Neck Flashcards

1
Q

What makes up axillary skeleton of neck?

Visceral skeleton?

A
Axillary: cervical vertebrae
Visceral:
-Hyoid bone
-Thyroid cartilage
-Cricoid cartilage
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2
Q

What structure is behind the thyroid cartilage?

Cricoid cartilage?

A

Thyroid: larynx

Cricoid cartilage: trachea

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3
Q

Larynx
Trachea
Pharynx

A

Larynx: voice box
Trachea: windpipe
Pharynx: throat post to nasal cavity and mouth; leads to esophagus

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4
Q

What membrane is b/w thyroid cartilage and hyoid bone?

A

Thyro-hyoid membrane

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5
Q

What are the 2 muscles in the back of the neck that are separated by fascial layers?

A

Muscle of pharyngeal wall (ant)

Longus coli muscle (post)

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6
Q

What are the 3 fascia layers b/w the muscle of pharyngeal wall and longus coli muscle in back of neck?

A

Ant: Buccopharyngeal (pretrachial)
Mid: Alar
Prevertebral

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7
Q

What are the fascia of the neck?

A

Investing layer (surrounds entire neck)
Prevertebral layer (encases vertebrae/erector spinae)
Alar: carotid sheath
Pretrachial: surrounds trachea, esophagus, thyroid gland

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8
Q

What is the danger space called?

What fascia layers is it betweehn?

A

Retropharyngeal space

b/w Alar and Prevertebral

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9
Q

What smaller subsection is in the sternocleidomastoid region?
What does it contain?

A

Lesser supraclavicular fossa

Contains internal jugular vein

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10
Q

Posterior cervical region contains…

A

Trapezius

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11
Q

Posterior triangle:
Location
What smaller subsections are in this region?

A

Location: b/w sternocleidomastoid and trapezius
Smaller subsections:
-Occipital triangle
-Omoclavicular

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12
Q

Anterior triangle:
Location
What smaller subsections are in this region?

A

b/w sternocleidomastoid and midline of neck
Smaller subsections:
-muscular triangle
-carotid triangle

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13
Q

Muscular triangle location

What larger triangle is it in?

A

Located b/w sup belly of omohyoid and sternohyoid

Anterior triangle

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14
Q

Carotid triangle location
What larger triangle is it in?
What does it contain?

A

Located b/w sternocleidomastoid, sup belly of omohyoid, and digastric

Anterior triangle

Contains carotid artery, jugular vein, vagus nerve

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15
Q

What are the superficial muscles of the neck?

A

Platysma
Sternocleidomastoid
Trapezius

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16
Q

What is the action of the sternocleidomastoid?

A

lateral flexion/rotation; tipping head down and up

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17
Q

What is the action of trapezius?

A

Major extensor of neck

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18
Q

Where does the sternocleidomastoid attach?

A

Sternum
Clavicle
Mastoid process

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19
Q

What nerves are in the post triangle?

A

Cervical plexus

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20
Q

What kind of nerves are the cervical plexus?

A

Sensory

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21
Q

Spinal accessory nerve runs b/w

A

sternocleidomastoid and trapezius

Spinal accessory nerve innervates both of these muscles

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22
Q

What are the muscles of the post triangle?

List them from post –> ant

A

Splenius capitis
Levator scapulae
Scalene (post, mid, ant)

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23
Q

Brachial plexus runs b/w what muscles?

A

Ant and mid scalene

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24
Q

Subclavian artery comes from…on right side and … on left side

A

Right: brachiocephalic
Left: arch of aorta

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25
What are the branches of the 1st part (medial) of subclavian?
Vertebral Thyrocervical Internal thoracic
26
What are the branches of the thyrocervical trunk of the subclavian?
Suprascapular Cervicodorsal trunk Ascending cervical Inferior thyroid artery
27
What is the branch of the second part (posterior part) of subclavian artery?
Costocervical trunk
28
What are the nerves included in the cervical plexus (sensory)?
Lesser occipital Great auricular Supraclavicular (med, lat, intermed) Transverse cervical
29
Cervical plexus location
Exits behind sternocleidomastoid in NERVE POINT OF NECK
30
What are the nerves included in the cervical plexus (motor)?
Ansa cervicalis | Phrenic nerve
31
Ansa cervicalis
C1-C3 Makes a loop Some C1 fibers ride ansa cervicalis
32
What muscles are innervated by ansa cervicalis?
Omohyoid Sternohyoid Sternothyroid
33
Phrenic nerve
C3-C5 Run across surface of ant scalene Incorporated into pericardium
34
What muscle does phrenic nerve innervate?
Diaphragm
35
Branch of C1 rides with what nerve?
Hypoglossal (XII)
36
The branch of C1 that rides with the hypoglossal nerve (XII) innervates
Thyrohyoid | Geniohyoid
37
Ant or post triangle? Cervical plexus Phrenic nerve Ansa cervicalis
Cervical plexus: post Phrenic nerve: post Ansa cervicalis: ant
38
What nerve is incorporated into the carotid sheath?
Ansa cervicalis
39
Laryngeal prominence
Thyroid cartilage
40
What 2 muscles of the neck have a bend in the middle?
Digastric | Omohyoid
41
What muscle innervates the ant belly of digastric? | Post belly?
Ant: V3 Post: Facial nerve (VII)
42
What muscle makes up most of the tongue?
Genioglossus
43
Carotid sinus
base of internal carotid is expanded | Measures BP -- stretching of vessel
44
Carotid body
measures CO2 levels in blood
45
What nerve monitors the carotid sinus and carotidd body?
Glossopharyngeal nerve (IX)
46
What 4 CN's pass through the ant triangle?
Glossopharyngeal (IX) Vagus (X) Spinal accessory (XI) Hypoglossal (XII)
47
Describe relation b/w location of longus capitis and longus coli
Longus coli is medial to longus capitis
48
What are the ganglia in the cervical region?
Sup, Mid, and Inf superior cervical ganglia
49
What area are cervical vertebra located in?
``` Danger space (retropharyngeal space) B/w prevertebral and alar fascia ```
50
What nerves synapse at the ganglia in the cervical region?
Sympathetic plexus that rides up carotid arteries
51
Describe location of synapse to proximity of target/origin for parasympathetic and sympathetic nerves
Parasympathetic: synapse close to target | Sympathetic synapse close to origin (SC)
52
Compare the shape of the thyroid and cricoid cartilage
Thyroid: U-shaped, open in back Cricoid: ring-shaped, thicker in back than in front
53
What area do you perform a tracheotomy on?
cricothyroid membrane
54
What are the blood vessels supplying the thyroid gland?
Sup and inf thyroid arteries | Sup, Mid, and Inf thyroid veins
55
Sup thyroid artery from... | Inf thyroid artery from...
Sup: external carotid Inf: thyrocervical trunk -- 2nd part of subclavian
56
Where are parthyroid gland located?
On back of thyroid gland
57
What are the 2 branches of the vagus nerve that supply near the trachea?
Sup laryngeal nerve (sensory) | Recurrent laryngeal nerve (motor)
58
What membrane does the sup laryngeal nerve pierce? | What name does it have once it pierces this membrane?
Thyrohyoid membrane Internal branch of internal laryngeal nerve
59
What does sup laryngeal nerve innervate?
Larynx above vocal cords/folds
60
What does the recurrent laryngeal nerve innervate?
All muscles of laryngeal area (except cricothyroid muscle)
61
What are the 3 parts of the pharynx?
Naso Oro Larygo
62
Laryngeal inlet (aditus)
opening for pharynx
63
Pharynx originates from what germ layer?
Gut tube
64
What are the arches at the base of the tongue?
Palatoglossal | Palatopharyngeal
65
What are the tonsils that are removed if infected?
Platine tonsils
66
Taste to ant 2/3 of tongue | Taste to post 1/3
Ant 2/3: chorda tympani (facial) | Post 1/3: glossopharyngeal (IX)
67
Epiglottis
Cap over glottis
68
Glottis
opening to larynx
69
What are the 2 layers of muscle that make the pharyx?
1. Circular (outer, constrictors) | 2. Longitudinal (sup-->inf)
70
What action is produced by circular and longitudinal muscles of pharynx?
Circular: constrictors, peristalsis Long: contract and make pharynx shorter
71
Superior pharyngeal constrictor muscle attaches to...
pharyngeal tubercle of skull and | buccinator
72
Superior pharyngeal constrictor muscle attaches to buccinator via
pterygomandibular raphe
73
Glossopharyngeal nerve runs on top of what muscle? | It also innervates this muscle
Stylopharyngeus
74
What are the longitudinal muscles of the pharynx?
Stylopharyngeus Palatopharyngeus Salpingopharyngeus
75
What are the diff tonsils?
Pharyngeal Tubal Plaltine Lingual