Week 2 Flashcards

1
Q

how do you know you’re feeling lymph nodes and not something else

A

stand behind patient and palpate to feel differences in both sides

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2
Q

where is the hyoid bone

A

in corner between submandibular region and the front of the neck

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3
Q

where are the submandibular lymph nodes

A

medial to the mandible

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4
Q

what do the submandibular lymph nodes drain

A

the mouth, nasal cavity, maxillary sinus, lower parts of the face

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5
Q

if enlarged lymph nodes are painful what does this suggest

A

caused by infection

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6
Q

if enlarged lymph nodes are not painful what does this suggest

A

might be malignant change

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7
Q

apart from infection and malignant change why else might lymph nodes be enlarged

A

if they have had inflamed lymph nodes in the past there might be fibrous change so completely benign but still might feel them

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8
Q

what do the submental nodes drain

A

most anterior parts of the the lower mouth (lower lip, skin and chin, tip of tongue, front of floor of mouth, anterior teeth

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9
Q

where is the submandibular salivary gland

A

between angle of mandible and hyoid bone

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10
Q

wher is the platysma muscle

A

just above the mandible and into the face, sweeping down below the skin on each side of the neck and going into the upper chest

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11
Q

what does platysma do

A

maintains the tone of the tissue in the neck, muscle of facial expression

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12
Q

where is the anterior belly of digastric muscle

A

attaches to the inside of the mandible at the front (a little depression in the deep aspect of the mandible)

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13
Q

where is the mylohyoid muscle

A

deep to the digastric, coming from about half way up the mandible (not from the edge). Back fibres attach to the front of the hyoid bone and further forward the fibres are running onto a band of connective tissue in the midline.

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14
Q

when designing dentures why is the mylohyoid muscle important

A

the muscle has a free edge to it and the lower denture has to fit round the free edge of the muscle, need to be sitting above it otherwise when you speak and eat the muscle will lift the denture

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15
Q

where is the sternoclidomastoid muscle

A

from the medial of the clavicle and the manubruim (part of sternum) and heads up towards the mastoid process (bony projection on the base of the skull just behind your ear

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16
Q

where is the external jugular vein

A

forms near the angle of mandible and runs down over the sternoclidomastoid

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17
Q

what does a distended external jugular vein indicate when a patient is sitting up

A

potential cardiac failure, perhaps obstruction, perhaps something further down pressing on the veins which has caused it to fill up

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18
Q

where is the sternohyoid muscle

A

sternum to hyoid bone

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19
Q

where is the omohyoid muscle

A

attaches scapula (shoulder) to hyoid bone

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20
Q

what actions do the sternohyoid and omohyoid carry out

A

move the hyoid bone up and down

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21
Q

are the sternohyoid and omohyoid superficial or deep

A

superficial

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22
Q

where is the sternothyroid muscle

A

sternum to thyroid cartilage

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23
Q

where is the thyrohyoid muscle

A

muscle on the top end of the thyroid cartilage which goes to the hyoid bone

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24
Q

what are the strap muscles

A
  • sternohyoid
  • omohyoid
  • thyrohyoid
  • sternothyroid
25
Q

what is the name for ‘Adam’s apple’

A

laryngeal prominence

26
Q

where is the thyroid cartilage

A

just below adams apple (can feel easily on ourselves)

27
Q

where is the cricoid cartilage

A

halfway between the hyoid bone and the manubrium

28
Q

where is the 1st tracheal ring

A

below the cricoid cartilage

29
Q

where is the thyroid gland

A

below the 1st tracheal ring and in front of the 2nd, 3rd and 4th rings

30
Q

what is the section in the middle of the 2 lobes of the thyroid gland called

A

isthmus

31
Q

where is the common carotid artery

A

runs up close to the thyroid gland, branches about the level of the upper body of the thyroid cartilage

32
Q

what is the blood supply of the thyroid gland

A

superior thyroid artery (branch of the external carotid artery)

33
Q

where is the internal jugular vein

A

runs close to the common carotid artery.

34
Q

what are on top of the internal jugular vein

A

deep cervical lymph nodes - diseases in the neck might involve these.

35
Q

how do you do surgery to create an elective airway

A

opening created at 2nd, 3rd and 4th tracheal rings behind the isthmus of thyroid cartilage

36
Q

in an emergency situation, how is an airway created

A

hole made in cricothyroid membrane (bar like elevation with laryngeal prominence above it)

37
Q

what are the borders of the posterior triangle

A
  • sternocleidomastoid in front
  • upper tranpezius behind
  • middle 1/3 of clavicle
38
Q

what is the test for the accessory nerve (CN11)

A

moving head to the side and shrugging the shoulders

39
Q

what nerve supplies the sternoclidomastoid and trapezius

A

CN11

40
Q

Where is the great auricular nerve

A

coming out from being deep to the sternocleidomastoid, heads up to the angle of the mandible and onto the ear

41
Q

what does the great auricular nerve supply

A

sensory to angle of mandible and onto the ear

42
Q

what is the great auricular nerve derived from

A

C2 and C3 spinal nerves

43
Q

what nerve supplies the skin on the front of the neck (skin over anterior triangle)

A

transverse cervical nerve

44
Q

where is the transverse cervical nerve

A

runs deep to the sternocleidomastoid muscle and runs forwards

45
Q

what is the transverse cervical nerve derived from

A

C2 and C3 spinal nerves

46
Q

what is the path of the accessory nerve

A
  • comes out at jugular foramen
  • down through neck
  • branch to sternocleidomastoid
  • continues to trapezius
47
Q

what are 2 arteries behind the sternocleidomastoid muscle called (same source)

A
  • transverse cervical artery

- suprascapular artery

48
Q

what does the phrenic nerve supply

A

diaphragm

49
Q

what is the phrenic nerve derived from

A

C3, C4 and C5

50
Q

what muscles are quite small and go from the cervical vertebrate and the first rib

A
  • scalenus anterior muscle

- scalenus medius muscle

51
Q

what is the huge bundle of fibres that come out between scalenus anterior muscle and scalenus medius muscle and go down to the axilla

A

brachial plexus

52
Q

what does the brachial plexus supply

A

innervation to the upper limb

53
Q

how is the brachial plexus divided

A

3 large bundles:

  • upper
  • middle
  • lower
54
Q

what is the brachial plexus derived from

A

C5-T1 spinal nerves

55
Q

where are superficial cervical lymph nodes

A

scattered around among the fat in the posterior triangle

56
Q

what do superficial cervical lymph nodes drain

A
  • the skin over the area of the posterior triangle

- contents of the posterior triangle

57
Q

where are supraclavicular nodes

A

large lymph nodes just above the clavicle

58
Q

what do supraclavicular nodes drain

A
  • structures in neck

- connected to lymphatics and chest

59
Q

diseases in what areas of the body can present with enlarged supraclavicular nodes

A
  • neck
  • chest
  • as far as stomach