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227 Cards in this Set
- Front
- Back
the coronal suture is _______ to the central sulcus
|
anterior to
|
|
blow-out pressure refers to:
|
pressure that makes the floor of the orbit burst
|
|
pink-eye = conjunctiva =
|
common eye inflammation
|
|
eyelid hematoma is innocuous if:
|
trauma to orbit/globe has been ruled out
|
|
nerves off of V1:
(3) |
1. frontal
2. lacrimal 3. nasociliary nerve (medial) |
|
frontal nerve of V1 gives off:
(2) |
1. supraorbital nerve
2. supratrochlear nerve |
|
reflex tears:
(2) |
1. parasympathetic
2. ~ crying |
|
pathway of reflex tears:
(5) |
lacrimal gland => surface of cornea => lacrimal caniculi => lacrimal sac => nasolacrimal duct
|
|
lacrimal caniculi =
|
tunnels at medial eye
|
|
location of glands for Constant tears:
|
running along top of eye
- continually moisten eye |
|
**innervation of lacrimal gland:**
|
1. parasympathetic. VMF's from CN 7
2. symp. VMF's from sympathetic chain |
|
incyclotorsion =
(3) |
1. depression
2. ABduction 3. Medial rot. |
|
excyclotorsion =
(3) |
1. elevation
2. ABduction 3. Lateral rot. |
|
optic axis points:
|
striaght ahead
|
|
orbital axis points:
|
45 degrees laterally
|
|
***Horner syndrome = ***
(3 signs) |
1. ptosis (drooping eyelid)
2. anhydrosis (lack of sweating) 3. miosis (constriction of pupil) |
|
***Horner syndrome is caused by:***
|
***interruption of cervical sympathetic trunk***
|
|
causes of interruption to cervical sympathetic trunk = damage/disease/lesion of:
(3) |
1. CNS
2. preganglionic 3. postganglionic |
|
ciliary ganglion:
(2) |
1. parasympathetic, preganglionic VMF's of CN 3 synapse here
2. symp fibers and sensory fibers of CN 7 simply **pass through** |
|
ophthalmic vein ~~
|
intracranial infections
- **drains to cavernous sinuses** |
|
common tendineous ring =
|
origin of rectus muscles
|
|
structures of superior orbital fissure are organized by:
(2) |
1. within the tendineous ring
2. outside of it |
|
structures within the tendineous ring of the superior orbital fissure:
(3) |
CN 3, CN 6, and nasociliary nerve.
|
|
structures outside of the tendineous ring but still within the superior orbital fissure:
(4) |
LOFT
Lacrimal nerve Ophthalmic vein Frontal nerve Trochlear nerve (CN 4) |
|
during development, each optic stalk becomes:
|
an optic nerve
|
|
outer layer of the eyeball =
(2) |
sclera (white) + cornea (transparent)
|
|
middle layer of eyeball =
(3) |
1. choroid
2. ciliary body 3. iris |
|
choroid =
|
vasculature firmly attached to retina
|
|
ciliary body =
(2) |
ciliary muscles + ciliary process
|
|
ciliary muscles are responsible for:
|
***changing the shape of the lens***
|
|
ciliary processes are responsible for:
|
**creating aqueous humor**
|
|
iris of eye =
|
colored part
|
|
inner layer of eyeball =
|
retina
|
|
***retina actually consists of 2 layers:***
|
1. outer pigmented layer
2. inner neural layer |
|
***rounder*** lens =>
|
CLOSER vision
|
|
anterior chamber:
(2) |
1. b/w cornea and iris
2. filled with aqueous humor |
|
posterior chamber:
(2) |
1. b/w iris and lens
2. filled with aqueous humor |
|
largest chamber of the eyeball =
|
vitreous chamber
|
|
glaucoma = intraocular pressure due to:
|
***impeded flow/drainage of aqueous humor***
|
|
vitreous detachment:
(3) |
1. vitreous liquifies and pulls away from retina
2. => sudden onset of flashing lights 3. ***can lead to retinal detachment, a medical emergency*** |
|
floaters:
(3) |
1. specks/clouds in field of vision
2. **sudden appearance suggests other, serious problem** 3. otherwise, they are normal |
|
emmetropia =
|
normal vision
|
|
abnormal refractive disorders are called:
|
ametropias
- ***light focused on spot OTHER THAN the macula*** |
|
***myopia = ***
|
nearsightedness
- CANNOT SEE FAR |
|
hyperopia =
|
farsightedness
- need reading glasses to see close |
|
astigmatism =
|
nonspherical cornea
|
|
presbyopia =
|
lens becomes less flexible at age 40
|
|
solutions to ametropias =
(3) |
1. replacing lens
2. changing cornea shape 3. LASIK |
|
cataract =
|
opacity in the lens (cloudy)
|
|
risk factors for cataracts =
|
age, smoking, alcohol, steroids, diabetes, sun
|
|
treatment of cataracts =
|
**replacement with Intraocular lens (IOL)**
|
|
rubella shortly BEFORE 7 weeks =>
|
congenital **cataracts**
|
|
****optic disk:****
(3) |
1. exit point of retinal nerves
2. **blind spot** - NO rods or cones 3. entry point of central retinal artery |
|
***macula:***
(2) |
1. MANY cones => very sensitive
2. point on which light focuses |
|
***central retinal artery occlusion (from athero, etc.) =>
(3 signs) |
1. cherry-red spot at macula
2. whitening of rest of retina 3. pale area around optic disk |
|
diabetic retinopathy =
|
VERY commmon effect of diabetes
- **can lead to retinal detachment** |
|
how many bones make up the orbit?
|
7
|
|
superior tarsal, ciliary body, sphincter pupillae, and dilator pupillae are ALL:
|
SM
|
|
sphincter pupillae muscle is innervated by:
|
**parasympathetic** fibers of CN 3
|
|
dilator pupillae is innervated by:
|
sympathetic chain fibers
|
|
what does V1 innervate:
(4) |
1. upper face
2. ant. dura 3. lacrimal gland 4. cornea |
|
CN's 3, 4, and 6 are all:
|
somatic motor nerves
- 3 also carries parasympathetic fibers |
|
****parasympathetic**** fibers like to piggyback on:
|
other NERVES
- e.g. 3, 7, and 10 parasympathetics hitchhike on branches of CN 5 |
|
**sympathetic** fibers tend to piggyback on:
|
**arteries,**
thought some do use CN's |
|
what is a choanae?
|
the opening of the nasal cavity into the nasopharynx
|
|
piriform aperture =
|
nose-hole formed by skull/facial bones
|
|
nare =
|
nostril
|
|
what is the anterior of the nasal cavity called?
|
the vestibule
|
|
the vestibule of the nose is lined with:
(2) |
skin, hair
- rest of nasal cavity is lined with nasal mucosa |
|
conchae/trubinates: superior and middle are extensions of:
|
the ethmoid bone
- **the inferior turbinate is its own bone** |
|
meatuses =
|
air passage **beneath** each conchae
|
|
***sphenoethmoidal recess:***
(2) |
1. *above* superior turbinate
2. **opening to sphenoid sinus** |
|
within middle meatus:
(3) |
1. ethmoid bulla
2. semilunar hiatus 3. ostium of maxillary sinus |
|
within inferior meatus:
(1) |
opening of nasolacrimal duct
|
|
4 pairs of sinuses:
|
1. frontal
2. ethmoid 3. sphenoid 4. maxillary |
|
all 4 kinds of paranasal sinuses are:
(3) |
1. filled with air
2. lined with nasal mucosa 3. expand with growth of face |
|
frontal sinus:
(2) |
1. within frontal bone
2. opens into semilunar hiatus |
|
ethmoidal sinus:
(2) |
1. a **series** of air cells
2. open into middle and superior meatuses |
|
sphenoid sinus:
(3) |
1. within body of sphenoid bone
2. opens into sphenoethmoidal recess 3. directly below pituitary gland |
|
significance of sphenoid sinus:
|
= entry point for surgical access to the pituitary gland
|
|
maxillary sinus:
(2) |
1. within maxilla
2. ostium drains into the semilunar hiatus |
|
***inflammation of the maxillary sinus mimics:***
|
dental pain
- due to V2 as it passes through |
|
***anterior nasal cavity sensation is provided by:***
|
the anterior ethmoidal nerve,
a branch of the nasociliary nerve of V1 |
|
**posterior nasal cavity sensation is provided by:**
|
the sphenopalatine nerve (off V2)
|
|
olfactory nerve cells are found in:
|
the nasal mucosa at the roof of the nasal cavity
- nerve fibers => cribiform plate (of ethmoid bone) => olf. bulb, which becomes the olf. tract |
|
**arterial supply to nose:**
(3) |
1. sphenopalatine
2. ethmoidal 3. labial/greater palatine contributions |
|
***extensive anastomoses of nose arteries, especially around anterior septum, =>
|
nosebleeds
|
|
common site of nosebleeds (epistaxis) =
|
Kiessalbach's area
|
|
fracture of nasal bone =>
(2) |
1. damage to external nasal nerve (off sphenopalatine nerve)
2. fracture of cribiform plate |
|
fracture of cribiform plate => **direct access** to cranial cavity =>
(2) |
1. CSF rhinorrhea
2. meningitis |
|
ptergopalatine fossa = space between:
|
posterior maxillary and pterygoid plate of sphenoid bone
|
|
pgp fossa is a box that's connected to:
(4) |
nasal cavity, oral cavity, pharynx, middle cranial fossa
|
|
what happens at the pgp fossa?
(2) |
1. nerves come in and out
2. autonomic nerves "switch tracks" as they hitchhike |
|
***pgp fossa contains:***
(4) |
1. branches of V2
2. nerve of pterygoid canal (Vidian's) 3. pgp ganglion 4. branches of maxillary artery |
|
**V2 enters pgp fossa via:**
|
the foramen rotundum
|
|
after entering the pgp fossa, V2 splits into:
(6) |
1. zygomatic nerve
2. infraorbital nerve 3. posterior sup. alveolar nerves 4. sphenopalatine nerve 5. palatine nerve (=> greater and lesser) 6. pharyngeal nerve |
|
Vidian's nerve =
|
the nerve of the pterygoid canal
|
|
***Vidian's nerve = a union between:***
(2) |
1. sympathetic, postganglionic fibers from the carotid plexus, called deep petrosal nerve
2. parasympathetic, preganglionic fibers from CN 7, called greater petrosal nerve |
|
***Vidian nerve's parasympathetic fibers synapse in:***
|
the pgp ganglion;
***postgnaglionic fibers leave ganglion and hitchhike on branches of V2*** |
|
destinations of parasympathetic component of Vidian's nerve:
(2) |
1. from V2 to V1 to lacrimal gland
2. from V2 to salivary/mucosal glands |
|
the maxillary artery enters the pgp fossa through:
|
the pterygomaxillary fissure
- its branches follow branches of V2, have same names |
|
soft palate =
(2) |
muscles + aponeuroses
|
|
both soft and hard palate are covered by:
|
mucous membranes (mucosa)
|
|
teeth are held entirely in the:
|
maxilla;
not at all in the palate |
|
palatine ruggae =
|
anterior transverse folds
|
|
palatine Raphe =
|
central, longitudinal ridge
|
|
incisive papilla covers:
|
incisive foramen
|
|
function of soft palate:
|
seal off nasopharynx from oral cavity as food and liquid come
|
|
you don't need a complete soft palate to swallow, but you need it to:
|
speak clearly
|
|
uvula contains:
|
uvular muscle
|
|
nerves of palate =
(2) |
1. gen sense of V2
2. taste via CN 7 |
|
blood supply to palate =
(2) |
greater and lesser palatine arteries, off of maxillary
|
|
the tongue is formed by:
(2) |
1. the ventral floor of the pharynx
2. pharyngeal arches 1, 3, and 4 |
|
the 1st pharyngeal arch has 3 swellings:
|
Medial lingual swelling and 2 Lateral lingual swellings
|
|
the 2 Lateral lingual swellings of the 1st pharyngeal arch =>
|
anterior 2/3rds of the tongue
|
|
what happens to the 2nd pharyngeal arch?
|
it's overgrown by the 1st
|
|
the 3rd and 4th pharyngeal arches form the:
|
hypopharyngeal eminence
|
|
the hypopharyngeal eminence becomes:
|
the posterior 1/3rd of the tongue
(it fuses with the 2 Lateral swellings) |
|
ankyloglossio =
|
frenulum extends all the way to the tip of the tongue
- "tongue-tied" |
|
foramen cecum =
|
opening into thyroglossal duct, which is what the thyroid diverticulum travels down to become the thyroid gland
|
|
the thyroglossal duct eventually:
|
degenerates
|
|
thyroglossal cysts can be found:
|
at any point along the migratory pathway of the thyroid
- some may be open via thyroglossal fistulas |
|
pharyngeal pouches:
(2) |
1. Lateral out-pocketings between pharyngeal arches
2. 4 pairs total |
|
1st pharyngeal pouch =>
(2) |
1. tympanic membrane
2. auditory tube |
|
2nd pharyngeal pouch =>
|
palatine tonsils
|
|
3rd pharyngeal pouch, dorsal portion =>
|
inferior parathyroid gland
|
|
3rd pharyngeal pouch, ventral portion =>
|
thymus
|
|
4th pharyngeal pouch, dorsal portion =>
|
superior parathyroid gland
|
|
4th pharyngeal pouch, ventral portion =>
|
ultimobranchial body
=> parafollicular (C) cells of thyroid |
|
pharyngeal grooves are found:
|
between pharyngeal arches, pointing Medially
|
|
1st pharyngeal groove =>
|
external auditory meatus
|
|
the remaining pharyngeal grooves are:
|
overgrown by the 2nd pharyngeal arch
|
|
Lateral cervical cyst on neck is the result of:
|
a *persistant* cervical sinus
- cervical fistula may be present |
|
HYPOparathyroidism =>
|
HYPOcalcemia
- not breaking down Ca2+ to go into bloodstream |
|
the pharynx is split into 3 parts:
|
1. nasopharynx
2. oropharynx 3. laryngopharynx |
|
the nasopharynx contains the cartilagenous:
|
torus taberius, which contains the opening of the eustachian tube
|
|
what separates the orpharynx from the oral cavity?
|
the palatoglossal arch
|
|
vallaculae =
|
depression b/w base of tongue and epiglottis
|
|
the borders of the valleculae are formed by the:
|
glossoepiglottic folds
|
|
the laryngopharynx is found:
|
posterior to the larynx
|
|
just lateral to the opening of the larynx =
|
piriform recesses
- foreign objects lodge here |
|
tonsils =
|
collections of lymphoid tissue
|
|
tonsils:
(2) |
1. 4 pairs
2. regress with age |
|
tonsilectomy refers to:
|
removing palatine tonsils
|
|
2 risks of tonsilectomy:
|
1. extensive bleeding
2. damage to lingual branch of CN 9 |
|
tonsil stones (tonsilloliths) =
|
bacteria, fooed, etc.
=> bad breath, stuck feeling |
|
"adenoids" = another name for
|
tonsils
|
|
adenoiditis =
|
inflammation of **pharyngeal** tonsils
|
|
adenoiditis =>
(2) |
1. breathing problems
2. middle ear infections/hearing loss |
|
action of pharyngeal muscles =
|
propelling food down the esophagus during swallowing
|
|
pharyngeal muscles:
(5) |
1. sup, middle, and inf. constrictors
2. cricopharyngeus 3. stylopharyngeus 4. scalpingopharyngeus (forms fold) 5. palantopharyngeus (forms fold) |
|
the sup, middle, and inferior constrictors all attach at the:
|
pharyngeal raphe, posteriorly
|
|
**cricopharyngeus:**
(2) |
1. part of inferior constrictor
2. **= sphincter of the esophagus** |
|
Innervation of Pharynx:
(2) |
CN 9 and 10 as pharyngeal plexus
|
|
motor innervation of pharynx =
|
CN 10
**except for stylopharyngeus (~~ CN 9)** |
|
sensory innervation of pharynx =
|
CN 9
|
|
gag reflex ~~
|
CN 9's high sensitivity to touch
- e/t from post. 1/3 of tongue back will contract (gag) |
|
tensor veli palatini action:
|
tenses soft palate
|
|
tensor veli palatini helps to:
(2) |
1. close nasopharynx during swallowing
2. open auditory tube during yawning/swallowing |
|
tensor veli palatini is innervated by:
|
V3
|
|
levator veli palatini actions:
|
same as tensor veli palatini, except that it elevates the soft palate instead of tensing it
|
|
levator veli is innervated by:
|
CN 10
|
|
palatoglossal muscle:
(2) |
1. forms the palatoglossal arch
2. depresses soft palate, narrowing the pharyngeal inlet (palatopharyngeal muscle does the same) |
|
another name for palatoglossal arch =
|
anterior pillar of the fauces
|
|
main function of soft palate =
|
seals nasopharynx from oropharynx during swallowing
|
|
**ALL soft palate muscles are innervated by _____, except for tensor veli palatini, which is innervated by ______
|
CN 10;
V3 |
|
larynx =
(2) |
voice box,
entrance to trachea |
|
false cord =
|
vestibular fold/ligament
|
|
vocal fold =
|
true fold
- contains *vocal* ligament |
|
space between true and false cords =
|
ventricle
|
|
glottis =
|
true cords and the space between them
|
|
laryngeal cartilages:
(4) |
1, thyroid cartilage
2. cricoid cartilage 3. arythenoid cartilages (x2) 4. epiglottis |
|
thyroid cartilage:
(2) |
1. produces thyroid notch
2. connected to hyoid via membrane |
|
cricoid cartilage looks like a:
|
signet ring
(wider in the back) |
|
cricothyrotomy =
|
incision through cricothyroid membrane for emergency airway
|
|
arytenoid cartilages:
(3) |
1. sit on cricoid cartilagenous
2. have lateral muscular processes 3. have an anterior vocal process, to which cords attach and run to thyroid cartilage |
|
epiglottis:
(2) |
1. closes over larynx during swallowing
2. connects to arytenoid cartilage via aryepiglottic folds |
|
2 laryngeal membranes:
|
1. quadrangular membrane
2. conus elasticus |
|
quadrangular membrane:
(2) |
1. from arythenoids to epiglottis
2. above false cord |
|
conus elasticus:
(2) |
1. from cricoid to thyroid cartilage
2. below true vocal cords |
|
3 functions of the larynx:
|
1. closes laryngeal inlet to keep food and stuff out of the airway
2. closes laryngeal inlet to inc. pressure in abdomen (coughing, pooping, etc) 3. produces voice/opens airway |
|
6 laryngeal muscles and their actions:
|
1. posterior cricoarytenoid
- ONLY muscle that ABd's the vocal cords 2. transver arytenoid - add's 3. oblique arytenoid - add's 4. lateral cricoarytenoid - add's 5. cricothyroid - changes inflection 6. vocalis - fine-tunes |
|
phonation =
|
air pushed out between vocal cords, which vibrate
|
|
puberty => enlargement of vocal cords =>
|
change in voice
|
|
sensory innervation of larynx =
(2) |
internal branch above vocal cords, recurrent laryngeals below
|
|
motor innervation of larynx =
|
recurrent laryngeals, except for cricothyroid muscles (~ external branch of superior laryngeal)
|
|
parasymp, postganglionic fibers from otic ganglion hitch hike on:
|
V3's auriculotemporal nerve
|
|
injury to ONE recurrent laryngeal =>
|
hoarse voice
|
|
injury to BOTH recurrent laryngeals =>
|
loss of voice altogether
|
|
**injury to internal branch of superior laryngeal =>**
|
loss of cough reflex => infections
|
|
what does the lingual branch of CN 9 provide?
(2) |
1. special sensory (taste) to post 1/3 of tongue
2. visceral sensory " " |
|
taste from anterior 2/3rds of tongue is conveyed by:
|
the chorda tympani nerve of CN 7
|
|
general sensory from anterior 2/3rds of tongue is conveyed by:
|
V3
|
|
the lateral and medial pterygoid plates belong to the:
|
sphenoid bone
|
|
muscles of mastication:
(2) |
1. ALL move the mandible at the TMJ
2. all innervated by **V3** |
|
4 muscles of mastication:
|
1. masseter - elevation, ipsi excursion
2. temporalis - elevation, retraction, ipsi excursion 3. medial pterygoid - elevation, contralateral excursion 4. lateral pterygoid - protrusion, contralateral excursion |
|
what's the only muscle that protrudes the mandible?
|
the lateral pterygoid
|
|
both pterygoids originate on the:
|
*lateral* pterygoid plate
|
|
the TMJ is the point at which the temporal bone articulates with the:
|
condyle of the mandible
|
|
what divides the TMJ into two joint spaces?
|
the intra-articular disk
|
|
what makes sure the intra-articular disk moves with the condyle?
|
the joint capsule
|
|
3 planes of movement at the TMJ:
|
1. translation/sliding
2. hinge/vertical 3. excursion |
|
2 steps to opening the mouth:
|
1. suprahyoids initiate movement
2. Lateral pterygoids protract the mandible => condyle slides forward and out |
|
maxillary artery:
(3) |
1. ~~ pgp fossa
2. = main artery of deep facial muscles 3. runs deep to ramus |
|
the maxillary artery supplies:
(4) |
1. palate
2. nasal cavity 3. muscles of mastication 4. all teeth |
|
major branches of maxillary =
(2) |
1. inferior alveolar
2. **middle meningeal** |
|
what does the middle meningeal split?
|
the auriculotemporal nerve of V3
|
|
pterygoid plexus of veins:
(2) |
1. on surface of pterygoid muscles
2. drains infratemporal region |
|
infeciton from face OR MOUTH can:
|
spread through veins into cavernous sinus
|
|
motor portion of V3 innervates:
(4) |
1. muscles of mastication
2. mylohypoid 3. anterior digastric 4. tensors tympani and veli |
|
sensory branches of V3 =
(5) |
1. auricolotemporal
2. buccal 3. lingual 4. inferior alveolar => mylohyoid 5. mental |
|
which branch of V3 does the chorda tympani nerve hitchhike on?
|
the lingual nerve
|
|
which branch of V3 do post. parasympathetics from otic ganglion hitchhike on?
|
auriculotemporal
|
|
the partodi duct comes into the mouth at the:
|
vestibule, between lips and teeth
- parotid papillae |
|
mylohyoid = floor of mouth:
(2) |
1. elevates hyoid/floor
2. depresses mandible |
|
the sublingual land empties along:
|
the floor of the mouth
|
|
the submandibular gland's long duct travels along the floor of the mouth, emptying into:
|
sublingual caruncle at the base of the frenulum
|
|
parasympathetic supply to sublingual and submandibular salivary glands comes from:
|
CN 7
|
|
pathway of subligual and submandibular gland innervation: superior salivatory nucleus => preganglionics =>
|
travel within chorda tympani => synapse onto submandibular gland => postganglionics travel to the sublingual gland
|
|
the chorda tympani carries both:
|
taste and visceral motor fibers (to salivatory glands)
|
|
upper surface of the tongue =
|
the dorsum
|
|
terminal sulcus of tongue =
|
v-shape splitting 2/3 from 1/3
- foramen cecum at its apex |
|
deep lingual vein on the ventral surface of the tongue ~~
|
sublingual administration
|
|
3 pairs of extrinsic tongue muscles:
|
1. hyoglossus (depression)
2. styloglossus (retraction) 3. genioglossus (protrusion) |
|
taste from epiglottis/vallaculae is carried by:
|
CN 10
|
|
ALL taste fibers (from CN 7, 9, and 10) travel to:
|
the solitary tract nucleus of the BS
|
|
general sensory of the tongue is conveyed by:
|
the lingual nerve of V3 for ant. 2/3,
lingual branch of CN 9 for post. 1/3 |