Axial Muscles - NOVAK Flashcards
List the 21 muscles of Facial Expression:
(AAA BC DD PP ZZ OOO LLL NMR T)
Muscles of Facial Expression:
- Auricularis anterior
- Auricularis posterior
- Auricularis superior
- Buccinator
- Corrugator supercilii
- Depressor labii inferioris
- Depressor anguli oris
- Procerus
- Platysma
- Zygomaticus minor
- Zygomaticus major
- Obicularis oris
- Obicularis oculi
- Occipital belly of occipitofrontalis
- Levator labii superioris alaeque nasi
- Levator labii superioris
- Levator anguli oris
- Nasalis
- Mentalis
- Risorius
- Temporoparietalis
What cranial nerve are the muscles of facial expression innervated by?
CNVII (facial nerve)
Discuss the Buccinator muscle:
- What is the Origin and Insertion?
- What is its Action?
- What cranial nerve innervates it?
- Pierced by the ______.
Buccinator
O: Alveolar process of maxilla and mandible and pterygomandibular raphe
I: Blends into fibers of obicularis oris
A: compresses cheeks
N: CN VII
- Buccinator is pierced by parotid duct
What are the 4 muscles of mastication?
- Temporalis
- Masseter
- Medial pterygoid
- Lateral pterygoid
All of the following are muscles of mastication EXCEPT:
A. Temporalis
B. Masseter
C. Medial pterygoid
D. Lateral pterygoid
E. Buccinator
E. Buccinator
Discuss the Lateral Pterygoid:
- Origin and Insertion (superior and inferior head)
- Action
- Innervation
Lateral Pterygoid
Origin:
- Superior head = greater wing of sphenoid
- Inferior head = lateral surface of lateral pterygoid
Insertion:
- Superior head = Articular disc and capsule of TMJ
- Inferior head = Ramus (mandible)
Action:
- Protrudes and depresses
- Lateral excursion
- ONLY muscle of mastication that does NOT elevate the mandible
Innervation = CN V3
Which of the following is the ONLY muscle of mastication that does NOT elevate the mandible?
A. Temporalis
B. Masseter
C. Lateral pterygoid
D. Medial pterygoid
C. Lateral pterygoid
Discuss the Medial Pterygoid:
- Origin and Insertion (superficial and deep head)
- Actions
- Innervation
Medial Pterygoid
Origin:
- Superficial head = maxillary tuberosity
- Deep head = medial surface of lateral pterygoid, lateral surface of medial pterygoid and pterygoid fossa
Insertion:
- Inferomedial surface of ramus and angle of mandible
Actions:
- Elevates and protrudes mandible
- lateral excursion
Innervation = CN V3
Which of the following is the deepest muscle of mastication?
A. Temporalis
B. Masseter
C. Lateral pterygoid
D. Medial pterygoid
D. Medial pterygoid
Discuss the Masseter:
- Origin and Insertion (superficial and deep head)
- Actions:
- Innervation:
Masseter
Origin:
- Superficial head = anterior 2/3 of zygomatic arch
- Deep head = posterior 1/3 of zygomatic arch
Insertion:
- Superficial head = lateral surface of angle and ramus of mandible
- Deep head = Ramus and coronoid process
Actions:
- Elevate and protrude mandible
- lateral excursions
Innervation = CN V3
Which of the following muscles make up the masseteric sling?
A. Masseter/Medial pterygoid
B. Masseter/Lateral pterygoid
C. Masseter/Temporalis
D. Medial pterygoid/Lateral pterygoid
E. Lateral pterygoid/Temporalis
A. Masseter/Medial pterygoid
All of the following are correct about the Temporalis EXCEPT:
A. Anterior portion = vertical fibers
B. Middle portion = oblique fibers
C. Posterior portion = horizontal fibers
D. Anterior portion = horizontal fibers
D. Anterior portion = horizontal fibers
Discuss the Temporalis:
- Origin and Insertion
- Actions
- Innervation
Temporalis
Origin:
- Inferior temporal line
- Temporal fossa
- Temporal fascia
Insertion:
- Travels UNDER the zygomatic arch
- Coronoid process of mandible
- Anterior border of the ramus (mandible)
Actions:
- Anterior/vertical fibers = elevate mandible
- Retrudes mandible
- Lateral excursion
Innervation = CN V3
Which of the following muscles of mastication is the main postural muscle (maintains the mandible in rest position)?
A. Temporalis
B. Masseter
C. Later pterygoid
D. Medial pterygoid
A. Temporalis
What are the 4 Suprahyoid muscles?
- Digastric (2 belly muscle)
- Stylohyoid
- Mylohyoid
- Geniohyoid
Infrahyoid Muscles:
- Omohyoid
- Sternohyoid
- Sternothyroid
- Thyrohyoid
All of the following are Infrahyoid muscles EXCEPT:
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
D. Geniohyoid
Geniohyoid and Thyrohyoid = C1 via CNXII
All of the following infrahyoid muscles are innervated by the Ansa cervicalis EXCEPT:
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
E. Thyrohyoid
Careful: geniohyoid is a suprahyoid muscle
Which of the following is innervated by C1 via CNXII?
(select all that apply)
A. Omohyoid
B. Sternohyoid
C. Sternothyroid
D. Geniohyoid
E. Thyrohyoid
D. Geniohyoid
E. Thyrohyoid
Which of the following Suprahyoid muscles is innervated by CN VII?
A. Anterior belly of digastric
B. Posterior belly of digastric
C. Mylohyoid
D. Geniohyoid
B. Posterior belly of digastric
Mylohyoid = CN V3
Anterior belly of digastric = CN V3
Posterior belly of digastric = CN VII
Stylohyoid = CN VII
Geniohyoid = C1 via CN XII
Which of the following Suprahyoid muscles is innervated by CN V3?
A. Anterior belly of digastric
B. Posterior belly of digastric
C. Stylohyoid
D. Geniohyoid
A. Anterior belly of digastric
note: mylohyoid is also innervated by CN V3
Mylohyoid and Anterior belly = CN V3
Stylohyoid and Posterior belly = CN VII
List all 4 of the suprahyoid muscles with their innervation:
Anterior belly of digastric = CN V3
Mylohyoid = CN V3
Posterior belly of digastric = CN VII
Stylohyoid = CN VII
Geniohyoid = C1 via CNXII
List all 4 of the Infrahyoid muscles with their innervation:
Omohyoid = Ansa cervicalis
Sternohyoid = Ansa cervicalis
Sternothyroid = Ansa cervicalis
Thyrohyoid = C1 via CNXII
List all 4 Extrinsic muscles of the tongue with their innervation:
- Genioglossus = CN XII
- Hyoglossus = CN XII
- Palatoglossus = CN X
- Styloglossus = CN XII
All of the following extrinsic muscles of the tongue are innervated by CNXII EXCEPT:
A. Genioglossus
B. Hyoglossus
C. Palatoglossus
D. Styloglossus
C. Palatoglossus
An injury to the right genioglossus would cause the tongue to deviate to the ______.
A. Right
B. Left
C. Up
D. Down
A. Right
note: lick your wounds
Uvula = does the opposite of the lick your wounds rule
An injury to the right Uvula would cause the tongue to deviate to the ______.
A. Right
B. Left
C. Up
D. Down
B. Left
Uvula deviates to opposite side of injured area
Discuss the Genioglossus:
- Origin and Insertion
- Action
- Innervation
Genioglossus
Origin = superior mental spines (genial tubercle)
Insertion = body of tongue, hyoid bone
Action = protracts and depresses tongue
Innervation = CNXII
Discuss the Hyoglossus:
- Origin and Insertion
- Action
- Innervation
Hyoglossus
Origin = body and greater horn of hyoid
Insertion = lateral tongue
Action = depresses and retracts tongue
Innervation = CNXII
Discuss the Palatoglossus:
- Origin and Insertion
- Action
- Innervation
Palatoglossus
Origin = anterior surface of soft palate, palatine aponeurosis
Insertion = lateral tongue
Action = elevates tongue and depresses soft palate
Innervation = CN X
Discuss the Styloglossus:
- Origin and Insertion
- Action
- Innervation
Styloglossus
Origin = styloid process
Insertion = lateral tongue
Action = elevates and retracts tongue
Innervation = CNXII
Which of the following extrinsic muscles of the togue protracts (protrudes) the tongue?
A. Genioglossus
B. Hyoglossus
C. Palatoglossus
D. Styloglossus
A. Genioglossus
All of the following extrinsic muscles of the tongue inserts on the lateral tongue EXCEPT:
A. Genioglossus
B. Hyoglossus
C. Palatoglossus
D. Styloglossus
A. Genioglossus
Genioglossus inserts on the body of the tongue and the hyoid bone
List all 3 of the muscles of the pharynx with their innervation:
Superior constrictor = CN X
Middle constrictor = CN X
Inferior constrictor = CN X
All of the following are constrictor muscles of the pharynx EXCEPT:
A. Lateral constrictor muscle
B. Superior constrictor muscle
C. Middle constrictor muscle
D. Inferior constrictor muscle
A. Lateral constrictor muscle
note: I made up lateral constrictor muscle…
List all 3 of the longitudinal muscles of the pharynx with their innervation:
“My Pal Sal is a 10 but his style is a 9”
Palatopharyngeus = CN X
Salpingopharyngeus = CN X
Stylopharyngeus = CN IX
All of the following muscles of the pharynx are innervated by CN X EXCEPT:
A. Superior constrictor
B. Inferior constrictor
C. Palatopharyngeus
D. Salpingopharyngeus
E. Stylopharyngeus
E. Stylopharyngeus
“My Pal Sal is a 10 but his style is a 9”
Stylopharyngeus is the only muscle of the pharynx that is innervated by CN IX (all the rest are innervated by CN X)
note: CN X is the nerve of the palate
note: CN XII is the nerve of the tongue
List all 5 of the muscles of the soft palate with their innervation:
Tensor veli palatini = CN V3
Levator veli palatini = CN X
Musculus uvulae = CN X
Palatopharyngeus = CN X
Palatoglossus = CN X
note: CN X is the nerve of the palate
note: all Tensors are CN V3
note: palatopharyngeus is a muscle of the pharynx and soft palate
note: palatoglossus is a muscle of the tongue and soft palate
All of the following muscles of the soft palate are innervated by CN X EXCEPT:
A. Palatopharyngeus
B. Palatoglossus
C. Tensor veli palatini
D. Musculus uvuulae
E. Levator veli palatini
C. Tensor veli palatini
ALL TENSORS ARE CN V3
All of the following are muscles of the soft palate EXCEPT:
A. Palatopharyngeus
B. Palatoglossus
C. Tensor veli palatini
D. Stylopharyngeus
D. Stylopharyngeus
List all of the muscles innervated by CN V3:
- Muscles of mastication
- Tensor veli palatini
- Tensor tympani
- Anterior belly of digastric
- Mylohyoid
List all of the muscles innervated by CN VII:
- Muscles of facial expression
- Posterior belly of digastric
- Stylohyoid
- Stapedius
List ALL of the muscles innervated by CN IX:
Stylopharyngeus is the only one innervated by CN 9 (LOL)
What is the ONLY muscle innervated by CN IX?
Stylopharyngeus
List all of the muscles innervated by CN X:
- All pharyngeal constrictors (superior, middle, inferior)
- 2/3 of the longitudinal muscles of the pharynx: Palatopharyngeus, Salpingopharyngeus
- All of the muscles of the soft palate EXCEPT Tensor veli palatini
List all 3 of the muscles innervated by CN XII:
All extrinsic muscles of the tongue EXCEPT palatoglossus
- Genioglossus
- Hyoglossus
- Styloglossus
List BOTH muscles innervated by C1 via CNXII:
- Geniohyoid
- Thyrohyoid
List all 3 of the muscles innervated by the Ansa cervicalis:
All of the infrahyoid muscles EXCEPT thyrohyoid
- Omohyoid
- Sternohyoid
- Sternothyroid