Lecture 13, 14, 15 , 16 Musculoskeletal structures of the neck. accessory nerve Flashcards

1
Q

T/F - Although there are seven cervical vertebrae, first two are considered to be atypical

A

True

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2
Q

T/F - Atlas has a spinous process with anterior and posterior tubercles

A

False, it has no body or spinous process, just anterior and posterior tubercles

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3
Q

T/F - Axis hasa dens which is an odontoid process

A

True

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4
Q

T/F - upper surface of rib 1 has tubercle for attachment of scalenus posterior

A

False, it is rib 2

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5
Q

T/F - Hyoid bone has unpaired body

A

True

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6
Q

T/F - Hyoid bone’s greater horn (paired) is superior and smaller, and it is a cartilagenous joint with body

A

False, it is inferior and larger,

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7
Q

T/F - Lesser horn (paired) of hyoid bone is small and projects above junction of body & greater horn

A

True

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8
Q

T/F - Lesser horn of hyoid bone has a synovial joint with body and fibrous joint with base of greater horn

A

False, fibrous joint with body, synovial joint with base of greater horn

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9
Q

Which five structures is the hyoid attached to?

A

1) strap muscles (supra & infrahyoid muscles) of neck
2) middle pharyngeal constrictors
3) Thyrohyoid membrane (between hyoid bone & upper thyroid cartilage of larynx)
4) via a fibrous sling to intermediate tendon of digastric
5) stylohyoid ligament

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10
Q

T/F - Anterior triangle of neck is actually a pair of triangles

A

True

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11
Q

List boundaries of each triangle (3 boundaries)

A

1) SCM
2) Mandible
3) Midline

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12
Q

T/F - Digastric/submandibular triangle is bounded by anterior & posterior belly & intermediate tendon of digastric muscle. contains submandibular gland.

A

True

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13
Q

T/F - Carotid triangle is bounded by SCM, anterior belly digastric & inferior belly of omohyoid.

A

False, posterior belly digastric and superior belly of omohyoid

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14
Q

T/F - Carotid triangle contains neurovascular bundle of neck - carotid - internal jugular - vagus within carotid sheath

A

True

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15
Q

T/F - Muscular triangle has boundaries midline, posterior belly digastric, inferior belly of omohyoid, inferior SCM

A

False, anterior belly digastric, and superior belly omohyoid

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16
Q

T/F - Muscular triangle contains supra and infrahyoid muscles and thyroid gland

A

True

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17
Q

T/F - Posterior triangle is bound by SCM, trapezius, clavicle & is crossed by superior belly of omohyoid.

A

False, inferior belly omohyoid

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18
Q

T/F - Posterior triangle roof (most superficial and lateral part) is deep cervical fascia

A

True

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19
Q

T/F - Floor of posterior triangle consists of fascia and muscles

A

True

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20
Q

Which muscles can you identify with fascia of triangle removed ?

A

1) Scalenus anterior, medius and posterior
2) Leavtor scapulae
3) Splenius capitus

21
Q

Name the two subdivisions of posterior triangle

A

1) occipital triangle

2) supraclavicular triangle

22
Q

T/F - Occipital triangle is below omohyoid and contains subclavian artery and vein

A

False, it is above omohyoid and contains upper deep cervical lymph nodes and accessory nerve

23
Q

T/F - Supraclavicular triangle is above omohyoid and contains upper deep cervical lymph nodes and accessory nerve

A

False, it is below omohyoid and contains subclavian artery and vein

24
Q

T/F - Sternocleidomastoid extends from manubrium and medial 1/3 of clavicle to anterolateral mastoid

A

True

25
Q

What are the actions of SCM?

A
  • On own it tilts and rotates head

- together it flexes head and raises sternum

26
Q

T/F - Trapezius connects from external occipital protuberance and superior nuchal line to T12 in the midline and laterally to lateral clavicle and acromium

A

True

27
Q

What are the actions of trapezius muscle?

A

Pulls shoulders back, also rotates shoulder, raises arm and extends head on neck

28
Q

What is motor nerve for trapezius muscle and SCM?

A

spinal accessory which runs deep to both muscle

29
Q

What is sensory innervation for trapezius and SCM?

A

Ventral cervical rami (travels with accessory)

30
Q

Digastric ___________ attaches to digastric fossa on medial surface of mandible near midline.

A

Anterior belly

31
Q

Digastric _____________ runs through a fibrous sling attached to body and greater horn of the hyoid. _________ pierces stylohyoid which attaches to the styloid process

A

Intermediate tendon, intermediate tendon

32
Q

Digastric __________ is attached to mastoid notch (mesial to mastoid)

A

Posterior belly

33
Q

What are the two actions of digastric bellies and intermediate tendon?

A
  • Depresses mandible

- Elevates hyoid

34
Q

Which nerve innervates posterior belly, and anterior belly?

A
  • Facial nerve for posterior belly

- Mylohyoid nerve for anterior belly

35
Q

T/F - Omohyoid superior belly goes from body of hyoid to intermediate tendon

A

True

36
Q

T/F - Omohyoid inferior belly stretches from tendon to upper body of scapula and is attached to clavicle and rib 2 by a fascial sling

A

False, it’s rib 1

37
Q

What are the two actions of omohyoid?

A

Depresses hyoid, tenses deep cervical fascia during prolonged inspiration

38
Q

What are the innervations of omohyoid?

A

Ventral branches of cervical nerves (ansa cervicalis) - sensory & motor)

39
Q

T/F - SCM delineates triangles of neck and superficial and deep lymph nodes

A

True

40
Q

What are the features lateral to SCM?

A
  • External jugular
  • lesser occipital nerve
  • greater auricular nerve
  • transverse cutaneous nerve of neck
41
Q

Which features is deep to/supplying SCM?

A
  • Spinal accessory nerve

- Intermediate tendon omohyoid

42
Q

T/F - (Digastric belly) hypoglossal nerve is superficial to intermediate tendon

A

False, it’s deep to intermediate tendon

43
Q

T/F - posterior belly digastric is used to distinguish descending pharyngeal artery (Below) from occipital (behind) from posterior auricular artery (above)

A

False, it’s ascending pharyngeal artery

44
Q

T/F - Digastric posterior belly is closely associated with stylohyoid

A

True

45
Q

T/F - Jugulodigastric nodes is deep/just inferior to digastric posterior belly

A

True

46
Q

T/F - Omohyoid belly divides muscular and supraclavicular triangle in anterior triangle

A

False, it divides muscular and carotid triangle in anterior triangle

47
Q

T/F - Omohyoid muscle divides posterior triangle into occipital and supraclavicular triangle

A

True

48
Q

T/F - Omohyoid arbitarily divides superficial cervical lymph nodes into upper/superior and inferior/lower

A

False, it’s deep cervical lymph nodes