Fall 2014 Exam 1

Question 1

What anatomical structures form the TMJ jiont?

Answer 1

head of mandible (biconcave) and

mandibular fossa of temporal bone (saddle)

Question 2

What structres does the stylomandibular ligament connect?

Answer 2

angle of mandible

styloid process

Question 3

What muscel draws the articular disk anteriorly when the mouth is depressed?

Answer 3

lateral pterygoid

Question 4

Which muscles depress the mandible?

Answer 4

digastric

suprahyoid

Question 5

Which muscles closes the jaw?

Answer 5

temporalis
masseter
medial pterygoid

Question 6

What are exampels of intracapsular probelms of the TMJ?

Answer 6

infection
RA
osteoarthritis
gouty arthritis
metastatic cancer
disk displacements

Question 7

What are the different classes for dental malocclusions?

Answer 7

1: molars fine, problem elsewhere
2a: overbite
2b: large overbite
3: underbite

Question 8

What does an upper molar extraction do to the TMJ?

Answer 8

Pulls maxilla inferior and lateral

tempral bone compressed into occiput

Question 9

What does a lower molar extraction do to the TMJ?

Answer 9

opposite mandibular joint becomes inferior

increased sphenomandibular strain

Question 10

What sign could you see in a hypocalcemic patient?

Answer 10

Chovik’s sign when the TMJ is tapped

Question 11

What might a click in TMJ indicate?

Answer 11

adhesions
irregualr muscle action
disc tear
osteoarthritis
occlusional imbalance

Question 12

What is the prgression og symptoms in TMJ?

Answer 12

1. opening lcick
2. closing click (reciprocal)
3. inabilty to open jaw
4. inability to close
5. crepitus/grating
6. fusion (ankylosis)

Question 13

What percent of the population suffers from TMJ?

Answer 13

20%

Question 14

What is the normla range of excursion?

Answer 14

3-6 cm openeing

1-2 cm laterally

Question 15

If the mouth first deviates to the left, which side has the dysfunction?

Answer 15

The left side

Question 16

What is Eagle’s syndrome?

Answer 16

elongated styloid process

aka stylohyoid syndrome

Question 17

What do you use to treat acute traume in TMJ?

Answer 17

ice (not heat)

Question 18

What are some meds effective against TMJ?

Answer 18

muscle relaxants
Tricyclics
given at night for a month after pain is gone

Question 19

Where does most of the venous drainage of the head go through?

Answer 19

internal jugular v

Question 20

What is Tic douloreaux?

Answer 20

dysfunction of CN V2

temporalis/sphenoid/maxilla/ mandible probelm

Question 21

Eyelid spasms is frequently seen with wchich bone problme?

Answer 21

temporral

Question 22

Bells palsy is associated with which cranial bone problem?

Answer 22

internally rotated temporal bone

Question 23

At what levels are the superior, middle, and inferior cervical anglia?

Answer 23

superior: C2
middle: C6
inferior: C7

Question 24

what are the midline bones of the cranium?

Answer 24

sphenoid, vomer, ethmoid, occiput

Question 25

Which of the pired bones is NOT influenced by the sphenoid bone?

Answer 25

mandible

Question 26

Which sinuses are absent at birth?

Answer 26

frontal and sphenoid sinuses

Question 27

what is the ethmoid sinus innervtaed by?

Answer 27

ophthalmic nerve (CNV1)

Question 28

what pitch ringing would you hear with internal and external rotation of temporal bone?

Answer 28

internal: high pitched external: low roar

Question 29

When does resp developemtn begin?

Answer 29

day 22 gestation

Question 30

When does the first round of lung branching occur?

Answer 30

5th week gestation

Question 31

Which ribs exhibit both pump and bucket handle motion?

Answer 31

ribs 1-10

Question 32

What other structures follow the aorta through the aortic hiatus in the diaphragm?

Answer 32

cisterna chyli | and lymphatics

Question 33

Where are VS reflexes most palpable for respiratory dysfynction?

Answer 33

rib angle

Question 34

Where is the asthma/bronchomotor reflex?

Answer 34

T2 left

Question 35

Where is the bronchial mucosa reflex?

Answer 35

T2-3 often right

Question 36

What are the 3 areas that impact somatic dysfucntion?

Answer 36

neural circulatory mechanical

Question 37

What genetic disorder can cause COPD?

Answer 37

a1-antitrypsin def.

Question 38

What is the OLD picture in COPD?

Answer 38

pink buffer | blue Bloater