Anatomy Flashcards

(165 cards)

1
Q

The Orbit: The boundaries of the orbit are formed by how many bones?

A

7

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2
Q

The Orbit: Roof of the Orbit is formed by what? (2)

A

Frontal Bone
Sphenoid Bone

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3
Q

The Orbit: Floor of the Orbit is formed by what? (3)

A

Maxilla
Palatine Bone
Zygomatic Bone

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4
Q

The Orbit: Medial wall is formed by what? (4)

A

Ethmoid bone
Maxilla bone
Lacrimal bone
Sphenoid bone

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5
Q

The Orbit: Lateral wall is formed by what? (2)

A

Zygomatic bone
Sphenoid bone

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6
Q

The Orbit: Shape of the orbit

A

Pyramidal shape

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7
Q

The Orbit: Apex points in what direction?

A

Posteriorly

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8
Q

The Orbit: Blow out fractures impact what walls?

A

Medial and orbital wall

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9
Q

The Eyelid: Orbicularis Oculi - Deep to what?

A

Skin and connective tissue

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10
Q

The Eyelid: Orbicularis Oculi - Three distinct parts (3)

A

Palpebral part
Lacrimal part
Orbital part

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11
Q

The Eyelid: Orbicularis Oculi - Palpebral part function

A

Gently closes the eyelids

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12
Q

The Eyelid: Orbicularis Oculi - Lacrimal part function

A

Involved in the drainage of tears

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13
Q

The Eyelid: Orbicularis Oculi - Orbital part function

A

Tightly closes the eyelids

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14
Q

The Eyelid: Orbicularis Oculi - Innervated by what?

A

CN VII - Facial Nerve

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15
Q

The Eyelid: Tarsal Plates - Located where?

A

Deep to the palpebral region of the orbicularis oculi muscle

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16
Q

The Eyelid: Tarsal Plates - Two plate names

A

Superior tarsus and Inferior tarsus

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17
Q

The Eyelid: Tarsal Plates - They act to form what?

A

Scaffolding of the eyelid

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18
Q

The Eyelid: Tarsal Plates - Composed of what?

A

Dense connective tissue

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19
Q

The Eyelid: Tarsal Plates - Superior tarsus acts as an attachment site of what?

A

Levator palpebrae superioris

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20
Q

The Eyelid: Tarsal Plates - What glands are located in the tarsal plates?

A

Meibomian Glands

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21
Q

The Eyelid: Tarsal Plates - Meibomian Glands function

A

Secrete oily lipid substance that slows the evaporation of the eyes tear film and prevents the eyelids from sticking together when closed

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22
Q

The Eyelid: Tarsal Plates - Orbital septum extends from where?

A

Either tarsus to the orbital margin

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23
Q

The Eyelid: Tarsal Plates - Function of the orbital septum

A

Prevents the spread of infection between the superficial and deep parts of the orbit

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24
Q

The Eyelid: Which muscle elevates the upper eyelid?

A

Levator palpebrae superioris muscle

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25
Lacrimal Apparatus: Lacrimal gland produces what?
Lacrimal fluid
26
Lacrimal Apparatus: Innervation
CN VII - parasympathetic innervation
27
Lacrimal Apparatus: Fluid is pushed towards what?
Medial angle
28
Lacrimal Apparatus: Position of Lacrimal Gland
Superolaterally
29
Lacrimal Apparatus: Once the fluid gets to the medial angle where does it drain to?
Lacrimal puncta
30
Lacrimal Apparatus: Eventually the fluid reaches what structure?
Inferior meatus
31
Extraocular Muscles: How many are there?
7
32
Extraocular Muscles: Which groups are responsible for eye movement?
Recti and oblique muscles
33
Extraocular Muscles: Which group is responsible for superior eyelid movement?
Levator palpebrae superioris
34
Extraocular Muscles: What are the 7 muscles?
Levator palpebrae superioris Superior oblique Inferior oblique Superior rectus Medial rectus Lateral rectus Inferior rectus
35
Extraocular Muscles: Recti Muscles - Direction
Straight - from origin to attachment
36
Extraocular Muscles: Recti Muscles - 4 muscles
Superior rectus Medial rectus Lateral rectus Inferior rectus
37
Extraocular Muscles: Recti Muscles - Origin
Common tendinous ring for all the recti muscles
38
Extraocular Muscles: Recti Muscles - Insertion point
Sclera
39
Extraocular Muscles: Oblique Muscles - Muscles (2)
Inferior oblique Superior oblique
40
Extraocular Muscles: Oblique Muscles - Origin of Superior oblique muscle
Sphenoid bone
41
Extraocular Muscles: Oblique Muscles - Origin of the Inferior Oblique muscle
Orbital plate of the maxilla
42
Extraocular Muscles: Oblique Muscles - Insertion
Sclera
43
Extraocular Muscles: Oblique Muscles - The tendon of the superior oblique passes through what before inserting onto the sclera?
Trochlea
44
Extraocular Muscles: Levator Palpebrae Superioris Muscle - Origin
Lesser wing of the sphenoid
45
Extraocular Muscles: Levator Palpebrae Superioris Muscle - Insertion
Skin and tarsus of the superior eyelid
46
Extraocular Muscles: Levator Palpebrae Superioris Muscle - Superior Tarsal Muscle contains a collection of what? And what is its name?
Smooth muscle fibres - Mueller's Muscle
47
Extraocular Muscles: Levator Palpebrae Superioris Muscle - Muellers Muscle is innervated by what?
Sympathetic fibres from the superior cervical ganglion
48
Extraocular Muscles: Levator Palpebrae Superioris Muscle - Innervation
CN III
49
Horners Syndrome: Involves what muscle?
Muellers Muscle
50
Horners Syndrome: Pathophysiology of ptosis
Compromised sympathetic innervation to the Muellers Muscle
51
Extraocular Muscles: Innervation of Lateral Rectus Muscle
CN VI - Abducens
52
Extraocular Muscles: Innervation of Superior Oblique Muscle
CN IV - Trochlear Nerve
53
Extraocular Muscles: What is the innervation of all of the muscles apart from LR and SO?
CN III
54
Eyeball Movement: Vertical axis controls what? (3)
Abduction Adduction Direction of gaze
55
Eyeball Movement: Transverse axis controls what? (3)
Elevation Depression Direction of gaze
56
Eyeball Movement: Anteroposterior Axis controls what? (3)
Intorsion - medial rotation Extorsion - lateral rotation Superior pole of the eyeball
57
Eyeball Movement: Which muscles do not have secondary movements? (2)
Medial rectus Lateral rectus
58
Eyeball Movement: Primary position
Where the gaze is directed forward
59
Eyeball Movement: Testing Extraocular Muscles - Superior Rectus movement
Look lateral and upward
60
Eyeball Movement: Testing Extraocular Muscles - Inferior Rectus movement
Look lateral and downward
61
Eyeball Movement: Testing Extraocular Muscles - Lateral Rectus Movement
Look laterally
62
Eyeball Movement: Testing Extraocular Muscles - Medial Rectus Movement
Look medially
63
Eyeball Movement: Testing Extraocular Muscles - Inferior Oblique Movement
Look medially and upward
64
Eyeball Movement: Testing Extraocular Muscles - Superior Oblique Movement
Look medially and downward
65
Eyeball Movement: Lateral Rectus - Function
Abducts the eyeball
66
Eyeball Movement: Lateral Rectus - Innervation
CN VI - Abducens
67
Eyeball Movement: Lateral Rectus - Brings line of gaze into what?
Same plane as the superior rectus and inferior rectus
68
Eyeball Movement: Superior Rectus - Function
Can only elevate when in abduction
69
Eyeball Movement: Superior Rectus - Innervation
CN III - Oculomotor
70
Eyeball Movement: Inferior Rectus - Function
Can only depress when in abduction
71
Eyeball Movement: Inferior Rectus - Innervation
CN III - Oculomotor
72
Eyeball Movement: Medial Rectus - Function
Adducts the eyeball
73
Eyeball Movement: Medial Rectus - Innervation
CN III - Oculomotor
74
Eyeball Movement: Medial Rectus - Brings line of gaze into what?
Same plane as Superior Oblique and Inferior Oblique attachments
75
Eyeball Movement: Inferior Oblique - Function
Can only elevate the eyeball when in adduction
76
Eyeball Movement: Inferior Oblique - Innervation
CN III - Oculomotor
77
Eyeball Movement: Superior Oblique - Function
Can only depress the eye when in adduction
78
Eyeball Movement: Superior Oblique - Innervation
CN IV - Trochlear
79
Eyeball Movement: Mechanics behind the pure elevation of the eyeball
Involves the superior rectus and inferior oblique synergystically elevates the eyes by working antagonistically as rotators
80
Eyeball Movement: Mechanics behind the pure depression of the eyeball
Involves the superior oblique and inferior rectus synergystically depressing the eyes by working antagonistically adducting or abducting
81
Sympathetic Innervation: Origin
Autonomic centres of the brain
82
Sympathetic Innervation: Exits spinal cord where?
T1-L2
83
Sympathetic Innervation: Pass into all spinal nerves via what?
Anterior and Posterior rami
84
Sympathetic Innervation: Pass into ... nerves to supply organs
Splanchnic
85
Sympathetic Innervation to the Head and Neck: Presynaptic sympathetic axons from the CNS exit the spinal cord where?
T1 spinal nerve
86
Sympathetic Innervation to the Head and Neck: Pre-synaptic sympathetic axons ascend within what to synapse with what?
The sympathetic chain to synapse with the superior cervical sympathetic ganglion
87
Sympathetic Innervation to the Head and Neck: Post-synaptic sympathetic axons enter what nerves?
Internal and external carotid nerves
88
Sympathetic Innervation to the Head and Neck: Internal and External Carotid Nerves are carried to the organs of the head on the surface of what?
Branches of the internal and external carotid arteries
89
Sympathetic Innervation to the Head and Neck: What carries sympathetic axons into the orbit?
Opthalmic artery from the internal carotid
90
Parasympathetic Innervation: All parasympathetic axons leave the CNS via what nerves?
III VII IX X
91
Parasympathetic Innervation: Ganglia in the head go to what regions? (3)
Eye Lacrimal Gland Salivary Gland
92
Parasympathetic Innervation: Ciliary Ganglion - Parasympathetic ganglion located where?
Bony orbit
93
Parasympathetic Innervation: Ciliary Ganglion - Parasympathetic innervation supplied by what?
Fibres of the oculomotor nerve
94
Oculomotor Nerve: Connects with the CNS where?
At the junction of the midbrain and pons
95
Oculomotor Nerve: Passes through what sinus?
Cavernous sinus
96
Oculomotor Nerve: Exits where?
Superior Orbital Fissure
97
Oculomotor Nerve: Supplies somatic motor to what?
Majority of the extraocular muscles
98
Oculomotor Nerve: Supplies presynaptic ganglion axons to what?
Ciliary ganglion
99
Eye Surface: The ... does not cover the cornea of the eye
Conjunctiva
100
Eye Surface: Conjunctiva - What forms the deepest part of the eyelid?
The palpebral conjunctiva
101
Eye Surface: Conjunctiva definition
Thin mucous membrane that is reflected onto the sclera of the eyeball
102
Medical word for the eyeball
Bulbar conjunctiva
103
Eye Surface: Two layers
Conjunctiva Fibrous layer
104
Eye Surface: Fibrous Layer Description
Outermost layer that consists of the sclera and cornea
105
Eye Surface: Fibrous Layer - Sclera provides attachment for what?
Extraocular muscles
106
Eye Surface: Fibrous Layer - Where is light refracted?
Cornea
107
Eye Surface: Fibrous Layer - 2 parts
Sclera Cornea
108
Eye Surface: Fibrous Layer - Function of the sclera
Muscle attachment
109
Eye Surface: Uvea description
Vascular Middle Layer
110
Eye Surface: Uvea - 3 parts
Iris Ciliary Body Choroid
111
Eye Surface: Uvea - Iris description
Pigmented membrane with a central opening that adjusts in size in response to light
112
Eye Surface: Uvea - What is the central opening in the middle of the iris?
Pupil
113
Eye Surface: Uvea - Iris function
Regulates the amount of light that reaches the retina
114
Eye Surface: Uvea - Ciliary body functions (3)
Adapts the shape of the lens Anchors the lens Produces aqueous humor
115
Eye Surface: Uvea - Two parts to the Ciliary body
Ciliary muscle Ciliary processes
116
Eye Surface: Uvea - Ciliary muscle consists of what?
Collection of smooth muscles that are attached to the lens of the eye by the ciliary processes
117
Eye Surface: Uvea - Choroid Description
Layer of connective tissue and blood vessels that provide nutrition and gas exchange to the outer layers of the retina
118
Eye Surface: Retina - Fundus description
The interior surface of the eye that is opposite the lens where light is focused
119
Eye Surface: Retina - The Fundus includes what structures? (5)
Retina Optic disc Macula Fovea Posterior pole
120
Eye Surface: Retina - Function
Light detecting component of the eye
121
Eye Surface: Retina - How many layers of cells?
10
122
Eye Surface: Retina - What are the 4 main layers?
Retinal Pigement Epithelium Photoreceptors - Rods and Cones Bipolar neurones Ganglion neurones
123
Eye Surface: Retina - Retinal pigment epithelium function
Separates the choroid from the retina proper
124
Eye Surface: Retina - Optic Disk formed from what?
Axons of ganglion
125
Eye Surface: Retina - Optic Disc axons of ganglion cells form what?
Optic Nerve
126
Eye Surface: Retina - Optic Disc is the only point of what?
Entry or exit of blood vessels and axons of CN II
127
Eye Surface: Retina - What is not detected at the optic disc?
Light
128
Eye Surface: Retina - Macula definition
Centre of the retina
129
Eye Surface: Retina - Macula has a high density of what?
Cones
130
Eye Surface: Retina - Fovea description
Depression of 1.5mm diameter at the centre of the macula
131
Eye Surface: Retina - Fovea function
High acuity vision
132
Eye Surface: Retina - Where are the retinal veins and retinal arteries?
Anterior to the retina
133
Posterior Segment: Location
Behind the lens
134
Posterior Segment: Proportion of the eye
2/3
135
Posterior Segment: Contains the what?
Vitreous body
136
Posterior Segment: Vitreous humor description
Water-like substance
137
Posterior Segment: Common location for what?
Floaters - collections of proteins in the humor
138
Anterior Segment: Location
In front of the lens
139
Anterior Segment: What are the two chambers?
Anterior and Posterior Chamber
140
Circulation of Aqueous Humor: Ciliary Body produces what?
Aqueous Humor
141
Circulation of Aqueous Humor: Following circulation the humor circulates where?
Within the posterior chamber to nourish the lens
142
Circulation of Aqueous Humor: Humor passes to where following the posterior chamber?
Through the pupil into the anterior chamber to nourish the cornea on posterior aspect
143
Circulation of Aqueous Humor: Anterior aspect of the eye is nourished by what?
Tears
144
Circulation of Aqueous Humor: Humor is reabsorbed by what and where?
Scleral Venous Sinus at the Iridocorneal Angle
145
Circulation of Aqueous Humor: Alternate name for Scleral Venous Sinus
Canal of Schlemm
146
Cataract
Clouding of the lens
147
Arterial Supply: Eyeball receives arterial blood supply primarily from what?
Ophthalmic artery
148
Arterial Supply: Ophthalmic artery is a branch of what?
Internal carotid artery
149
Arterial Supply: Infraorbital artery supplies structures where?
Floor of the orbit
150
Arterial Supply: Infraorbital artery is a branch of what?
External carotid artery
151
Arterial Supply: Central artery supplies what?
Internal surface of the retina
152
Arterial Supply: What is the disadvantage of the central artery?
End artery - occlusion causes blindness
153
Arterial Supply: What supplies the choroid?
Three ciliary arteries
154
Arterial Supply: Central artery of the retina pierces what structure?
Optic nerve
155
Venous Drainage: Carried out by what veins?
Superior and Inferior Ophthalmic Veins
156
Venous Drainage: Veins drain into what?
Cavernous sinus
157
Venous Drainage: Veins drain into the cavernous sinus via what?
Superior orbital fissure
158
Venous Drainage: Orbit drains anteriorly into what?
Facial vein
159
Danger Triangle: Why is this clinically significant?
Retrograde infection from the nasal area to the brain due to venous communication via the ophthalmic veins between the facial vein and cavernous sinus
160
Visual Pathway: Light from the left visual field strikes what?
Nasal retina of the left eye and Temporal retina of the right eye
161
Visual Pathway: Light from the right visual field strikes what?
Nasal retina of the right eye and Temporal retina of the left eye
162
Visual Pathway: What crosses at the optic chiasma?
Nasal retina
163
Visual Pathway: Where is light processed?
On the opposite side visual cortex to the visual field
164
Complete interruption of the retinal branch artery or retinal vein has what impact?
Loss of area of the visual field due to ischaemia
165
Complete interruption of flow to the central artery or vein has what impact?
Monocular blindness