Test Four Flashcards

1
Q

Which nerves and other structures pass through the Superior orbital fissure

A
Ophthalmic Vein
CIII oculomotor nerve
CIV trochlear Nerve
CVI trigeminal nerve
CVII Abducent
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2
Q

Where does the facial nerve CR VII exit from the cranium

A

Styloid mastoid foramen

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3
Q

Describe left side bending pattern of the maxillae

A

Left side bending of maxillae
Left side is more superior to the right
Upper teeth would be assymetric
Nostrils and orbit and eyeball on left side would be superior to the right

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4
Q

How does the optic nerve relate anatomically to the pituitary gland and why might this be clinically significant

A

The optic nerve travels posteriorly through the optic canal to the optic chiasma
The optic chiasma is located anteriorly to the sella turcia in the sphenoid body which houses the pituitary gland
Optic nerve compression caused by restriction in sella turcia

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5
Q

Describe the origin, pathway and function of CR XI the accessory Nerve

A

Arises outside the cranium at C1-4 through dura, travels through foramen Magnum to jugular foramen to briefly bind with cranium division
Passes through to target trapezium and stereo-cleido mastoid muscles of neck and shoulder

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6
Q

Which pathways regulate the pupil construction

A

Parasympathetic branch of oculomotor CN III emerging from mid brain, passes through the ciliary Ganglion, along optic tract with CN IV, VI and CN V ophthalmic branch through the superior orbital fissure to the ciliary muscle, muscle that contracts the pupil

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7
Q

Which pathways regulate pupil dilation

A

Sympathetic CN III
Nerve fibres emerge in the Superior Cervical ganglia T1/T2
Passes through carotid plexus on the carotid artery to the muscle of the pupil

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8
Q

Describe the pathway of the mandibular branch of the Trigeminal Nerve CN V from its root to its final destination

A

Trigeminal Nerve V3
Motor Division Pons goes underside of Trigeminal ganglion through foramen ovale through mental foramen to target muscles of mastication
Sensory division Pons through Trigeminal ganglion through foramen ovale anterior through mental foramen to sensations of teeth, jaw and lower face
Meningeal branch passes back up through foramen spinosum to meninges

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9
Q

What are symptoms of Bells Palsy?

A
Eye dripping on one side 
Dribbling 
Loss of control of face 
CN VII 
Fascial Nerve muscles and glands of face
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10
Q

What are the effects of Ménière’s disease and what CN is affected.

A
CN VIII
Vestibule-cochlear Nerve and 
CN VII 
Fascial Nerve that controls muscle to the stapes 
Motion sickness 
Vertigo 
Loss of hearing
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11
Q

Describe the motion of the following bones during flexion phase:

Maxillae
Zygoma

A

Maxillae
Front portion rises superiorly coming up to meet the frontal bone while at same time spread laterally at posterior part of inter maxillary suture
Back teeth move apart

Zygoma
Externally rotate with temporals and arching down and our

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12
Q

With which bones does the Vomer articulate?

A

Palantine Bones
Ethmoid
Sphenoid
Maxillae

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13
Q

Describe the CS motion of the orbit during flexion phase

A

Orbit flattens on vertical plane and gets larger on horizontal plan as they get squeezed between frontal and maxillae

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14
Q

List two cranial contacts and one Fascial contact which might be beneficial and significant to assist drainage of the middle ear and treatment of ear infections
Explain why

A
Ear hold 
Mastoid process 
Temporal hold 
TMJ/Palantine hold 
All holds engage with CN VIII vestibular cochlear nerve-and internal auditory foramen Eustachian tube nasal muscosa glands and lacrimal glands for enabling better drainage of middle ear and release blockages
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15
Q

What aspect of a person do you associate with the ethmoid

A
Enlightenment 
3rd eye
Spiritual aspect 
Foresight 
Vision 
Intuition
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16
Q

How would you treat a patient with sinusitis

A

Target Eustachian tube
Venus and air sinuses
Sub occipital release
Jugular foramen
Jugular vein carries venous blood to the heart
CN VII Fascial Nerve for mucus secretions and lacrimal glands

17
Q

How might a trauma to the face affect the rest of the system

A

Any trauma which causes restriction and compression to the bone, fissure and foramen in the cranium and pinching to associated nerves may result in physical holding in the fascia and viscera
Trauma to the temporal, mastoid process or Occiput may affect jugular foramen that is housed between these bones
Affecting nerves CN IX glossopharyngeal nerve. X Vagus and XI Accessory

18
Q

What reasons might draw you to treat the face

A
Birth trauma
Recent dentistry work
Sinus infections 
Ménière’s disease 
Tonsillitis 
Tension I’m TMJ
Grinding teeth