M3: HFN Flashcards

1
Q

Paired Bones in Braincase

A

○ Parietal (2)
○ Temporal (2)

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2
Q

Unpaired Bones in Braincase

A

○ Frontal (1)
○ Occipital (1)
○ Sphenoid (1)
○ Ethmoid (1)

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3
Q

● unpaired, ‘shell-shaped’ bone that forms the anterosuperior aspect
of the cranium.
● consists of the four parts: squamous, orbital (x2), and nasal.

A

FRONTAL BONE

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4
Q

vertical groove in the midline of the frontal
bone. It contains the superior sagittal sinus.

A

Sagittal sulcus

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5
Q

○ largest component | forms the shape of the forehead
○ houses the frontal sinuses.
separated from the orbital part by the supraorbital margin.
■ contains the supraorbital foramen, where the supraorbital
vessels and nerve pass through.

A

SQUAMOUS PART

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6
Q

extension of the sagittal sulcus edges
(forms an attachment for the falx cerebri).

A

Frontal crest

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7
Q

○ small area that projects inferiorly between the supraorbital
margins.
○ area of articulation for the nasal bones and frontal processes
of the maxilla.

A

NASAL PART

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7
Q

○ Two parts
○ triangular-shaped flat plate | forms the roof of the orbit.

A

ORBITAL PART

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8
Q

bilateral skull bones that form the superior and lateral walls of the
cranium.

A

PARIETAL BONE

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9
Q

Superior | thickest and longest | Sagittal Suture

A

Sagittal border

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10
Q

Inferior | articulates with the greater wing of the
sphenoid bone and the squamous and petrous parts of
temporal bone

A

Squamosal border

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11
Q

Arteriorly | most serrated margin | comes in contact with
the frontal bone to form the superolateral half of the
coronal suture.

A

Frontal Border

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12
Q

Posteriorly | forms the inferolateral half of the lambdoid
suture by articulating with the occipital bone.

A

Occipital Border

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13
Q

● trapezoid in shape | flat, unpaired bone that forms a major part of
the posterior wall and base of the skull.
● protects the cerebellum and occipital lobes of the cerebrum

A

OCCIPITAL BONE

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14
Q

The layer of loose areolar connective tissue is known as the “danger area
of the scalp” as it contains valveless emissary veins that connect the
superficial veins in the subaponeurotic space with the intracranial venous
sinuses.
If present, the occipital emissary vein connects the occipital vein to the
union of the intracranial sinuses, making it possible for an infection to
spread from the occipital scalp to the meninges.

A

Infections via the “Danger Area of the Scalp”

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15
Q

● ‘Butterfly-shaped‘
● consists of a body, paired greater wings and lesser wings, and two
pterygoid processes.

A

SPHENOID BONE

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16
Q

a saddle-shaped depression

A

Sella turcica

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17
Q

the deepest part of the sella turcica,
where the pituitary gland is located.

A

Hypophyseal fossa

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18
Q

forms the anterior wall of the sella
turcica, and the posterior aspect of the chiasmatic groove.

A

Tuberculum sellae

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19
Q

– a sulcus formed by the optic chiasm (where the
optic nerves partially cross).

A

Chiasmatic groove

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20
Q

roof of the nasal cavity. It is pierced by numerous
olfactory nerve fibres, which gives it a sieve-like structure.

A

Cribriform plate

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21
Q

lightweight, spongy structure.
● situated at the roof of the nasal cavity, and between the two
orbital cavities.
● contributes to the medial wall of the orbit and forms part of the
anterior cranial fossa, where it separates the nasal cavity
(inferiorly) from the cranial cavity (superiorly).
● also forms a significant portion of the nasal septum and lateral
nasal wall.
● The Olfactory nerve fibres pass through the cribriform plate of the
ethmoid bone to innervate the nasal cavity with the sense of smell.
○ (this is why it looks like a sieve)

A

ETHMOID BONE

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22
Q

-projection of bone descends from the cribriform
plate | forms the superior two-thirds of the nasal septum.

A

Perpendicular plate

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23
Q
  • large masses located at either side of the
    perpendicular plate
A

Ethmoidal labyrinths (2)

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24
the lateral sheet of bone, which also forms the medial wall of the orbit
Orbital plate
25
forms the upper lateral wall of the nasal cavity, from which the superior and middle conchae extend into the nasal cavity.
Medial sheet
26
A fracture to the cribriform plate may allow communication between the nasal cavity and the central nervous system. Consequently, cerebrospinal fluid (CSF) can enter the nasal cavity and drain out from the nose. This manifests clinically as a clear watery discharge from one side of the nose – and is known as CSF rhinorrhoea. The leaks normally stop spontaneously and can be managed conservatively, however surgery is sometimes required. Spontaneous CSF rhinorrhoea can also occur due to congenital or acquired defects in the ethmoid bone.
CSF Rhinorrhoea
27
Paired Facial Bones
○ Maxilla (2) ○ Zygomatic (2) ○ Palatine (2) ○ Lacrimal (2) ○ Nasal (2) ○ Inferior concha (2)
28
Unpaired facial bones
○ Mandible (1) ○ Vomer (1)
29
Thinnest/softest part of the lateral aspect of skull.
Pterion
30
Unossified membranous intervals
Fontanelles
31
Anterior fontanelle
18 Months
32
Posterior fontanelle
12 months
33
Layers of the SCALP
● Skin ● Connective tissue ● Aponeurosis ● Loose Areolar Tissue ● Pericranium
34
Blood Supply to the Scalp
○ Supratrochlear artery and vein ○ Supraorbital artery and vein ○ Superficial temporal artery and vein ○ Posterior auricular artery and vein ○ Occipital artery and vein
35
Upward and Medially
Superior Rectus
36
Downward and Medially
Inferior Rectus
37
Cornea looks Medially
Medial Rectus
38
Cornea looks Laterally
Lateral Rectus
39
Downward and Laterally
Superior Oblique
40
Upward and Laterally
Inferior Oblique
41
(surprise)
Occipitofrontalis
42
(eye opening)
Levator palpebrae superioris
43
(eye closing)
Orbicularis oculi
44
(frowning)
Corrugator supercilli
45
(wrinkling the bridge of the nose)
Procerus
46
(lip closing and kissing)
Orbicularis oris
46
(sneering)
Levator anguli oris
46
(cheek compression)
Buccinator
47
smiling)
Zygomaticus major and minor
47
(pouting)
Mentalis
48
(sadness)
Depressor anguli oris
49
(egad)
Platysma
50
(grinning)
Risorius
51
(melancholy/irony)
Depressor labii inferioris
52
Blood Supply to the Face
○ Facial artery and vein ○ Superficial temporal artery
53
Articulation: Occurs between the articular tubercle and the anterior portion of the mandibular fossa of the temporal bone above and the head (condyloid process) of the mandible below ● Type of joint: Synovial joint ● Movements: Mandibular depression, elevation, protrusion and retrusion and rotation
Temporomandibular Joint
54
Mouth/Jaw Closing
○ Temporalis ○ Internal/Medial pterygoid ○ Masseter
55
Mouth/Jaw Opening
○ External/Lateral pterygoid ○ Digastric ○ Mylohyoid ○ Geniohyoid
56
Mouth/Jaw Retraction
Temporalis
57
○ External/Lateral pterygoid ○ Internal/Medial pterygoid ○ Masseter
Mouth/Jaw Protrusion
57
Mouth/Jaw Protrusion
○ External/Lateral pterygoid ○ Internal/Medial pterygoid ○ Masseter
58
Lateral excursion/deviation
○ Ipsilateral ■ Temporalis ■ Masseter ○ Contralateral ■ Medial pterygoid ■ Lateral pterygoid
59
How many vertebrae in Cervical Region
7 Vertebrae
60
What are the 3 atypical vertebrae
atlas, axis, C7
61
(-) body, pedicle, lamina and spinous process
C1 (Atlas)
62
(+) odontoid process/dens
C2 (Axis)
63
○ Spinous process is not bifid ○ Long, slender similar to thoracic vertebra
C7 (Vertebral prominens)
64
● Continuation of the ALL, which runs as a band down the anterior surface of the vertebral column ● The membrane connects the anterior arch of the atlas to the anterior margin of the foramen magnum ● Limits extension
Anterior atlanto-occipital membrane
65
● Similar to the ligamentum flavum and connects the posterior arch of the atlas to the posterior margin of the foramen magnum ● Limits flexion
Posterior atlanto-occipital membrane
66
runs form the posterior surface of the body to the axis to the anterior margin of the foramen magnum.
Vertical part of Cruciate Ligament
67
attached on each side to the inner aspect of the lateral mass of the atlas and bind the odontoid process of the anterior arch of the atlas.
Transverse part of Cruciate ligament
68
An upward continuation of the PLL
Membrane Tectoria
68
● Runs continuous band down the posterior surfaces of the vertebral column form the skull to the sacrum ● Limits flexion
Posterior Longitudinal Ligament (PLL)
68
● Runs continuous from anterior surface of the vertebral column from skull to sacrum. ● Limits extension
Anterior Longitudinal Ligament (ALL
68
Runs between the tips of adjacent spine
Supraspinous ligament
69
This connects the adjacent spine
Interspinous ligament
70
● Connects the laminae of the adjacent vertebrae. ● Continuation of tectorial membrane
Ligamentum Flavum
71
Suprahyoid muscles
* Digastric * Geniohyoid * Stylohyoid * Mylohyoid
72
Anterior Triangle
Carotid triangle ● Digastric triangle (Submandibular) ● Submental triangle ● Muscular triangle
73
Posterior Triangle
● Occipital triangle ● Supraclavicular triangle
74
Contains the carotid arterial system (common carotid artery, IJV and vagus nerve) ● The carotid pulse can be palpated in this are
Carotid Triangle
75
● AKA submandibular triangle ● Contains the submandibular gland and submandibular lymph nodes
Digastric Triangle
76
Contains submental lymph nodes
Submental Triangle
77
● Anterior border of the SCM ● Floor of the triangle composed of: ○ Sternohyoid ○ Sternothyroid
Muscular Triangle
78
● Superior to the omohyoid muscle ● Contains the spinal accessory nerve (CN XI), cutaneous branches of cervical nerves (C2-C4) and cervical lymph nodes
Occipital Triangle
79
● AKA omoclavicular triangle ● Supraclavicular fossa (subclavian arterial pulse) ● Subclavian artery
Supraclavicular Triangle
80
81
forms the posterior wall of the sella turcica
Dorsum Sellae