head and neck revision Flashcards

(36 cards)

1
Q

know all then bones, fossas, sutures, sinus of the skull

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what structure passes thru the cribriform plate

A

olafactory bulb (for smell)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is found at the pterion

A

he pterion provides access to middle meningeal and middle cerebral vessels, sylvian fissure, circle of Willis, anterior pole of insula and Broca’s area

  • weakest point in skull (where frontal, temporal and parietal skull meet)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the 4 sutures of skull, where are they

A

sagital
coronal
lambdoid
squamous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what 8 bones make up the nasal cavity , locate them

A

lacrimal
vomer
ethmoid
sphenoid
paletine
maxilla
vomer
frontal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what structures make up the nasal septum, locate them

A

perpendicular plate of vomer (posterior aspect)

cartilage (anterior aspect)

vomer (inferior aspect)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

if fluid accumulation is seen in sinus, what pathology is it

A

sinusitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is a fontanelle

A

soft spot/ soft membranous gap between cranial bones that make uo calvarium of foetus/infant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

why are fontanelles needed

A

for past passage of baby head thru birth cancel without compressing bones of skull, also gives space for brain as it rapidly expands

  • each fontanelle will close by their due time based on their intramembranous ossification timeline
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what suture is seen in babies but close before they turn 1

A

metopic suture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

know what grey/white matter looks like, sulcus (gaps b/w gyro), gyri (fold of Brian), fissure (separations of lobes) in brain

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what makes white matter white

A

lipids in the axons / myelin sheath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what does white matter and grey matter contain

A

white matter = axons and glial cells

grey matter = neuronal cell bodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

olfactory is covered in meninges so part of CNS

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the different parts of the brain and its function

A

frontal = memory, motor, problem solving, social

temporal = hearing, language, speech, emotion, learning

parietal = sensory, language

occipital = vision

cerebellum = coordination of movement, reflex arc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

understand how damage to certain lobes affect function e.g frontotemporal dementia causes memory loss, lack so social skills, poor judgement etc

17
Q

know where the lateral and central sulcus is, thus where is the primary sensory and primary motor cortex located

A

primary motor cortex = gyri anterior to central sulvus

primary sensory cortex = gyri posterior to central sulcus

18
Q

know where midbrain, pons and medulla oblongata is , what are the roles of each of them

A

midbrain = pain suppression, arousal and alertness (makes dopamine)

pons = holds ascending and descending tracts communicating cerebral cortex and cerebellum

medulla oblongata = regulate basic functions/ autonomic system e.g breathing

19
Q

where is the insula located and what is it

A

-located deep in lateral fissure

  • gustatory and sensorimotor processing, risk-reward behavior, autonomics, pain pathways, and auditory and vestibular functionin
20
Q

what does Broca’s area control and where is it in brain

A

speech and language

  • the frontal part of the left hemisphere of the brain (anterior to primary motor cortex)
21
Q

what does wernickes area control and where is it

A

also controls speech and language

  • posterior segment of the superior temporal gyrus in the dominant hemisphere. (near the back of the temporal lobe/right on top of where the lateral fissure ends)
22
Q

damage to broca or wernicke area causes what

A

receptive aphasia (wernicke)
- means someone can say words and sentences, but they often don’t make complete sense

expressive aphasia (broca)
- Expressive aphasia (also known as Broca’s aphasia) is a type of aphasia characterized by partial loss of the ability to produce language (spoken, manual, or written), although comprehension generally remains intact

23
Q

the gustatory (taste) cortex is located in which lobe

24
Q

the basal ganglia is located where , what does it do

A
  • within the corpus callosum

a cluster of nuclei found deep to the neocortex of the brain.

It has a multitude of functions associated with reward and cognition but is primarily involved in motor control.

25
find diagram and fully label the circle of willis
26
what part of circle of willis supplies frontal, parietal, temporal and occipital lobe of brain
- anterior cerebral artery supplies medial portions of the frontal and parietal lobes and corpus callosum. - The middle cerebral artery supplies large portions of the lateral surfaces of frontal, parietal, and temporal lobes. - The posterior cerebral arteries bifurcate from the basilar artery to supply the medial temporal (including the hippocampus) and occipital lobes, thalamus, and mammillary and geniculate bodies.
27
what are fascial planes
thin sheets of connective tissue that surround muscles, bones, organs, nerves and blood vessels (they compartmentalise, support and interconnect organs and structures)
28
INFECTIONS TEND TO SPREAD WITHIN FASCIAL COMPARTMENTS AND BETWEEN FASSCIAL PLAN ES
29
fascia of neck is divided into what 2 layers
superficial and deep
30
deep cervical fascia is further categorised into what 4 compartments
- investing layer - carotid sheath - pre-tracheal layer - pre-vertebral layer
31
the superficial neck fascia compartmetises what structures
- fat, muscle, nerve and vessels to skin, superficial veins and lyphnodes
32
what does each 4 sub-categories of the deep cervical fascia compartmatise
investing layer = (most superficial of all 4) holds 2 muscles, sternocleidomastoid (anterior), trapezius (posterior) carotid sheath = contains common carotid artery, internal jugular veins, vagus nerves, deep cervical lymph nodes) pre-tracheal = trachea, oesophagus, thyroid gland, laryngeal nerves pre-vertebral = spinal cord, vertebral column and associated muscles
33
a danger space exists begin TRUE retropharyngeal space which allows for spread of infection from pharynx to mediastinum
34
know the parts of the pharynx, larynx and where they are located + epiglottis, cricoid cartilage, hyoid and thyroid , what are the parts of pharync
nasopharynx oropharynx hypo pharynx larynx
35
where/what are the 9 lymph nodes in the face/neck
1. submental (belwo chin) 2. submandibular (below jaw) 3. preauricle (before ear) 4. mastoid (behind ear) 5. occipital (below ear/on upper neck) 6. jugulo-digastric (quarter down lateral neck) 7. anterior deep cervical chain (midway down lateral neck) 8. posterior cervical chain (near anterior trap) 9. supraclavicular (above clavicle)
36
how can you identify solid or cystic thyroid lesion
using US and Doppler effect , if fluid it is hypointense (no signal back) but if solid doppler will work