Head Flashcards
What are the two parts of the external cranium?
- neurocranium
- fascial skeleton
What are the two parts of the neurocranium?
- calvaria
- cranial base
Identify
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- frontal
- nasal
- maxilla
- zygomatic
- mandible
Identify
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- supra-orbital foramen
- nasion
- glabella
Identify
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- infra-orbital foramen
- mental foramen
- mental protruberance
Identify
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- frontal
- maxilla
- zygomatic
- sphenoid
- lacrimal
- ethmoid
- palatine
Identify the openings
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- superior orbital fissure
- optic canal
- inferior orbital fissure
What passes through the openings?
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- CN 3, 4, 6, and V1
- CN 2 (optic n.)
- CN V2
Identify
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- maxilla
- ethmoid
- inferior nasal concha
- vomer
Identify
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- frontal
- nasal
- maxilla
- palatine
- occipital
- sphenoid
- ethmoid
Identify
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- frontal
- nasal
- maxilla
- lacrimal
- inferior nasal concha
- palatine
- sphenoid
- occipital
Identify
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- head of condylar process
- neck of condylar process
- coronoid process of mandible
- mental protuberance
- mental foramen
- body of mandible
- angle of mandible
- ramus of mandible
- condylar process
Identify
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- frontal
- parietal
- occipital
- sphenoid
- temporal
- styloid process
- zygomatic
- lacrimal
- maxilla
- nasal
Identify
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- coronal suture
- pterion
- temporal fossa
- zygomatic arch
- mastoid process
- external acousic meatus
Identify
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- coronal suture
- sagittal suture
- lambdoid suture
- lambda
- bregma
Identify
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- occipital
- temporal
- sphenoid
- maxilla
- palatine
What bones make up the hard palate?
- maxilla
- palatine
What allows the head to nod?
- occpital condyle on C1
Identify 1
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1A. occipital condyle
1B. foramen magnum
1C. external occipital protuberance (EOP)
Identify 2 & 3
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2A. mastoid process
2B. styloid process
2C. stylomastoid foramen
2D. jugular fossa (foramen)
2E. carotid canal
3A. foramen ovale
What is the landmark to find the foramen ovale?
- tiny round hole just posteriolateral
What bones create the coronal suture?
- frontal
- R/L parietal
What bones create the sagittal suture?
- R & L patietal
What bones create the lambdoid suture?
- occipital
- R/L parietal
What bones create the squamous suture?
- temporal
- parietal
- sphenoid
Identify
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- coronal
- lambdoid
- squamous
- sagittal
What is at the junction of the coronal and sagittal sutures?
bregma
What is at the junction of lambdoid and sagittal suture?
lambda
What is the junction of the fontal, sphenoid, temporal, and parietal bone?
pterion
What are the three regions of the internal cranium?
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- anterior fossa
- middle fossa
- posterior fossa
Identify
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- cribiform plate
- lesser wing of sphenoid
- openings for CN1 (olfactory)
Identify
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- greater wing of the sphenoid
- sella turcica
- optic canal
- superior orbital fissure
- forament rotundum
- foramen ovale
* landmark to find foramen ovale
What sits in the sella turcica?
pituitary gland
What goes through the optic canal?
CN 2 (optic)
What goes through the superior orbital fissure?
V1
What goes through foramen rotundum?
V2
What goes through foramen ovale?
V3
Identify
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- internal acoustic meatus
- jugular foramen
- hypoglossa canal
- foramen magnum
What exits the internal acoustic meatus?
CN 7 & 8
What exits the hypoglossal canal?
CN 12
What passes through the openings?
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- CN 1
- CN 2
What passes though the openings?
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- CN 3, 4, 6 and V1
- V2
- V3
What passes though the openings?
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- CN 9, 10 & 11
- CN 12
- spinal cord and vertebral a.
- CN 7 & 8
What passes though the openings?
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- V2
- internal carotid a.
- CN 7
- CN 9, 10, 11
- spinal cord and vertebral a.
What passes through the openings?
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- V1
- CN 2
- CN 3, 4, 6, and V1
- V2
- V2
- V3
Identify
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- nasion
- glabella
- zygomatic arch
- supraorbital foramen
- infraorbital foramen
- mental protuberance
- mental foramen
What innervates the facial muscles?
CN 7 (facial)
What is th action of the palpebral portion of the orbicularis oculi?
gently closes the eyelid
What is the action of the orbital portion of the orbicularis oculi?
tightly closes the eyelid
What is the action of the nasalis muscle?
flares the nostrils
Identify
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- occipitofrontalis
- A - palpebral portion; B - orbital portion
- nasalis
- orbicularis oris
- buccinator
- mentalis
Identify
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buccinator
Identify
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mentalis
What is the action of mentalis?
pouting
What does CN 7 innervate?
- facial muslces
- platysma
What is the path of CN 7?
- emerges from stylomastoid foramen
- divides into 5 branches
- passes through parotid gland
What is Bell’s Palsy?
- transient paralysis of facial M. 2ndary to CN 7 impairment/compression
What does CN 5 innervate?
sensory of the face
Identify
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- V1
- V2
- trigeminal ganglion
- V3
What innervates each area?
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A. V1
B. V2
C. V3
What is trigeminal neuralgia?
- servere facial pain 2ndary CN 5 (V2) impairment
How is CN 5 impaired in trigeminal neuralgia?
- compression from vessel
What are the two layers the dura mater?
- external periosteal
- internal meningeal
Identify
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- falx cerebri
- falx cerebelli
Identify
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tentorium cerebellum
What is formed between the periosteal and meningeal layers of the dura?
- dural venous sinuses
What empties into the dural sinues?
- large v. of brain
- CSF
Where do the dural sinues drain?
internal jugular v.
Identify
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- superior sagittal sinus
- inferior sagittal sinus
- straight sinus
Identify
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- straight sinus
- transverse sinus
- sigmoid sinus
Identify 1-6.
- What are the lines in the subarachnoid space?
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- falx cerebri
- pia mater
- subarachnoid space
- arachnoid mater
- dura mater
- arachnoid granulation
- arachnoid trabeculae
What are the 3 main regions of the brain?
- cerebrum (lobes)
- cerebellum
- brainstem
Identify
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A. frontal
B. parietal
C. occipital
D. temporal
Identify
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- cerebellum
3A. brainstem - midbrain
3B. brainstem - pons
3C. brainstem - medulla
What is the function of the ventricular system?
- produces and circulates CSF
Identify
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- lateral ventricle
- interventricular foramen
- third venticle
- cerebral aquaduct
- fourth ventricle
Where is CSF produced in the ventricular system?
- choroid plexus in the lateral, third, and fourth ventricles
What is the pathway of CSF secretion and absorption?
- production in choroid plexus
- flows through ventricular system
- exits median aperture
- circulates in subarachnoid space
- arachnoid granulations with oneway valves to dural sinus
How does the CSF exit the subarachnoid space and enter dural sinuses?
- oneway valves controled by pressure gradient
Identify
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- Circle of Willis
Identify
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- anterior cerebral a. (ACA)
- anterior communicating a.
- middle cerebral a (MCA)
- posterior communicating a.
- posterior cerebral a. (PCA)
- basalar a.
- ICA
Identify
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- anterior communicating a.
- anterior cerebral a. (ACA)
- middle cerebral a. (MCA)
- posterior communicating a.
- basilar a.
- posterior cerebral a. (PCA)
- ICA
What bones make up the rim of the orbit?
- frontal
- temporal
- maxillary
What bones make up the bowl of the orbit?
- sphenoid
- lacrimal
- ethmoid
- palatine
Identify
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medial and lateral canthus (angles)
What is the space between the eyelids?
palpebral fissure
Identify
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- palpebral conjunctiva
- bulbar conjunctiva
- inferior conjunctival sac
Identify
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conjunctivitis
Identify
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subconjunctival hemorrhage
Identify
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meibomian gland (aka tarsal gland)
What is the function of the meibomian gland?
sebaceous gland that secretes lipid fluid to lubricate and optimize the “mechanics” of tear fluid and eyelids
levator palpebral superioris action
elevate and retract eyelid
levator palpebral superioris innervation
CN 3
superior tarsal m. action
smooth m. that assists with raising eyelid
superior tarsal m. innervation
sympathetic system
ptosis
damage to either muscle or nerve leading to eyelid drooping
Identify
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- levator palpebral superioris m.
- superior tarsal m.
Identify
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- lacrimal gland
- lacrimal lake
- lacrimal punctum
- lacrimal canaliculi
- lacrimal sac
- nasolacrimal duct
What direction do tears flow?
superiorlateral to medial
Where does the nasolacrimal duct drain?
inferior nasal meatus
Identify
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- fibrous (outer) layer
- vascular (middle) layer
- inner layer
What are the layers of the eyeball?
- fibrous (outer) layer
- vascular (middle) layer
- inner layer
What is the “white of the eye”?
sclera
What is the function of the sclera?
attachment of extraoccular m.
What is the transparent (clear) portion of the eye?
cornea
What are the contents of the fibrous layer of the eyeball?
- sclera
- cornea
What are the contents of the vascular layer of the eyeball?
- choroid
- ciliary body
- iris
What is the choroid portion of the vascular layer of the eye?
dense vascular bed
What gives the eye the “red eye” look in pictures?
choroid
What is the function of the ciliary body?
attachment for lens
Identify
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- choroid
- ciliary body
What does the ciliary body produce?
aqueous humor
What is the function of the iris?
controls the amount of light entering the eye
What is the iris?
contractile ring that lays on the anterior surface of the lens
Identify
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- iris
What is the content of the inner layer of the eyeball?
- retina
What are the two portions of the retina?
- optic
- non-visual
What makes up the optic portion of the retina?
- optic disc
- optic cup
- macular of retina
- fovea centralis
Identify
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- A - optic portion of retina; B - nonvisual portion of retina
- macula of retina & fovea centralis
- optic disc and cup
Identify
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- optic disc
- optic cup
How do you determine the R eye vs. L eye?
optic disc is medial to fovea centralis
When doing an eye exam, what do you look for?
- integrity of the blood vessels - AV knicking
What is the pathway that light travesl to the retina?
- cornea
- aqueous humor
- lense
- vitrious humor
What is cataracts?
opacities that accumulate in the lens
Identify
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- cornea
- aqueous humor
- lens
- vitrous humor
- cataracts
How is aquous humor secreted and drained?
- produced in ciliary process of ciliary body
- secreted into posterior chamber
- flows into anterior chamber
- drains int scleral venous sinus
Identify
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- posterior chamber
- anterior chamber
- scleral venous sinus (canal of Schlemm)
What is glaucoma?
- drainage canal blocked leading to a build-up of fluid
- increased pressure damages blood vessels and optic n.
Which of the extraoccular muscles are innervated by CN 3?
- medial rectus
- superior rectus
- inferior rectus
- inferior oblique
Which of the extraoccular muscles is innervated by CN 4?
- superior oblique
Which of the extraoccular muscles is innervated by CN 5?
- lateral rectus
Identify
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- medial rectus
- superior rectus
- inferior rectus
- inferior oblique
- superior oblique
- lateral rectus
- levator palpebral superior
What is the action of medial rectus?
- adduction
- convergence
What is the action of superior rectus?
- elevation
What is the action of the inferior rectus?
- depression
What is the action of the inferior oblique?
- looks up and in
What is the action of superior oblique?
- looks down and in
What is the action of lateral rectus?
- abducts
Identify
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- superior oblique
- medial rectus
- levator palebrae
- superior rectus
- lateral rectus
Identify
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- superior oblique
- levator palpebra superior
- superior rectus
- lateral rectus
- inferior oblique
- inferior rectus
- medial rectus
How do you distinguish between R and L eyes based on muscles?
superior obliqe is medial
What is a physical test for the eye muscle actions and innervations?
H test
Identify
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- ophthalmic a.
- central retinal a.
Identify
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mandibular foramen
What is the track of V3 through the mandible?
- enters the mandibular foramen
- body of the mandible
- exits the mental foramen
Identify
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- head of condylar process of mandible
- articular disc
- mandibular fossa of temporal bone
- articular tubercle of temporal bone
Identify
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- TMJ joint capsule
What are the TMJs two movements?
- rotation
- translation
What movement occurs first when opening the jaw?
rotation
Identify
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- temporalis
- masseter
Which muscles open the jaw?
- temporalis
- masseter
- medial pterygoid
Which muscle closes the jaw?
- lateral pterygoid
What innervates the muscles of mastication?
CN 5
Identify
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- medial pterygoid
- lateral pterygoid
What does lateral pterygoid attach to?
TMJ articular disc
What is a distinguishing feature of lateral pterygoid?
two bellies
Identify
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- medial pterygoid
- lateral pterygoid
Identify
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3A. platopharyngeus
3B. platoglossus
3C. musculus uvulae
Identify
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A. platopharyngeus
B. platoglossus
C. musculus uvulae
- tonsils
What innervates the soft palate?
Sensory
CN 5 (V2)
What innervates the soft palate?
Motor
CN 10
What innervates the pharynx?
Sensory
CN 9
What innervates the pharynx?
Motor
CN 10
What is the clinical test for the integrity of CN 9 & 10?
- Say “Ahhh”
- Gag reflex
How should the uvula look and move?
- symmetrical
- elevate along the midline
How does the uvula look when there is a pathology?
deviates to the “strong”/uninjured side
What are the regions of the tongue?
- root
- body
- apex
- inferior surface
Identify
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- root of tongue
- body of tongue
- apex of tongue
- inferior surface of tongue
- hyoid bone
Identify
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- root
- body
- apex
Identify
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4A. frenulum
4B. Wharton’s ducts
What is the tongue?
mass of muscles that is mostly covered by mucosa
What are the extrinsic tongue muscles?
- genioglossus
- hyoglossus
- styloglossus
- platoglossus
Identify
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- genioglossus
- hyoglossus
- styloglossus
- platoglossus
Identify
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platoglossus
All the muscles of the tongue are innervated by ______ except _______ m. which is innervated by _______.
- CN 12 - hypoglossal
- platoglossus
- CN 10
What is the clinical test for the integrity of tongue movement?
- “Stick out your tonuge”
What is normal tongue movement vs. pathological?
- normal - apex remains midline and symetrical
- pathological - deviates towards “weak” side
What are the three salivary glands?
- submandibular
- sublingual
- parotid
Where is the submandibular gland located?
- submandibular triangle
What is the opening for the submandibular gland?
- Wharton’s duct
Identify
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submandibular gland
Where is the sublingual gland located?
- floor of the mouth
Where does the sublingual gland drain to?
multiple openings in the floor of the mouth
Identify
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- sublingual gland
Identify
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- submandibular gland
1B. Wharton’s duct
- sublingual gland
Where is the parotid gland located?
- anterior & inferior to external acustic meatus
- between ramus and mastoid process
What travels throught the parotid gland?
CN 7 - facial n.
Identify
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- parotid gland
- Stensen’s (parotid) duct
What is the path of Stensen’s duct?
- penetrates buccinator
- superficial to masseter
- opens into oral vestibule near upper 2nd molar
Identify
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- Stensen’s duct
Identify
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- Stensen’s duct
Identify
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- parotid gland
- maseter
- facial a.
Identify
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1A. cribiform plate on the ethmoid bone
2A. perpendicular plate on the ethmoid bone
2B. vomer
2C. septal cartilage
3A. palatine process of maxillary bone
3B. horizontal plate of palatine bone
What are the regions of the nose?
- roof
- septum
- floor
What makes up the roof of the nose?
cribiform plate of the ethmoid bone
What makes up the septum of the nose?
- perpendicular plate of the ethmoid
- vomer
- septal cartilage
What makes up the floor of the nose?
- palatine process of the maxillary
- horizontal plate of the palatine
Identify
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- inferior nasal meatus
- inferior nasal conchae
- middle nasal meatus
- middle nasal conchae
- superior nasal meatus
- superior nasal conchae
Where is the opening to the nasal lacrimal duct?
inferior to inferior nasal concha
Identify
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- middle nasal concha
- middle nasal meatus
- inferior nasal concha
- inferior nasal meatus
What are the regions of the nose?
- vestibule area
- respiratory area
- olfactory area
What is the vestibule area of the nose?
opening
What is the function of the respiratory area?
warms/humidifies air
What is the function of the olfactory area?
contains CN 1 endings to detect smell
Identify
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- vestibular
- respiratory
- olfactory
What are the paranasal sinuses?
- frontal
- ethmodial
- sphenoidal
- maxillary
Where does the frontal sinus open to?
- frontal bone
- middle nasal meatus
Where does the ethmoidal sinus open to?
- ethmoid cells
- superior and middle nasal meatus
Where does the sphenoidal sinus open to?
- body of sphenoid
- superior/posterior nasal cavity
Where does the maxillary sinus open to?
- middle nasal meatus
What is maxillary sinusitis?
- maxillary sinus infection
Which of the sinuses is most commonly infected?
- maxillary sinus
Which of the sinuses is the largest?
- maxillary
Identify
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- frontal
- ethmoidal
- maxillary
- sphenoid
Identify
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- frontal
- ethmoidal
- sphenoid
Identify
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- frontal
- ethmoidal
- maxillary
What are the structures of the external ear?
- auricle (aka pinna)
- external acoustic meatus
- tympanic membrane
Identify
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- pinna
- lobule
- tragus
Identify
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- external acoustic meatus
- tympanic membrane
What directon does the tympanic membrane face?
oblique
What is the umbo?
- deepest concavity on the TM
Identify
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umbo
What are the structures in the middle ear?
- tympanic cavity
- auditory ossicles
- muscles
What connects the tympanic cavity to the nasopharynx?
phatyngotympanic tube
(eustachian or auditory tube)
What are the bones of the ear?
- malleus
- incus
- stapes
Identify
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- pharyngotympanic tube (eustachian)
- tympanic cavity
- malleus
- incus
- stapes
Identify
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- tensor tympani m.
- malleus
- incus
- stapedius m.
- stapes
Where is the inner ear located?
temporal bone
What are the structures of the inner ear?
- bony labyrinth
- cochlea
- vestibule of bony labyrinth
- semicircular canals
What part of the inner ear has auditory function?
cochlea
What part of the inner ear has vestibular function?
- vestibule of bony labrynth
- semicircular canals
Identify
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- pharyngotympanic tube
- cochlea
- vestibule of bony labyrinth
- semicircular canals
Identify
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- cochlea
- vestibule of bony labyrinth
- semicircular canals
Identify
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- vestibule of bony labyrinth
- semicircular canals
What are the 4 major branches of the ECA?
- facial a.
- maxillary a.
- superior temporal a.
- superior thyroid a.
Identify
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- facial a.
- maxillary a.
- superficial temporal a.
- superior thyroid a.
Describe the path of the ICA
- enters skull via carotid canal
- turns anterior (horizontal) to travel in temporal bone
- turns superior to ascend into Circle of Willis anteriorly
Describe the pathway of the vertebral a.
- ascends in tranverse foramen of c-spine
- enters skull via foramen magnum
- R & L merge to form basilar a.
- ascends anterior to brainstem
- enters the Circle of Willis posteriorly
Identify
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- vertebral a.
- basilar a.
What converges at the orbit?
anastamosis of 3 branches of ECA and 1 of ICA (opthalmic a.)
What is there a potential for at an anastamosis?
reverse flow to provide circulation to the brain via ECA