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136 Cards in this Set
- Front
- Back
5 layers of the scalp?
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skin, connective tissue, epicranial aponeurosis, loose connective tissue, pericranium
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the most superficial layer of the scalp?
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skin
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thick, dense layer of the scalp containing blood vessels and cutaneous nn.?
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connective tissue
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connects the two bellies of the occipitofrontalis m.?
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epicranial aponeurosis (galea aponeurotica)
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makes up the scalp proper?
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skin, connective tissue, epicranial aponeurosis
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allows free movement of scalp proper?
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loose connective tissue
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danger space of scalp?
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loose connective tissue
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thin connective tissue layer closely attached to calvaria?
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pericranium (periosteum)
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n. that supplies cutaneous innervation anterior to the ear?
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branches of Trigeminal CN V
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supraorbital n. V1 supplies cutaneous innervation where?
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in front of ear
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Supratrochlear n. V1 supplies cutaneous innervation where?
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in front of the ear
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zygomaticotemporal n. V2 supplies cutaneous innervation where?
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in front of the ear
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auriculotemporal n. V3 suppplies cutaneous innervation where?
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in front of the ear
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n. supplying cutaneous innervation to area inferior to ear?
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great auricular n. (ventral rami of C2 and C3)
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nn. supplying cutaneous innervation to area behind ear?
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greater occipital n. (dorsal ramus of C2), lesser occipital n. (ventral ramus of C2)
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greater occipital n. supplies cutaneous innervation where?
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behind ear
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lesser occipital n. supplies cutaneous innervation where?
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behind ear
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n. supplying cutaneous innervation to scalp on lower back of head?
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3rd occipital n. (dorsal ramus of C3)
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Which cervical n. has no cutaneous fibers, only motor?
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C1
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Which a. supplies blood to anterior portion of scalp?
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branches of ophthalmic a. (Internal carotid a.)
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What are the branches of the ophthalmic a.?
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supraorbital and supratrochlear aa.
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supraorbital a. a branch of what?
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ophthalmic a.
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supratrochlear a. a branch of what?
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ophthalmic a.
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Which a. supplies blood to posterior portion of scalp?
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branches of the external carotid a.: superficial temporal a., posterior auricular a., occipital a.
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superficial temporal a. supplies blood where?
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posterior portion of scalp
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posterior auricular a. supplies blood where?
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posterior portion of scalp
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occipital a. supplies blood where?
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posterior portion of scalp
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supraorbital a. supplies blood where?
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anterior portion of scalp
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supratrochlear a. supplies blood where?
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anterior portion of scalp
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Which vv. from the scalp innervate the skull to drain into the dural sinuses?
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emissary vv.
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loose connective tissue layer allows accumulation of pus and blood causing what?
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scalp infection
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scalp infection can spread into intracranial cavity via?
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emissary vv.
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most common type head injury requiring surgical care
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scalp laceration
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What causes a scalp laceration to bleed profusely?
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abundant arterial anastomoses in the scalp region
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encloses a fluid-filled cavity and protects the brain
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meninges
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meningeal layers and spaces (exterior to interior)
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epidural space, dura mater, subdural space, arachnoid mater, subarachnoid space, pia mater
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bony structure of the head
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calvaria
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two layers of dura mater
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periosteal (endosteal) and meningeal
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lines internal surface of calvaria
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periosteal (endosteal) layer of dura mater
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does not continue as dura mater of spinal cord but instead folds over to form pericranium of scalp
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periosteal (endosteal) layer of dura mater
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external layer of calvaria
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pericranium of scalp
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separates from other layer of dura mater to form dural sinuses and septum
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meningeal layer of dura mater
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Dural sinuses and septa between compartments of the brain are formed from the separation of what two layers?
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periosteal (endosteal) and meningeal layers of dura mater
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supplies blood to dura mater
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middle meningeal a. (maxillary a.-external carotid a.)
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middle meningeal a. enters cranial cavity via?
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foramen spinosum
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diverticula of arachnoid membrane that project into the dural sinuses to return CSF to venous drainage
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arachnoid granulations
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calvarial depressions from arachnoid granulations
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faveola granulae
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closely adheres to brain
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pia mater
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highly vascularized by a network of fine blood vessels
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pia mater
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invades into sulci of brain
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pia mater
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vascular trauma where blood is trapped between the dura and inner table of the calvaria
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epidural (extradural) hematoma
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hematoma caused by tearing of arterial vessels, specifically middle meningeal a.
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epidural (extradural) hematoma
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hematoma causing loss of consciousness followed by improvement (lucid interval), then rapid deterioration
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epidural (extradural) hematoma
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vascular trauma where blood is trapped between the dura and the arachnoid and is very diffuse
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subdural hematoma
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hematoma generally caused by tearing of venous structure
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subdural hematoma
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rupture of intracranial vessels where blood flows through the grooves of the brain
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subarachnoid hemorrhage
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"worst headache of my life", stiff neck, loss of consciousness
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subarachnoid hemorrhage
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dural sheath that lies between the 2 cerebral hemispheres
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falx cerebri (cerebral falx)
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dural sheath separating the cerebral hemispheres from the cerebellum
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tentorium cerebelli (cerebellar tentorium)
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dural sheath separating the cerebellar hemispheres from the cerebellum
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falx cerebelli (cerebellar falx)
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dural sheath that is the roof of the hypophyseal (pituitary) fossa
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diaphragma sellae (sellar diaphragm)
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infundibulum of pituitary gland runs through this sheath
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diaphragma sellae
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falci made of which layer?
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meningeal layer of dura mater
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sinus making up convex (superior) margin of falx cerebri
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superior sagittal sinus
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sinus making up free (inferior) margin of falx cerebri
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inferior sagittal sinus
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sinus making up attached margin (posteriorly) of falx cerebelli
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occipital sinus
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sinus at junction of falx cerebri and tentorium cerebelli
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straight sinus
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sinus on attached margin (laterally) of tentorium cerebelli
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transverse sinus
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S-shaped continuation of transverse sinus that empties into the internal jugular v.
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sigmoid sinus
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junction of superior sagittal, transverse (left and right), straight and occipital sinuses
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confluence of sinuses
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located on the lateral edge of sella turcica of the sphenoid bone
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cavernous sinus
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sinus communicating w/ ophthalmic vv.
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cavernous sinus
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contained in cavernous sinus?
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Oculomotor CN III, Trochlear CN IV, Ophthalmic V1, Maxillary V2, Abducens VI, internal carotid a., sympathetic plexus
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located on either side of pituitary infundibulum?
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cavernous sinus
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Oculomotor CN III runs through which sinus
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cavernous sinus
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Trochlear CN IV runs through which sinus
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cavernous sinus
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Ophthalmic V1 runs through which sinus
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cavernous sinus
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Maxillary V2 runs through which sinus
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cavernous sinus
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Abducens CN VI runs through which sinus
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cavernous sinus
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internal carotid a. runs through which sinus
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cavernous sinus
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sympathetic plexus runs through which sinus
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cavernous sinus
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sinus joining great cerebral v. of Galen
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inferior sagittal sinus
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empties into straight sinus
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great cerebral v. of Galen
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anterior and posterior bands connecting the cavernous sinuses
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intercavernous sinuses
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connects posterosuperior portion of cavernous sinus to transverse sinus
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superior petrosal sinus
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connects posteroinferior portion of cavernous sinus to internal jugular v.
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inferior petrosal sinus
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clot in cavernous sinus compressing structures contained in sinus
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cavernous sinus thrombosis
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what commonly invades cavernous sinus causing problems
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pituitary tumor
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connection between the facial vv. and cavernous sinuses, due to superior and inferior ophthalmic vv., that provides a route for the intracranial spread of facial infections
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"danger area" of the face
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cribriform plate in which fossa?
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anterior fossa
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Olfactory CN I exits cranial cavity through?
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cribriform plate
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optic canal in which fossa?
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middle fossa
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Optic CN II exits cranial cavity through?
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optic canal
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superior orbital fissure in which fossa?
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middle fossa
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What exits cranial cavity through superior orbital fissure?
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Oculomotor CN III, Trochlear CN IV, Ophthalmic V1, Abducens CN VI
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Oculomotor CN III exits cranial cavity through?
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superior orbital fissure
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Trochlear CN IV exits cranial cavity through?
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superior orbital fissure
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Ophthalmic V1 exits cranial cavity through?
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superior orbital fissure
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Abducens CN VI exits cranial cavity through?
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superior orbital fissure
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foramen rotundum in what fossa?
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middle fossa
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What exits cranial cavity through foramen rotundum?
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Maxillary V2
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foramen ovale in what fossa?
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middle fossa
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What exits cranial cavity through foramen ovale?
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Mandibular V3
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internal acoustic meatus in what fossa?
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posterior
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What exits cranial cavity through internal acoustic meatus?
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Facial CN VII, Vestibulocochlear CN VIII
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Facial CN VII exits cranial cavity through?
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internal acoustic meatus
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Vestibulocochlear CN VIII exits cranial cavity through?
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internal acoustic meatus
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jugular foramen in what fossa?
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posterior fossa
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What exits cranial cavity through jugular foramen?
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Glossopharyngeal CN IX, Vagus CN X, Spinal Accessory CN X!
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Glossopharyngeal CN IX exits cranial cavity via?
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jugular foramen
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Vagus CN X exits cranial cavity via?
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jugular foramen
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Spinal Accessory XI exits cranial cavity via?
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jugular foramen
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hypoglossal canal in what fossa?
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posterior fossa
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Hypoglossal CN XII exits cranial cavity via?
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hypoglossal canal
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enters cranial cavity via foramen magnum?
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Spinal Accessory CN XI
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anterior blood supply to the brain?
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internal carotid a.
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branches of internal carotid a. in brain?
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anterior cerebral and middle cerebral aa.
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anterior cerebral a. a branch of?
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internal carotid a.
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middle cerebral a. a branch of?
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internal carotid a.
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posterior blood supply to the brain?
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vertebral and basilar aa.
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which aa. form basilar a.?
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vertebral aa.
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posterior inferior cerebellar a. a branch of?
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vertebral a.
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branches of basilar a.?
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anterior inferior cerebellar a., superior cerebellar a., posterior cerebral a.
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anterior inferior cerebellar a. a branch of?
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basilar a.
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superior cerebellar a. a branch of?
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basilar a.
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posterior cerebral a. a branch of?
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basilar a.
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anastomoses of anterior (internal carotid) and posterior (subclavian) systems and bilateral (left and right) anastomoses
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circle of Willis
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n. located between posterior cerebral and superior cerebellar aa.
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Oculomotor CN III
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no sutures necessary when scalp wound not deep in this structure
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epicranial aponeurosis
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Deep scalp wounds gape widely b/c of pull of what mm.?
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frontal and occipital bellies of occipitofrontalis m.
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scalp infection cannot pass to neck b/c of what m. attaching to occipital bone and mastoid processes of temporal bone?
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occipitofrontalis m.
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Scalp infection cannot spread laterally past what structures b/c of continuous epicranial aponeurosis w/ temporal fascia in the area?
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zygomatic arches
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extravasation of blood into subcutaneous tissue and skin
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ecchymosis
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black eyes may develop from injury to this?
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scalp or forehead
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most common type of head trauma requiring surgical care
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scalp laceration
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spasms of which m. increase gaping in a scalp laceration?
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occipitofrontalis m.
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