Regional Quiz #5 Flashcards Preview

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Flashcards in Regional Quiz #5 Deck (50)
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1

What number is the Trigeminal Nerve and what area does it correspond too?

5
nasal

2

What number is the Glossopharyngeal nerve and what area does it correspond too?

9
oral

3

What number is the Vagus nerve and what area does it correspond to?

10
below level of cords/thyroid cartilage

4

Which nerve is responsible for gag reflex?

Glossopharyngeal

5

What are some benefits of nasal intubation?

easiest to place
simple to anesthetize
no gag reflex when you reach nasal turbinates(right above the glottis)

6

Which is the better anesthetic, lidocaine jelly or lidocaine ointment?

lidocaine ointment, its 5% as opposed to 2%

7

What nerves innervates the nasal cavity(3)?

greater palatine, lesser palatine, anterior ethmoid

8

Where do the palatine nerves come from?

Trigemianal(5), never via the pterygopalatine ganglion

9

What do the palatine nerves innervate?

nasal turbinates and most of the nasal septum

10

Where does the anterior ethmoid nerve innervate?

Olfactory(1) nerve

11

What does the anterior ethmoid nerve innervate?

nares and anterior 3rd of nasal septum

12

What nerves innervate the oropharynx?

Vagus(10), Facial(7), Glossopharyngeal(9)

13

How many branches does the glossopharyngeal have?

3

14

What does the glossopharyngeal innervate?

posterior 3rd of tongue, vallecula, epiglottis(lingual branch), walls of pharynx(pharyngeal branch), tonsils(tonsillar branch)

15

Internal branch of superior laryngeal nerve is responsible for what?

sensory innervation

16

The external branch of the superior laryngeal nerve is responsible for what?

motor innervation

17

The superior laryngeal nerve is a part of the ____ nerve.

Vagus

18

What does the vagus nerve(internal branch of the superior nerve) innervate?

base of tongue, posterior epiglottis, arytepiglottic folds and arytenoids

19

Where does the vagus nerve(internal branch of superior laryngeal nerve) originate?

lateral to the greater cornu of the hyoid bone

20

Sensory innervation of the recurrent laryngeal nerve includes...

vocal folds and trachea

21

Motor innervation of recurrent laryngeal nerve includes...

all intrinsic muscles EXCEPT cricothyroid

22

What is the motor nerve of the cricothyroid muscle?

exterior branch of superior laryngeal

23

What medication is imperative to give before an awake intubation?

benzodiazapam

24

What do you need to consider when giving benzos?

short acting, reversible

25

Which is favored-IV or IM antisialogues? What is the dose?

IM because they have delayed onset and longer duration(atropine, robinul), Dose is 0.4 mg of robinul in holding

26

What are some types of topical anesthesia that are included and used?

swabs, pledgets, spray and wash

27

What is viscous lidocaine 4% used for?

topical for scopes with distal ports

28

What can benzocaine be mixed with?

tetracaine, cetacaine "hurricane"

29

what are the antisialogues and their doses?

atropine 0.5 - 1 mg IV/IM
robinul 0.2 - 0.4 mg IV/IM

30

What are the sedatives and their doses?

dexmedetomidine; loading dose 1mcg/kg/min over 10 minutes then infusion of 0.2-0.7mcg/kg/min

midazolam: 0.5-4mg IV