Head and Neck Exam 1

  1. What are the contents of the occipital triangle (2)
    • occipital artery
    • accessory nerve
  2. what are the contents of the subclavian triangle (3)
    • inferior part of the external jugular vein
    • subclavian vein
    • third part of subclavian artery
  3. contents of the submental triangle (2)
    • submental lymph nodes
    • anterior jugular vein
  4. contents of the digastric (submandibular triangle) (5)--right below the inferior boarder of the mandible
    • submandibular gland 
    • submandibular lymph nodes
    • facial artery and vein
    • hypoglossal vein
    • mylohyoid nerve
  5. Contents of the carotid triangle (below digastric) (9)
    • common carotid artery
    • internal and external carotid arteries
    • internal jugular vein
    • branches of the external jugular artery (superior thyroid,lingual, facial, ascending pharyngeal, occipital arteries)
    • vagus nerve and laryngeal branches
    • accessory nerve
    • hypoglossal nerve
    • ansa cervicalis
    • deep cervical lymph nodes
  6. contents of the muscular triangle (6) (below the hyoid to the sternum)
    • sternohyoid muscle
    • sternothyroid muscle
    • thyrohyoid muscle
    • thyroid and parathyroid
    • cricothyroid muscle 
    • larynx and trachea
  7. N: dorsal rami of the middle cervical spinal nerves
    A: acting together (with the splenius cervicis muscles) draw head directly backward; acting separately they drive the head to the same side acting synergistically with the contralateral SCM
    splenius capitus
  8. N: dorsal scapular nerve and ventral rami C3 and C4
    A: elevates the scapula, tilts the glenoid cavity downward, helps retract the scapula
    levator scapulae
  9. N: ventral rami of cervical nerves
    A: elevates the second rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
    posterior scalene
  10. N: ventral rami of cervical nerves
    A: elevates the first rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
    middle scalene
  11. N: ventral rami of the fourth, fifth and sixth cervical nerves
    A: elevates the first rib, laterally flexes and rotates the cervical part of the vertebral column (neck)
    anterior scalene
  12. N: mandibular division of the trigeminal nerve (_____ ___) and facial nerve (____ ____)
    A: elevates the hyoid or depresses the mandible
    digastric m

    anterior belly; posterior belly
  13. N: ansa cervicalis
    A: depresses or fixes the hyoid bone
    omohyoid muscle
  14. N: ____ nerve from the inferior alveolar branch of the mandibular branch of CN V
    A: raises the hyoid, floor of the mouth and the tongue during swallowing or depresses the mandible
    Mylohyoid

    mylohyoid muscle (forms the floor of the mouth
  15. N: C1 via the hypoglossal nerve
    A: raises the hyoid or depresses the mandible
    geniohyoid (deep to the mylohyoid)
  16. 4 suprahyoid muscles
    • mylohyoid
    • digastric
    • geniohyoid
    • stylohyoid
  17. N: CN 7 (facial)
    A: raises the hyoid and pulls it posteriorly
    stylohyoid
  18. 4 infrahyoid muscle
    • sternohyoid
    • omohyoid
    • sternothyroid
    • thyrohyoid
  19. N: ansa cervicalis 
    A: depresses the hyoid bone after elevation during swallowing
    sternohyoid
  20. N: ansa cervicalis
    A: draws the larynx (thyroid cartilage) and hyoid downward
    Sternothyroid
  21. N: C1 via hypoglossal 
    A: depresses hyoid bone but when hyoid bone is fixed it raises the larynx (i.e. when high notes are sung)
    thyrohyoid
  22. why is the mesencephalic nucleus unique?
    The cells are unique and are the only primary sensory neurons (first order neurons) incorporated into the CNS rather than in a ganglion
  23. Where are the first order nerve fibers cell bodies that are involved in the following from the face and mucous membranes:

    pain and temperature
    crude touch
    2 point discriminative touch 
    pressure
    vibration
    trigeminal ganglion
  24. Where are the first order nerve fibers cell bodies that are involved in the following:

    proprioceptive impulses from the muscles innervated from the trigeminal nerve
    muscles innervated by the facial nerve
    extra-ocular muscles 
    tissues related to the upper and lower teeth
    mesencephalic nucleus
  25. first order fibers associated with discriminative touch, pressure, vibration and proprioceptive sensations synapse where?
    main (pontine) sensory nucleus
  26. first order fibers associated with pain and temperature and some crude touch synapse where?
    pars caudalis portion of the spinal nucleus 
  27. the spinal nucleus is the trigeminal equivalent of the
    spinothalamic tract
  28. the main sensory nucleus is the trigeminal equivalent of the
    dorsal column nuclei (nucleus gracillus and nucleus cuneatus)
  29. What CN synapse in the spinal nucleus and for what?
    • CN V: pain and temperature
    • CN 7, 9, 10: all general sensory
  30. what is the principle PATHWAY to the thalamus?
    the crossed ventral trigeminothalamic tract
  31. what is the tract that uncrossed fibers take?
    the dorsal trigeminothalamic tract
  32. where do the second order fibers synapse (third order neurons)
    the ventral posteriomedial nucleus (VPM) in the thalamus
  33. the fibers from the pontine and spinal nucleus concerned with unconscious proprioception proceed to the ____ via the ____ ___ ____
    cerebellum

    superior cerebellar peduncle
  34. the superior cerebellar peduncle is the trigeminal equivalent of
    the spinocerebellar tract
  35. where do the fibers from the motor nucleus go?
    they join with the mandibular division which contains all motor fibers of the trigeminal nerve
  36. what are lower motor neurons for cranial nerves?
    the neurons in the motor nucleus for that nerve (aka the final common pathway)
  37. lower part of the nucleus supplies the
    lower portion of the face
  38. the upper portion of the nucleus supplies the
    upper portion of the face
  39. the lower portion of the face receives corticonucelar fibers from the
    contralateral cerebral hemisphere ONLY
  40. the upper portion of the face receives corticonuclear fibers from
    BOTH cerebral hemispheres
  41. what is the source of the preganglonic PS fibers in the facial and glossopharnygeal nerves?
    parasympathetic nucleus (salivary nucleus)
  42. what nerve supplies the:

    mucous membrane of the maxillary sinus 
    upper molar teeth (EXCEPT MB root of the first maxillary molar)
    buccal bone
    gingival tissue
    posterior superior alveolar nerve
  43. what nerve supplies the:

    mucous membrane of the maxillary sinus 
    premolar teeth
    MB root of the first maxillary molar
    buccal bone
    gingival tissue
    middle superior alveolar nerve
  44. what nerve supplies the:

    mucous membrane of the maxillary sinus 
    upper three anterior teeth
    labial bone
    labial gingival tissue
    anterior superior alveolar nerve
  45. what nerve supplies the 

    nasal floor
    inferior meatus
    adjacent mucous membrane
    anterior superior alveolar nerve
  46. cranial nerves with general sensory cell bodies
    5, 7, 9 and 10
  47. cranial nerves with taste neuron cell bodies
    7, 9, 10
  48. CN derived from BA 1
    5
  49. CN derived from BA 2
    7
  50. CN derived from BA 3
    9
  51. CN derived from BA 4 and 6
    10
  52. CN thought to be derived from BA beyond 6
    11
  53. what is the only muscle innervated by CN IX
    stylopharyngeus
  54. the lingual branch of CN IX is responsible for what two things in the posterior 1/3 of the tongue?
    • general sensation
    • taste
  55. the pharyngeal branch of CN X supplies all muscles of the pharynx except
    Stylopharngeus

    innervated by CN IX
  56. the pharyngeal branch of CN X innervates all muscles of the palate except which?
    tensor of the palate (V3)
  57. what is the one muscle of the larynx the recurrent laryngeal nerve doesn't supply?
    cricothyroid m
  58. cricothyroid m is supplied by the
    external laryngeal nerve
  59. what supplies the palatoglossus muscle of the tongue?
    vagus
Author
arikell
ID
339048
Card Set
Head and Neck Exam 1
Description
Head and Neck Exam 1 Material
Updated