Head and Neck Exam Flashcards
1
Q
What structures pass through the parotid gland ?
A
transverse facial CN VII retromandibular ext. carotid auriculotemporal of V3 lymph nodes
2
Q
plastysma m is in what layer of fascia
A
superficial fascia
3
Q
the great auricular nerve runs with…..
A
external jugular v
4
Q
prevertebral fascia that extends over the apex of the lung is called
A
sibson’s fascia
5
Q
prevertebral fascia that covers the brachial plexus is called
A
axillary sheath
6
Q
in between the two heads of sternocleidomastoid you will find what vessel
A
IJV
7
Q
what is the inferior attachment of omohyoid
A
scapula
8
Q
what two structures can be smooshed between the two scalene muscles
A
brachial plexus and subclavian artery
9
Q
what two scalene attach to rib 1
A
anterior and middle
10
Q
what scalene attaches to rib 2
A
posterior
11
Q
What are the branches off the external carotid artery
A
superior thyroid ascneding pharyngeal lingual facial posterior auricular superficial temporal maxillary artery
12
Q
carotid sinus is innervated by
A
CN IX
13
Q
carotid body is innervated by
A
CN IX and X
14
Q
ansa cervicalis innervates what three muscles
A
sternohyoid, sternothyroid and omohyoid
15
Q
what are the cutaneous nerves of the neck
A
transverse cervical-anterior neck
supraclavicular-trap area
great auricular- ear ear
lesser occipital-behind ear
16
Q
where does ansa cervicalis sit on top of
A
internal carotid artery
17
Q
external laryngeal nerve has a friend which is
A
superior thyroid artery
18
Q
the hypoglossal nerve loops around what artery
A
occipital artery off ECA
19
Q
the phrenic nerve should lie
A
on top of the anterior scalene
20
Q
the ____________ drains the tonsils and tonsillar region
A
jugulodigastric
21
Q
the ___________________ drains the tongue
A
juguloomohyoid
22
Q
internal laryngeal nerve runs with
A
superior laryngeal artery
23
Q
what is the function of the arachnoid granulations
A
allow CSF to exit the subarachnoid space and enter the venous system
24
Q
laceration of the middle meningeal artery will result in
A
extradural hemoatoma
25
rupture of a bridging vein will result in a
subdural hemoatoma
26
anterior cranial fossa innervated by
v1
27
middle cranial fossa innervated by =
v2 and v3
28
posterior cranial fossa innervated by
C1, C2, and C3 and vagus
29
four major arteries of the fface
facial, maxillary, optalmic and superficial temporal
30
which facial space can extend down throught eh mediastinum and to the diaphragm
fascia space within the prevertebral alyer
31
what two veins form the external jugular
posterior retromandibular and posterior auricular vein
32
posterior retromandibular vein is from
superfficial temporal and maxillary
33
posterior maxillary vein and facial vein form
common facial vein
34
innervation of stylohyoid
facial
35
innervation of anterior digastric
nerve to mylohyoid from mandibular
36
posterior diagastric innnervation
facial VI
37
innervation of mylohyoid
nerve to mylohyoid from mandibular V3
38
innervation of geniohyoid
ant. rami of C1 carriers with hypoglossal
39
sternohyoid innervated by
ant rami of c1-c3 ansa cervicalis
40
omohyoid innervated by
ant rami of c1-c3 ansa cervicalis
41
thyrohyoid innervated by
ant rami of c1 carried along with hypoglossal XI
42
sternothyroid innervated by
ant rami of c1-c3 ansa cervicalis
43
what artery is found level to the hyoid bone
lingual artery
44
nerve innervates trapezius
accessory
45
nerve innervates sternocleidomastoid
accessory
46
scalene muscles innervated by
antterior rami of C5-C7
47
omohyoid innervated by
ansa cervicalis
48
rectus capitus anterior innervated by
ant rami c2-c2
49
rectus capitus lateralis innervated by
ant rami c1-c2
50
longus capitus and longus coli innervated by
ant rami
51
branches off subclavian artery
```
vertebral
thyrocervical trunk
inferior thyroid
ascending cervical
transverse cervical
suprascapular, internal thoracic, costocervical truink
deep cervical
supreme intercostal arter
```
52
menumonic for subclavian artyer branches
very tired individuals sip strong coffee served daily
53
external ear consists of ....
auricle, and external auditory meatus
54
muscles of the auricle are innervated by
facial
55
blood supply to the ear includes
superficial temporal, posterior auricular, deep auricular
56
middle ear is located within
temporal bone
57
the middle ear opens to the pharnyx via
pharyngotympanic tube and mastoid antrum
58
three mechanisms that prevent damage to internal ear
auditoryt ube, shape of ossicle joints, middle ear muscles
59
what bone seperates the middle ear cavity from the middle brain
tegman tympani
60
nerves within middle ear cavity
VIII
lesser petrosal
corticotympanic plexus, typanic plexus, typanic nerve, chordatympany
61
which bone can you see through the tynpanic membrane
malleus
62
external surface of the typanic membrane innervated by
3/4 via auriculotemporal, X, VII
63
internal surface of tympanic membrane innervated by
CN IX
64
what ear structure goes through the superior constrictor muscle
pharyngotympanic tube
65
fracture of the external auditory meatus can result in
bleeding ear and leakage of CSF
66
incus malleus joint is
saddle
67
incus stapedial is what type of joint
ball and socket
68
malleus head articulates with
incus
69
tensor tympani innervated by
V
70
stapedius msulce innerated by
nerve to stapedius from facial
71
function of stapedius muscle
dampens vibrations from the ossicles
72
external ear lymph
mastoid
73
middle ear lymph
parotid, jugulodigastric
74
auditory tube
retropharyngeal
75
inner ear is found in what part of the temporal bone
petrous portion
76
outer surface of the ear cutaneous innervation
great auricular nerve and lesser occipital and auriculartemporal
77
deeper portion of the ear is innervated by
vagus nerve (x) and facial VII
78
tympanic nerve is a branch off _________
glossopharyngeal and internal carotid plexus
79
tympanic plexus gives rise to what nerve
lesser petrosal nerve
80
sensory to upper ant portion of ear
trigeminal via auriculotemporal nerve
81
concha area of ear sensory is
vagus and glossopharyngeal
82
posterir helix portion is sensory
facial
83
lower ear lobe
cervical plexus, lesser occipital nerves and greater auricular nerve
84
anterior 2/3 sensory to tongue is via
lingual v3 and vII chorda tympani via lingual
85
posterior 1/3 of tongue sensory is
IX and a small X
86
sublinqual absorption of drugs
drugs quickly enter sulingual vein and then inter IJV
87
sublingual caruncles
raised papilla like openigs of submandibular glands
88
sublingual folds
opens for sublingual ducts
89
deep portion of the submandibular gland over lies
mylohyoid muscle
90
_____________supplies the palatine tonsil
tonsillar artery
91
What are the sumandibular branches of facial
ascneding palatine, tonsillar, submental, glandular
92
submandibular and sublinqual glands arterial supply
submental a
93
parasympathetic innervation to submandibular glands and sublingual glands is via
facial N l chorda tympani
94
anterior nasal cavity drains
facial/submandibular nodes
95
posterior nasal cavity drains
submucosal plexus to torus tubarius to jugulodigastric
96
what are the three points of attachment for the lateral walls of the pharynx
medial plate of the pterygoid, hammulus
stylohyoid lig
thyroid/cricoid cartialge
97
the hyoid seperates what constrictors of the pharnyx
middle and inferior
98
constrictors of the pharnyx are innervated by
vagus nerve
99
the ___________is posterior to the stylopharyngeus muscle and then moves lateral to it
glossopharyngeal
100
What are the three longitudinal muscles that elevate the pharyngeal wall
salpingopharyngeus
palatopharygeus
styloparyngeus
101
longitudinal muscles of pharyngeal wall innervated by
vagus nerve
102
what structures pass superior to superior constrictor
levator veli palatini, tendon of tensor veli palatini
103
what passes throuh the thyrohyoid membrane
superior laryngeal a/v
| internal laryngeal nerve
104
what passes below the inferior constrictor
recurrent laryngeal
105
what lies beneath torus levatorius
levator palatini
106
sensory innervation of nasopharnyx
v2
107
sensory innervation of oropharnyx
glossopharyngeal
108
sensory to laryngopharnyx
vagus
109
what is at risk when a tonsilectomy is performed
tonsilar artery
tonsilar vein
glossopharyngeal N
110
cricothyroid innervated by
superior laryngeal nerve
111
laryngeal muscles innervtaed by recurrent laryngeal branch of vagus
thyroarytenoid
transverse arytenoid
oblique arytenoid
posterior crico-arytenoid
112
what muscle lowers pitch
thyroarytenoid
113
what provides sensory innervation above the vocal folds
internal branch of superior laryngeal nerve
114
what provide sensory innervation below vocal folds
recurrent laryngeal
115
what are the layers of the scalp
```
skin
connective tissue (dense)
aponeurosis
loose connective tissue
pericranium
```
116
where is the muscle found in the scalp
aponeurotic layer
117
what arteries supply the anterior scalp
supratrochelar and supraorbital
118
what arteries supply infront of the ear of the scalop
superficial temporal
119
what arteris supply behind the ear of the scalp
posterior auricular
120
what artery supplys the back of the scalp
occipital
121
what nerve supplies cutaneous to back of scalp
greater occipital (dorsal rami c2)
122
what nerve supplies behind the ear of scalp
lesser occipital
123
what nerve supplies infront of the ear of the scalop
auriculotemporal n
124
what nerve supplies infront of the ear of the scalp more anteiror
zygomaticotemporal
125
what nerve supplies anterior portion of scalp
supratrochlear, supraorbital via frontal nerve
126
upper eye lid sensory
v1
127
point of nose
v1
128
lower eyelid
v2
129
upper lip
v2
130
lower lip
v3
131
inner ear
v3
132
outer ear
great auriicular
133
notrils
v2
134
arteries of the face
```
superficial temporal gives transverse facial artery
facial
-in/sup labial
-lat nasal
angular facial
```
135
maxillary artery gives what branch of artery to help supply below the eyeball
infraorbital a
136
opthalmic artery give rise to what arteries of the face
supratrochlear, supraorbital, dorsal nasal, zygomaticotemporal, zygomaticofacial
137
what are the branches off facial nerve
```
temporal
zygomatic
buccal
mandibular
cervical
```
138
motor innervation of the face is via
facial n
139
where does the facial nerve exit the skull
stylomastoid foramen
140
sensory to parotid gland
great auricular nerve
141
parasympatehtics to parotid gland
lesser petrosal n, synpases in otic ganglion, hitchikes on auriculotemporal N (V3)
142
sympathetic to parotid gland
superior cervical ganglion
143
what are the two layers of dura mater called
periosteal and meningeal layers
144
dural venous sinuses are within what meningeal layers
dura
145
anterior dura innervated by
v1
146
middle dura innervated by
v2 and v3
147
poterior fossa innervated by
c1,c2,c3 and vagus
148
blood supply to the dura is
mostly middle meningeal a
149
between arachnoid and dura bridging cerebral veins
subdural hematoma
150
masster muscle innervated by
trigeminal v3
151
temporalis muscle innervated by
trigeminal
152
what muscles function in protrusion of mandible
lateral pterygoid and medial pterygoid
153
what muscles function in retraction of mandible
temporalis, masseter and geniohyoid and digastric
154
muscles that function in elevation
temporalis, masseter and medial pterygoid
155
depression of mandible is by what muscles
gravity, digastric, geniohyoid and mylohyoid
156
contents of infratemporal fossa
```
sphenomandibular ligament, medial and lateral pterygoid
maxillary artery
pterygoid venous plexus
V3
chorda tympani
lesser petrosal
post sup alveolar
```
157
accessory meningeal artery enters what part of the skull
foramen ovale
158
middle meningeal artery enters what part the skull
formane spinosum
