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92 Cards in this Set

  • Front
  • Back
Oculomotor does what
Pupillary sphincter (parasump), levator palpebrae, sup / med, inf rectus, inf oblique (elevation and abduction)
Trochlear does what
Superior oblique (abducts and depresses)
Abducens does what
motor to lateral rectus
Trigeminal Opthalmic
Sensory to dorehead, conjunctiva, upper eyelid
Trigeminal maxillary
sensory to lower eyelid, cheek, upper teeth, hard palate
Trigeminal mandibular
Sensory to skin over jaw and temple, ant 2/3 tongue, motor to muscles of mastication
Facial nerve
facial expression, taste to anterior 2/3, secretomotor
Facial goes through
internal acoustic meatus
Vestibulocochlear
Internal acoustic meatus
Glossopharyngeal
Sensory to orthopharynx, secretomotor to parotid
Vagus
Motor to palate, pharynx, larynx, sensory to larynx and resp, fore- and midgut GI tract below airway; parasympathetic to foregut and midgut thoracic and most abdominal viscera; somatic sensory to external acoustic meatus
Accessory
Sternomastoid and trapezius
Hypoglossal
Tongue
Four air sinuses
Distribution of cranial nerves through skull, names of foraminae
1 / 2 / 3, 4, 5a, 6 / b / c / 7, 8 / 9, 10, 11 / 12

Crib / Optic canal / SOF / Rotundum / Ovale / IAM / Jug foramen / Hypoglossal canal

COSplayers ROw In Joggers and Heels
From outside of skull to inside:
Skull, Periostrum, bone, dura mater, arachnoid mater, pia mater
Foramen spinosum
Middle meningeal artery
Jugular foramen
4, 5a, 6 and internal jugular vein
foramen magnum
spinal cord, vertebral artery
carotid canal
carotid artery and symp plexus
sup and inf orbital fissures
opthalmic veins as well as 3/4/5a/6
IAM
7, 8, laberynthine artery
Basics of the circle of willis
Lacrinal gland innervated by
parasymp facial nerve
Blink reflex
Opthalmic nerve
Blink, afferent and efferent, muscle
afferent - opthalmic. Efferent - facial to orbicularis oculi
What is cornea, what is schlera?
Cornea is covering of eye at iris, schlera is covering everywhere else
Directions of gaze
Where do opthalmic, maxillary, and mandibular divisions of V. C2-C4 supplies where?
Forehead block
infiltration above the line of the eyebrows, from the midline, to just lateral to the mid-pupillary line.
Infraorbital nerve block
The approach is a line that runs between the first and second premolars at apex of the superior vestibule of the mouth.
Mental nerve block
It supplies the skin of the lower lip and gum through the mental canal. This can be palpated in the mid-pupillary line,
Orbicularis oris
Surrounds the mouth, continuous with buccinator. Sphincter
Buccinator
Muscle of the cheek
Orbicularis oculi
Surrounds the eye
Bell's palsy
Damage to facial nerve in middle ear
Muscles of mastication supplied by
Mandibular branch of trigeminal
Masseter, temporalis, medial and lateral pterygoids
Taste innervated by
VII and IX
Lateral deviation and wasting of tongue after lesion of?
XII
Muscles of soft palate controlled by
pharyngeal branch of vagus nerve derived from the cranial accessory nerve
Function and sensory innervation of soft palate
Swallowing, gag reflex. Nerve IX
Transverse ligament of atlas
Around odontoid peg
Ligamentum flava, anterior and posterior longitudinal ligaments?
Between laminae of vertebrae
Between laminae of vertebrae
Hangman's fracture
The inferior articular process of C2 is broken allowing the axis to move forward on C3. The spinal cord is damaged at this level and so respiration is paralysed.
Scalenus anterior?
Sternomastoid?
Termination of spinal cord in adult/newborn?
L1-2/L3-4
What layers does spinal anaesthesia pierce in what order?
Spinal nerves exit through?
Intervertebral foraminae
Cauda equina syndrome
LOF of lumbar plexus due to CE damage. Lower motor neuron lesion.
Spinal anaesthesia
Local anaesthetic into the subarachnoid space, must be below L2 to avoid damage to spinal cord. Circulates in CSF.
role of coracoclavicular ligament
Prevents dislocation of acromioclavicular joint
Latissimus dorsi
Large back muscles, dorsal. Insert into anterior side of humerus
serratus anterior
superior external rotation of scapula, draws internally and forwards. Is along ribs on side of body, draws scapula from its medial part
What articulates the humerus to the radius / ulna?
What fossae do they go into?
What's on the posterior side of the elbow?
Capitulum / trochlea.
Radial / coronoid fossa
Olecranon fossa into which olecranon goes
Supracondular fracture can cause?
Damage to median nerve and brachial artery
Ligaments of elbow capsule?
First articular capsule, anular ligament of radius, radial and ulnar collateral ligaments to stop elbow adduction/abduction
Biceps brachii insertion / origins?
Radial tuberosity. Long head - supraglenoid tubercle of scapula, short head - coracoid process
Supinator is where?
Lateral part of proximal radius just after elbow
Triceps inserts
Olecranon process of ulna
Pronator originates / inserts
Medial epicondyle of humerus and coronoid process of ulna, inserts lateral radius
Dislocation of radius head caused by
Pull on pronated hands#
Colles' fracture
Falling onto outstretched arms, distal radius/ulna becomes dorsal to proximal
Contents of cubital fossa
Brachial artery, MCV, median nerve
Bones of wrist
Wrist joint is?
Synovial
Flexor reticulatum?
Forms the tunnel of the carpal tunnel
What flexes wrist?
Flexor carpi radialis / ulnaris.
Ulnaris inserts around hook of hamate.
What flexes fingers?
Flexor digitorum superficialis and profundus
What flexes thumbs?
Flexor pollicis longus and brevis
Finger flexor sheathes
Extensors of wrist (4)
Extensor digitorum, extensor pollicis longus and brevis, abductor pollicis longus
Lumbericals do what?
Flex metacarpophalangeal joints
Flex metacarpophalangeal joints
Interossei do what?
Abduct / adduct fingers
Carpal tunnel syndrome
Compression of carpal tunnel, compression of median nerve. Numbness and pain
Ulnar nerve damage
causes clawing, cannot extend 4th and 5th digit
Upper limb arteries: subclavian, axillary, brachial, radial, ulnar, supericial and deep palmar arches
Supracondular fracture can cause damage to the
Brachial artery
Veins of upper limb - dorsal venous arch of hand, basilic, cephalic, median cubital, axillary and subclavian
dermatomes of the arm
Lesion of upper brachial plexus
Erb's palsy - main loss will be of shoulder abduction and lateral rotation, and elbow flexion. Waiter's tip. Loss of sensation too
Lesion of lower brachial plexus
Damage to C8 and T1 would weaken the long flexors and extensors of the fingers, and all the intrinsic muscles of the hand
Horner's syndrome
Damage to T1 - sympathetic outflow to head. a constricted pupil, a drooping eyelid and hot , dry skin on the cheek or forehead of the affected side
Musculocutaneous nerve innervates
Elbow flexors
Median nerve innervates
most forearm flexors, thenar eminence, sensory to hand
Ulnar nerve supplies
Flexor dig profundus to ring and litle fingers, flexor carpi ulnaris, other snall muscles. Sensory to palm and dorsum
Axillary nerve supplies
deltoid, regimental badge skin. can be damaged by shoulder dissociation
Radial nerve supplies
Extensors of elbow, wrist, and fingers, sensory distribution esp dorsum of hand
Effect of damage by mid-shaft fracture of humerus
wrist drop
Ways to test for damage to C6/7/8 and ulnar / radial
tip of thumb C6 and median nerve,
tip of middle finger C7;
tip of little finger C8 and ulnar nerve;
dorsum of hand - radial nerve