The neck Flashcards

1
Q

How many cervical vertebrae are there?

A

7

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2
Q

What is the vertebrae prominens?

A

C7

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3
Q

How do the transverse processes of C3-6 differ from the other C vertebrae?

A

Broader and cupped to support spinal nerves

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4
Q

Where re the prevertebral and paravertebral muscles found?

A

Prevertebral anteriorly, paravertebrally laterally

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5
Q

Describe location of the scalenus anterior

A

Lateral neck

Anterior tubercles C3-6 -> scalene tubercle of 1st rib

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6
Q

What passes between the scalenus anterior and the scalenus mass?

A

Subclavian vessels and nerves of the brachial plexus

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7
Q

What innervates the scalenes?

A

Ventral rami of C5&6

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8
Q

What other lateral muscles are there in the neck?

A

Scalene mass, splenius muscles, levator scapulae

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9
Q

What plexuses do the cervical nerves form?

A
C1-C4= cervical plexus
C5-T1= brachial plexus
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10
Q

Where is the superior cervical ganglion of the sympathetic chain found?

A

Opposit C2 inbetween scalenus anterior and prevertebral muscles

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11
Q

What is the stellate ganglion and where is it found?

A

Inferior cervical ganglion of sympathetic chain fused with the 1st thoracic ganglion
In front of the neck of the 1st rib

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12
Q

How does sympathetic supply get into the head and brain?

A

Via the sympathetic plexus that travels with the internal and external carotid arteries

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13
Q

What are the rami and what does the phrenic nerve supply?

A

C3, 4&5, supplies diaphragm

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14
Q

Where does the carotid artery bifurcate?

A

At level of C3

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15
Q

What are the branches of the external carotid artery?

A

Some angry lady figured out PMS-

Superior thyroid, ascending pharyngeal, lingual, facial, occipital, posterior auricular, maxillary, superficial temporal

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16
Q

What s found in the carotid sheath?

A

Internal carotid artery, vagus nerve, internal jugular vein

17
Q

Where does the inferior thyroid artery arise from?

A

From the subclavian artery via the thyrocervical trunk

18
Q

Where does the superior thyroid artery arise from?

A

Common carotid via the external carotid

19
Q

How is the path of the inferior thyroid vein different from the superior and middle?

A

By passes internal jugular vein and enters straight into brachiocephalic vein

20
Q

Describe the parathyroid glands

A

4 the size of a pea

Located close to the posterior surfaces of the lateral lobes of the thyroid gland

21
Q

Where does the omohyoid attach?

A

Hyoid bone->intermediate tendon->superior border of scapula

22
Q

Name the 2 deep infrahyoid muscles

A

Thyrohyoid above and sternothyroid below

23
Q

What are the two superficial infrahyoid muscles?

A

Sternohyoid (medially) omohyoid (laterally)

24
Q

What innervates the infrahyoid muscles

A

The ansa cervicalis (C1-C3)

Thyrohyoid & geniohyoid are innervated by C1+hypoglossal nerve

25
Action and innervation of trapezius
``` Spinal accessory Upper fibres elevate scapula Middle fibres retract scapula Lower fibres depress scapula Rotation of scapula ```
26
Actions and innervation of sternocleidomastoids?
Spinal accessory nerve Tilts head to shoulder on same side Turns face towards opposite side Draws head forwards
27
Borders of posterior triangle
Trapezius, sternocleidomastoid, clavicle
28
Borders of anterior triangle
midline of neck, sternocleidomastoid and inferior border of mandible Apex is jugular notch
29
What does the muscular part of the anterior triangle contain?
Infrahyoid muscles and thyroid gland
30
Name the superficial cervical lymph nodes
Occipital, posterior auricular, preauricular, submandibular and submental Generally found surrounding external jugular vein
31
Name the groups of deep cervical lymph nodes
``` Surrounding internal carotid Prelaryngeal Pretracheal Paratracheal Retropharyngeal ```