Triangels and Cervical Plexus Flashcards

1
Q

What are the four cutaneous nerves of the neck?

A

lesser occipital nerve
great auricular nerve
transverse cervical nerve
supraclavicular nerve

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2
Q

What are the motor branches of the cervical plexus?

A

ansa cervicalis

phrenic nerve

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3
Q

What are the segmental roots of the lesser occipital nerve?

A

C2

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4
Q

What are the segmental roots of the great auricular nerve?

A

C2-C3

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5
Q

What are the segmental roots of the supraclavicular nerve?

A

C3-C4

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6
Q

What are the segmental roots of the transverse cervical nerve?

A

C2-C3

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7
Q

What are the segmental roots of the ansa cervicalis?

A

C1-C3

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8
Q

What are the segmental roots of the Phrenic nerve? Which segment is the major contributor?

A

C3-C5.

It is mostly C4. C3 and C5 only contribute minorly

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9
Q

Which nerves would be affected by a C2 lesion of the spinal nerve?

A

Lesser occipital (C2), great auricular and transverse cervical nerves (C2-C3), Ansa cervicalis (C1-C3)

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10
Q

Which nerve runs along the posterior edge of the SCM? What region does it innervate?

A

lesser occipital nerve (C2). skin behind the ear.

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11
Q

Which nerve crosses the SCM superficially at its midpoint?

A

transverse cervical nerve (C2-C3)

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12
Q

What are the three branches of the supraclavicular nerve?

A

supraclavicular nerve (C3-C4) has medial, intermediate and lateral branches

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13
Q

What has likely happened if a patient exhibits miosis and ptosis?

A

Miosis is when one pupil is very constricted compared to the other. This is indicative of a sympathetic nerve lesion on the side of pupil constriction (Horner’s syndrome).

Ptosis is eyelid drooping

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14
Q

What is a pancoast tumor?

A

tumor in apex of lung. Can cause horners syndrome.

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15
Q

What does middle thryoid vein drain into?

A

Anterior jugular vein

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16
Q

What does inferior thyroid vein drain into?

A

brachiocephalic vein

17
Q

What are the branches of Vagus nerve?

A

pharyngeal, superior laryngeal, recurrent laryngeal

18
Q

Starting at the aortic arch and proceeding distally to the axilla, name the branches of the left subclavian artery.

A

Vertebral artery, thyrocervical trunk, internal thoracic, costocervical trunk, dorsal scapular –>axillary

19
Q

Name the branches of the thyrocervical trunk

A

suprascapular, transverse cervical, inferior thyroid

20
Q

From medial to lateral, name the longitudinal nerves at the level of the first rib.

A

Recurrent Laryngeal, Sympathetic Trunk, Vagus, Phrenic, Brachial Plexus (not really longitudinal but correct order)

21
Q

What is the superior pharyngeal artery a branch of?

A

it is the first branch off the external carotid artery

22
Q

What artery can you get a pulse from on the mandible? What is it a branch of?

A

facial artery, 4th branch of external carotid artery

23
Q

Name the first five branches of the external carotid artery

A

superior thyroid, ascending pharyngeal, lingual, facial, occipital

24
Q

Name the tributaries to the external jugular vein

A

Superficial temporal –> maxillary –> retromandibular –> posterior branch of retromandibular –> external jugular vein

Posterior auricular, posterior external jugular, transverse cervical, suprascapular all enter external jugular more inferiorly before dumping into the subclavian vein

25
Which triangle is the bifuracation of the carotid artery in?
carotid
26
Which triangle does the mylohyoid form the floor of?
submental
27
Which triangle contains the infrahyoid muscles?
muscular
28
Name the contents of the muscular triangle
``` infrathyroid muscles thyroid gland thyroid vessels thyroid cartilage trachea ```
29
Name the contents of the carotid triangle
``` bifurcation of common carotid artery first 5 branches of ECA (ext carotid) Internal Jugular Vein CN X (vagus) CN XII (hypoglossal) both roots of ansa cervicalis (C1-C3) ```
30
Which nerve crosses the SCM deeply at its midpoint?
CN XI (accessory)
31
How does phrenic nerve pass the anterior scalene to enter the diaphragm?
Passes anterior and medial to insertion of anterior scalene on first rib, then dives deep behind first rib to enter diaphragm