Neck & Head Flashcards

1
Q

which number is the spinal accessory nerve and what does it do

A

CN 11
innervates the sternocleidomastoid and trapezius

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2
Q

what is the sympathetic trunk called at the cervical region

A

cervical ganglia that is split into superior, middle, and inferior

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3
Q

where would you find the cervical plexus (C1 to C5)

A

anteromedial to levator scapulae and middle scalene
deep to sternocleidomastoid

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4
Q

where would you find the phrenic nerve

A

across the anterior scalene where is will then cross anteriorly to subclavian artery

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5
Q

where does the phrenic nerve stem from and what does it do

A

stems from C3-C5 and innervates diaphragm

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6
Q

where would you find the trunks of the brachial plexus

A

between anterior and middle scalene
descends between clavicle and 1st rib

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7
Q

which number is the vagus nerve and what does it do

A

CN 10
somatic motor to pharyngeal and laryngeal muscles
parasympathetic to heart, digestive, respiratory, kidneys, etc.
general sensory to pharynx, larynx, and root of tongue
visceral sensory to thoracic and abdominal organs
special sensory or taste from root of tongue and epiglottis

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8
Q

where would you find the vagus nerve

A

coming from the jugular foramen and going all the way to the transverse colon
found in carotid sheath behind carotid arteries and internal jugular vein

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9
Q

what do the L and R recurrent laryngeal nerves do

A

carry motor and sensory fibers to supply the trachea, esophagus, and larynx
also supplies motor to intrinsic muscles except cricothyroid

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10
Q

what does the superior laryngeal nerve do

A

has an internal and external branch
external motor branch: innervates cricothyroid muscle
internal sensory branch: innervates sensory fibers to pharynx

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11
Q

which number is the hypoglossal nerve and what does it do

A

CN 12
originates from brainstem and carries motor fibers to tongue

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12
Q

what is the carotid body and what does it do

A

specialized mass of tissue found at bifurcation of common carotid artery
peripheral chemoreceptor that monitors O2 in blood
innervated by CN 9 and 10

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13
Q

what is the carotid sinus and what does it do

A

small dilation around proximal part of internal carotid artery
baroreceptor innervated by CN 9 and 10 that responds to changes in arterial blood pressure

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14
Q

explain the features of a paraganglioma or carotid body tumor

A

neuroendocrine tumor of the parasympathetic system that arises at the bifurcation of carotid arteries (carotid body)
usually slow growing and benign
are removed surgically

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15
Q

what are examples of lymphoid follicles

A

mucosa-associated lymphatic tissues (MALT) like peyer’s patches and appendix

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16
Q

what is the flow of the lymph of the neck starting superiorly

A

superficial cervical lymph nodes, inferior deep cervical lymph nodes, jugular lymphatic trunks, thoracic duct or right lymphatic duct

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17
Q

explain the features of a radical neck dissection

A

performed when cancer invades cervical lymph nodes
deep cervical lymph nodes are removed along with platysma, scm, digastric, trap, omohyoid, spinal accessory nerve, marginal mandibular nerve, and cranial nerve 12
cranial nerve 10, major arteries, and brachial plexus tried to be saved

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18
Q

how many bones does the skull have

A

22

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19
Q

how many bones does the cranium have

A

8

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20
Q

how many bones does the face have

A

14

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21
Q

1.)

A

sphenoid bone

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22
Q

2.)

A

ethmoid bone

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23
Q

3.)

A

nasal bones

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24
Q

4.)

A

lacrimal bone

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25
Q

5.)

A

palatine bone

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26
Q

6.)

A

zygomatic bone

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27
Q

7.)

A

nasal inferior choncha

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28
Q

8.)

A

vomer bone

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29
Q

9.)

A

maxilla

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30
Q

10.)

A

mandible

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31
Q

1.)

A

supraorbital foramen

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32
Q

2.)

A

frontal sinus

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33
Q

1.)

A

occipital condyle

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34
Q

2.)

A

foramen magnum

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35
Q

1.)

A

mandibular fossa

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36
Q

2.)

A

external acoustic meatus

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37
Q

3.)

A

styloid process

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38
Q

4.)

A

mastoid process

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39
Q

5.)

A

internal acoustic meatus

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40
Q

6.)

A

petrous region

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41
Q

what artery runs behind the pterion suture

A

middle meningeal artery

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42
Q

1.)

A

sphenoidal sinuses

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43
Q

2.)

A

pterygoid processes

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44
Q

3.)

A

sella turcica

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45
Q

1.)

A

cribriform plate with cribriform foramina

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46
Q

how many cribriform foramina are there

A

15-20

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47
Q

2.)

A

ethmoidal sinuses

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48
Q

3.)

A

perpendicular plate

49
Q

4.)

A

middle nasal concha

50
Q

5.)

A

hiatus semilunaris

51
Q

1.)

A

mandibular condyle

52
Q

2.)

A

mandibular notch

53
Q

3.)

A

coronoid process

54
Q

4.)

A

mandibular ramus

55
Q

5.)

A

mandibular foramen

56
Q

6.)

A

alveolar process

57
Q

7.)

A

mental foramen

58
Q

8.)

A

mandibular body

59
Q

9.)

A

mental protuberance

60
Q

1.)

A

infraorbital foramen

61
Q

2.)

A

maxillary sinus

62
Q

3.)

A

palatine process

63
Q

4.)

A

inferior nasal conchae

64
Q

1.)

A

nasal septum

65
Q

2.)

A

nasal fossae

66
Q

1.)

A

squamous suture

67
Q

2.)

A

pterion suture

68
Q

3.)

A

lambdoid suture

69
Q

1.)

A

optic canal

70
Q

2.)

A

foramen rotundum

71
Q

3.)

A

foramen ovale

72
Q

4.)

A

foramen spinosum

73
Q

5.)

A

jugular foramen

74
Q

1.)

A

superior orbital fissure

75
Q

which nerve exits through the optic canal

A

CN 2 (optic nerve)

76
Q

which nerves exit through the superior orbital fissure

A

CN 3 (oculomotor), 4 (trochlear), and branch 1 (ophthalmic) of 5 (trigeminal)

77
Q

which nerve exits through the foramen rotundum

A

CN 5 (trigeminal) branch 2 (maxillary nerve)

78
Q

which nerve exits through the foramen ovale

A

CN 5 (trigeminal) branch 3 (mandibular)

79
Q

which nerve and artery exits through the foramen spinosum

A

CN 5 (trigeminal) branch 3 (mandibular) and middle meningeal artery

80
Q

which nerves exits through internal acoustic meatus

A

CN 7 (facial) and CN 8 (vestibulocochlear)

81
Q

which nerves exit through the jugular foramen

A

CN 9 (glossopharyngeal), CN 10 (vagus), and CN 11 (spinal accessory)

82
Q

what are the functions of the nasal cavity

A

warm, humidify, and filter air
secretes antibacterial substances
smell from olfactory receptors
resonance of voice

83
Q

what do the paranasal sinuses do

A

communicate with nasal cavity through bony openings
allows air to flow

84
Q

1.)

A

frontal sinus

85
Q

2.)

A

ethmoid sinus

86
Q

3.)

A

maxillary sinus

87
Q

4.)

A

sphenoid sinus

88
Q

which sinuses drain into the middle nasal meatus

A

frontal, ethmoid, and maxillary sinuses

89
Q

inflammation of which sinus can lead to toothache

A

maxillary sinus because it’s in close proximity to the teeth

90
Q

where does the sphenoid sinus drain into

A

superior nasal meatus

91
Q

which sinus is the pituitary gland behind

A

sphenoid sinus

92
Q

what is a fontanel

A

membranous areas between fetal cranial bones
present until 18-24 months

93
Q

1.)

A

anterior fontanel

94
Q

2.)

A

posterior fontanel

95
Q

3.)

A

sphenoid fontanel

96
Q

4.)

A

mastoid fontanel

97
Q

5.)

A

metopic suture

98
Q

list some differences between male and female skull

A

male: prominent supraorbital ridge, 90 degree mandibular angle, larger mastoid process
female: less prominent supraorbital ridge, greater than 90 degree mandibular angle, smaller mastoid process

99
Q

which cranial nerve innervates muscles of facial expression

A

CN 7 (facial)

100
Q

what does the frontalis muscle do

A

raise eyebrows and skin of forehead

101
Q

what does the orbicularis oris do

A

helps you eat, drink, whistle, and speak

102
Q

what does the buccinator do

A

compresses checks to help with chewing and blowing

103
Q

what does the orbiculais oculi do

A

controls eye movement helps close eye

104
Q

what does the platysma do

A

pulls chin down and helps to open mouth

105
Q

1.)

A

frontalis

106
Q

2.)

A

orbicularis oculi

107
Q

3.)

A

buccinator

108
Q

4.)

A

orbicularis oris

109
Q

5.)

A

platysma

110
Q

what nerve innervates muscles of mastication

A

CN 5 (trigeminal)

111
Q

what does the masseter do

A

attaches to the zygomatic process and angle of mandible
pulls the jaw back and down

112
Q

what does the temporalis do

A

attaches to coronoid process of mandible
helps close the jaw

113
Q

what are the 5 layers of the scalp starting from most superficial

A

skin, connective tissue, aponeurosis, loose connective tissue, and periosteum

114
Q

what layers of the scalp make up the scalp proper

A

skin, connective tissue, and aponeurosis

115
Q

what is the aponeurosis

A

broad tendinous sheet under the connective tissue in the scalp

116
Q

explain the features of a subgaleal bleed (SCALP)

A

scalp vessels bleed
blood extends anteriorly because first 3 layers are not attached to bone
causes a black eye (periorbital ecchymosis)

117
Q

what are the alae nasi

A

lateral portion of nostrils

118
Q

what is the nasal vestibule

A

hairs in the nasal cavity which prevent large objects from entering