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ANATOMY > Red Tigers: Head and Neck (Mostly clinical notes) > Flashcards

Red Tigers: Head and Neck (Mostly clinical notes) Flashcards

1
Q

Accessory Nerve innervates?

A

Trapezius

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2
Q

External Jugular catheterization is done in what part of the respiratory cycle :

A

Inspiration

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3
Q

The ansa cervicalis innervates all of the ff. except

A

Geniohyoid

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4
Q

A deep cut to the SCM will most definitely cut what adjacent muscle

A

Platysma

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5
Q

Abducent nerve: eyeball movement

A

Eyeball moves laterally

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6
Q

Eye movement: Trochlear n

A

Eyeball moves downward lateral

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7
Q

Eyeball movement: Oculomotor n

A

Eyeball moves upward, downward, medial

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8
Q

Cutaneous branch of cervical plexus except

A

Ansa Cervicalis (part of the Muscular Branch)

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9
Q

Exposure of these muscles for removal of nontoxic goiter

A

Sternothyroid, Thyrohyoid, Sternocleidomastoid

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10
Q

Mixed nerve except

A

abducens (motor only)

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11
Q

1st part of subclavian artery:

A

Vertebral artery and Internal thoracic artery

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12
Q

Phrenic nerve is what type of nerve?

A

mixed

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13
Q

Cleft palate surgery is done at __ months

A

At 12 to 18 months

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14
Q

Transmits olfactory n. from nasal cavity to the olfactory bulb

A

Cribriform plates

Note: CN 1 is the only nerve that passes in the anterior cranial fossa

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15
Q

Can be seen and palpated when acting unilaterally to flex and rotate head to one side, so that ear approach shoulder and chin turns in the opposite direction

A

Sternocleidomastoid

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16
Q

Fascia of the platysma-

A

Investing fascia

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17
Q

Veins which are responsible for an infection in the scalp to go intracranially

A

Emissary veins

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18
Q

What articulates with the hyoid bone?

A

It does not articulate with any bone

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19
Q

External jugular vein-

A

Useful for assessment of venous filling with patient sitting @ 30 degree

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20
Q

Superior orbital fissure transmits-

A

CN 3, 4, 5(V1), and 6

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21
Q

Occurs in infants due to a fibrous tissue in the SCM that may have developed due to difficult labor

A

Congenital Torticollis

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22
Q

Danger zone of the scalp-

A

Loose areolar tissue

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23
Q

Five Branches of facial nerve for facial expression

A

Temporal, Zygomatic, Buccal, Mandibular and Cervical

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24
Q

Infection can spread in this space and inferiorly into the mediastinum-

A

Retropharyngeal space

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25
Q

Trigeminal neuralgia-

A

Characterized by episodes of intense pain lasting a few sec in areas innervated by CN5 (usuallly mandibular n.)

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26
Q

Distribution of relaxed skin tension lines-

A

Kraissl’s lines

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27
Q

The most frequent carried out method for face lift surgery-

A

SMAS (superficial musculoaponeurotic system)

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28
Q

A severe form of cervico-fascial infection/ cellulitis

A

Ludwig’s angina

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29
Q

The cervical dome of the pleura is _____ to the scalenus anterior

A

Posterior

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30
Q

Thyroid cancer would most likely spread/metastasize to which lymph nodes?

A

Tracheal lymph nodes

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31
Q

A. 65 y.o. female has had a tracheostomy for 2 yrs now. she suddenly had copious/massive bleeding from the tracheostomy. what vessel is involved?-

A

Inferior thyroid artery

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32
Q

A 10 y.o. child has an ext ear infection. which group of lymph nodes would ultimately be most involved?

A

Mastoid nodes

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33
Q

What is the action of the thyrohyoid?

A

Depress the hyoid bone

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34
Q

A 15 y.o. boy playfully choked his friend who transiently lost consciousness for 5 seconds. what is responsible for the fainting?-

A

Carotid sinus

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35
Q

Which vessel forms part of the circle of willis?

A

Internal carotid artery

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36
Q

Which branch of the vagus nerve supplies the Cricothyroid muscle?

A

Ext. Laryngeal branch

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37
Q

During a thyroid surgery, one must carefully ligate which vessels?

A

Inferior thyroid vessels

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38
Q

What nerve is closely related to the lower border of the post belly of the digastric m?

A

Hypoglossal n.

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39
Q

To determine if an anterior neck mass is part of the thyroid gland, you must ask your patient to:

A

Swallow

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40
Q

A patient with a goiter may present with symptoms of:

A

Difficulty of breathing

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41
Q

Unilateral injury to the recurrent laryngeal nerve will result to:

A

Hoarseness

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42
Q

A complication that may be associated with thyroid surgeries is a metabolic disturbance in the serum levels of:

A

Calcium

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43
Q

A 35 y.o. vendor was struck in the r. temporal region with a bat. a hematoma developed in the same area. what vessels would be most likely involved?-

A

Superior temporal vessels

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44
Q

What divides the subclavian v. into 3 parts?

A

Scalenus anterior

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45
Q

Bleeding from the upper limb may be controlled by compression of this structure in the neck. what is this structure?

A

Subclavian artery

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46
Q

Which branch of the vagus nerve supplies the Cricothyroid muscle?

A

Ext. Laryngeal branch

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47
Q

To avoid injury to the recurrent laryngeal n during a thyroid surgery, one must carefully ligate which vessels?

A

Inferior thyroid vessels

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48
Q

35 y.o. vendor was struck in the r. temporal region with a bat. a hematoma developed in the same area. what vessels would be most likely involved?

A

Superior temporal vessels

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49
Q

Bleeding from the upper limb may be controlled by compression of this structure in the neck. what is this structure?

A

Subclavian artery.

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50
Q

An open biopsy 1.5cmx1.5cm lymph node on the r. post. triangle of the neck was performed. 3 months later the patient complained he could hardly shrug his r. shoulder. what was injured during the biopsy?

A

Accessory n .

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51
Q

A 35 y.o. obese patient came to the emergency room with purplish face and with difficulty of breathing after eating seafood marinara. she was allergic to shrimps. endotracheal intubation was attempted 4 ties but failed due to severely swollen vocal cords and epiglottis. an emergency tracheostomy is to be performed by you. to encounter less bleeding, which incision would you make on the neck? transverse, about the level of the cricothyroid membrane A nontoxic goiter was surgically removed. to have a better exposure, some muscles have to be cut. what are these muscles?.

A

Sternothyroid, Thyrohyoid, Sternocleidomastoid.

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52
Q

What fascial space is involved in Ludwig’s angina?

A

Submandibular space

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53
Q

A deep incised wound that cuts the sternocleidomastoid m would also absolutely injure what adjacent m?

A

Platysma

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54
Q

What is involved in congenital torticollis?

A

Sternocleidomastoid m

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55
Q

A 40 y.o. male patient with HIV developed a dental abscess from a carious molar. after 3 weeks the patient developed high grade fever, severe chest pain, and difficulty of breathing. a chest xray revealed a widened mediastinum w/ min free air in the sup. mediastinum indicating mediastinitis. are the 2 infections interrelated?

A

The dental infection spread via the fascial planes and spaces, later entering the retropharyngeal space, eventually gaining access to the mediastinum.

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56
Q

What is the nerve supply to the omohyoid?

A

Ansa cervicalis.

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57
Q

What nerve supplies the carotid sinus?

A

Glossopharyngeal n.

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58
Q

What v. drains into the external jugular v.?

A

Ant jugular v.

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59
Q

These nerves are responsible for the general sensation of the nasal cavity, EXCEPT

A

Olfactory nerve

Smell is a SPECIAL sense. General sensation is governed by the CN V1

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60
Q

What nerve goes together with Parotid duct/Stensen’s duct

A

Facial nerve (buccal branch)

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61
Q

Buccal branch of the facial nerve supplies _____ while Buccal nerve of the trigeminal (V3) supplies _____

A

CN VII supplies buccinator muscle (motor) while CN V3 supplies skinof the cheek (sensory)

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62
Q

Muscle for Grimace

A

Risorius m.

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63
Q

Where does maxillary sinus drain?

A

Middle meatus

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64
Q

Nasal septum is composed of the ff except-

A

Nasal bone. (septal cartilage, vomer, ethmoid bone only)

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65
Q

What opens into the Inferior meatus

A

Nasolacrimal duct

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66
Q

Lies deep in the parotid gland

A

Internal Carotid A.

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67
Q

Where does chorda tympani arise?-

A

CN VII, Facial nerve

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68
Q

Roof of the middle ear

A

Tegmen tympani

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69
Q

Anterolateral surface is related to the roots of the upper molar and premolar in front of the face.

A

Maxillary Sinus

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70
Q

Membranous labyrinth is filled with-

A

Endolymph

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71
Q

Spread of infection in the roof of the ear could produce-

A

Meningitis

72
Q

The parotid gland opens in the-

A

Opposite the 2nd upper molar.

73
Q

Parotid duct pierces through-

A

Buccinator muscle

74
Q

Forms the umbo

75
Q

What nerve is involved in Frey’s syndrome?

A

Auricolotemporal/auricutemporal nerve (and great auricular nerve)

76
Q

Which is located within the temporal fossa-

A

Auriculotemporal nerve

77
Q

In a normal otoscopy, tympanic membrane must be-

A

Depressed concave

78
Q 
One day history of left sided weakness, facial palsy paralysis. What are the muscles affected?
A. Buccinator 
B. Orbicularis oris 
C. Dep anguli oris 
D. A and b 
E. All of the above
A

E. All of the above

79
Q

Wound gaping open. Which part of the scalp is affected that prevents vessel retraction?

A

Aponeurosis

80
Q

What vessel is not the cause of nosebleeding in the anterior part of the nasal septum-

A

Sphenopalatine artery

81
Q

Dr. Marqeux must remember that she should follow the incisions to the face except.

A

Incision to the skin requires circular pattern

82
Q

Dr. examined an 18 y.o student with slight swelling in the upper lip, ecchymosis present at buccal sulcus beneath the zygomatic arch, malocclusion and mobility of the teeth. What type of maxillary fructure?-

83
Q

What accompanies the superior thyroid artery?

A

Superior laryngeal nerve

84
Q

Terminal branches of the external carotid artery-

A

Superficial temporal artery, Maxillary artery

85
Q

Unpaired bone of the face.

86
Q

Compresses the lips together.

A

Orbicularis oris

87
Q

Muscle for smiling-

A

zygomaticus major

88
Q

Extreme nosebleed which artery is probably affected-

A

Sphenopalatine artery

89
Q

Nerve supply of the angle of the mandible if not all the parotid gland.

A

Great auricular nerve

90
Q

Thyroidea ima.

A

Subclavian artery

91
Q

Look of surprise muscle

A

Occipitofrontalis

92
Q

What innervates the temporalis muscle?

A

Trigeminal nerve

93
Q

Parasympathetic secretormotor supply of the parotid gland.

A

Glossopharyngeal nerve

94
Q

Inferior thyroid artery arises from.

A

Thyrocervical trunk

95
Q

Superior thyroid artery a branch is a branch of.

A

External carotid artery

96
Q

All of the following supplies the nose except-

A

Zygomaticofacial n.

97
Q

Contains emissary veins.

A

Loose areolar connective tissue

98
Q

Mandibular fossa located:

99
Q

Most distinct vision

100
Q

Thickest wall of the orbit

101
Q

Non tendinous ring attachment

A

Superior oblique

102
Q

Hard palate-

103
Q

T2-T6

A

Retropharyngeal

104
Q

The hyoid bone is noted at which level of the larynx?

A

Supraglottic level

105
Q

Cross eyed:

A

Oculomotor and medial rectus

106
Q

Maxillary sinus

A

Waters view

107
Q

Vitreous

A

Attached to retina

108
Q

Used to view Atlanto-dental space

109
Q

Median structure that can be seen in the cervical spine with mouth open

110
Q

Most anterior in C4-C6:

A

Vertebral body

111
Q

Sella turcica:

A

Middle cranial fossa

112
Q

Pentagon:

A

Circle of willis

113
Q

CT tapos open mouth-

114
Q

With lymph nodes:

A

Parotid gland

115
Q

Maxillary sinus

A

Water’s view

116
Q

Opthalmic artery-

A

Branch of internal carotid

117
Q

Lamina papyracea:

A

Ethmoid bone

118
Q

True of photoreceptors:

A

No rods in fovea

119
Q

Clear/ distinct vision:

120
Q

4 out of 6 extraocular muscles

A

Oculomotor

121
Q

Temporalis muscle found

A

Masseteric space

122
Q

Not found in the posterior wall

A

Inferior oblique

123
Q

Occipital view-

A

Towne’s view AP

124
Q

Eyes to the middle: oculomotor-

A

Medial rectus

125
Q

Suprahyoid bone

126
Q

Apparent nerve muscle interaction. Cross eyed. object near the nose-

A

Oculomotor n.- medial rectus m.

127
Q

Which of this is found in the medial wall of the orbit:

A

Body of the sphenoid

128
Q

Hard palate best seen in

129
Q

Cant close eyes-

A

Damage of facial nerve

130
Q

Innervate 4 out of 6 eye muscle-

A

Oculomotor

131
Q

Innervates superior oblique-

A

Trochlear nerve

132
Q

Primary refractory of the eyeball-

133
Q

The following cranial nerves are mixed nerves except-

134
Q

Cranial nerves that arises from the medulla oblongata except-

A

Spinal Accessory Nerve (C12345)

135
Q

The structures found in the posterior cranial fossa are except-

A

Foramen rotundum

136
Q

The ansa cervicalis innervates all the muscles of the neck-

A

Geniohyoid

137
Q

The branches of the medial cord are except-

A

Upper Side scapular nerve

138
Q

Terminal branches of the facial nerve except

A

Nasal Nerve

139
Q

Cranial nerve that arises from the midbrain except-

A

Trigeminal nerve (pons)

140
Q

Structure found in the middle cranial fossa except-

A

Internal Acoustic Meatus

141
Q

The following statements are true except-

A

Cervical plexus is formed by the posterior rami (Anterior Rami)

142
Q

The branches of the lateral cord are except-

A

Suprascapular nerve

143
Q

Optic nerve all are true except-

A

All the fibers of the Optic Chiasma cross into the opposite side (Middle fibers)

144
Q

Structures that passes through the superior orbital fissure-

A

Abducens, Oculomotor, Trochlear, (AOTA)

145
Q

Muscular branch of the cervical plexus are except-

A

Supraclavicular nerve (cutaneous)

146
Q

Found at the posterior triangle are the following except-

147
Q

The following cranial nerves are motor nerves-

A

Hypoglossal, Abducens, Accessory, Trochlear (AOTA)

148
Q

Hypoglossal nerve are true-

A

Innervates the posterior 3rd, Innervates the stylopharyngous, Innervates Carotid sinuses, Carotid body when stimulated increases HR, RR— NOTA

149
Q

Structures that passes two or more foramina except

A

Spinal Accessory, Facial, Internal carotid- NOTA

150
Q

The cutaneous branch of your cervical plexus except-

A

Ansa cervicalis

151
Q

Branches of the posterior chord are except-

A

radial, upper subscapular, radial, ulnar

152
Q

The following nerves are sensory except-

A

Vagus nerve (mixed)

153
Q

The cranial nerve that arises between the pons and the medulla oblongata-

A

Vestibulocochlear, facial, trigeminal(ans), abducens

154
Q

Structures that passes through the jugular foramina except-

A

Facial nerve (internal acoustic)

155
Q

Phrenic nerve-

A

Mixed nerve

156
Q

Trochlear nerve turns the eyeball-

A

Downward and laterally (superior oblique muscle)

157
Q

Mandibular division of the Trigeminal nerve innervates-

A

Tensor tympani

158
Q

Facial innervates the-

A

Anterior 2/3 or Anterior 3rd of the tongue

159
Q

Maxillary division of Trigeminal nerve innervates-

A

Mucus Membrane Secretory Nasal, Nasal Cavity, Mylohoid, Muscle of mastication-NOTA

160
Q

Glossopharyngeal nerve innervates-

A

Submandibular salivary, Sublingual salivary, Glands of the palate

161
Q

Lacrimal

162
Q

Occulomotor nerve turns the eyeball except-

A

Abducens (Laterally)

163
Q

Vagus nerve innervates-

A

Intrinsic muscles of the larynx

164
Q

Accessory nerve innervates

165
Q

Ophthalmic division of the Trigeminal nerve innervates except-
A. Cornea,
B. Skin of the eyelid,
C. Skin of the forehead, D. Mucus membrane
E. NOTA

166
Q

TRUE or FALSE:
Cochlear nerve is for hearing, Vestibular nerve is for sense of position, Both vesticulocochlear exits the skull through the Internal acoustic meatus, Trochlear and Semicircular canal are found in the middle ear

A

FALSE (Ans: inner ear)

167
Q

Greater auricular nerve innervates

A

Skin over the angle of the jaw

168
Q 
Ansa cervicalis innervates the following:
A.Sternohyoid, 
B. Omohyoid, 
C, Sternothyroid, 
D. AOTA
A

AOTA (ans)

169
Q 
Phrenic nerve 
innervates
A. Pericardium, 
B. Diaphragm, 
C.Pleura, 
D. Peritoneum, 
E. Central Diaphragm
F. AOTA
170
Q

Long Thoracic nerve innervates:

A

Serratus anterior muscle

171
Q

Thoracodorsal nerve innervates:

A

Latissimus dorsi

172
Q

Lower Subscapular nerve innervates:

A

Teres major

173
Q

Found at the level of the axillary artery:

174
Q

Muscular branch of the cervical plexus:

A

Ansa cervicalis

175
Q

Cutaneous branch of cervical plexus

A

Transverse cervicalis

ANATOMY (12 decks)

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