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161 Cards in this Set

  • Front
  • Back
boundaries of the carotid triangle
anterior
superior
posterior
superior belly of the omohyoid muscle
posterior belly of digastric muscle
anterior border of SCM muscle
floor of carotid triangle
thyrohyoid muscle
inferior and middle pharyngeal constrictor muscles of the pharynx
contents of the carotid triangle
common carotid artery
internal jugular vein
vagus nerve
external carotid artery
hypoglossal nerve
superior root of ansa cervicalis
branches of the external carotid artery
superior thyroid
lingual
occipital
ascending pharyngeal
facial
the arterial system of the neck originates from branches of ? and ?
common carotid
subclavian
what does the vagus nerve run inbetween?
internal jugular vein
external carotid artery
arises from brachiocephalic trunk on the right side and aortic arch on left side
common carotid artery
2 branches of common carotid artery
internal carotid artery
external carotid artery
what branch off of common carotid artery does not have branches in the neck and enters the cranial cavity via the carotid canal?
internal carotid artery
subclavian arteries provide vasculature to the neck through branches of what vessels?
thyrocervical trunk
costocervical trunk
3 vessels that can be used in the evaluation of peripheral pulse on the neck and head region
common carotid artery
facial artery
superficial temporal artery
dilation at the distal end of the internal carotid
carotid sinus
carotid sinus is a ? and as such it senses changes in ?
baroreceptor

blood pressure
what does the carotid sinus receive sensory innervation from?
glossopharyngeal nerve (CN 9)
vascular structure that lies within the angel formed by the internal and external carotid arteries
carotid body
the carotid body is a ? and as suck it senses changes in the ?
chemoreceptor

oxygen content of the blood
what does the carotid body recieve sensory innervation from?
glossopharyngeal nerve (9)
vagus nerve (10)
the jugular vein begins superiorly at the ? at the base of the skull
jugular foramen
what runs with the internal jugular vein
vagus nerve
major tributaries that the internal jugular vein receives?
superior and middle thyroid
facial
lingual
the internal jugular vein joins the ? vein in the neck to form ?
subclavian

brachiocephalic veins
2 parts of the cervical plexus
superficial (cutaneous) branches

deep (motor) branches
superficial (cutaneous) branches of the cervical plexus
C2: Lesser occipital nerve
C2-3: great auricular nerve, transverse cervical nerve
C3-4: supraclavicular nerve
deep (motor) branches of the cervical plexus
C1-C3: ansa servicalis
C3-5: Phrenic nerve
what does the ansa cervicalis innervate
omohyoid
sternohyoid
sternothyroid
the ansa cervicalis lies in the fascial covering of the ?
carotid sheath
what does the vagus nerve arise from?
medulla
3 branches of the vagus nerve
pharyngeal branches
superior laryngeal nerve
recurrent laryngeal nerve
2 branches of the superior laryngeal nerve
internal laryngeal nerve
external
lies posterior to the carotid sheath and superficial to the prevertebral fascia and has 3 gagnlia linked by sympathetic chain or trunk
cervical sympathetics
superior cervical ganglion branches to ? spinal nerves

middle?

inferior?

all branch via?
C1-C4

C5-C6

C7-T1

gray rami commmunicates
clinical syndrome caused by damage to the sympathetic nervous system in the neck due to lesion or compression on one side of the thoracic or cervical sympathetic chain
Horner's Syndrome
2 causes of Horner's syndrome
Pancoast tumor (lung)
Thyrocervical venous dilation
Clinical manifestations of Horner's syndrome:
drooping of upper eyelid?
constriction of the pupil?
absence of sweating on the affected side of the face?
ptosis
miosis
anhydrosis
lymphatic system in the neck involves these 4 nodal groups
retropharyngeal and upper deep cervical nodes
submandibular nodes
jugulodigastric node
deep cervical node
what do the lymph nodes of the neck drain into ? which in turn joins with ? and drains into ?
jugular trunks

subclavian trunks

subclavian veins
boundaries of the superior thoracic aperture
1st thoracic vertebra
first rib
manubium
boundaries of the axillary inlet
1st rib
scapula
clavicle
boundaries of the posterior triangle
sternocleidomastoid
trapezius
lateral 3rd of clavicle
3 prevertebral muscles in the posterior triangle
splenius capitus
levator scapulae
posterior, middle, and anterior scalene muscles
what divides the posterior triangle?

into?
omohyoid

occipital triangle
subclavian triangle
gap between the anterior and middle scalene muscles
scalene triangle
the subclavian artery can be divided into 3 parts by the ?
anterior scalene muscle
3 branches of the 1st part of the subclavian artery
vertebral branch
internal thoracic artery
thyrocervical trunk
branch of the 2nd part of the subclavian artery
costocervical branch
branch of the 3rd part of the subclavian artery
dorsal scapular artery
the subclavian artery becomes the ? where?
axillary artery

first rib
the continuatoin of the axillary vein at the lower border of the 1st rib
subclavian vein
2 arteries that supply blood to the thyroid gland

maybe 3rd?
superior thyroid artery
inferior thyroid artery

thyroid ima artery
what drains the thyroid gland of blood?
superior and middle which drain into IJV
inferior thyroid which drains into brachiocephalic vein
where do the trunks of the brachial plexus arise from in the posterior triangle?
scalene triangle
major vein in the posterior triangle
external jugular vein
what drains into the junction of left IJV and left subclavian vein?
thoracic duct
what drains into the junction of the right IJV and right subclavian vein?
right lymphatic duct
what bones form the roof of the cranial cavity?
frontal
parietal
occipital
suture between frontal and parietal bone

between parietals?

between parietals and occipital?
coronal

sagittal
lambdoid
formed at the junction of the frontal, parietal, temporal, and sphenoid bones and skull is very thin.

what does it overlie?
pterion

middle meningeal artery
lateral wall of the cranial cavity
frontal
parietal
occipital
temporal
sphenoid
floor of cranial cavity
frontal bone
ethmoid
sphenoid
temporal
occipital
3 menigeal coverings that enclose the brain
dura mater
arachnoid mater
pia mater
what does the excess CSF drain into ? via ?
dural sinuses

arachnoid villi
layers of the dura mater

in certain areas, layers separate from each other to form ?
periosteal layer
meningeal layer

dural venous sinuses
4 dural partitions that are fromed by the inner layer of the dura mater
falx cerebri
tentorum cerebelli
falx cerebelli
diaphragma sellae
2 dural venous sinuses associated with the falx cerebri
superior sagittal sinus
inferior
3 dural venous sinuses associated with the tentorium cerebelli
straight
transverse
confluence of sinuses
dural venous sinus associated with the falx cerebelli
occipital sinus
dural sinus associated with the diaphragma sellae
intercavernous sinus
veins that drain in to the dural venous sinuses
emissary veins
diploic veins
which 2 CNs are the only ones that do not attach to the brain by a single root but attach by separate sensory and motor roots(2)?
V
VII
CNs that are sensory only?
1
2
8
CNs that are motor only?
3
4
6
11
12
CNs that are both motor and sensory?
5
7
9
10
sensory functions of cranial nerves provide ? from the tissues of the head and 4 ? functions
general sensation

special sensory
(sight, hear, smell, taste)
CNs that have sensory functions have their pseudounipolar cell bodies located in ? which are analogous to the dorsal root ganglia of spinal nerves
sensory ganglia
CNs that provide distribution of the cranial division of the parasympathetic nervous system
3
7
9
10
CN 1 name?

function?
olfactory

olfactory (special sensory)
CN 2 name?

function?
optic

vision (special sensory)
CN 3 name?

functions?
Oculomotor

motor to 5 extraocular muscles
preganglionic parasympathetics to ciliary ganglion
CN 4 name?

function?
Trochlear

motor to superior oblique extraocular muscle
CN 5 name?

function?
Trigeminal

sensory from everything in in face and head
3 parts of trigeminal nerve:
V1
V2
V3
ophthalmic
maxillary
mandibular
3 types of sensory functions that CNs deal with
GSA
GVA
special sensory
sensory from somatic structures
GSA
sensory from visceral structures: smooth muscle, cardiac muscle, glands of viscera and carotid body and sinus
GVA
sensory from specialized receptors in the head which are related to vision, vestibular, and auditory sense, taste and smell
special sensory
3 types of motor functions that CNs deal with
GSE
BE
GVE
motor to skeletal muscle in the head derived from somite mesoderm
GSE
motor to skeletal muscle in the ehad derived from brachial (pharyngeal arch) mesoderm
BE
parasympathetic motor innervation to smooth muscle and glands of the head?

located in what 4 cranial nerves?
GVE

3,7,9,10
sensation from mucosal lining of oral and nasal cavities, nasal sinuses and sensation from mucosal lining of pharynx, esophagus, larynx, trachea, and middle ear comes from ?
GSA
muscles in the 1st arch of Branchiomeric muscles (BE)
muscle of mastication
anterior belly of digastric
mylohyoid muscle
tensor veli palatini muscle
tensor tympani
nerve associated with the 1st arch of the Branchiomeric muscles (BE)
trigeminal nerve-Mandibular
muscles associated with the 2nd arch of the Branchiomeric muscles (BE)
muscles of facial expression
posterior belly of digastric
stylohyoid muscle
stapedius muscle
nerve associated with the 2nd arch of the Branchiomeric muscles (BE)
facial nerve
muscle associated with the 3rd arch of the Branchiomeric muscles (BE)
stylopharyngeus muscle
nerve associated with the 3rd arch of the Branchiomeric muscles (BE)
glossopharyngeal nerve
muscle associated with the 4th and 6th arches of the Branchiomeric muscles (BE)
all muscle of larynx
all muscle of palate, except tensor veli palatini
all muscles of pharynk, except stylopharyngeus
nerve associated with the 4th and 6th arches of the Branchiomeric muscles (BE)
vagus nerve
muscles of the head that develop from somite mesoderm and these are not BE muscles
skeletal muscles of the tongue except palatoglossus
skeletal muscles of eye
sternocleidomastoid and trap muscles
3 parts of the pharynx
nasopharynx
oropharynx
laryngopharynx
nasal cavities open into ?

oral cavity?

larynx?
nasopharynx

oropharynx

laryngopharynx
chamber common to both the respiratory and GI tracts
pharynx
the auditory tube opens into what part of the pharynx?
nasopharynx
what separates the naso and oropharynx?

oro and laryngopharynx?
soft palate

epiglottis
from internal to external, the layers of the pharynx
mucosa
Pharyngobasilar fascia
skeletal muscles
buccopharyngeal fascia
skeletal muscle of the pharynx is made up of what 2 types of muscles?
outer circular muscles
inner longitudinal muscles
3 outer circular muscles of the pharynx
superior constrictor muscle
middle
inferior
3 inner longitudinal muscles
stylopharyngeus muscle
salpingopharyngeus muscle
palatopharyngeus muscle
thick submucosa connective tissue layer of the pharynx
pharyngobasilar fascia
most external layer of the pharynx and a subdivision of the visceral layer of cervical fascia
buccopharyngeal fascia
the ? space is continuous from the base of the brain inferiorly to the posterior mediastunim
retropharyngeal
2 parts of the temporal bone that are for articulation with the head of the mandible
external acoustic meatus
mandibular fossa
3 processes of the temporal bone
mastoid process
styloid process
zygomatic process
role of this bone is forming the floor of the anterior anf middle cranial fossae
sphenoid bone
part of the sphenoid bone that has 2 flattened plates that extend downward from the body of the sphenoid

plate names?
pterygoid process

medial and lateral pterygoid plates
a thin finger of bone projecting from the medial pterygoid plate
hamulus
superior pharyngeal constrictor origins
medial pterygoid plate
hamulus
pterygomandibular raphe, mylohyoid line
lateral tongue
middle pharyngeal constrictor origins

overlaps?
stylohyoid ligament
lesser and greater horn of the hyoid

superior constrictor
inferior pharyngeal constrictor origins

overlaps?
oblique line of thyroid cartilage
cricoid cartilage
tendinous arch

middle constrictor
all 3 constrictors insert posteriorly into the ?
pharyngeal raphe
the pharyngeal raphe attaches at the ?
pharyngeal tubercle
do fibers of superior constrictor muscle reach all the way to the base of the skull?
no
what fills gap between superior fibers of superior constrictors and base of skull
pharyngobasilar fascia
auditory tube
levator veli palatini muscle
ascending palatine branch of facial artery
what fills gap between superior and middle constrictors?
pharyngobasilar fascia
stylopharyngeus muscle
glossopharyngeal nerve
what fills gap between middle and inferior constrictors?
throhyoid membrane
suoerior laryngeal nerve
superior laryngeal artery
what fills gap between inferior constrictor and esophagus?
recurrent laryngeal nerve
laryngeal branch of inferior thyroid artery
the stylopharyngeus arises from the ? and passes deeply between the fibers of the ? and ? muscles

inserts?
styloid process

superior and middle constrictors

superior horn of thyroid cartilage
upper border of thyroid lamina
the ? and ? muscles are only visible from the internal aspect of the pharynx
salpingopharyngeus

palatopharyngeus
the salpingopharyngeus arises from the ?

palatopharyngeus arises from?

both insert ?
auditory tube

soft palate

posterior wall of pharynx
the ? extends from base of skull to the level of the palate
nasopharynx
the entrances from the nasal cavity are the ?, 2 oval openings on either side of the nasal septum
choanae
3 things in the wall of the nasopharynx
auditory tube
torus tubaris
pharyngeal recess
fold of mucosa overlying the salpingopharyngeus muscle
salpingopharyngeal fold
the position of the ? is near th roof of the nasopharynx
pharyngeal tonsil
The ? extends from the palate to the upper margin of the epiglottis.

it is where ? and ? system cross
oropharynx

digestive
respiratory
The entrance from the oral cavity is the ? demarcated by the ?
oropharyngeal isthmus

tonsillar pillars.
the tonsillar pillars consist of
? (overlying the palatoglossus muscle anteriorly)
? (overlying the palatopharyngeus muscles
posteriorly).
The ? lies between the two pillars.
palatoglossal fold

palatopharyngeal fold

palatine tonsil
The ? are relatively deep pockets that lie on either side of the cricoid cartilage and below the pharyngoepiglottic and aryepiglottic folds of the laryngopharynx
piriform recesses
The lateral wall of the piriform recess is the mucosa overlying the posterior border of the ?
lamina of thyroid cartilage.
5 arteries of the pharynx
ascending pharyngeal artery
ascending palatine artery
descending palatine
pharyngeal branches
muscular branches
ascending pharyngeal artery is branch of ?

ascending palatine artery?

descending palatine artery?

pharyngeal branches?

muscular branches?
external carotid

facial artery

maxillary artery

maxillary artery

inferior thyroid artery
the veins of the pharynx form ? plexuses and drain into ? and ?
2

pterygoid plexus of veins

internal jugular
Lymphatic drainage of the pharynx is primarily via the ? and j? nodes into the deep cervical nodes surrounding the internal jugular vein.
retropharyngeal

jugulodigastric
sensory information from the naso-pharynx

oro-pharynx?

laryngopharynx?
maxillary nerve (CNV2)

glossopharyngeal nerve (CNIX)

vagus nerve (CNX)
motor innervation to the stylopharyngeus muscle?

all constrictors, salpingopharyngeus and palatopharyngeus muscles?
glossopharyngeal nerve (CNIX)

vagus nerve (CNX)
vasomotor innervation of the pharynx?
sympathetics
hollow musculoligamentous structure with a cartilaginous framework that caps the lower respiratory tract
larynx
the larynx is suspended from the ?
hyoid bone
is the larynx mobile?
highly
5 cartilages associated with the larynx
cricoid
thyroid
arytenoid
cuneifrom
corniculate
all but one of the intrinsic muscles of the larynx is encased in or behind the ?
thyroid lamina
The internal part of the larynx is covered by ?. When muscosa covers another structure (such as a ligament), they are often known together as a ?
mucosa

fold.
The larynx is important in swallowing, phonation, respiration, and something called ? such as when the trunk is stablized during heavy lifting
effort closure
7 muscles of the larynx
cricothyroid
posterior cricoarytenoid
lateral cricoarytenoid
transverse arytenoid
oblique arytenoid
thyroarytenoid
all muscles of the larynx are innervated by ?

except?
innervated by?
recurrent laryngeal branch of vagus nerve

cricothyroid
external superior laryngeal branch of vagus
Sensory to the level of the vocal folds
internal branch of the superior laryngeal nerve
sensory below the vocal folds
recurrent laryngeal nerve
3 extrinsic ligaments of the larynx
hyo-epiglottic ligament
thyrohyoid membrane
crico-tracheal ligament
only muscle of larynx that abducts?
posterior cricoarytenoid
3 unpaired cartilages of larynx
cricoid
thyroid
epiglottis
3 paired cartilages in the larynx
cuneiform (superior)
corniculate
arytenoid (inferior)