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89 Cards in this Set
- Front
- Back
Muscles of facial expression arise from the ______ branchial arch
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2nd
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___________ artery, a branch of facial, supplies vestibule of the nose
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superior labial artery
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STA gives off __________ which courses through the face parallel to the parotid duct.
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transverse facial artery
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Blood supply to scalp?
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occipital a.
posterior auricular a. superficial temporal a. all branches of external carotid a. |
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What 2 veins join to form the retromandibular vein?
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superficial temporal vein
maxillary vein |
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_________ vein joins the anterior division of retromandibular vein to drain into ___________
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facial v. joins anterior division to form internal jugular v.
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_________ vein communicates with venous plexus of the orbit to communicate with cavernous sinuses
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Facial v
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auriculotemporal nerve is a branch of _____
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V3, mandibular branch of trigeminal n.
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What innervates platysma?
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cervical branch of facial n.
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What type of epithelium lines the nasal cavity?
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ciliated columnar epithelium.
Also lines the pharynx posterior to the nasal cavity. The remaining pharynx is stratified squamous epithelium. |
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The nasolacrimal duct opens into the __________
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inferior meatus.
drains tears from conjunctival sac into the nose |
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What provides sensation to the sinuses?
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frontal sinus: supraorbital branch of V1
ethmoid and sphenoid: ethmoidal branches of V1 maxillary: infraorbital n. of V2 |
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What branch of trigeminal innervates septum and lateral nasal wall?
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V2
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Parotid duct passes over ___________ and pierces the __________
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Over masseter, pierces buccinator to open opposite 2nd molar tooth
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Where is the retromandibular vein located?
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within the substance of the parotid gland
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Secretomotor innervation of the parotid gland: preganglionic fibers join __________ nerve, course through __________, synapse at __________. Post ganglionic fibers join _________ to reach parotid.
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glossophyarngeal......lesser superficial petrosal nerve........otic glanglion.....auriculotemporal nerve (V3)
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secretomotor innervation of the submandibular gland: preganglionic fibers join _________ nerve, course through _________ nerve and join __________ nerve in the infratemporal fossa. Synapse at __________. Postganglionic fibers go to submandibular gland.
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facial nerve........corda tympani.........lingual nerve.........submandibular ganglion
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Tensor veli palatini originates in the scaphoid fossa between _________
Levator veli palatini arises from _______ and _________ |
the pterygoid plates
the cartilaginous eustachian tube and the petrous temporal bone |
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What muscles close off the nose from the oropharynx?
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levator veli palatini
superior pharyngeal constrictor palatopharyngeus |
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Blood supply of the palate is from ____________ of facial a. and ___________ of maxillary a.
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ascending palatine a. of facial a
greater palatine a. of maxillary a |
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What is the sulcus terminalis?
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juncture of anterior 2/3rd of the tongue the posterior 1/3rd of the tongue
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Where is lingual tonsil located?
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posterior 3rd of the tongue
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What is the function of extrinsic muscles of the tongue?
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Move the tongue
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lingual artery passes deep to _______ before entering the tongue
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hyoglossus muscle.
All other nerves and vessels pass superficial to hyoglossus |
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the soft palate is innervated by ____________
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lesser palatine nerve (branch of V2)
Hard palate is innervated by greater palatine and nasopalatine nerves, both V2 branches |
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General sensation anterior tongue: _________ nerve
General sensation posterior tongue: _________ nerve |
lingual nerve anteriorly
glossopharyngeal posteriorly |
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All muscles of the palate are innervated by __________ except for ___________ which is by V3
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vagus nerve
tensor veli palatini |
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All muscles of the tongue are innervated by ___________ except for __________ which is by vagus.
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hypoglossal
palatoglossus |
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What is the function of buccopharyngeal fascia?
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separates pharynx from prevertebral fascia and allows free movement of the pharynx against the vertebral bodies
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Where is pharyngobasilar fascia located?
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between mucosa and pharyngeal constrictor muscles.
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Gap between base of skull and superior constrictor allows _________ and ________ to enter nasopharynx.
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eustacian tube
levator veli palatini |
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Gap between superior and middle constrictor alllows __________ and __________ to enter oropharynx
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glossopharyngeal nerve
stylopharyngeus muscle |
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Gap between middle and inferior constrictor allows ___________ and
__________ to enter larynx/laryngopharynx |
internal branch of superior laryngeal nerve (pierces thyrohyoid membrane)
laryngeal artery (from superior thyroid a.) |
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Gap between inferior constrictor and esophagus allows ____________ and _____________
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recurrent laryngeal nerve (enters posterior to cricoarytenoid joint)
inferior laryngeal artery (from inferior thyroid a.) |
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What supplies the cricothyroid muscle?
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external branch of superior laryngeal nerve
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What innervates the pharynx?
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1. glossopharyngeal n. (sensory to lower nasopharynx, oropharynx, laryngopharynx, motor to stylopharyngeus)
2. vagus n.(sensory to piriform, motor to all muscles of pharynx except stylopharyngeus) 3. V2 (sensory to upper nasopharynx) 4. pharyngeal plexus (sympathetic) |
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What are the borders of the nasopharynx?
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skull base to soft palate
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Where is the pharyngeal tonsil?
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posterior wall and roof of nasopharynx
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What supplies the palatine tonsil?
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tonsillar branch of facial a.
tonsillar branch of dorsal lingual a. ascending branch of palatine a. All enter at inferior pole |
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Where is the lingual tonsil located?
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posterior third of the tongue
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Where are cutaneous nerves of the neck located?
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through deep fascia covering the posterior triangle.
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What do the infrahyoid muscles do?
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depress the hyoid bone and the thyroid cartilage
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What do the suprahyoid muslces do?
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elevate the hyoid bone, depress the mandible and open the mouth
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What artery runs with recurrent laryngeal nerve?
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inferior laryngeal artery
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What are the branches of the thyrocervical trunk?
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1. inferior thyroid a.
2. transverse cervical a. 3. suprascapular a. |
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What does the costocervical trunk supply?
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posterior muscles of the neck
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Where does the common carotid bifurcate?
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at the level of the thyroid cartilage
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What nerve does the superior laryngeal artery run with?
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Internal branch of superior laryngeal nerve. both pierce the thyrohyoid membrane.
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Where does the external jugular v. drain into?
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subclavian v.
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What veins lie in front of the trachea?
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inferior thyroid veins
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jugulodigastric node drains _________.
juguloomohyoid node drains ________. |
palatine tonsil
tongue |
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Deeper structures of the head and upper parts of the pharynx drain to ___________ nodes
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retropharyngeal
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What spinal nerves form the cervical plexus?
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C 2 to 4
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What does ansa cervicalis do?
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provide motor innervation to the infrahyoid muscles.
Formed by descending cervical nerve (C2-3) and descending hypoglossal |
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What provides motor innervation to prevertebral muscles and scalenes?
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cervical plexus
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Where do the motor fibers of the vagus nerve originiate?
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cranial component of spinal accessory
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What supplies motor innervation to pharynx and palate?
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vagus
(except stylopharyngeus and tensor veli palatini) |
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SLN provides motor to _________ and sensation __________ the vocal cords
RLN provides motor to ________ and sensation ________ the vocal cords |
cricothyroid m (external branch), above vocal cords
all muscles of the larynx (except cricothyroid m), below vocal cords |
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Where is the sympathetic trunk located?
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medial to carotid sheath in the prevertebral fascia
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Where is the superior cervical ganglion located?
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just below inferior opening to carotid canal, at the base of the skull
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What is the saccule of the larynx?
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lateral extension of the ventricle
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What muscle is the only abductor of the vocal cords?
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posterior cricoarytenoid
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Contraction of ________ muscle raises pitch.
Contraction of _________ muscles lowers pitch |
vocalis alone
vocalis plus adjacent thyroarytenoid m. |
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What does the cricothyroid muscle do?
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tilts the thyroid cartilage down to increase tension and raise pitch.
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Blood supply to upper half of larynx?
Lower half? |
superior laryngeal a. (from superior thyroid a.)
inferior laryngeal a. (from inferior thyroid a.) |
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Where is the sphenopalatine foramen located?
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near the roof of the back of the nose. leads into the pterygopalatine fossa
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Pterygopalatine fossa lies behind the _________ and in front of ______
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maxilla
pterygoid plates of the sphenoid bone |
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1. PPF communicates with oral cavity below via ________
2. PPF communicates with floor of orbit via ___________ 3. PPF communictes with infratemporal fossa laterally via ___________ 4. PPF communicates via nasal cavity medially via ____________ 5. __________ lies in front of PPF 6. what leads into PPF from behind? |
1. palatine canal
2. inferior orbital fissure 3. pterygomaxillary fissure 4. sphenopalatine foramen 5. maxillary sinus 6. foramen rotundum and pterygoid canal |
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What artery and nerve are located in the PPF?
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maxillary artery
maxillary division of trigeminal (V2) |
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What is the geniculate ganglion?
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sensory ganglion of facial n.
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What is the greater superficial petrosal nerve?
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-autonomic nerve of the PPF
-carries fibers from lacrimal nucleus of facial n. to pterygopalatine ganglion (fibers then go to lacrimal glands and glands of nose and mouth via V2) |
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Fibers from ___________ originiate in the superior salivatory nucleus.
Fibers from _________ originate in the inferior salivatory nucleus. |
chorda tympani
lesser superficial petrosal nerve |
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What is the deep petrosal nerve?
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-autonomic nerve of the PPF
-carries sympathetic fibers -joins GSPN to form the vidian nerve |
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Where do motor fibers of vagus nerve originate?
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cranial root of XII, which passes through jugular foramen for motor innervation of pharynx, larynx and palate.
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Vagus provides motor innervation to what 3 major structures?
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pharynx
larynx palate |
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Glossopharyngeal motor function?
sensory function? parasympathetic function? |
Motor: stylopharyngeus m.
Sensory: pharynx, posterior third of tongue, middle ear by forming the tympanic plexus Parasympathetic: lesser superficial petrosal nerve to otic ganglion to parotid via auriculotemporal n. |
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Vagus motor function?
senosory function? parasympathetic function? |
Motor: all muscles of palate except tensor veli palatini (V3), all muscles of the pharynx except stylopharyngeus (IX) and all muscles of larynx
Sensory: SLN above vocal cords, RLN below vocal cords, pyriforms Parasympathetic: visceral ganglia outside the head and neck |
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What is nervus intermedius?
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The other (non-motor) root of facial nerve responsible for parasympathetic and taste sensation.
Has 2 branches 1. chorda tympani 2. GSPN |
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Facial nerve motor function?
sensory function? parasympathetic function? |
Motor: stapedius, stylohyoid, posterior digastric, facial mimetic muscles
Sensory: taste via chorda tympani. sensory ganglion of facial n. is geniculate ganglion Parasympathetic: 1. secretomotor to lacrimal gland and sinuses by GSPN to pterygopalatine ganglion 2. secretomotor to submandibular and sublingual gland by chorda tympani to submandibular ganglion |
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What nerve travels through the middle of the cavernous sinus with the ICA?
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abducens
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Trigeminal nerve motor function?
sensory nerve? |
Motor: muscles of the first branchial arch-mastication muscles, mylohoid, anterior digastric, tensor tympani, tensor veli palatini
Sensory: face and deeper structures Parasympathetic: post ganglionic fibers travel from -ciliary ganglion on V1 to ciliary m. and sphincter pupillae -pterygopalatine ganglion on V2 to lacrimal gland and glands of nose/mouth -submandibular ganglion on V3 (lingual n) to submandibular and sublingual glands |
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Where is the trigeminal ganglion located?
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apex of petrous portion of temporal bone, in Meckel's cave
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What is the only cranial nerve that arises from the posterior aspect of the brain?
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trochlear nerve
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What muscles of the eye receive sympathetic innervation?
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dilator pupillae
levator palpebrae superioris |
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The sphenoid bone separates the _______ from the ______
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orbit from the middle cranial fossa
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What eye muscle inserts on the tarsal plate?
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levator palpebrae superioris
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Which muscle turns the eye upwards?
Downwards? |
Upwards: superior rectus, inferior oblique.
Downwards: inferior rectus, superior oblique |
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What action does superior oblique cause?
Inferior oblique? |
downward and lateral gaze
upward and lateral gaze |
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What produced ptosis?
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loss of CN III innervation to levator palpebrae superioris because this muscle elevates the upper eyelid
loss of sympathetic innervation to levator palpebrae superioris |