HNS-4 Flashcards
What is the function of the conchae in the nose?
Warms and humidifies air
Traps pathogens
What nerves innervate the nasal cavities for olfaction?
Olfactory - CN1
What nerves innervate the nasal cavities for general sensation in the anterior region
Opthalmic (V1) branch of the trigeminal nerve (CN V)
What nerves innervate the nasal cavities for general sensation in the posterior region
Maxillary (V2) branch of trigeminal nerve (CN V)
What nerves innervate the glands of the nasal cavities?
Facial nerve (CN 7) via parasympathetic fibres
What nerves innervate the vascular smooth muscle of the nasal cavities?
Sympathetic nerves from T1 of the spinal cord
What is the main blood supply of the nasal cavities
Internal and external carotid arteries
What is the clinical significance of the multiple anastomoses in the arteries supplying the nasal cavities?
Makes nose prone to epistaxis (nose bleeds)
Why is there a risk of infection spread from nasal cavity to cranial cavity?
Blood vessels which drain into nasal cavity pass through cavernous sinus and enter cranial cavity
What is number 1 in the diagram of the nasal cavity
Frontal process of the maxilla
What is number 2 in the diagram of the nasal cavity
Lacrimal bone
What is number 3 in the diagram of the nasal cavity
Superior concha
What is number 4 in the diagram of the nasal cavity
Middle concha
What is number 5 in the diagram of the nasal cavity
Uncinate process of ethmoid
What is number 6 in the diagram of the nasal cavity
Medial pterygoid plate of sphenoid bone
What is number 7 in the diagram of the nasal cavity
Perpendicular plate of palatine bone
What is number 8 in the diagram of the nasal cavity
Inferior concha
What is number 9 in the diagram of the nasal cavity
Minor alar cartilage
What is number 10 in the diagram of the nasal cavity
Major alar cartilage
What is number 11 in the diagram of the nasal cavity
Lateral process of septal cartilage
What is number 12 in the diagram of the nasal cavity
Nasal bone
What are the 4 paranasal sinuses?
- Frontal sinuses
- Ethmoid air cells
- Sphenoid sinuses
- Maxillary sinuses
What is the function of the paranasal sinuses?
- decrease weight of skull
- act as crumple zones in the case of facial trauma
- increase resonance of the voice
- humidify and heat inhaled air
What type of sinuses are the paranasal sinuses?
Mucus secreting ones
What nerves provide sensory innervation to the paranasal sinuses?
- Frontal - Opthalmic branch of trigeminal nerve
- Ethmoid air cells - Opthalmic and maxillary branch of trigeminal nerve
- Sphenoid - Opthalmic and maxillary branch of trigeminal nerve
- Maxillary - Maxillary branch of trigeminal nerve
What is number 1 on this diagram?
Frontonasal duct
what is the function of the frontonasal duct?
Drains the frontal sinus and anterior ethmoidal cells
What is number 4 on this diagram?
Spheno ethmoidal recess
Where does the sphenoidal sinus drain into?
Spheno-ethmoidal recess
What is number 5 on this diagram
Semilunar hiatus
What is number 7 on this diagram
Nasolacrimal duct
What is the function of the nasolacrimal duct
Site at which lacrimal fluid is drained
What is the purpose of the external ear
To transmit sound towards the tympanic membrane
What is number 1 on this diagram of the external ear
Concha
What is number 2 on this diagram of the external ear
Tragus
What is number 3 on this diagram of the external ear
External acoustic meatus
What is number 4 on this diagram of the external ear
Lobule
What is number 5 on this diagram of the external ear
Antitragus
What is number 6 on this diagram of the external ear
Antihelix
What is number 7 on this diagram of the external ear
Helix
What is the purpose of the small bones on the tympanic membrane?
Transmits sound into the inner ear
What is located in the inner ear?
- Cochlea - hearing
- Semicircular canals - balance
What is the function of the vestibulocochlear nerve?
Take signals related to balance and orientation from the vestibular system and the hearing information from the cochlea
What is the function of the pharyngotympanic tube?
Equalises pressure between the ear and the atmosphere
What ear muscles does the facial nerve provide motor function to?
Stapedius
Posterior belly of digastric muscle
Stylohyoid
Where does the facial nerve provide general sensation in th ear?
- External acoustic meatus
- Deeper parts of auricle
What parts of the ear does the facial nerve provide sensory function to?
- external acoustic meatus
- Deeper parts of auricle
What is the structure in the ear that the main facial nerve emerges from?
The stylomastoid foramen
What is the clinical relevance of the middle cranial fossa?
In the case of serious middle ear infections there can be transmission of infection from the middle ear to the middle cranial fossa which can result in serious complications such as meningitis
Name number 1 on this diagram of the orbit
Frontal bone
Name number 2 on this diagram of the orbit
Lesser wing of sphenoid bone
Name number 3 on this diagram of the orbit
Ethmoid bone
Name number 4 on this diagram of the orbit
Lacrimal bone
Name number 5 on this diagram of the orbit
Frontal process of maxilla bone
Name number 6 on this diagram of the orbit
Maxilla bone
Name number 7 on this diagram of the orbit
Zygoma bone
Name number 8 on this diagram of the orbit
Greater wing of sphenoid bone
What is number 1 on this diagram? And what structures pass through it?
Superior orbital fissure
- Opthalmic division of trigeminal nerve (CNV1)
- Oculomotor nerve (CN3)
- Trochlear nerve (CN4)
- Abducens (CN6)
- Opthalmic vessels
- Sympathetic fibres
What is number 2 on this diagram? And what structures pass through it?
Optic Canal
- Optic nerve (CN2)
- Opthalmic artery
What is number 3 on this diagram? And what structures pass through it?
Inferior orbital fissure
- Maxillary division of the trigeminal nerve (CNV2)
- Infraorbital vessels
What is number 1 on this diagram of eye muscles
Levator palpebrae superioris
What is number 2 on this diagram of eye muscles
Trochlea
What is number 3 on this diagram of eye muscles
Superior oblique
What is number 4 on this diagram of eye muscles
Superior rectus
What is number 5 on this diagram of eye muscles
Inferior oblique
What is number 6 on this diagram of eye muscles
Inferior rectus
What is number 7 on this diagram of eye muscles
Optic nerve
What is number 8 on this diagram of eye muscles
Lateral rectus
What is number 9 on this diagram of eye muscles
Medial rectus
What is number 10 on this diagram of eye muscles
Common tendinous ring
What is the common origin of the rectus muscles
Common tendinous ring
What is the insertion of the rectus muscles?
They insert into the eyeball a few mm behind the cornea
What nerve supplies the rectus muscles? (Except lateral rectus)
The oculomotor nerve (CN3)
What nerve supplies the lateral rectus?
Abducent nerve (CN6)
What is the origin of the inferior oblique muscle?
The orbital (inside part) part of the maxilla
What is the origin of the superior oblique muscle?
sphenoid bone
What is the insertion of the inferior oblique muscle?
Inferior surface of the outer posterior quadrant
What is the insertion of the superior oblique muscle?
Superior surface of the outer posterior quadrant
What nerve supplies the inferior oblique muscle?
Oculomotor (CN3)
What nerve supplies the superior oblique muscle?
Trochlear (CN4)
What is the action of the levator palpebrae superioris?
Lifting of the eyelid
What nerves supply the levator palpebrae superioris?
Smooth muscle part - Fibres from sympathetic nervous system
Voluntary part - Oculomotor nerve
What is the action of the lateral rectus
Moves the eye laterally
What is the action of the medial rectus
Moves the eye medially
What is the action of the inferior rectus?
Moves the eye medially and inferiorly
What is the action of the superior rectus?
Moves the eye medially and superiorly
What is the action of the superior oblique?
‘Down and out’ Moves eye inferiorly and laterally
What is the action of the inferior oblique?
‘Upwards and out’ Moves eye superiorly and laterally
How is lateral rectus function tested clinically?
Patient asked to look laterally (Each eye tested independently for each test - i cba to write this foreach one)
How is medial rectus function tested clinically?
Patient asked to look towards nose (Each eye tested independentally)
How is superior rectus function tested clinically?
Patient asked to look outwards (abducted position) then upwards
How is inferior rectus function tested clinically?
Patient asked to look outwards (abducted position) then downwards
How is superior oblique function tested clinically?
Patient asked to look towards nose (adducted position) then downwards
How is inferior oblique function tested clinically?
Patient asked to look towards nose (adducted position) then upwards
What is number 1 on this diagram of the nerves of the orbit?
Trochlear nerve (CN4)
What is number 2 on this diagram of the nerves of the orbit?
Lacrimal nerve
What is number 3 on this diagram of the nerves of the orbit?
Nasociliary nerve - branch of opthalmic division of trigeminal nerve
What is number 4 on this diagram of the nerves of the orbit?
Frontal nerve
What is number 5 on this diagram of the nerves of the orbit?
Parasympathetic ciliary ganglion of oculomotor nerve - autonomic fibres which constrict pupil and change thickness of the lens (accomodation)
What other structures run through the parasympathetic cilliary ganglion?
Sympathetic fibres which innervate muscles that dilate pupil
What is number 6 on this diagram of the nerves of the orbit?
Opthalmic division of the trigeminal nerve (CNV1)
What is number 7 on this diagram of the nerves of the orbit?
Sensory trigeminal ganglion
What is number 8 on this diagram of the nerves of the orbit?
Abducens (CN6)
What is number 9 on this diagram of the nerves of the orbit? and what is its function?
Oculomotor (CN3) - carries autonomic fibres which alter size of pupil and thickness of lens
What is number 10 on this diagram of the nerves of the orbit? and what is its function?
Optic (CN2) - takes info from eye to brain
Why is the cavernous sinus clinically relevant?
Infections can enter brain through eye
Structures passing through are vulnerable to traumatic injury and inflammation
What structures make up the nasolacrimal system?
- Lacrimal gland
- Lacrimal ducts
- Lacrimal sac
- Nasolacrimal duct
Where does the nasolacrimal duct empty into?
The nasal cavity
What nerves innervate the lacrimal gland?
- Parasympathetic secretomotor fibres via facial nerve
How is excess fluid drained from the eye?
Into nasal cavity via nasolacrimal duct
Name number 1 on this diagram of the nasolacrimal system
Lacrimal gland
Name number 2 on this diagram of the nasolacrimal system
Tendon of levator palpebrae superioris muscle
Name number 3 on this diagram of the nasolacrimal system
Lacrimal canilculi
Name number 4 on this diagram of the nasolacrimal system
Lacrimal sac
Name number 5 on this diagram of the nasolacrimal system
Nasolacrimal duct
Name number 6 on this diagram of the nasolacrimal system
Puncta
What is number 1 on this cadaveric diagram of the eye?
Superior oblique muscle
What is number 2 on this cadaveric diagram of the eye?
Superior rectus muscle
What is number 3 on this cadaveric diagram of the eye?
Levator palpebrae superioris muscle
What is number 4 on this cadaveric diagram of the eye?
Common annular tendon
What is number 5 on this cadaveric diagram of the eye?
Trochlea
What is number 6 on this cadaveric diagram of the eye?
Tendon of superior oblique muscle
What is number 7 on this cadaveric diagram of the eye?
Medial rectus muscle
What is number 8 on this cadaveric diagram of the eye?
Optic nerve
What is number 1 on this diagram?
Lacrimal nerve
What is number 2 on this diagram?
Lateral rectus muscle
What is number 3 on this diagram?
Nasocilliary nerve
What is number 4 on this diagram?
Long ciliary nerve
What is number 6 on this diagram?
Opthalmic artery
What is number 1 on this diagram?
Lacrimal gland
What is number 2 on this diagram?
Lacrimal nerve
What is number 3 on this diagram?
Frontal nerve
What is number 4 on this diagram?
Oculomotor nerve
What is number 5 on this diagram?
Olfactory bulb
What is number 6 on this diagram?
Levator palpebra superioris muscle
What is number 7 on this diagram?
Trochlear nerve
What is number 1 on this diagram?
Ciliary nerves
What is number 2 on this diagram?
Ciliary ganglion
What is number 3 on this diagram?
Superior oblique muscle
What is number 4 on this diagram?
Oculomotor nerve
What is number 1 on this diagram?
Ciliary nerves