Root Of The Neck Flashcards

1
Q

The atlas articulates with the skull via which structure? What does it attach to on this skull?

A

Superior facets

Skull occipital condyles

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2
Q

True or False. The atlas has a body and spinous process, but the axis does not.

A

False. The atlas does NOT have a body and spinous process, but the axis DOES.

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3
Q

The atlas contains 2 unique structures. They are?

A

Posterior and anterior arches

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4
Q

Which vertebrae assists in the “yes” motion?

A

Atlas

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5
Q

The C2 vertebrae is also known as?

A

Axis

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6
Q

What structure connects the axis and atlas?

A

Dens of the axis

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7
Q

The dens articulates with the atlas how?

A

Posterior aspect of the anterior arch

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8
Q

What structure holds the atlas and axis together?

A

Transverse ligament

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9
Q

Rupture of which structure can cause compression of the spinal cord? How?

A

Transverse ligaments, causes dens to fall posteriorly and compress spinal cord

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10
Q

What vertebrae assists in the “no” motion?

A

Axis

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11
Q

Which structures prevent the head from rotating too far?

A

Alar ligaments

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12
Q

Where does the intervertebral disc between C1 and C2 lie?

A

There is no disc between C1 and C2!

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13
Q

Damage to the posterior arch of the atlas might cause damage to what structure?

A

Vertebral artery

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14
Q

What are the 3 boundaries marking the root of the neck?

A

Manubrium
First ribs
Body of T1 vertebrae

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15
Q

Which 3 arterial vessels run in the root of the neck?

A

Left common carotid
Left subclavian
Brachiocephalic trunk

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16
Q

The subclavian artery is divided into how many parts?

A

3

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17
Q

The first part of the subclavian artery travels:

A

Superior to the first rib

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18
Q

The second part of the subclavian travels:

A

Posterior to the anterior scalene

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19
Q

The 3rd part of the subclavian artery becomes what structure at what landmark?

A

Axillary artery

Lateral border of 1st rib

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20
Q

What are the 3 branches of the first part of the subclavian?

A

Vertebral
Internal thoracic
Thyrocervical trunk

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21
Q

True or False. The vertebral artery passes through all cervical vertebrae on the way up to the brain.

A

False. It begins traveling superiorly at C6 and NOT C7.

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22
Q

The thyrocervical has 3 branches. They are:

A

Inferior thyroid
Suprascapular
Transverse cervical

23
Q

The second part of the subclavian branches into what?

A

Costocervical trunk

24
Q

What vessel branches off the 3rd part of the subclavian?

A

Dorsal scapular artery

25
Q

Trace the path of the venous system out from the right atrium.

A

RA –> SVC –> L and R BCV –> IJV + SV

26
Q

What structure is directly posterior to the manubrium?

A

BCVs (mostly the left)

27
Q

Stabbing through the manubrium would hit the arteries or veins first?

A

Veins. Arteries are posterior to the veins.

28
Q

The SV runs __________ to the ________ muscle.

A

Anterior, anterior scalene

29
Q

The thoracic duct runs _________ to the left common carotid, but __________ to the ____________.

A

Posterior
Anterior
Left subclavian artery

30
Q

Where does the thoracic duct dump into the venous system?

A

Junction of left IJV and left SV

31
Q

Lymphatic drainage of the neck is through which 2 nodes?

A

Superficial and deep cervical nodes

32
Q

The phrenic nerve runs __________ to the _________ muscle.

A

Anterior, anterior scalene

33
Q

Which nerve runs in the carotid sheath?

A

Vagus

34
Q

The vagus runs between which 2 vessels?

A

CCA and IJV

35
Q

The vagus runs _________ to which vessel?

A

Anterior, subclavian artery

36
Q

On the right side, the recurrent laryngeal runs around what vessel? On the left side?

A

Right side- around the SA

Left side- around the aortic arch

37
Q

Which structure runs directly anterolateral to the vertebral column?

A

Sympathetic chain

38
Q

What structure lies between the mandible and thyroid cartilage?

A

Hyoid bone

39
Q

The hyoid derives from which 2 embryonic structures?

A

2nd and 3rd pharyngeal arches

40
Q

What connects the hyoid to skull?

A

Stylohyoid ligament connects hyoid to styloid processes

41
Q

The hyoid connects to the thyroid cartilage via?

A

Thyrohyoid membrane

42
Q

What 5 structures does the hyoid connect to?

A
Mandible
Skull
Sternum
Scapula
Thyroid cartilage
43
Q

The thyroid and cricoid cartilages derived from what embryological structure?

A

4th and 6th pharyngeal arches

44
Q

What is the main function of the thyroid and cricoid cartilages?

A

Supports the larynx

45
Q

An emergency cricothyrotomy should be performed in what structure?

A

Cricothyrotomy ligament/membrane

46
Q

What structure is directly anterior to the trachea?

A

Thyroid gland

47
Q

What is a embryological remnant from descending thyroid?

A

Thyroglossal duct

48
Q

Which 2 arteries supply the thyroid?

A

Superior thyroid

Inferior thyroid

49
Q

What artery supplies the parathyroid glands?

A

Inferior thyroid artery

50
Q

The parathyroid is divided into 2 regions. Where did these come from embryologically?

A

Superior- 4th pharyngeal pouch

Inferior- 3rd pharyngeal pouch

51
Q

Which 3 veins drain the thyroid gland?

A

Superior, middle, inferior thyroid vein

52
Q

What are the 2 sources of lymph drainage for the thyroid gland?

A

Paratracheal nodes

Deep cervical nodes

53
Q

Which 2 nerves run close to the thyroid and could be damaged in procedures?

A

Recurrent laryngeal

External laryngeal

54
Q

C1 is also known as?

A

Atlas