deep structures of the neck Flashcards

1
Q

what are the 4 layers of deep cervical fascia?

A
  1. investing layer
  2. pretracheal
  3. prevertebral
  4. carotid sheath
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2
Q

what does the investing layer of the deep cervical fascia enclose?

A

SCM and trapezius

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3
Q

what does the pretracheal fascia enclose?

A

thyroid gland, trachea and esophagus

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4
Q

what does the pre vertebral fascia enclose?

A

vertebral column and deep muscles of the back

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5
Q

where does the carotid sheath extend?

A

from base of skull to root of neck

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6
Q

what are the 5 structures the carotid sheath contains?

A
common carotid
internal carotid
internal jugular
vagus nerve
deep cervical lymph nodes
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7
Q

which structure exits the sheath before giving off its branches in the neck?

A

external carotid artery

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8
Q

what is the superior thoracic aperture?

A

opening through which structures of neck pass into thorax

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9
Q

what are the boundaries of the superior thoracic aperture or inlet?

A

1st thoracic vertebra
first ribs and their cartilage
manubrium of sternum

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10
Q

what are the 4 arteries that pass through the thoracic aperture?

A

Brachiocephalic trunk
Internal thoracic
Left common carotid
Left subclavian

BILL

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11
Q

what is the vein that passes through the thoracic aperture?

A

brachiocephalic

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12
Q

what are the 4 nerves that pass through the thoracic aperture?

A

Phrenic
Recurrent laryngeal
Vagus
Sympathetic trunk

People Run Very Slow

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13
Q

what are the viscera that pass through the thoracic aperture?

A
Trachea 
Esophagus
Cervical Pleura
Apex of Lung
Thymus
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14
Q

what is the name of a collapsed lung?

A

atelectasis

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15
Q

what does the thymus do?

A

part of the immune system- produces t-lymphocytes

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16
Q

what is the blood supply to the thymus?

A

internal thoracic artery

17
Q

what innervates the thymus?

A

stellate ganglion of sympathetic trunk and vagus

18
Q

what does the thyroid gland produce?

A

thyroxine and calcitonin

19
Q

where does the thyroid gland lie?

A

C5-T1

20
Q

what are the 3 anatomical variations of the thyroid gland?

A

pyramidal lobe- 50%
levator glandulae thyroidae- connects isthmus to hyoid
thyroid ima artery- from brachiocephalic trunk, always on right side 10% of people

21
Q

what are the 2 arteries supplying the thyroid gland?

A

superior and inferior thyroid arteries

22
Q

what are the 3 veins of the thyroid?

A

superior, middle and inferior

23
Q

what is the innervation of the thyroid gland?

A

superior, middle and inferior cervical sympathetic ganglia

24
Q

which nerve lies on the posterior surface of the thyroid lobe and then deep to the lobe?

A

recurrent laryngeal nerve- most important nerve of larynx

25
Q

what do the parathyroid glands do?

A

calcium homeostasis

26
Q

how many parathyroid glands are there?

A

usually 4 but varies from 2-6

27
Q

where are the parathyroid glands located?

A

small ovoid bodies located on posterior surface of thyroid gland

28
Q

what is the blood supply to the parathyroid?

A

superior and inferior thyroid arteries

29
Q

what is the innervation of the parathyroid glands?

A

from inferior or middle cervical sympathetic ganglia

30
Q

what is another name for the trachea and where does it begin?

A

“windpipe”

begins at larynx at C6

31
Q

what are the walls of the trachea supported by?

A

cartilaginous rings to prevent collapse

32
Q

what is the blood supply to the trachea?

A

inferior thyroid artery

33
Q

what is the innervation of the trachea?

A

recurrent laryngeal nerve (sensory and motor)

34
Q

where is the esophagus and what does it do?

A

begins at C6 and lies posterior to trachea and connects pharynx to stomach