Quiz 3 Flashcards
Base of skull is made up which bones
lesser and greater wing of sphenoid
greater and lesser wing of sphenoid is separated by what?
superior orbital fissure
Foramen rotundum is in which skull fossa ant, middle , or posterior
anterior
Foramen ovale is in which skull fossa ant, middle , or posterior
anterior
Optic canal is in which skull fossa ant, middle , or posterior
anterior
foramen lacerum is in which skull fossa ant, middle , or posterior
middle
which bone associated w/ middle fossa?
temporal
internal acoustin meatus is in which skull fossa ant, middle , or posterior
posterior
jugular foramen is in which skull fossa ant, middle , or posterior
posterior b/w temporal and occipital bone
hypoglossal canal is in which skull fossa ant, middle , or posterior
posterior
oculomotor nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
midbrain
trochlear nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
mid brain
trigeminal nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
pons
abducens nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
Where pons meets medulla
facial nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
where pons meets medulla
vestibulocochlear nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
where pons meets medulla
hypoglossal nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
medulla
Glossopharyngeal nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
medulla
vagus nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
medulla
accessory nerve comes from which part of brainstem? Midbrain, pons, medulla, spinal cord
spinal cord
CN1 comes out of which foramina?
cribiform plate
CN2 comes out of which foramina?
optic canal
CN 3comes out of which foramina?
superior orbital fissure
CN 4 comes out of which foramina?
superior orbital fissure
CN 6 comes out of which foramina
superior orbital fissure
CN V1 comes out of which foramina
superior orbital fissure
CN V2 comes out of which foramina
foramen rotundum
CN V3 comes out of which foramina
foramen ovale
middle meningeal artery comes out of which foramina?
foramen spinosum
CN VII comes out of which foramina?
internal acoustic meatus
CN VIII comes out of which foramina?
internal acoustic meatus
CN 9 comes out of which foramen
jugular
CN 10 comes out of which foramina?
jugular
CN 11 comes out through which foramina/
jugular
CN 11 leaves in through which foramen?
magnum
CN 12 comes out of which foramina?
hypoglossal canal
Which vessels associated with dura?
middle meningeal
Which vessels associated with arachnoid
bridging veins
Which vessels associated with pia
major blood vessels of brain
Which dural reflection separates 2 cerebral hemispheres?
Falx Cerebri
Which dural reflection separates occipital lobe from cerebellum
Tentorium Cerebelli
arachnoid granulations are associated with which structure
bridging veins/ superior sagittal sinus
which kind of intracranial hemorrhage produces egg shaped bulge?
epidural
epidural hemorrhage caused by what and onset of symptoms takes how long?
tearing of meningeal artery
within hours
subdural hemorrhage caused by what and onset of symptoms takes how long?
tearing of bridging veins
days to weeks b/c venous blood oozes slowly
subarachnoid hemorrhagecaused by what and onset of symptoms takes how long?
weakened blood vessels rupture and mix with CSF
- sudden onset
what is it called when pupil is smaller than normal
miosis
what is it called when pupil is larger than normal
mydriasis
3 layers of eye
- fibrous tunic- cornea and sclera
- uveal layer– mostly choroid includes ciliary body and iris
- retina
anterior chamber from where to where
cornea to iris
what’ characteristic of synthesis of vitreous humor?
present from birth
not synthesized or removed
5 layers of cornea
Epithelium Bowman's membrane Stroma Descemet's Membrane Endothelium
what is bowman’s membrane made up of
collagen w/o cells
Stroma is made up of what
layers of collagen
fibers are very organized
Descemet’s membrane is made up of what
fine collagen
Fxn of Corneal Endothelium
hydrates stroma
maintains clarity
corneal epithelium is characterized as what kind of epi?
stratified squamous
Fxn of choroid of uveal layer
nourishes outer layer of retina
where is aqueous humor made?
epithelium of ciliary body
Iris is mostly from which layer
uveal
Iris’s epithelium comes from where
retina
5 layres of Iris
Epithelium/ Dilator Pupillae ( inner layer always pigmented)
irregular outer layer w/ pigment and fibroblasts
-CT
-Vascular with loose CT
-Sphincter pupillae
Corneal Reflex which nerves
opthalmic via nasociliary connected to facial nerve which stimulates orbicularis oculi
Light reflex from which nerve
optic nerve, brainstem, oculomotor
3 layers of lens
capsule
subcapsular epi
lens fibers
technical term for farsighted
hyperopia
in hyperopia where is focus?
behind retina
definition of presbyopia
lens b/c less elastic
which layer is inner layer of retina pigmented or neural?
neural
3 layers of neural retina
ganglion
biopolar
inner/outer (rods/cones)
which portion outer/inner distinguishes b/w rods and cones
outer
where in is light detected
outer layer
opthalmic artery travels through which foramina?
optic canal
in orbit zygomatic branch of V2 travels through which foramina
inferior orbital fissure
opthalmic veins travel through which foramina
superior orbital fissure
actions of sup rectus
elevate intort adduct
actions of inf oblique
elevate extort abduct
actions of inf rectus
depress extort adduct
actions of sup obliuqe
depress intort abduct
How do you isolate obliques adduction or abduction
adduct
how do you isolate inf/sup rectus adduction or abduction
abduction
frontal nerve travels on top of which nerve
levator pal.
3 branches of opthalmic nerve
Nasociliary, Frontal, Lacrimal
2 branches of frontal
supraorbital
supratrochlear
preganglionic fibers of parasympathetics of the eye travel through which nerve
- go to which ganglion
oculomotor
ciliary ganglion
postganglionic fibers of parasympathetics of the eye travel through which nerve
short ciliary
how do sympathetics in the eye travel
pregnaglion—upper thoracic spinal cord, ventral roots, sympathetic chain, superior sympathetic ganglion, postganglionc follow internal cartotid
what is a chalazion?
block Meibomian gland
Meibomian gland is where
tarsal plate of eye lid
blockage of ciliary gland is called what
style and hordiolum
what is pingecula
yellow white deposit by limbus formed by thickened connective tissue
what is pterygium
vascular inflammatory tissue growing from medial side of the eye
what kind of gland is lacrimal gland
compound tubuloalveor w/ serous acini
what induces lens placode?
optic vesicle induces surface ectoderm to b/c lens placode
covering eye are derived from what
neural crest cells
Temporalis muscle inserts where
coronoid process of mandible
Masseter muscle inserts where
lateral surface of ramus and angle
Medial pterygoid muscle insets wehre
medial surace of ramus and angle
temporalis originates from where?
temporal fossa
muscles of mastication are innervated by
CN V3
pterygoids originate from where?
lateral pterygoid plate
lateral pterygoid inserts where?
capsule and articualr disk of TMJ
Which muscles are involved in elevation
temporalis, masseter, medial pterygoid
Which muscles are involved in depression
gravity, mylohyoid, digastric, geniohyoid
Which muscles are invovled in protrusion
lateral pterygoid
retraction
posterior, horizontal fibers of termporalis
actions of TMJ during elevation
rotates and slides infero-anteriorly
Sphenomadibular ligamen runs how?
from spine of sphenoid to lingula of madibular ramus
fxn of sphenomadibular ligament
maintains the mandibular condyle in position
when is sphenomandibular ligament fully taut
when jaw is half open
2 branche of maxillary that are important
middle meningeal
inferior alveolar
course of inferior alveolar a
travels inferiorly through mandibular foramen, supplies teeth and soft tissue in mandible , exits through mental foramen
5 branches of mandibular nerve
Inferior Alveolar Lingual Auriculotemporal Meningeal Buccal
mnemonic for nerves of mandibular branch
I Like Apples, Men, Buccaneers
Path of parasympathetics in infratemporal fosa
travel in facial nerve and chorda tympani,
hitchhike on lingual nerve,
snpase in submandibular ganglion
postganglionic secretomotor fibers travel to submandibular and sublingual salivary glands
route of afferent sense fibers
lingual
join chorda tympani
travel to join CN 7 where pseudounipolar cell bodies are ( geniculate ganglion)
parasympathetics to parotid
glossopharyngeal tympanic nerve lesser petrosal foramen ovale synapse in otic ganglion postganglion travel on auriculotemporal
inferior alveolar n innervates what
- motor
- sensory
-mylohyoid and anterior belly of digastric
- mandibular teeth
- and lower lip/chin as mental nerve
lingual n innervates what
- motor
- sensory
no motor
anterior 2/3 of tongue and floor of mouth
auriculotemporal n innervates what
- motor
- sensory
-secretorymotor postganglionic parasymp to parotid
temporal skin, ear, TMJ, parotid
-travels w/ superifical temporal
Meningeal n innervates what
- motor
- sensory
- no motor
- supplies dura of middle cranial fossa
Buccal n innervates what
- motor
- sensory
skin, oral mucosa, gingiva
venous drainage of face
opthalmic and facial veins drain into ptyergoid venus plexus
ptyergoid plexus drains into maxillary ven
maxillary joins superficial vein to become retromandibular vein
or ptyergoid plexus has direct valvless drainage to cavernous sinus–route for for infection