Neuro Test 2 Flashcards
The three main compartments of the neck are the ___, ___ and the ___ compartments
Visceral
Vascular
Vertebral
The 6 kinds of fascia are
Investing Pretracheal Buccopharyngeal Alar Prevertebral Carotid
The three fascial spaces are
Pretracheal space
Retropharyngeal space
Prevertebral space (danger space)
The three things in the carotid sheath are
Carotid artery
IJV
Vagus nerve
Infections in the carotid sheath can extend from the ___ to the ___
Skull
Middle mediastinum
The pretracheal space extends from ___ to the ___
Thyroid cartilage
Anterior mediastinum
The retropharyngeal space goes from the ___ to the ___
Skull base
Superior mediastinum
The prevertebral “danger” space extends from the ___ to the ___
Skull base
Posterior mediastinum
Things can enter the prevertebral space by
Dental drilling
Zone I of the neck goes from ___ to ___
Zone II goes from ___ to ___
Zone III goes from ___ to ___
Thoracic inlet to cricoid cartilage
Cricoid cartilage to angle of mandible
Angle of mandible to base of skull
The boundaries of the PCT are
SCM
Trapezius
Middle 1/3 of clavicle
The 6 contents of the PCT are
Platysma
Cutaneous nn.
Transverse cervical aa.
Motor nn.
EJV
Deep. Muscles
Suprascapular aa
PCT MEDS
Lesser Occipital, great auricular and transverse cervical nerve levels
C2-C3
Supraclavicular nn level
C3-C4
Lesser occipital nerve supplies what
Skin of scalp at apex of triangle
Great auricular nerve supplies what
Lobe and skin posterior to auricle
Transverse cervical nerve supplies what
Skin of ACT and lateral neck
Supraclavicular nerves supply what
Skin of clavicular region
The two motor nerves of the PCT are the
Accessory n
Phrenic nerve
Level of phrenic nerve
C3-C5
EJV drains into
Subclavian v
Transverse cervical a comes from the
Thyrocervical trunk
Suprascapular a arises from the
Thyrocervical trunk
The transverse cervical nerve runs ___ but the transverse cervical artery runs ___
Anteriorly
Posteriorly
The 4 deep muscles of the PCT are the
Splenius capitis
Levator scapulae
Scalene muscles (ant, middle, post)
Omohyoid m. (Inferior belly)
Splenius capitis does what
Extends and laterally rotates head and neck
What innervates the levator scapulae
Dorsal scapular nerve
The scalene muscles do what
Tilt neck laterally
The scalene muscles are innervated by
Ventral rami of C3-C8
Two things that pass through the interscalene triangle
Brachial plexus
Subclavian a.
The boundaries of the interscalene triangle are the
Anterior scalene
Middle scalene
1st rib
The anterior cervical triangle is made up of what 4 triangles
Submental triangle
Submandibular
Carotid
Muscular
Platysma is innervated by what branch of what nerve
Cervical branch of facial n.
4 suprahyoid muscles
Stylohyoid
Digastric
Mylohyoid
Geniohyoid
Stylohyoid innervation
Facial n
Two actions of digastric m
Raises hyoid bone
Lowers mandible
Innervation of ant belly and post belly of digastric
Ant belly: V3
Post belly: VII
Mylohyoid innervation
V3
Geniohyoid m action
Elevates and pulls hyoid forward
Pulls mandible downward and inward
Innervation of geniohyoid
Branch from anterior ramus of C1
The 4 infrahyoid muscles
Omohyoid
Sternohyoid
Thyrohyoid
Sternothyroid
Innervation of sternohyoid
Anterior rami of C1-C3 via ansa cervicalis
Innervation of omohyoid
Anterior rami of C1-C3 via ansa cervicalis
Thyrohyoid is innervated by
Nerve to thyrohyoid
Sternothyroid is innervated by
Ant. Rami of C1-C3 via ansa cervicalis
Three anterior branches of the external carotid
Three posterior branches of the external carotid
Superior thyroid
Lingual
Facial
Ascending pharyngeal
Occipital
Posterior auricular
External carotid terminates as ___ and ___
Superficial temporal
Maxillary
The borders of the submental triangle are
Hyoid bone
L/R anterior belly of digastric
3 contents of submental triangle
Mylohyoid m
Submental lymph nodes
Some small veins
Borders of submandibular triangle
Inf. Border of mandible
Ant. Belly of digastric
Post belly of digastric
6 contents of submandibular triangle
Submandibular gland Lymph nodes Marginal mandibular branch of VII Hypoglossal n Mylohyoid n of V3 Facial a. / v.
Borders of the muscular triangle
Hyoid bone
Superior belly of omohyoid/SCM
Midline of neck
Viscera in muscular triangle (6 things, gross structures)
Thyroid gland Parathyroid gland Trachea Esophagus Common carotid Internal Jugular v.
Borders of the carotid triangle
Post. Belly of digastric
Anterior border of SCM
Superior belly of omohyoid
5 nerves in carotid triangle
X XI XII Ansa cervicalis Laryngeal (off X)
Arteries in carotid triangle
Carotid aa. (Common, internal, external)
6 branches of external carotid
The four sections of the thyroid are the:
Right lobe, left lobe, isthmus, pyramidal lobe
The three veins of the thyroid gland are the:
Superior, middle, inferior
The superior and middle thyroid veins drain into ___ while the inferior thyroid drains into ___
Internal jugular
Brachiocephalic
Damage to the external laryngeal nerve (in thyroidectomy) can lead to paralysis of ___ and ___
Cricothyroid m
Inferior pharyngeal constrictor
The three branches of the thyrocervical trunk are
Inferior thyroid
Transverse cervical
Suprascapular
Inferior thyroid a also gives off ___
Ascending cervical a
The two arteries that “pin down” phrenic nerve and anterior scalene
Transverse cervical
Suprascapular
The vertebral v. Travels where
Transverse foramen of C1-C6
The ___ nerve travels with vagus but breaks off in the root of the neck
Recurrent laryngeal nerve
The 3 sympathetic ganglia found in cervical region are the
Superior
Middle
Inferior cervical ganglia
Level of superior cervical ganglion
Level of mastoid process
Level of middle cervical ganglion
Posterior to thyroid gland
Level of inferior cervical ganglion
Just above subclavian a.
The inferior cervical ganglion combines with ____ to make ____
First thoracic ganglion
Cervicothoracic (stellate) ganglion
The thoracic duct drains from where
Everywhere except right upper limb and right head/neck/chest
The thoracic duct drains into the ___
Left venous angle
Facial structures develop when
Second month
Week 4: ___ appear, ___ and ___ form
Weeks 5-6: ___ and ___ form
Week 7: the ___ forms
Week 10: things move and normalize
Pharyngeal arches, maxilla and mandible
Nasal pit and nasal cavity
Face
The face forms from what 5 things
Frontonasal prominence (1)
Maxillary prominences (2)
Mandibular prominences (2)
Nasal placodes form from ___ and eventually become ___ and ___
Nasal placodes
Medial nasal prominences
Lateral nasal prominences
Nasal pits form when
Week 5
Oronasal membrane ruptures when
Week 6
The space where the oronasal membrane ruptures is called the :
Primordial choanae
___ gives rise to olfactory epithelium
Neuroectoderm
Mandibular prominences fuse at day _
28
How does the nasolacrimal duct form?
From the nasolacrimal groove
The intermaxillary segment forms when the ___ fuse and also makes up the ___, ___, and the ___
Medial nasal prominences
Philtrum
Premaxillary part of maxilla
Primary palate
How does a cleft palate form
If the tongue doesn’t drop
The incisive foramen marks what
Where secondary palate fuses with primary palate
The first step in forming the inner ear is:
Surface ectoderm at the level of caudal hindbrain forms OTIC PLACODES
Placodes become ___ which become ___
Pits
Vesicles
The placode of the inner ear will eventually become the ___
Membranous labyrinth
The otic vesicle can be divided into the ___ and the ___ regions
Utricular
Saccular
Vacuoles in the cartilaginous otic capsule around the cochlear duct become what two things
Scala vestbuli
Scala tympani
The spiral organ forms where
Cell walls of coiled duct
The spiral ganglion is formed from what
Cell bodies of CN VIII
The auricle forms from what
Auricular hillocks
The eye forms mostly in weeks -
4-5
Optic vesicles become ___ and ___
Optic cups
Optic stalks
The lens is formed from which layer?
Surface ectoderm
The two layers of the optic cup become what
The retinal pigmented epithelium (outer)
The neural retina (inner)
The space that extends through the vitreous humor is called the
Hyaloid canal
How does the lens form? (3 steps)
Lens placode -> lens pit -> lens vesicle
Order of retinal layers light hits
Nerve fiber layer -> inner nuclear layer -> outer nuclear layer -> rods and cones
(Then impulse travels back other direction)
On a skull, the nose opening is called the _
Piriform aperture
The three intersections of the skull bones are the
Pterion
Lambda
Bregma
The most superior point on the cranium is the
Vertex
The orbit is made up of what 6 bones
Frontal bone Zygomatic bone Maxilla Lacrimal Ethmoidal Sphenoid
Two functions of nasal sinuses
Make bones lighter
Add resonance to voice
How many paranasal sinuses are there
2 frontal
3-13 ethmoid air cells
2 sphenoid
2 maxillary
What is in the optic canal
Optic Nerve (II) Ophthalmic a.
What travels in the Superior orbital fissure
CN’s III, IV, V1, VI
What travels in foramen rotundum
Maxillary (V2)
What foramen does V3 travel in
Foramen Ovale
What travels in foramen spinosum
Middle meningeal a.
Where does ICA enter cranial vault
Foramen Lacerum
What travels in the jugular foramen
IX, X, XI and IJV
What travels in the internal acoustic foramen
VII and VIII
What two foramina does VII travel in
Internal acoustic foramen
Stylomastoid foramen
Through which foramen does XII travel
Hypoglossal canal