Facial and Scalp Anatomy Quiz

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Questions and Answers

Which of the following sets includes only the movable bones of the skull?

  • Nasals, lacrimals, and vomer bones
  • Maxilla, mandible, and zygomatic bones (correct)
  • Temporal and sphenoid bones
  • Frontal, parietal, and occipital bones

What structure is associated with the pterion and can cause an epidural hematoma when injured?

  • Frontal sinus
  • Middle meningeal artery (correct)
  • Superficial temporal vein
  • Cerebral artery

Which bone is NOT involved in the formation of the nasal septum?

  • Vomer bone
  • Ethmoid bone
  • Cartilaginous septum
  • Maxilla (correct)

What is a primary function of the zygomatic bones?

<p>Form the cheek prominence (A)</p> Signup and view all the answers

Which suture runs between the frontal and parietal bones in the skull?

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

Which of the following foramina is NOT found in the norma basalis externa?

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

Which feature does NOT belong to the norma occipitalis?

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

What is the role of the nuchal lines in the norma occipitalis?

<p>Attachment for muscles (B)</p> Signup and view all the answers

Which bone is the only movable bone of the skull?

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

A fracture of the pterion is likely to cause damage to which artery?

<p>Middle meningeal artery (B)</p> Signup and view all the answers

Which bones contribute to the formation of the nasal septum?

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

What is the primary function of the facial bones in the skull?

<p>Form the nasal cavity, orbits, and support teeth (A)</p> Signup and view all the answers

Which of the following bones does not participate in forming the Norma Occipitalis?

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

Select the correct statement regarding scalp anatomy:

<p>Supratrochlear artery branches from the facial artery. (D)</p> Signup and view all the answers

Which of the following is NOT a sensory nerve to the scalp?

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

What happens to a hematoma located deep to the occipito-frontalis muscle?

<p>Collects anteriorly to form a black eye (C)</p> Signup and view all the answers

Which of the following structures is not part of the norma frontalis view?

<p>Superior orbital foramen (B)</p> Signup and view all the answers

Which suture is not visible in the norma verticalis?

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

Which is true regarding the foramen ovale in the skull?

<p>Allows exit of the mandibular division of the trigeminal nerve (C)</p> Signup and view all the answers

What is the function of the foramen spinosum within the skull?

<p>Allows entrance of the middle meningeal artery into the cranial cavity (D)</p> Signup and view all the answers

Which statement is incorrect concerning the internal acoustic meatus in the skull?

<p>Is located in the body of the sphenoid bone (D)</p> Signup and view all the answers

What does the foramen magnum allow?

<p>Allows exit of the spinal part of the accessory nerve out of the cranial cavity (A)</p> Signup and view all the answers

Which of the following is not correct about the jugular foramen?

<p>Allows exit of the hypoglossal nerve (A)</p> Signup and view all the answers

Which statement concerning the middle cranial fossa is incorrect?

<p>The oculomotor nerve passes forward in the lateral wall of the cavernous sinus (B)</p> Signup and view all the answers

Flashcards

Foramen Oval Location and Function

Located in the petrous part of the temporal bone, allows exit of the mandibular division of the trigeminal nerve.

Foramen Spinosum Function and Location

Located in the sphenoid bone, allows entrance of the middle meningeal artery.

Internal Acoustic Meatus Contents

Located in the temporal bone, allows passage of the vestibulocochlear and facial nerves.

Foramen Magnum Function

Located in the occipital bone, allows passage of the spinal cord & Accessory nerve.

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Jugular Foramen Contents and Location

Located in the temporal bone, allows exit of the vagus nerve.

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Middle Cranial Fossa - Optic Chiasma

The pituitary gland (hypophysis) is related to the optic chiasma.

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Norma Verticalis - Missing Suture

The squamous suture is not visible in norma verticalis view.

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Norma Frontalis - Missing Structure

The Nasal septum is not visible in the norma frontalis view.

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Innervation of Occipitofrontalis muscle

The Occipitofrontalis muscle is innervated by the greater occipital nerve.

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Scalp wound bleeding

Scalp wounds often bleed profusely due to the extensive network of blood vessels in the superficial layers of the skin.

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Frontal belly of Occipitofrontalis innervation

The frontal belly of the Occipitofrontalis muscle is supplied by the supra-trochlear nerve.

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Sensory scalp nerves

Nerves supplying sensation to the scalp include the greater occipital, lesser occipital, and supraclavicular nerves, excluding the great auricular nerve which is only partially for sensation.

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Epidural hematoma cause

A pterion skull fracture can damage the middle meningeal artery, leading to an epidural hematoma.

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Movable skull bone

The mandible is the only movable bone in the skull.

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Nasal septum bones

The nasal septum is formed by the vomer and ethmoid bones.

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Facial bones' function

Facial bones form the nasal cavity, orbits, and support the teeth.

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Norma Verticalis suture

Sagittal suture is visible in the norma verticalis view of the skull.

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Norma Basalis Externa Part B Foramina

Foramen ovale, foramen spinosum, foramen lacerum, and carotid foramen are present in this area.

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Significance of Nuchal Lines

Attachment points for neck and back muscles in the norma occipitalis view.

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Paired Cranium Bones (except)

Occipital bone is a single bone in the adult cranium.

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Norma Occipitalis Features (except)

Mandibular fossa is not a feature of the norma occipitalis view.

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Norma Basalis Externa Features (except)

Glabella is not found in norma basalis externa .

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Norma Basalis Externa Part B Foramina (except)

Foramen Rotundum is not located in Part B of norma basalis externa.

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Single Adult Skull Bones(except)

Maxilla is a paired bone in the adult skull.

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Study Notes

Face

  • Patient presented with burning/boiling sensation in face.
  • Possible diagnoses: occipital neuralgia, facial palsy, trigeminal neuralgia, multiple sclerosis.
  • Pulsations felt above zygomatic arch, in front of the ear are from the superficial temporal artery.
  • Patient lost cutaneous sensation over angle of mandible; the likely injured nerve is the great auricular nerve.
  • A branch of the facial artery is the transverse facial artery.
  • Muscles not supplied by facial nerve: anterior belly of digastric.

Scalp

  • Nerves supplying occipital belly of occipito-frontalis muscle: posterior auricular branch of facial nerve.
  • Branch of internal carotid artery supplying scalp: superficial temporal artery.
  • Veins connecting inside to outside of scalp: emissary veins.
  • Nerves not supplying scalp: auriculotemporal nerve.
  • Layers containing vessels and nerves of scalp: skin, connective tissue, aponeurotic, loose areolar tissue layer.
  • Layer of scalp for cranial cavity infection spread: pericranium.
  • Arteries supplying scalp (except): infratrochlear artery.
  • Muscles innervated by greater occipital nerve.
  • Horizontal skin tension lines of forehead: determined by occipito-frontalis muscle.
  • Muscle innervated by great auricular nerve.

Skull

  • Fracture of pterion leads to epidural hematoma; middle meningeal artery is most likely affected.
  • The only movable bone of the skull: mandible.
  • Bones of nasal septum: nasal and vomer.
  • Primary function of facial bones: surround and protect brain, form nasal cavity, orbits, support teeth.
  • Bones forming norma occipitalis: parietal, temporal, occipital.

Neck Viscera

  • Fascia enclosing thyroid gland: pretracheal fascia.
  • Shape of thyroid gland lobes: oval.
  • Structures that move with swallowing due to enclosure by fascia: carotid sheath, superficial fascia, pretracheal fascia, prevertebral fascia.
  • Arterial supply of thyroid gland: common carotid artery, superior thyroid, inferior thyroid, thyroidea ima arteries.
  • Vein draining thyroid into left brachiocephalic vein: inferior thyroid vein.
  • Apex of thyroid extends up to: oblique line of thyroid cartilage.
  • Lymphatic drainage destinations: deep cervical and submental nodes, paratracheal and deep cervical nodes, pretracheal and submandibular nodes, submandibular and occipital nodes.
  • Nerve closely related to medial surface of thyroid gland: recurrent laryngeal nerve.
  • Where trachea bifurcates: sternal angle.
  • Structure anterior to trachea: esophagus.
  • Structure lateral to trachea: carotid sheath.
  • Fascia covering trachea: pretracheal fascia.
  • Length of esophagus: 25-30 cm (10-12 inches).
  • Arterial supply to cervical esophagus (derived from): inferior thyroid artery.
  • Nerve supply of cervical esophagus (provided by): recurrent laryngeal and sympathetic trunk.
  • Structure posterior to cervical esophagus: vertebral column.

General

  • Symptoms from face can spread to the cavernous sinus via the superior ophthalmic vein.
  • Common facial vein drains into the internal jugular vein.
  • Sensations from the skin of the lower eyelid are carried by the infraorbital nerve.
  • Superficial temporal and maxillary veins join to form the retromandibular vein.
  • The frontal belly of the occipito-frontalis muscle is supplied by the supratrochlear nerve.
  • Superficial temporal artery is a branch of the external carotid artery.
  • The facial artery lies anterior to the facial vein.
  • The facial artery pulsation is palpable against the mandible.
  • The facial artery divides into supraorbital and supratrocheal branches.

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