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Derm ex1
anatomy
79
Medical
Professional
11/20/2011

Additional Medical Flashcards

 


 

Cards

Term
what are the scalenes of the neck homologous to in the thorax?
Definition
the intercostal ribs.  ventral rami of the neck and arteries pass in between them
Term
12 cranial nerves
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
Term
Special afferent (SA)

Definition
Special senses (olfaction, vision, hearing, taste, balance), retina and placode-derived tissues
Term
General somatic afferent (GSA)

Definition
Touch, pain, temperature, proprioception
Term
Special visceral efferent (SVE)

Definition
Motor to skeletal muscle derived from pharyngeal arch mesoderm
Term
General visceral efferent (GVE)

Definition
Motor to smooth muscle, glands and cardiac muscle
Term
General somatic efferent (GSE)

Definition
Motor to skeletal muscle
Term

cranial nerve group:

 

 Branchial arch nerves

root ganglia)
Definition
GVA, GSA, SA, GVE, SVE
V Trigeminal (arch 1)
VII Facial (arch 2)
IX Glossopharyngeal (arch 3)
Vagus, superior laryngeal (arch 4)
Vagus, recurrent laryngeal (arch 6)
Ganglia for cell bodies of sensory nerves (cf. dorsal 
Term

cranial nerve group:

 

 Efferent only (cf. ventral roots of spinal nerves)


Definition
III Oculomotor (GSE, GVE)
IV Trochlear (GSE)
VI Abducens (GSE)
XI Accessory (GSE)
XII Hypoglossal (GSE)
Term

cranial nerve group:

 

Special afferent (SA) only

Definition
I Olfactory
II Optic
VIII Vestibulocochlear
Term
what comes from each of the pharyngeal arches?
Definition

Arch 1: Meckels cartilage forms the mandible, malleus and incus (ear bones derived from amniote jaw bones).

Arch 2: Reicherts 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

Term
CNs containing only efferent and tongues
Definition
extraocular and (3, 4, and 6) and tongue (12) and trapezius and SCM (11)
Term
CN nerves V and VII overlap in face.  what do they innervate?
Definition
V innervates first pharyngeal arch structures and VII innervates second pharyngeal arch structures
Term
what arches do the superior and inferior parathyroid glands originate from?
Definition
the superior originate from IV and the inferior from III.  FOUR over THREE
Term
which CN nerves have neurogenic placodes on them?
Definition
7, 8, 9, 10
Term
What is found at the top of the notocord where it enters the neurocranium; the hole?  What becomes of it?
Definition

Rothkin's pouch

 

it grows into the pituitary gland (anterior part), pons, and medulla

Term
bone formation in the skull
Definition

the neurocranium is formed by endochondral ossification

 

the mandible, maxilla, frontal, parietal, and occipital bones ossify through intrachondral(intramembranous) ossification

Term
where do the branchial arches come from?
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

Term
define placodes
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

Term
the somites
Definition

3 preotic somites (III, IV, VI); make up muscles of the eyes

 

4 postotic somites (XI, XII); muscles innervated by accessory and tongue

Term
site of most frequently fractured bone in face?
Definition

the floor of the maxillary bone

 

the contents can herniate into the maxillary sinus

 

pretty good prognosis

Term
what is the thinnest bone of the face
Definition
Medial Wall: Lacrimal (mainly) and Ethmoid
–Thinnest part: Lamina papyracea
Term
what is bell's palsy?
Definition

the inability to close the eye via the orbicularis oculi (CN7)

 

think 7 like a hook pulling lid shut

Term
what is the function of the levator palpebrae superioris
Definition

opening the eye lids (CN III)

 

think III like a pillar

 

originates from the lesser wing of the sphenoid

Term
what part of the orbicularis oculi is used for tight closure?  blinking?
Definition

the orbital part for tight closure

 

the palpebral part for blinking

Term
if the eye is "down and out" what palsy might they have?
Definition

ocularmotor palsy. (CN III) 

 

may have blown out pupil

 

ptosis due to the levator palpebrae superioris being affected

Term
what is CN VI palsy?
Definition
inability to abduct the eye (CN VI is suseptible to high intracranial pressure)
Term
what might a patient who tends to tilt their head away from a lesion have wrong with their eye?
Definition
IV palsy.  the trochlear nerve may be affected.  patient's neck might hurt
Term

what is Bielschowsky’s Sign

Definition
žPatient tilts their head to affected Side
ž
žParalyzed Superior Oblique
ž
žAction of Superior Rectus alone for intorsion causes elevation of affected eye
Term
what are CN VII and VIII and what happens when they enter their foramen
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
Term
how do hair cells initiate stimulatory impulses
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

Term
•_____at ______ conveys pulses of sound from_____ to vestibular duct
Definition

Stapes, Oval window, incus


incus and malleous= first arch

stapes= second arch

Term
some responsibilities of the fascial nerve
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)
Term
what are all glands located above and below oral tissue innervated by?
Definition

above= greater petrosal VII

below= chorda tympani of VII

Term
what separates the visceral region of the neck from the vertebral?
Definition
the buccopharyngeal fascia
Term
what is the pre-vertebral fascia sometimes known as?
Definition
the alar fascia.  the alar fascia attaches to the buccopharyngeal fascia
Term
what is the result of premature closure of the cranial coronal suture
Definition

head grows tall bc A/P growth is inhibited.

 

turricephaly/oxycephaly

Term

what is the result of premature closure of the cranial sagital suture

Definition
scaphocephaly - narrow head
Term
what results from an imbalanced closure of cranial sutures?
Definition
plagiocephaly
Term
do you need to fracture the skull to have a subdural hematoma? how about an epidural hematoma?
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

Term
describe a Le Fort I fx
Definition

goes through the base of the maxillary sinus

-inferior border of the periform apperature

-superior to the roots of the teeth

Term

describe a Le Fort II fx

Definition
through maxillary AND nasalis sinus
Term

describe a Le Fort III fx

Definition
will separate the entire viscerocranium from the neurocranium
Term
what is 3 in 3977?
Definition

GVE

 

oculomotor nerve which services the CILLIARY GANGLION (sphincter pupillae and ciliaris muscles)

Term

what is 9 in 3977?

Definition

GVE

 

the glassopharyngeal nerve which innervates the

Otic (parotid gland)

Term

what is the second 7 in 3977?

Definition

GVE

 

the facial nerve which services the Submandibular (submandibular gland and sublingual gland)

Term

what is the first 7 in 3977?

Definition

GVE

 

the facial nerve which services the Ptergopalatine (nasal stuff, lacrimal gland, pharynx, hard palate)

Term
areas affected by V1
Definition

-ciliary ganglion

-front nerve

-nasociliary nerve

-lacrimal nerve

-supratrochlear (branch of frontal)

-infratrochlear (branch of nasociliary)

-ethmoidal anterior and posterior (branch of nasociliary)

Term

areas affected by V2

 

trigem gang -> foramen rotunda -> petryopalantine fossa -> infraorbital foramen

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)

Term
tensor veli palatini
Definition
pulls soft palate tight.  you want to move this around on a plane to get more comfortable
Term
what is attached to the hyoid?
Definition
the digastrics, the myohyoid
Term
what can the pterygoid muscles do?
Definition

move the mandible

 

the lateral pterygoid is one of the few that is actually capable of depressing the mandible

Term
describe the TMJ?
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
Term
the tensor tympani muscle
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

Term
what is in the first pharyngeal cleft?  pouch?
Definition

cleft=ear canal

 

pouch=auditory tube

Term
what senses taste on the anterior 2/3 of tongue?
Definition
the chora tympani
Term
which parts of the cervical plexus are in the verterbral compartment?
Definition
C1-C4
Term
the recurrent (inferior) laryngeal nerve
Definition
branch of the vagus nerve which supplies the larynx.   it is the nerve of the 6 PHARYNGEAL ARCH
Term

what are the main contents of the posterior vertebral triangle of the neck?

 

what are the boundaries?

Definition

-external jugular vein and cutaneous nerve

-transverse cervical and suprascapular vein

-subclavian artery with branches

-accessory nerve

-brachial plexus

----------

trap

sternocleiodo

clavicle

Term

what are the main contents of the carotid triangle of the neck?

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.
Term
What is the third space and why is it a DANGER SPACE!
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

Term

what senses taste on the posterior 1/3 of tongue?  what else does this CN do?

Definition

CN IX

controls gag reflex (oropharynx)

sensory to corotid sinus

Term
three major entrinsic muscles of the tongue?
Definition
genioglossus, styloglossus, hypoglossus
Term
stern's law:
Definition

Tensor – V
palate – X
gloss - XII

Term
why is the mylohyoid innervated by?
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

Term

genioglossus does what?

styloglossus

hyoglossus

platoglossus

Definition

protracts tongue

retracts tongue

depress tongue

depresses soft palate

Term
elevators of the pharynx
Definition

stylopharyngeus (IX)

palatopharyngeus (X)

salpingophayngeus (X)

Term
what is the circumferential (constrictor) layer of the pharynx innervated by?
Definition
X
Term

what can be found Between superior and middle constrictors = Gateway to the mouth


 
Definition
(Stylohyoid ligament)
Stylopharyngeus m. (CN IX)
Glossopharyngeal n. (CN IX)
Term

what can be found Between middle and inferior constrictors = Gateway to the mouth


Definition
Internal branch of superior laryngeal n. = internal laryngeal n. (CN X)
Superior laryngeal a.
Pierce thyrohyoid membrane
Term
orientation of the soft palate when breathing through nose?
Definition
it is pulled down and the tongue is pulled back effectively sealing off oral cavity from the oropharynx
Term
orientation of the soft palate when swallowing
Definition
When swallowing, the soft palate is pulled up and backward, to seal off nasopharynx from oropharynx.
Term
stages of swallowing
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.
Term

Gag reflex

 
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.
Term
what nerve is responsible for the auditory gag reflex
Definition
the auricular nerve (arnold's nerve)
Term
what parasympathetic innervated structure closes the pupil.  dialates it
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

Term
what parasympathetic innervated structure closes the pupil.  dialates it
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

Term
points of horner's syndrome
Definition

unopposed action of sphincter pupillae, resulting in an abnormally constricted pupil

 

loss of heat induced sweating

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