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Ana 3 > Practicals 1 > Flashcards

Practicals 1 Flashcards

1
Q

Rectus Superior
Rectus Inferior
Rectus Medialis
Inferior Oblique

A
  • III
  • Look at my finger & follow it with your eyes
  • F: immediate tracking in a smooth motion over the full range. Completes full excursion of the test movement
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2
Q

levator palpebrae superioris

A
  • III
  • Open your eyes wide. Hold them. Don’t let me close them
  • F: completes normal range of movement and holds against examiners light manual resistance. Iris will be fully visible
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3
Q

superior oblique

A
  • IV (trochlear)
  • Look at my finger & follow it with your eyes
  • F: immediate tracking in a smooth motion over the full range. Completes full excursion of the test movement
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4
Q

Jaw Opening

A
  • V
  • Lateral Pterygoid & suprahyoid muscles: mylohyoid, stylohyoid, geniohyoid, digastric
  • open your mouth as wide as you can. Hold it, Don’t let me close it.
  • F: Completes available range and holds against strong resistance. The mouth opening should accommodate 3-4 stacked fingers, or 35-40 mm. there is no deviation except downward
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5
Q

Jaw Closure

A
  • V
  • Masseter, Temporalis, Medial Pterygoid
  • clench your teeth together as tightly as you can, keeping your lips relaxed. Hold it. Don’t let me open your mouth
  • F: Pt closes mouth tightly. Examiner should not be able to open the mouth
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6
Q

Lateral Jaw Deviation

A
  • V
  • Lateral & Medial Pterygoid
  • Please move your jaw towards the right then to the left and resist.
  • F: Can move the center point of the lower teeth laterally over three upper teeth. The pt tolerates strong resistance
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7
Q

Jaw Protrusion

A
  • V
  • Lateral & Medial Pterygoid
  • Push your jaw forward. Hold it. Don’t let me push it back.
  • F: Completes a range that moves the lower teeth in front of the upper teeth and can hold against strong resistance.
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8
Q

Rectus lateralis

A
  • VI (abducens)
  • Look at my finger. Follow it with your eyes
  • F: immediate tracking in a smooth motion over the full range. Completes full excursion of the test movement
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9
Q

Orbicularis Oculi

A
  • VII
  • closing the eye
  • Close your eyes as tightly as you can. Hold them closed. Don’t let me open them.
  • Close your eyes against my finger
  • F: Closes eyes tightly and holds against examiner’s resistance. Iris may not be visible.
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10
Q

Corrugator Supercilii

A
  • VII
  • frowning
  • Frown. Don’t let me erase it.
  • F: Completes normal range (wrinkles are prominent) and holds against slight resistance.
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11
Q

Occipitofrontalis

A
  • VII
  • raising of eyebrows
  • Raise your eyebrows as high as you can. Don’t let me pull them down
  • F: Horizontal wrinkles are prominent and tolerates considerable resistance
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12
Q

Procerus

A
  • VII
  • wrinkling the bridge of the nose
  • Wrinkle your nose as if to say yuck and resist
  • F: Prominent creases, pt tolerates some resistance
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13
Q

Lip closing

A
  • VII
  • Orbicularis oris
  • purse your lips. hold it. push against the tongue blade
  • F: Completely seals lips and holds against relatively strong resistance.
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14
Q

Cheek compression

A
  • VII
  • Buccinator
  • suck in your cheeks. hold. dont let me push them out
  • use tongue depressor
  • F: Performs movement correctly and holds against strong resistance
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15
Q

Tongue Protrusion

A
  • XII
  • Genioglossus (Posterior Fibers)
  • stick out your tongue. hold it. dont let me push it in.
  • use tongue depressor
  • F: Tongue extends cosiderably beyond lips
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16
Q

Tongue Deviation

A
  • XII
  • Genioglossus and Other Muscles
  • Stick out your tongue and move it to the right and resist (repeat for left side)
  • use tongue depressor
  • F: Tongue reaches some part of the cheek or lateral sulcus
17
Q

Tongue Retraction

A
  • XII
  • Genioglossus (Anterior Fibers), Styloglossus
  • stick out your tongue. now pull your tongue back. dont let me keep it out.
  • use gauze pad
  • F: Tongue returns to rest position in mouth against resistance
18
Q

Posterior Elevation of Tongue

A
  • Styloglossus (XII)
  • Palatoglossus (X)
  • push against this stick (move the stick down)
  • F: Tongue rises so that superior surface reaches the hard palate against considerable resistance
19
Q

Channeling the Tongue

A
  • XII
  • Genioglossus, Intrinsic Tongue Muscles: superior & inferior longitudinal, transverse lingual, vertical
  • make a tube with your tongue
20
Q

Tipping/Curling the Tongue

A
  • XII
  • Superior & Inferior Longitudinals
  • Touch above your upper lip with your tongue & touch your tongue to your chin
  • F: tongue protrudes and touches area between upper lip and nasal septum
21
Q

Elevation and adduction of the soft palate

A
  • V, XI
  • Levator veli palatini, tensor veli palatini, palatoglossus, musculus uvulae
  • use a high pitched tone to say Ah a a a
  • F: Uvula elevates and the palatoglossal and palatopharyngeal adducts to narrow the fauces
22
Q

Occlusion of the nasopharynx

A
  • X
  • Palatopharyngeus
  • blow on my finger
  • place mirror below nostrils and check for air escape (no air escape is normal)
  • F: No leakage of air through nose
23
Q

Constriction of the posterior pharyngeal wall

A
  • patient opens mouth wide and says ah h h with a high pitched tone
  • use tongue depressor and cotton swab on the back of mouth
  • F: Contraction of the posterior pharyngeal wall
24
Q

Elevation of the larynx in swallowing

A
  • swallow
  • press on the larynx and swallow
  • F: Layrnx elevates at least 20 mm. The motion is quick and controlled
25
Q

Vocal cord abduction and adduction

A
  • X
  • posterior and lateral cricoarytenoids
  • state your name, do re mi fa so la to di (low to high), akh akh akh (5x), cough

Ana 3 (2 decks)

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