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133 Cards in this Set
- Front
- Back
*Vertebral Level of Hyoid Bone
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C3
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*Vertebral level of thyroid cartilage
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C4 and 5
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*Vertebral level of cricoid cartilage
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C6
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*What are the muscles innervated by CN XI?
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Trapezius and SCM
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*Structures that pass through the anterior and middle scalene?
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Brachial Plexus and Subclavian artery
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*What is the innervation of the omohyoid, sternohyoid and sternothyroid?
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Ansa cervicalis (C1-3 ventral rami)
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*What is the innervation of the anterior digastric?
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CN V
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*What is the innervation of the posterior digastric?
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CN VII-Facial
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*What is the innervation of the carotid sinus and carotid body?
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CN IX and X
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*What are the major structures that pass through the pharyngeal wall superior to the auditory tube?
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Levator veli palatini and superior constictor
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*Major structures that pass through pharyngeal wall superior to superior constrictor?
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Auditory tube, levator veli palatini
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*What are the nerves of the pharyngeal plexus?
(3) |
CN IX (mucosa)
CN X (musculature) Sympathetics (vasomotor) |
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*What is the only muscle innervated by CN IX?
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Stylopharyngeus
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*What are the two structures that pierce the thyroid membrane?
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Internal laryngeal nerve and superior laryngeal artery
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*What is the only muscle to ABDuct vocal cords?
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Posterior Cricothyroid
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*What is the innervation of the cricothyroid?
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External Laryngeal nerve
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*What innervation of laryngeal muscles is exclusive of the cricothyroid?
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recurrent laryngeal
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*What is the muscle that increases tension on the vocal cord?
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Cricothyroid
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*What is the sensory nerve to the larynx superior to the vocal cords?
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Internal laryngeal
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*What is the sensory nerve to the larynx inferior to the vocal cords?
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Recurrent laryngeal
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*What is the site of an aspirated lodged fishbone?
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Piriform recess
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*Afferent limb of gag reflex?
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CN IX
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*Efferent limb of gag reflex?
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CN X
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*What is the afferent limb of the cough reflex?
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CN X
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*What is the efferent limb of the cough reflex?
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CN X
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*What are the nerves at risk when performing a thyroidectomy?
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Left and Right recurrent laryngeal nerves
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*What is the nerve injury that causes hoarseness following thyroid surgery?
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Recurrent laryngeal
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*Main structures that pass through the internal acoustic meatus?
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CN VII and CN VIII
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*What is the foramen where CN VII exits the skull?
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Stylomastoid foramen
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*What is the major arterial supply to the calvaria and supratentorialdura?
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Middle meningeal
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*What is the major cutaneous nerve to the face?
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Trigem (V)
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*What is the major artery to the internal structures of the head?
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Maxillary
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*What are the spinal levels of the sympathetic fibers to the head?
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T1 and T2
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*What is the autonomic ganglia for CN III?
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Ciliary
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*What is the autonomic ganglia for CN VII?
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PPG and Submandibular
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*What is the sensory ganglia for CN VII?
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Geniculate
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*What is the autonomic ganglia for CN VII?
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PPG and submandibular
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*What is the autonomic ganglia for CN IX?
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Otic
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*What muscle is attached to the disc of the TMJ?
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Lateral Pterygoid
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*What muscle retracts the mandible?
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Temporalis
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*What is the major nerve to TMJ (pain)?
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Auriculotemporal (V3)
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*What is the specific nerve that elicits secretion from the parotid gland?
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Tympanic branch on CN IX and lesser petrosal
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*What branch of CN V carries parasympathetics to the parotid?
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Auriculotemporal (V3)
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*What structure opens into the superior meatus of the nasal cavity?
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Posterior ethmoid sinus
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*What structures open into the middle meatus of the nasal cavity?
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Frontal, maxillary, anterior and middle ethmoid sinuses
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*What structure opens into the inferior meatus of the nasal cavity?
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Nasolacrimal duct
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*What is the major artery to the nasal cavity?
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Sphenopalatine
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*What is the most common site of a nosebleed?
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Kisselbach's plexus
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*What is the innervation to the levator veli palatini?
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CN X
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*What muscle opens the auditory tube?
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Tensor Veli palatini
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*What is the innervation of the tensor veli palatini?
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Trigem-CN V3
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*What nerve provides taste to the anterior 2/3 of tongue?
(Theresa's favorite) |
Chorda Tympani
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*What is the site of the cell bodies for the nerve that carries taste to the anterior 2/3 of the tongue?
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Geniculate ganglion
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*What is the specific nerve that elicits secretion from the submandibular gland?
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Chorda Tympani
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*What branch of CN V carries parasympathetics to the submandibular?
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Lingual
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*What nerve is injured when tonsilar pillars sag and the uvula deviates?
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CN X
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What nerve is potentially injured with a tonsillectomy?
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CN IX
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*What muscle protrudes the tongue?
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Genioglossus
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*What nerve is injured with a deviation of the protruded tongue?
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Ipsalateral CN XII (hypoglossal)
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*What is the specific nerve that stimulates tear production?
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Greater Petrosal CN VII
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*What is the sensory nerve to the cornea?
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CN V1 (nasociliary)
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*What muscle elevates and ABDucts the eye?
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Inferior Oblique
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*What muscle depresses and ADBucts the eye?
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Superior Oblique
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*What is the site of preganglionic nerve cells that elicit dilation of the pupil?
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Lateral Horn T1-2
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*What is the site of postganglionic nerve cells that elicits dilation of the pupil?
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Superior Cervical Ganglion
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*What is the site of preganglionic nerve cells that elicits constriction of the pupil?
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Edinger-Westphal nucleus
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*What is the site of postganglionic nerve cells that elicits constriction of the pupil?
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Ciliary Ganglion
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*What is the innervation of the external surface of the tympanic membrane?
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Auriculotemporal (V3) and CN X
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*What is the innervation of the internal surface of the typmpanic membrane?
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CN IX
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What could happen if you get a blow to the pterion?
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Rupture of middle meningeal artery. Delay of effects, blood can pool and compress brain
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What joints interlock the bones of the cranium
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Fibrous suture joints EXCEPT for the mandible which are synovial TMJ
Sphenoid and Occipital bone in childhood are joined by cartilage (synchondrosis) |
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*What are the contents of the neurocranium?
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Covers brain and meninges,contains proximal parts of cranial nerves, brain vasculature,
8 Bones: frontal, 2 parietal, 2 temporal, occipital, sphenoid and ethmoid Calvaria (skull cap) and cranial base and floor |
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What are bones of the calvaria derived from?
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Neural Crest tissue that becomes head mesenchyme.
Flat bones = intramembranous ossification |
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How are bones of the cranial base formed?
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They are primarily irregular with significant flat portions.
Formed via endochondral ossification or both endochondrial and intramembranous |
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What is contained in the viscerocranium
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14 bones: 2 lacrimal 2 nasal, 2 maxillae, 2 zygomatic, 2 palatine, 2 inferior nasal conchae, mandible and vomer. Contains orbits and nasal cavities, upper and lower jaw
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What is the artery that supplies blood to the orbit and eye a branch of?
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Internal Carotid
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What artery supplies the lower limb in the primary motor cortex?
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Anterior Cerebral
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What is the first sign of aneurism in the intracavernous portion of the internal carotid?
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Paralysis of lateral gaze on the same size
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What are the deficits resulting from a complete transection of the facial nerve right where it gives off the nerve to the stapedius?
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Ipsalateral facial paralysis, loss of taste from anterior 2/3 of tongue, loss of salvation from submandubular and sublingual glands on the same side
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Between what layers of the retina does retinal detachment occur?
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Pigmented Epithelium and the layer of rods and cones
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Where are the cell bodies of the axons that innervate smooth muscle (Muller's muscle) of the levator palpebrae superioris?
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Superior cervical ganglion
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Where are the preganglionic neurons that elicit constriction of the ciliary bodies?
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Edenger-Westphal nucleus
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What happens when the ciliary bodies constrict?
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Len thickens (focus)
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Where are the pregnglionic nerve cell bodies that ellicit pupillary dilation?
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Lateral Horn, T1 and T2
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What nerve lesion produces head tilt down toward right shoulder?
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Left trochlear nerve damage
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What part of the retina has the greatest visual acuity and what receptor is found there?
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Fovea-centralis and cones
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From what part of the brain does trigeminal arise
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Pons
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From what part of the brain do CN III and IV arise?
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Midbrain
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From what part of the brain do CN V and VII arise?
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Pons
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From what part of the brain do CN VIII -XII arise?
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Medulla
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Which cranial nerve arises from the Telencephalon?
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Olfactory- CN I
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What is a lesion to CN I called?
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Anosmia
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Which cranial nerve comes off the anterior sides of the mesencephalon?
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Optic- CN II
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What nerve is first compressed by a tumor growing in the pterygopalatine fossa?
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Maxillary (V2)
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What foramen or fissure does chorda tympani exit the skull?
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Petrotympanic
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What is the most superior (first) structure encountered breaking through the roof of the orbit from the anterior cranial fossa?
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Frontal nerve
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What two foramen of the middle cranial fossa communicate with the infratemporal fossa through its roof?
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Foramen Ovale and Spinosum
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Through what bone or part of a bone does the optic canal pass to enter the orbit?
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Lesser wing of sphenoid
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The lesser petrosal exits the skull through what foramen?
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Foramen Ovale
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A tumor near the base of the skull
Symptoms: weakness and atrophy of masster, temporalis on left side |
Foramen ovale
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Within the infratemporal fossa, with what structure is the middle meningeal artery most intimately associated?
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Auriculotemporal nerve
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What artery exits through foramen spinosum?
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Middle meningeal artery
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What fossa or space allows for the terminal branch of the maxillary artery to pass from pterygopalatine fossa to nasal cavity?
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Sphenopalatine Fossa
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What forms the floor of the anterior cranial fossa?
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Orbital part of frontal bone, body and lesser wing of sphenoid bone.
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Into what area will an infection that erodes through the roof of the maxillary sinus enter?
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The orbit
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Obstruction at what is likely to impair CSF egress (CSF pressure elevated, other CSF findings normal)
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Arachnoid Villi
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Where are arachnoid granulation found?
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Along superior sagittal sinus
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Where do the arachnoid granulations project?
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Dural Venous Sinuses
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What is the function of Arachnoid granulations?
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Role in abdsorption of CSF, consist of arachnoid villi, DO NOT produce CSF
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What forms the walls of the venous sinuses?
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Dura Mater
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What forms the roof of the pituitary fossa?
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Dura
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What is continuous with the sclera of the eye?
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Dura
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What are characteristics of the epidural space?
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*Contains meningeal veins
*Usually associated with arterial hemorrhage *Bounded by 2 layers of dura *normally a potential space |
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Where is subarachnoid space located?
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Between arachnoid and pia
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What foramina allow the subarachnoid space to communicate with the fourth ventricle?
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Foramen of Luschka and foramen of Magenide
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What are characteristics of Mengingomas
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*Dervied from arachnoid
*characterized by whorls of psammoms bodies *bengin slow growing well circumscribed tumors *20% of primary intracranial tumors |
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CSF enters the subarachnoid space via what foramen?
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Lateral foramina of Luschka
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What is a prominent surface structure on the medulla?
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Olive
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What structure contains the trochlear nerve?
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Ambient cistern
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Stenosis of cerebral aquiduct prevents CSF from entering the 4th ventricle is called?
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Noncommunicating Hydrocephalus
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What is the large tuft choroid plexus in the trigone of the lateral ventricle?
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Glomus
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How does the superior sagittal sinus receive CSF?
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Arachnoid Villi
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The superior (quadrigeminal) cistern overlies what portion of the brain?
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Dorsal aspect of midbrain
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What does a blockage of the interventricular foramen of monroe result in?
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Hydorcephalus involving the lateral ventricle
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What is between the corpus callosum and fornix?
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Lateral ventricle
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The two foramina of Luschka of 4th ventricle drain into what?
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the Cerebellopintine angle cisterns
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What receives CSF via foramen of Magendie?
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Cerebellomedullary cistern
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Occulsion of what artery may cause numbness and weakness in the left leg and foot?
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Anterior Cerebral Artery
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What is the blood supply to the optic chiasm?
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Internal carotid, Anterior communicating, posterior communicating, anterior cerebral
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What artery lies within the cavernous sinus?
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Internal Carotid
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What artery gives rise to the anterior choroidal artery?
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Internal Carotid
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What artery gives rise to the posterior communicating?
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Internal Carotid
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What artery enters the skull via the carotid canal of temporal bone?
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Internal carotid
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