Organization of Head and Neck Flashcards

1
Q

Which of the 5 parts of the total body segment is not included in the head and neck?

A

Urogenital System

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2
Q

Which of the 5 parts of the total body segment has the greatest elaboration?

A

Gut tube

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3
Q

What is included in the neural tube for the head and neck?

A

brain stem, brain, cranial nerves, eyes, olfactory bulb and neural ear

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4
Q

What is included in the cardiovascular loop for the head and neck?

A

vasculature and lymphatics

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5
Q

What is included in the gut tube for the head and neck?

A

nose, mouth, ears, facial/chewing/swallowing muscles, parasympathetics, pharynx and larynx

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6
Q

What is included in the body wall for the head and neck?

A

skull, cornea, pinna, skin and hair

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7
Q

What commands/directs body wall?

A

neural tube

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8
Q

What 2 total body segments have a partnership?

A

neural tube and gut tube

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9
Q

What is interposed between neural tube and gut tube?

A

notochord

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10
Q

What are the 4 parts of the brain stem

A

forebrain, midbrain, hindbrain, spinal cord

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11
Q

What is in the forebrain?

A

diencephalon and cerebral cortex

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12
Q

What is in the midbrain?

A

midbrain

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13
Q

What is in the hindbrain?

A

pons, medulla, cerebellum

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14
Q

What are the two elaborations of the brain stem?

A

cerebral cortex and cerebellum

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15
Q

What role was the forebrain originally formed for?

A

chemical detection and olfactory signals

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16
Q

What role was the midbrain originally formed for?

A

vision

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17
Q

What was the hindbrain originally formed for?

A

feeding and detection of mechanical wave stimuli

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18
Q

What are the 4 partnerships between the neural and gut tube?

A

olfactory, hearing/balance, taste and vision

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19
Q

the glandular components of head and neck are derived from what?

A

gut tube

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20
Q

Where do all cranial nerves project from?

A

neural tube

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21
Q

what facial cavity is derived from the neural tube?

A

eye

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22
Q

what facial cavities are derived from the gut tube?

A

hearing, balance, taste and smell

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23
Q

What do the ear, eye, nose and mouth all begin as?

A

pits in ectoderm of embryonic head

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24
Q

describe the development of the nose

A

specialized patches of ectoderm develop into neurons and convey smell to the brain

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25
Q

describe the development of the eye

A

lens of eye develops from invagination of embryonic ectoderm, retina forms from the outgrowth of the brain that wraps around the lens

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26
Q

describe the development of the ear

A

invaginating ectodermal pit remains in its cavity, fluid filled sac becomes a system of tubules (hearing/balance)

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27
Q

describe the development of the tongue

A

specialized flap of chemically sensitive tissue contained in the oral cavity which ruptures through the ectoderm to form the oral opening, tongue muscles came later

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28
Q

Which 4 nerves develop from the arches?

A

trigeminal, facial, glossopharyngeal and vagus

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29
Q

What are the 3 developmental components of the skull?

A

dermatocranium, chondrocranium and splanchnocranium

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30
Q

describe dermatocranium

A

derived from neural crest and skin, shielding bone coats and protects neural and gut tubes, provides framework for gut tube openings

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31
Q

What are some examples of dermatocranium?

A

clavicles and teeth

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32
Q

describe chondrocranium

A

derived from pre-chordal cartilage (extensions of notochord), cups and supports neural tube

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33
Q

What coats chondrocranium?

A

dermatocranium

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34
Q

describe splanchnocranium

A

hangs from underside of chondrocranium, derived from gill bars, framework of head’s gut tube, some of it is replaced by dermatocranium

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35
Q

what bones are made of chondrocranium?

A

ethmoid

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36
Q

what bones are made of splanchnocranium?

A

hyoid, stapes, incus, malleus

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37
Q

what bones are made of dermatocranium?

A

frontal, parietal, nasal, lacrimal, zygomatic, vomer, palatine

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38
Q

what bone is made of both chondrocranium and dermatocranium?

A

occipital

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39
Q

what bones are made of dermatocranium and splanchnocranium?

A

maxilla and mandible

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40
Q

what bones are made from all 3?

A

sphenoid and temporal

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41
Q

why does dermatocranium replace splanchnocranium in the jaw?

A

dermatocranium can grow teeth

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42
Q

what are the muscles of the head and neck derived from?

A

pharyngeal arch muscles, occipital somite muscles and preotic somitomere muscles

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43
Q

describe pharyngeal arch muscles

A

derived from gill bars, specialized gut tube muscles innervated by brachial arch, feeding nerves

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44
Q

describe occipital somite muscles

A

derived from cranial most somites, innervated by motor only cranial nerves from back end of brain stem

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45
Q

describe preotic somitomere muscles

A

derived from somitomeres (neural crest), related to eye, innervated by motor only cranial nerves from in and around midbrain

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46
Q

all tongue muscles are derived from what?

A

occipital somites

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47
Q

the extraoccular muscles are derived from what?

A

preotic somitomeres

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48
Q

What is the superficial muscle of the neck?

A

platysma

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49
Q

What is platysma innervated by

A

cervical branch of facial nerve

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50
Q

what does platysma do?

A

manipulate skin of face

51
Q

what does the external cervical fascia cover?

A

trapezius and sternocleidomastoid

52
Q

what does the middle cervical fascia cover?

A

infrahyoid strap muscles

53
Q

what does the pretracheal fascia cover?

A

surrounds thyroid gland

54
Q

what is the paniculus camosa?

A

specialized sheet of muscle, humans lost all except platysma and pyrimidalis

55
Q

what is the ‘danger space’ and why is it called that?

A

between alar and prevertebral fascia, it is called this because it is a continuous space from the head and neck to the thorax

56
Q

what links the pretrachial fascia and the carotid sheaths on either side of the brain?

A

alar/buccopharyngeal fascias

57
Q

what makes up the posterior triangle?

A

sternocleidomastoid, trapezius and clavicle

58
Q

what muscles make up the floor of the posterior triangle?

A

splenius, levator scapulae, the scalenes, omohyoid

59
Q

what are the scalenes homologous to?

A

intercostals

60
Q

what nerves pass through posterior triangle?

A

accessory nerve, phrenic nerve, cutaneous nerves of neck, dorsal scapular nerve, C3 and C4 joining accessory nerve, long thoracic nerve, brachial plexus

61
Q

what are the cutaneous nerves of the neck?

A

lesser occipital, great auricular, transverse cervical, supraclavicular

62
Q

what arteries pass through posterior triangle?

A

suprascapular artery and transverse cervical artery

63
Q

what vein passes through the posterior triangle?

A

external jugular vein

64
Q

where do the cutaneous nerves of the neck emerge from?

A

external cervical fascia around erb’s point

65
Q

what cranial nerve is spinal accessory nerve?

A

11

66
Q

what does spinal accessory innervate?

A

trapezius and sternocleidomastoid

67
Q

how does spinal accessory nerve exit the skull?

A

via jugular foramen

68
Q

what is the internal jugular deep to?

A

sternocleidomastoid

69
Q

where can you find communicating vein?

A

along forward boundary of sternocleidomastoid

70
Q

what direction does the transverse cervical nerve travel?

A

forward

71
Q

what direction does the transverse cervical artery travel?

A

backwards

72
Q

what artery goes to deep neck?

A

ascending cervical artery

73
Q

what artery goes to the thyroid?

A

inferior thyroid artery

74
Q

where does the vertebral artery go?

A

runs through transverse foramena to brain

75
Q

what artery feeds both thyroid and neck?

A

thyrocervical trunk

76
Q

give the order of scalenes and neurovasculature from superficial to deep

A

posterior scalene, middle scalene, neurovasculature, anterior scalene

77
Q

what travels within the carotid sheath?

A

vagus, carotid, internal jugular, glossopharyngeal, accessory

78
Q

what travels just posterior to the carotid sheath?

A

sympathetic trunk

79
Q

Where is the ansa cervicalis located?

A

anterior to carotid sheath

80
Q

what 2 branches does the ansa cervicalis have?

A

superior and inferior

81
Q

what contributes to the inferior branch of ansa cervicalis?

A

C2 and C3

82
Q

what contributes to the superior branch of ansa cervicalis?

A

C1

83
Q

what type of innervation does ansa cervicalis provide and to where?

A

motor to infrahyoid

84
Q

what are the 3 types of ansa cervicalis and how common are they?

A

classic/lateral: 33%
medial 63%
mixed: 3%

85
Q

describe the classical/lateral type of ansa cervicalis

A

C2 and C3 run in front of external jugular

86
Q

describe the medial type of ansa cervicalis

A

C2 and C3 run behind external jugular

87
Q

describe the mixed type of ansa cervicalis

A

C2 goes behind external jugular but C3 goes in front

88
Q

what are the 3 long routes up to the neck?

A

common carotid, vertebral and deep cervical

89
Q

describe the common carotid route

A

bifurcates into external and internal carotids at the carotid sinus

90
Q

describe the vertebral route

A

runs within transverse formamina of the cervical vertebrae all the way to the circle of Willis

91
Q

describe deep cervical

A

small vessel for epaxial muscles of neck

92
Q

which neck muscle is epaxial?

A

splenius

93
Q

what artery does not branch until it reaches the brain?

A

internal carotid artery

94
Q

how many arteries branch off of external jugular?

A

8

95
Q

what are the 8 branches that the external carotid gives off?

A

superior thyroid, ascending pharyngeal, lingual, facial, occipital, posterior auricle, maxillary, superficial temporal

96
Q

which are the terminal branches of the external carotid artery?

A

maxillary, superficial temporal

97
Q

Why is the facial artery tortuous?

A

to stretch when opening mouth

98
Q

what artery branches off of larynx

A

superior thyroid

99
Q

what nerves interact with the external carotid?

A

glossopharyngeal, hypoglossal, vagus and sympathetic trunk

100
Q

where does glossopharyngeal course?

A

between external and internal carotid

101
Q

where does hypoglossal course?

A

lateral to carotids

102
Q

where does vagus and sympathetic trunk course?

A

parallel and posterior to internal carotid

103
Q

Describe the stylopharyngeus

A

inserts onto pharynx, lifts it in swallowing, parallel to glossopharyngeal between carotids

104
Q

describe stylohyoid

A

off of styloid process, splits around tendinous part of digastric

105
Q

what hyoid muscles are part of one strip and where do they split?

A

thyrohyoid/sternohyid split at thyroid cartilage

106
Q

what are the infrahyoid muscles homologous to?

A

rectus of thorax/abdomen

107
Q

where do the infrahyoid muscles get their innervation?

A

special innervation from ansa cervicalis

108
Q

what are muscles above the hyoid innervated by?

A

cranial nerves

109
Q

what are muscles below the hyoid innervated by?

A

spinal nerves

110
Q

what is the only exception to cranial nerve innervation being above the hyoid?

A

geniohyoid inn by hypoglossal

111
Q

what makes up the anterior triangle?

A

lower border of mandible, sternocleidomastoid, midline

112
Q

what 2 structures make up the floor of the anterior triangle?

A

vertebrae and longus colli

113
Q

what structure are within the anterior triangle?

A

pharynx, esophagus, hyoid muscles, thyroid, larynx, parathyroids, carotid and internal jugular

114
Q

What is a specialized gut tube gland?

A

thyroid gland

115
Q

what is the foramen cecum?

A

where thyroid descended through tongue

116
Q

How does the thyroid gland (and parathyroid and thymus) develop?

A

from the brachial arches in association with the tongue, descend to take up positions anterior to gut tube surrounding cricoid cartilage or anterior mediastinum

117
Q

What is the thyroid gland shaped like?

A

butterfly

118
Q

What is the thyroid gland innervated by?

A

vagus (parasympathetic) and cervical sympathetic ganglia (sympathetic)

119
Q

How does the thyroid gland get its blood supply?

A

superior and inferior thyroid artery

120
Q

what are the 3 drainage pathways for the thyroid gland?

A

superior, middle and inferior thyroid vein

121
Q

What is the function of the thyroid?

A

thyroid releases hormones into blood stream to regulate metab

122
Q

what is parathyroid innervated by?

A

vagus (parasympathetic) and cervical sympathetic ganglia (sympathetic)

123
Q

why does the thyroid have 3 separate veins for drainage?

A

for better dispersal of hormones

124
Q

what does the parathyroid regulate?

A

calcium levels