unit 3 RED Flashcards
only bone that does not articulate with other bones
hyoid bone
Adam’s apple
laryngeal prominence
tracheostomy entry point
below laryngeal prominence
epiglottis cartilage type
elastic
primary type of cartilage in the body
hyaline
triangle for palpating carotid pulse
carotid triangle (of anterior triangle)
danger space that leads directly into the mediastinum
retropharyngeal space
nerve that has motor + somatic/visceral sensory components (C3-C5)
phrenic nerve
C2 dorsal ramus
greater occipital nerve
1st branch off the subclavian artery
vertebral artery
first branch off of axillary artery
supreme thoracic artery
1st branch off of external carotid artery
superior thyroid artery
nerve innervation of platysma
cervical branch of facial nerve
nerve innervation or SCM
spinal accessory nerve (cranial nerve XI)
tightness of same side or weakness of contralateral side of SCM, unilateral impairment
torticollis
cranial nerve VII exits through which foramen
internal acoustic meatus and stylomastoid foramen
2 muscles innervated by C1 through hypoglossal nerve
geniohyoid and thyrohyoid
compresses brachial plexus trunk and subclavian artery in thoracic outlet syndrome
anterior and middle scalene muscles
compresses brachial plexus divisions/cords and subclavian/axillary arteries in thoracic outlet syndrome
clavicle and 1st rib
2 structures spared in thoracic outlet syndrome
thyrocervical trunk and subclavian vein
carotid sheath components at superior neck
common carotid artery, internal jugular vein, vagus nerve
bone degradation, decreased level of calcium in the body (conditions)
osteopenia and osteoporosis
increased level of calcium in the body (condition)
calcification
occasional artery that supplies the thyroid and parathyroid glands 10% of the time
IMA
superior and middle thyroid veins drain into which vein?
internal jugular vein
somatic innervation of intrinsic laryngeal muscles
recurrent laryngeal nerve of vagus nerve
visceral motor innervation of the trachea muscles
vagus nerve (parasympathetic)
division line of somatic and visceral compartments
cricoid cartilage
larynx muscles are covered by what to create the vocal folds?
mucosa
location of laryngopharynx
below cricoid cartilage
distal attachments of extrinsic pharynx muscles
all merge together posteriorly
only skeletal muscle innervated by cranial nerve IX
stylopharyngeus muscle
afferent nerve of gag reflex
glossopharyngeal (cranial nerve IX)
efferent nerve of gag reflex
vagus nerve (cranial nerve X)
proximal attachment of the esophagus
inferior border of cricoid cartilage
right and left vertebral arteries cross the transverse foramen at what vertebral level?
C6
first branch off the internal carotid artery
ophthalmic artery
vertebral arteries are a branch off which artery?
subclavian artery
artery that supplies anterior medulla oblongata
anterior spinal artery
artery that supplies inferior part of posterior lobe of cerebellum
PICA (posterior inferior cerebellar artery)
arteries that supply the posterior medulla oblongata
posterior spinal arteries
artery that supplies the inferolateral posterior lobe of the cerebellum
AICA (anterior inferior cerebellar artery)
artery branches that supply the pons
pontine branches
artery that supplies the anterior lobe and superior posterior lobe of the cerebellum
SCA (superior cerebellar artery)
artery that supplies the posterior cerebrum
PCA (posterior cerebral artery)
SCA and PCA branches supply what part of the brain
midbrain
artery that supplies the frontal, parietal, and limbic lobes for contralateral lower limb somatic motor and sensation, as well as emotions
ACA (anterior cerebral artery)
artery that supplies the frontal, parietal, and temporal lobes for contralateral trunk, upper limb, and face somatic motor and sensation, hearing, language if on the left side, and spatial cognition and emotion if on the right side
MCA (middle cerebral artery)
artery that supplies the temporal and occipital lobes for memory and contralateral visual field
PCA (posterior cerebral artery)
the posterior spinal artery is a branch from which artery?
PICA (posterior inferior cerebellar artery)
circle of willis arteries
anterior communicating artery
2 ACA
2 IC
2 posterior communicating arteries
2 PCA
which major artery is not a member of the circle of willis?
MCA (middle cerebral artery)
center of life and death
hypothalamus
type of stroke with intraparenchymal bleeding
hemorrhagic stroke
patients younger than 55 with a hemorrhagic stroke must be screened for what?
drug abuse
type of stroke that has blockage of blood supply and results in hypoxemic damage
ischemic stroke
brain sinus that is a part of the dangerous triangle because it can spread infection to the brain
cavernous sinus
connects lateral ventricles and the third ventricle
foramen of monro (interventricular foramen)
connects the third ventricle to the fourth ventricle
cerebral aqueduct
creates CSF
choroid plexus
suspend brain in the cerebral spinal fluid, holds 97% of weight (buoyance)
arachnoid trabeculae
large subarachnoid space is holding cerebrospinal fluid over the brain (outside of brain structures)
cisterns
reabsorbs cerebrospinal fluid into venous sinus blood
arachnoid granulations
blockage of cerebral spinal fluid which leads to increased intracranial pressure (buildup of SCSF on the brain)
hydrocephalus
vein that can spread infection from scalp to the meninges and brain
emissary vein
type of brain injury that occurs when blood accumulates between the skull and the dura mater, most likely due to an injury of the middle meningeal artery and pterion, medical emergency leads due to loss of consciousness and coma
epidural hematoma
type of brain injury due to disruption of bridging veins that occurs in the dural border cell layers
subdural hematoma 
type of brain injury due to disruption of blood vessels in the ventricles or cisterns, occurs in the cerebral spinal fluid, increases intracranial pressure while impairing the drainage of cerebral spinal fluid
subarachnoid hematoma
dura mater attachment in the neurocranium
calvaria
weakest point of the neurocranium
pterion
divides the brain into right and left hemispheres
longitudinal fissure
divides the brain into the cerebrum and cerebellum
transverse fissure
sulcus in between precentral and postcentral gyri 
central sulcus
primary somatic motor cortex (M1)
precentral gyrus
primary somatic sensory cortex (S1)
postcentral gyrus
sulcus that divides the temporal lobe from the frontal and parietal lobes
lateral sulcus
primary auditory cortex in the temporal lobe (A1)
superior temporal gyrus
marks the boundary between the parietal lobe and the occipital lobe
preoccipital notch
sulcus that divides the parietal lobe from the occipital lobe
pariteoccipital sulcus
sulcus in the occipital lobe that contains the primary visual cortex (V1)
calcarine sulcus
location of subthalamic nucleus
diencephalon
location of substantia nigra
midbrain
only cranial nerve originating from the posterior
trochlear nerve (cranial nerve IV)
unique spinal nerve, ascending C1—C5 of cervical spinal nerve, somatic motor only
spinal accessory nerve (cranial nerve XI)
sudden inability to coordinate muscle movement due to disease or injury to the cerebellum
ataxia
where does the middle cerebral peduncle locate?
pons
contents of the temporal fossa
upper portion of temporalis muscle
superficial temporal artery and vein
ganglion in the infratemporal fossa
otic ganglion
ganglion in pterygopalatine fossa
pterygopalatine ganglion
facial expression branches
temporal
zygomatic
buccal
mandibular
cervical
posterior auricular
cranial nerve V1
somatic/chemical sensation
exits through superior orbital fissure
chemical sensation: pungency of mustard
terminal sensory branch: supraorbital nerve
ophthalmic nerve (branch of trigeminal nerve)
cranial nerve V2
somatic/chemical sensation
exits through foramen rotundum
chemical sensation: smell
terminal sensory branch: infraorbital nerve
maxillary nerve (branch of trigeminal nerve)
cranial nerve V3
somatic motor and somatic sensory
exits through the foramen ovale
chemical sensation: taste
terminal sensory branch: mental nerve
motor: mastication muscles, hearing, swallowing
mandibular nerve (branch of trigeminal nerve)
part of the face that is not innervated by the trigeminal nerve
mandibular angle
artery that is very tortuous for facial expression
facial artery
middle meningeal artery is a branch off of what artery?
maxillary artery
artery that is wrapped by auriculotemporal nerve
middle meningeal artery
inflamed superficial temporal artery
temporal arteritis
veins that drain into the superior sagittal sinus directly
emissary veins (or diploic veins)
blink reflex part of the orbicularis oculi
palpebral part
dangerous zones that infection can spread into cranium from scalp and face
emissary veins and cavernous sinus
heads of what two muscles interdigital each other?
medial and lateral pterygoid muscles
only muscle that can retract the mandible
temporalis muscle
main innervation of the mastication muscles
trigeminal nerve
why are the scalp and face borders defined at the supraorbital margin?
innervations are different (cranial nerve VII)
frontalis and occipitalis muscles can be regulated differently from other facial expression muscles
which facial muscle is different from all others and is deep in the face?
buccinator
damage above the lower motor nuclei in one hemisphere
paralysis of contralateral face, scalp spared
upper motor neuron injury (UMN)
damage in or below the lower motor nuclei
paralysis of both ipsilateral scalp and face
lower motor neuron injury (LMN)
signs after stroke (UMN)
can elevate eyebrows
facial drop
difficult to close eyes and mouth
drooling and tearing on the affected side
signs after Bell’s palsy (UMN)
can elevate eyebrow
facial drop
difficult to close eyes and mouth
drooling and tearing on the affected side
dry mouth/dry eye
“crying” during eating in patients recovering from Bell’s palsy
visceral motor spared
crocodile tears syndrome
can facial nerve LMN injury patients smile symmetrically?
no
can facial nerve LMN injury patients smile symmetrically?
IF patient’s limbic lobe is spared
yes when they hear something funny
no when asked to smile (voluntary)
medial wall faces which direction in the orbit?
forward
lateral wall faces which direction in the orbit?
laterally
2 nerves that pass lateral and over the cartilage of foramen lacerum
deep petrosal nerve
greater petrosal nerve
postganglionic axons of sympathetic and preganglionic axons of parasympathetic in the pterygoid canal
nerve of pterygoid canal
constriction of the pupil in the iris in response to light
OR iris adjustment for intensive light stimuli
pupillary light reflex
muscle that is only innervated by postganglionic fibers from ciliary ganglion (parasympathetic)
ciliary body
2 smooth muscle groups in the eye
ciliary body and sphincter pupillae
condition with constricted pupil, partial eyelid ptosis (drooping), and no sweating on the affected side
disruption in the sympathetic nerve supply
parasympathetic functions are not balanced
horner’s syndrome
facial expression functions of the eyelids
wink and blink reflex
(muscle) eyeball rolls down and outward
innervated by the trochlear nerve (IV)
superior oblique
(muscle) eyeball rolls up and outward
innervated by the oculomotor nerve (III)
inferior oblique
2 eyes not lined up properly to different directions
condition of misalignment of the eyes
strabismus
adducted eyeballs (convergence) abducent (VI) palsy
esotropia
abducted eyeballs (divergence)
medial rectus not working
oculomotor (III) nerve palsy
exotropia
elevated eyeballs
trochlear (IV) nerve palsy
hypertropia
depressed eyeballs
inferior oblique muscle not working
oculomotor (III) nerve palsy
hypotropia
wall of the nasal cavity that has the inferior nasal conchae
lateral wall
located in the septum of the nasal cavity
vomer
visceral motor parasympathetic innervation of the mucosal glands
facial nerve in the pterygopalatine ganglion
visceral motor innervation for the blood vessels in the nasal cavity
sympathetic
can be inhibited (dilation)
part of the central nervous system
can be affected during multiple sclerosis
olfactory bulb
bleeding nose
epistaxis
structure in external ear that is made up of elastic cartilage
auricle
first ossified and fully mature at birth
auditory ossicles
course around the handle interacting with the tympanic membrane
posterior to anterior direction
chorda tympani
muscle that is coordinated with the mastication muscles innervated by cranial nerve V3
tensor tympani muscle
smallest skeletal muscle in the body
stapedius
a disorder in loudness perception
hyperacusis
cochlear component function of cranial nerve VIII
hearing
vestibular component function of cranial nerve VIII
propioception and balance
how many ears is functionally enough?
1
functions of the buccinator muscle
hold food in the oral cavity and speech
inferior alveolar nerve:mental nerve
buccal nerve
lingual nerve: gingiva
branches off the mandibular nerve (V3)
muscle palate that separates the oral cavity from the nasopharynx
soft palate
imbalance of bilateral intrinsic and extrinsic tongue muscles
protrusion of the tongue will deviate to the weaker side
(opposite to other muscular deficiency)
difficult to eat, speak, and bite the tongue easily
hypoglossal nerve (XII) deficiency