Clinical Anatomy of the Salivary Glands, Tongue, Palate and Pharynx Flashcards

1
Q

what is the area between lips and teeth called?

A

vestibule

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2
Q

name the muscles of the floor of the mouth

A

mylohyoid
geniohyoid
anterior belly of digastric muscle

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3
Q

what is the vein next to the frenulum called?

A

lingual vein

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4
Q

what is the top and bottom of the tongue called?

A

top is dorsal

bottom is ventral

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5
Q

where are the openings for the submandibular duct located?

A

2 papillae located in the base of the frenulum

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6
Q

where are the openings for the sublingual ducts located?

A

in sublingual folds

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7
Q

are major or minor salivary glands responsible for basal secretions?

A

minor

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8
Q

which of these glands should be palpable:
parotid
sublingual
submandibular

A

no
no
yes

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9
Q

where is the parotid gland in relation to the masseter?

A

superficial

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10
Q

how does CN7 reach the salivary glands?

A

via the chorda tympani

chorda tympani then hitches a ride with cnv3 to get to tongue

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11
Q

innervation of submandibular gland (be specific)?

A

CN7 parasympathetic

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12
Q

innervation of the sublingual salivary gland?

A

CN7

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13
Q

parasympathetic innervation to parotid?

A

CN9

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14
Q

where do the parasympathetic fibres synapse after supplying the parotid?

A

otic ganglion

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15
Q

what kind of muscle is the tongue?

A

skeletal muscle

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16
Q

what mucosa covers the tongue?

A

lingual mucosa

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17
Q

general sensory nerve supply to the anterior 2/3 of tongue?

A

CNV3

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18
Q

special sensory (taste) nerve supply to the anterior 2/3 of the tongue?

A

CN7

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19
Q

general and sensory nerve supply to the tongue?

A

CN9

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20
Q

what is the relevance of the foramen caecum?

A

origin of thyroid gland

separates anterior and posterior tongue

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21
Q

where would ectopic thyroid tissue be found if there was any?

A

midline

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22
Q

name the 4 muscles of the tongue

A

palatoglossus
styloglossus
hyoglossus
genioglossus

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23
Q

innervation to tongue muscles?

A

CN12

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24
Q

what kind of fibres innervate the tongue muscles

A

somatic motor

25
Q

what part of the brain are the fibres of the hypoglossal nerve attached to?

A

medulla oblongata

26
Q

where is the hypoglossal canal in the cranial fossa?

A

in the posterior region just anterior to the foramen magnum

27
Q

how to test for CN12 function?

A

ask patient to stick tongue out

28
Q

how to tell if a CN12 problem is unilateral

A

the tongue tip will point towards the side of the injured nerve

29
Q

the lingual artery is a branch of?

A

external carotid artery

30
Q

where does CNXII pass in relation to the lingual artery

A

passes lateral to the “loop” of the lingual artery

31
Q

where are the palatine bones in the hard palate?

A

posterior, medial to the molars

32
Q

what area of the hard palate allows passage of nerves and vessels

A

palatine foraminae

33
Q

what is the pterygoid hamulus?

A

a hook at the bottom of the sphenoid bone

34
Q

what bone makes up the anterior portion of the hard palate?

A

maxilla

35
Q

are the arches of the soft palate skeletal or smooth muscle?

A

skeletal

36
Q

nerve supply to all muscles of soft alate except tensor veli palatini?

A

CNX

37
Q

nerve supply to tensor veli palatini?

A

CNV3

38
Q

function of the levator veli palatini?

A

lifts the soft palate toward the base of the skull

39
Q

function of the tensor veli palatini?

A

tenses the soft palate

40
Q

what muscle of the soft palate hooks around the pterygoid hamulus of the sphenoid?

A

tensor vali palatini

41
Q

how to test CNX and CNV3 together? what should happen?

A

ask patient to say aaah

uvula should lift up in midline

42
Q

what should happen on testing if CNX and CNV3 are injured?

A

uvula moves away from injured side

43
Q

innervation of pharynx?

A

CNX

44
Q

what is the centre line of the posterior pharynx called?

A

midline raphe

45
Q

what runs down the left lateral border of the posterior pharynx?

A

common carotid artery

CNX

46
Q

what runs down the right lateral border of the posterior pharynx?

A

CNIX

47
Q

what muscles insert onto the midline raphe?

A

superior, middle and inferior constrictor muscles of the pharynx

48
Q

CNIX overlies what muscle of the psoterior pharynx?

A

stylopharyngeus

49
Q

what is the name for the upper oesophageal sphincter?

A

cricopharyngeus

50
Q

what does the salpingopharyngeus connect?

A

cartilage of eustachian tube

pharynx

51
Q

innervation of most of the longitudinal muscles of the pharynx?

A

CNX

52
Q

what longitudinal muscle is not innervated by CNX and why? what is it innervated by ?

A

stylopharyngeus, CNIX lies on top of it so it innervates it

53
Q

where is the piriform fossa located?

A

inferoposterior part of the laryngopharynx

54
Q

4 main tonsils of the pharynx?

A

palatine
pharyngeal
tubal
adenoid (pharyngeal)

55
Q

where is the adenoid tonsil located?

A

roof of the nasopharynx

56
Q

what tonsils are located in the mucosa of the eustachian tube opening?

A

tubal tonsils

57
Q

what are regional nodes?

A

first group of lymph nodes that has drained from a given structure

58
Q

eventual drainage location of the pharynx?

A

deep cervical nodes

59
Q

where does most of the tongue drain to lymphatically?

A

deep cervical