Clinical Supplement for Head and Neck Flashcards Preview

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Flashcards in Clinical Supplement for Head and Neck Deck (134):
1

if you move your eyes upward from normal what muscles are you testing

left and right Inferior oblique and superior rectus

2

if you move your eyes downward from normal what are you testing

left and right superior oblique and inferior rectus

3

what muscles are you testing when you look to the left

left medial rectus and right lateral rectus

4

what muscles are you testing when you look to the right

left lateral rectus and right medial rectus

5

what muscles are you testing when you look up and out

left inferior oblique and right superior rectus

6

what muscles are you testing when you look down and to the right

right superior oblique and left inferior rectus

7

what muscles are you testing when you look down and to the left

left sO
right IR

8

what muscles are you testing when you look up and to the right

right IO and left SR

9

diplopia

double vision

10

hyperacusis

hypersensitivty to soud

11

to test for facial nerve how would you do it

sensation on face
corneal reflex
clench teeth, palpate masseter

12

what nerves is really responsible for swallowing

glossopharyngeal

13

what musles of the tongue is NOT innervated by cn XII

palatoglossus

14

what nerve is affected by demyelination in MS

CN II

15

compressive injury of CN III injures

GVE

16

diabetic infarct of CN III injures

GSE

17

vertibal diplopia is associated with

trochear nerve injury ; improved by tilting head away from affected eye ( if left eye is injured you tilt your head to the right) eye is hypertropic and extorted

18

mandibular nerve V3 can be injured in what foramen

foramen ovale

19

maxiillary nerve V2 can be injured

within the formanen rotundum

20

opthalmic nerve can be injured

SOF

21

signs of injury to the abducens CN VI nerve

horizontal diplopia, cannot abduct eye, esotropia (parially adducted)

22

greater petrosal nerve forms with the deep petrosal nerve to form

nerve of the pterygoid canal

23

chorda tympani joins _______ and synapses in ______________ to distribute with branches of that nerve.

lingual, submandibular ganglion

24

vestibular schwannoma can impact which cranial nerves

CN V and VII

25

what is the spinal cord level of spinal accessory nerve

C1-C4

26

injury in the posterior triangle of the neck spares what muscle

sternocleidomastoid

27

C1 is off what nerve

hypoglossal n

28

C1 carried on hypoglossal innervates

thyrohyoid, geniohyoid and contributes to the superior root of ansa cervicalis

29

what are the four sensory ganglia in the head

trigeminal
geniculate
superior and inferior
superior and inferior

30

trigeminal sensory ganglia is associated with what cranial nerve

CN V

31

geniculare sensory ganglia is associated with what nerve

VII

32

superior and inferior ganglia are associated with

CN IX and CN X

33

ciliary ganglia is

parasympathetic for CN III

34

otic ganglia is parasympathetic to

CN IX

35

pterygopalatine is parasympathetic to

CN VII

36

submandibular is parasympathetic to

CN VII

37

injury to jugular foramen may result in injury to what nerves

9 10 and 11

38

infections in the deep, loose connective tissue layer can spread into the cranial cavity via

emissary veins

39

what nerve transverses the parotid gland

facial VII

40

autonomic innervation of the parotid gland is by

CN IX otic ganglion hitchhiking auriculotemporal nerve

41

where does the parotid gland get its sensory information from

CN V

42

freys syndrome

sweating when seeing or smelling food

43

what type of join is TMJ

plane gliding AND hinge

44

sensory innervation of TMJ is

auriculotemporal nerve

45

accomodation requires what three things for near vision

bilateral contraction of medial rectus
constriction of the pupil (GVE)
contraction of ciliary muscles (GVE) and subsequent thickening of the lens gives more refractive power

46

what is anisocoria

left right asymmetry in the size of the pupils

47

cranial nerve injury III results in.....

mydrasis (abnormal dilation) and possible ptosis and diplopia

48

The pupil in horner's syndrome

miosis in affected eye and ptosis(mild)

49

argyll-robertson pupil

associated with neurosyhillis, pupil reepons to accomodation but not to light

50

marcus gunn pupil

swinging light test, affected eye dialates

51

pupilary reflex

in by 2 out by 3

52

corneal reflex

in by 5 out by 7

53

tearing reflex

in by 5 out by 7

54

jaw jerk reflex

in by 5 out by 5

55

blink to startle reflex

in by 2 out by 7

56

tracheostomy

trachea is incised in the midline between the infrahyoid and between the 1,2 or 2 through 4th rings

57

structures in danger in a tracheostomy

inferior thyroid veins, thyroid ima artery, left brachiocephalic and thymus

58

recurrent laryngeal nerve innervates all muscles of the larynx except for

cricothyroid muscle

59

cricothryoid innervated by

external laryngeal nerve

60

injury to external laryngeal nerve results in...

monotonous speech

61

dehiscence of killian

unsupported region along the posterior pharyngeal wall between the crico and thyropharyngeus muscles

62

zenker's diverticulum

pouch of pharyngeal mucosa that emerges through killians dehiscence

63

all pharyngeal muscles are innervated by ___ except for _________ which is innervated by ______-

vagus, stylopharyneus, glossopharyngeal

64

Waldeyer's ring

ring of lymphatic tissue guarding entry into the pharynyx composed of lingual tonsil, palatine tonsils, tubal tonsils and pharyngeal tonsils and diffuse lymphatic tissue

65

what two structures are in danger when the palatine tonscils are removed

glossopharyngeal and tonsilar artery from facial

66

adenoiditis

enlargement of pharyngeal tonsils, can obstruct blood flow from the nasal cavity and spread to the middle ear via the pharyngotympanic tube

67

ludwigs angina

tooth main from infection

68

motor innervation of the tongue muscle s

hypoglossus

69

palatoglossus innervated by

vagus

70

anterior 2/3 taste of tongue is

CN VII via lingual nerve geniculate ganglion

71

posterior 1/3 taste of tongue

CN IX

72

special sensory of root of tongue is

CN X internal laryngeal

73

tip of tongue lymph drainage

bilaterally to submental nodes

74

body center of tongue lymph drainage

inferior deep cerival (juguloomohyoid)

75

right and left portions of tongue drain to

submandibular nodes

76

center root of tongue drains

bilaterally to superior deep cervical (jugulodigastric)

77

right and left portions of root of tongue lymph drainage

deep cervical nodes

78

mastoid lymph nodes drain

most of the external ear and external meatus

79

parotid lymph nodes drain

middle ear and external meatus

80

submandibular lymph nodes drain

paranasal sinus, oral cavity, tongue

81

submental lymph nodes drain

tip of tongue, median part of oral cavity, and central part of lower lip

82

retropharyngeal lymph nodes drain

auditory tube

83

all lymph from thehead converges to

deep cervical lymph nodes

84

what are the two deep cervical lymph nodes

superior. jugulodigastric
inferior-juguloomohyoid

85

jugulodigastric receives lymph from

palatine tonsils, paranasal sinuses and oral cavity drain submandibular lymph nodes, upper pharynx and drain to jugular lymph trunk

86

juguloomohyoid

receives lymph from median portion of body of tongue, lower larynx, superior deep cervical nodes and drains to jugular lymph trunk

87

level 1 lymph nodes

submental, submandibular

88

level 2 lymph nodes

superior deep cervical, from skull base to hyoid

89

level 3 lymph nodes

nodes along the middle 1/3 of the internal jugular

90

level 4 lymph nodes

inferior deep cervical; lower 1/3 of the internal jugular to clavicla

91

level 5 lymph nodes

posterior triangle

92

level 6 lymph nodes

prelaryngeal, pretracheal, midline between hyoid and sternal notch

93

level 7 lymph nodes

superior mediastinal, below sternal notch between common carotid artery

94

frontal sinus drains to

middle meatus via frontonasal duct

95

ethmoid sinus drains to

posterior air cell to superior meatus
middle and anterior air cell to middle meatus

96

maxillary sinus drains to

nasal cavity via hiatus semilunaris

97

sphenoid sinus drains to

anterior wall to sphenoethmoidal recess

98

sphenoid sinus is medial to

cavernous sinus

99

what nerve runs along the sphenoid sinus floor

nerve to pterygoid canal

100

what is the plexus associated with nose bleeds

kiesselbach's plexus

101

kiesselbach's plexus has contributions from what arterys

sphenopalatine
greater palatine
anterior ethmoidal
superior labial

102

shape of subdural hematoma

cresent shaped hematome

103

epidrual hematome

damage to middle meningeal arteyr

104

shape of epidural hematoma

lens shaped

105

subarahcnoid hematome

damage to arteries from circle of wilis

106

which cranial nerve actually passes through the cavernous network of veins

CN VI

107

which cranial nerves pass laterally through the cavernous sinus

3,4,5 (only parts)

108

myopia

nearsightedness; focus of objects is in front of the retina

109

hypperopia

farsightedness; focus of objects is behind the retina

110

retinal detachment

seperationg of the neural retina from the pigmented epithelium -blindness in parts of the field

111

macula

only contains coans-highest visual acuity

112

glaucoma

increased intraocular pressure from poor drainage or over production of aqueous humor

113

cataract

opacity of the lens

114

optic disc

no photoreceptors in this region-blind spot

115

papilledma

building of optic disc from intracranial pressure

116

central artery of the retina

terminal from ICA, blockage will result in sudden blindness

117

tear production is controleed by

VII

118

middle ear infection can spread to the

mastoid sinus, pharnyx, endager chorda tympani, CNVII and CN IX, middle cranial fossa

119

myringotomy/tympanostomy

perforation of the inferior aspect to the tympanic membrane to release pus from otitis media or place tubes

120

hyperacusis

parlysis of the nerve to stapedius (CN VII injury) resulting in increased perception of loundess

121

cranial nerve 5 and 6 palsy from ititis media called

gradenigos syndrome

122

infections between the investing fascia and the pretracheal fascia can spread

into superior mediastinum

123

infections within the prevertebral fascia can

extend laterally to posterior border of SCM

124

infections between the buccopharyngeal fasia and the alar fascia can extend

lower cervical levels

125

infections between alar/buccopharyngeal fascia and the prevertebral elvel can extend

to diaphragm

126

subclavian vein puncture can injur

first rib, phreniv nerve, subclavian arteyr and cupula of lung

127

right IJV can be punctured

lateral to common carotid between sternal and clavicular heads of SCM

128

what muscle does the phrenic nerve course along

anterior scalene

129

the descending branch of the occipital artery anastomoses with

vertebral and deep cervical arteries

130

during a carotid endarterectomy what nerves can be injured

9, 10,11, 12 and sympathetic trunk

131

symptoms of horner's syndrome

flushing of face
ptosis
anhydrosis
miosis

132

horner's without anhydrosis and flushing is

lesion of internal carotid nerve sparses the carotid nerve

133

when superior thyroid artery is ligated what nerve is at risk

external larngeal

134

when the inferior thyroid artery is ligated what nerve is at risk

recurrent laryngeal