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ANATOMY EXAM 4!!!
n/a
344
Biology
Post-Graduate
02/09/2012

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Term
Cleft lip cause
Definition
failure of fusion of maxillary prominence and intermaxillary segment
Term
hare lip cause
Definition
incomplete merging of right and left medial nasal prominences
Term
anterior cleft palate causes
Definition
failure of primary palate to fuse with either one (unilateral) or both (bilateral) palatal shelves
Term
posterior cleft palate causes
Definition
failure of palatal shelves to fuse with each other and the nasal septum
Term
Scaphocephaly
Definition
Premature closure of sagittal suture...results in a long and narrow skull
Term
Brachycephaly
Definition
premature closure of the coronal suture..results in short skull
Term
what 4 bones comprise the Pterion?
Definition
The parietal, frontal, sphenoid, and temporal
Term
aditus
Definition
anterior orbital opening
Term
What bones make up the roof of the orbit?
Definition
The orbital plate of the frontal bone and the lesser wing of the sphenoid
Term
What bones make up the lateral wall of the orbit?
Definition
the zygomatic bone and the greater wing of the sphenoid
Term
What bones make up the floor of the orbit?
Definition
The zygomatic, orbital surface of the maxilla, and orbital process of the palatine
Term
What bones make up the medial wall of the orbit?
Definition
the orbital plate of the ethmoid, the frontal process of the maxilla, the lacrimal, and minor contributions by frontal bone and orbital process of the palatine (basically all the bones of the orbit we talked about EXCEPT the zygomatic and greater and lesser wings of sphenoid)
Term
canthi
Definition
the medial and lateral angles of the eyelids
Term
periorbita
Definition
the periosteal lining of the orbital cavity
Term
limbus
Definition
circular furrow which surrounds the corneoscleral junction
Term
ora serrata
Definition
a jagged line posterior to the ciliary body marking the transition from non-sensory to optic retina
Term
episclearal space
Definition
space between the bulbar fascia and the sclera
Term
philtrum
Definition
groove running from nasal septum to upper lip
Term
what's in the carotid unit of the neck
Definition
common and internal carotid aa, internal jugular v, vagus n, some deep cervical lymph nodes, carotid sinus nerve, sympathetic nerve fibers
Term
origin/insertion/innervation scalenus anterior
Definition
O:transverse processes of C4-C6
I: 1st rib
N: cervical spinal nerves C4, C5, C6
Term
origin/insertion/innervation scalenus medius
Definition
O: transverse processes of C2-C7
I: superior surface of the 1st rib
N: ventral rami of cervical spinal nn
Term
origin/insertion/innervation scalenus posterior
Definition
O: transverse processes of C5-C7 vertebrae
I: superior border of 2nd rib
N: ventral rami of cervical spinal nn C7/C8
Term
innervation omohyoid
Definition
ansa cervicalis (C1-C3)
Term
Innervation posterior belly digastric
Definition
facial n
Term
innervation anterior belly digastric
Definition
mylohyoid n (from trigeminal n)
Term
innervation stylohyoid m
Definition
facial n
Term
innervation sternohyoid
Definition
ansa cervicalis
Term
innervation thyrohyoid
Definition
C1 via hypoglossal n
Term
Innervation sternothyroid
Definition
ansa cervicalis (C1-C3)
Term
Innervation sternocleidomastoid
Definition
Accessory nerve (CN 11) and sensory fibers from C2 and C3 ventral rami
Term
location of inferior cervical ganglion
Definition
located posterior to the vertebral artery at its origin from the subclavian a...sometimes fuses with first thoracic ganglion to form the stellate ganglion
Term
location of middle cervical ganglion
Definition
located on anterior aspect of inferior thyroid artery around the level of the cricoid cartilage
Term
location of superior cervical ganglion
Definition
located at level of atlas and axis
Term
What does a pyramidal lobe on a thyroid gland represent in an adult?
Definition
A persistent thyroglossal duct
Term
anterior border of posterior triangle
Definition
SCM muscle
Term
posterior border of posterior triangle
Definition
trapezius m
Term
inferior border of posterior triangle
Definition
middle 1/3 of clavicle
Term
apex of posterior triangle
Definition
behind the ear to the level of the superior nuchal line of the occipital bone (posterior to the mastoid process of the temporal bone...near the point where the trapezius and SCM come together)
Term
roof of posterior and anterior triangles
Definition
superficial layer of deep cervical fascia, platysma, skin
Term
floor of posterior triangle
Definition
prevertebral fascia and 5 mm: splenius capitus, levator scapulae, scalenus medius, scalenus posterior, scalenus anterior
Term
what's within the occipital triangle of the neck
Definition
(is part of posterior triangle)

the accessory nerve crosses thru here, embedded within the investing layer of deep cervical fascia
Term
what's with the subclavian triangle of the neck?
Definition
suprascapuar a,v, part of subclavian a, internal jugular a.
Term
superior border of anterior triangle of neck
Definition
inferior margin of the mandible
Term
apex of anterior triangle
Definition
the jugular (suprasternal notch)
Term
floor of anterior triangle
Definition
pharynx, larynx, thyroid gland covered with pre tracheal fascia
Term
where can the ansa cervicalis be found?
Definition
on the superficial surface of the carotid sheath
Term
Temporalis m. innervation
Definition
deep temporal n. from V3
Term
innervation masseter m.
Definition
masseteric branch of V3
Term
lateral pterygoid muscle innervation
Definition
lateral pterygoid branch of V3
Term
innervation medial pterygoid m.
Definition
medial pterygoid branch of V3
Term
lateral boundary of the infra temporal fossa
Definition
the medial aspect of the rams of the mandible
Term
anterior boundary of the infra temporal fossa
Definition
the body of the maxilla
Term
medial boundary of the infra temporal fossa
Definition
lateral pterygoid plate of sphenoid, superior pharyngeal constrictor, tensor and levator veli palatini mm
Term
roof of infra temporal fossa
Definition
greater wing of the sphenoid and squamous portion of temporal bone
Term
contents of the infra temporal fossa
Definition
the medial and lateral pterygoid mm, the maxillary a, the pterygoid plexus of vv, mandibular division of the trigeminal n and its branches
Term
innervation of superior portion of auricle
Definition
mandibular division of trigeminal n.
Term
innervation of area around and inside external auditory meatus
Definition
CN X (vagus)
Term
Innervation of lower portion of the auricle
Definition
cervical nerves from the cervical plexus
Term
innervation tensor tympani
Definition
mandibular division of CN5
Term
innervation of the tensor tympani muscle
Definition
mandibular division of CN 5
Term
innervation of stapedius m
Definition
facial n.
Term
Stern's Hierarchial LAW
Definition
1.) Anything with "tensor" in name is supplied by trigeminal n.
2.) Anything with "palat-" is supplied by vagus
3.) Anything with "gloss-" is innervated by hypoglossal

Rule 1 id chief...then 2 then 3
Term
Innervation of hard palate (sensory, mucous glands, and blood vessels)
Definition
Greater palatine n (primarily) and nasopalatine n (anteriorly) for general sensation

Parasympathetic (postganglionic) fibers from CN7 (via pterygopalatine ganglion) for mucous glands

Sympathetic (postganglionic) fibers from superior cervical ganglion for blood vessels
Term
innervation of soft palate
Definition
lesser palatine n. and branches of glossopharyngel n. for general sensation

postganglionic parasympathetic and sympathetic fibers same as hard palate
Term
Innervation palatoglossus m
Definition
Vagus n.
Term
Innervation styloglossus m
Definition
hypoglossal n.
Term
Innervation of hyoglossus m
Definition
hypoglossal n.
Term
Describe the significant aa and nn that course superficial/deep to the hyoglossus m
Definition
lingual and hypoglossal nn course on superficial side of hyoglossus...lingual a courses deep
Term
Innervation of genioglossus m
Definition
hypoglossal n.
Term
Decribe the general sensation innervation of the tongue as well as the innervation from taste
Definition
General sensation:
lingual n to anterior 2/3 of tongue...glossopharyngeal n to posterior 1/3

Taste:
facial n via chorda tympani to anterior 2/3
glossopharyngeal n to posterior 1/3
Term
Innervation mylohyoid m
Definition
nerve to mylohyoid (branch of inferior alveolar n.)
Term
Innervation mylohyoid m
Definition
nerve to mylohyoid (branch of inferior alveolar n.)
Term
Innervation geniohyoid m
Definition
C1 via hypoglossal n. (CN12)
Term
Blood supply of tongue
Definition
branches of lingual a course deep to hyoglossus:

dorsal branch of lingual to the dorsum of the tongue
deep branch of lingual to the tip of the tongue
Term
parasympathetic/sympathetic innervation of the parotid gland
Definition
Parasympathetic:

Preganglionic parasympathetic fibers from CN1X via the lesser petrosal n; postganglionics from the otic ganglion traveling with the auriculotemporal n. (V3)

postganglionic sympathetic from the superior cervical ganglion course along blood vessels
Term
innervation (SYMP/PARA) of submandibular gland and sublingual gland
Definition
Parasympathetic: preganglionic parasympathetic fibers from CN 7 via chorda tympani; postganglionics from submandibular ganglion

postganglionic sympathetic fibers from superior cervical ganglion course on lingual artery to gland
Term
blood supply of submandibular gland and sublingual gland
Definition
sublingual branch of lingual a., sub mental branch of facial a.
Term
describe the lymphatic drainage of the tongue
Definition
Drain to deep cervical, submandibular, and sub mental nodes

The posterior third drains bilaterally and so metastases may be found in nodes on the side opposite to the lesion...the tip and central regions also drain bilaterally but to a lesser extent than the posterior third
Term
What 3 nerve types can be found in the parasympathetic ganglia of the head?
Definition
1.) Sensory fibers from a branch of the trigeminal nerve traverse each ganglion
2.) postganglionic sympathetic nerves from the superior cervical ganglion traverse each ganglion
3.) preganglionic parasympathetic fibers synapse with the cell bodies of postganglionic parasympathetic neurons in the ganglia
Term
where is the parasympathetic innervation of the lacrimal gland derived from?
Definition
The pterygopalatine ganglion...fibers originating off CN7
Term
What 3 nerve fiber types are seen in the ciliary ganglion?
Definition
1.) pre/post ganglionic parasympathetic fibers form the oculomotor n.
2.) somatic sensory branches from the nasociliary n. (from v1)
3.) postganglionic sympathetic fibers from the opthalmic a/internal carotid a sympathetic plexus
Term
What 3 fiber types are seen in the pterygopalatine ganglion?
Definition
1.) pre/post-ganglionic parasympathetic fibers from the greater petrosal nerve, a branch of the facial n.
2.) postganglionic sympathetic fibers from the deep petrosal n./sympathetic plexus surrounding the internal carotid a./ internal carotid plexus
3.) sensory branches off the maxillary n./lacrimal n./ pterygopalatine nn
Term
where is the ciliary ganglion located?
Definition
lateral to the optic n, near the apex of the orbit
Term
Where is the otic ganglion located?
Definition
the medial surface of the mandibular n.
Term
What 3 fiber types are seen in the otic ganglion?
Definition
1.) pre/post ganglionic parasympathetic fibers from the glossopharyngeal n/ lesser petrosal n.
2.) postganglionic sympathetic fibers from the external carotid artery plexus and middle meningeal a plexus
3.) sensory fibers from the V3/auriculotemporal n.
Term
What 3 fiber types are seen in the submandibular ganglion?
Definition
1.) pre/post ganglionic parasympathetic fibers from the facial n/ chord tympani
2.) postganglionic sympathetic n from the external carotid a plexus
3.) sensory fibers from v3/lingual n
Term
Terminal branches of the maxillary a.
Definition
The maxillary a terminates as it enters the pterygomaxillary fissure and splits into the sphenopalatine and descending palatine aa
Term
Blood supply to the posterior lateral nasal wall and septum
Definition
sphenopalatine a via it's branches: posterior lateral nasal and posterior septal nasal
Term
blood supply to the anterior nasal septum
Definition
greater palatine a (anastomoses with posterior lateral nasal and posterior septal nasal aa when passes thru incisive foramen)
Term
blood supply to the anterior/superior lateral nasal wall and septum
Definition
anterior and posterior ethmoidal aa (branches of opthalmic a)
Term
blood supply to ala and other generally anterior parts of the nasal cavity
Definition
facial a
Term
innervation of anterior/superior lateral nasal wall and septum
Definition
anterior ethmoidal n (from opthalmic n, V1)
Term
innervation of the cutaneous part of the apex of the nose
Definition
external nasal n (from the anterior ethmoidal n)
Term
innervation of the superior lateral nasal wall
Definition
posterior superior nasal branches of the maxillary n (V2)
Term
innervation of the inferior lateral nasal wall
Definition
posterior inferior nasal branches of the maxillary n (are derived from greater palatine n as it traverses the greater palatine canal)
Term
innervation of the nasal septum
Definition
nasopalatine n (branch of maxillary n)
Term
the pterygoid canal exists between which 2 areas?
Definition
The pterygopalatine fossa and the foramen lacerum
Term
what 2 nn comprise the Vidian n (n of the pterygoid canal?
Definition
deep petrosal n (from internal carotid plexus) and greater petrosal n (from part of CN7 that originated in the rostral part of the superior sensory nucleus)
Term
Extrinsic mm of the larynx that ELEVATE the larynx
Definition
thyrohyoid m, stylopharyngeus m, palatopharyngeus m, all suprahyoid mm
Term
Extrinsic mm of the larynx that DEPRESS the larynx
Definition
sternothyroid, omohyoid, and sternohyoid
Term
Innervation of the intrinsic mm of the larynx
Definition
the cricothyroid m is innervated by the external branch of the superior laryngeal n (from vagus)...ALL OTHER intrinsic laryngeal mm are innervated by the recurrent (inferior) laryngeal n. (also from vagus)
Term
action of cricothyroid m.
Definition
tenses and elongates the vocal ligaments by tilting the thyroid cartilage, increasing the distance between the thyroid and arytenoid cartilages
Term
action of the posterior cricoarytenoid m
Definition
opens rima glottidis (abducts vocal folds)
Term
action of lateral cricoarytenoid m
Definition
closes rima glottidis (adducts vocal folds)
Term
action of thyroarytenoid m
Definition
decreases tension on the vocal cords by drawing the thyroid and arytenoid cartilages closer together...rotates the arytenoid cartilage medially and aids in closure of the rima glottides
Term
sensory innervation of the larynx
Definition
above the vocal folds: internal branch of the superior laryngeal n. (from vagus)
below the vocal folds: recurrent laryngeal nerve (from vagus)
Term
what arteries do the superior and inferior laryngeal arteries branch off of?
Definition
Superior laryngeal artery: branch of external carotid a.
Inferior laryngeal artery: branch of thyrocervical trunk off subclavian a
Term
The optic canal connects what 2 spaces?
Definition
The orbit and the MIDDLE cranial fossa
Term
The superior orbital fissure connects what 2 spaces
Definition
The orbit and the MIDDLE cranial fossa
Term
The inferior orbital fissure connects what 2 spaces?
Definition
The orbit and the pterygopalatine ganglion
Term
palpebral fissure
Definition
the space between your upper and lower eyelid
Term
innervation orbicularis oculi
Definition
facial n
Term
innervation levator palpebrae superioris
Definition
oculomotor n
Term
innervation tarsal mm
Definition
sympathetics from the internal carotid plexus
Term
What is the semilunar fold of the eye?
Definition
A fold of conjunctiva lateral to the lacrimal caruncle; vestige of the nictitating membrane (the so-called third eyelid)
Term
lacrimal a is a branch of what?
Definition
opthalmic a
Term
lacrimal n is a branch of what?
Definition
Opthalmic n (V1)
Term
Innervation of rectus mm of eyeball
Definition
lateral rectus: Abducens n
medial rectus, superior rectus, inferior rectus: oculomotor n.
Term
Innervation superior oblique and inferior oblique mm of eyeball
Definition
superior oblique: trochlear n.
Inferior oblique: oculomotor n.
Term
What eye mm produce elevation of the eye?
Definition
IO and SR
Term
what eye mm produce depression of the eye?
Definition
SO and IR
Term
What eye mm produce intorsion of the eye?
Definition
SR and SO
Term
What eye mm produce extorsion of the eye?
Definition
IR and IO
Term
Which mm elevate and depress the abducted eye vs adducted eye?
Definition
SR and IR elevate and depress the abducted eye, while IO and SO elevate and depress the adducted eye
Term
What does the superior division of the oculomotor n innervate?
Definition
motor to levator palpebrae superioris and superior rectus mm
Term
What does the inferior division of the oculomotor n innervate?
Definition
motor to inferior rectus, medial rectus, and inferior oblique mm...and preganglionic parasympathetic fibers to ciliary ganglion
Term
In their path from the middle cranial fossa into the orbit, which nn pass through the annular tendon?
Definition
The oculomotor n, abducens n, lacrimal n (V1) and nasociliary n (V1) (the trochlear n and frontal n (V1) pass superior to the annular tendon!)
Term
sensory innervation to the cornea and sclera
Definition
long ciliary n (branch of nasociliary n, which is a brach of V1)
Term
Sympathetic fibers that innervate the dilator pupillae come from what plexus?
Definition
The internal carotid plexus..go thru ciliary ganglion and traverse via short ciliary nn to dilator pupillae
Term
what structure separates the anterior and posterior chambers of the eye?
Definition
The iris
Term
Bone Derivatives of the maxillary process of arch 1
Definition
the maxillary process gives rise to the maxilla, zygomatic bone, squamous portion of temporal bone by intramembranous ossification...the caudal end develops into a cartilaginous segment that later ossifies into the incus
Term
bony/ligamentous derivatives of the mandibular process of the first arch
Definition
The mandibular process contains a cartilaginous rod called meckel's cartilage. The ventral parts of Meckel's cartilage guide the early development of the mandible. The cartilage itself disappears eventually, as the mandible develops around it by intramembranous ossification. The middle portion of Meckel's cartilage also regresses, but its perichondrium forms the anterior ligament of the malleus and the sphenomandibular ligament. The caudal end of the cartilage ossifies to form the malleus (of ear)
Term
Muscular derivatives of the first arch ((7)
Definition
temporalis, masseter, pterygoids, anterior belly of digastric, mylohyoid, tensor tympani, tensor veli palatini
Term
bony/ligamentous derivatives of Reichert's cartilage
Definition
its ventral portion becomes the lesser horn and upper body of the hyoid bone, the perichondrium of its middle portion forms the stylohyoid ligament, and its dorsal portion gives rise to the styloid process of the temporal bone and the stapes
Term
mm derived from arch 2
Definition
stapedius m, stylohyoid, posterior belly of the digastric, and mm of facial expression (innervated by facial n)
Term
bony derivatives of arch 3
Definition
ventral portion of arch 3 ossifies to form the lower part of the body and the greater horn of the hyoid bone
Term
mm derived from arch 3
Definition
stylopharyngeus and possibly the upper pharyngeal constrictors
Term
n supply arch 3
Definition
glossopharyngeal n
Term
cartilagenous derivatives of arch 4 and 6
Definition
the fourth and sixth arches fuse to form the cartilages of the larynx (thyroid, cricoid, arytenoid, corniculate and cuneiform)
Term
mm derived from 4th and 6th arches
Definition
cricothyroid m, levator veli palatini, intrinsic mm of larynx, pharyngeal constrictors
Term
innervation 4th/6th arches
Definition
superior ad recurrent laryngeal branches of the vagus
Term
derivatives of first pouch
Definition
first pouch enlarges to form the tubotympanic recess..this will widen posteriorly to form the middle ear cavity and mastoid antrum and remain narrow anteriorly to form the auditory tube
Term
derivatives of 2nd pouch
Definition
tonsillar fossa and palatine tonsil...the tonsil forms after mesoderm migrates into the pouch
Term
derivatives of 3rd pouch
Definition
3rd pouch splits into dorsal and ventral wings. dorsal wing becomes inferior parathyroid gland and ventral wing becomes the thymus. both structures migrate caudally, although the inferior parathyroid glands stop and become attached to the thyroid gland
Term
derivatives of the 4th pouch
Definition
forms the superior parathyroid gland, which also migrates caudally by attaching itself to the descending thyroid gland....above where the inferior parathyroid gland is attached
Term
derivatives of the 5th pouch
Definition
5th pouch is usually considered part of the 4th. It gives rise to the ultimobranchial body, which is incorporated into the thyroid gland and becomes the parafollicular cells (c-cells) which secrete calcitonin
Term
derivatives of first pharyngeal groove
Definition
epidermis linking the external acoustic meatus and outer surface of eardrum
Term
Bones of the neurocranium
Definition
frontal, sphenoid, parietal, temporal, occipital, and ethmoid
Term
The superior and middle nasal concha are part of what bone?
Definition
The ethmoid bone
Term
What bones does the squamosal suture run between?
Definition
The temporal and parietal bones
Term
What is the bregma?
Definition
The bregma is where the coronal and sagittal sutures meet..it is the site of the anterior fontanelle
Term
What is the lambda?
Definition
The lambda is where the lambdoid suture meets the saggital suture..it is the site of the posterior fontanelle
Term
what does the cartilaginous optic capsule form in the development of ht skull?
Definition
The sclera
Term
What forms the basal plate in the development of the skull?
Definition
Parachordial cartilages from either side of the developing notochord fuse together across the midline to form the basal plate
Term
ethmoid plate
Definition
in skull development: prechordal cartilages form anterior to the notochord and fuse together to form an ethmoid plate
Term
What are the 4 ossification centers in the development of the neurocranium?
Definition
occipital centers, sphenoid centers, ethmoid centers, and otic centers
Term
What causes an oblique facial cleft?
Definition
failure of merging of the maxillary and lateral nasal prominences
Term
What are the facial muscles that insert on the superior/lateral upper lib going medially to laterally?
Definition
MEDIAL TO LATERAL:
Levator labii superioris alaeque nasi
levator labii superioris
zygomaticus minor
zygomaticus major
levator angui oris (deep to levator labii superioris)
risoris s
Term
what is the difference in the actions of zygomaticus minor and major?
Definition
zygomaticus minor elevates the upper lip, while zygomaticus major pulls the mouth upward and outward, as in smiling or laughing
Term
What cutaneous nn of the face come from V1?
Definition
the supraorbital and supratrochlear nn
Term
What cutaneous nn of the face come from V2?
Definition
the infraorbital n
Term
What cutaneous nn of the face come from V3?
Definition
the mental n, buccal n, and auriculotemporal n
Term
The facial a is a branch of what a?
Definition
The external carotid
Term
What are the terminal branches of the external carotid?
Definition
The superficial temporal and maxillary a
Term
What are the terminal branches of the maxillary a?
Definition
sphenopalatine a and descending palatine a
Term
What 2 vv join to form the retromandibular v?
Definition
the superficial temporal and maxillary vv
Term
How does the facial v drain into the internal jugular v?
Definition
It joins with the anterior branch of the retromandibular and then the two drain in
Term
What 3 types of lymph nodes contribute to the superficial ring?
Definition
parotid, submandibular, and submental
Term
What are the 5 layers of the scalp going superficial to deep?
Definition
Skin, connective tissue (aa,vv,nn here), aponeurosis, loose CT (areolar CT), pericranium
Term
Where does the opthalmic a come from?
Definition
the internal carotid a
Term
cutaneous inneravation of the scalp
Definition
1.) branches of the trigeminal
2.) dorsal rami of cervical spinal nn C2 and C3
3.) branches of the cervical plexus
Term
What separates the parotid gland into superficial and deep parts?
Definition
the facial n!
Term
sensory innervation of the parotid gland
Definition
great auricular n ( also does parotid sheath and overlying skin) and auriculotemporal n
Term
what joins with the anterior division of the retromandibular v before it dumps into the internal jugular?
Definition
The facial v...forms the common facial v after merger
Term
what joins with the posterior division of the retromandibular v before it dumps into the external jugular v?
Definition
posterior auricular v
Term
what nn innervate the temporalis m?
Definition
temporal n from V3! (b/c is a mm of mastication, is innervated by V3)
Term
innervation buccinator
Definition
branch of the facial n
Term
what goes through the foramen cecum in the anterior cranial fossa?
Definition
an emissary v that links vv of the nasal cavity to the superior saggittal sinus
Term
the sella turcica is part of what bone?
Definition
the sphenoid!
Term
what 4 foramina lie in a crescent shape within the middle cranial fossa?
Definition
the superior orbital fissure, foramen rotundum, foramen ovale, and foramen spinosum
Term
in the base of the skull, which hiatus is more anterior? the hiatus for the lesser petrosal n or for the greater petrosal n?
Definition
The hiatus for the lesser petrosal n is more anterior than the hiatus for the greater petrosal n!
Term
trigeminal cave of meckel
Definition
2 layers of dura which encase the trigeminal ganglion
Term
where is the subarachnoid space?
Definition
deep to the arachnoid mater, in between it and the pia mater ...contains CSF
Term
location of the subdural space
Definition
(a potential space)...is deep to the meningeal layer of the dura mater and is in between the dura mater and arachnoid
Term
what forms the right transverse sinus
Definition
the superior sagittal sinus
Term
what forms the left transverse sinus?
Definition
the straight sinus
Term
what forms the straight sinus?
Definition
the inferior sagittal sinus
Term
where do the sigmoid sinuses come from?
Definition
the paired transverse sinuses when they leave the plane of the tentorium cerebelli
Term
what forms the bulbs of the internal jugular vv?
Definition
the paired sigmoid sinuses
Term
where is the occipital sinus?
Definition
within the falx cerebelli
Term
confluence of sinuses
Definition
a dilation on one side of the internal occipital protuberance that represents the junction of straight, superior sagittal, and occipital sinuses with the transverse sinuses
Term
what structures can be found within the cavernous sinus?
Definition
CN3, 4, and the opthalmic and maxillary divisions of 5 are embedded in its outer wall...the internal carotid a and CN 6 lie within the body of the sinus itself
Term
the superior petrosal sinuses connect what 2 structures
Definition
the cavernous and transverse sinuses
Term
the inferior petrosal sinuses connect what 2 structures
Definition
cavernous sinus and internal jugular v
Term
What is enclosed within 2 layers of the superficial investing layer of deep cervical fascia
Definition
trapezius, SCM, parotid and submandibular glands
Term
the pretracheal fascia of the neck encloses what structures?
Definition
thyroid gland, trachea, esophagus...also the pretracheal fascia tethers the omohyoid muscle to the clavicle and forms the intermediate tendon of the digastric
Term
sympathetic trunks are embedded in what layer of cervical fascia?
Definition
the prevertebral layer
Term
what 2 smaller triangles are found in the posterior triangle and how are they divided
Definition
the posterior triangle is divided into the occipital triangle superiorly and the subclavian triangle inferiorly by the inferior belly of the omohyoid m.
Term
which scalene m inserts on the 2nd rib?
Definition
the posterior scalene
Term
innervation of omohyoid m
Definition
(both belies) ansa cervicalis
Term
which infra hyoid m is NOT supplied by the ansa cervicalis?
Definition
the thyrohyoid (C1 via hypoglossal n)
Term
What are the 2 attachments of the SCM muscle?
Definition
anteriorly it has 2 heads: the sternal head which attaches to the manubrium stern and the clavicular head which attaches to the medial 3rd of the clavicle..posteriorly it attaches to the mastoid process of the temporal bone and the occipital bone
Term
what inneravtes the platysma?
Definition
the cervical branch of the facial n
Term
the phrenic n courses on top of what m of the neck?
Definition
the phrenic n courses on the anterior surface of the anterior scalene
Term
what 2 branches of the brachial plexus can u see in the neck?
Definition
the dorsal scapular n and the supra scapular n.
Term
the dorsal scapular n usually penetrates which neck m?
Definition
the middle scalene
Term
the spinal accessory n is located in what layer of cervical fascia?
Definition
the investing layer of deep cervical fascia
Term
the right recurrent laryngeal n loops around what major a?
Definition
the subclavian!
Term
the hypoglossal n lies on the superficial surface of what m?
Definition
the hyoglossus m
Term
the vertebral a enters the transverse foramina of the cervical spine at what level?
Definition
C6
Term
3 branches of the thyrocervical trunk
Definition
SIT

suprascapular a, inferior thyroid a, transverse cervical a
Term
what major aa do the right and left common carotid aa come from?
Definition
the right common carotid a originates off the brachiocephalic trunk

the left common carotid a originates off the arch of the aorta
Term
what nn innervate the carotid body?
Definition
the glossopharyngeal and vagus n
Term
the carotid sinus is a bulge of what a?
Definition
the internal carotid
Term
innervation of carotid sinus
Definition
the sinus nerve (of Hering) from CN9 (glossopharyngeal)
Term
where do the lingual and facial aa come off the external carotid a in relation to one another?
Definition
the lingual a comes off more inferiorly while the facial a comes off more superiorly
Term
blood supply and venous drainage of the thyroid gland
Definition
Blood supply:
superior thyroid a from external carotid a
inferior thyroid a from thyrocervical trunk

Venous drainage:
superior and middle thyroid vv drain into the internal jugular v
inferior thyroid v drains into the brachiocephalic v
Term
the anterior atlantooccipital membrane is a continuation of what ligament?
Definition
the anterior longitudinal ligament
Term
the posterior atlantooccipital membrane is a continuation of what ligament
Definition
the ligamentum flavum
Term
what pierces the posterior atlantooccipital membrane?
Definition
the vertebral a pierces the posterior atlantooccipital membrane on its way to the foramen magnum
Term
the tectorial membrane is a continuation of what ligament
Definition
the posterior longitudinal ligament
Term
hangman's fracture
Definition
usually described as a fracture of the pedicles of the axis; may involve a fracture of the dens and/or transverse portion of the cruciate ligament
Term
innervation longus capitis
Definition
ventral rami of C1-C4 spinal n
Term
innervation longus colli
Definition
ventral rami C3-C8 spinal n
Term
where does the pre vertebral fascia extend from, moving superiorly to inferiorly?
Definition
extends from the base of the skull to vertebra T3, fuses with the anterior longitudinal ligament
Term
how far inferiorly does the pharynx entend?
Definition
extends inferiorly to the level of the cricoid cartilage
Term
the retrophayngeal space is located between which two fascial layers?
Definition
the buccopharyngeal fascia and the pre vertebral fascia
Term
what n gives general sensation to the pharynx between the opening of the auditory tube and the larynx via the pharyngeal plexus
Definition
the glossopharyngeal n
Term
nodose ganglion
Definition
the inferior ganglion plus the vagus n
Term
the sphenomandibular ligament runs between what 2 structures
Definition
the lingual of the mandible and the spine of the sphenoid
Term
which mm of mastication protract the mandible, and which retract the mandible?
Definition
the masseter m, lateral pterygoid m, and medial pterygoid m protract the mandible

the horizontally oriented fibers of the temporal is m RETRACT the mandible
Term
what bony landmark indicates the transition between the temporal and infra temporal fossa?
Definition
the infra temporal crest
Term
how does the maxillary a exit the infra temporal fossa?
Definition
by entering the pterygomaxillary fissure...once in there the maxillary a terminates as the sphenopalatine and descending palatine aa
Term
what types of movements are permitted by the inferior compartment of the TMJ joint and the superior compartment of the TMJ joint, respectively
Definition
the inferior compartment permits hinge movements, while the superior compartment permits a gliding motion of the mandible from the mandibular fossa onto the articular surface of the temporal bone..also pivoting of the condyle about a vertical axis mainly involves the superior component
Term
which mm of mastication acts on the mandible to produce a gliding motion of the mandible from the mandibular fossa onto the articular surface of the temporal bone
Definition
the lateral pterygoid m
Term
what motion is "depression" of the mandible
Definition
opening the mouth
Term
when the mandible laterally deviates to one side, the contralateral condyle___ while the ipsilateral condyle ___
Definition
contralateral condyle glides anteriorly while the ipsilateral condyle pivots
Term
what 2 bones contribute to the floor of the nasal septum
Definition
the nasal crests of the sphenoid and palatine bones
Term
what 2 bones (specific names for bone parts) comprise the floor of the nasal cavity?
Definition
the palatine process of the maxilla and the horizontal plate of the palatine bone (the hard palate)
Term
what 4 bones comprise the roof of the nasal cavity
Definition
the frontal bone, nasal bones, ethmoidal bone and sphenoidal bone
Term
the superior and middle nasal concha are part of what bone?
Definition
the ethmoid bone
Term
what branches of the opthalmic division of the trigeminal n are found in the nasal cavity?
Definition
the anterior ethmoidal n (a branch of the nasociliary n)
Term
where does the external nasal n come from and what does it innervate?
Definition
the external nasal n is the anterior continuation of the anterior ethmoidal n and it provides cutaneous innervation to the apex of the nose
Term
what branches of the maxillary division of the trigeminal n are seen in the nasal cavity and how do these branches get into the cavity
Definition
posterior superior nasal branches, posterior inferior nasal branches, and the nasopalatine n..these all enter the nasal cavity via the sphenopalatine foramen
Term
the posterior inferior nasal branches are derived from what branch of the maxillary n?
Definition
the greater palatine n
Term
what nn and aa anastomose in the incisive canal?
Definition
NN: the nasopalatine n and the greater palatine n
AA: posterior septal branch of the sphenopalatine a and the greater palatine a
Term
what are the posterior, medial, and anterior borders of the pterygopalatine fossa?
Definition
the pterygoid process of the sphenoid bone posteriorly, the palatine bone medially, and the maxilla anteriorly
Term
what structure connects the pterygopalatine fossa to the infra temporal fossa?
Definition
the pterygomaxillary fissure
Term
review foramen of the pterygopalatine fossa p. 6 of 10 nose lecture
Definition
Term
describe the course of the zygomatic n
Definition
the zygomatic n branches from the maxillary division of the trigeminal n within the pterygopalatine fossa, and then exits the fossa via the inferior orbital fissure and ultimately splits into the sygomaticofacial n and the zygomaticotemporal n
Term
describe the course of the pharyngeal n
Definition
the pharyngeal n branches off of the greater and lesser palatine nn in the pterygopalatine fossa and then enter the pharyngeal canal to innervate mucous membranes of the nasopharynx posterior to the auditory tube
Term
what 2 structures do the pterygopalatine nn connect?
Definition
they connect the maxillary division of the trigeminal n to the pterygopalatine ganglion...these pterygopalatine nn are SENEORY NOT AUTONOMIC and thus do NOT synapse in the ganglion..they provide the sensory fiber from CN5 to the pterygopalatine ganglion
Term
nn which leave the pterygopalatine ganglion
Definition
posterior nasal, pharyngeal, greater and lesser palatine nn

***nn from the ganglion also innervate lacrimal gland (hop on via zygomaticotemporal n)
Term
the buccopharyngeal fascia is continuous inferiorly with what fascial layer?
Definition
The buccopharyngeal fascia is continuous inferiorly with the pre tracheal fascia
Term
pharyngobasilar fascia
Definition
the internal fibrous layer of the pharynx...strongest superiorly...helps to suspend the pharynx from the skull
Term
what "isthmus" separates the nasopharynx from the oropharynx?
Definition
the pharyngeal isthmus (p.63 netters...si between the uvula and the pharyngobasillar fascia)
Term
the oropharyngeal isthmus separates what 2 structures? What is the faucial isthmus?
Definition
the oropharyngeal isthmus separates the orophraynx form the oral cavity and is located between palatoglossal folds...the faucial isthmus is a deeper passageway which extends posteriorly to the palatopharyngeal folds (palatine tonsils lie within the faucial isthmus)
Term
anterior/posterior attachments of the superior constrictor
Definition
anteriorly: superior constrictor attaches to the medial pterygoid plate and the pterygomandibular rap he

posteriorly: the superior constrictor attaches to the median pharyngeal raphe and the pharyngeal tubercle of the occipital bone
Term
anterior attachments of the middle constrictor
Definition
stylohyoid ligament and the horns of the hyoid bone
Term
anterior attachments of the inferior constrictor
Definition
the thyroid and cricoid cartilages of the larynx
Term
what are the attachments of the palatopharyngeus m?
Definition
superior attachment: soft palate
inferior attachment: thyroid cartilage and the inner wall of the laryngopharynx
Term
velum
Definition
soft palate
Term
attachments of the palatoglossus m
Definition
superior attachment: soft palate
inferior attachment: side of tongue

** the purpose of this m is to help create a seal between the oral cavity and oropharynx when sucking
Term
attachments of the levitator veil palatine
Definition
originates from the tip of the petrous part of the temporal bone near the foramen lacerum and inserts on the soft palate

when looking at a bisected cadaver like our, the levitator veil palatine will be ON TOP of the tensor veil palatini
Term
attachments of the tensor veil palatini
Definition
originates from the scaphoid fossa of the scaphoid bone and the lateral membranous wall of the auditory tube and inserts on the posterior margin of th heard palate as the palatine apoeurosis...first curving around the pterygois hamulus
Term
which muscle..tensor or levitator veil palatine opens the auditory tube?
Definition
the tensor veil palatini opens the auditory tube by pulling on its lateral membranous wall during swallowing or yawning
Term
innervation tensor veli palatini
Definition
mandibular division of the trigeminal n
Term
innervation levator veli palatini
Definition
vagus n and facial n
Term
innervation of the pharyngeal soft palate mm except stylopharyngeus and tensor veil palatini
Definition
vagus n, with help from the cranial part of the accessory n via pharyngeal, superior laryngeal, and recurrent laryngeal nn
Term
innervation of the voluntary mm of the esophagus
Definition
the recurrent laryngeal n
Term
sensory innervation of the soft palate and the superior part of the nasopharynx
Definition
maxillary division of the trigeminal n
Term
sensory innervation of the nasopharynx, oropharynx, and part of the laryngophaynx and part of the soft palate
Definition
glossopharyngeal n
Term
sensory innervation of the laryngopharynx
Definition
vagus
Term
what a provides blood to the palatine tonsil and part of the nasopharynx
Definition
the facial
Term
composition of the walls of the auditory tube
Definition
anterior 2/3 of the auditory tube has a wall that is cartilaginous superiorly and medially, but membranous laterally...the posterior 1/3 is within the temporal bone
Term
how does the pharyngeal isthmus close during swallowing?
Definition
the levitator veil palatine pulls the sort palate superiorly and posteriorly while the superior contractor contracts
Term
describe the volume of air/changes in your pharynx when making high pitched vs low pitched sounds
Definition
To make high pitched sounds the larynx is raised to reduce the volume of the oropharynx, the pharyngeal isthmus is narrowed or even closed, and the volume of the oral cavity is reduced

to make low pitched sounds, the larynx is lowered to expand the oropharynx, the pharyngeal isthmus is kept open, and the oral cavity is enlarged
Term
dental formula per quadrant of baby teeth
Definition
2 incisors, 1 canine, 0 premolars, and 2 molars
Term
first eruption of baby teeth occurs
Definition
age 6-8 mo
Term
last eruption of baby teeth occurs..
Definition
20-24 mo
Term
shedding of baby teeth occurs...
Definition
6-12 years old
Term
where do the inferior alveolar a and n branch from
Definition
the inferior alveolar a is a branch of the maxillary a....but the inferior alveolar n is a branch of the mandibular n
Term
sublingual canuncle
Definition
where the duct of the submandibular gland opens
Term
sublingual fold
Definition
fold of mucous membrane containing the openings of the ducts of the sublingual glands
Term
origin/insertion hyoglossus m
Definition
originates on body and greater horn of the hyoid bone (wide origin..why it is so rectangular)
inserts on the side of the tongue
Term
action of the genioglossus m
Definition
depresses and protrudes tongue
Term
nn and a that course superficial/deep to the hyoglossus
Definition
lingual and hypoglossal n course superficially, lingual a course deep
Term
innervation extrinsic mm of the tongue
Definition
hypoglossal n to all intrinsic and extrinsic mm of tongue (longitudinal, vertical, transverse mm and styloglosus, hyoglossus, and genioglossus) EXCEPT palatoglossus..which is innervated by vagus n
Term
innervaton geniohyoid
Definition
C1 via hypoglossal n
Term
describe the course of the submandibular duct
Definition
starts at the submandibular gland, exits between the mylohyoid m laterally and the hyoglossus and genioglossus m medially. crosses the lingual n superiorly before opening into the mouth at the sublingual caruncle
Term
blood supply to the submandibular gland
Definition
sublingual branch of the lingual a, sub mental branch of the facial a
Term
drainage of the deep nodes of the neck
Definition
the deep nodes on the right side drain into the venous system at the point where the subclavian and internal jugular vv join to form the brachiocephalic v...those on the left drain into the thoracic duct
Term
the larynx lies at what vertebrae levels?
Definition
C3-C6
Term
what do the superior and inferior horns of the thyroid cartilage attach to?
Definition
the superior horn of the thyroid cartilage attaches to the hyoid bone by a ligament

the inferior horn articulates with the cricoid cartilage via a synovial joint
Term
the esophagus attaches to what aspect of the cartilage of the larynx?
Definition
the esophagus attaches to the wide posterior lamina of the cricoid cartilage
Term
what do the 4 articular facets of the cricoid cartilage articulate with?
Definition
two articulate with the inferior horns of the thyroid cartilage and two articulate with the arytenoid cartilages
Term
which of the cartilages of the larynx are hyaline?
Definition
thyroid, cricoid, and arytenoid...the epiglottic, corniculate, and cuneiform are all elastic
Term
what 2 mm attach to the muscular process of the arytenoid cartilage
Definition
the posterior cricoarytenoid and the lateral cricoarytenoid
Term
what pierces the thyrohyoid membrane?
Definition
the superior laryngeal a and internal branch of the superior laryngeal n
Term
superior and inferior borders of the quadrangular membrane?
Definition
the upper edge of the quadrangular membrane is in the aryepiglottic fold...the lower edge is the vestibular ligament in the vestibular fold
Term
what does the cricovocal membrane attach to?
Definition
the cricovocal membrane attaches superiorly to the vocal ligament and inferiorly and more laterally to the cricoid membrane
Term
what movement occurs at the cricothyroid joint?
Definition
rotary and gliding movements (this is a synovial joint!)
Term
what movement occurs at the cricoarytenoid joint?
Definition
gliding and rotating movements (this is a synovial joint!)
Term
what 3 mm depress the larynx?
Definition
sternothyroid, omohyoid, and sternohyoid
Term
innervation of the intrinsic mm of the larynx
Definition
the cricothyroid m is innervated by the external laryngeal n...the rest of the intrinsic mm are innervated by the recurrent laryngeal n
Term
where is the thyroepiglottic m located?
Definition
the upper fibers of the thyroarytenoid m (the one on top of the vocal ligaments) are prolonged into the aryepiglottic fold and called the thyroepiglottic m
Term
what is the only intrinsic m of the larynx that opens the rim a glottides?
Definition
the posterior cricoarytenoid m
Term
what separates the paired valleculae?
Definition
the median glossoepiglottic fold
Term
rima vestibuli
Definition
opening between the vestibular folds (false vocal folds)
Term
what is the space between the vestibular and vocal folds called?
Definition
the ventricle
Term
rima glottidis
Definition
opening between the true vocal folds
Term
glottis
Definition
the opening between the true vocal folds plus the vocal folds themselves and parts of the arytenoid cartilages
Term
how does bilateral destruction of both recurrent laryngeal nn result in suffocation?
Definition
there is unopposed contraction of the cricothyroid mm...closes the rima glottidis
Term
blood supply to the larynx
Definition
1.) superior laryngeal a from the superior thyroid a from the external carotid
2.) inferior laryngeal a from the inferior thyroid a from the thyrocervical trunk off the subclavian a
Term
innervation of the superior portion of the auricle
Definition
mandibular division of CN V
Term
innervation of the area around and inside the external auditory meatus
Definition
CN X
Term
innervation of the lower portion of the auricle
Definition
cervical nn from the cervical plexus
Term
the lateral ___ of the auditory meatus is cartilage...the middle ___ of the meatus is bone
Definition
lateral 1/3 cartilage, medial 2/3 bone
Term
how do u pull the auricle to straighten the meatus?
Definition
upward, outward, and backwards
Term
what nn contribute to the tympanic plexus found on the surface of the promontory?
Definition
nn contributions from CN 7,9, and 10.. contains sensory and preganglionic parasympathetic fibers that will synapse on the otic ganglion
Term
structures found on the lateral wall of the tympanic cavity
Definition
the opening to the external auditory meatus, closed by the tympanic membrane, chorda tympani
Term
things found on the medial wall of the tympanic cavity
Definition
promontory of cochlea, tympanic plexus over the promontory, oval window, stapes, canal for facial n, prominence over the lateral semicircular canal, round window
Term
things found on the anterior wall of the tympanic cavity
Definition
the opening of the bony portion of the auditory tube, split into superior and inferior portions
Term
things found on the posterior wall of the tympanic cavity
Definition
the aditus leading to the antrum, which leads into the mastoid air cells, vertical portion of the facial canal, containing the descending portion of the facial n, chord tympani, the pyramid and stapedius m
Term
umbo
Definition
the peak of the depressed central area of the tympanic membrane
Term
what articulates with the long crus of the incus
Definition
the head of the stapes
Term
what is attached to the short crus of the incus?
Definition
a ligament which attaches to the epitympanic recess
Term
innervation of the tensor tympani muscle
Definition
the mandibular division of CN V (just like the area around/inside the auditory meatus!!)
Term
innervation of the stapedius m
Definition
facial n
Term
whats the difference between endolymph and perilymph?
Definition
endolymph is contained within the membranous labyrinth...between the membranous labyrinth and the bony labyrinth is perilymph
Term
the oval window and round window are located in what portions of the bony labyrinth?
Definition
the oval window is in the wall of the vestibule, the round window is in the wall of the cochlea
Term
the utricle and saccule are components of what?
Definition
the membranous labyrinth..
Term
what parts of the inner ear are responsible for coordinating balance and positional changes of the head, respectively
Definition
the semicircular canals of the membranous labyrinth coordinate equilibrium, while the utricle and saccule contain otoliths which aid in detecting positional changes of the head
Term
what are the 2 divisions of the vestibulocochlear n once it enters the inner ear cavity
Definition
the cochlear division and vestibular division
Term
conductive hearing loss
Definition
loss of any structure that assists in creating movement at the oval or round windows
Term
sensorineural hearing loss
Definition
lesion damage of any portion of the nervous system that is involved in conduction and interpretation of nerve impulses from the vestibular-cochlear n
Term
pharyngeal pouches are lined with...
Definition
endoderm
Term
pharyngeal grooves are lined with...
Definition
ectoderm
Term
pharyngeal membrane
Definition
tissue that separates the pharyngeal pouch from the pharyngeal groove..consist of a layer of ectoderm on the outside and a layer of endoderm on the inside...a layer of mesenchyme is sandwiched in between
Term
describe the change in the mesenchyme of the pharyngeal arches that occurs in week 4 of life...and derivatives of both types of mesenchyme
Definition
prior to week 4, the mesenchyme is derived from mesoderm..after week 4 the mesenchyme in the arch is derived from migrated neural arch cells

the neural crest cells will contribute to skeletal (bone) structures....the original mesodermally-derived mesenchyme will form skeletal muscles and endothelial cells (inside blood vessels)
Term
in addition to its mesenchymal core...each pharyngeal arch also contains what 4 structures
Definition
1.) a blood vessel called an aortic arch 2.) a cartilaginous rod that forms the skeleton of the arch 3.) a muscular component 4.) a cranial n
Term
2 main categories of 1st arch syndrome
Definition
treacher collins syndrome and pierre robin syndrome
Term
DiGeorge Syndrome
Definition
a condition in which there is congenital absence of the thymus and parathyroid glands, along with facial abnormalities
Term
operculum
Definition
an extension of the second arch that covers grooves 2-5
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