Term
what are the scalenes of the neck homologous to in the thorax? |
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Definition
the intercostal ribs. ventral rami of the neck and arteries pass in between them |
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Term
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Definition
•I Olfactory
•II Optic
•III Oculomotor
•IV Trochlear
•V Trigeminal
–V1 Ophthalmic
–V2 Maxillary
–V3 Mandibular
•VI Abducens
•VII Facial
•VIII Vestibulocochlear
•IX Glossopharyngeal
•X Vagus
•XI Accessory
•XII Hypoglossal |
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Term
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Definition
–Special senses (olfaction, vision, hearing, taste, balance), retina and placode-derived tissues |
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Term
•General somatic afferent (GSA)
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Definition
–Touch, pain, temperature, proprioception |
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Term
•Special visceral efferent (SVE)
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Definition
–Motor to skeletal muscle derived from pharyngeal arch mesoderm |
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Term
•General visceral efferent (GVE)
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Definition
–Motor to smooth muscle, glands and cardiac muscle |
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Term
•General somatic efferent (GSE)
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Definition
–Motor to skeletal muscle |
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Term
cranial nerve group:
•Branchial arch nerves
root ganglia)
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Definition
–GVA, GSA, SA, GVE, SVE
–V Trigeminal (arch 1)
–VII Facial (arch 2)
–IX Glossopharyngeal (arch 3)
–X Vagus, superior laryngeal (arch 4)
–X Vagus, recurrent laryngeal (arch 6)
–Ganglia for cell bodies of sensory nerves (cf. dorsal |
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Term
cranial nerve group:
•Efferent only (cf. ventral roots of spinal nerves)
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Definition
–III Oculomotor (GSE, GVE)
–IV Trochlear (GSE)
–VI Abducens (GSE)
–XI Accessory (GSE)
–XII Hypoglossal (GSE) |
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Term
cranial nerve group:
•Special afferent (SA) only
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Definition
–I Olfactory
–II Optic
–VIII Vestibulocochlear |
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Term
what comes from each of the pharyngeal arches? |
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Definition
Arch 1: Meckel’s cartilage forms the mandible, malleus and incus (ear bones derived from amniote jaw bones).
Arch 2: Reichert’s cartilage forms the stylohyoid ligament, styloid process, stapes (another ear bone), and part of the hyoid
Arch 3: The cartilage in this arch forms part of the hyoid, particularly the greater horn and much of the body
Arch 4: This cartilage forms both the thyroid and cricoid cartilages |
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Term
CNs containing only efferent and tongues |
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Definition
extraocular and (3, 4, and 6) and tongue (12) and trapezius and SCM (11) |
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Term
CN nerves V and VII overlap in face. what do they innervate? |
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Definition
V innervates first pharyngeal arch structures and VII innervates second pharyngeal arch structures |
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Term
what arches do the superior and inferior parathyroid glands originate from? |
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Definition
the superior originate from IV and the inferior from III. FOUR over THREE |
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Term
which CN nerves have neurogenic placodes on them? |
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Definition
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Term
What is found at the top of the notocord where it enters the neurocranium; the hole? What becomes of it? |
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Definition
Rothkin's pouch
it grows into the pituitary gland (anterior part), pons, and medulla |
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Term
bone formation in the skull |
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Definition
the neurocranium is formed by endochondral ossification
the mandible, maxilla, frontal, parietal, and occipital bones ossify through intrachondral(intramembranous) ossification |
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Term
where do the branchial arches come from? |
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Definition
they are by the heart at the anterior part of the skull and wrap around to form the face
each contains an artery, vein, nerve, cartilage, and a muscle unit |
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Term
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Definition
thickened area of ectoderm that are specialized and found between the neural crest and future epidermis
they are have the potential to generate elements of the sensory PNS, or other otic, nasstructures |
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Term
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Definition
3 preotic somites (III, IV, VI); make up muscles of the eyes
4 postotic somites (XI, XII); muscles innervated by accessory and tongue |
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Term
site of most frequently fractured bone in face? |
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Definition
the floor of the maxillary bone
the contents can herniate into the maxillary sinus
pretty good prognosis |
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Term
what is the thinnest bone of the face |
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Definition
•Medial Wall: Lacrimal (mainly) and Ethmoid
Thinnest part: Lamina papyracea |
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Term
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Definition
the inability to close the eye via the orbicularis oculi (CN7)
think 7 like a hook pulling lid shut |
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Term
what is the function of the levator palpebrae superioris |
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Definition
opening the eye lids (CN III)
think III like a pillar
originates from the lesser wing of the sphenoid |
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Term
what part of the orbicularis oculi is used for tight closure? blinking? |
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Definition
the orbital part for tight closure
the palpebral part for blinking |
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Term
if the eye is "down and out" what palsy might they have? |
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Definition
ocularmotor palsy. (CN III)
may have blown out pupil
ptosis due to the levator palpebrae superioris being affected |
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Term
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Definition
inability to abduct the eye (CN VI is suseptible to high intracranial pressure) |
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Term
what might a patient who tends to tilt their head away from a lesion have wrong with their eye? |
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Definition
IV palsy. the trochlear nerve may be affected. patient's neck might hurt |
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Term
what is Bielschowsky’s Sign
|
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Definition
Patient tilts their head to affected Side
Paralyzed Superior Oblique
Action of Superior Rectus alone for intorsion causes elevation of affected eye |
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Term
what are CN VII and VIII and what happens when they enter their foramen |
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Definition
they are the fascial and vestibulocochlear nerves. the enter the internal auditory meatus, but only the fascial nerve exits through petrotympanic fissue as the chorda tympani |
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Term
how do hair cells initiate stimulatory impulses |
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Definition
they have a projection on them called a kinocilium and it bends from side to side
when it bends to one side, an efferent synapse (inhibitory) is activated while an afferent (sensory) synapse can be activated in the other direction
there is fluid in the ampullae which house the hair cells and it has its own interia. this movement of the fluid over the kinocilium is what triggers the impulse
another way by which this occurs is when an "otolith" slides downhill from head rocking and disturbs the hair fibers |
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Term
•_____at ______ conveys pulses of sound from_____ to vestibular duct |
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Definition
Stapes, Oval window, incus
incus and malleous= first arch
stapes= second arch |
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Term
some responsibilities of the fascial nerve |
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Definition
•GSA from external auditory meatus and auricle
•BE to mm. of facial expression and scalp, stylohyoid, posterior belly of digastric, & stapedius
•Carries preganglionic parasympathetics from CNS to chorda tympani (destined for submandibular and sublingual salivary glands via submandibular ganglion)
•SA (taste) from anterior 2/3 of tongue (via chorda tympani)
•Carries preganglionic parasympathetics from CNS to greater petrosal n. (destined for glands above oral fissure: lacrimal, mucous, via synapse in pterygopalatine ganglion)
• |
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Term
what are all glands located above and below oral tissue innervated by? |
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Definition
above= greater petrosal VII
below= chorda tympani of VII |
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Term
what separates the visceral region of the neck from the vertebral? |
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Definition
the buccopharyngeal fascia |
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Term
what is the pre-vertebral fascia sometimes known as? |
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Definition
the alar fascia. the alar fascia attaches to the buccopharyngeal fascia |
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Term
what is the result of premature closure of the cranial coronal suture |
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Definition
head grows tall bc A/P growth is inhibited.
turricephaly/oxycephaly |
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Term
what is the result of premature closure of the cranial sagital suture
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Definition
scaphocephaly - narrow head |
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Term
what results from an imbalanced closure of cranial sutures? |
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Definition
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Term
do you need to fracture the skull to have a subdural hematoma? how about an epidural hematoma? |
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Definition
no, just soft tissue damage which can rupture the cerebral veins.
in an epidural hematoma, the meninges is ruptured often by bone
subarachnoid hemorrhages may be from a aneurysm |
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Term
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Definition
goes through the base of the maxillary sinus
-inferior border of the periform apperature
-superior to the roots of the teeth |
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Term
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Definition
through maxillary AND nasalis sinus |
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Term
describe a Le Fort III fx
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Definition
will separate the entire viscerocranium from the neurocranium |
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Term
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Definition
GVE
oculomotor nerve which services the CILLIARY GANGLION (sphincter pupillae and ciliaris muscles) |
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Term
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Definition
GVE
the glassopharyngeal nerve which innervates the
Otic (parotid gland) |
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Term
what is the second 7 in 3977?
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Definition
GVE
the facial nerve which services the Submandibular (submandibular gland and sublingual gland) |
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Term
what is the first 7 in 3977?
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Definition
GVE
the facial nerve which services the Ptergopalatine (nasal stuff, lacrimal gland, pharynx, hard palate) |
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Term
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Definition
-ciliary ganglion
-front nerve
-nasociliary nerve
-lacrimal nerve
-supratrochlear (branch of frontal)
-infratrochlear (branch of nasociliary)
-ethmoidal anterior and posterior (branch of nasociliary) |
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Term
areas affected by V2
trigem gang -> foramen rotunda -> petryopalantine fossa -> infraorbital foramen |
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Definition
-internal nasal branches of infra-orbital nerve
-nasopalantine nerve
-posterior inferior and superior lateral nasal nerves
-nasal branch of anterior superior alveolar nerve
carries POSTganglionic PARAsympathetics to maxillary sinus, palate, and nasal cavity (probably because it merges with fascial) |
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Term
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Definition
pulls soft palate tight. you want to move this around on a plane to get more comfortable |
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Term
what is attached to the hyoid? |
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Definition
the digastrics, the myohyoid |
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Term
what can the pterygoid muscles do? |
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Definition
move the mandible
the lateral pterygoid is one of the few that is actually capable of depressing the mandible |
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Term
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Definition
it is a modified hinge which can also move forward. mastication doesn't just involve up and down movement, it needs transverse movement to cut food |
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Term
the tensor tympani muscle |
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Definition
attaches to the handle of the malleus and stapedius and connects to the neck of the stapes
primary fxn is to dampen sound levels |
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Term
what is in the first pharyngeal cleft? pouch? |
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Definition
cleft=ear canal
pouch=auditory tube |
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Term
what senses taste on the anterior 2/3 of tongue? |
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Definition
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Term
which parts of the cervical plexus are in the verterbral compartment? |
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Definition
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Term
the recurrent (inferior) laryngeal nerve |
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Definition
branch of the vagus nerve which supplies the larynx. it is the nerve of the 6 PHARYNGEAL ARCH |
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Term
what are the main contents of the posterior vertebral triangle of the neck?
what are the boundaries? |
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Definition
-external jugular vein and cutaneous nerve
-transverse cervical and suprascapular vein
-subclavian artery with branches
-accessory nerve
-brachial plexus
----------
trap
sternocleiodo
clavicle |
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Term
what are the main contents of the carotid triangle of the neck?
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Definition
•Tributaries to common facial vein
•Carotid arteries & branches
•IX, X, XI, XII, ansacervicalis roots (C1=superior root innervates superior belly of the omohyoid muscle and upper parts of the sternohyoid and sternothyroid muscles, C2-3 inferior root), transverse cervical n. |
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Term
What is the third space and why is it a DANGER SPACE! |
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Definition
because it leads all the way down to the diagphragm and any infection could be catastrophic
the preverterbral fascia is made up of two anterior layers to the verterbrae while the 3rd space in continuous with the mediastinum |
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Term
what senses taste on the posterior 1/3 of tongue? what else does this CN do?
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Definition
CN IX
controls gag reflex (oropharynx)
sensory to corotid sinus |
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Term
three major entrinsic muscles of the tongue? |
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Definition
genioglossus, styloglossus, hypoglossus |
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Term
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Definition
Tensor – V palate – X gloss - XII |
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Term
why is the mylohyoid innervated by? |
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Definition
V3 because it's actually the floor of the oral cavity. depresses jaw
have to be careful though because tooth roots go below the myelohyoid line and an infection could cause an endocarditis |
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Term
genioglossus does what?
styloglossus
hyoglossus
platoglossus |
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Definition
protracts tongue
retracts tongue
depress tongue
depresses soft palate |
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Term
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Definition
stylopharyngeus (IX)
palatopharyngeus (X)
salpingophayngeus (X) |
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Term
what is the circumferential (constrictor) layer of the pharynx innervated by? |
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Definition
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Term
what can be found Between superior and middle constrictors = Gateway to the mouth
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Definition
–(Stylohyoid ligament)
–Stylopharyngeus m. (CN IX)
–Glossopharyngeal n. (CN IX) |
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Term
what can be found Between middle and inferior constrictors = Gateway to the mouth
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Definition
–Internal branch of superior laryngeal n. = internal laryngeal n. (CN X)
–Superior laryngeal a.
–Pierce thyrohyoid membrane |
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Term
orientation of the soft palate when breathing through nose? |
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Definition
it is pulled down and the tongue is pulled back effectively sealing off oral cavity from the oropharynx |
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Term
orientation of the soft palate when swallowing |
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Definition
•When swallowing, the soft palate is pulled up and backward, to seal off nasopharynx from oropharynx. |
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Term
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Definition
1.Voluntary, food pushed through oropharyngeal isthmus by tongue.
2.Involuntary, rapid. Breathing and chewing stop, soft palate is elevated; pharynx widens to receive bolus of food; suprahyoid muscles and longitudinal pharyngeal muscles elevate larynx.
3.Involuntary, pharyngeal constrictors squeezes bolus into esophagus by serial contraction. |
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Term
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Definition
-Touching back of oropharynx, causes gagging or reflex elevation of pharynx
-Usually stated that IX is afferent limb of reflex and X is efferent limb, but . . .
-Lesion of IX does not eliminate it; X must also innervate back of oropharynx. |
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Term
what nerve is responsible for the auditory gag reflex |
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Definition
the auricular nerve (arnold's nerve) |
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Term
what parasympathetic innervated structure closes the pupil. dialates it |
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Definition
the sphincter pupillae. the dialator pupillae opens the pupil, but it is controlled by SYMPATHETICS.
david bowie's sphincter pupillae (the antagonist) does not fxn |
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Term
what parasympathetic innervated structure closes the pupil. dialates it |
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Definition
the sphincter pupillae. the dialator pupillae opens the pupil, but it is controlled by SYMPATHETICS.
david bowie's sphincter pupillae (the antagonist) does not fxn |
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Term
points of horner's syndrome |
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Definition
unopposed action of sphincter pupillae, resulting in an abnormally constricted pupil
loss of heat induced sweating |
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