2.1 Major blood vessels of the Head and Neck Flashcards

(30 cards)

1
Q

Where do the right subclavian and right common carotid originate from?

A

Brachiocephalic trunk

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2
Q

What arteries arise from the subclavian artery?

A

Vertebral artery, Internal thoracic artery and Thyrocervical arteries

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3
Q

What does the thyrocervical trunk supply?

A

Ascending cervical and transverse cervical supply to the neck
Suprascapular artery- shoulder
Inferior thyroid artery- lower pole of thyroid

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4
Q

Describe the route of the vertebral arteries

A

From subclavian artery to up through transverse foramina in C1-C6, supplies the brain

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5
Q

At what level does the common carotid bifurcate?

A

The superior border of the thyroid cartilage

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6
Q

What is the carotid sinus?

A

Swelling at the region of the bifurcation of the common carotid. Location of baroreceptors to detect changes in arterial blood pressure

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7
Q

What is the carotid body?

A

Peripheral chemoreceptors which detect arterial O2 found in the bifurcation of the common carotid

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8
Q

Describe a carotid artery atheroma

A

Atheroma formation in the bifurcation of the common carotid. Causes narrowing of the artery and turbulent flow. Emboli can easily move into the brain and cause a stroke

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9
Q

What is the carotid sheath?

A

A layer of fascia surrounding the common carotid, IJV, vagus nerve and deep cervical lymph nodes

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10
Q

Name the branches of the external carotid artery

A
Superior thyroid
Ascending pharyngeal 
Lingual 
Facial 
Occipital 
Posterior auricular
Superficial temporal 
Maxillary
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11
Q

Which arteries supply the scalp?

A
Occipital
Posterior auricular
Superficial temporal
Supratrochlear 
Supraorbital
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12
Q

Which artery do the supratrochlear and supraorbital originate from?

A

Opthalmic artery

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13
Q

List the layers of the scalp

A
Skin
Connective tissue
Aponeurosis
Loose connective tissue
Periosteum 
(Spells SCALP)
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14
Q

Where do the vessels of the scalp lie?

A

Subcutaneous connective tissue layer

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15
Q

Why can damage to the scalp cause profuse bleeding?

A

The arteries are closely attached to the connective tissue and there are many anastamoses

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16
Q

How can deep lacerations to the skull cause profuse bleeding?

A

If the epicranial aponeurosis is damaged the opposing pull of the occipitofrontalis muscle keeps the scalp pulled open

17
Q

Name the major superficial veins in the scalp

A

Superficial temporal
Occipital
Posterior auricular

18
Q

What do the supratrochlear and the supraorbital veins merge to become?

19
Q

Where does the angular vein drain into?

20
Q

Where do the veins of the scalp drain to?

A

Dural venous sinuses

21
Q

Which veins drain the blood from the skull to the dural venous sinuses?

A

Diploic veins

22
Q

Which veins drain the blood from the outer layer of the scalp to the dural venous sinuses?

A

Emissory veins

23
Q

Where do the dural venous sinuses lie?

A

Between the periosteal and the meningeal layers of the dura

24
Q

What is the cavernous sinus?

A

A plexus of extremely thin-walled veins on the upper surface of the sphenoid

25
What other structures lie in the cavernous sinus?
Internal carotid artery | CN III, IV, VI, V1 and V2
26
What artery supplies the skull with blood?
Middle meningeal artery
27
Where is the middle meningeal artery vulnerable?
The pterion
28
What happens if the middle meningeal artery ruptures?
Extradural haemorrhage- pulls periosteal layer off the skull
29
What is a craniotomy?
Surgery to gain access inside the cranial cavity
30
Where does the IJV lie?
Under the SCM