Neck I Flashcards

(60 cards)

1
Q

Vertebral level of hyoid bone?

A

C3

muscles and ligaments connect the hyoid bone to the mandible, manubrium, scapulae, cranium and thyroid cartilage of the larynx

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2
Q

What are the components of the hyoid bone?

A

bone, greater horns, lesser horns

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3
Q

What forms the larynx?

A

thyroid and cricoid cartilages

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4
Q

What makes up the “Adam’s apple”

A

thyroid cartilage

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5
Q

Where is platysma located?

A

within superficial cervical fascia

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6
Q

platysma

A

thin sheet of muscle that covers the anterolateral aspect of the neck; it is a muscle of facial expression

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7
Q

What innervates platysma?

A

facial nerve (CN VII)

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8
Q

deep cervical fascia

A

forms compartments within the neck, can limit or promote infection when continuous with adjacent regions

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9
Q

What is the carotid sheath?

A

vertical tube of deep cervical fascia, passage between cranial cavity and mediastinum

contents: common carotid and internal carotid aa., internal jugular v., vagus n., deep cervical lymph nodes

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10
Q

retropharyngeal space

A

also connects cranial cavity to mediastinum

infection in this area may cause dif. speaking/swallowing

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11
Q

What are the main triangles of the neck?

A

anterior triangle, posterior triangle

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12
Q

What makes up the borders of the anterior triangle of the neck?

A

posterior: sternocleidomastoid muscle
superior: mandible

Anterior: midline of neck

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13
Q

What muscles are found in the anterior triangle of the neck?

A

infrahyoid muscles: sternohyoid, omohyoid, sternothyroid, thyrohyoid

Suprahyoid muscles: mylohyoid, digastric, stylohyoid and geniohyoid

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14
Q

What are the infrahyoid muscles? Action rule?

A

sternohyoid, omohyoid (superior belly), sternothyroid, thyrohyoid

depress hyoid (during swallowing)

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15
Q

Innervation rule for infrahyoid muscles?

A

ansa cervicalis

except thyrohyoid (C1 via hypoglossal n.)

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16
Q

What does ‘omo’ refer to?

A

scapula

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17
Q

Actions of sternothyroid?

A

depress hyoid and larynx

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18
Q

Actions of thyrohyoid

A

depresses hyoid and raises larynx

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19
Q

What are the suprahyoid muscles? Action rule?

A

mylohyoid, digastric, stylohyoid, geniohyoid

elevate hyoid (during swallowing

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20
Q

attachments of mylohyoid?innervation?

A

mandible to hyoid

mandibular nerve (CN V3)

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21
Q

Attachments of digastric? Actions?

A

anterior belly: mandible to hyoid

posterior belly: mastoid region to hyoid

elevate hyoid, depress mandible

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22
Q

What innervates digastric?

A

Anterior belly: mandibular n. (CN V3)

posterior belly: facial n. (CN VII)

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23
Q

stylohyoid attachments? innervation?

A

styloid process to hyoid

facial n. (CN VII)

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24
Q

Geniohyoid attachments? innervation?

A

mandible to hyoid

C1 via hypoglossal n.

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25
What is the carotid triangle?
subdivision of the anterior triangle borders: SCM, posterior belly of digastric, omohyoid common carotid bifurcates within triangle
26
What are the borders of the posterior triangle of the neck?
trapezius, clavicle, SCM
27
Attachments of SCM muscle?
origin: manubrium (sternal head), clavicle (clavicular head) insertion: mastoid process
28
Action of SCM muscle?
unilateral: ipsilateral flexion of neck, contralateral rotation of head bilateral: flex neck
29
What innervates SCM?
accessory n. (CN XI)
30
What are the muscles within the posterior triangle of the neck?
inferior belly of omohyoid, scalenes (anterior, middle, posterior), levator scapulae, and splenius capitis
31
Action rule of the scalenes? Innervation?
laterally flex neck or elevate ribs cervical plexus
32
Spinal levels of cervical plexus?
ventral rami C1-C4
33
Cutaneous branches (sensory) of cervical plexus
emerge from posterior edge of SCM "nerve point of the neck"
34
Why is the nerve point of the neck clinically relevant?
point for injection of anesthetic when performing neck procedures
35
Ansa cervicalis
loop formed by C1-C3, motor branch located SF to carotid sheath
36
What does ansa cervicalis innervate?
most infrahyoid muscles some fibers "hitchhike" with hypoglossal n. (CN XII) making it look like they are branches of CN XII, they are NOt
37
Spinal levels of phrenic nerve?
C3-C5
38
Where does the phrenic nerve travel?
SF to anterior scalene to targets in thorax
39
What are the nerves in the SF neck?
cervical plexus (ansa cervicalis, phrenic nerves) glossopharyngeal (CN IX) accessory n. (CN XI) brachial plexus (roots btwn anterior and middle scalene muscles and trunks located in posterior triangle
40
What is the right common carotid a. a branch off of? left common carotid a.?
brachiocephalic trunk arch of aorta courses superiorly within the carotid sheath
41
What do the common carotid aa. give off?
internal carotid a. and external carotid a.
42
What is the carotid body?
located at the bifurcation of the common carotid, chemoreceptors that monitor blood gas levels
43
What is the carotid sinus?
enlargement of internal carotid artery near its point of bifurcation, contains baroreceptors that monitor BP
44
What innervates the carotid body and sinus?
glossopharyngeal n. (CN IX)
45
What can occur with carotid sinus massage?
activates glossopharyngeal n. endings slow heart rate via vagus nerve- should nerve be performed bilaterally
46
Internal carotid aa.
course superiorly within carotid sheath no branches in neck, supplies intracranial structures
47
external carotid a.
supplies neck, scalp, face and part of orbit many branches in neck
48
What are the major branches of the external carotid aa.
occipital a. facial a. lingual a. ascending pharyngeal a. superior thyroid a.
49
What are the branches of the subclavian arteries in the neck?
internal thoracic artery vertebral artery thyrocervical trunk
50
Where do the vertebral arteries travel?
through the transverse foramina of the upper 6 cervical vertebrae
51
What are the branches of the thyrocervical trunk in the neck?
transverse cervical suprascapular
52
What are the veins in the neck?
external jugular veins internal jugular veins subclavian veins
53
Where are the external jugular veins located? Where do they receive blood from?
SF to SCM scalp, face, neck and shoulder drain into subclavian veins
54
Where are the internal jugular veins located?
course inferiorly within the carotid sheath
55
What do the internal jugular veins drain? What do they empty into?
structures within the cranial cavity join subclavian veins at venous angle
56
Where are the subclavian veins located?
course btwn clavicle and 1st rib, anterior to anterior scalene muscle
57
What do the subclavian veins drain?
blood from UE, head and neck
58
Where is a central line placed?
subclavian vein catheter can readily be introduced into the subclavian vein as it courses just inferior to the clavicle for administration of meds/fluids
59
Where does lymph from SF tissues of the neck drain into?
SF cervical lymph nodes along the external jugular vein > deep cervical nodes (along internal jugular v.) > right lymphatic duct or thoracic duct
60
Where does lymph from face/scalp drain into?
SF ring nodes >deep cervical nodes (along internal jugular v.) > right lymphatic duct or thoracic duct