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46 Cards in this Set
- Front
- Back
How many facial bones are there?
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14 facial bones
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Vertebral artery joins to form this, which then divides into these:
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Vertebral artery joins to form Basilar artery, which branches to form Posterior Cerebral Artery.
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Internal carotid artery branches into these:
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ICA branches into the bigger Middel Cerebral Artery and the smaller Anterior Cerebral Artery
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What forms the circle of Willis:
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On each side: ACA,Posterior communicating artery, PCA; On the front: anterior communication artery
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Muscles off of styloid process:
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Stylohyoid (CN VII), stylopharyngeus (CN IX), styloglossus (CN XII)
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Constrictor muscle innervation:
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Constrictors are innervated by the Vagus X
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Cricothyroid innervation:
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Cricothyroid is innervated by external branch of superior laryngeal (CN X)
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What nerves pass through Jugular foramen? What's actually a spinal nerve?
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CN IX, CN X, CN XI all pass through Jugular Foramen, CN XI is actually a spinal nerve
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What artery and nerves cross the Foramen Lacerum?
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Internal carotid, greater and lesser petrossal nerves.
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Nerves that cross Cavernous sinus include:
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CN III, CN IV, CN VI (medial), CN V1, CN V2
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What's medial to the pterion? Jolt to pterion may causes what?
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The middle meningeal artery is medial to pterion. A jalt may cause epidural or extradural hematoma.
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Berry Aneurysm common sites, and consequences:
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Berry Aneurysm commonly occurs at anterior Circle of Willis; can result in subarachnoid hematoma or oculomotor nerve compression.
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4 layers of meninges, what doesn't divide the hemisphere? Where is CSF?
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Periosteal meninges, inner meningeal layer (contiguous with spinal dura), arachonoid layer, pia mater; Periosteal doesn't divide the hemisphere. CSF is between arachonoid and pia.
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Meningeal Dura innervation:
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Most dura is innervated by meningeal branches of 3 branches of trigeminal; posterior is by first 3 cervical nerves and CN X.
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What's dural venous sinuses made of? Between what layers do cerebral veins run?
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Dural venous sinues are made of endothelial cells (lacking smooth muscle or valves); veins run in both subdural and subarachnoid space.
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Break in cerebral vein may cause what?
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Break of cerebral vein may cause subdural hematoma.
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Sinus pattern in the back of skull:
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Confluence of sinuses are made of: saggital sinus, occipital sinus, Transverse sigus and striaght sinus; Striagh sinus is formed by Great cerebral vein of Galen and inf sagital sinus. All exit via transverse to sigmoidal sinus, which drains thru Jugular foramen at Int Jugular.
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Cavernous sinus receives blood from these and drains into these?
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Cavernous sinus receives blood from sup/inf ophthalmic vein and sphenoparietal sinus & other cerebral veins; drains into sup/inf petrosal sinuses
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Arachnoid granulation, location and function:
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Arachnoid granulations are subarachnoid protrusions in sinues; they allow CSF to be filtered from subarachnoid space into the sinues.
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Thrombosis of cavernous sinus: cause, symptoms and other potential consequences:
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Thrombosis of cavernous sinus maybe caused by infection introduced through sup/inf ophthalmic veins; initially abdence may be lesioned (internal strabismus); then all ocular movements maybe lost, infection can be spread to other sinuses.
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What structures transmit thru jugular foramen (3 nerves and 2 sinues)
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CN IX, CN X, CN XI; Inf petrosal sinus, Sigmoid sinus to int jugular vein;
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Face and scalp: sensory innervation, arterial supply, venous supply?
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Face and Scalp: sensory by trigeminal; arteries:external carotid & ophthalmic arteries; veins: facial and retromandibular veins
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Tumor in the parotid may have this symptom:
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Tumor in parotid may cause facial nerve lesion to give problematic facial expression.
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Parotid gland innervation:
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Parotid is innervated by CN IX preganglionic (lesser petrosal) and from otic ganglion post ganglionic.
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What sinuses drains into the superior meatus?
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The posterior ethmoid cells drains into the superior meatus.
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What drains into the middle meatus?
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Frontal sinus, maxillary sinus, anterior and middle ethmoid cells drains into the middle meatus.
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What drains into the inferior meatus?
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The nasolacrimal duct drains into the inferior meatus.
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Where does the sphenoidal sinus drains into?
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The sphenoid sinus drains into sphenoethmoidal recess.
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What SENSORY nerves innervate the mucosa of nasal cavity?
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The olfactory CN I, the trigemina V1 (small part of lateral) and V2 (lateral).
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What is the innervation for nasal mucous gland? What provide the blood supply to nasal cavity?
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The facial nerve (CN VII) parasympatheticlly innervates the nasal glands. Maxillary, ophthalmic and facil arteries supply the nasal cavity and form the Kiesselbach's plexus.
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Where is CN I and what does it synapse with? What's the consequence of damage in the adjacent area:
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CN I is in the mucosa slighty protruding the cribriform above and synapsing with mitral cell; damage to cribriform may cause hyposmia, dysosmia or anosmia; olfractory bulb puncture may also cause CSF leak.
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What nerves innervate at pterygopalatine ganglion? What nerves runs past it?
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CN V2 pterygopalatine nerves runs past PTP ganglion; Of the CN VII nerve of the PTP canal, only parasympathetic branch synapse (nasal, oral, nasalpharynx and lacrimal glands), taste nerve from palate and deep petrosal nerve runs past.
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What forms the nerve of pterygopalatine canal?
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Greater petrosal (2 like Chorda tympani: taste from palate, parasymp to glands) + Deep petrosal (sympath to int carotid from sympathetic trunk)
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Which nerve in general innervates all the "palate" muscles, what's the exception?
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CN X Vagus supplies all "palate" muscles except for tensor palati (CN V).
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Which nerve in general innervates all the "pharyngeal" muscles, what's the exception?
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CN X Vagus supplies all "pharyngeal" muscles except for stylopharyngeal (CN IX's only muscle).
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Which nerve in general innervates all the "glossal" muscles, what's the exception?
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CN XII Hypoglossal supplies all "glossal" muscles, except for Palatoglossus (CN X).
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Which nerve in general innervates all the "laryngeal" muscles, what's the exception?
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Recurrent laryngeal nerve from CN X; except cricothyroid (External brch of superior laryngeal of X)
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What muscles are innervated by CN V?
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Muscles of mastication, tensor tympani, tensor veli palati, mylohyoid, ant diagastric
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What innervates the geniohyoid? Digastric?
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The C1 running with hypoglossal innervates the geniohyoid. Ant digastric is by Trigeminal, Pos digastric is by CN VII.
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Levator palpebrae superioris innervation:
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Skeletal part by CN III oculomotor; smooth part (superior tarsal) by sympathetic fibers (also innervates pupil dilator).
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Tendinous ring give rise to what muscles?
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the four rectuses origin from the tendinous ring.
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What's the innervation of ciliary muscle and pupil constrictor?
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Short ciliary nerve via CN III parasympathetic innervates the ciliary muscle and pupil constrictor?
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How many layers of sheat surrounds optic nerve? Why? What's one possible disease as a result?
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Optic nerve is an outgrowth of the CNS and hence is surrounded by meningel nerve, arachnoid and pia mater; Optic nerve is therefore sensitive to CNS demylinating disease.
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Marcus Gunn pupil?
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Shine normal eye, both pupil constrict, then swing to afferent affect eye, both pupils dilate (relative to previous constriction); shows CN II lesion.
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The right optic nerve sense___;The righ optic tract sense__:
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The right optic nerve senses vision from the right eye;The righ optic tract senses visions from the LEFT FIELD in BOTH eyes:
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Which funcionality of CN III is first affected by lesion? What's symptom maybe presented from CN III lesion in general?
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The parasympathetic function maybe affected, demonstrating mydriasis; CN III leision can give external strabismus in general.
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