Scalp and Superficial Face Flashcards

1
Q

The scalp is composed of five layers that convieniently spell out scalp, what are those five layers?

Highlight the layers that form the scalp proper

A

Skin

Connective Tissue

Aponeurosis

Loose Connective Tissue

Pericranium

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2
Q

Which of the following layers of the scalp contains the blood vessels and nerves?

A. Skin

B. Dense Connective Tissue

C. Aponeurosis

D. Loose Connective Tissue

E. Pericranium

A

Dense Connective Tissue

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3
Q

Which of the following criteria is necessary to form a gaping wound?

A. Coronal cut and first two layers cut

B. Coronal cut and all layers cut

C. Coronal cut through the aponeurosis

D. Saggital cut through the first three layers

A

Coronal cut through the aponeurosis

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4
Q

The Parotid duct sits on top of the Masseter and dives into what facial muscle?

A

Buccinator M.

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5
Q

What nerve passes through the parotid duct?

A

Facial N.

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6
Q

Which of the following muscles of facial expression connects to the aponeurotic layer of the scalp?

A. Orbicularis Oculi

B. Occipitofrontalis

C. Orbicularis Oris

D. Buccinator M.

A

Occipitofrontalis

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7
Q

Parasympathetics of the Facial N.’s sensory root goes to the lacrimal gland via the ________, and goes to the submandibular and sublingual gland via _________.

A

Parasympathetics of the Facial N.’s sensory root goes to the lacrimal gland via the Greater Petrosal N. , and goes to the submandibular and sublingual gland via Chorda Tympani.

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8
Q

What causes Bell’s palsy, which presents as innabiltiy to blink, tightly close mouth, pucker lips among other actions depending on the location of the lesion?

A. Lesion of Trigeminal N.

B. Lesion of Facial N.

C. Lesion of V3

D. Lesion of Lesser Petrosal N.

A

Lesion of Facial N.

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9
Q

Lesion of the Facial N. at the location of the Facial canal found posterior to the middle ear would cause which of the following?

A. Innability to dampen sound, taste on anterior 2/3rds of tongue, or produce saliva from submandibular and sublingual glands

B. Innability to produce facial expressions (i.e face droop)

C. All of the above

D. None of the Above

A

Innability to dampen sound, taste on anterior 2/3rds of tongue, or produce saliva from submandibular and sublingual glands

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10
Q

Lesion of the Facial N. as it exits the Stylomastoid Foramen would present as which of the following?

A. Innability to dampen sound, taste on anterior 2/3rds of tongue, or produce saliva from submandibular and sublingual glands

B. Innability to produce facial expressions (i.e face droop) and loss of general sense to the ear

C. All of the above

D. None of the Above

A

Innability to produce facial expressions (i.e face droop) and loss of general sense to the ear

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11
Q

Lesion of the Facial N. as it travels through the Internal Acoustic Meatus would present as which of the following? ?

A. Innability to dampen sound, taste on anterior 2/3rds of tongue, or produce saliva from submandibular and sublingual glands

B. Innability to produce facial expressions (i.e face droop) and loss of general sense to the ear

C. All of the above including inability to form tears

D. None of the Above

A

All of the above including inability to form tears

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12
Q

Trigeminal nerv provides _______ to the face and supplies the muscles of __________.

A

Trigeminal nerv provides sensory to the face and supplies the muscles of mastication.

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13
Q

Identify the branches from the sub-groups of the Trigeminal N. on purpose games

A

Done

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14
Q

What are the branches that supply sensation to the scalp off of the following Trigeminal nerves?

V1: (2)

V2:

V3:

A

V1: (2) Supraorbital and Supratrochlear Ns.

V2: Zygomaticotemporal N.

V3: Auriculotemporal N.

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15
Q

Sensation to the scalp is also supplied by anterior rami of C2, C3 and posterior rami of C2 and C3. What are these sensory nerves?

A

Anterior Rami (C2/3): Great Auricular N. and Lesser Occipital N.

Posterior Rami: Greater Occipital N. (C2) and 3rd Occipital N. (C3)

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16
Q

Herpes Zoster is a latent virus that can lay dormant in the sensory ganglion. You can determine the ganglion it is in by its distribution pattern along the affected individual. If provided a picture, can you identify the ganglion it’s within?

A

Yes

17
Q

The Facial A. comes off the external carotid A. and supplies the muscles of facial expression. To do this, it gives off many branches. Which of the following branches supplies the lower lip?

A. Superior Labial A.

B. Inferior Labial A.

C. Angular A.

D. Lateral Nasal A.

A

Inferior Labial A.

18
Q

The Facial A. comes off the external carotid A. and supplies the muscles of facial expression. To do this, it gives off many branches. Which of the following branches supplies the skin on ala and dorsum of the nose?

A. Superior Labial A.

B. Inferior Labial A.

C. Angular A.

D. Lateral Nasal A.

A

Lateral Nasal A.

19
Q

The Facial A. comes off the external carotid A. and supplies the muscles of facial expression. To do this, it gives off many branches. Which of the following branches supplies the superior part of the cheek and inferior eyelid, and is also the terminal branch of the facial A.?

A. Superior Labial A.

B. Inferior Labial A.

C. Angular A.

D. Lateral Nasal A.

A

Angular A.

20
Q

Which of the following arteries passes medial to the posterior belly of the digastric M. and the mastoid process, after coming off the external carotid A.?

A. Maxillary A.

B. Facial A.

C. Occipital A.

D. Angular A.

E. Superior Laryngeal A.

A

Occipital A.

21
Q

Which of the following arteries supplies the aurical of the ear and scalp, posterior to the aurical? It also passes posterior and deep to the parotid gland along the styloid process?

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Posterior Auricular A.

22
Q

Which of the following arteries supplies facial muscles and skin of the temporal and frontal temporal region? It ascends anterior to the ear.

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Superficial Temporal A.

23
Q

Which of the following arteries supplies parotid gland and duct, and is part of the superficial temporal A that goes into the parotid gland and crosses superficial to the masseter M.?

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Transverse Facial A.

24
Q

Which of the following arteries is the terminal branch of the Inferior Alveolar A. that emerges from the mental foramen?

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Mental A.

25
Q

Which of the following arteries is a terminal branch of the Opthalmic A. that passes superiorly to the supraorbital foramen?

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Supraorbital A

26
Q

Which of the following arteries is a terminal branch of the Opthalmic A. that passes superiorly to the Supratrochlear Notch?

A. Superficial Temporal A.

B. Posterior Auricular A.

C. Transverse Facial A.

D. Mental A.

E. Supraorbital A

F. Supratrochlear A.

A

Supratrochlear A.

27
Q

What artery anastomosis with the Angular A.?

A

Supratrochlear A.

28
Q

What artery anastomosis with the Superior Labial A.?

A

Inferior Labial A.

29
Q

What artery anastomosis with the Supraorbital A.?

A

Superficial Temporal A.

30
Q

T/F: The Superior and Inferior Opthlamic veins feed back into the Cavernous sinus and will also connect with the Angular A.

A

True

31
Q

The Deep Facial V connects back to the pterygoid venous plexus and goes back to which of the following sinuses?

A. Maxillary Sinus

B. Frontal Sinus

C. Sigmoid Sinus

D. Cavernous Sinus

A

Cavernous Sinus

32
Q

Go to purpose games and identify the lymphatic drainage of the face

A

Gottem

33
Q

Select all of the following lymph nodes that drain directly to the deep cervical lymph nodes that travel with IJV.

A. Submental LN

B. Submandibular LN

C. Parotid LN

D. Mastoid LN

E. Occipital LN

A

A. Submental LN

B. Submandibular LN

C. Parotid LN

34
Q

Which of the following lymph nodes that make up the Superficial Ring (Pericervical collar) drain the anterior ear and upper half of the face/scalp?

A. Submental LN

B. Submandibular LN

C. Parotid LN

D. Mastoid LN

E. Occipital LN

A

Parotid LN

35
Q

Which of the following lymph nodes that make up the Superficial Ring (Pericervical collar) drain the central lower lip, floor of chin, and tip of tongue?

A. Submental LN

B. Submandibular LN

C. Parotid LN

D. Mastoid LN

E. Occipital LN

A

Submental LN

36
Q

Which of the following lymph nodes that make up the Superficial Ring (Pericervical collar) drain the gingiva, teeth, lateral lower lp and upper lip?

A. Submental LN

B. Submandibular LN

C. Parotid LN

D. Mastoid LN

E. Occipital LN

A

Submandibular LN

37
Q

Which of the following lymph nodes that make up the Superficial Ring (Pericervical collar) drain the posterolateral scalp?

A. Submental LN

B. Submandibular LN

C. Parotid LN

D. Mastoid LN

E. Occipital LN

A

Mastoid LN

38
Q

All lymphatic drainage will eventually get to the ____________

A

Deep Cervical Lymph Nodes