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134 Cards in this Set

  • Front
  • Back
Layers of scalp?
SCALP (skin, CT, aponeurosis, LCT, pericranium)
Layer of scalp with blood vessels/nerves?
Connective tissue
Sensory innervation of forehead/anterior scalp?
V1 (opthalmic)
Lymph drainage of scalp?
Deep cervical nodes
Artery deep to the pterion?
Middle meningeal artery
Intersection of coronal suture and sagittal suture?
Bregma/anterior fontanelle
Does anything pass through the foramen lacerum?
no, covered by membrane
Contains V3 (mandibular) and lesser petrosal n.?
Foramen ovale
Contains V2 (maxillary)?
Foramen rotundum
Contained in internal acoustic meatus?
CN VII, VIII
Contained in jugular foramen?
CN IX, X, XI
Contained in superior orbital fissure?
CN III, IV, V1, VI; opthalmic vein
Location of carotid canal?
Petrous portion of temporal bone
Components of anterior cranial fossa?
Frontal, ethmoid, and sphenoid bones
Components of middle cranial fossa?
Sphenoid, temporal, and parietal bones
Components of posterior cranial fossa?
Temporal, occipital, sphenoid, and parietal bones
Dura separating left/right hemispheres?
Falx cerebri
Separates cerebellum from occipital lobe?
Tentorium cerebelli
Separates right/left cerebellar hemispheres?
Falx cerebelli
Artery supplying dura and passing through foramen spinosum?
Pterion
Innervation of falx cerebri and tentorium cerebelli?
V1 (opthalmic)
Dural layer not entering grooves of brain?
Arachnoid mater
Dural layer entering entering all grooves/fissures?
Pia mater
Responsible for CSF formation?
Ventricles
Common site of stenosis for cerebral arteries?
Carotid sinus
Where does the great cerebral vein of Galen drain?
Straight sinus
Where do dural sinuses ultimately drain?
Internal Jugular Vein (IJV)
What drains into the confluence of sinuses?
Superior sagittal, straight, and occipital sinuses
Collection of nerve cell bodies outside of the CNS?
Ganglion
Responsible for taste on anterior 2/3 of tongue?
CN VII (Facial)
Responsible for taste on posterior 1/3 of tongue?
CN IX (Glossopharyngeal)
Supplies all muscles of the tongue except palatoglossus?
CN XII (Hypoglossal)
Carries PS to lacrimal, nasal, and palatine glands?
Greater petrosal n.
Branch of CN VII carrying taste fibers to anterior 2/3 of tongue?
Chorda tympani
Supplies stylopharyngeus m.?
CN IX (Glossopharyngeal)
Innervates the SCM?
CN XI (Spinal accessory)
Possible complication of pulling on a child's head during birth?
Torticollis
Contents of carotid sheath?
Internal carotid arteries, internal jugular vein, and vagus nerve
Contents of posterior triangle?
Brachial plexus roots, CN XI, cervical plexus, external jugular vein, third part of subclavian artery
Receive head/neck lymph drainage?
Deep cervical nodes
Runs with superior thyroid artery?
External laryngeal n.
Runs with inferior thyroid artery?
Recurrent laryngeal n.
Only thyroid vein not draining into the IJV and instead into the left brachiocephalic vein?
Inferior thyroid vein
Unilateral damage to recurrent laryngeal nerve may cause?
Hoarseness
Possible cause of monotonous voice?
External laryngeal nerve unilateral damage
Supplies all intrinsic laryngeal muscles EXCEPT cricothryoid?
Recurrent laryngeal n.
Location of bifurcation of common carotid?
Upper border of thyroid cartilage
Innervates the carotid sinus and carotid body?
CN IX (Glossopharyngeal)
Nerve branch receiving taste fibers from chorda tympani?
Lingual nerve (branch of V3)
May be damaged by fracture of ramus of mandible, and what symptoms may occur?
Inferior alveolar nerve
Nerve vulnerable to injury in children due to the incomplete formation of the mastoid at birth?
Facial nerve
Nerve plexus supplying all facial muscles?
Parotid plexus
Possible cause of facial paralysis?
Bells palsy due to otitis media (middle ear infection) or tumor
Venous plexus connected to cavernous sinus via emissary veins?
Pterygoid venous plexus
Terminal part of maxillary artery supplying the nasal cavity?
Sphenopalatine a.
Drainage of superior meatus?
Posterior ethmoid sinus
Drainage of middle meatus?
Frontal, anterior ethmoid, middle ethmoid, maxillary sinuses
Innervates anterior nasal cavity?
Anterior ethmoid n. (branch of V1)
Largest nerve branch supplying medial and lateral walls of posterior nasal cavity?
Nasopalatine n. (V2)
Sensory innervation to soft palate?
Lesser palatine nerves (V2)
Veins at posterior border of hypglossus m. ultimately draining into the IJV?
Deep lingual veins
Supplies general sensory information to anterior 2/3 of tongue?
Lingual n. (V3)
Supplies general sensory information to posterior 1/3 of tongue?
CN IX
Innervates all extrinsic muscles of the tongue EXCEPT palatoglossus?
CN XII
Innervates palatoglossus?
CN X
Patient extends tongue, but instead of straight it points to the patient's right. What nerve is paralyzed?
Right CN XII
Innervation of nasopharynx?
V2
Innervation of oropharynx?
CN IX
Innervation of laryngopharynx?
CN X
Contains pharyngeal plexus of CN IX, X?
Buccopharyngeal fascia
Motor innervation to external muscles of pharynx?
CN X
Motor innervation to internal muscles of pharynx EXCEPT stylopharyngeus?
CN X
Motor innervation to stylopharyngeus, the only pharyngeal muscle not innervated by CN X?
CN IX
Located on each side of auditus (inlet of larynx) and often becomes lodged with food or objects in children?
Piriform recess
Passes through optic canal?
CN II, opthalmic a.
Facial muscle innervated by CN III (oculomotor)?
Levator palpebrae superioris
Ocular muscle not invested by the fascial sheath (covers optic nerve and all extrinsic ocular muscles)?
Levator palpebrae superioris
Innervates superior oblique?
CN IV (trochlear)
Innervates lateral rectus p?
CN VI (abducent)
Pass superior to common tendinous ring?
Trochlear n., Frontal n. (V1), Lacrimal n. (V1)
Sensory innervation to auricle?
C2, C3, V3
Sensory innervation to external acoustic meatus?
V3, CN VII, CN X
Innervates tensor tympani?
V3 (mandibular)
Innervates stapedius?
CN VII
Result of paralysis of either tensor tympani or stapedius?
Hyperacusia
Control of pupillary constrictor m.?
PS (miosis)
Control of pupillary dilator m.?
SS (myadrisis)
Control of ciliary body and its function?
PS, accomodation
Location of PS preganglionic cell body innervating iris/ciliary body?
Edinger-Westphal nucleus
Location of PS postganglionic cell body innervating iris/ciliary body?
Ciliary ganglion
Function of PS innervating eye?
Miosis (contraction), accommodation
Location of SS preganglionic cell body innervating iris?
Intermediolateral cell column (T1-T2)
Location of SS postganglionic cell body innervating iris?
Superior Cervical Ganglion (SCG)
Function of SS innervating eye?
Myadrisis (contraction)
Problem with lesion to SS fibers innervating the eye?
Partial ptosis (due to tarsal mm. innervation)
Carries PS fibers to iris/ciliary body?
CN III (oculomotor)
Symptoms of unilateral lesion of CN III?
Ipsilateral myadrisis, loss of direct light reflex, loss of ipsilateral accommodation reflex
Symptoms of Horner's syndrome (destruction of central SS)?
Miosis, partial ptosis, dry and flushed skin
Control of tears, mucus secretion?
PS
Location of PS preganglionic cell body innervating glands (lacrimal/nasal/oral)?
Superior salivatory nucleus
Location of PS postganglionic cell body innervating glands (lacrimal/nasal/oral)?
Pterygopalatine ganglion (PG)
Location of PS preganglionic cell body innervating glands (submandibular, sublingual)?
Superior salivatory nucleus
Location of PS postganglionic cell body innervating glands (submandibular, sublingual)?
Submandibular Ganglion
Location of PS preganglionic cell body innervating parotid gland?
Inferior salivatory nucleus
Location of PS postganglionic cell body innervating parotid gland?
Otic gland
PS fibers innervating lacrimal/nasal/oral/salivary glands travel with what nerves?
CN VII, greater petrosal
PS fibers innervating submandibular/sublingual glands travel with what nerves?
CN VII, chorda tympani, then lingual n. (V3)
PS fibers innervating parotid gland travel with what nerve?
Tympanic branch CN IX, lesser petrosal
Function of SS on all head/neck salivary glands?
Decreased secretion and blood flow
Result of ipsilateral CN VII lesion?
Ipsilateral dry eye and decreased salivary secretion
Result of penetrating wound to parotid gland, resulting in diversion of PS fibers?
Frey's syndrome
Effect of increased CO2 concentration on brain autoregulation?
Vasodilation, increased blood flow
Powerful brain vasodilator in endothelial wall ensuring adequate vasodilation?
Nitric Oxide (NO)
Location of PS preganglionics innervating blood vessels/glands in larynx?
Dorsal Motor Nucleus of X
PS fibers innervating blood vessels/glands travel with what nerve?
Laryngeal branch of X
Afferent limb of corneal reflex?
V1
Efferent limb of corneal reflex (closes eye)?
CN VII (orbicularis oculi)
Afferent limb of carotid sinus reflex?
CN IX, X
Efferent limb of carotid sinus reflex?
CNS centers
Afferent limb of gag reflex?
CN IX (glossopharyngeal)
Efferent limb of gag reflex?
CN X (vagus)
Ipsilateral lesion of olfactory nerve?
Ipsilateral loss of smell
Optic nerve lesion?
Ipsilateral blindness, loss of ipsilateral direct light reflex
Result of oculomotor (CN III) lesion?
Eye depressed, abducted; lose accommodation; fixed, dilated pupil
Lesion of trochlear (CN IV)?
Lose superior oblique; cannot look down and out
Lesion of trigeminal?
Loss of general sensation of face
Lesion of lingual n. distal to chorda tympani?
Lose ipsilateral anterior 2/3 taste
Lesion lingual n. proximal to chorda tympani?
ONLY general sensory losses to face
Lesion CN VI (abducens)?
Lose lateral rectus, eye adducted
Likely cause of sudden onset, temporary paralysis of facial muscles?
Bells palsy
Lesion CN VIII (vestibulocochlear)?
Hearing loss
Symptoms of vagus nerve lesion?
Hoarseness, weak voice, difficulty swallowing
Symptom of CN XI (accessory) nerve lesion?
Inability to shrug shoulders
Result of lesion of CN XII (hypoglossal)?
Deviation of tongue to ipsilateral side