Test 1 Flashcards
Located on petrous part of temporal bone.
Sup drains to transverse sinus
Inf drains to internal jugularV.
Sup and inf petrosal sinuses
Muscles of the face are innervated by?
Facial nerve.
Cranial nerve VII
Endodermal out pocketing from rostral foregut between adjacent arches
Branchial pouch
The refractive power of a lens
Diopter
Common part of ear for ear infections?
Middle ear (otitis media)
Action of medial rectus
Adduct
Two things of importance that are found in the nasopharynx?
Adenoids (pharyngeals tonsils)
Opening of auditory tubes
What is responsible for the circular, antagonistic, center-surround receptive fields of bipolar cells??
Horizontal cells laterally inhibit photoreceptors
Action ; Depressor anguli oris
Tragedy muscle
Arteries that pass through the suboccipital triangle
Vertebral artery
Occipital artery
What directions of eye movement are limited due to having “check ligaments’’
Medial and lateral rotation are limited due to check ligaments
Vibrating lips that arise from the entire upper edge of the arch of cricoid
Conus elasticus
The branch of the facial nerve responisble for visceral motor (parasympathetic) innervation to the lacrimal gland and the mucous glands of the nose and the palate .. also does visceral sensory innervation to the nasopharynx
Greater petrosal nerve
Pushing the temporal lobe through the temporal notch
Uncal herniation.
Innervation to efferents. Autonomics, smooth muscles (including arrector pilae muscles of skin), blood vessels, and secretomotor to glands
Visceral motor
Obstruction of the tarsal glands in the tarsal plate
Chalazion
The degree of damage to the ear secondary to loud sounds is a function of
Loudness and duration of exposure
A disturbance of the normal fluid balance between different fluid compartments
Edema
Vertebral A. Enters skull thru the ____
Foramen magnum
What passes between middle and inferior constrictor muscles?
Superior laryngeal artery
Internal laryngeal nerve
In the craniovertebral joint, the anterior longitudinal ligament becomes the
Anterior atlantooccipital membrane( C1 thru occipital)
Enhances the effectiveness of the active pathway by inhibiting or suppressing output from an antagonistic pathway
Feedforward inhibition.
A leaf shaped cartilage that is posterior to the roof of the tongue.
Connected to the hyoid at its body and to the posterior side of the thyroid cartilage
Epiglottis
Measurement of ntraocular pressure
Tonometry
The first branchial membrane forms the
Tympanic membrane
The posterior atlanto-occipital membrane and membrana tectoria fuse to the
Dura
Where does the carotid artery pass thru the cavernous sinus?
Carotid siphon
Hard to diagnose, has no external swelling, but can possibly block the airway, or spread unimpeded to the thorax
Retropharyngeal abscess
Pretracheal and retropharyngeal lymph nodes make up the
Deep ring
Vision when only rods are activated, under the lowest levels of illumination
Scotopic vision
Floor of the middle ear is what?
Jugular foramen (jugular vein can rupture into middle ear)
Change pitch of sound with
Thyroid and cricoid joint
CSF pH is regulated through ?
Bicarbonate ion and proton transport
Shape of hematoma in epidural hematoms on imaging.
Lens shaped, ( biconvex )
Sinus in the lateral fixed part of tentorium.
Receives blood from the superior sagittal or confluens
Transverse sinus
Cranial nerves that make up the somatic motor axons
III, IV, VI
XII
Muscle that is not working in Bell’s Palsy which makes it dificult to chew.
Buccinator
This type of calcium channels open at more modest levels of depolarization, typically between resting potential and action potential threshold, but are also rapidly inactivated at these potentials
Low-voltage activated
Or
Transient (T-type)
Normal intraocular pressure?
15 +/- 2 mm Hg
Superior sagittal sinus receives blood from?
Brain, orbit, and emissary veins
A fold that covers the sella turcica
Diaphragma sella
The upper part of the neurocranium that covers the cranial cavity containing the brain
Calvarium
Pupil constriction
Miosis
Sinus in upper border of falx cerebri
Superior sagittal sinus
Cranial nerves for eye movement
III, IV, VI
Stereotyped motor response to a specific sensory stimulus
Reaction
Division of the autonomic nervous system who’s role is to conserve and store resources. ?
Parasympathetic nervous system ( rest and digest )
Cartilage of larynx that has a complete ring w a narrow anterior arch and a broad posterior lamina
Cricoid
The nerves of the cervical plexus emerge from where?
The posterior border of the sternocleidomastoid
Innervation to precise sensation, sensory to skin, joints, muscle and tendon receptor endgins in the head, also nasal and oral cavity
Somatic sensory
Clinical test for frontalis in Bell’s Palsy
Raise eyebrow
A group of diseases characterized by the damage to the optic nerve
Glaucoma
Apical membrane surface of choroid plexus epithelial cells faces
Into the ventricle
Insertion: tensor tympani muscle
Handle of malleus
Swelling of pharyneal tonsils
Adenoids
The outer 1/3 of the external auditory meatus is what? And contains what?
Cartilage
Contains ceruminous glands, sebaceous glands, and hair
Abducts or adducts the vocal cords
Arytenoid and cricoid cartilages
Located where the suspensory ligaments attach to the eyeball
Ciliary muscle
Hearing loss as a result of an issue with the outer or middle ear.
Conductive hearing loss
Increases contrast between stimuli and helps to maintain the resolving power of a sensory system
Lateral and surround inhibition
A progressive thinning and bulging of the cornea which distorts vision due to altered refraction across the cornea
Keratoconus
Insertion ; stapedius
Neck of stapes
Branch of cervical plexus that provides the sensory innervation to the skin of the anterior neck?
Transverse cervical (C2 C3)
Junction of temporal, sphenoid parietal and frontal bones
Pterion
Muscle of opposite arm or leg
Contralateral muscle
A lens that diverges light
Concave lens
Forms superior parathyroid gland and c cells of thyroid gland (which produce calcitonin)
Pouch 4
Sounds seem to loud
Hyperacousia
A gradual, age related decrease in the ability of the eye to do accomodation.
Presbyopia
The branch of the facial nerve responsible for the taste sensation to the anterior 2/3 of the tongue.
Also responsible for the parasympathetic innervation to the submandibular glands and the salivary glands
Chorda tympani
Falx cerebri is an infolding of wha?
The inner membrane of the dura mater (true dura)
Type of edema that can be caused by over secretion of CSF or impairment of absorption of CSF. Characterized by increased CSF pressure within the ventricles which ends up causing increased fluid in the brain parenchyma.
Interstitial edema
Part 3 of the subclavian artery is ____ to the scalenus anterior?
Lateral
General swelling of the whole body, usually due to abnormal fluid retention in the tissues
Anasarca
What does closing the respiratory system with the larynx allow for?
Increasing abdominal pressure
Progressive loss of hearing, especially for higher frequencies, which is common with aging
Presbycusis
Avascular, transparent layer over anterior eyes, aids in focusing light, irregularities - astigmatism
Cornea
Dilator nares; action
Dilate nostrils
Ligaments that hold the lens in place, attach radially around the eye. They are under constant tension during resting condition and pull the lens into a relatively flat shape.
Suspensory ligaments
Ligament that connects the epiglottis to the thyroid
Thyroepiglottic ligament
Incomplete formation of the confluens of sinuses causes ?
The straight sinus can join superior sagittal sinus at the confluens OR turn left.
Inferior parathyroid gland comes from
3rd branchial pouch
Which joint of the larynx is a synovial hinge joint which allows for the change in pitch of sound (tense or relax vocal cords) . Tilting motion.
Thyroid cartilage and cricoid cartilage
High frequency sound waves move the basilar membrane
At the stiffer base
Membranes that link bones at birth
Fontanelles
Extracellular fluid bathing the apical surface of the hair cell
Endolymph
Viral infection associated w Bell’s Palsy
Herpes Simplex
The branch of the facial nerve that is responsible for the branchiomotor innervation to the stapedius muscle
Stapedial nerve
Group of interneurons that are interconnected. These produce activities in motor neurons and can generate rhythmic behaviors
Pattern generator
Action of the lateral rectus (CN VI)
Abduct eye
Drugs that prevent glaucoma by increasing ocular fluid reuptake
Prostaglandin analogs
Paraspathomimetics
Origin : tensor tympani muscle
Canal in anterior wall
Infection in the retropharyngeal space can spread unimpeded to ?
The thorax
Fovea has a higher cones and ____ ratio of photoreceptors to ganglion.
Lower ratio
Better at resolving fine detail
Contents of the suboccipital triangle?
Occipital artery
Vertebral artery
Greater occipital nerve
Suboccipital nerve
Smooth and cardiac muscle innervation, blood vessels, glands, and internal organ innervation
Visceral motor (parasympathetic)
Pain with bell’s palsy in the outer ear in the affected division of the ear is from?
Trigeminal neuralgia, due to CN’s V, VII, IX, X
Where are golgi tendon organs located?
Muscle tendons or connective tissue attachments
Irregular waveforms are perceived as
Noise
What is another name for the auditory tube?
Eustachian tube
Somatic sensory to the outer ear is innervated by?
V, VII, IX, X
Type of ciliary smooth muscle fiber that functions like a sphincter, when contracting, they decrease diameter, and release tension.
Circular fibers
A bleed into the potential space between the dura and arachnoid.
Bleeding often slow.
Subdural hematoma
Three ways for small molecules to pass through the choroid capillary endothelium
Diffusion thru endothelial cell membranes
Diffusion through fenestrations
Pinocytosis
Clinical significance of the buccinator muscle
Patient’s w/ bell’s palsy have difficulty eating food and will drool due to defects in buccinator.
Two parts of the vestibular labyrinth that are interconnected by fluid filled passages
Otolith organs
Semicircular canal
Cranial nerve for vision
II
The branchial pouch that forms the inferior parathyroid gland as well as the thymus gland
Branchial pouch 3
What muscles must you contract to perform valsalva maneuver (at level of rima glottidis)
Lateral crico-arytenoid to rotate medially and partially close
Arytenoideus to slide arytenoids and fully close.
Type of hematoma from a tear or aneurysm in the cerebral artery or cerebral vein.
Subarachnoid hematoma
Most important landmark in neck?
Sternocleidomastoid
Norepinephrine binds to which type of receptor?
Adrenergic
Types of adrenergic receptors that will cause smooth muscle contraction?
Alpha 1 and alpha 2
The pterygopalatine ganglion is associated with the parasympathetic actions of which cranial nerves and innervates which structures?
VII
Lacrimal gland and mucous glands of the oral and nasal cavities and the palate
Branchial pouch that forms the superior parathyroid and also the c-cells (calcitonin) of the thyroid
Pouch 4
Depressor labii Inferioris
Depresses lower lip.
Branchial fistulas are where in relation to the sternocleidomastoid muscle?
Anterior
4 small bodies on each side, posterior to or within the thyroid gland
Parathyroid glands
Tonsil
Cerebellum
Lower edge of the quadrangular membrane
Vestibular ligament (false focal cords)
What movement does the epicranial aponeurosis allow ?
Anterior and posterior movement.
The otolith organs (utricle and saccule) are sensitive to
Linear acceleration
Low frequency sound waves will move the basilar membrane
Further up the membrane
What do the ossicles of the middle ear acting as a lever do to sound
Transforms the larger amplitude, lower frequency vibrations of air into smaller amplitude, higher force vibrations of fluid of the inner ear.
What is the medical term for tube through the tympanic membrane?
Tympanostomy
Peripheral retina has high ___
Rods, more sensitive to low light
Engorgement of the retinal veins
Papilledema
Connections of falx cerebri?
Anterior -> crista galli of ethmoid
Posterior -> blends into tentorium cerebelli
Part 1 of the subclavian artery is ____ to the scalenus anterior?
Medial
Sinus located in the upper border of falx cerebri. Anterior goes to foramen cecum posterior to transverse sinus. Communicates laterally w venous lacunae.
Superior sagittal sinus
The upper free edge of conus
Vocal ligaments
Perilymph resembles the makeup of
Cerebrospinal fluid
Loud sounds cause the tensor tympani and the stapedius muscles to contract, increasing the rigidity of the ossicles and reducing sound conduction to the inner ear
Attenuation reflex
Innervation to Voluntary skeletal muscles (derived from somites)
Somatic motor nerves
Origin: stapedius
Posterior wall
Muscle that contains sense organ
Homonymous muscle
Type of ganglion cell that is 90% of all ganglions. It is able to differentiate in fine detail. Also has specificity to wavelengths. Sustained adaptation.
Parvocellular
Palpebral
Eyelid
Complex waveforms with regular patterns are perceived as
Musical sounds
External auditory meatus is ____ in children and ______ in adults
Straight
Curved
Venous drainage from the head all meets into the ?
Right IJ and Left IJ
Difference between diploic veins and emissary veins?
Diploic veins go from diploe layer of bones of calvarium into the venous sinuses in brain.
Emissary veins go from the scalp, transverse the calvarium and into the venous sinuses in brian.
Periosteum of outer side of calvarium
Pericranium
Blocking CN VII does what to lacrimal duct?
Decreases production of tears
Inward movement of the oval window results in
A downward movement of reissner’s membrane, downward movement of the endolymph filling the scala media, and downward movement of the basialr membrane
Things that are only innervated by sympathetics
Sweat glands
Peripheral blood vessels
Test in which the tuning fork is placed on the calvarium, and will cause a vibration directly in the cochlea and the patient will perceive it as sound
Weber test
Action: frontalis
Moves scalp. Raise eyebrows
What are the attachments of the epicranial aponeurosis?
Laterally to the temporal fascia
Frontalis muscle
Occipitalis muscle.
Tightly attaches to the skin and CT above it.
The 2 pyramidal shaped cartilages of the larynx that form a synovial joint with the cricoid.
Arytenoid
Cervical sinus is normally obliterated during development. If it persists and connects to the skin this is called ?
Branchial cyst fistula.
Found anterior to the sternocleidomastoid
Type of edema. Decreased ATP from metabolic poisoning, hypoxia, anoxia, or ischemia causes failure of fluid balance (Na/K atpase for example) this leads to increased osmotic pressure and influx of water from extracellular to intracellular. This damages the cells.
Cytotoxic edema
The orientation of this makes it most sensitive to acceleration in the horizontal plane (front-back and left-right)
Utricular macula
The process through which the refractive power of the lens is changed
Accomodation
The bending of light ways at an angled interface
Refraction
Upper motor neuron damage shown in babinski reflex
Extension of big toe (dorsiflexion)
Peak incidence of otitis media?
5 years old
Dorsal ramus C1, motor to suboccipital muscles,
Found in suboccipital triangle
Suboccipital nerve
Sinus in middle cranial fossa. On side of the body of sphenoid bone.
Receives blood from sup and inf opthalmic veins, cerebral veins
Drains to sup and inf petrosal sinus
Cavernous sinus
The distance between a convex lens at which parallel light rays converge
Focal length
Muscles innervated by the abducens?
Lateral rectus
Zygomaticus (major and minor)
Raise upper lip and pull laterally
Roles of the pigmented epithelium
Absorb excess light to prevent scattering and keep image sharp
Renew photopigments
Phagocytose photoreceptor disks
What are the two functions of the larynx?
Sound production.
Closes respiratory system
How might you treat a prolonged otitis media?
Tympanostomy. (Tube through the tympanic membrane)
Pressure waves which are too low in frequency for humans to perceive
Infrasound
An abnormal mass of blood outside a blood vessel
Hematoma
Apical borders are joined by _____ which prevent diffusion through spaces between cells
Tight junctions
Gelatinous fluid of the eye which is composed primarily of elongated proteoglycans
Vitreous humor
What type of innervation is responsible for the imprecise localization of pain in middle ear infections?
Cranial nerve IX, visceral sensory
Sinus at the junction of falx cerebri and tentorium
Straight sinus
Damage to the medial rectus (CN III) causes what?
Lateral strabismus (wall eyed)
What passes between the scalenus anterior and scalenus medial
Brachial plexus, SUbclavian A.
What intraocular pressure levels are concerning for, if maintained, developing glaucoma
Pressures over 20mm Hg
Blood leaks out of a weakened or diseased vessel into the brain
Hemorrhagic stroke
Clinical test for bells palsy involving occipitalis
Raise eyebrows
Twisted neck
Torticollis
In the dark, this current holds the photoreceptor membrane at a relatively depolarized membrane potential
Dark current
Abnormal tissue growth in the middle ear
Otosclerosis
Do the veins of the face have valves?
No
Normal flexion for babinski reflex test
Plantar flexion of big toe
Upper part forms inferior parathyroid gland; lower part forms thymus gland
Pouch 3
An infection from the head (tonsillitis) can spread to the mediastinum through what?
The retropharyngeal space. (Lies between the prevertebral fascia and the pretracheal fascia)
Where is CSF made
Choroid plexus
Two places for popcorn to lodge
Valleculae
Piriform recess
Branch of cervical plexus that innervates the skin over the parotid, inferior to the ear
Great auricular (C2, C3)
Ectodermal clefts between adjacent branchial arches
Branchial grooves
Take pulse of carotid artery at ?
Upper border of thyroid. Cartilage
Damage to abducens N (VI) causes what?
Medial strabismus (cross-eyed) due to damage/ paralysis of the lateral rectus
What courses on scalenus anterior?
Phrenic Nerve
Action: compressor nares
Compresses nasal cartilages
During constant velocity rotation, vestibular output does what?
Adapt
Swelling of pharyngeal tonsils (adenoids) will cause
Nasally voice
Cranial nerve for smell
I
An obstruction of the tarsal glands in the tarsal plate
Chalazion
Damage to CN III or the smooth muscle sympathetic parts of the leevator palpebae superioris muscle/
Eyelid droop
Action of superior rectus
Raise, adduct, medially rotate
hearing loss as a result of problems with the inner ear (nerve damage for example )
Sensorineural hearing loss
The orientation of this makes it most sensitive to acceleration in the vertical plane (up-down and left-right)
Saccular macula
Action: mentalis
Wrinkles skin of chin.
What causes reduced scattering of light and therefore better visual acuity at the fovea?
Lateral displacedment of the non-photoreceptor cells
What relation does the image on the retina have compared to that of the external world?
The image formed on the retina is both inverted and reversed in comparison to the outside world
Extracellular fluid that bathes the basolateral membrane of hair cells
Perilymph
Depth of field is greatest when pupil diameter is _____
Smallest
Basolateral surface of choroid plexus epithelial cells faces ?
The capillaries
The posterior portion of the subclavian artery has which trunk that comes from it and what branches from that trunk?
Costocervical trunk ->
Superior intercostal artery (gives blood to first 2 intercostal spaces)
Deep cervical A. (Gives blood to deep neck )
What is the concern for patient’s with facial paralysis which makes them unable to use their orbicularis oculi
These patient’s are unable to close their eyelids. They then have dried eyes and become at risk for corneal abrasions. In newborns, the eye is often sewn shut to keep protected.
Type of muscle spindle that signals muscle length, movement, and velocity. (Sensitivities adjusted by gamma motor neurons)
Muscle spindlees
Connects the spinal nerve and sympathetic ganglion
Communicating ramus