Gross Block B I dont know still Flashcards
facial artery anastomoses with
opthalmic artery
where is the otic ganglion?
in the TMJ
where is the pterygoid fovea?
on the neck of the mandible
CN V3 contains what kinds of fibers?
GSA and SVE
CN V3 innervates the muscles of mastication, the anterior belly of diagastric, the mylohyoid, and ________
tensor tympani and tensor veli palatini
what nerves come off undivided trunk of V3?
nerve to tensor tympani, nerve to tensor veli palatini, nerve to medial pterygoid, and recurrent meningeal n
nerves coming off anterior division of V3
masseteric, deep temporal, lateral pterygoid, long buccal
posterior division of V3 gives off what nerves?
inferior alveolar (which gives off n to mylohyoid), lingual n, and auriculotemporal n
components of chorda tympani
GVE parasympathetics
parasympathetics of chorda tympani synapse in
the submandibular ganglion
lesser petrosal nerve is a branch of CN ___
IX
lesser petrosal nerve contains parasympathetics that synapse in the _____ ganglion and they act on the _______
- otic
- parotid gland
how does lesser petrosal nerve get to parotid gland?
rides on auriculotemporal n
4 branches of first part of maxillary artery
deep auricular, anterior tympanic, inferior alveolar, and middle meningeal
4 branches of 2nd part of maxillary artery
deep temporal, pterygoid branches, masseteric, and buccal
edge of tentorium cerebelli where brain stem exits is called
tentorial incisura
describe pathway of CSF from the lateral ventricles to the subarachnoid space around brain and spinal cord
lateral ventricles–> foramen of monro–> third ventricle–> cerebral aqueducts of sylvius–> fourth ventricle–> lateral foramina of Luschka and media foramen of Magendie–> cisterna magna–> subarachnoid space
normal pressure hydrocephalus-
a particular form of communicating hydrocephalus characterized by enlarged cerebral ventricles
what part of sphenoid bone contributes to roof of orbit
lesser wing of sphenoid
what part of sphenoid bone contributes to the medial wall of orbit
body of sphenoid
ecchymosis-
bruising
proptosis-
anterior dislocation of eyeball
superior orbital fissure is between:
lesser and greater wings of sphenoid bone
3 nerves not surrounded by annular tendon
lacrimal, frontal, and trochlear
periorbita-
periosteum of the orbit
periorbita is loosely attached everywhere except at
the sutures and apex of the orbit
increased intracranial pressure at the optic disc causes
papilledema
fascia bulbi (tenons capsule)-
separates the eye from fat and the rest of the orbit, connecting to the sclera at the optic nerve
tarsal glands secrete
meibum
palpebral conjunctiva-
thin mucous membrane that covers the internal part of the eye lid
bulbar conjunctiva-
thin mucous membrane that covers the surface of the eyeball
describe the path of a tear
lacrimal gland–> lacrimal duct–> superior and inferior lacrimal puncta–> lacrimal canaliculus–> lacrimal sac–> nasolacrimal duct–> inferior meatus of nasal cavity
pars lacrimalis-
muscle that goes behind nasolacrimal sac and contracts when we blink to compress nasolacrimal sac. once released, a suction is created that pull tears through the lacrimal canaliculi and over the eyeball
levator palpebrae superioris origin
roof of the orbit
superior oblique origin
roof of orbit
inferior oblique origin
orbital surface of maxilla
intorsion of eyeball
medial tilting
extorsion of eyeball
lateral tilting
when the eye is fully abducted, what muscles elevate and depress eye?
superior and inferior rectus muscles
when eye is fully adducted, what muscles elevate and depress the eye
inferior and superior oblique
the only cranial nerve that exits the brainstem from the dorsal surface
trochlear nerve
3 routes of sympathetics from internal carotid plexus to ciliary ganglion:
- sympathetic ramus–> short ciliary nerve
- opthalmic artery–> long ciliary nerve
- sensory ramus of ciliary ganglion
1 and 3 go through ciliary ganglion
2 routes of sympathetic innervation to superior tarsal muscle:
- along lacrimal artery–> lateral palpebral branches of muscle
- along opthalmic artery–> ciliary ganglion–> short ciliary nerves–> medial palpebral branches
sympathetic innervation to lacrimal gland route
superior cervical ganglion–> depp petrosal nerve–> nerve to pterygoid canal–> pterygopalatine ganglion–> short pterygoid nerve–> communicating nerve–> joins lacrimal nerve
parasympathetic innervation of the eye route
edinger wesphal nucleus (preganglionic)–> rides CN III–> motor ramus of ciliary ganglion–> synapse in ciliary ganglion–> short ciliary nerves (postganglionic)–> constrictor pupillae muscles
parasympathetic innervation of lacrimal gland route
superior salivatory nucleus–> rides CN VII through internal auditory meatus–> through geniculate ganglion–> greater petrosal nerve–> nerve to pterygoid canal–> synapse in pterygopalatine ganglion–> pterygoid nerve–> zygomatic nerve–> communicating branch–> zygomaticotemporal nerve–> lacrimal nerve
3 main branches of opthalmic nerve
lacrimal, frontal, and nasociliary
4 branches of nasociliary nerve
long ciliary, posterior ethmoidal, infratrochlear, and anterior ethmoidal
anterior ethmoidal subdivides into 2 branches
meningeal branch and nasal branch
cornea is innervated by
V1
freely moveable, tender lymph nodes indicate
infection
hard, immovable lymph nodes indicate
carcinoma
lymphangitis-
inflammation of lymph vessel
lymphadenitis-
inflammation of lymph node
collar nodes-
ring of lymph nodes at the junction of the head and neck
postauricular nodes are located near
mastoid process
buccal nodes drain lymph from
cheek and area under orbit
parotid nodes are located where
within the parotid gland. they are deep to the superficial parotid nodes
supraclavicular nodes are located where?
lower portion of posterior triangle
mastoid nodes are located where?
inferior to omohyoid
which nodes are the last stop before entering thoracic duct?
mastoid nodes
base of the tongue drains into what lymph nodes?
jugulodiagastric node
how do sympathetics reach V2 from internal carotid plexus?
leave ICP as deep petrosal nerve–> joins greater petrosal as nerve to pterygoid canal–> pterygopalatine ganglion–> V2
how do sympathetics go to lacrimal gland without hopping on V2?
ICA–> opthalmic artery–> lacrimal artery
when chorda tympani (carrying preganglionic parasympathetics) splits from CN VII, how does it get to submandibular and sublingual glands?
it exits the petrotympanic fissure into the ITF–> joins lingual nerve–> the glands
how does V2 provide parasympathetics to zygomatic branch of V2?
gives off greater petrosal nerve at the geniculate ganglion…. you know the rest
how does glossopharyngeal nerve provide parasympathetics to parotid gland?
after CN IX leaves jugular foramen–> gives off tympanic branch–> through tympanic canaliculus –> tympanic plexus–> lesser petrosal nerve–> foramen ovale–> synapses on otic ganglion–> jumps on auriculotemporal–> jumps off at parotid gland
where do parasympathetics arise for CN X
dorsal motor nucleus of X
list what these vertebral levels correlate to in the neck: C2 C3 C4 C5 C6 C7
C2- superior cervical ganglion
C3- hyoid bone
C4- common carotid artery bifurcation and superior border of thyroid cartilage
C5- remainder of thyroid cartilage
C6- cricoid cartilage, middle cervical ganglion, larynx becomes trachea, pharynx becomes esophagus
C7- stellate/inferior cervical ganglion
prevertebral fascia-
contains all deep mm associated with articulation of vertebrae. axillary sheath is a continuation of prevertebral fascia
the fascia covering anterior part of trachea
pretracheal fascia
fascia covering esophagus posteriorly below C6
visceral fascia
fascia covering esophagus posteriorly above C6
buccopharyngeal fascia
cervical plexus-
composed of ventral rami of C1-C4 spinal nerves, motor, and sensory branches
lesser occipital nerve is a branch of
ventral primary rami of C2
greater occipital nerve is a branch of
dorsal ramus of C2
great auricular nerve is a branch of
C2/C3
great auricular nerve is sensory to
skin and sheath of parotid gland, piece of skin over ear
transverse cervical nerve is branch of
C2/C3