Neck Anatomy Flashcards

1
Q

Can cartilage of the neck ossify?

A

Yes, it is possible to fracture the hyoid bone in elderly due to ossification

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2
Q

How many vertebra can be found on the cervical region?

A

seven

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3
Q

What’s the origin and insertion of sternocleidomastoid?

A

from the mastoid process to the sternum, but we a clavicular attachment

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4
Q

Where does the phrenic nerve in the neck region?

A

along the course of sternomastoid

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5
Q

Where is the anterior triangle of the neck?

A

medial to sternomastoid

base from inferior mandible, apex inferiorly merging into root of neck

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6
Q

Where is the posterior triangle of the neck?

A

Lateral to sternomastoid

apex superiorly and broad base inferiorly

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7
Q

what can be found in the vertebral compartment of the neck?

A

bone, and muscles that compete for attachments on bony processes

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8
Q

what can be found in the visceral compartment of the neck

A

oesophagus, thyroid, trachea

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9
Q

what can be found in the vascular compartment

A

common carotid until C4, internal jugular vein

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10
Q

What are the four deep layers of fascia in the neck?

A

investing fascia
pretracheal fascia
prevertebral fascia
carotid sheath

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11
Q

what does the investing fascia surround?

A

two muscles

sternomastoid and trapezius

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12
Q

why is the carotid sheath thin around the internal jugular vein

A

because veins need to expand

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13
Q

When does cervical lordotic curve develop? What is the curve created by?

A

6-9 months, formed by the intervertebral disc and facilitated by muscle

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14
Q

What features does a typical cervical vertebra have?

A

transverse foramen with anterior and posterior tubercle, seals laterally by transverse bar

bifurcation of spinous process

uncinate processes to keep movement in the saggital plane

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15
Q

What are the attachments and insertions of scalenus anterior and medius

A

SA: from typical vertebra to first rib

SM: from posterior tubercle to first rib

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16
Q

what comes out between the scalenus anterior and medius

A

subclavian artery and brachial plexus

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17
Q

What’s the significance of cranial shift and finding elongation of anterior tubercle at C7

A

there may be entrapment of nerve roots

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18
Q

What are the features of C1, atlas

A

it’s a ring of bone without body. Most laterally placed transverse process
inner facet anteriorly to articulate with dens
occipital condyles superiorly

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19
Q

What are the features of C2, axis

A

dens, pivot joint with C1

very stable

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20
Q

What’s the difference in spinal nerve course between atypical and typical cervical vertebrae

A

in C1 and C2, the spinal nerve passes posterior to facet joint

in typical vertebrae, the spinal nerve passes anterior to facet joint

21
Q

Which cervical segments contain transverse process with artery within

A

C1 to C6

22
Q

What does the large intervertebral discs of cervical spine prevent?

A

forward slip and rotation

23
Q

What is a common cause of injury to the cervical facet joints?

A

hyperextension in a whiplash injury

24
Q

How much movement is permitted at the atlanto-occipital joint

A

15-20 degrees

25
Q

How much movement is permitted at the atlanto-axial joint

A

3-4 degrees of AP movement

50% of the rotational movement

26
Q

In the neck region, what do these ligaments change their names to

1) anterior longitudinal ligament
2) posterior longitudinal ligament
3) ligamentum flavum
4) supraspinous ligament

A

1) anterior atlanto-occipital membrane
2) membrana techtoria
3) posterior atlanto-occipital membrane
4) ligament nuchae

27
Q

where is the alar ligament

A

either side of the dens

28
Q

Transverse and vertical ligaments come together to form the ________

A

cruciform ligament

29
Q

Where is the superior nuchal

A

they can be found as lateral extensions of the external occipital protuberance

30
Q

the superficial fascia contains a thick sheet of platysma, what’s the function of platysma muscle

A

the muscle blends with the muscle of the face. It is for facial expression

31
Q

describe the location of external jugular vein in the neck

A

It’s found on the superficial fascia, traveling form the angle of mandible along the course of sternocleidomastoid

32
Q

which pair of veins travels on the midline of the neck

A

anterior jugular vein

33
Q

T/F Investing fascia surrounds all compartments of the neck

A

True

34
Q

Which muscles does the investing fascia enclose?

A

SCM and trapezius

35
Q

What are the two fascia sheaths of the pretracheal (visceral) fascia

A

pretacheal and buccopharyngeal

36
Q

The pretracheal fascia extends up to the hyoid bone, what is the significance of that?

A

anything enclosed in the fascia will move up and down with swallowing

37
Q

Where are the attachments of supra-hyoid muscle, and what’s the action of the this muscle

A

connect the hyoid to the mandible. Contraction will elevate the hyoid and the larynx

38
Q

Where are the attachments of infra-hyoid muscle, and what’s the action of this muscle

A

connect hyoid to the sternum, clavicle (+1 to the scapula)

contraction will depress the hyoid and the larynx

39
Q

What are the branches of the external carotid artery

A
superior thyroid artery 
ascending pharyngeal artery 
lingual artery 
facial artery 
occipital artery 
posterior auricular artery
maxillary artery 
superficial temporal artery
40
Q

What are the two main branches of glossopharyngeal nerve at the neck region?

A

one branch to the carotid sinus

one branch to pharynx anteriorly

41
Q

T/F Vagus nerve runs in the carotid sheath

A

True, vagus travels with the vascular structures

42
Q

T/F Accessory nerve runs in the anterior triangle

A

False, it travels in the posterior triangle

43
Q

Where is the isthmus of thyroid located?

A

it covers the 2nd and 3rd tracheal cartilage

44
Q

T/F The extra pyramidal lobe is typically on the right side if it is present

A

False, it’s classically on the left

45
Q

With an enlarged thyroid, what are the 4 symptoms that may occur

A

respiratory obstruction
dysphagia
hoarse voice
venous distention

46
Q

Where does the inferior thyroid artery come from

A

from the thryo-cervical trunk of the subclavian

47
Q

Which part of the tongue is a sign of origin of thyroid

A

foramen caecum

48
Q

Which two bones does the subclavian artery travel inbetween?

A

clavicle and the first rib