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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