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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 |
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branches of the external carotid artery
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superior thyroid
lingual occipital ascending pharyngeal facial |
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the arterial system of the neck originates from branches of ? and ?
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common carotid
subclavian |
|
what does the vagus nerve run inbetween?
|
internal jugular vein
external carotid artery |
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arises from brachiocephalic trunk on the right side and aortic arch on left side
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common carotid artery
|
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2 branches of common carotid artery
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internal carotid artery
external carotid artery |
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what branch off of common carotid artery does not have branches in the neck and enters the cranial cavity via the carotid canal?
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internal carotid artery
|
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subclavian arteries provide vasculature to the neck through branches of what vessels?
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thyrocervical trunk
costocervical trunk |
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3 vessels that can be used in the evaluation of peripheral pulse on the neck and head region
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common carotid artery
facial artery superficial temporal artery |
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dilation at the distal end of the internal carotid
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carotid sinus
|
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carotid sinus is a ? and as such it senses changes in ?
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baroreceptor
blood pressure |
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what does the carotid sinus receive sensory innervation from?
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glossopharyngeal nerve (CN 9)
|
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vascular structure that lies within the angel formed by the internal and external carotid arteries
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carotid body
|
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the carotid body is a ? and as suck it senses changes in the ?
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chemoreceptor
oxygen content of the blood |
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what does the carotid body recieve sensory innervation from?
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glossopharyngeal nerve (9)
vagus nerve (10) |
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the jugular vein begins superiorly at the ? at the base of the skull
|
jugular foramen
|
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what runs with the internal jugular vein
|
vagus nerve
|
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major tributaries that the internal jugular vein receives?
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superior and middle thyroid
facial lingual |
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the internal jugular vein joins the ? vein in the neck to form ?
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subclavian
brachiocephalic veins |
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2 parts of the cervical plexus
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superficial (cutaneous) branches
deep (motor) branches |
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superficial (cutaneous) branches of the cervical plexus
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C2: Lesser occipital nerve
C2-3: great auricular nerve, transverse cervical nerve C3-4: supraclavicular nerve |
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deep (motor) branches of the cervical plexus
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C1-C3: ansa servicalis
C3-5: Phrenic nerve |
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what does the ansa cervicalis innervate
|
omohyoid
sternohyoid sternothyroid |
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the ansa cervicalis lies in the fascial covering of the ?
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carotid sheath
|
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what does the vagus nerve arise from?
|
medulla
|
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3 branches of the vagus nerve
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pharyngeal branches
superior laryngeal nerve recurrent laryngeal nerve |
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2 branches of the superior laryngeal nerve
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internal laryngeal nerve
external |
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lies posterior to the carotid sheath and superficial to the prevertebral fascia and has 3 gagnlia linked by sympathetic chain or trunk
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cervical sympathetics
|
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superior cervical ganglion branches to ? spinal nerves
middle? inferior? all branch via? |
C1-C4
C5-C6 C7-T1 gray rami commmunicates |
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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
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Horner's Syndrome
|
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2 causes of Horner's syndrome
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Pancoast tumor (lung)
Thyrocervical venous dilation |
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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 |
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what do the lymph nodes of the neck drain into ? which in turn joins with ? and drains into ?
|
jugular trunks
subclavian trunks subclavian veins |
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boundaries of the superior thoracic aperture
|
1st thoracic vertebra
first rib manubium |
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boundaries of the axillary inlet
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1st rib
scapula clavicle |
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boundaries of the posterior triangle
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sternocleidomastoid
trapezius lateral 3rd of clavicle |
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3 prevertebral muscles in the posterior triangle
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splenius capitus
levator scapulae posterior, middle, and anterior scalene muscles |
|
what divides the posterior triangle?
into? |
omohyoid
occipital triangle subclavian triangle |
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gap between the anterior and middle scalene muscles
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scalene triangle
|
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the subclavian artery can be divided into 3 parts by the ?
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anterior scalene muscle
|
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3 branches of the 1st part of the subclavian artery
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vertebral branch
internal thoracic artery thyrocervical trunk |
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branch of the 2nd part of the subclavian artery
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costocervical branch
|
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branch of the 3rd part of the subclavian artery
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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
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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
|
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what drains into the junction of the right IJV and right subclavian vein?
|
right lymphatic duct
|
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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
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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 |
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2 dural venous sinuses associated with the falx cerebri
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superior sagittal sinus
inferior |
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3 dural venous sinuses associated with the tentorium cerebelli
|
straight
transverse confluence of sinuses |
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dural venous sinus associated with the falx cerebelli
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occipital sinus
|
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dural sinus associated with the diaphragma sellae
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intercavernous sinus
|
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veins that drain in to the dural venous sinuses
|
emissary veins
diploic veins |
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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 |
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CNs that are motor only?
|
3
4 6 11 12 |
|
CNs that are both motor and sensory?
|
5
7 9 10 |
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sensory functions of cranial nerves provide ? from the tissues of the head and 4 ? functions
|
general sensation
special sensory (sight, hear, smell, taste) |
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CNs that have sensory functions have their pseudounipolar cell bodies located in ? which are analogous to the dorsal root ganglia of spinal nerves
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sensory ganglia
|
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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
|
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sensory from visceral structures: smooth muscle, cardiac muscle, glands of viscera and carotid body and sinus
|
GVA
|
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sensory from specialized receptors in the head which are related to vision, vestibular, and auditory sense, taste and smell
|
special sensory
|
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3 types of motor functions that CNs deal with
|
GSE
BE GVE |
|
motor to skeletal muscle in the head derived from somite mesoderm
|
GSE
|
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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
|
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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) |