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83 Cards in this Set
- Front
- Back
where does the middle meningeal artery innervate the skull?
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foramen spinosum
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what does the anterior cranial fossa house?
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olfactory bulbs and frontal lobes
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what does the middle cranial fossa house?
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temporal lobes and pituitary gland
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what does the posterior cranial fossa house?
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cerebellum and brain stem
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sella turcica
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hypophyseal fossa. houses pituitary gland
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optic canal
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transmits optic nerve (CN II) and ophthalmic artery
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superior orbital fissure
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transmits CN III, IV, VI and V1- ophthalmic division
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foramen rotundum
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transmits CN V2- maxillary division to pterygopalatine division
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foramen ovale
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transmits CN V3- mandibular division to infratemporal fossa
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foramen magnum
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transmits medulla, meninges, vertebral and spinal vessels as well as spinal root of CN XI
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hypoglossal canal
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transmits CN XII
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jugular foramen
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transmits internal jugular vein, CN IX, CN X and CN XI
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internal acoustic meatus
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transmits cranial nerves VII and VIII
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preganglionic parasympathetic axons (GVE) leave brainstem in what cranial nerves?
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III (occulomotor), VII (facial), IX (glossopharengeal) and X (vagus)
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SSA fibers
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vision, sound and equillibrium
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SVA fibers
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associated with ingestion of food. taste and smell
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muscles from the first arch including muscles of mastication are innervated by what nerve?
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CN V- trigeminal
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muscles from the second arch including the muscles of facial expression are innervated by what nerve?
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CN VII facial nerve
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the only muscle from the third arch (stylopharyngeus) is innervated by what nerve?
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glossopharyngeal nerve CN IX
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muscles of the larynx and pharynx from the 4th and 6th arches are innervated by what nerve?
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vagus nerve CN X
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extraocular muscles
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arise from preotic somites and are innervated by CN III IV and VII
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tongue muscles
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from postotic somites and are innvervated by CN XII
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CN I
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olfactory nerve. SVA fibers mediate smell
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CN II
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optic nerve. SSA fibers mediate vision from retina
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CN III
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occulomotor nerve. GSE fibers innervate most ocular muscles
GVE fibers to ciliary ganglion |
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CN IV
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trochlear nerve. GSE fibers innervate the superior oblique muscle (extraocular)
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CN V
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trigeminal nerve.
GSA fibers: general sensation of facial skin, oral, nasal mucosa, teeth cornea and conjunctiva, meninges and ant tongue SVE first pharyngeal arch musculature |
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CN VI
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abducens nerve. GSE fibers innervate the lateral rectus muscle (extraocular)
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CN VII
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facial nerve. SVE- muscles of facial expression
some afferents too |
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CN VIII
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vestibulocochlear nerve. SSA nerves convey inputs concerning sounds from cochlea and equillibrium and vestibular system
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CN IX
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glossopharyngeal nerve. GSA and SVA fibers mediate sensation from posterior tongue, middle ear and oropharynx. GVA input from carotid visceral receptors
GVE fibers to the otic ganglion SVE fibers innervate a single third arch muscle |
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CN X
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Vagus nerve. SVE fibers innervate 4th and 6th arch, muscles of larynx and pharynx. GVE fibers innervate larynx, pharynx, thorax and abdomen
some afferents too |
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CN XI
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spinal accessory nerve. GSE fibers innervate trapezius and sternocleidomastoid muscle
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CN XII
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hypoglossal nerve. GSE fibers innervate all intrinsic and most extrinsic muscles of the tongue
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V1
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ophthalmic division. supraorbital fissure
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V2
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maxillary division. foramen rotundum
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V3
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mandibular division. foramen ovale
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contraction of frontalis
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elevates the eyelids and wrinkles the forehead
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scalp blood vessels
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scalp gets blood supply from both carotid branches. lies in dense connective tissue layer (why scalp lacerations bleed so bad)
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contraction of buccinator
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milks the parotid duct
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platysma
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weak depressor of the lower lip and mandible.
flairs the skin of the neck |
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CN VII skull innervation
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enters temporal bone through the internal auditory meatus courses through the facial canal and exits through stylomastoid foramen. enters parotid gland where it branches forming parotid plexus
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temporal branch of parotid plexus
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ask patient to raise eyebrows
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zygomatic branch of parotid plexus
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aask to shut eyes tight
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buccal branch of parotid plexus
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pucker lips, bare teeth
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mandibular branch of parotid plexus
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bare lower teeth
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cervical branch of parotid plexus
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flare skin of the neck
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Bell's palsy
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spontaneous unilateral paresis or paralysis of the muscles of facial expression from inflammation of the facial nerve (from virus infection or vasospasm)
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lateral pterygoid muscle
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only muscle of mastication that has horizontally oriented fibers. when it contracts it pulls the meniscus and condyle process of TMJ- depresses mandible
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masseter muscle
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arises from zygomatic arch. inserts on the lateral aspects of the coronoid process and ramus as well as the angle of the mandible
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temporalis muscle
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vertically oriented anterior and middle fibers are responsible for elevation of the mandible. horizontally oriented posterior fibers are responsible for retrusion (retracting the mandible)
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medial pterygoid muscle
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course in the same direction as masseter. elevates and protrudes the mandible
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CN V3 innervates what muscles?
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lateral and medial pterygoid, temporalis, masseter
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contralateral excursion
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origin of lateral pterygoid is medial to insertion. contraction of muscles draws mandible to opposite side.
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a lesion of CN V3?
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will produce deviation of the jaw to the side of the lesion when the mandible is protruded against resistance
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auriculotemporal nerve
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sensory division of CN V3. two roots surround the middle meningeal artery as it approaches the foramen spinosum
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long buccal nerve
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sensory division of CN V3.mediates sensation from both the skin superficial to and mucosa deep to the buccinator muscle. does not innervate the buccinator muscle itself
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lingual nerve
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sensory division of CN V3. general sensation to the ant 2/3 of the tongue, floor of the mouth and mandibular gingivae
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chorda tympani
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CN VII joins lingual nerve in infratemporal fossa. provides taste fibers
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inferior alveolar nerve
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sensory division of CN V3. dental and mental branches. dentists inject here wait for chin to go numb
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pterygoid venous plexus
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communicates between superficial veins of the face and scalp and emissary veins passing into cranial canal
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emissary veins
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valveless veins communicate between the veins of the scalp and face superficially and the venous dural sinuses endocranially
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levator palpebrae superioris
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elevates upper lid. innervated by CN III
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rectus muscles
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all come from a common tendinous ring (annular tendon) all attach to the anterior aspect of the sclera
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lateral rectus
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innervated by CN VI
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superior oblique
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medial to nasolacrimal gland. innervated by CN IV
depresses, abducts, intorts look medially and downward |
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inferior oblique
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elevates
abducts extorts look medially and upward |
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inferior rectus
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depresses
adducts extorts look laterally and downward |
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superior rectus
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elevates
adducts intorts look laterally and upward |
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anterior triangle
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muscular, visceral and vascular structures within fascial compartments. including larynx, pharynx, esophagus, trachea and endocrine glands as well as suprahyoid and infrahyoid muscles
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retropharyngeal space
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the plane between the prevertebral and buccopharyngeal fasciae that is filled with loose alar fascia. extends from neck into thorax: can spread infection
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lateral group of scalene muscles
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rectus capitus lateralis, anterior scalene, middle scalene, posterior scalene
accessories to respiration, flex head and neck and assist in contralateral rotation |
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anterior group of scalene muscles
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rectus capitis anterior, longus capitus, longus coli
flexion of head and spine against resistance |
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scalene triangle
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middle and anterior scalene muscles and the first rib. transmits the major neuro-vascular supply of upper limb
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scalene interval syndrome
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compression of brachial plexus. cool, pale upper limb with diminished pulse. sensory and motor deficits in the upper limb
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occipital triangle
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4 groups of cutaneous nerves from cervical plexus; lesser occipital (C2), greater auricular (C2, C3), transverse cervical (C2, C3), supraclavicular (C3,C4)
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Erb's point
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branches of cerival plexus joining with branches of CN V providing cutaneous innervation can be blocked by an injection at this point
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mylohyoid contraction
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raises the tongue in the early stage of swallowing
CN V3 |
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Digastric muscle
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CN V3 and CN VII
elevate hyoid |
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stylohyoid muscle
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CN VII
elevate hyoid |
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geniohyoid muscle
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C1 via CN XII
elevate hyoid |
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braches of vagus nerve
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pharyngeal, superior laryngeal and recurrent laryngeal (back in the direction that it came from)
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Horner's syndrome
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lesion of cervical sympathetic chain. ptosis, miosis (constricted pupil), anhidrosis (absence of sweating)
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