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55 Cards in this Set
- Front
- Back
The structures that pass the optic foramen are the
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Optic nerve and CRA (ophthalmic A)
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Superior orbital fissureInside tendinus annulusAka Oculomotor foramenOutside tendinus annulus(above annulus)
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Old Owls Are Not IntelligentOM nerve (IIIs), sup divisionOM nerve (IIIi), inf divisionAbducens N (VI)Nasociliary N (V1)Inferior ophthalmic veinRob Left Florida To SingRecurrent lacrimal ALacrimal N (V1)Frontal N (V1)Trochlear N(IV)Superior ophthalmic vein
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Foramen rotundum
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Maxillary N
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Foramen ovale
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Mandibular N (V3)Accessory meningeal ALesser petrosal N
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Foramen spinosum
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Middle meningeal A & NMeningeal branch of V3
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Formane lacerum
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Internal carotid AInternal carotid N plexus
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Internal acoustic meatus
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Facial N (VII)Vestibulocochlear N (VIII)
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Jugular foramen
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Inf. Petrosal sinusGlossopharyngeal N (IX)Vagus N (X)Accessory N (XI)Sigmoid sinusPost meningeal A
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Hypoglossal canal
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Hypoglossal N (XII)
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Foramen magnum
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Medulla oblongataMeningesVertebral AMeningeal branch of vertebralsSpinal roots of accessory N
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The only synovial joint of the skull is the
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Temporomandibular joint (TMJ)
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Branches of the external carotids
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Facial AInfraorbital ASuperficial temporal A. Transverse facial A Orbital A Frontal A
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Branches of the internal carotids
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Ophthalmic APosterior communicating AAnterior cerebral AMiddle cerebral A
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The circle of Willis consists of
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Internal carotid AsCerebral AsCommunicating As
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The R and L brachiocephalic veins drain to the
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Superior vena cava
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The brachiocephalic veins are formed by the
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Union of the internal jugular and subclavian veins
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The external jugular vein drains the
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Face
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The internal jugular vein drains the
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Orbit and head
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The supravaginal space of Schwalbe is found
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Around the ON between limiting membrane and dura
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Volume of the orbital cavity is
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29ml
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The orbit consists of 7 bones
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Maxillary (facial) – floor and medial wall Zygomatic (facial) – lateral wall and floorPalatine (facial) – floorLacrimal (facial) – medial wallFrontal (cranial) – roof Sphenoid (cranial) – lateral wall, floor and medial wall Ethmoid (cranial) – medial wall (lamina papyracea)
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CN V > ophthalmic div > Frontal branch >
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Supratrochlear and Surpaorbital
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CN V > ophthalmic div > Lacrimal branch >
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Superior div (lateral palpebral branch) , Inferior div
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CN V > ophthalmic div > Nasociliary branch >
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Porterior and anterior ethmoidal branches, Infratrochlear branch, sensory root and long posterior ciliary nerve
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The terminal branches of the ophthalmic A are the
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Frontal A (aka supratrochlear A), Dorsal nasal A
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Branches of the external carotid artery Facial A.Superficial Temporal A.Internal maxillary A.
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> branches to angular A. > supplies side of face and eyelids> infraorbital A, orbital branch of middle meningeal A. (aka recurrent meningeal A) > provides collateral circulation to the orbit
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The ophthalmic A is the
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7th branch of the internal carotid
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Central retinal A is the 1st branch of the Ophthalmic A.
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Enters the orbit in the center of the optic nerve
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Lacrimal A. is the 2nd branch of the ophthalmic A Recurrent meningeal AMuscular AZygomatic ASuperior and inferior lateral palpebral A
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There are 4 branches of the lacrimal A Aka recurrent lacrimal A – enters through the SOFSupplies SR and LRZygomaticofacial and Zygomaticotemporal
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Superior muscular A supplies (direct brn of ophthalmic)
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SR, SO and levator
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Inferior muscular A supplies (direct brn of ophthalmic)
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IR, IO and MR
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Posterior ciliary As branch off the ophthalmic A and
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Form the Circle of Zinn Haller around the optic nerve
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The Pial artery is a branch of the ophthalmic A and
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Vasculaizes the pia mater of the optic nerve
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Supraorbital A branched off the ophthalmic A –supplies
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Orbit roof, frontal sinuses, eye brows, SR and levator, scalp
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Anterior and posterior ethmoidal As are both branches
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Of the ophthalmic A
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Dorsal nasal A anastomoses with
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The angular branch of the fracial A
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Veins DO NOT have valves which allows for
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Bidirectinal blood flow
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Superior ophthalmic vein (SOV) Frontal drainage routeBack drainage route
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Anastomose with angular V via orbital V – To the cavernous sinus > inferior petrosal sinus > internal jugular > brachiocephalic > sup vena cava > r. atrium
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Central retinal vein drains the
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Retina – connects with SOV in posterior orbit
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Vortex veins drain
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A quadrant of the posterior eye to the SOV
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Anterior ciliary vein drains the
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Front part of the eyeball
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Inferior orbital vein exits the orbit independently of the
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SOV – leaves through the inf. orbital fissure to the pterygoid venous plexus in the inferior temporal fossa
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IOV continues to the
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> internal maxillary V > retromandibular V > external jugular V > subclavian > sup vena cava – drains the bottom of the orbit
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Cavernous sinus is formed anteriorly by the
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SOV and communicates posteriorly with the inferior and superior petrosal sinuses
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Intracranial sinuses are lined with
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Dura mater
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Pterygoid venous plexus is located
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Outside the cranium and is NOT lined with dura – mass of small veins found below the cavernous sinuses
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Pterygoid venous plexus communicates to the
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Cavernous sinus through emissary veins
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There are NO lymph nodes of lymph vessels in the
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Orbit
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CN IV (trochlear) innervates the
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SO on the orbital side of the muscle
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The only CN with origin on the dorsal surface of brain stem is the …
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Trochlear N (CN IV)
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Lesion of SO results in the eye moving
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Up and In and extorting – head tilt away from lesion
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CN V (Trigeminal N) originates from the
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Ventrolateral surface of the pons
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Divisions of CN V =
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Ophthalmic, maxillary, mandibular
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Preganglionic sympathetic cell bodies are located in the
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Lateral horn of gray and leave the spinal cord through the ventral root
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The internal carotid nerved gives rise to the
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Sympathetic carotid plexus – from lateral branch Sympathetic cavernous plexus – from medial branch
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