where it is crossed laterally by the posterior belly of the digastric and stylohyoid muscle
40
what nerve crosses the external carotid near the point of origin of the occipital artery
hypoglossal nerve that is passing through the carotid sheath en route to the tongue
41
what is the first branch off the external carotid and what are its main branches
``` superior thryoid artery has three branches: superior laryngeal anterior branch posterior branch ```
42
what are the 4 branches off the ascending pharyngeal
pharyngeal palatine inferior tympanic meningeal a
43
what are the 3 branches off the lingual artery
dorsal lingual deep lingual sublingual
44
what are the 5 branches off the facial artery
``` tonsillar ascending palatine glandular artery muscular submental ```
45
what nerve does the occipital artyer follow
greater occipital nerve
46
what are the 5 branches of the occipital artery
``` sternocleidomastoid meningeal auricular mastoid descending branch (to deep neck) ```
47
which nerve crosses the occipital artery at its origin from the external carotid
hypoglossal (CNXII)
48
what are the 5 branches off the posterior auricular artery
``` muscular branches parotid branches sylomastoid auricular occipital ```
49
via what does the internal jugular vein receive blood
dural venous sinuses
50
what does the internal jugular vein begin as
superior jugular bulb
51
what is the relation of the internal jugular vein to the carotid arteries as it descends
superiorly--> posterlateral mid-- lateral inferior-- lays anterior
52
what is the inferior bulb
the end dilation of the internal jugular vein that lies posteiror to the sternoclavicular joint where it joins subclavian vein to form brachiocephalic
53
what tributaries does the internal jugular receive
``` occipital pharyngeal lingual facial v as common facial superior and middle thyroid ```
54
why is the right internal jugular vein used for vein puncture and what direction do you point the needles
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