Group Presentations (exam 3) Flashcards
What triangle of the neck does the superior thyroid artery arise from?
Carotid triangle
Name the 5 major branches of the superior thyroid artery
Infrahyoid branch SCM branch Anterior glandular branch Superior thyroid artery Superior laryngeal artery
The infrahyoid branch of the superior thyroid artery runs deep to what muscle?
Thyrohyoid
Which branch of the superior thyroid artery anastomoses with its contralateral side?
Infrahyoid branch
Which branch of the superior thyroid artery frequently arises as a separate branch straight off of the external carotid?
SCM branch
The superior laryngeal branch of the superior thyroid artery runs deep to what muscle?
Thyrohyoid muscle
The superior laryngeal branch of the superior thyroid artery enters the larynx through the _____ with the _____
Thyrohyoid ligament
Internal laryngeal branch of the superior laryngeal nerve (vagus)
What does the superior laryngeal branch of the superior thyroid artery supply?
Mucus membrane and glands of the larynx
What artery supplies the cricothyroid muscle?
The cricothyroid branch of the superior thyroid artery
The cricothyroid branch of the superior thyroid artery varies in its course. It can either run superficial or deep to the _____. If superficial, it will be accompanied by branches of _____. If deep, it may be accompanied with the _____ nerve.
Sternothyroid
Ansa cervicalis
External laryngeal
During a cricothyroidotomy, what artery and what vein are likely to be damaged?
Cricothyroid artery branch of the superior thyroid artery
Anterior jugular vein
What branch of the superior thyroid artery supplies the thyroid gland?
Anterior glandular branch and lateral glandular branch
What branch of the superior thyroid artery anastomoses with the inferior thyroid artery from the thyrocervical trunk?
Anterior glandular branch
The vagus nerve exits the skull via what foramen?
Jugular foramen
Where does the vagus nerve have special sensation?
Pressure receptors - aortic arch
Chemoreceptors - aortic body
What nerve gives sensation to the laryngopharynx?
Vagus
The portion of the vagus nerve involved in the gag reflex arises from what nucleus in the medulla?
Nucleus ambiguous
Name the 5 branches of the vagus nerve located in the head/neck
Superior laryngeal Carotid Recurrent laryngeal Auricular Pharyngeal
Where does the auricular branch of the vagus nerve branch?
First branch, inside the skull
The auricular branch of the vagus nerve gives sensation to….
Auricle
External acoustic canal
Part of the lateral side of tympanic membrane
What branch of the vagus nerve is the principle motor nerve for the pharyngeal muscles? What pharyngeal muscle does it not innervate?
Pharyngeal branch
Does not innervate stylopharyngeous (innervated by glossopharyngeal)
What nerves make up the pharyngeal plexus?
Pharyngeal branch of vagus
External laryngeal branch of vagus
Glossopharyngeal
Sympathetics
A lot of the branches of the vagus nerve cross what artery?
Internal carotid
The carotid body is innervated by…
Glossopharyngeal
Describe the confusion with the carotid branch of vagus
The carotid body of the internal carotid artery reports to a glossopharyngeal nucleus but sometimes it runs with a vagus branch
True or false… the superior laryngeal branch combines with a sympathetic branch from the superior cervical ganglion to form the internal and external laryngeal nerves. The external laryngeal nerve gives motor to the cricothyroid by sympathetics
False. Although most of this statement is correct, the external laryngeal is actually made up of parasympathtiecs
The right recurrent laryngeal wraps around the ____ whereas the left recurrent laryngeal wraps around the ____
Right subclavian artery
Aortic arch
The recurrent laryngeal nerve ascends between what two things?
Trachea and esophagus
A unilateral lesion of the recurrent laryngeal nerve may cause what?
Hoarseness
What cranial nerve has the least amount if axons?
Trochlear
What cranial nerve has the longest intracranial length?
Trochlear
What is the only cranial nerve that arises from the brainstem dorsally?
Trochlear
Describe the pathway of the trochlear nerve. Four steps
Originates in the Trochlear nucleus
Emerges dorsally just below the inferior colliculus
Decussates around fourth ventricle
Circles anteriorly around brainstem
The abducens cranial nerve exits the brainstem at the junction between…
Pons and medulla
The glossopharyngeal nerve exits the skull via…
Jugular foramen
If the glossopharyngeal nerve goes to the superior ganglion it is _____. If it goes to the inferior ganglion it is ____
Somatosensory
Viscerosensory
Name the seven branches of the glossopharyngeal nerve
(TTLLCMP) Tympanic Lesser petrosal Carotid Pharyngeal Muscular Tonsillar Lingual
The lesser petrosal nerve goes to what ganglion? It gets there by hitchhiking with what nerve?
Otic ganglion
Auriculotemporal of V3
What branch of the glossopharyngeal nerve gives general viscerosensory of the carotid sinus and body? What kinds of receptors are located in each of these?
Carotid branch
Carotid sinus - baroreceptors
Carotid body - chemoreceptors
What branch of glossopharyngeal gives general somatosensation to the oropharynx?
Pharyngeal. This will form a plexus with motor fibers from vagus
What branch of glossopharyngeal innervates the stylopharyngeous? What type of fibers are these?
Muscular branch
Branchiomotor fibers
What branch of glossopharyngeal gives somatosenation to the palate and some mucosa of oropharynx?
Tonsillar branch
What branch of glossopharyngeal gives general somatosensation and special viscerosensory (taste) of the posterior one third of the tongue?
Lingual branch
What is glossopharyngeal neuralgia?
Blood vessel found compressing the nerve
Causes pain on one side of throat and fainting after swallowing
In abducens nerve palsy, the patient experiences double vision because the ____ muscle works without opposition. They can correct this by…
Medial lateral rectus
Turning their head sideways
True or false… the ascending pharyngeal artery has no cutaneous supply
True
Name the three main branches of the pharyngeal artery and what they supply.
Inferior tympanic - supplies inner ear
Pharyngeal branches - supplie inferior pharyngeal constrictor.
Neuromeningeal artery - has three branches
How does the neuromeningeal artery (from the ascending pharyngeal) enter the skull?
Foramen magnum
Name the three branches of the neuromeningeal artery (of the ascending pharyngeal artery), where they go, and what they supply
Hypoglossal branch (exits hypoglossal canal and feeds hypoglossal nerve) Jugular branch (exits jugular foramen and feeds 9,10,11) Posterior meningeal branch (may branch off of vertebral artery instead... feeds majority of posterior dura)