Neck (2) Flashcards

(59 cards)

1
Q

anterior, posterior, superior, apex, roof, and floor of ANTERIOR TRIANGLE

A

anterior - anterior median line
posterior - SCM
superior - inferior border of the mandible
apex - jugular notch
roof - subcutaneous fascia and platysma
floor - pharynx, larynx, and thyroid gland

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2
Q

subdivided triangles of the ANTERIOR TRIANGLE

A
  • carotid triangle
  • submandibular triangle
  • submental triangle
  • muscular triangle
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3
Q

origin, insertion, innervation, action of MYLOHYOID M

A

origin - mylohyoid line of mandible
insertion - median raphe and hyoid bone
innervation - nerve to mylohyoid (V3)
action - raises floor of oral cavity

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4
Q

origin, insertion, innervation, action of DIGASTRIC M

suprhyoid m

A

origin - mastoid process
insertion - anteromedial aspect of mandible
innervation - posterior belly (facial nerve (CN VII)), anterior belly (V3, nerve to mylohyoid)
action - stabilizes, raises, and anterior/posterior movement of anterior and posterior belly of hyoid bone

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5
Q

origin, insertion, innervation, action of GENIOHYOID M

suprahyoid m

A

origin - genial tubercle of mandible
insertion - hyoid bone
innervation - C1, nerve to geniohyoid
action - raises hyoid bone

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6
Q

origin, insertion, innervation, action of STYLOHYOID M

suprhyoid m

A

origin - styloid process
insertion - hyoid bone
innervation - facial nerve (CN VII)
action - moves hyoid posteriosuperiorly

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7
Q

origin, insertion, innervation, action of THYROHYOID M

infrahyoid m

A

origin - oblique line of thyroid cartilage
insertion - hyoid bone
innervation - nerve to thyrohyoid (C1)
action - lowers hyoid bone or raises thyroid cartilage or stabilizes both structures during vocalization

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8
Q

origin, insertion, innervation, action of STERNOHYOID M

infrahyoid m

A

origin - posterior aspect of manubrium of sternum
insertion - hyoid bone
innervation - ansa cervicalis (C1-C3)
action - lowers hyoid bone or stabilizes hyoid during vocalization and depression of the mandible

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9
Q

origin, insertion, innervation, action of STERNOTHYROID M

infrahyoid m

A

origin - manubrium
insertion - oblique line of thyroid cartilage
innervation - ansa cervicalis (C1-C3)
action - lowers thyroid cartilage or stabilizes same during vocalization and depression of the mandible

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10
Q

origin, insertion, innervation , action of OMOHYOID M

infrahyoid m

A

origin - superior border of scapula
insertion - hyoid bone
innervation - ansa cervicalis (C1-C3)
action - superior belly lowers hyoid bone or may stabilize hyoid from below

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11
Q

suprahyoid muscles

A
  • geniohyoid
  • stylohyoid
  • mylohyoid
  • diagstric
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12
Q

infrahyoid muscles

A
  • thyrohyoid
  • sternohyoid
  • sternothyroid
  • omohyoid
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13
Q

muscles relaxed and contracted in SWALLOWING

A

relaxed - infrahyoids

contracted - suprahyoids

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14
Q

muscles contracted in JAW OPENING

A

infra and suprahyoids by stabilizing hyoid bone

mainly supra’s

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15
Q

muscles during vocalization

A

supra and infrahyoids alternate between contracting and relaxing
(dependent upon sounds made)

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16
Q

major contents of the SUBMANDIBULAR TRIANGLE

A
  • submandibular salivary gland
  • facial vein and submandibular lymph nodes
  • facial artery
  • hypoglossal nerve
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17
Q

major contents of SUBMENTAL TRIANGLE

A
  • submental lymph nodes
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18
Q

major contents of MUSCULAR TRIANGLE

A
  • infrahyoid muscles
  • lower part of larynx
  • upper trachea
  • thyroid
  • parathyroid glands
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19
Q

two lobes (L and R) of the thyroid gland are united in the midline by the

A

isthmus

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20
Q

remnant of the embryological thyroglossal duct

A

pyramidal lobe of thyroid gland

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21
Q

what two arteries supply the thyroid gland

A

superior and inferior thyroid arteries

Salfop

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22
Q

four in number (two on each side), are located on the posterior aspect of the thyroid gland

A

parathyroid glands

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23
Q

a small protein that takes part in the control of calcium and phosphorus homeostasis

A

parathyroid hormone

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24
Q

superior, inferior, posterior, and floor of CAROTID TRIANGLE

A

inferior - superior belly of omohyoid
superior - posterior belly of digastric
posteriorly - SCM
floor - thyrohyoid, hypoglossus and middle and inferior constrictor muscles of the pharynx

25
major contents of CAROTID TRIANGLE
- common carotid (split to internal and external carotid) - internal jugular vein - hypoglossal n (CN 12) - accessory n (CN 11) - vagus n (CN 10)
26
which carotid vessel is more lateral
internal carotid artery - more lateral | external carotid artery - more medial
27
baroreceptors to monitor blood pressure are located here
carotid sinus
28
branches of the aortic arch
- brachiocephalic trunk (divides into: R common carotid a, R subclavian a) - L common carotid a - left subclavian a
29
common carotid artery motor and sensory innervation
sensory - glossopharyngeal n (CN IX) | motor - vagus n (CN X)
30
highly vascularized are between internal and external carotid arteries just above the bifurcation
carotid body
31
ophthalmic branch supplies the forehead and anastomoses with facial and superficial temporal a
internal carotid a
32
SALFOP SUPER T MAX
branches of the external carotid a
33
names of SALFOP ST M
- superior thyroid a (superior laryngeal a) - ascending pharyngeal a - lingual a - facial a - occipital a (pinned down by hypoglossal n) - posterior auricular a - superficial temporal a - maxillary a
34
these two veins come together to form the brachiocephalic vein
internal jugular and subclavian v
35
- parallel with external jugular vein - receive drainage mainly from occipital nodes, retro auricular nodes and parotid nodes, with some drainage from anterior cervical nodes
superficial cervical nodes
36
- parallel with internal jugular vein | - receive drainage from superficial face and deep structures through submandibular, submental, and jugulodigastric nodes
deep cervical nodes
37
lies just below the posterior belly of digastric m
jugulodigastric node
38
terminates at the junction of the internal jugular vein and subclavian vein (lymphatics of the neck)
R jugular trunk/lymphatic duct
39
enters thoracic duct just before it enters the venous system at the junction of the internal jugular vein and subclavian vein
L jugular trunk
40
drains left head and neck, left trunk and upper extrem, entire abdomen and lower body
thoracic duct
41
T/F all lymph must pass through at least one node before entering the venous system
true
42
drains the right head and neck, right upper extrem and right thorax
R lymphatic duct
43
branches of the Vagus n (CN X)
- pharyngeal n - superior laryngeal n (internal and external laryngeal n) - cardiac plexus n - recurrent laryngeal n (R loops behind subclavian a, L loops behind the aortic arch)
44
glossopharyngeal n (CN IX) motor and sensory
motor - stylopharyngeus, parotid gland | sensory - tast (post 1/3 tongue), pharynx, tonsilar sinus, pharyngotympanic tube, middle ear cavity
45
``` Vagus n (CN X) motor and sensory ```
motor - palate, pharynx, larynx, trachea, bronchial tree, heart, GI tract to the left sensory - pharynx, larynx; reflex for bronchial tree, lungs, heart, GI tract to left
46
spinal accessory n (CN XI) | motor
SCM, trapezius
47
``` hypoglossal n (CN XII) motor ```
all intrinsic and extrinsic muscles of the tongue
48
what nerve crosses anterior to scalene muscles
phrenic nerve
49
large ganglion supplies structures of the head via internal carotid plexus, also superior cardiac nerves
superior cervical ganglion (C1-C4)
50
supplies the thyroid gland and middle cardiac nerve, runs with external carotid artery and its branches thereby effect vasoconstriction
middle cervical ganglion (C5-C6)
51
fuses with thoracic region to form stellate ganglion, nerves from here run to the heart
inferior cervical ganglion (C7-C8)
52
lesion of the sympathetic chain pathway will result in
horner's syndrome - pupil constriction - dry face - vasodilation - "ptosis syndrome"
53
brachial plexus - lateral cord
lateral pectoral, musculocutaneous, median
54
brachial plexus - medial cord
medial pectoral, ulnar, median, medial brachial, medial antebrachial
55
brachial plexus - posterior cord
axillary, radial, upper subscapular, lower subscapular, thoracodorsal
56
brachial plexus - supraclavicular branches
- dorsal scapular - suprascapular - long thoracic - n to subclavius
57
structures within the superior thoracic aperture
- thoracic duct - vagus nerve - phrenic nerve - brachial plexus - recurrent laryngeal nerve - subclavian arteries and veins - common carotid arteries - sympathetic chain - apices of the L and R lungs
58
what is the major artery of the lateral neck
subclavian artery
59
VIT C sometimes D | subclavian artery branches
- vertebral - internal thoracic - thyrocervical trunk - inferior thyroid - transverse cervical - suprascapular - ascending cervical - costocervical trunk - supreme intercostal - deep cervical - dorsal scapular