Neck (pg. 5 - 16 in note packet) Flashcards

(142 cards)

1
Q

Neck

A

Not a clear division between head and neck

Neck extends from base of skull and inferior border of mandible to first rib

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2
Q

Column of neck

A

Collar, neck

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3
Q

Nuchal

A

Back of neck

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4
Q

Cervix

A

Neck (a narrowing)

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5
Q

Thyroid cartilage vertebral level?

A

C4, C5

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6
Q

Landmark of thyroid cartilage of larynx

A

Laryngeal prominence

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7
Q

Hyoid bone vertebral level

A

C3

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8
Q

Hyoid bone purpose

A

Attachment site for anterior neck muscles and some tongue muscles

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9
Q

Bony landmarks of hyoid bone

A

Body, greater cornua, lesser cornua

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10
Q

Cricoid cartilage vertebral level

A

C6

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11
Q

Cricoid cartilage is

A

A cartilage of the larynx

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12
Q

Tracheal cartilage begins at what vertebral level

A

Below C6

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13
Q

Superficial veins of neck

A
Facial vein
Retromandibular vein
Posterior auricular vein
External jugular vein
Anterior jugular vein
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14
Q

Retromandibular vein

A

Anterior branch joins facial vein

Posterior branch joins posterior auricular vein

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15
Q

External jugular vein

A

Formed by union of posterior branch of retromandibular vein and posterior auricular vein

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16
Q

Platysma Origin

A

O: Fascia and skin of deltoid and pectoral regions

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17
Q

Platysma Insertion

A

I: Mandible and tissues around mouth

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18
Q

Platysma Innervation

A

N: facial nerve

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19
Q

Skin of neck Innervation by

A

C2, C3, C4 spinal nerves

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20
Q

Jugular venous dissension

A

Bulging of internal/external jugular veins

Caused by increased blood pressure at the right atrium or right ventricle of heart

Can indicate cardiovascular disease

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21
Q

Anterior triangle of neck (borders)

A

SCM
Inferior angle of mandible
Midline of anterior neck

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22
Q

Anterior Subtriangle names

A

Submandibular triangle
Sub mental triangle
Carotid triangle
Inferior carotid triangle

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23
Q

Submandibular triangle border

A

Inferior border of mandible
Posterior belly of digastric muscle
Anterior bell of digastric muscle

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24
Q

Submandibular triangle contents

A

Submandibular gland

Facial artery

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25
Submental triangle borders
Hyoid bone Anterior belly of right digastric muscle Anterior belly of left digastric muscle
26
Carotid triangle borders
Posterior belly of digastric muscle Superior belly of omohyoid muscle SCM
27
Carotid triangle contents
``` Carotid sheath Common carotid artery Internal carotid artery (after bifurcation) Internal jugular vein Vegus nerve (CN X) ```
28
Inferior carotid triangle borders
Anterior midline of neck SCM Superior belly of omohyoid muscle
29
Inferior carotid triangle contents
Infrahyoid muscles Thyroid gland Lower larynx and trachea
30
Posterior triangle of neck borders
Clavicle SCM Trapezius
31
Posterior sub triangles of neck (names)
Supraclavicular triangle | Occipital triangle
32
Supraclavicular triangle borders
Clavicle SMC Inferior belly of omohyoid
33
Supraclavicular triangle contents
Subclavian artery Subclavian vein Roots and trunks of brachial plexus
34
Occipital triangle borders
Trapezius SCM Inferior belly of omohyoid
35
Occipital triangle contents
Spinal accessory nerve (CN XI) | Cutaneous nerves from cervical plexus
36
Lymphadenopathy
Swollen or enlarged lymph nodes
37
Surgical damage to spinal accessory nerve (CN XI)
May occur during lymph node biopsy or radical neck dissection Results in decreased function of trapezius and SCM muscles
38
Sternocleidomastoid Origin
Sternal head - manubrium Clavicular head - medial portion of clavicle
39
Sternocleidomastoid Insertion
I: Mastoid process of temporal bone and superior nuchal line of occipital bone
40
Sternocleidomastoid Innervation
N: Motor - spinal accessory nerve (CN XI) Sensory - C2 (proprioception)
41
Sternocleidomastoid Action
Unilateral - ipsilateral flexion and contralateral rotation of neck and head Bilateral - flexion of neck and extension of head
42
Occipital neuralgia
Chronic pain of upper neck and/or occiput Lesser occipital nerve can be cause of/contributor to symptoms
43
Ansa cervicalis supplies:
Sternohyoid Sternothyroid Omohyoid (All infrahyoid muscles EXCEPT thyrohyoid. Semi-unrelated, but note: Thyrohyoid innervation like Geniohyoid innervation... C1 via hypoglossal nerve)
44
Ansa cervicalis has two roots/rami:
Ventral primary rami of C1, C2, C3 Superior root - C1 fibers | descending hypoglossal ramus of ansa cervicalis Inferior root - C2, C3 fibers | descending cervical ramus of ansa cervicalis
45
Phrenic nerve is fibers from:
Ventral primary rami of C3, C4, C5
46
Phren means
Diaphragm
47
Phrenic Nerve is motor fibers to ___ and sensory fibers to ___ and ___
Diaphragm; | Fibrous pericardium and mediastinal pleura
48
Segmental branches of cervical plexus supplies:
Scalene muscles and prevertebral muscles (deep muscles of anterior neck)
49
Hyoid bone landmarks:
Body Greater cornua Lesser cornua
50
Infrahyoid muscles used in:
Speech and swallowing
51
Name the four pairs of infrahyoid muscles
Sternohyoid Sternothyroid Omohyoid Thyrohyoid
52
Sternohyoid Origin
O: Manubrium
53
Sternohyoid Insertion
I: Body of hyoid
54
Sternohyoid Action
A: depresses hyoid
55
All infrahyoid muscles (except 1) are innervated by: Name the exception:
N: Ansa cervicalis (C1, C2, C3) EXCEPT: thyrohyoid
56
Thyrohyoid Innervation
N: C1 (hitchhike with hypoglossal nerve)
57
Sternothyroid Origin
O: manubrium
58
Sternothyroid Insertion
I: Thyroid cartilage
59
Sternothyroid Action
A: depresses thyroid cartilage
60
Omohyoid Origin
O: scapula (superior border)
61
Omohyoid Insertion
I: body of hyoid
62
Omohyoid Action
A: depresses hyoid
63
Thyrohyoid Origin
O: Thyroid cartilage
64
Omohyoid Insertion
I: greater cornu of hyoid
65
Omohyoid Action
A: depresses hyoid, elevates thyroid cartilage
66
Name the four pairs of suprahyoid muscles
Digastric Stylohyoid Mylohyoid Geniohyoid
67
Muscle that helps form the floor of the oral cavity:
Mylohyoid
68
Digastric Origin 1. anterior belly 2. posterior belly
O: 1. inner mandible (near symphysis 2. mastoid process
69
Digastric Insertion 1. anterior belly 2. posterior belly
I: Intermediate tendon held by tendinous sling to hyoid (both)
70
Digastric Action 1. anterior belly 2. posterior belly
A: protracts, retracts, elevates hyoid; assists in depressing mandible (both)
71
Digastric Innervation 1. anterior belly 2. posterior belly
N: 1. Trigeminal nerve 2. Facial nerve
72
Stylohyoid Origin
O: styloid process
73
Stylohyoid Insertion
I: Hyoid
74
Stylohyoid Action
A: elevates and retracts hyoid
75
Stylohyoid Innervation
N: Facial nerve
76
Mylohyoid Origin
O: body of mandible (inner surface)
77
Mylohyoid Insertion
I: median raphe and hyoid bone
78
Mylohyoid Action
A: elevates hyoid and floor of oral cavity
79
Mylohyoid Innervation
N: trigeminal nerve
80
Geniohyoid Origin
O: inner mandible (near symphysis)
81
Geniohyoid Insertion
I: Hyoid
82
Geniohyoid Action
A: elevates and protracts hyoid
83
Geniohyoid Innervation
I: C1 (via hypoglossal nerve)
84
Name the Scalene Muscles
Muscles of lateral neck Anterior scalene Middle scalene Posterior scalene Scalenus minimus (if present)
85
Anterior Scalene Origin
O: transverse processes of C3-C6
86
All Scalene Muscles (except 1) have a common Insertion point: Name exception:
I: 1st rib EXCEPT: Posterior scalene
87
Posterior Scalene Insertion
I: 2nd rib
88
Cornu means
Horn
89
All Scalene muscles (except 1) have a common Action: Name exception:
A: elevates 1st rib, ipsilateral flexion of neck EXCEPT: Posterior Scalene
90
Posterior Scalene Origin
O: TPs of C4-C6
91
Scalenus Minimus Origin
O: TP of C6 or C7
92
All Scalene muscles are innervated by:
N: lower cervical ventral primary rami
93
Borders of interscalene triangle (scalene hiatus)
First rib Anterior scalene muscle Middle scalene muscle
94
Structures associated with interscalene triangle to pass to upper limb
Subclavian artery (subclavian vein enters neck anterior to the anterior scalene) Roots of brachial plexus (C5-T1 ventral primary rami)
95
Thoracic Outlet Syndrome
Brachial plexus or subclavian artery are subject to compressive injuries at the interscalene triangle leading to neurovascular problems of upper extremity
97
Name the prevertebral muscles
Longus colli Longus capitis Rectus capitis anterior Rectus capitis lateralis
98
Longus Colli Origin
O: TPs and bodies of C3-T3
99
Longus Colli Insertion
I: TPs and bodies of C1-C6
100
Longus Colli Action
A: flexion and rotation of neck
101
Longus Colli Innervation
N: C2-C7 ventral primary rami
102
Longus Capitis Origin
O: TPs of C3-C6
103
Name two prevertebral muscles with common Insertion and common action
Longus Capitis | Rectus Capitis Anterior
104
Longus Capitis and Rectus Capitis Anterior Common Insertion
Occiput (basilar part)
105
Longus Capitis and Rectus Capitis Anterior common action
A: flexion of head
106
Longus Capitis Innervation
N: C1-C3 ventral primary rami
107
Rectus Capitis Anterior Origin
O: TP of C1 and lateral mass
108
Name the two prevertebral muscles with common innervation
Rectus Capitis Anterior | Rectus Capitis Lateralis
109
Rectus Capitis Anterior and Rectus Capitis Lateralis innervation
N: C1-C2 ventral primary rami
110
Rectus Capitis Lateralis Origin
O: TP of C1
111
Rectus Capitis Lateralis Insertion
I: Occiput (jugular process)
112
Rectus Capitis Lateralis Action
A: ipsilateral flexion of head
113
What does the deep cervical fascia do?
Surrounds muscles and organs of neck, longitudinally compartmentalizes neck, provides support to and permits independent movement of structures of neck
114
Three layers of deep cervical fascia
Superficial layer Pretracheal layer Prevertebral layer
115
Superficial layer attachments
Clavicle, hyoid, occiput, mandible, spinous processes of cervical vertebrae and nuchal ligament
116
Pretracheal layer surrounds:
``` Thyroid gland Trachea Esophagus Pharynx Larynx ```
117
Prevertebral layer surrounds
Cervical spine Deep muscles of posterior neck Deep muscles of the anterior neck
118
All three Deep Cervical Facial layers form the:
Carotid sheath
119
Middle Scalene Origin
O: TPs of C2-C7
120
What two muscles are Innervation by C1 via hypoglossal nerve?
Geniohyoid | Thyrohyoid
121
Names of 2 deep arteries of the neck
Common carotid artery | Internal carotid artery
122
The common carotid artery has a bulge called
Carotid sinus
123
The carotid sinus is this kind of receptor:
Baroreceptor, detects changes in blood pressure
124
This is the name of another thing located near the carotid bifurcation:
Carotid body
125
The carotid body is this kind of receptor:
Chemoreceptor
126
The carotid sinus and carotid body are inner ate delicious by the sinus branch of:
Glossopharyngeal nerve (CN IX)
127
From the carotid bifurcation, this artery travels deeply and superior to the base of the skull and has no defined branches in the neck
Internal carotid artery
128
What is ischemic stroke?
Result of an embolus due to atherosclerosis.
129
Where is a common place for an occlusion to happen? (Ischemic stroke)
Internal carotid artery
130
Name the 8 major branches of external carotid artery
``` Superior thyroid artery Ascending pharyngeal artery Lingual artery Facial artery Occipital artery Posterior auricular artery Maxillary artery Superficial temporal artery ```
131
What is giant cell arthritis?
Inflammatory disease of blood vessels. Especially branches of external carotid artery.
132
4 major branches of subclavian artery
Internal thoracic trunk Vertebral artery trunk Thyrocervical trunk Costocervical trunk
133
What is the path of the internal thoracic artery?
Descends into the thorax along the internal surface of the thoracic wall.
134
What does the internal thoracic artery do?
Supplies the anterior wall of the thorax
135
What is the path of the vertebral artery?
Ascends and enters transfers foramen fo C6, sends branches to deep neck structures, spinal nerves and spinal cord
136
What does the vertebral artery become?
One of the major arteries to the brain
137
Name the 4 branches of thyrocervical trunk
Inferior thyroid artery Ascending cervical artery Transverse cervical artery (may have 2 branches) Costocervical trunk
138
What does the inferior thyroid artery supply?
Thyroid, esophagus, larynx, trachea
139
What general structures does the ascending cervical artery supply?
Deep anterior and lateral cervical region
140
Superficial transverse cervical artery supplies:
Trapezius m.
141
Deep transverse cervical artery (present in ~30%) supplies:
Rhomboid major and minor AND levator scapulae m. NOTE: called dorsal scapular a. if origin is from subclavian a.
142
What muscles does suprascapular artery supply?
Supraspinatus and infraspinatus m.
143
The costocervical trunk has 2 branches (also, name what they supply):
Deep cervical branch supplies deep posterior neck structures | Superior intercostal branch supplies superior thorax