Lab 2 Quiz Flashcards
What are the 7 bones of the orbital?
Zygomatic, Frontal, Lacrimal, Ethomoid, Maxillary, Palatine, Sphenoid
What is a blow-out structure?
Fracture of orbital floor into maxillary sinus
What usually causes blow-out fractures?
Blunt or penetrating trauma
What is the orbital septum and where is it located?
Fibrous membrane that becomes continuous with the periosteum of the orbital margins
What is the significance of the orbital septum?
Crucial with penetrating the spread of infection into the orbit
The nasolacrimal duct conveys fluid from ______ to the ______.
From lacrimal sac to inferior nasal meatus
What are the 7 extraocular muscles?
Levator Palpebrae Superioris, Superior Oblique, Inferior Oblique, Superior Rectus, Inferior Rectus, Medial Rectus, Lateral Rectus
What is the origin of the Levator Palpebrae Superioris?
Lesser Wing of Sphenoid
What is the insertion of the Levator Palpebrae Superioris?
Superior tarsus and skin of upper eyelid
The superior division of the CN 3 innervates which 2 extraocular muscles?
Levator Palpebrae Superioris and Superior Rectus
What is the primary action of the Levator Palpebrae Superioris?
Elevation of upper eyelid
What 4 extraocular muscles originate by inserting anterior to equator on the common tendinous ring?
All recti muscles. (Superior, Inferior, Medial, Lateral)
What is the insertion of the Superior Rectus?
Anterosuperior half of the eye
What are the primary, secondary, and tertiary actions of the superior rectus?
elevation, intorsion, adduction (respectively)
What is the insertion of the Inferior Rectus?
Anteroinferior half of the eye
What are the primary, secondary, and tertiary actions of the Inferior Rectus?
depression, extorsion, adduction (respectively)
What is the insertion of the medial rectus?
Anteromedial half of the eye
What is the insertion of the lateral rectus?
Anterolateral half of the eye
What is the primary action of the medial rectus?
Adduction
What is the primary action of the lateral rectus?
Abduction
The inferior division of CN 3 innervates which 3 extraocular muscles?
Inferior Rectus and Medial Rectus and Inferior Oblique
The lateral rectus is innervated by _____.
CN 6 (Abducens)
What is the origin of the Superior Oblique?
Body of the Sphenoid
What is the origin of the Inferior Oblique?
Anteromedial floor of the orbit
Which extraocular muscles inserts into the sclera deep to the superior rectus?
Superior Oblique
What is the insertion of the inferior oblique?
Sclera deep to lateral rectus
Cranial Nerve 4 innervates which extraocular muscle?
Superios Oblique
What are the primary, secondary, and tertiary actions of the superior oblique?
Intorsion, Depression, Abduction (respectively)
What are the primary, secondary, and tertiary actions of the inferior oblique?
Extorsion, Elevation, Abduction (respectively)
Which nerve innervates the inferior oblique?
Inferior division of Cranial Nerve 3
Superior Oblique, Inferior Oblique, and Lateral Rectus hold the eye _______.
abducted
Superior, Medial, and Inferior Recti hold the eye _____.
adducted
When eye is adducted, Superior Oblique_____ and Inferior Oblique _____ the eye.
depresses;raises
When eye is abducted, Superior Rectus_____ and Inferior Rectus _____ the eye.
raises;depresses
What 3 deviations are expected for Cranial Nerve 3 palsy?
- Eye is down and out
- Dilated Pupil
- Complete Ptosis
What 2 deviations are expected for Cranial Nerve 4 palsy?
- Eye is hyper
2. Head tilts opposite to side of palsy
What deviations are expected for Cranial Nerve 6 palsy?
- Eye is deviated toward the nose
2. Elevated IOP
Blood supply to the eye is from the __________ artery , which is a branch of the ________ artery.
Ophthalmic; Internal Carotid
What are the 10 arteries of the orbit and which structures do they supply?
- Dorsal Nasal (to terminal branch to root of nose and lacrimal sac)
- Central Retinal Artery (pierces CN2 and perfuses retina)
- Long Posterior Ciliary Arteries (to ciliary body and iris)
- Lacrimal Artery (to lacrimal gland)
- Anterior Ethmoidal Artery (to ethmoid air cells, frontal sinus, nasal cavity, external nose)
- Medial Palpebral Arteries (to arcades in upper and lower eyelids)
- Posterior Ethmoidal Artery (to ethmoid sinuses and nasal cavity)
- Supraorbital (to forehead and anterior scalp)
- Supratrochlear (to forehead and anterior scalp)
- Short Posterior Ciliary Arteries (to choroid)
The Dilator Pupillae and Sphincter Pupillae fibers are oriented in which manner?
radial;circumferential (respectively)
T/F: The smooth muscle responsible for dilating the pupil is innervated by the sympathetic system.
True.
T/F: The muscle responsible for pupil constriction is innervated by pre-ganglionic parasympathetic fibers.
False. (post-ganglionic parasympathetic fibers)
The intraocular lens is composed of what 2 substances?
Water and protein
T/F: Cataracts are a result of the breakdown of the lens proteins.
True
The vitreous is mostly composed of what 2 substances?
Water and collagen
Where is the anterior chamber located?
Between the iris and cornea
The central retinal vein drains the _____, leaves through ____, and drains into the _______.
Retina; CN 2; Superior ophthalmic vein
How many vorticose veins are typical from each quadrant of the choroid?
One per quadrant.
Vorticose veins pierce the _____ and drain into the ______ and ______ ophthalmic veins.
sclera; superior; inferior
GVE fibers travel from cranial nerve __, to _____ petrossal nerve, to nerve of _____ canal, to ______ ganglion, to hitchhike with ______ branch, to ______ fissure, to lacrimal nerve, and finally to innervate the ____________.
7; greater; pterygoid; pterygopalatine; zygomatic; infraorbital; lacrimal gland
Which 4 bones together form the pterion?
Frontal, Temporal, Parietal, Greater Wing of Sphenoid
What is the site of origin of the temporalis muscle?
temporal fossa
Which arteries are found in the infra temporal fossa?
maxillary
Which nervous soft tissue structures are found in the infratemporal fossa?
Mandibular, Inferior Alveolar, Lingual, Buccal, Chorda Tympani
Which ganglion is found in the infra temporal fossa?
Otic ganglion
What are the 6 main components of the TMJ?
Mandibular Condyle, Articular surface of the temporal bone, Capsule, Articular Disc, ligaments, lateral pterygoid muscle
What is the Articular Disc composed of?
fibrocartilage
What are the 4 true muscles of mastication?
temporalis, masseter, medial pterygoid, lateral pterygoid
All 4 of the 4 true muscles of mastication are innervated by _______.
motor root of CN V3 (Mandibular)
What are the 4 accessory muscles of mastication?
Digastric muscle, Buccinator, Tongue, Orbicularis Oris
The anterior belly of the digastric muscle is innervated by which nerve?
afferents from CN V3 (Mandibular)
The posterior belly of the digastric is innervated by which nerve?
efferents from CN 7 (Facial)
Venous drainage of the eye is via superior and inferior _______ artery, this drains into the _____________.
ophthalmic ; cavernous sinus
What is the function of the temporalis and masseter muscles?
Elevators, retractors
What is the function of the medial pterygoid muscle?
Elevator, protractor
What is the function of the lateral pterygoid muscle?
Depressor, protractor
What is the buccinator muscle innervated by?
Cranial Nerve 7
What is the Orbicularis Oris muscle innervated by?
Cranial Nerve 7
What innervates the tongue?
Cranial Nerve 9
Where is the fibrocartilage (which makes up the articular disc) located?
Between the superior and inferior articular surfaces of the TMJ
List all 7 of the nerves found in the infratemporal fossa.
- Auricotemporal Nerve 2. Nerve to Mylohyoid
- Chorda Tympani 4. Lingual Nerves
- Inferior alveolar nerve 6. Muscular branches of CN V3
- Buccal Branch of CN V3
List all 4 branches of the maxillary artery.
Buccal, Masseter, Middle Meningeal, Infrorbital
What is the name of the groove that runs from the mandibular foramen down towards the bottom of the mandible?
Mylohyoid Groove