Neuro Clhn Lect #5

Front 1

What part of the vertebrae is weight bearing?

Back 1

Body

Front 2

Which part of the vertebrae protects the spinal cord?

Back 2

Vertebral arch

Front 3

What is the purpose of the spinous and transverse processes?

Back 3

muscle attachment

Front 4

Does the C7 vertebrae have foramina transversari?

Back 4

No

Front 5

Is C7 Bifid?

Back 5

No

Front 6

Which is the only ligament that acts to limit extension?

Back 6

Anterior longitudinal ligament

Front 7

This ligament extends from the anterior margin of the foramen magnum to the anterior arch of the atlas?

Back 7

Anterior Atlanto-occipital membrane

Front 8

What are the three layers of ligaments that are found posterior to the vertebral bodies?

Back 8

Posterior ligaments, Intermediate, Anterior

Front 9

This ligament is just deep to the dura and covers the posterior surface of the body of the axis?

Back 9

Tectorial membrane

Front 10

This ligament is the inferior continuation of the tectorial membrane?

Back 10

Posterior longitudinal ligament

Front 11

Which ligament prevents herniation of the nucleus pulposus?

Back 11

Posterior longitudinal ligament

Front 12

What are the three parts of the cruciate ligament?

Back 12

Transverse ligament, superior band, and inferior band

Front 13

These ligaments connect the upper part of the dens to the medial sides of the occipital condyles

Back 13

Alar ligaments

Front 14

This ligament extends from the tip of the dens to the anterior margin of the foramen magnum, and lies in the most anterior group of the middle set of ligaments?

Back 14

Apical ligament (lies anterior to the superior band of the cruciate)

Front 15

This ligament extends from the posterior margin of the foramen magnum to the posterior arch of the atlas?

Back 15

Posterior atlanto-occipital membrane

Front 16

Are there any intervertebral discs between C1 and C2?

Back 16

No discs

Front 17

Which joint permits nodding?

Back 17

Atlanto-occipital joint

Front 18

If a patient had difficulty rotating his head when he said "no", which joint would most likely be affected?

Back 18

Atlanto-axial

Front 19

Hyperflexion of the cervical vertebrae may result in what?

Back 19

rupture of the intervertebral discs without cervical vertebrae fracture

Front 20

What can hyperextension of the neck result in?

Back 20

tearing of the anterior longitudinal ligament ("whiplash")

Front 21

Rupture of this ligament may result in compression of the spinal cord between the posterior arch of the atlas and the dens….resulting in quadriplegia.

Back 21

The transvers ligament

Front 22

If the alar ligament was damaged on the right, which side would experience an increase in the range of motion?

Back 22

the left (undamaged side)

Front 23

What artery winds around the lateral mass of the atlas (after it's ascent), and pierces the posterior atlanto-occipital membrane to enter the cranium through the foramen magnum?

Back 23

The vertebral artery

Front 24

Which muscle is directly posterior to the superior cervical ganglion?

Back 24

longus capitus

Front 25

These two vertically oriented muscles lie just posterior to the retropharyngeal space, and flex the head against resistance?

Back 25

Longus capitus and Longus Colli (more medial of the two)

Front 26

What do the two scalenes interconnect?

Back 26

the transverse processes of the cervical vertebrae and the 1st 2 ribs

Front 27

Posterior rami of which cervical nerve gives off the greater occipital nerve?

Back 27

C2

Front 28

These nerves supply the vertebral joints, deep muscles of the back, and overlying skin?

Back 28

Posterior rami of C2-C8

Front 29

Roots from spinal nerves T1-T4 send ____ rami communicantes to the sympathetic trunk, where fibers ascend.

Back 29

White (fibers ascend the trunk and synapse with one of the three cervical ganglia)

Front 30

Are white rami communicante found in any of the cervical ganglia?

Back 30

No (only from T1 - T4)

Front 31

This cervical ganglion is found near the bifurcation of the common carotid, on the longus capitus?

Back 31

Superior cervical ganglion

Front 32

This cervical ganglion lie posterior to the vertebral artery anterior to the C7 transverse process?

Back 32

Inferior cervical ganglion

Front 33

This cervical ganglion lies close to the C5 vertebrae close to the inferior thyroid artery?

Back 33

Middle cervical ganglion

Front 34

What dermatome level does the superior cervical ganglion exert most of its influence to?

Back 34

C1-C4

Front 35

This cervical ganglia sends gray rami communicantes to innervate sweat glands, arrector pili, and smooth muscle of blood vessels of C7, C8.

Back 35

Inferior cervical ganglion

Front 36

What is the ansa subclavia and where would you find it?

Back 36

It connects the middle cervical ganglion with the inferior cervical ganglion, and you would find it looped around the subclavian artery between the origins of the vertebral and internal thoracic arteries

Front 37

Horners Syndrome Symptoms?

Back 37

Pseudoptosis, redness of the face, enophthalmos, miosis, dryness

Front 38

These deep cervical lymph nodes chiefly drain the tonsils and tongue and are located inferior and posterior to the angle of the mandible?

Back 38

jugulodigastric

Front 39

These deep cervical lymph nodes are closely related to the intermediate tendon of the omohyoid muscle and drain the tongue?

Back 39

Jugulo-omohyoid