Exam One: Anatomy, Head and Neck
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Questions and Answers

Which of the following is NOT an accurate characteristic regarding Horner's Syndrome?

  • Vasoconstriction (correct)
  • Partial ptosis
  • Miosis
  • Anhidrosis

Is held together in place by ligaments and fibers and assists with adjustment of vision

  • Retina
  • Cornea
  • Lens
  • Iris (correct)

Where is the Choroid Plexus located?

  • In the 1st and 2nd ventricles
  • In the 4th and 5th ventricles
  • In the 3rd and 4th ventricles (correct)
  • In the 2nd and 3rd ventricles

CN III is responsible for innervating all of the extraocular muscles EXCEPT

<p>Lateral rectus muscle (D)</p> Signup and view all the answers

Is associated with mineral imbalance

<p>Rickets (A), Osteoporosis (B), Osteomalacia (D)</p> Signup and view all the answers

Which of the following is NOT considered an unpaired bone of the skull?

<p>Ethmoid bone (D)</p> Signup and view all the answers

Is a form of bone cancer

<p>Osteosarcoma (C)</p> Signup and view all the answers

What cranial nerve is responsible for innervating the superior oblique muscle?

<p>CN IV (C)</p> Signup and view all the answers

Which of the following is NOT a true statement regarding brain tumors?

<p>They metastasize (A)</p> Signup and view all the answers

Is a clinical disorder described by having an excess of aqueous fluid, which leads to increased pressure

<p>Glaucoma (D)</p> Signup and view all the answers

How is meningitis diagnosed?

<p>Collection of CSF by lumbar puncture (C)</p> Signup and view all the answers

Which of the following is NOT a reason as to why meninges are vulnerable to pathogens?

<p>Skull fully fused, no flexibility for swelling (B)</p> Signup and view all the answers

Is the color portion of the eye

<p>Iris (D)</p> Signup and view all the answers

A child was stung by a bee on their lip. The lip begins to swell and the child cries from pain. What nerve was innervated?

<p>Trigeminal nerve (C)</p> Signup and view all the answers

Which of the following is NOT a bone that forms the eye orbit?

<p>Orbital process of palatine bone (D)</p> Signup and view all the answers

What cranial nerve is responsible for innervating the lateral rectus muscle?

<p>CN VI (D)</p> Signup and view all the answers

Patient presents with memory loss and reasoning skills. Labs reveal that the patient has an accumulation of excess CSF within the ventricular system, due to decreased reabsorption of CSF. Patient is at great risk for necrosis and ischemia, so it is imperative that your team works quickly. Which of the following best describes the clinical disorder your patient is presenting with?

<p>Hydrocephalus</p> Signup and view all the answers

Which of the following is NOT a true statement regarding intramembranous ossification?

<p>Only occurs one time in livelihood (A)</p> Signup and view all the answers

Patient arrived at the hospital because they suffered from a head trauma, which led to an aneurysm. Initial evaluation reveals that the patient had pupillary dilation, which arose from CN III palsy. What clinical disorder is this patient presenting with?

<p>Papilledema (C)</p> Signup and view all the answers

What neuroglia cells can be found in the central nervous system?

<p>All of the above (D)</p> Signup and view all the answers

Contains significant integrity, which helps maintain the shape of the eye

<p>Vitreous body (C)</p> Signup and view all the answers

Which of the following is NOT a mimetic muscle?

<p>Medial rectus (D)</p> Signup and view all the answers

The knee is ____ to the hip, while the elbow is ____ to the wrist

<p>distal, proximal</p> Signup and view all the answers

Which of the following is NOT a true statement regarding cataracts?

<p>Results from an excess of aqueous humor (C)</p> Signup and view all the answers

Is associated with inflammation or pain in the temporomandibular joint.

<p>TMJ Syndrome (C)</p> Signup and view all the answers

How can you assess if the cavernous sinus has been compromised?

<p>Assess integrity of patient's eye muscle through having them follow the movement of the pencil with their eyes</p> Signup and view all the answers

Within the meninges, where would you find cerebrospinal fluid?

<p>Subarachnoid space (D)</p> Signup and view all the answers

Within the wall is described by the narrowing of the arterial wall due to lipid deposition

<p>Atherosclerosis (B)</p> Signup and view all the answers

Which of the following cranial nerves does NOT pass through the cavernous sinus?

<p>CN X (B)</p> Signup and view all the answers

Which statement is NOT true regarding endochondral ossification?

<p>Forms all bones aside from skull, mandible, and clavicle (C)</p> Signup and view all the answers

What nerve innervates the muscles of mastication?

<p>Trigeminal nerve - CN V (B)</p> Signup and view all the answers

Patient is a 49 year old woman that had frequent fractures over the course of a few months. Labs reveal that the patient has deficient estrogen levels and they are unable to promote bone growth. What clinical disorder is this patient presenting with?

<p>Osteoporosis</p> Signup and view all the answers

Which of the following is NOT a muscle of mastication?

<p>Inferior rectus (B)</p> Signup and view all the answers

Patient is diagnosed with a consensual light reflex. You ask the patient to cover their right eye and you shine a light into the left eye. The left pupil constricts, as you shine the light. If you ask the patient to uncover their right eye, what would you expect to see?

<p>Right pupil constricts (A)</p> Signup and view all the answers

Why is the macula the area in which we have the greatest visual acuity?

<p>Significant amount of rods and cones present (C)</p> Signup and view all the answers

In a low lighted environment we would expect the pupil to ____ while in an extreme lighted environment, we would expect the pupil to ____

<p>dilate, constrict</p> Signup and view all the answers

What is the function of the paranasal sinus?

<p>Protect against pathogens (A), Helps with humidifying air (B), Maintain structure of nose (D)</p> Signup and view all the answers

How is cerebrospinal fluid recycled back into the system?

<p>Sagittal sinus (A)</p> Signup and view all the answers

Which of the following is NOT a true statement regarding the lacrimal apparatus?

<p>Helps keep eye in place → conjunctiva (B)</p> Signup and view all the answers

Which of the following types of neuroglia can you expect to find in the peripheral nervous system?

<p>Schwann cells (D)</p> Signup and view all the answers

Which of the following is NOT an extraocular eye muscle?

<p>Choroid (B)</p> Signup and view all the answers

If meningitis persists, what may the patient develop?

<p>Encephalitis</p> Signup and view all the answers

What statement does NOT align with the characteristics of the otitis externa?

<p>A lot of cartilage (B)</p> Signup and view all the answers

What eye muscle is responsible for greatest visual acuity?

<p>Fovea centralis (B)</p> Signup and view all the answers

You discover that your patient has a tumor in their occipital lobe. If you ask them to describe a photo of a house, how may they describe what they see?

<p>The house looks discombobulated</p> Signup and view all the answers

What nerve is responsible for innervating the mimetic muscles?

<p>Facial nerve (D)</p> Signup and view all the answers

Is associated with the inflammation of meninges.

<p>Meningitis (A)</p> Signup and view all the answers

Fill in the blanks for the blood supply and drainage of the head and neck → & & →

<p>Internal Carotid, Jugular Vein, External Carotid</p> Signup and view all the answers

Fill in the chart regarding Cranial Nerves

<p>CN I = Sensory CN II = Sensory CN III = Motor CN IV = Motor CN V = Mixed (Sensory and Motor) CN VI = Motor CN VII = Mixed (Sensory and Motor) CN VIII = Sensory CN IX = Mixed (Sensory and Motor) CN X = Mixed (Sensory and Motor) CN XI = Motor CN XII = Motor</p> Signup and view all the answers

Flashcards

Horner's Syndrome

A clinical syndrome characterized by a collection of symptoms affecting one side of the face, including drooping eyelid (ptosis), constricted pupil (miosis), and decreased sweating (anhidrosis).

What is the cornea?

A transparent, curved structure located in the front of the eye, it plays a role in focusing light onto the retina.

Choroid Plexus

A network of blood vessels located within the choroid layer of the eye, responsible for producing cerebrospinal fluid (CSF).

What does CN III innervate in the eye?

One of the twelve cranial nerves, it controls most of the eye's movements, except for the lateral rectus muscle.

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Osteoporosis

A condition characterized by low bone density, leading to increased risk of fractures. Causes can include dietary deficiencies or hormonal imbalances like low estrogen levels.

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What are the unpaired bones in the human skull?

Bones that are not paired in the skull, meaning they occur only once. Examples include frontal, occipital, sphenoid, ethmoid, vomer, and mandible.

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What is osteosarcoma?

A type of bone cancer characterized by the uncontrolled growth of malignant cells in the bone.

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Which cranial nerve controls the superior oblique muscle?

One of the twelve cranial nerves, responsible for controlling the superior oblique muscle, which helps move the eye downwards and outwards.

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What are brain tumors?

Tumors that arise within the brain and can be classified based on their location, size, and whether they are benign or malignant.

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Glaucoma

A clinical disorder characterized by elevated intraocular pressure due to an excess of aqueous fluid. If left untreated, it can lead to blindness.

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How is meningitis diagnosed?

A diagnostic procedure involving the collection of cerebrospinal fluid (CSF) from the lumbar region of the spine. It is used to diagnose conditions affecting the brain and spinal cord, including meningitis.

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What are the meninges?

The protective layers surrounding the brain and spinal cord. They are made up of three layers: dura mater, arachnoid mater, and pia mater.

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Iris

The colored part of the eye, responsible for controlling the size of the pupil and regulating the amount of light entering the eye.

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What is the Trigeminal Nerve?

One of the twelve cranial nerves, primarily responsible for sensory input from the face, including the mouth, teeth, and eyes, but also controls muscles of mastication.

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What bones form the eye orbit?

The bones that surround the eye socket, providing structural support and protection for the eye.

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Which cranial nerve is responsible for the lateral rectus muscle?

One of the twelve cranial nerves, responsible for controlling the lateral rectus muscle, allowing the eye to move outwards.

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Hydrocephalus

A condition characterized by an abnormal accumulation of cerebrospinal fluid (CSF) within the ventricles of the brain, leading to increased intracranial pressure. It can cause neurological impairments.

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What is endochondral ossification?

A process where bone replaces cartilage, forming bones throughout the body. It begins during embryonic development and continues throughout life.

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What is an aneurysm?

A clinical condition caused by a rupture or weakening of a blood vessel in the brain, leading to bleeding and damage to surrounding tissue. It can cause severe neurological deficits.

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Neuroglia Cells

Cells responsible for supporting and protecting neurons in the central nervous system. Types include astrocytes, microglia, and oligodendrocytes.

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What is the vitreous humor?

A gel-like substance that fills the space between the lens and retina in the eye. It helps maintain the shape of the eye and contributes to clarity of vision.

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What are mimetic muscles?

Muscles responsible for facial expressions and movements, such as smiling, frowning, and eye blinking.

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What is the relationship between the elbow and wrist, and the knee and hip?

The elbow is proximal to the wrist, while the knee is distal to the hip. Proximal means closer to the point of attachment, and distal means further away.

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Cataracts

A condition where there is a clouding of the natural lens of the eye, leading to blurred vision and difficulty seeing. This can be caused by aging or other factors.

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What is TMJ syndrome?

A disorder that affects the temporomandibular joint (TMJ), the joint that connects the jaw to the skull, leading to pain, clicking, and limited movement.

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How can you assess if the cavernous sinus has been compromised?

The cavernous sinus is a large blood vessel that carries blood from the brain to the heart. It is located near the pituitary gland and is susceptible to infection.

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What is atherosclerosis?

A condition characterized by the narrowing of the arteries due to the buildup of plaque, which can lead to reduced blood flow and an increased risk of heart attacks and strokes.

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Which cranial nerve does not pass through the cavernous sinus?

One of the twelve cranial nerves that does not pass through the cavernous sinus. It is a mixed nerve responsible for controlling the lateral rectus muscle.

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What is endochondral ossification?

The process of bone formation where cartilage is replaced by bone tissue. It is responsible for the formation of most bones in the body.

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What nerve controls chewing?

One of the twelve cranial nerves, responsible for controlling the muscles of mastication, which are responsible for chewing.

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What is a consensual light reflex?

The constriction of one pupil in response to light shone into the other eye, indicating the integrity of the optic nerve and its pathways.

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What is the fovea centralis?

The area of the retina responsible for the sharpest vision, located in the center of the macula.

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How do pupils respond to changing light levels?

The pupils constrict in low light to allow more light to enter, while they dilate in bright light to reduce the amount of light.

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What are Paranasal sinuses?

Cavities within the skull, connected to the nasal cavity, that help regulate air pressure and temperature, and contribute to voice resonance.

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How is cerebrospinal fluid recycled?

The process where cerebrospinal fluid (CSF) is circulated around the brain and spinal cord; it helps maintain brain pressure, provide nutrients, and remove waste products.

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What is the Lacrimal Apparatus?

The lacrimal apparatus helps produce and drain tears. With emotions, the lacrimal gland produces more tears.

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What type of neuroglia is present in the peripheral nervous system?

Schwann cells are the primary neuroglia found in the peripheral nervous system, responsible for forming the myelin sheath around axons, allowing for faster nerve impulse conduction.

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What is Encephalitis?

A serious infection that affects the brain and spinal cord. It is characterized by inflammation of the meninges, the protective layers surrounding the brain and spinal cord.

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What is Otitis Externa?

An infection of the external ear canal, often caused by bacteria or fungi. Symptoms include pain, itching, swelling, and discharge.

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What is the macula?

The area of the retina that provides the highest visual acuity, containing a high concentration of cone cells.

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What happens if the occipital lobe is damaged?

The occipital lobe of the brain is responsible for processing visual information. Damage to this area can lead to various visual impairments such as seeing stars, upside-down images, or distorted images.

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What is the Facial Nerve?

One of the twelve cranial nerves, responsible for controlling facial expressions and taste perception.

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What are paired bones in the skull?

Bones that are found in pairs in the skull, meaning there is one on each side of the head. Examples include parietal bones, temporal bones, maxillae, zygomatic bones, nasal bones, lacrimal bones, palatine bones, and inferior nasal conchae.

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Meningitis

Inflammation of the meninges, the protective layers surrounding the brain and spinal cord.

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Describe the blood supply and drainage of the head and neck.

The blood supply to the head and neck starts with the common carotid arteries, which branch into the internal and external carotid arteries. The internal carotid artery supplies the brain, while the external carotid artery supplies the face and neck. Blood is drained from the head and neck through the jugular veins.

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Complete the chart regarding cranial nerves.

CN I - Olfactory, Sensory, Smell; CN II - Optic, Sensory, Vision; CN III - Oculomotor, Motor, Eye Movements (except lateral rectus); CN IV - Trochlear, Motor, Superior oblique muscle; CN V - Trigeminal, Mixed, Face sensations, Chewing; CN VI - Abducens, Motor, Lateral rectus; CN VII - Facial, Mixed, Facial expressions, Taste; CN VIII - Vestibulocochlear, Sensory, Hearing, Balance; CN IX - Glossopharyngeal, Mixed, Taste, Swallowing, Saliva; CN X - Vagus, Mixed, Parasympathetic, Internal organs; CN XI - Accessory, Motor, Neck muscles; CN XII - Hypoglossal, Motor, Tongue movements.

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Study Notes

Exam One: Anatomy, Head and Neck

  • This review provides practice questions to familiarize students with exam content and question formats.
  • Review notes and powerpoints for a complete understanding of the material.

Horner's Syndrome

  • Horner's Syndrome characteristics do not include partial ptosis.
  • Accurate characteristics include vasoconstriction, miosis, and anhidrosis.

Choroid Plexus Location

  • The Choroid Plexus is located in the 3rd and 4th ventricles.

Cranial Nerve III Innervation

  • Cranial Nerve III is not responsible for innervating the lateral rectus muscle; other extraocular muscles are innervated by CN III include superior rectus, medial rectus, and inferior oblique muscles.

Mineral Imbalance and Associated Conditions

  • Osteoporosis, osteomalacia, and osteosarcoma are conditions associated with mineral imbalance, with osteomalacia.
  • Rickets is NOT associated with mineral imbalance.

Unpaired Bones of the Skull

  • The temporal bone is a paired bone, not an unpaired bone of the skull.
  • Other unpaired bones include occipital, sphenoid, and ethmoid bones.

Superior Oblique Muscle Innervation and Cranial Nerve

  • The superior oblique muscle is innervated by Cranial Nerve IV.

Brain Tumors

  • Brain tumors do not metastasize.
  • The characteristics of brain tumors depend on their location and size, and associated symptoms may vary considerably.

Aqueous Fluid Disorders

  • Glaucoma is a clinical disorder characterized by excess aqueous fluid, leading to increased pressure.

Meningitis Diagnosis

  • Meningitis is diagnosed by collecting cerebrospinal fluid (CSF) by lumbar puncture.

Meninges Vulnerability

  • Meninges are vulnerable to pathogens due to ophthalmic vein drainage into the cavernous sinus and anastomoses connection with capillary beds.

Eye Anatomy and Visual Acuity

  • The macula is the area in the eye with the greatest visual acuity, due significant rod and cone concentration, and integrity.

Cranial Nerve for Lateral Rectus Muscle

  • Cranial Nerve VI innervates the lateral rectus muscles

Hydrocephalus

  • Hydrocephalus is a clinical disorder defined by accumulation of cerebrospinal fluid (CSF) in the ventricles of the brain.

Intramembranous Ossification

  • Intramembranous ossification occurs multiple times throughout a lifetime, forming skull, mandible, and clavicles. it occurs at 5-6 weeks of embryonic development.

Muscles of Mastication

  • The muscles of mastication include masseter, temporalis, and medial pterygoid.

Bone Disorders/Osteoporosis

  • Osteoporosis, as a bone disorder, results in bone thinning due to a deficiency of estrogen, which is responsible for promoting bone growth.

Cranial Nerves and Cavernous Sinus

  • Cranial Nerve X (vagus nerve) does not pass through cavernous sinus; Cranial Nerves III, IV, and VI do.

Endochondral Ossification

  • Endochondral ossification involves a progressive process where cartilage is replaced by bone.

Ophthalmic Vein

  • The ophthalmic vein drains into the cavernous sinus.

Cerebrospinal Fluid Location

  • Cerebrospinal fluid (CSF) is found in the subarachnoid space within the meninges.

Neuroglia Cells and Nervous System

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Description

Prepare for your Anatomy exam with this comprehensive review quiz focused on the head and neck. Questions cover key topics including Horner's Syndrome, cranial nerve innervation, and mineral imbalances in bone health. Enhance your understanding and boost your confidence before the exam.

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