Head and neck anatomy Flashcards

1
Q

How many cervical nerves are there? From where do they emerge?

A

8 x cervical nerves exist: C1-C8

  • C1-C7 emerge from the vertebral canal above their respective vertebrae
  • C8 emerges between CVII and TI
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2
Q

What forms the cervical plexus? What forms the brachial plexus?

A

The cervical plexus is made up of anterior rami of C1-C4

The brachial plexus is made up the anterior rami of C5-T1

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3
Q

What do the major branches of the cervical plexus innervate?

A

The main branches of the cervical plexus innervate: - the strap muscles (infrahyoid muscles)

  • the diaphragm (phrenic nerve, remember this is C3-C5)
  • anterior and posterior skin of the neck
  • chest skin
  • inferior head skin??
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4
Q

What is the difference between the position of the larynx in newborns and adults?

A

In babies, the larynx is above the level of the soft palate; in adults, the larynx is in the low cervical position

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5
Q

The two major triangles of the neck are the anterior and posterior triangles, what are they bordered by?

A

Anterior triangle of the neck is bordered by:

  1. anterior midline of the neck
  2. anterior portion of sternocleidomastoid
  3. inferior portion of mandible

Posterior triangle of the neck is bordered by:

  1. anterior margin of trapezius muscle
  2. posterior portion of sternocleidomastoid muscle
  3. middle 1/3 of clavicle
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6
Q

The brachial plexus comprises the anterior rami of C5-C8 + T1, where can some of these nerve fibres be found?

A

Parts of the brachial plexus can be found in the posterior triangle of the neck

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7
Q

How many bones does the skull have? Name all of them.

A

The skull has 22 bones (excluding the ossicles of the ear)

The bones of the skull are:

  • 1 x frontal bone
  • 2 x parietal bones
  • 1 x occipital bones
  • 2 x temporal bones
  • 2 x lacrimal bones
  • 2 x nasal bones
  • 2 x maxillary bones
  • 1 x mandible
  • 2 x zygomatic bones
  • 2 x inferior conchae
  • 1 x sphenoid bone
  • 1 x vomer bone
  • 1 x ethmoid bone
  • 2 x palatine bones
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8
Q

All bones of the skull are attached to each other by sutures (immovable joints), forming the cranium - the cranium can be further subdivided into three parts -what are they?

A
  1. upper domed part (calvaria) - this encases the brain
  2. base - floor of the brain
  3. facial skeleton (viscerocranium)
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9
Q

The calvaria is the domed part of the skull that encases the brain - what bones is this made up of?

A
  • 2 x temporal bones
  • 2 x parietal bones
  • 1 x frontal bone
  • 1 x occipital bone
  • 1 x sphenoid bone
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10
Q

The facial skeleton, also known as the viscerocranium, comprises what bones?

A
  • 2 x nasal bones
  • 2 x palatine bones
  • 2 x lacrimal bones
  • 2 x zygomatic bones
  • 1 x maxilla
  • inferior nasal conchae
  • unpaired vomer
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11
Q

Integrated within the skull there are foramina that allow the passing of nerves and blood vessels; there is one very small foramen on both sides of the skull - what are they called and where are they found? What passes through these foramina?

A

The very small foramen is the zygomaticofacial foramen and it is found on the zygomatic bone, near the infero-lateral rim of the orbit(s).

  • zygomaticofacial nerve passes through these foramina
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12
Q

What holes exist for structures ie. blood vessels and nerves to pass through in the anterior portion of the skull?

A

The anterior portion of the skull hosts the following foramina:

  1. supraorbital foramina
  2. infraorbital foramina
  3. mental foramina
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13
Q

What holes exist for structures ie. blood vessels and nerves to pass through in the lateral portion of the skull?

A

The lateral portion of the skull hosts the following foramina:

  • zygomaticofacial foramina
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14
Q

What holes exist for structures ie. blood vessels and nerves to pass through in the superior portion of the skull? What nerve(s) pass through here?

A

The superior portion of the skull hosts the following foramina:

  • parietal foramina: emissary veins pass through here
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15
Q

What is the anterior view of the skull made up of?

A
  1. forehead
  2. orbits
  3. nasal region
  4. isthmus between orbit and maxilla
  5. maxilla
  6. mandible
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16
Q

What is the normal verticalis? What bones comprise this aspect?

A

The norma verticalis is the superior aspect of the skull.
This aspect is made up of the following:

  • frontal bone
  • 2 x parietal bones
  • occipital bone
17
Q

What is meant by the term eminence? With this knowledge what are the frontal and parietal eminences?

A

Eminence means raised elevation
The frontal and parietal eminences are projections on the frontal and parietal bones that indicate the ossification centres

18
Q

What is the Bregma?

A

The Bregma is the junction where the 2 x parietal bones and frontal bones; precursor to the Bregma is the anterior fontanelle

19
Q

What is the lambda?

A

The lambda is the junction between the occipital bone and parietal bones; the precursor is the posterior fontanelle

20
Q

What is the parietal emissary foramen?

A

Foramen on each side of the sagittal suture that transmits an emissary vein. This emissary vein connects the scalp veins with the superior sagittal sinus

21
Q

What are the 5 muscles of the soft palate?

A
  • musculus uvulae
  • tensor veli palatini
  • levator veli palatini
  • palatoglossus
  • palatopharyngeus
22
Q

What nerve(s) innervate the soft palate muscles?

A

All muscles of the soft palate are innervated by CN X except for tensor veli palatini - this muscle is innervated by the medial pterygoid nerve (division of V3 of CN V)

23
Q

What bones make up the norma verticalis (superior aspect of the skull)?

A
  • frontal bone
  • occipital bone
  • parietal bones x 2
24
Q

What bones make up the norma occipitalis?

A
  • parietal bones x 2
  • occipital bone (squamous part)
  • mastoid temporal bones x 2
25
Q

What is the occipito-mastoid suture?

A

The suture between the occipital bone and mastoid temporal bone