Lachmans TEST REVIEW (PERSONAL Head/Neck) (Part 1) Flashcards

(39 cards)

1
Q

Bell’s palsy is believed to be caused by inflammation and swelling of the the? Where?

A

Facial nerve within the facial canal

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2
Q

The facial nerve courses within the ? Of what Bone?

A

Facial canal of the petrous portion of the temporal bone

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3
Q

The facial nerve emerges from the skull at ?? and passes through what gland?

A

Stylomastoid foramen
Parotid gland

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4
Q

Paralysis of orbicularis oculi…

A

Prevents the patient from closing her eye in squinting, but more importantly it prevents blinking.

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5
Q

The most serious complication of facial paralysis, is due to what muscle being impacted and its role in doing what to the eye?

A

Orb Oculi

Blinking distributes tears over the cornea, which is necessary to keep it moist and to prevent drying

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6
Q

The muscle responsible for opening the eye is the.. innervated by ?

A

levator palpebrae superioris.
CNVIII (Occulomotor)`

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7
Q

What is the buccinator muscle, its innervation, and its function?

A

Facial nerve (CN VII).

1) maintains tension in the cheek, keeps food from accumulating between the cheek and teeth during chewing,
2) prevents the cheek mucosa from being caught between the teeth during mastication.

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8
Q

Paralysis of this muscle allows food to collect between the teeth and the cheek, making it diffi cult to chew the food.

A

Buccinator (CNVII)

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9
Q

The inability to purse the lips or to show the teeth of the affected side is caused by paralysis of the ?

A

Orbicularis oris

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10
Q

The facial nerve also contains sensory nerve fibers whose cell bodies are in the

A

Geniculate ganglion

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11
Q

Posterior auricular nerve provides sensory innervation to the region

A

posterior to the external ear and also to the posterior portion of the external ear canal

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12
Q

Chorda tympani is a branch of the

A

Facial nerve

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13
Q

Because the parotid gland, the largest of the salivary glands, is not innervated by the facial nerve … But rather?

A

Glossopharyngeal nerve

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13
Q

Chorda tympani is a branch of the facial nerve that emerges from the nerve within the temporal bone and then passes through the middle ear cavity and emerges through the

A

Petrotympanic fisssure to enter the infratemporal fossa.

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14
Q

What are the salivary glands?

A

parotid, submandibular, and sublingual

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15
Q

What are the parotid, submandibular, and sublingual glands innervated by?

A

Parotid- Glossopharyngeal
Submandibular- Chorda tympani nerve (CNVII)
Sublingual- Chorda tympani nerve (CNVII)

16
Q

Chorda tympani contains sensory fibers for ?

A

Taste for the anterior 2/3rd tongue

17
Q

Facial nerve also provides motor innervation to the ______ muscle in the middle ear. The function of this muscle is to ?

A

Stapedius

Attenuate the amplitude of vibration of the stapes (attenuate the perceived sound entering the inner ear at the oval window)

18
Q

What is the greater petrosal nerve (Branch?)

A

Facial nerve (cranial nerve VII)

Parasympathetic fibers to the lacrimal, oral, nasal, and palatine glands

19
Q

What is septic thrombosis?

A

A blood clot (thrombosis) in a vein that occurs in the setting of infection and inflammation.

20
Q

What do the labial veins drain into?

A

Tributaries of the facial vein…. terminates in the internal jugular vein (IJV).

21
Q

What vein communicates with the facial vein and connects to the cavernous sinus?

A

Angular vein, which connects to the superior ophthalmic vein, which drains into the cavernous sinus.

22
Q

Why can infections from the face spread to the brain?

A

Facial veins lack valves, allowing bidirectional flow of blood — especially toward the cavernous sinus.

23
Q

What is the deep facial vein’s significance in spreading infection?

A

It connects the facial vein to the pterygoid venous plexus, which anastomoses with the cavernous sinus via emissary veins.

24
What are emissary veins?
Valveless veins that connect extracranial veins to intracranial dural venous sinuses (e.g., cavernous sinus).
25
What is the main tributary of the cavernous sinus?
Superior ophthalmic vein.
26
How does the cavernous sinus drain into the systemic circulation?
Through the superior and inferior petrosal sinuses → transverse sinus → internal jugular vein (IJV).
27
What cranial nerves are found in the lateral wall of the cavernous sinus?
CN III (Oculomotor) CN IV (Trochlear) CN V1 & V2 (Ophthalmic & Maxillary divisions of Trigeminal)
28
What structures pass through the lumen of the cavernous sinus?
Internal carotid artery (ICA) Sympathetic plexus around ICA CN VI (Abducens nerve)
29
What passes through the optic canal and what does it communicate with?
Optic nerve (CN II) Ophthalmic artery Communicates with the middle cranial fossa
30
What does the superior orbital fissure connect and what passes through it?
Connects to the middle cranial fossa Transmits: Superior ophthalmic vein CN III (Oculomotor) CN IV (Trochlear) CN VI (Abducens) CN V1 (Ophthalmic division of Trigeminal nerve)
31
What does the inferior orbital fissure connect to and what passes through it?
Connects to the infratemporal fossa Transmits: Inferior ophthalmic vein Infraorbital nerve Zygomatic nerve
32
What is the function of the levator palpebrae superioris muscle?
Raises the upper eyelid
33
How are the extraocular muscles organized by insertion location?
Rectus muscles (4) insert on the front half of the eyeball Oblique muscles (2) insert on the back half
34
Which cranial nerve innervates the lateral rectus muscle?
CN VI (Abducens)
35
Which cranial nerve innervates the superior oblique muscle?
CN IV (Trochlear)
36
CN III (Oculomotor) innervates
Inferior oblique Medial rectus Inferior rectus Superior rectus
37
What type of joint is the TMJ?
A synovial joint with two separate compartments divided by an articular disc.
38