Questions Flashcards
what muscles attach to the mastoid process? (4)
(1) SCOM
(2) posterior digastric
(3) spelnius capitis
(4) longissimus capitis
what muscles attach to the styloid process? (3)
(1) stylohyoid
(2) styloglossus
(3) stylopharyngeus
what is the attachment for the occipitalis and frontalis muscles?
epicranial (galea) aponeurosis
what are the 5 layers of the scalp from most superficial to deep?
(1) skin
(2) dense connective tissue
(3) aponeurosis
(4) loose connective tissue
(5) pericranium
what is the muscle action of the occipitalis?
retracts the scalp
what is the muscle action of the frontalis?
protracts the scalp
what is the synergistic muscle action of the occipitalis and frontalis?
elevate eyebrows and wrinkle forehead
what are the 3 divisions of the trigeminal nerve?
CN V(1): ophthalmic nerve CN V(2): maxillary nerve CN V(3): mandibular nerve
what muscles does the mandibular nerve innervate? (4)
(1) masseter
(2) medial temporalis
(3) lateral and medial pterygoid
(4) mylohyoid
(5) anterior digastric
(6) tensor tympani
(7) tensor veli palatini
what are the 5 cutaneous branches of the opthalmic nerve?
(1) supraorbital
(2) supratrochlear
(3) lacrimal
(4) infratrochlear
(5) external nasal
what are the 3 cutaneous branches of the maxillary nerve?
(1) infraoribital
(2) zygomaticofacial
(3) zygomaticotemporal
what are the 3 cutaneous branches of the mandibular nerve?
(1) auriculotemporal
(2) buccal
(3) mental
where does the ophthalmic nerve exit the skull?
orbital fissure
where does the maxillary nerve exit the skull?
foramen rotundum
where does the mandibular nerve exit the skull?
foramen ovale
what are two theories as to what causes trigeminal neuralgia?
(1) compression from blood vessels as nerve exits brain stem
(2) arachnoid matter adhesions
where does the facial nerve exit the skull?
stylomastoid foramen
what nerve provides taste sensations for anterior 2/3 of tongue?
facial nerve
what are the 5 branches of the facial nerve?
(1) temporal
(2) zygomatic
(3) buccal
(4) marginal mandibular
(5) cervical
what muscles does the temporal branch of the facial nerve innervate? (3)
(1) auricularis superior and anterior
(2) frontalis
(3) orbicularis oculi (superior portion)
what muscles does the zygomatic branch of the facial nerve innervate? (2)
(1) orbicularis oculi (inferior portion)
(2) facial muscles inferior to orbit
what muscles does the buccal branch of the facial nerve innervate? (3)
(1) buccinator
(2) orbicularis oris (upper portion)
(3) levator labii sup.
what muscles does the marginal mandibular branch of the facial nerve innervate? (3)
(1) depressor anguli oris
(2) depressor labii inf.
(3) mentalis
what muscles does the cervical branch of the facial nerve innervate? (1)
platysma
what are a couple observable symptoms of bell’s palsy?
(1) inability to close eye
(2) a-symmetrical smile
what do most superficial arteries of the face branch off of?
external carotid artery
what artery is a major artery of the face?
facial artery
what is jugular vein distention a sign of?
cardiac failure
what is the purpose of the meninges?
protect the brain and enclose the subarachnoid space
what are the 3 layers of the meninges from superficial to deep?
(1) dura matter: tough, thick external layer
(2) arachnoid matter: thin intermediate
(3) pia matter: internal vascularized layer
what is the subarachnoid space? what does it contain?
made of the 4 ventricles of the brain; cerebral spinal fluid
what is the outer layer that adheres to the cranial bones?
bilaminar membrane
(1) outer periosteal layer
(2) internal meningeal layer
what is the TMJ influenced by? (3)
(1) posture
(2) teeth
(3) tongue
which way is the jaw pulled with forward head posture?
down and back
the shape of the face is influenced by what?
posture
what way are the condyles of the mandible oriented? what way is the mandibular fossa oriented?
(1) condyles: anterior and lateral
(2) fossa: posterior and lateral
because the TMJ is a convex on convex, what makes this joint more congruent?
the disc
what is the function of the collateral ligaments of the TMJ?
position the articular disc on the condyle
what is the function of the temporomandibular ligaments?
limit posterior and downward movement
what prevents forward movement of the disc of the TMJ?
superior stratum
what pulls the disc posteriorly during closing?
inferior stratum
what is the role of the sphenomandibular and stylomandibular ligaments?
limit excessive opening of mouth
where is the disc located when the mouth is fully open? how does it reach this position?
between the condyle and articular eminence; the condyle rotates and the disc translates on eminence
where does rotation of the condyle take place during the first half of opening your jaw?
lower compartment
where does rotation of the condyle take place during the second half of opening your jaw?
upper compartment
what are the muscles that are active when the jaw is being opened?
(1) suprahyoid: pulls hyoid back and mandible down
(2) lateral pterygoids: pull disc and condyle forward
what muscles are involved with closing the jaw?
(1) masseter
(2) temporalis
(3) medial pterygoids
(all pull the mandible up)
what is the normal ROM for opening at the TMJ?
> = 40mm
what is normal ROM for lateral excursion of TMJ? what about for combined protrusion and retrusion?
(1) 10mm
(2) 10 mm
which way will the jaw deviate with TMJ dysfunction?
to the AFFECTED side
what are the 2 parts of the oral cavity?
(1) oral cavity proper
(2) oral vestibule
what artery supplies blood to the lips and gingivae? (2)
superior and inferior labial arteries (which branch off facial)
what structure ties the lips down?
labial frenula
what nerves innervate the lips and gingivae? (2)
(1) infraorbital nerve
(2) mental nerve
what is the purpose of the gingivae?
helps secure teeth and provide a seal around them
how many permanent teeth are there? how are they broken down?
32 teeth
- 12 molars
- 8 premolars
- 4 canines
- 8 incisors
what separates the nasal cavity from the oral cavity?
soft palate
where do food and air cross and split to either esophagus or trachea?
pharynx
what artery supplies blood to the tongue?
lingual; which gives rise to 3 branches
(1) dorsal lingual
(2) deep lingual
(3) sublingual
what cranial nerves provide special sensation (taste)? (2)
CN 7
CN 9
what nerve innervates almost all the muscles of the tongue?
CN 7 (except palatoglossus muscle)
what cranial nerve provides general sensation to the anterior 2/3 of the tongue? what about the posterior 1/3?
anterior: CN V(3): mandibular nerve
posterior: CN 9
what are the 3 salivary glands? what nerve innervates them?
(1) parotid: CN 9
(2) submandibular: CN 7 (lingual)
(3) sub lingual: CN 7
what are the 3 concha? what is their purpose?
(1) superior nasal concha
(2) middle nasal concha
(3) inferior nasal concha
- increase surface area to moisten and warm air
what are the main functions of the para nasal sinuses?
(1) amplify voice
(2) produce mucus to moisten inside of nose
what is the function of the hyoid bone? (2)
(1) muscle attachments for C/S and tongue
(2) keep airway open
what is the action of the platysma?
tense skin (grimace) and pull mandible down
what nerve innervates the platysma
cervical branch of facial nerve
what structure divides the neck into anterior and lateral regions?
SCOM
what are the actions of the SCOM? (3)
unilateral (1) ipsilateral side flexion (2) contralateral rotation bilateral (1) extension
what are the actions of the traps? (4)
unilateral (1) ipsilateral side flexion (2) contralateral rotation (3) elevate scapula bilateral (1) extension
what runs through the occipital triangle? (2)
occipital artery and CN XI
what runs through the omoclavicular triangle? (2)
(1) external jugular vein
(2) subclavian artery
what is the function of the suprahyoid muscles? (3)
(1) connect hyoid to cranium
(2) provide a base for tongue
(3) elevate hyoid while speaking/swallowing
what is the function of the infrahyoid muscles? (2)
(1) anchor hyoid to sternum, clavicle, and scapula
(2) depress hyoid while speaking/swallowing
what is in the submandibular triangle?
submandibular gland and lymph nodes
what is in the carotid triangle? (2)
(1) carotid artery bifurcation
(2) CN XII
what is the muscle action of the splenius capitis? (3)
unilateral (1) ipsilateral rotation (2) ipsilateral side flexion bilateral (1) extension
what is the muscle action of the levator scapulae? (3)
(1) ipsilateral rotation
(2) ipsilateral side flexion
(3) elevation of scaupla
(4) downward rotation of scaupla
what are the parts of the subclavian artery from proximal to distal?
(1) medial
(2) posterior
(3) lateral
what does the recurrent laryngeal nerve branch off of?
vagus nerve