Slides for Head, Neck and Spine Flashcards

1
Q

Sounds waves through the ear. List steps

7

A
External Acoustic meatus
Tympanic membrane
Ossicles
Oval window
cochlea
round window
temporal lobe
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2
Q

Blood supply to the orbit?

A

Ophalamic artery

first brach off the carotid

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3
Q

In the nose where do the superior and middle concha come off of?

A

Ethmoid bone

inferior is its own bone

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4
Q

Where are the bones of the orbit?

7

A
Frontal bone
Lacrimal bone
Ethmoid bone
Zygomatic bone
Maxillary bone
Palatine bone 
Sphenoid bone
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5
Q

Where would you do an internal jugular vein puncture?

A

just lateral to the carotid pulse

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6
Q

Where would you do an emergency tracheostomy?

A

Between cricoid and thyroid cartilages

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7
Q

Where would you insert a central line?

A

Into the subclavian artery just below the mid clavicle

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8
Q

Where would you do a brachial plexus block?

A

Above the clavicle just behind the clavicular head of the SCM

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9
Q

Where would you hear for the Aortic valve?

A

right 2nd intercostal space

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10
Q

Where would you hear for the pulmonic valve?

A

Left 2nd intercostal space

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11
Q

Where would you hear Erb’s point (the lub/dubs)?

A

Left 3rd intercostal space

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12
Q

Where would you hear for the tricuspid valve?

A

Lower left sternal border/4th intercostal space

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13
Q

Where would you listen for the mitral valve?

A

Left 5th intercostal space

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14
Q

A blow to the nose can lead to loss of smell with the fracture of what bone?

A

Ethmoid

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15
Q

What is opacity of the lens in the eye?

What could it be caused by? 4

A

Catracts

age, trauma, diabetes, smoking

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16
Q

General path of light through the eye?

3

A

Light strikes cornea
goes through lens
Is percieved by rods and cones in the retina

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17
Q

Structures of the eye you need to know?

4

A

Sclera
Conjunctivae
Iris
Lens

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18
Q

Superior oblique muscle powered by?

A

Trochlear

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19
Q

Lateral rectus muscle powered by?

A

Aducens

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20
Q

The rest of the extraocular muscles are powered by?

A

Oculomotor

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21
Q

Structures of the nose you need to know?

A
Bridge
Tip
Septum
Glabella
External nares
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22
Q

What is your vertex?

A

mid top anterior point on head

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23
Q

Where are your eyes in situated on your face?

A

halfway between the vertx and the chin

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24
Q

What is the top of your ear in line with?

A

glabella and eyebrows

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25
Q

What is the lobule of your ear in line with?

A

nose

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26
Q

What is the difference between the concha and turbinates?

Function?

A

concha= just bone
turbinates= bone plus mucosa
humidifies and warms air for lungs

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27
Q

Structures of the outer ear?

9

A
Helix
Crus
Upper concha
Lower concha
Tragus
Antitragus
Lobule
antihelix
external acoustic meatus
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28
Q

Where can you feel your superficial temporal artery pulse?

A

Right in front of your upper helix

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29
Q

What structures compose your temporal mandibular joint?

4

A

Condylar process
Mandibular fossa
Articular disc
Articular capsule

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30
Q

What is the significance of the L4-L5 discs?

A

Its the top of the iliac crest

right above the stamp tramp

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31
Q

Primary movers of head and neck flexion?

2

A

SCM

Anterior scalene

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32
Q

Primary movers of head and neck extension?

2

A

Trapezius

Splenis capitis

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33
Q

Primary movers in lateral bending of head and neck?

A

SCM
Anterior scalene
splenis capitis

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34
Q

Primary movers in head rotation?

3

A

Splenis capitis
SCM
Scalenes

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35
Q

What structures are in the supraclavicular fossa?

A

apex of the lung
subclavian artery and vein
brachial plexus

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36
Q

What structures can you find in the anterior triangle of the neck?
4

A

SCM
Thyroid gland
Thyroid cartilage
Cricoid cartilage

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37
Q

What structures are in the submandibular region?

4

A

Submandibular gland
Facial artery
Omohyoid
Platysma

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38
Q

What structures are in the posterior triangle of the neck?

6

A
SCM
trapezius 
Mastiod process
Spinous processes of C2 to C7
Paraspinous muscles
occipital protuberance
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39
Q

What is the significance of the Angle of Lewis?

3

A
Your sternal angle
Where your aortic arch sits
T4-T5 vertebrae
Bifurication of the trachea
pulmonary trunk
40
Q

Where is the base of your heart sit?

A

T9

41
Q

Where is the diaphragm located?

A

T12

42
Q

Where is the point of maximal impact of the heart?

A

Apex of the heart, you can feel it on your 5th intercostal space and go lateral

43
Q

Where are your posterior and anterior axillary folds?

A

ligament feeling regions on the side of the armpit

44
Q

What makes up the medial wall of the axilla?

2

A

upper ribs and the serratus anterior muscle

45
Q

What makes up the lateral wall of the axilla?

2

A

Coracobrachialis and biceps brachi muscles

46
Q

What are the deep structures of the axilla?

3

A

Humeral head
Axillary artery
Cords of the brachial plexus

47
Q

Where do the ribs articulate with the vertebrae?

A

Rib 4 will articulate superiorly with T3’s inferior facet and T4’s superior facet and the transverse process will articulate with the tubercle of the rib

48
Q

What is your natal cleft?

A

butt crack

49
Q

Where is the fold of the buttocks?

A

butt to thigh

50
Q

Prime movers of spine flexion?

3

A

Rectus abdominus
Internal oblique
external oblique

51
Q

Prime movers of spine extension?

2

A

Erector spinae

paraspinous muscles

52
Q

Prime movers in spine bending/lateral flexion?

4

A

Internal oblique
External oblique
Erector spinae
paraspinous muscles

53
Q

Prime movers in spine rotation?

2

A

internal obliques

external obligues

54
Q

Movements of the scapulo-thoracic joint?

A
  1. Elevation/depression

2. Adduction(retraction)/ Abduction(protraction)

55
Q

Movements of the glenohumeral joints?

A

All the things

56
Q

What are the movements of the elbow and forearm?

2

A

flexion/extension

Pronation/supination

57
Q

Where is the antecubital fossa and what goes through it?

A

inside of the elbow space

  • biceps tendon
  • brachial artery
  • median nerve
58
Q

What motions are possible with the wrist?

5

A
palmar flexion
dorsi flexion
radial deviation
ulnar devation
circumduction
59
Q

Palpable parts of the elbow?

A

medial and lateral condyles and epicondyles

Olecranon process of the ulna (subcutaneous border)

60
Q

Palpable parts of the wrist?

A

Styloids of the ulna and radius
Hook of hamate
schapoid- snuff box
lunate

61
Q

What bone in the wrist makes up the medial wall of the carpal canal?

A

hamate

62
Q

What is the anterior border of the lungs span?

A

2nd to 4th costal cartilages on the left and

2nd to 6th costal cartilages on the right

63
Q

Where is the oblique fissure on the lungs located?

A

spinous process T2 to 6th costal cartilage

64
Q

Were is the right horizontal fissure on the lungs located?

A

T2 to 4th costal cartilage

65
Q

What muscles are involved in elbow flexion?

A

biceps brachi
brachilais
brachioradialis

66
Q

What muscles are involved in elbow extension?

A

triceps

67
Q

What are the pulses in the arm you can feel?

A

Axillary
Brachial
Radial
Ulnar

68
Q

What test can you implement to see if there is equal flow through both the radial and ulnar arteries?

A

Allen test

69
Q

What bone is usually dislocated in the wrist?

A

lunate

70
Q

Palpable parts of the scapula?

4

A

spine
acromion
coracoid
inferior angle and tip

71
Q

Palpable structures in the back?

3 (5)

A
C2
C7
All the spinous processes
iliac crest
occipital protuberance
72
Q

What structures are in your umbilicus region?

4

A

Small intestine
L4-L5
iliac crest
bifurication of the aorta

73
Q

What are the primary muscles in inhalation?

A

Diaphragm and external intercostals

74
Q

What are the accessory inhalation muscles?

A

SCM and scalenes

75
Q

Primary muscles in exhalation?

A

diaphragm

76
Q

Accessory muscles in exhalation?

A

rectus abdominus

77
Q

What tendons border the scaphoid on each side?

A

medial border= tendon of the extensor pollicis longus

Lateral border = tendons of the extensor pollicis brevis and the abductor pollicis longus.

78
Q

What muscle starts at S2?

A

Gluteus medius

79
Q

Where is the ilaic crest located?

A

L4

80
Q

What level is the angle of the manubrium at?

A

C3

81
Q

What level is the top of the thyroid at?

A

C4-5 disc

82
Q

Where is the vertebrea prominens?

A

C7 spinous process

83
Q

Where is the suprasternal notch located?

A

T2

84
Q

What level is the angle of lewis at?

A

T4-5 disc

85
Q

What level is the Xiphoid process at?

A

Bottom of heart, T9

86
Q

What occurs at the umbilicus?

A

end of spinal cord
Top of kidneys
T12-L1

87
Q

Where is the lower egde of the ribcage at?

A

L3

88
Q

Where are the top of the iliac crests at?

A

L4-5 disc

89
Q

What is otitis media an infectio of?

A

middle ear infection

90
Q

What is going on anatomically with the allen test?

A

When the deep and superficial palmar arches are intact either artery can supply blood to the whole hand. When half the hand stays pale, poor collateral circulation

91
Q

What artery do we not cannulate?

A

the radial artery

92
Q

During a hysterectomy what can be ligated?

A

ureter

93
Q

In the powerpoint of the uterus the X was the ?

A

infundibulum

94
Q

Pain from the inferior portion of the diaphragm is supplied by what nerve?

A

phrenic

95
Q

The mesentary is part of what paritinuem?

A

visceral