Exam3Lec2DeepNeck Flashcards

1
Q

What are the anterior muscles of the deep neck?

A

rectus capitis anterior and lateralis, longus capitis, longus coli

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2
Q

What is the location, innervation, and actions of the rectus capitis anterior & lateralis?

A

Location: occipital bone–> C1 (atlas)
Innervation: C1,2
Actions: flex the head

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3
Q

What is the location, innervation, and actions of the longus capitis?

A

Location: occipital bone–> cervical vertebrae
Innervation:C1-3
Actions: flex the head

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4
Q

What is the longus capitis superior to?

A

longus coli

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5
Q

What is the location, innervation, and actions of the longus coli?

A

Location: ant to the cervical vertebrae
Innervation: C2-6
Actions: flex the head, rotate the neck

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6
Q

What are the lateral muscles of the deep neck?

A

anterior scalene, middle scalene, posteror scalene

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7
Q

What is the location, innervation, and actions of the anterior scalene?

A

Location: transverse processes (C3-6)–> rib 1
Innervation: C4-6
Actions: flex the head + neck

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8
Q

What is the location, innervation, and actions of the middle scalene?

A

Location: posterior tubercle (C5-7)–> rib2
Innervation:n/a
Actions: flex the head + neck, elevate the ribs

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9
Q

What is the location, innervation, and actions of the posterior scalene?

A

Location: posterior tubercle (C5-7)—>rib2
Innervation: n/a
Actions: Flex the head + neck, elevate the ribs

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10
Q

What is the posterior tubercle?

A

POSTERIOR PART OF TRANSVERSE PROCESS

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11
Q

Which muscles contribute to the flexion of the head?

A

rectus capitis anterior, recuts capitis lateralis, longus capitis, anterior/middle/posterior scalenes

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12
Q

Which muscles contribute to the flexion of the neck?

A

anterior/middle/posterior scalenes

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13
Q

Which muscles contribute to the rotation of the neck?

A

longus coli

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14
Q

The pre-vertebral muscles are covered by what?

A

Pre-vertebral layer of the deep cervical fascia

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15
Q

What are the contents of the scalene triangle?

A

phrenic nerve (C3-5)
roots of the brachial plexus
subclavian artery
brachiocephalic vein–> subclavian vein

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16
Q

Which structures that are in the scalene triangle is located anterior to the anterior scalene muscle?

A

brachiocephalic vein + subclavian vein are anterior to the ant. scalene

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17
Q

Which structures that are in the scalene triangle is located posterior to the anterior scalene muscle?

A

the phrenic nerve + brachial plexus + subclavian artery are posterior to the ant. scalene

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18
Q

The deep neck is supplies by branches of the subclavian artery. What are the branches?

A

Vit C & D
Vertebral artery
Internal Thoracic Artery
Thyrocervical trunk

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19
Q

How does the vertebral artery run and what does it supply

A

It enters the transverse foramen + passes post to C1
It supplies the medulla + cerebellum +spinal cord

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20
Q

How does the internal thoracic artery run?

A

passes inferior to the thorax

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21
Q

What are the branches of the thyrocervical trunk?

A

Inferior thyroid artery–> thyroid, esophagus, larynx, trachea, parathyroid glands, neck muscles
ascending cervical artery–> lateral neck muscles. Passes through the intervertebral foramen (w/spinal nerves)
suprascapula artery–>shoulder region + SCM
cervical dorsal artery

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22
Q

Where does the sympathetic innervation of deep neck come from?

A

sympathetic trunk and phrenic nerve (C 3,4,5)

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23
Q

What does the sympathetic trunk give off?

A

The sympathetic trunk gives cervical ganglia to cervical plexus (of nerves).
Superior ganglia, middle ganglia , inferior ganglia (forms stellate ganglia w/ thoracic ganglia)

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24
Q

The phrenic nerve starts at which muscle and where is the phrenic nerve located?

A

Starts lateral to the ant. scalene m–> then descends anterior to the ant. scalene m then descends ant to the ant scalene m

located b/n the subclavian artery+ vein

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25
Q

Where does the parasympathetic innervation of deep neck come from?
high yield

A

vagus nerve (CNX=10) forms recurrent laryngeal nerves

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26
Q

What are the branches of the vagus nerve that innervate the deep neck?

A

right recurrent laryngeal nerve loops inf, to the right subclavian artery (@T1,2)

left recurrent laryngeal nerve loops inf. to the aortic arch (@T4,5)

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27
Q

Where does the vagus nerve run through?

A

runs through the carotid sheath (pre tracheal layer of deep cervical fascia)

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28
Q

What are the glands of the deep neck?

A

thyroid gland, parathyroid gland

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29
Q

What is the thyroid gland and its location?

A

most anterior structure
lies antero-lateral to the trachea
thyroid material may be found in the foramen cecum

30
Q

What is the thyroid gland covered by?

A

pre-tracheal layer of deep cervical fascia

31
Q

What is the parathyroid gland and its location?

A

4 glands–> 2 on the right, 2 on the left
—right superior + inferior glands
—left superior + inferior glands
embedded in the posterior surface of the thyroid gland (this is high yield)

32
Q

What is the arterial supply and venous drainage of the thyroid and parathyroid?

A

superior thyroid artery (off external carotid a.)
inferior thyroid artery (off thyrocervical trunk=subclavian a)

venous drainage=thyroid plexus (of veins)

33
Q

What is the innervation and lymphatics of the thyroid and parathyroid?

A

innervation=cervical ganglia—> vasomotor fibers
lymphatics= prelayngeal + pre/para-tracheal lymph nodes

low yield

34
Q

Larynx is composed of _______+________

A

cartilage, muscle

35
Q

What does the laryngeal cartilage do?

A

produce sound/speech

36
Q

What are the laryngeal cartilages?

A

thyroid cartilage, cricoid cartilage, epiglottic cartilage, corniculate cartilage, cuneiform cartilage , arytenoid cartilage

37
Q

What are the paired structures of the laryngeal cartilage?

A

corniculate cartilage, cuneiform cartilage, arytenoid cartilage

38
Q

Where does the anterior and posterior vocal folds attach to?

A

ant. vocal fold attaches to laryngeal cartilage
post vocal fold attaches to laryngeal muscle (arytenoids)

39
Q

Laryngeal muscles are called “arytenoids” , what are they?

A

lateral criciarytenoid, posterior cricoarytenoid, thyroarytenoid, cricothyroid, oblique arytenoid, transverse arytenoid

40
Q

What do the lateral cricoarytenoid, posterior cricoarytenoid, and thyroarytenoid do?

A

lateral cricoarytenoid=ADductor–close vocal folds
posterior cricoarytenoid=ABductor–open vocal folds
thyroarytenoid= relax vocal fold–lower pitch + length

41
Q

What do the cricothyroid, oblique arytenoid, and transverse arytenoid do?

A

cricothyroid=tense vocal folds–incr pitch + length
oblique arytenoid=approximate vocal folds
transverse arytenoid= approximate vocal folds

42
Q

What are the muscles that bring vocal folds together (for phonation)

A

lateral cricoarytenoids=adductors
transverse arytenoiuds=approximators
oblique arytenoids=approximators

43
Q

What are the muscles that separate vocal folds?

A

posterior cricoarytenoids=ABductors

44
Q

What are the muscles that lengthen +tense vocal folds?

A

cricothyroid

45
Q

What are the muscles that shorten + relax vocal folds?

A

thyroarytenoid

46
Q

What is the vascularization of the larynx?

A

-external carotid artery–>superior thyroid artery–>superior laryngeal artery and cricothyroid artery
-thyrocervical trunk–>inferior thyroid artery–> inferior laryngeal artery
-superior laryngeal vein –> superior thyroid vein–> internal jugular vein (IJV)
-inferior laryngeal vein–> inferior thyroid vein–> left brachiochephalic

47
Q

What is the innervation of the larynx?

A

Vagus nerve CNX=10

superior laryngeal nerve-innervates cricithyroid m.

recurrent laryngeal nerve —> inferior laryngeal nerve–> innervates all laryngeal muscles (expect cricothyroid)

48
Q

The pharynx is divided into 3 regions, what are they and what do they contain?

A
  1. Nasopharynx: contains the small palate
  2. Oropharynx: contains uvula sup. + mid pharyngeal contrictor, epiglottis
  3. Laryngopharynx: contains the inferior pharyngeal constrictor
49
Q

What are the muscles of the pharynx?

A

Superior pharyngeal constrictor, middle pharyngeal constrictor, inferior pharyngeal constrictor

50
Q

What is the innervation to the constrictor muscles?

A

vagus nerve

51
Q

What is the region, PA, and DA of the SUPERIOR pharyngeal constrictor?

A

region= oropharynx
PA= pterygoid hamulus + ptergomandibular rape
DA= post. midline pharyngeal rape + occipital bone

52
Q

What is the region, PA, and DA of the MIDDLE pharyngeal constrictor?

A

region= oropharynx
PA= styloid ligament + hyoid bone
DA= pharyngeal rape

53
Q

What is the region, PA, and DA of the INFERIOR pharyngeal constrictor?

A

region= laryngopharynx
PA=thyroid cartilage + cricoid cartilage
DA= pharyngo-esophogeal junction

54
Q

What are the misc. pharyngeal muscles?

A

stylopharyngeus, salpingopharyngeus, palatopharyngeus

55
Q

What is the PA and innervation of the stylopharyngeus?

A

PA: styloid process
Innervation: glossopharyngeal n (CN IX=9)

56
Q

What is the PA and innervation of the salpingopharyngeus?

A

PA: pharyngotympanic tube
Innervation: vagus n (CN X=10)

57
Q

What is the PA and innervation of the palatopharyngeus?

A

PA: hard palate
Innervation: vagus n. (CN X=10)

58
Q

What is a tracheostomy?

A

procedure performed b/w the 2nd and 4th tracheal rings

59
Q

What is the innervation to the constrictor muscles?

A

vagus nerve

60
Q

What is this arrow pointing to?

A

thyroid gland

61
Q

What is the structure pictured?

A

thyroid gland

62
Q

What is this arrow pointing to?

A

parathyroid glands

63
Q

What is this arrow pointing to?

A

Cricothyroid muscle

64
Q

What is this arrow pointing to?

A

Crico-arytenoid muscle (posterior)

65
Q

What is this arrow pointing to?

A

Crico-arytenoid muscle (lateral)

66
Q

What is this arrow pointing to?

A

Thyro-arytenoid muscle

67
Q

What is this arrow pointing to?

A

Transverse arytenoid muscle

68
Q

What is this arrow pointing to?

A

Superior constrictor

69
Q

What is this arrow pointing to?

A

Middle constrictor

70
Q

What is this arrow pointing to?

A

Inferior constrictor

71
Q

What is this arrow pointing to?

A

Stylopharyngeus

72
Q

What is this arrow pointing to?

A

Styloglossus