Neck Flashcards

1
Q

what kind of curvature is there in the cervical spine

A

lordosis

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2
Q

uncinate processes are present on which bodies?

A

c3-6

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3
Q

what are the names of c1 & c2?

A

atlas and axis

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4
Q

which joints permit neck rotation?

A

facet joints

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5
Q

which joints in the neck are at 45 degrees

A

facet joints

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6
Q

the platysma is supplied by which nerve

A

facial

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7
Q

where and what is the platysma

A

thin sheet of muscle that blends with muscles of facial expression.
In superficial fascia

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8
Q

the investing layer of fascia encloses which muscles?

A

SCM and trapezius

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9
Q

SCM & trapezius are enclosed by which layer of fascia

A

investing

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10
Q

where does the common carotid bifurcate

A

upper border of thyroid cartliage

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11
Q

what is enclosed by the superifical fascia (3)?

A

platysma, external and anterior jugular veins

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12
Q

what is atypical about c7?

A

longest spinous process

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13
Q

what are the names of the lateral muscles of the neck

A

scalenus (ant, medius, post)

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14
Q

where does scalenus anterior span

A

anterior tubercle of transverse to 1st rib

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15
Q

how does the neurovasculature relate to scalenus anterior?

A

phrenic nerve sits on it

subclavian artery and brachial plexus run b/w it and scalenus medius

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16
Q

name the main preverterbral muscle of the neck and what does it do?

A

longus coli.

Maintains lordosis

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17
Q

axis has no body. true or false?

A

false (atlas has no body)

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18
Q

how do the nerve exits change throughout the cervical spine?

A

c1-2 they run behind the facet joint

c3-7 they run b/w transverse process and facet joint

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19
Q

which IV discs are relatively largest in the body

20
Q

in which direction do cervical IV discs prolapse

21
Q

prolapse is more common in cervical discs as opposed to lumbar. true or false

22
Q

describe the effects of ageing on the cervical IV discs

A

water content degenerates bringing bones closer together.

This reduces lordosis and may irritate nerves

23
Q

what is a hangman’s fracture?

A

fracture of axis (pedicles), typically when driver not wearing seatbelt

24
Q

what are the 2 ligaments associated with the dens

A

transverse and alar

25
What is the role of the transverse ligament
prevents dens from slipping posteriorly into vertebral canal
26
what is enclosed by the pretracheal fascia
the thyroid
27
what is enclosed in the carotid sheath
common carotid, IJV, & vegas
28
where does the vertebral artery enter the transverse foramen
C6
29
what is special about the internal carotid
contains the carotid sinus and carotid body (baro and chemoreceptors
30
how many branches of the external carotid are there
6 (3 front, 2 behind, 1 deep
31
what are the 6 branches of the external carotid
``` 1st front = superior thyroid 2nd front = lingual 3rd front = facial behind = occipital artery behind = posterior auricular deep = ascending pharyngeal ```
32
which veins are more medial anterior or external jugular?
anterior
33
what are the 3 borders of the anterior triangle?
Apex - Jugular notch in the manubrium of the sternum Anterior boundary: Midline of the neck from chin to the jugular notch Posterior boundary: The anterior margin of SCM Base: The lower border of the mandible
34
where is the ant triangle located in relation to the fascia
b/w investing and pretracheal
35
which muscles are in the ant triangle and what innervates them
supra and infra hyoid | cervical nerves
36
Nerves of the Anterior Triangle and their direction:
IX comes forward out of jugular foramen Vagus goes Down Accessory goes backwards Hyperglossal passes b/w artery and vein
37
what is the pyramidal lobe of the thymus?
comes off itshmus in some people - remanent of development of thyroid through foramen caecum of tongue
38
where is the isthmus?
b/w 2nd and 3rd tracheal rings
39
border of thyroid?
inferior thyroid cartilage to 6th tracheal ring
40
describe the arteries of thyroid
``` 2 pairs - paired superior (branch of external carotid) paired inferior (subclavian) anastamose vertically and in midline ```
41
veins of thyroid?
3 pairs (superior, middle, inferior)
42
what is the name of the artery that occasionally runs vertically up the isthmus
thyroid ima artery
43
where is the cervical plexus?
under the cover of SCM
44
where is the phrenic in relation to the neck
posterior triangle, on scalenus anterior
45
borders of posterior traingle
Apex: Union of the sternocleidomastoid and the trapezius muscles at the occipital bone Anterior: Posterior border of the SCM Posterior: Anterior border of the trapezius Base: Middle one third of the clavicle
46
which cranial nerve is in the posterior triangle
accessory
47
which muscles in the post triangle?
pre and post-vertebral, deep muscles of neck