Exam 2 Flashcards

1
Q

Where are the cell bodies located for the nerve that feeds the post. 1/3 of tongue?

A

superior and inferior glossopharyngeal ganglia

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2
Q

Which cranial nerves are extensions of the forebrain?

A

CN 1 and 2

-Nuclei aka cell bodies are not located in brainstem, for CN 1- located in olfactory nasal mucosa also called olfactory epithelium

CN2- Ganglion cells are the Retina

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3
Q

Which layer of facia in the neck contains the parotid gland?

What else does this layer contain?

A

investing layer

  • trapezious
  • SCM
  • submandibular gland
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4
Q

lacrimal gland is innervated by what nerve?

A

CN 7

close your eye make you cry, taste pie and innervates every gland in your face except the one it goes through

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5
Q

Where are the cell bodies in CN2?

A

Retina Ganglion cells— these come together and form optic nerve

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6
Q

pterygopalatine ganglia comes connects w/ what main nerve?

A

Maxillary nerve V2

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7
Q

What kind of coverings do CN’s have that differentiactes them from regular spinal nerves?

A

covered by tubular sheaths derieved by cranial meniges

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8
Q

You are walking in the jungle and you hear a lion roar. What two eye muscles are going to respond to this surprise and what are their innervations?

A

1) Levetator Palpebre- voluntary CN#3

2) Superior tarsal muscle- sympathetic response

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9
Q

Special Sensory: Hearing and Balance

A

CN 8

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10
Q

What is CN 10 parasympathetic contribution in the head?

A

NONE. NOTHING. NADAAAA

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11
Q

General Sensory of CN 7

cell bodies?

A

Skin of external acoustic meatus via posteiror auricular branch (NOTE: THIS IS 7’s ONLY GENERAL SENSORY BRANCH)
-geniculate ganglion

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12
Q

Pathway of CN 9 to Parotid gland

A

Medulla–> tympanic N–> Tympanic plexus –> Lesser petrosal N–> OTIC GANGLIA–> hitchhikes ride on auriculotemporal V3 –> parotid gland

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13
Q

Motor innervation to eye

A

CN 3: SR, IR, MR, IO
CN 4: SO
CN 6: LR

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14
Q

What 2 veins join with the EJV to flow into subclavian V or IJV?

Where do they do this?

A

Transverse cervical
suprascapular

-deep fascia (think!! this is also going to be where the inf. thyroid vein is coming in!)

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15
Q

Superior Alveolar nerves are innervated by?

Inferoior?

A

Sup- V2Maxillary

Inf- V3 Mandibular

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16
Q

What 2 veins form the external jugular?

Where do they join?

A
  • retromandibular (around front of ear)
  • posterior auricular (wraps around behind ear)

–>these connect at angle of mandible to form EJV

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17
Q

CN responsible for baroception and chemorection in the Carotid sinus and body?

A

CN 9 & 10

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18
Q

Branches of V3– Posterior Trunnk
Ganglion
Function?
Cranial Fossa?

A

Posterior–> SENSORY!!

  • Meningeal branch–> Dura Mater
  • Auriculotemporal (sens to that area)
  • Lingual (pain, temp, touch to ant 2/3 tongue)
  • Inferior Aleveolar Nerve (Sens to teeth)—> Mental N (sens to chin)

Function: Motor and Sensory
Fossa: Foramen Ovale

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19
Q

purpose of arachnoid granulations?

A

return circulating CSF to venous system

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20
Q

Innervation of genioglossus m

A

CN12– come on, you knew that!

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21
Q

General Sensory to mucosal membranes of pharynx, soft palate, posterior tongue

A

CN 9

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22
Q

describe the plica semilunaris

A

small fold of bulbar conjunctiva on the medial canthus of the eye.

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23
Q

the levator palpebrae is innervated by?

what kind of muscle is this? (smooth, voluntary, cardiac)

A

is a voluntary muscle innervated by CN3

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24
Q

Branches of Retromandibular division of Maxillary Art (in order w/ orientation)

A
S-DA: deep auricular
S-AT: anterior tympanic
P-IA: Inferior Alveolar
S-MM: Middle Meningeal
S-AM: Accessory Meningeal
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25
Q

Where does CN8 emerge from?

What fossa does it leave skull through?

A

junction of pons and medulla

Internal acoustic meatus

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26
Q

difference between the lacrimal papilla and punctum?

A
papilla = mound its sitting on 
punctum = opening to lacrimal canaliculi
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27
Q

Spinal roots of CN 11 enter cranium via which fossa?

A

Foreman Magnum

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28
Q

Name all 8 muscles that V3 innervates

A

First think Mastication:

  • Lat and Med Ptyergoid
  • massester
  • temporalis

Now think Tensors

  • tensor palatini
  • tensor tympani

Now think suprahyoid

  • ANTERIOR belly of digastric (remember CN7 does posterior belly through cervical branch)
  • mylohyoid
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29
Q

Parasympathetic pathway and function to Iris/lens

muscles?

A

CN 3 brainstem–> ciliary ganglion zzz–> short cilliary nerves–> sphincter pupillae m. which makes pupils constrict & ciliary muscles m. (lens rounds to accommodate)

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30
Q

trail of tears pathway?

A

Lacrimal gland–> Lacrimal ducts–> Lacrimal punctum–> Lacrimal caniculi –> Lacrimal sac–> Nasolacrimal duct–> inferior meatus

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31
Q

CN 12 Motor Muscles

A

Motor innervation to intrinsic and extrinsic muscles of tongue

GoSH:

  • genioglossus
  • styloglossus
  • hypoglossus
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32
Q

Motor Branches of 7?

A

“To Zanzibar By Motor Car”

Temporal, Zygomatic branches, Buccal, Mandibular, Cervical

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33
Q

Auriculotemporal nerves carries?

A
  • cut sensory fibers from V3

- Post-ganglionic parasympathetic nerve fibers from otic ganglion and CN9

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34
Q

Slipinslide coming off of Euch. tube?

A

Levator Platatini

think euch. tube is coming in medially and you already know that levator is medial to ptygoid hamulus and tensor palatini is lateral to ptygoid hamulus

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35
Q

which layer of fascia contains sympathetic trunk?

What else does this layer contain?

A

carotid sheath

-CC/IC/EC
-IJV
-CN10
Carotid sinus
-sympathetic trunk

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36
Q

Innervation to stapedius and tensor tympani muscles in ear

A

stapedius is CN7

tensor tympani CN 5

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37
Q

What CN is resposible for posterior 1/3 of tounge? Where are its cell bodies?

A

CN9- glossopharyngeal

-inferior glossopharyngeal ganglion

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38
Q

Digastric Innervation
Anterior belly?
Posterior Belly?

A

Ant belly- CN 5

Post belly- CN 7

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39
Q

Movement of eye

A

Movement is Medial (Rectus Muscles)

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40
Q

Where are ciliary and sebaceous glands in eyelids?

A

base of eyelashes

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41
Q

otic ganglia-

A

pre-ganglionic parasympethic innervation via CN9 to parotid gland to inhibit secretions

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42
Q

innervation of platysma

A

Cervical branch of CN7

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43
Q

Innervation of TM?

A

External ear: C2/C3 Lesser Occiptal, Greater Auricular
CN7- Posterior auricular branch
V3- auriculotemporal branch
10- auricular branch

External TM- CN v3- Auriculotemporal branch
CN10- aurciular branch

Internal TM: CN9: tympanic branch

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44
Q

Pharyngeal plexus

A

CN 9, X, SCG, parasym via X

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45
Q

Largest sensory ganglia we have in our bodies?

A

Trigeminal Ganglion

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46
Q

Parasympathetic to Parotid?

A

CN9

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47
Q

Which CN is resposible for the ability to taste on the anterior 2/3 of the tongue?

How does it get there?

A

CN 7 Facial- fibers travel through internal acoustic meatus, then break off into the Greater Petrosal Nerve and the Chorda Tympani, CT Nerve joins Lingual Nerve (branch of V3) to give taste to anteior 2/3 of tonuge and soft palate.

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48
Q

CN 9 only muscle innervation

A

stylophargeus

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49
Q

sympathetic pathways and function to iris/lens

What muscles does this affect?

A

spinal nerves –> SCG zzz–> carotid plexus (internal carotid artery to ophthalmic artery) –> nasociliary N (V1)
biforcates -> ->

  • > one branch: long ciliary N: dilator pupille m.
  • > ciliary ganglion (DOES NOT ZZZ) -> short ciliary nerves to dilator pupillae m. (cause eyes to dilate)
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50
Q

Where do the fibers that travel to the ptygoidpalatine ganglia go?

A

preganglionic parasympathtic fibers synapse here, while postganglionic sympanetic fibers travel through here to maxillary division to the muscus membranes of face

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51
Q

chemoception means?

A

o2 and co2 regulation

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52
Q

Thyrohyoid muscle

  • supra or infra hyoid?
  • origin?
  • innervation?
  • where does it touch the hyoid?

-what does it do?

A
  • infrahyoid
  • oblique line of thyroid cartilage
  • C1 via hypoglossal nerve #12 sheath (hitch a ride)
  • inferior border of body and greater horn of hyoid bone

-depress hyoid and ELEVATES larynx and thyroid

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53
Q

4 parasympathetic ganglia in head?

A

COPS:

Cillary, otic, pterygopalatine, submandibular

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54
Q

What is the Geniculum and why do we care about it?

A

Location where CN 7 takes sharp 90* turn

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55
Q

Where are the tarsal glands located?

A

on tarsal plate

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56
Q

Type of nerve is Lacrimal nerve?

A

SENSORY but carries sym and parasym w/ it

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57
Q

A stye is an infection of what in the eye?

A

meibowman glands or follicle

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58
Q

Ciliary Ganglia gets input from?

A
  • Sensory fibers- CN V1
  • PREsynaptic parasympathetic fibers CN 3
  • postsynaptic sympathetic fibers from internal carotid plexus
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59
Q

Baroception means?

A

blood pressure

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60
Q

Term used for the lateral and medial aspects of the eye?

A

lateral and medial canthus

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61
Q

Where does the prevertebral fascia extend to?

Contents?

A

-laterally to form axillary sheath which holds brachial plexus and axillary art

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62
Q

Role of Emissary veins?

A

connect superficial veins with dural venous sinus

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63
Q

Which part of the vestibule are the semicircular canals attached to?

A

Utricle

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64
Q

Only motor function of CN 9 goes to?

A

stylopharyngeus

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65
Q

which two structures of the eye are also skull features that are discernable on the face?

A
  • glabella (think bunny lines derm)

- supracillary arch (the ridge that is above and lateral aspect to the eyebrow )

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66
Q

What kind of fibers are in the pterygoid canal?

A

Nerve of pterygoid canal– mixed nerve

preganglionic parasympathetics from CN7- greater petrosal nerve to pterygoidpalatine gang

postganglionic sympatethic fibers from SCG on deep petrosal nerve

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67
Q

Where is pretracheal fasia located? Where is it not located? Types?

A

infrahyoid neck and blends with pericardium

muscular (infrahyoid m.) and visceral (throid, parathryoid, larynx, trachea, eso

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68
Q

Horners Syndrome

A

Ptosis-eyelid drop
Myosis-constriction
Anhidrosis- no sweat
Enophthalmos- eye sinks in

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69
Q

Nerve that serves taste for root of tongue and epiglottis

A

X

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70
Q

Fibers that feed posterior 1/3 of tongue travel in what nerve? Where are these cell bodies located?

A

CN 9

cell bodies in inferior glossopharygneal ganglion

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71
Q

What two ligaments does Chorda Tympani run superior to before joining the lingual nerve?

A

sphenomandibular and stylomandibular ligaments

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72
Q

What is the tarsal plate?

where is it?

A
  • cartilaginous plate w/i eyelid that contains tarsal glands (meibomian–aka lipid secreting glands that keep eye lubricated)
  • along palpebrae fissure
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73
Q

Cell bodies of CN 10 located?

A

sup. and inf. vagal ganglion

74
Q

greater and lesser palatine nerves carry what kind of fibers and where do they go?

A

greater goes to hard palate

lesser goes to soft palate

both are sensory nerves of maxillary division but also carry sym and parasym fibers to those mucus membranes areas as well

75
Q

In the posterior triangle, which fascia forms the roof? What about the floor?

A

Roof:
-investing fascia

floor:
-prevertebral

76
Q

Which fibers of CN2 decussate? Which do not? Why is this important?

A
  • Nasal or medial half of optic nerve cross
  • temporal or lateral half do not
  • allows depth of field or binocular vision (aka 3D)
77
Q

CN 11 Fossa

A

Jugular Foramen

78
Q

Special Sensory: Sight

CN?
Fossa?
Cell bodies?

A

CN:2 Optic
Fossa: Optic Canal
Horizontal cells receive impulse with synapse w/ Retinal Ganglion cells which converge to form optic nerve

79
Q

What is a cranial meninge?

A

coverings of the brain that are immediately internal to the cranium, create fluid filled cavity aka subarachnoid space.

80
Q

Lingual Nerve is responsible for?

This is a branch of?

A
general sensation (pain, temp touch) to ant. 2/3 of tongue
V3- mandibular
81
Q

Layers in cranium below the skull bone

A
  • Dura mater
    • periosteal layer
    • meningeal layer
  • Arachnoid mater
    • subarachnoid space
  • Pia mater
  • brain
82
Q

Lesion along R optic nerve will lead to what type of blindness and visual field?

A

Complete loss of R eye aka blindness of ipsilateral eye aka monocular vision loss

83
Q

CN 10 Motor muscles

A

Palatoglossus
Palatopharyngeus
Sup. Middle. Infer. constrictor
circothyroid

84
Q

What vessel is deep to platysma?

A

external jugular vein

85
Q

The smooth muscles near the insertion on the tarsal plate are innervated by?

Clinical significance?

A

innervated by the sympathetic nervous system!!
in a state of fight or flight the eyes are open wider. with Horner’s syndrome (loss of sympathetic innervation to the face) the patient presents with ptosis as one symptom (drooped eyelid.)

86
Q

Sympathetic innervation to cranium and face via ?
At what vertebra is this located?
Travels along?

A
  • sympathetic chain ganglia
  • superior cervical ganglia @ C1 behind carotid artery
  • Carotid artery
87
Q

Nerves w/i cavernous sinus

A

-3, 4, 6, V1, V2

NOT V3!!!!!

88
Q

Ciliary ganglia can be found on what nerve?

A

Nasociliary N (V1)

89
Q

Lateral venous lucunae

A

how the superior cerebral veins communicate with superior sagittal sinus

these are slit like openings on the lateral aspects of the cerebral veins… aka lateral venous (gap) lacunae

90
Q

Motor Innervation of CN 7 that are not the main 5 terminal branches

A
  • stylohyoid
  • post. belly of digastric
  • stapedius
  • Auricularis muscles (ant. sup. post) and occipitofrontalis
91
Q

Parasympathetic and sympathitics to eye

which CN?

A

parasym: constrict pupils
symp: dilate pupils
CN 3- oculormotor

92
Q

Fibers that feed anterior 2/3 of tongue travel in what nerve? Where are these cell bodies located?

A

Chorda Tympani

ganiculate ganglion

93
Q

medical names for upper and lower eyelids?

A

superior and inferior palpebrae

94
Q

clinical significance of emissary veins?

A

connects superficial veins with diploic veins to dural venous sinuses– these veins are VALVELESS so infections of scalp can gain access to cranial cavity.

This is why scalp wounds are taken so seriously at hospital.

95
Q

Every sympathetic axon in the head is pre or post ganglionic?

A

POSTGANGLIONIC. NO EXCEPTIONS.

96
Q

Innervation of SCM?

A
#11: motor
C2/C3--pain and proprecooception
97
Q

Main reflections of Dura mater?

A
  • falx cerebri (longitudinal cerebral fissure)
  • think, 2 halfs of brain do not connect other than the corpus cavernousum soooo the dura will go down these halfs and create a reflection*
  • tentorium cerebelli (tent over the cerebellum
  • Falx cerebelli (longitudinal that runs between cerebellums** think falx cerebri but for cerebellums**
  • diaphragma sellae: cicular extension that forms a roof over the hypophysial fossa (aka where pituitary is) this is what allows the cavernous sinus to communicate with one another
98
Q

Sympathetic path to Partoid Gland?

What do these fibers do there?

Size of fibers (aka long or short pre/post gang)

A

Spinal nerves-> SCG-> ride external carotid plexus to superficial temporal art & Maxillary Art -> partoid gland

decrease/inhibit sections

short preganglionic, long postganglionic

99
Q

Branches of Ptyergoid Division of Maxillary Art (in order w/ orientation)

A
S- DTp: Deep temporal post 
I- PTm: Medial Ptyergoid 
S-PTl: Lateral Ptyergoid
I: MA: Massesteric 
S: DTa: Deep temporal ant
I: BA: Buccal Art
100
Q

Where are cell bodies of CN 7 that are responsible for sensory information located?

A

Both- Geniculate ganglion

  • Special sensory: taste from ant. 2/3rd of tongue and soft palate
  • Somatic Sensory: skin of external acoustic meatus
101
Q

Innervation of geniohyoid

A

C1- cervical plexus

102
Q

the ptergoidpalatine artery goes through what to get to the sphenopalatine fossa?

A

the pterygoid maxillary fissure –> pterygoid palatine fossa –> sphenopalatine fossa

103
Q

V2 exits cranium through what fossa?
Ganglia?
Function?

A
  • Foramen Rotundum
  • Trigeminal ganglia
  • Somatic sensory to Maxillary division
104
Q
  • where is the levator palpebrae in relation to the superior rectus muscle?
  • Innervation?
  • function?

-What about in relation to obicularis oculi?

A
  • superior to SR
  • CN3
  • raises eyelid

OO is anterior to levator palpebrae

105
Q

Motor innervation to stylopharygeus muscle

A

CN 9

106
Q

CN responsible for gag reflex?

A

CN 9

107
Q

Platysma is innervated by?

where does it orginate?

A

CN7- consider it a facial muscle

-fascia of deltoid and pec major

108
Q

What dural sinus is contained within the falx cerebri?

what about falx cerebellum

what about tentorium cereblli?

A
  • sup. sagitial sinus, inferior sagitial sinus, striaght sinus
  • occiptal sinus
  • superior petrosal sinus & transverse sinus
109
Q

Special Sensory: Smell

CN?
Fossa?
Cell bodies?

A

CN 1: olfactory
Cribiform Plate in Ethmoid bone
Cell bodies are actually in olfactory epithemlium aka anterior extensions of forebrain

110
Q

General Sensory to internal surface tympanic membrane

A

CN 9 glossopharyngeal

111
Q

2 aspects of conjunctiva are?

A

inner aspect is called bulbar conjunctiva

outer aspect is called palpebrae conjunctiva

112
Q

What is the buccopharyngeal fascia?

A

posterior visceral layer of pretracheal fascia

113
Q

Terminal branches of V3

A
  • auriculotemporal
  • Buccal
  • inferior alveolar
  • lingual
114
Q

Vagus nerve general sensory to?

A

mucosal membranes of larynx to trachea, esophagus, viscera in chest and peritoneum.

115
Q

CNs General Sensory to External surface of tympanic membrane?

via what branch?

A

V3 via auriculotemporal branch

CN X via auricular branch

116
Q

what is the clinical signficance of the omoclavicular triangle?

A

subcalavian pulse

117
Q

Sensory ganglion of CN 7? Where can this be found?

A

genicualte ganglion, just after entering internal aucostic meatus, a short distace anteirorly into temporal bone. Also would accept geniculum

118
Q

Pathway to LG
Parasympathetic

what does it do?

A

CN7 (pons)–> through geniculate ganglion –> greater petrosal N—> ptergoidpalatine ganglion–> zzz–> zygomatic nerve of maxillary division —> to the communicating branch that connects w/ lacrimal nerve–> to lacrimal gland

increase secretions

119
Q

Lingual Art runs deep to what muscle?

A

Runs deep to hyoglossus m. to head towards tip of tongue to anastomose w/ other half

120
Q

Action of SCM?

A

(Clavicular head) Unilateral contraction: aka tilts head to same side

(Sternal Head) Contralateral rotation: tilts head to opposite side

121
Q

Short ciliary nerves are?

A

post-ganglionic parasympathetic fibers

122
Q

Branches of V2
ganglion?
Cranial Fossa?

A
  • Trigeminal ganglia
  • Foramen Rotundum
  • Zygomatic N–>Zygomatictemporal & Zygomaticfacial
  • Superior Alveolar branches & infraorbital nerve
  • ptergyopalatine ganglion (we dont know much about this yet…)
123
Q
CN Motor function to 
Eye
Mastication
Face
Pharynx
Larynx
Neck & Back
Tongue
A
Eye: 3, 4, 6
Mastication 5
Face 7
Pharynx 9 & 10
Larynx 10
neck and back: 11
Tongue 12
124
Q

Motor Branch of CN5 goes to what muscles?

A

Massester, temporalis, medial and lateral pterygoids, tensor tympani, tensor veli palatini, mylohyoid, Ant belly of digastric

125
Q

Sensation of anterior 2/3 of tongue pathways

A

lingual nerve (v3) –> V3–> trigeminal ganglion –> pons CN 5 (principal sensory nucleus )

126
Q

3 layers of deep fascia?

A
  • investing
  • prevertbral
  • pretracheal
127
Q

pathway of taste on anterior 2/3 of tongue

A

lingual nerve (V3) –> chorda tympani–> genuiclate ganglion–> pons CN7 (Nuclei of solitary tract)

128
Q

Terminal branches of CN7?

function? (Motor/sensory/both?)

A
MOTOR
To- temporal
Zanzibar- Zygomatic
By-buccal
Motor-Mandibular
Car-Cervical
129
Q

Where are the cilliary and sebacious glands in the eyes located?

If these glands were to get clogged, what would be the clinical significance?

A

based of eyelashes on lids

STYE-infection of the follicle or associated glands

130
Q

What does R Homonymous Hemianopsia with macular sparing mean? Where is this lesion?

A

Lesion along opitic radiation along L side.

Vision- can not see R vision field in either eye, except out of macula (so still retain 20/20..?)

131
Q

Where are the cell bodies of CN 8 located? Where do they snyapse?

A

Vesibular aspect- Vestibular ganglion
sna-vestibular nuclei
Cocholear aspect- Cochlear ganglion
snap-cochlear nuclei

132
Q

If you look up to the left at a plane passing over. Which aspect of the retina in the L and R eye are having light hit it? Which visual coretx is this information processed in?

A

Looking up to the L

  • Info process in R visual cortex
  • in R eye: lateral aspect of retina
  • in L eye: medial aspect of retina
133
Q

CN that supply General Sensory information

A

5- Trigeminal (opthalmic, maxillary, manidbular div)
7-Facial (small portion of external acoustic meatus) via post. auricular branch)
9- oropharynx, carotid body/sinus, post 1/3 tongue, middle ear (internal tympanic membrane and eustachian tube)
10- external surface of tympanic membrane

134
Q
  • superior tarsal muscle– where is it?
  • attaches to which muscle:
  • Innervation?

clinical significance?

A

-most anterior aspect of levator palpebrae muscle
-A: the levator palpebrae muscle and the tarsal plate.
Innervation: sympathetic innervation.

-prevents drooping of the eyelid.
loss of sympathetic activity – ptosis
a symptom of Horner’s syndrome

135
Q

CN responsible for gag reflex

A

CN 9

136
Q

Parasympathetic CN

A

3
7
9

137
Q

space between the bulbar and palpebrae conjunctiva?

A

conjunctival sack— theortical space because its actually filled w/ tears

138
Q

Where does CN 9 emerge from in brain?

Where does it leave cranium?

A

Emerge from lateral aspect medulla

leave cranium through jugular foramen

139
Q

What is a granular foveola?

A

indentation of skull by arachnoid granulation

140
Q

Order of descending structures form the greater petrosal groover?

A

greater petrosal nerve groove (temporal bone)
tensor tympani
Euchstacian tube
tensor veli palatini

141
Q

Parasympathetics in salivary glands will do what?

A

increase salvation, rest and digest helloooo

142
Q

What laterally closes the retropharyngeal space?

A

Carotid sheath

143
Q

If a tarsal gland were to get clogged, what would be the clinical significance?

A

Chalazion

144
Q

Smooth muscles glands are innervated by?

A

Sympathetic system- vasoconstriction, vasodilation

145
Q

Innervation of mylohyoid

A

v3 baby–lingual N

146
Q

V1 Branches:

Cranial Fossa?

A

All go through supraorbital fisssure

  • Frontal–> supraobrital & supratrochlear
  • Nasocilliary–> Ant + Posterior Ethomoidal nerve & Long Cillary + Cilliary Ganglion –> short cilliary
  • Lacrimal Nerve–> lac gland
147
Q

Which CN provides sensory taste information to root of the tonuge and epiglottis?

A

CN 10

148
Q

General Sensory to the external ear is carried by branches of which CN?

A

V3, 7, 10

149
Q

CN that is involved in general sensory to mucosal membranes of pharynx, soft palate, and posterior tongue?

A

CN 9

150
Q

Sympathetic fibers get to their target organs in the face by?

A

following arteries as highways

151
Q

aspect of eye where tears flow to?

A

Lacrimal lake or Lacrimal Lucuna

152
Q

path of cerebral vein to dural sinus

A

cerebral veins are within subarachnoid space so it will pierce through the arachnoid mater, and the meningeal dura mater to the dural venous sinus which live in between the dural folds/reflections.

153
Q

EJV drains what aspect of head?

A

Scalp and side of face

154
Q

What does the EJC hind behind?

A

SCM

155
Q

Nerve point?
What is this?
Where can you find it?
What does it contain?

A
  • target for local anesthesia due to the congregations of 3 sensory branches
  • Midpoint of posterior SCM border

contains 3 sensory branches: Great Auricular, transverse cervical, supraclavicular

156
Q

If you were looking for the lesser occipital nerve.. what landmark could you use to find it?

A

-ascends behind ear to the mastoid process

157
Q

If you were looking for the great auricular nerve, what landmark could you use to find it?

A

heads towards ear, posterior to ***external jugular

158
Q

What does the transverse cervical nerve provide?

A

somatosensory to !!!anterior triangle of neck

159
Q

What does the supraclavicular nerve provide?

A

somatosensory over clavicle acromion, and upper 2 ribs

160
Q

What is the only sensory nerve in the cervical plexus that runs anterior?

A

transverse cervical!!!

161
Q

If you were to put a nerve block in the brachial plexus, where would you aim?

A

between anterior and middle scalene

-superior to the midpoint of the clavicale

162
Q

What nerve runs over the anterior scalene?

A

PHRENIC

163
Q

Muscles of the posterior triangle?

A

Splenius, levator scapulae, ant and middle scalene

164
Q

You are about to perform surgery on the neck, and the pt is curious as to where is CN 11 runs. You get out a sharpie and draw it on his neck. Where do you draw this line?

What does it do?

A

ear lobe to the acromioclavicular joint (where scapula and clavicle meet on the shoulder)

runs behind SCM and then dives under trapezius

Motor to trap and SCM

165
Q

which triangle of the neck contains the motor elements of the cervical plexus?

A

Anterior!!!

166
Q

In what fascia layer due the muscles in the posterior neck belong?

A

Prevertebral

– excluding SCM and Trap

167
Q

Which veins run anterior to the anterior scalene?

A

IJV and subclavian

168
Q

Vessels off of thryocervial trunk?

A
  • inferior thyroid
  • transverse cervical
  • suprascapular
169
Q

1st branch off the subclavian art?

A

verebtral then thryocervical trunk, then costocervical trunk

170
Q

the anterior scalene seperates which two vessels?

A

Subclavain vein runs anterior while subcalvian art runs posterior to anterior scalene

171
Q

Brachial plexus is formed by which rami from which spinal roots?

A

ventral rami
c5-t1

come on, you knew that!

172
Q

Superior trunk contains which roots of brach. plexus?

A

C5 & 6

173
Q

which nerves innervate rhomboids and levator scapulae?

A

C5 via dorsal scapular nerve off brach. plexus

174
Q

What m. is/are innervated by long thoracic?

A

serratus anterior

175
Q

What m. are innervated by suprascapular?

A

-supraspinatus and infraspinatus m.

176
Q

Roots of Long thoracic N?

A

C5, 6, 7

177
Q

Which nerves innervate serratus anterior, what are their roots?

A

C5, 6, 7 via long thoracic

178
Q

Which nerves innervate supra and infraspinatus, what are their roots?

A

C5, C6 via suprascapular N

179
Q

What are the structures along the midline of the anterior triangle?

-what is the structure at the most inferior angle of the anterior triangle of the neck?

A

trachea, thyroid, larynx, hyoid

jugular notch of the manubrium

180
Q

Name four divisions of anteiror triangle?

A

-submandibular, submental, carotid, musclar