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Flashcards in Skull Deck (145):
1

The basicranium is formed by endochondrial ossification. True or false?

True

1

Knowing his anatomy well, an intern palpated the bone of a one month old baby. Upon palpation, he noticed the inion was as hard as a bone. Immediately he thought of early: a. Closure of the anterior fontanelle b. Closure of the sphenoid fontanelle c. Closure of the posterior fontanelle d. NOTA

C

1

In the 2008 Beijing Olympics, a 20-year old woman was hit on the right side of the head. After the event she complained of nausea, vomitting and eventually was rushed unconscious to the hospital. What could be the problem? a. Fracture of the temporal bone b. Fracture of the parietal bone c. Fracture of the sphenoid bone d. Any of the above

A

2

The anterior fontanelle is bordered by:

a. Frontal, occipital

b. Parietal, occipital

c. Parietal, sphenoid

d. Frontal, parietal

D

2

Describe Le Fort I fractures

horizontal fractures superior to the maxillary alveolar process, crossing the bony nasal septum and possible the pterygoid plates of the sphenoid

3

Which bone can be considered both part of the neurocranium and viscerocranium?

Ethmoid

4

Which is not part of the temporal bone?

A. EAC

B. IAC

C. vestibular aqueduct

D. jugular foramen

D

5

The horizontal plane used as reference for the skull's anatomical position is called what?

Orbitomeatal plane or Frankfort horizontal plane

5

Which marks the site of the anterior fontanelle in the adult cranium?

Bregma

5

How does the fontanelle indicate level of intracranial pressure?

A bulging fontanelle indicates increased pressure on the brain

6

Which bones are pneumatized bones?

Frontal, temporal, sphenoid, ethmoid

6

How many bones are found in the head?

29 22 cranial bones, 6 ear bones, 1 hyoid bone

6

Foramen magnum is found in which fossa?

Posterior

6

Premature closure of cranial sutures

Primary craniosynostosis

7

Which bone supports the upper teeth?

Maxilla

8

The smooth slightly depressed area between the supercilliary arches. [Identify]

Glabella

8

What is not seen in the inferior view of the skull? A. foramen magnum B. foramen rotundum C. foramen lacerum D. foramen spinosum

B

8

An incidental finding in a skull X-ray showed a vertical fracture line dividing the frontal bone even without history of head trauma. Which of the following may be true? A. The sagittal suture is extended anteriorly. B. The frontal sinus septum is mistaken for a fracture. C. There is a persistent metopic suture. D. The vertical line is the shadow of the lambdoid suture.

C

11

Which of the following is a part of the mandible? a. Coracoid process b. Coronoid process c. Uncinate Process d. Calcaneal Process

B

11

Jugular foramen is found in which fossa?

Posterior

11

Carotid canal is found on which bone?

Temporal

12

The suture where the occipital bones meet the parietal bones [Identify]

Lambdoid suture

12

The most prominent point of external occipital protruberance [Identify]

Inion

13

The neurocranium can be divided into two parts, based on region. What are they?

Calvaria/ skull cap and basicranium/cranial base

13

The 2nd division of the trigeminal nerve enters through a. foramen lacerum b. foramen rotundum c. foramen ovale d superior orbital fissure

B

14

What is the most frequently fractured facial bone? a. zygomatic bone b. nasal bone c. mandible d. temporal

B The most frequently fractured facial bone is the nasal bone, the most frequently fractured bone is the clavicle.

15

The anterior and posterior ethmoid fossa is found in which fossa?

Anterior

16

Which bones meet at the pterion?

frontal, parietal, temporal and sphenoid

16

Which separate the anterior cranial fossa from the middle cranial fossa?

Sphenoid ridge/ posterior margin of the lesser wing of the sphenoid bone, and the anterior margin of the chiasmatic sulcus

17

Premature closing of cranial sutures usually impair brain development. T/F

F They usually do not affect brain development.

18

What do you call the remnant of the frontal suture? A. metopic B. bregma C. symphisis D. pterygoid

A

18

Variants of fractures of the maxillae classified by Leon-Clement Le Fort

Le Fort I, Le Fort II and Le Fort III fractures

18

Time of greatest increase in size of calvaria

First 2 years, the period of most rapid brain development

20

Which are the 8 paired cranial bones?

Temporal, parietal, nasal, lacrimal, maxilla, palatine, inferior nasal conchae/turbinate, zygomatic

20

The suture that connects the parietal bones. [Identify]

Sagittal suture

20

In life, foramen lacerum is closed by a cartilage plate. T/F

T

21

Which marks the site of the posterior fontanelle in the adult cranium?

Lambda

21

Frontal suture is obliterates by what age?

8 years old

22

The anterior fontanelle closes at which age?

18 months

24

The foramen cecum of the frontal bone gives passage to vessels during fetal development but is insignificant postnatally. T/F

T

26

Condyloid canal is found on which bone?

Occipital

28

The most posterior point of the sagittal plane of the skull [Identify]

Opistocranion

29

Soft spot on a new born's skull?

Fontanelle

30

Tympanic canaliculus is found on which bone?

Temporal

31

For how long does the calvaria increase in capacity?

15-16 years

32

Stylomastoid foramen is found on which bone?

Temporal

33

Junction of these sutures: parietomastoid, occipitomastoid, lambdoid [Identify]

Asterion

33

At birth, the bones of the calvaria are smooth and unilaminar. T/F

T

34

This part of the skull base marks the posterior border of the middle cranial fossa a. dorsum sella b. tuberculum sella c. pituitary fossa `d. clivius

A

35

How many bones make up the viscerocranium?

15, including the ethmoid 14, excluding the ethmoid

37

Extraction of teeth causes the alveolar bone to resorb in the affected regions. T/F

T

39

The zygomatic arch is made up of which bones?

The zygomatic process of the temporal bone and the temporal process of the zygomatic bone

39

Union of the frontal bones begin at which age?

2 years old

40

How many unpaired cranial bones are there?

6

42

Plagiocephaly results from early closure of which suture?

Coronal or labdoid, on one side only

43

What is the frontal lobe landmark? A. pterion B. lambda C. inion D. asterion

A

44

The midline suture that results when the frontal bones fail to fuse [Identify]

Metopic suture

45

The chondocranium is formed by intramembranous ossification. True or false?

False. It is formed by endochondrial ossification.

46

Superior most point of the cranium [Identify]

Vertex

47

Junction of coronal and sagittal sutures [Identify]

Bregma

47

How does the mastoid process develop?

As it develops, the SCM pulls on the petromastoid parts of the temporal bones

48

Carotid canal is found in which fossa?

Middle

49

When does the sphenoidal fontanelle close?

1-2 months after birth

50

What are the 15 bones that compose the viscerocranium?

Unpaired: ethmoid, mandible, vomer Paired: nasal, lacrimal, maxilla, zygomatic, inferior nasal conchae/turbinate, palatine

51

When does posterior fontanelle close?

2 months after birth

53

Sequence of obliteration of sutures after bregma

Sagital, coronal, lambdoid

55

Which are the 6 unpaired cranial bones?

Mandible, ethmoid, vomer, frontal, occipital, sphenoid

56

The cribriform foramen is found in which fossa?

Anterior

57

Which structures are used as reference for the skull's anatomical position?

Inferior margin of the orbit, and superior margin of the external acousttic meatus opering

58

The viscerocranium can also be called the spanchnocranium. True or false?

True.

59

Flat bones are formed by endochondrial ossification. True or false?

False. They are formed by intramembranous ossification.

60

The suture that connects the frontal bone with the parietal. [Identify]

Coronal suture

60

The median point of the anterior border of the foramen magnum [Identify]

Basion

60

When does the mastoid fontanelle close?

1-2 months after birth

62

The volume of air spaces is directly proportional to age. True or false?

True.

63

Mastoid canaliculus is found on which bone?

Temporal

65

Junction of the lambdoid suture and sagittal suture [Identify]

Lambda

66

What characteristics of the calvarium provides protection from blunt trauma forces? A. division by sutures and fontanelles B. supported by horizontal and vertical buttresses C. double layer of compact bone D. thickest in area covered by muscle

B

68

As people age, the cranial bones normally become progressively thinner and lighter, or thicker and heavier?

Thinner and lighter

69

Fractures of the pterion of the skull may result to tear of the artery supplying the anterior lateral meninges causing epidural hematoma. Where does this artery pass through the skull? A. foramen ovale B. foramen rotundum C. foramen spinosum D. foramen lacerum

C

70

Why is the facial nerves of a newborn vulnerable to injury during delivery?

The facial nerves are close to the surface when they emerge from the stylomastoid foramina because the mastoid processes are still to develop.

72

The mandible supports the lower teeth. True or false?

True

72

When does the mastoid process gradually develop?

1st year

73

The thinnest wall of the orbit is not commonly the first wall fractured because: A. the roof is supported by a horizontal buttress of the frontal bone B. a counter-hydraulic force pushes the greater wing of the sphenoid forward C. ethmoid air cell reinforce the medial D. the inferior orbital fissure is supported by horizontal and vertical buttresses of facial bones

C

75

Incisive canals are found on which bone?

Palatine process of maxilla

76

Early closure of the sutures of the skull can lead to craniosynostosis. Confluence sutures correspond to fontanelles in young skulls. Which of the following do not correspond? a. Vertex: Anterior Fontanelle b. Pterion: Sphenoid fontanelle c. Asterion: Mastoid foramen d. Lambdoid: Posterior fontanelle

A

77

What is malar flush?

Redness of the skin covering the zygomatic prominence (malar eminence)

78

The point where the frontal, parietal, temporal and sphenoid bones meet?

Pterion

79

Concurrent enlargement of the frontal and facial regions is associated with the increase in size of which sinuses?

Paranasal sinuses

80

What is the opening between the greater and lesser sphenoid wings? A. Foramen Ovale B. Foramen rotundum C. Superior Orbital Fissure D. Inferior Orbital Fissure

B

81

Part of occiput that forms the main joint between the head and neck as it articulates with atlas a. acetabulum b. condyle c. asterion d. basion

B

81

The walls of the cranial cavity tend to be thinnest in areas that are not covered with muscles. T/F

F They tend to be thinnest in areas covered with muscles.

82

Tympanomastoid fissure is found on which bone?

Temporal

83

The dermatocranium is formed by endochondrial ossification. True or false?

False. It is formed by intramembranous ossification.

84

The antrum of Highmore is also known as A. sphenoid sinus B. maxillary sinus C. ethmoid sinus D. frontal sinus

B

85

How many cranial bones are there in total?

22 8 paired (16 total): Temporal, parietal, nasal, lacrimal, maxilla, palatine, inferior nasal conchae/turbinate, zygomatic 6 unpaired: Mandible, ethmoid, vomer, frontal, occipital, sphenoid

86

Which is not part of occipital bone? A. foramen magnum B. hypoglossal canal C. jugular foramen D. condyloid fossa

C

88

Which covering of the skull is thinner and more brittle: internal table or external table?

Internal table. External table has to be thicker and harder for stronger bone structure.

89

The most prominent point of the zygomatic bone [Identify]

Malar point

90

The frontal suture divides the frontal bones of an adult cranium. True or false?

False. It divides the fetal cranium.

92

The splanchnocranium and the dermatocranium are formed through the same type of ossification. True or false?

False. Splanchnocranium is by endochondrial ossification. Dermatocranium is by intermembranous ossification.

93

The optic canal is found in which fossa?

Middle

95

Known as the cheek bones [Identify]

Zygomatic bone

96

Which part of the frontal bones underlie the eyebrows?

Supercilliary arches

97

Union of mandibular bones begin at what age?

1st year

99

The convexity of the calvaria distributes and thereby minimizes the effects of a blow to the head. T/F

T

100

Cause of black eye when skin of the orbit bruises

Accumulation of tissue fluid and blood in the surrounding connective tissue, which gravitates into the superior eyelid and around the eye

101

The calvaria is formed by intramembranous ossification. True or false?

True.

102

The greater and lesser palatine foramen are found on which bone?

Palatine bone

103

What is the main landmark in searching for the facial nerve? A. buccal muscle B. masseter C. external acoustic meatus D. mastoid tip

D

104

The suture that unites the maxillary bones [identify]

Intermaxillary suture

106

The facial bones compose which part of the skull?

Viscerocranium

107

Descrive Le Fort III fractures

horizontal fracutres that passes through the superior orbital fissures and the ethmoid and nasal bones, extending laterally thorough the greater wings of the sphenoid and frontozygomatic sutures. may result to the separation of maxillae and zygomatic bones to separate from the rest of the cranium

108

The largest fontanelle

Anterior fontanelle

109

Which structures separate the middle cranial fossa and the posterior cranial fossa?

Dorsal sellae, basal occipital and crest of petrous bone

110

The point on cranium where frontonasal and internasal sutures meet [Identify]

Nasion

111

Internal auditory hiatus is found in which fossa?

Posterior

112

Scaphocephaly results from early closure of which suture?

Sagittal

113

The glabella is most marked in males. True or false?

True

115

The foramen cecum is found in which fossa?

Anterior

116

Which bone has the greatest contribution in the upper facial skeleton?

Maxilla

117

The landmark on the skull where the frontal, sphenoidal, temporal, and parietal bones meet. a. basion b. opisthion c. asterion d. pterion

D

118

Hypoglossal foramen is found in which fossa?

Posterior

119

Which point overlies the anterior division of the middle meningeal artery and vein?

Pterion

120

Describe Le Fort II fractures

passes from the posterolateral parts of the maxillary sinuses superomedially through the infra-orbital foramina, lacrimals or ethmoids to the bridge of the nose. results in the separation of the entire central part of the face from the rest of the cranium

122

What structure characterize pneumatized bones?

Air spaces (sinuses)

124

The calvaria is composed mostly of flat bones. True or false?

True.

125

How does the fontanelle indicate degree of hydration of an infant?

A depressed fontanelle indicates dehydration

127

Not included in the pterion A. Lesser wing of the sphenoid B. Squamous part of temporal bone C. Frontal D. Parietal

A

128

Most dynamic of our bones

Mandible

130

The basicranium is made up of irregular bones with flat portions. True or false?

True

131

After increasing in capacity, the calvaria increases slightly in size, as a result of bone thickening, for how long?

3-4 years

132

Completion of the union of the mandibular bone is at what age?

2 years olf

133

Oxycephaly or turricephally results from early closure of which suture?

Coronal

134

Bones with air spaces are called what?

Pneumatized bones

136

Hiatus for greater and lesser petrosal nerves found in which fossa?

Middle

137

The supraorbital fissure is found in which fossa?

Middle

138

Foramen rotundum, foramen ovale, foramen lacerum, and foramen spinosum and is found in which fossa?

Middle

139

How many bones comprise the neurocranium?

8, including the ethmoid 7, excluding the ethmoid

140

Permanent teeth begin to erupt at what age?

6th year

141

When does the obliteration of sutures between bones of the calvaria usually begin?

30 and 40 years on internal surface 10 years later on external surface

142

An excavated skull showed 1 erupted tooth. how old is this? a. 4 months b. 8 months c. 6 months d. 10 months

C

143

Crista galli is part of which bone?

Ethmoid bone

144

The mental foramen lies near the superior border of the body of the mandible as a result of bone resorption due to tooth extraction. T/F

T

145

What are the 8 bones that compose the neurocranium?

Unpaired: frontal, occipital, sphenoid, ethmoid Paired: temporal, parietal