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Neck Region Flashcards

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1
Q

True or false: The atlas (C1 vertebra) does not have a body or spinous process.

A

True

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2
Q

Which of the following is a unique feature of the axis (C2 vertebra)?

A. Body
B. Dens
C. Transverse process

A

B

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3
Q

How many processes does a typical cervical vertebra have?

A

7

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4
Q

The articulations of which two structures form the atlanto-occipital joint?

A. Articulations between the superior articular processes of the atlas with the occipital bone
B. Articulations between the lateral masses of C1 and the superior articular facets of C2
C. Articulation between the dens of C2 and the anterior arch and transverse ligament of C1

A

A

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5
Q

Which joint is considered a joint of the vertebral arches?

A. Intervertebral joints
B. Uncovertebral joints
C. Zygapophysial (facet) joints

A

C

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6
Q

Which of the following joints is considered a cartilaginous joint?

A. Intervertebral joints
B. Uncovertebral joints
C. Zygapophysial (facet) joints

A

A

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7
Q

True or false: Small degrees of freedom between the synovial joints of the cervical region combined to produce 2 degrees of freedom: flexion/extension and rotation.

A

FALSE

There are 3 degrees of freedom:
Flexion/extension
Lateral flexion
Rotation

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8
Q

Which structure forms a prominence in the anterior aspect of the neck and is easily palpated?

A

Thyroid cartilage

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9
Q

The carotid pulse can be located between which two structures?

A

The sternocleidomastoid and the trachea

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10
Q

What are the origin sites for the sternocleidomastoid muscle?

A

Manubrium of the sternum
Medial 1/3 of the clavicle

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11
Q

Which of the following muscles is considered a prevertebral muscle? (List all that apply)

A. Scalenes
B. Longus colli
C. Rectus capitus posterior major
D. Splenius capitus
E. Rectus capitus obliques inferior

A

A, B, D

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12
Q

Which muscle’s primary action is to flex the neck?

A. Scalenes
B. Longus colli
C. Longus capitus

A

B

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13
Q

Which of the following muscles inserts into the second rib?

A. Anterior scalene
B. Middle scalene
C. Posterior Scalene

A

C

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14
Q

True or false: Rectus capitus posterior major and minor both insert into the inferior nuchal line of the occipital bone.

A

True

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15
Q

What are the bones of the neck region?

A

Atlas (C1), Axis (C2), and C3-C7 vertebrae

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16
Q

What are the features of TYPICAL vertebrae?

A

Body
Vertebral arch
7 processes:
- Superior articular processes (2)
- Inferior articular processes (2)
- Transverse processes (2)
- Spinous Process

(NOTE: Cervical vertebrae have uncinate processes…no other vertebrae do!)

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17
Q

Label the parts of this typical vertebra.

A

(See image)

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18
Q

Which cervical vertebra is this? Label its parts.

A

Atlas (C1) - see image

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19
Q

What cervical vertebra is this? Label its parts.

A

Axis (C2) - see image

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20
Q

Where is the hyoid bone located and what is its purpose?

A

Anterior neck, held in place by anterior neck muscles.

Functions to keep the airway open

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21
Q

What are the 3 parts of the hyoid bone?

A

(See image)

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22
Q

What are the craniovertebral joints of the neck?

A

Atlanto-occipital joint
Atlanto-axial joint (lateral atlanto-axial joints, median atlanto-axial joint)

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23
Q

What is the atlanto-occipital joint?

A

An articulation between the superior articular processes of the atlas with the occipital condyles.

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24
Q

What are the 3 atlanto-axial joints?

A

(2) lateral atlanto-axial joints: articulations between the lateral masses of C1 and the superior articular facets of C2

(1) median atlanto-axial joint: articulation between the dens of C2 and the anterior arch and the transverse ligament of C1

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25
Classify the following joints as craniovertebral joints, cervical joints, or vertebral arches: 1. Zygapophysial joints 2. Atlanto-occipital joint 3. Atlanto-axial joint 4. Intervertebral joints 5. Uncovertebral joints
1. Vertebral arch 2. Craniovertebral joint 3. Craniovertebral joint 4. Cervical joint 5. Cervical joint
26
What is an intervertebral joint?
A cervical joint which has articulations between the bodies of adjacent vertebrae and intervening intervertebral discs
27
What is an uncovertebral joint?
A cervical joint in which articulations between the uncinate processes and the inferolateral surfaces of the vertebral bodies that are superior to them
28
What is a zygapophysial (“facet”) joint?
A vertebral arch; articulations between the superior and inferior articular processes of adjacent vertebrae.
29
The neck has how many degrees of freedom? What are they?
3 degrees of freedom: flexion/extension, lateral flexion, rotation
30
What are the four regions of the neck?
Sternocleidomastoid Posterior cervical Anterior cervical Lateral cervical
31
How many superficial muscles of the neck are there? How many deep?
1 superficial 13 deep (9 prevertebral, 4 sub-occipital)
32
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Sternocleidomastoid ORIGIN: (Sternal head) surface of manubrium of sternum (clavicular head) superior surface of medial 1/3 of clavicle INSERTION: lateral surface of mastoid process of temporal bone and lateral Hal of superior nuchal line of occipital bone INNERVATION: Accessory Nerve (CN XI) ACTION: lateral flexion of the neck; rotates neck so face is turned superiorly toward opposite side; working bilaterally produces chin thrust forward
33
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Scalenes ORIGIN: (anterior) anterior tubercles of transverse processes of C3-C6; (middle) posterior tubercles of transverse processes of C2-C7; (posterior) posterior tubercles of transverse processes of C4-C6 INSERTION: (Anterior & middle) 1st rib; (posterior) 2nd rib INNERVATION: Central rami of cervical spinal nerves ACTION: lateral flexion of the neck; (anterior & middle) elevates 1st rib; (posterior) elevates 2nd rib during forced inspiration
34
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Longus colli ORIGIN: bodies of C5-T3 vertebrae and traverse processes of C3-C5 INSERTION: anterior tubercle of C1, bodies of C1-C3, transverse processes of C3-C6 INNERVATION: ventral rami of cervical spinal nerves (C2-C6) ACTION: flexion of the neck at C2-C7
35
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Longus capitus ORIGIN: anterior tubercles of transverse processes of C3-C6 INSERTION: Basilar part of the occipital bone INNERVATION: ventral rami of the cervical spinal nerves (C1-C3) ACTION: flexes head on neck primarily at Atlanto-occipital joint
36
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Splenius capitus (SPLEH-NEE-ISS) ORIGIN: ligamentum nuchae and spinous processes of T1-T6 INSERTION: lateral aspect of mastoid process and occipital bone INNERVATION: **DORSAL RAMI** of the cervical spinal nerves (C3-C5) ACTION: laterally flexes and rotates head and neck to same side; acts bilaterally to extend the head and neck
37
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Rectus capitus anterior ORIGIN: anterior surface of lateral mass of C1 INSERTION: base of cranium; anterior to occipital condyle INNERVATION: branches from loop formed between C1 and C2 spinal nerve roots ACTION: flexes head on neck primarily at Atlanto-occipital joint
38
Which muscle is presented here? Name it and provide its origin, insertion, innervation, and action.
NAME: Rectus capitus lateralis ORIGIN: transverse process of C1 INSERTION: jugular process of occipital bone INNERVATION: branches from loop formed by C1-C2 spinal nerve roots ACTION: flexes head on neck primarily at atlanto-occipital joint
39
True or false: the prevertebral muscles of the neck are all innervated by the ventral rami of cervical spinal nerves.
FALSE All but the SPLENIUS CAPITUS—the Splenius capitus is innervated by DORSAL rami of the cervical spinal nerves
40
As a group the sub-occipital muscles produce two movements: _________________ and _______________.
Extension of the head at the atlanto-occipital joint Rotation of the head at the atlanto-axial joint
41
The 4 sub-occipital muscles are…
Rectus capitus posterior major Rectus capitus posterior minor Rectus capitus obliques inferior Rectus capitus obliques superior
42
The sub-occitpial muscles are innervated by the __________ rami of the _______ spinal nerve.
Dorsal C1
43
Which muscles are presented here? Name them and provide their origins and insertions.
RECTUS CAPITUS POSTERIOR MAJOR ORIGIN: spinous process of C2 INSERTION: lateral part of inferior nuchal line RECTUS CAPITUS POSTERIOR MINOR ORIGIN: posterior tubercle on posterior arch of C1 INSERTION: medial part of inferior nuchal line
44
Which muscles are presented here? Name them and provide their origins and insertions.
RECTUS CAPITUS OBLIQUES INFERIOR ORIGIN: spinous process of C2 INSERTION: transverse process of C1 RECTUS CAPITUS OBLIQUES SUPERIOR ORIGIN: transverse process of C1 INSERTION: occipital bone between the superior and inferior nuchal lines
45
What condition is presented here? How does it happen?
Torticollis Contraction of the cervical muscles that produce twisting of the neck and slanting off the head There are TWO TYPES: 1. Congenital torticollis 2. Cervical dystonia
46
What are the four suprahyoid muscles? What do they have in common?
Mylohyoid, geniohyoid, stylohyoid, digastric (anterior and posterior bellies) They are all ELEVATORS and originate SUPERIORLY to the hyoid (“supra”)
47
What are the four infrahyoid muscles? What do they have in common?
Sternohyoid, omohyoid (superior and inferior bellies), sternothyroid, thyrohyoid They all DEPRESS the hyoid and originate INFERIOR to the hyoid (“infra”)
48
Name the action of the following suprahyoidal muscles: 1. Mylohyoid: 2. Geniohyoid: 3. Stylohyoid: 4. Digastric (anterior and posterior belly):
1. Mylohyoid: elevates hyoid, floor of mouth and tongue during swallowing and speaking 2. Geniohyoid: pulls hyoid anteroposteriorly, shortens floor of mouth and widens pharynx 3. Stylohyoid: elevates and retracts hyoid, elongating floor of mouth 4. Digastric (anterior and posterior belly): depresses mandible, elevates and steadies hyoid during swallowing and speaking
49
Name the action of the following infrahyoidal muscles: 1. Sternohyoid: 2. Omohyoid (superior and inferior belly): 3. Sternothyroid: 4. Thyrhyoid:
1. Sternohyoid: depresses hyoid bone after elevation during swallowing 2. Omohyoid (superior and inferior belly): depresses, retracts, and steadies hyoid bone 3. Sternothyroid: depresses hyoid bone and larynx 4. Thyrohyoid: depresses hyoid bone and elevates larynx
50
The ___________ supply the skin of the posterior neck with sensory innervation
Dorsal rami
51
The anterior part of the neck is supplied by the __________ rami of ______________ and ______________ of ____________.
Ventral; C2 and C3 Ventral; C3 and C4
52
The blood supply to the structures of the neck region arise from branches of _________________ and ________________.
External carotid arteries Subclavian arteries
53
The subclavian artery is divided into how many parts? What are they called?
3 parts Part 1: Vertebral artery (tunnels through foramen magnum), internal thoracic (runs inferior toward thoracic region), thyrocervical trunk (tiny trunk supplying structures of the neck) Part 2: Costocervical trunk (extends posteriorly) Part 3: Dorsal scapular artery (leads laterally)
54
The venous return from the structures of the neck lie ___________ to the arterial pathways. These structures arise from multiple veins that empty into the _____________, _________________ and _________________.
Anterior Internal jugular; external jugular; subclavian vein.
55
True or false: The external jugular terminates in the subclavian vein.
True
56
True or false: the internal and external jugular veins unite to form the brachiocephalic vein.
FALSE The SUBCLAVIAN and INTERNAL jugular unite to form the brachiocephalic vein
57
Which of the following are considered paired laryngeal cartilages? Arytenoid Thyroid Cuneiform Epiglottic Corniculate
Arytenoid Cuneiform Corniculate
58
Which of the following laryngeal cartilages is connected to the hyoid bone? Thyroid cartilage Cricoid cartilage Epiglottic cartilage
Thyroid It’s connected via the thyrohyoid membrane
59
Which of the following is instrumental in protecting the airway during swallowing? Thyroid cartilage Cricoid cartilage Epiglottic cartilage
Epiglottic cartilage
60
Which cartilages articulate to form joints that allow movement of the vocal folds? A. Thyroid and Epiglottic cartilages B. Cricoid and Arytenoid cartilages C. Arytenoid and cuneiform cartilages
B
61
The innervation of the larynx is provided by branches of which of the following nerves? A. Glossopharyngeal B. Vagus C. Trigeminal D. Facial
B
62
Which of the following nerves provides innervation to the majority of the intrinsic muscles of the larynx? A. Superior laryngeal nerves B. External laryngeal nerves C. Inferior laryngeal nerves
C
63
Which part of the pharynx extends from the soft palate to the superior border of the epiglottis?
Oropharynx
64
Which parts of the pharynx serve digestive functions?
Oropharynx and laryngopharynx
65
True or false: The pharynx receives motor and sensory innervation from the pharyngeal plexus of nerves which is formed by CNS IX and X.
True
66
Which stage of swallowing involves placing food or liquid on the tongue?
Stage 1
67
The larynx is an organ of ___________.
Voice production
68
True or false: The larynx is posterior to the esophagus.
FALSE It’s anterior to the esophagus
69
True or false: The trachea is connected to the hyoid bone.
True
70
What are the 9 cartilages of the larynx?
Thyroid Cricoid Epiglottis Arytenoid (2) Corniculate (2) Cuneiform (2)
71
If the vagus nerve is injured, what can happen to the vocal folds in the larynx?
Vocal fold paralysis
72
What is the innervation of the larynx?
CN X (Vagus nerve); laryngeal nerve (superior and inferior)
73
Describe the location of the nasopharynx, oropharynx, and laryngopharynx.
Nasopharynx: Nasal cavity to top of soft palate Oropharynx: soft palate to tip of epiglottis Laryngopharynx: Epiglottis to esophagus
74
True or false: The pharynx is innervated by the CN XI nerve.
FALSE Motor innervation - CN X (except the stylopharyngeus - CN IX) Sensory innervation: CN IX
75
What are the stages of deglutition?
Stage 1: Voluntary; bolus is compressed against palate and pushed from the mouth into the oropharynx Stage 2: involuntary; soft palate is elevated sealing off nasopharynx. Suprahyoids elevate the larynx and epiglottis seals off airway; pharynx widens to receive bolus Stage 3: involuntary; sequential contractions of pharyngeal constrictors forces food bolus into esophagus
76
What is dysphagia?
Difficulty swallowing
77
What is aspiration?
Food entering the laryngeal inlet or lungs
78
What is a tracheostomy?
Incision made through the anterior wall of the trachea to establish an airway in case of obstruction or respiratory failure

Human Anatomy (15 decks)

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