Theme 1: Anatomy Flashcards

1
Q

what artery does the pterion overly?

A

middle meningeal artery- vulnerable to rupture causing extradural haemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the bregma and lambda?

A

the bregma is the location of the anterior fontanelle in neonates
the lambda is the location fo the posterior fontanelle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

which cranial nerves exit vis the superior orbital fissure?

A

CNIII- oculomotor
CNIV- trochlear
CNV1- opthalmic branch of trigeminal
CNVI- abducens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which cranial nerve passes through the cribiform plate?

A

CNI- olfactory nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which foramina do the maxillary and mandibular branches of CNV pass through?

A

CNV2 (maxillary)- foramen rotundum

CNV3 (mandibular)- foramen ovale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

which cranial nerves pass through the internal acoustic meatus?

A

CNVII- facial nerve

CNVIII- vestibulocochlear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

which cranial nerves pass through the jugular foramen?

A

CNIX- glossopharyngeal
CNX- vagus
CNXI- accessory spinal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

which cranial nerve passes through the hypoglossal canal?

A

CNXII- hypoglossal canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where does the anterior cerebral artery supply?

A

the medial surface of the cerebral hemisphere- medial frontal and parietal lobe and the cignulate gyrus and corpus callosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

which artery supplies the anterior circulation of the brain?

A

internal carotid artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which artery supplies the posterior circulation of the brain?

A

the vertebral arteries which are branches of the subclavian

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

where does the middle cerebral artery supply?

A

the majority of the lateral cerebrum- lateral frontal, paretial and temporal lobes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

which artery is formed by the union of the two vertebral arteries?

A

the basilar artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where does the posterior cerebral artery supply?

A

inferomedial temporal lobe

occipital lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how is cerebral blood flow controlled?

A

CBF is controlled by auto regulation:
if cerebral perfusion pressure increases vasoconstriction occurs decreasing CBF
if CPP decreases vasodilation occurs increasing CBF
only works within the autoregulatory limit- outside this CBF is dependant on MAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

where is brocas area and what is its function?

A

located in the inferior frontal gyrus. supplied by MCA

involved in the motor programming of speech (expressive component of language)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

where is wernickes area and what is its function?

A

located in the superior temporal gyrus- supplied by MCA

involved in language comprehension (receptive component of language)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is the arcuate fasiculus?

A

bundle of association fibres connecting wernickes and brocas areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

describe the pathway involved in the processing of speech?

A

information from the primary auditory cortex (or primary visual cortex) is sent to the association cortex. from there information is sent to wernickes area and then via the arcuate fasiculus to brooks area. from here fibres project to motor cortices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is the cause and features of brocas aphasia?

A

lesion to inferior frontal gyrus

features- slow speech, word finding difficulties, impaired repetition, normal comprehension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is the cause and features of wernickes aphasia?

A

lesion to superior temporal gyrus

features- impaired comprehension, addition of extra/made up words to sentences, normal fluidity of speech

22
Q

what is the cause and features of conduction aphasia?

A

lesion to arcuate fasiculus
features- impaired repetition, insertion of words that sound similar but are not correct, comprehension and fluidity intact

23
Q

what are the stages involved int the production of speech?

A
  1. respiration- exhalation required for speech
  2. phonation- air passed through closed vocal folds, vibrations along the vocal folds allow sound production
  3. resonance- modification of sound in the pharyngeal/oral/nasal cavity
  4. articulation- further modification of sound using other structures
24
Q

what are active and passive articulators?

A

active articulators include the tongue, lower lip lip and soft palate- they move
passive articulators include the upper lip, teeth, alveolar ridge and hard palate- they do not move but provide a fixed point for other structures to move against

25
what are the cranial nerves and their fibre types?
``` CNI- olfactory- sensory CNII- optic- sensory CNIII- occulomotor- motor CNIV- trochlear- motor CNV- trigeminal- both CNVI- abducens- motor CNVII- facial- both CNVIII- vestibulocochlear- sensory CNIX- glossopharyngeal- both CNX- vagus- both CNXI- spinal accessory-motor CNXII- hypoglossal- motor ```
26
which cranial nerves have parasympathetic function?
CNIII- occculomotor- pupil reflex CNVII- facial- lacrimal and salivary glands CNIX- glossopharyngeal- parotid gland CNX- vagus- thorax and abdomen
27
where do the cranial nerves originate?
cerebrum- CNI and CNII midbrain- CNIII and CNIV pons- CNV, CNVI, CNVII, CNVIII medulla- CNIX, CNX, CNXI, CNXII
28
what does the glossopharyngeal nerve innervate?
special senses- taste (post 1/3) general sensory- post. tongue, oropharynx motor- stylopharyngeus parasympathetic- parotid gland also innervates the carotid body and sinus
29
what does the vagus nerve innervate?
general sensory and motor- pharynx and larynx | parasympathetic- thorax and abdomen
30
what does the spinal accessory nerve innervate?
SCM and trapezius
31
what are the branches of the external carotid artery?
``` superior thyroid ascending pharyngeal lingual facial occipital posterior auricular maxillary superficial temporal (some anatomists like freaking out poor medical student) ```
32
where do the divisions of the trigeminal nerve come together?
trigeminal ganglion
33
where do fibres from the trigeminal sensory nucleus project to?
second order neurones decussate and ascend in the trigeminothalamic tract to the ventral posterior medial (VPM) nucleus of the thalamus. they then project to the somatosensory cortex
34
which nerve gives off the greater petrosal nerve?
the facial nerve
35
where does the facial nerve exit the facial canal?
the stylomastoid foramen
36
what are the 5 terminal branches of the facial nerve?
``` temporal zygomatic buccal marginal cervical ```
37
which muscle raises the eyebrows?
frontalis portion of occipitofrontalis
38
which muscle closes the eyes tightly?
orbicularis oculi
39
which muscle blows out the cheeks?
buccinator
40
which muscle closes the lips?
orbicularis iris
41
which muscle allows you to grimace?
platysma
42
what is the branch of the facial nerve that provides taste inner to the anterior 2/3 of the tongue?
chorda tympani
43
what is trigeminal neuralgia?
episodic severe unilateral sharp shock like pain in the V2/V3 distribution which lasts for seconds/minutes caused by nerve compression precipitated by light touch, washing face, cold wind etc.
44
what are the paranasal sinuses?
maxillary sinus- lateral nasal cavity sphenoidal sinus- superoposteriorly to the nasal cavity frontal sinus- on top of the nasal cavity between the eyebrows ethmoidal sinus- posterior on top of the nasal cavity
45
where do the paranasal sinuses drain?
superior meatus- drains the posterior ethmoidal air cells and the sphenoid sinus middle meatus- the rest of the sinuses (maxillary, frontal, ethmoidal) drain here via the hiatus semilunaris
46
where does the nasolacrimal duct drain into the nasal cavity?
the interior meatus
47
where do the blood vessels of the nose anastomose?
littles area
48
where do the anterior and posterior ethmoidal arteries branch from and what do they supply?
the ophthalmic branch of the internal carotid | they supply the lateral wall of the nasal cavity and give septal branches to the medial wall
49
what are the branches of the maxillary artery that supply the nasal cavity?
sphenopalatine artery | greater palatine artery
50
what are the branches of the facial artery that supply the nasal cavity?
lateral nasal artery | superior labial artery
51
where does the nasopalatine nerve branch from and how does it enter the nasal cavity?
the pterygopalatine ganglion | it passes through the sphenopalatine foramen
52
what is turbinate hypertrophy?
swollen nasal conchae causing obstruction