Head, Neck, and TMJ Anatomy
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Questions and Answers

Which of the following muscle actions contributes to mouth opening?

  • External pterygoid (correct)
  • Internal pterygoid
  • Masseter
  • Temporalis (anterior fibers)

A patient presents with limited mouth opening and pain, but no swelling, and deviation to the contralateral side during mouth opening. Which condition is most likely?

  • TMJ synovitis
  • TMJ capsulitis (correct)
  • TMJ hypermobility
  • TMJ disc displacement

What is the primary movement occurring in the superior joint of the temporomandibular joint (TMJ)?

  • Hinge movement
  • Compression
  • Rotation
  • Translation (correct)

Which of the following best describes the 'open packed position' of the TMJ?

<p>Mouth slightly open, lips together, teeth not in contact (C)</p> Signup and view all the answers

A patient reports a clicking sound when closing their mouth. Based on the text, which TMJ condition is most likely indicated by this symptom?

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

Which layer of the scalp contains valveless emissary veins, making it a potential route for infection to spread intracranially?

<p>Loose Areolar Tissue (B)</p> Signup and view all the answers

The Galea aponeurotica connects which two muscles of the scalp?

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

What type of joint is described as a 'Synarthrodial joint'?

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

At what age does the anterior fontanelle typically close in infants?

<p>18-24 months (D)</p> Signup and view all the answers

Which of the following skull bones is a single (unpaired) bone?

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

The squamosal suture connects which two bones of the skull?

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

What is another name for the periosteum, the innermost layer of the scalp?

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

At which anatomical point do the coronal and sagittal sutures intersect?

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

Which of the following muscles is responsible for adducting the eyeball?

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

Which of the following describes the bilateral action of the Sternocleidomastoid (SCM) muscle?

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

The submandibular triangle is bordered by which of the following structures?

<p>Anterior and Posterior Digastric, Mandible (C)</p> Signup and view all the answers

The digastric muscle is innervated by which of the following cranial nerves?

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

What is the primary function of the suprahyoid muscles as a group?

<p>Elevate the hyoid bone and assist in swallowing (D)</p> Signup and view all the answers

Which of the following muscles listed is NOT an infrahyoid muscle?

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

What two muscles form the borders of the Occipital triangle?

<p>SCM, Trapezius (C)</p> Signup and view all the answers

What bony landmark does the stylohyoid ligament connect to the hyoid bone?

<p>Base of skull (B)</p> Signup and view all the answers

Which muscle is primarily responsible for depressing the angle of the mouth, often associated with expressions of displeasure?

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

A patient exhibits difficulty looking upwards and inwards with their right eye. Which extraocular muscle is MOST likely affected?

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

Damage to which cranial nerve would MOST directly impair the ability to close the eyelids?

<p>Facial nerve (CN VII) (B)</p> Signup and view all the answers

A patient presents with ptosis (drooping eyelid) following damage to the Oculomotor nerve (CN III). What percentage of eye opening function has been lost, approximately?

<p>80% (C)</p> Signup and view all the answers

After a traumatic injury, a patient is diagnosed with a Jefferson fracture. Which cervical vertebra is affected by this type of fracture?

<p>C1 (atlas) (A)</p> Signup and view all the answers

Which feature is unique to cervical vertebrae, distinguishing them from thoracic or lumbar vertebrae?

<p>Presence of transverse foramina (C)</p> Signup and view all the answers

Vertical diplopia (double vision) is MOST likely associated with dysfunction of which extraocular muscle?

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

What is the main function of the levator labii superioris muscle?

<p>Elevates the upper lip (D)</p> Signup and view all the answers

Damage to the pterion is extremely dangerous because of its proximity to which major vessel?

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

Which facial muscle is primarily responsible for the physical act of smiling?

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

If a neurologist elicits a positive glabellar tap reflex on a patient, what might this indicate?

<p>Parkinson's disease or other neurological disorder (A)</p> Signup and view all the answers

A stroke patient struggles to wrinkle their forehead to show surprise. Which muscle is likely affected?

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

Which of the following best describes the location of the nasion?

<p>The bony depression where the frontal and nasal bones meet (A)</p> Signup and view all the answers

In which facial expression would the corrugator supercilii most likely be actively involved?

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

A musician who plays the trumpet relies heavily on a specific facial muscle. Which of the following is most likely the muscle they utilize the most?

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

What is a key difference between the risorius and zygomaticus major muscles?

<p>The risorius produces a grimace or fake smile whereas zygomaticus major produces genuine smiles. (B)</p> Signup and view all the answers

What is the nasion?

<p>The area where the frontal and nasal bones meet (C)</p> Signup and view all the answers

What is the anatomical significance of the inion?

<p>It is the prominent bump on the back of the skull. (A)</p> Signup and view all the answers

What is the primary muscle responsible for smiling?

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

What is the primary function of the risorius muscle?

<p>Draws the corners of the mouth laterally (C)</p> Signup and view all the answers

What is the primary action of the Levator Palpebrae Superioris muscle?

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

What is the primary function of Mueller's muscle?

<p>It elevates the upper eyelid. (A)</p> Signup and view all the answers

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What condition is associated with the weakness of cranial nerve VI (abducens nerve)?

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

What is the primary action of the superior rectus muscle in the eye?

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

What is the primary function of the lateral rectus muscle?

<p>Abduction of the eye (B)</p> Signup and view all the answers

What is the primary function of the medial rectus muscle?

<p>Adduction of the eye (B)</p> Signup and view all the answers

Which of the following structures is located in the Submandibular/Digastric?

<p>Anterior and Posterior Digastric, Mandible (B)</p> Signup and view all the answers

Which structures are referred to as supraclavicular or jugular?

<p>Post SCM, Inferior Omohyoid, Clavicle (C)</p> Signup and view all the answers

Flashcards

Nasion

The bony depression between the eyes formed by frontal and nasal bones.

Glabella

The area of skin between the eyebrows and above the nose.

Nasolabial Folds

Creases extending from the sides of the nose to the corners of the mouth, known as smile lines.

Philtrum

The vertical groove between the base of the nose and the upper lip.

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Pterion

The thinnest part of the lateral skull where the middle meningeal artery is located.

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Zygomaticus Major

The primary muscle used for smiling, elevating the corners of the mouth.

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Zygomaticus Minor

A secondary muscle that elevates the upper lip and contributes to smiling.

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Orbicularis Oris

The muscle that closes the lips, often associated with actions like kissing.

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TMJ Joint Type

Modified hinge joint that allows for both rotation and translation.

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Open Packed Position

Position with the mouth slightly open, lips together, and teeth not in contact.

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TMJ Hypomobility

Condition characterized by limitation of mouth opening and contralateral deviation.

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TMJ Disc Displacement

Condition where a click is felt upon mouth opening due to disc movement.

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Muscles of Mastication

Muscles involved in chewing: Temporalis, Masseter, Pterygoids.

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Levator anguli oris

Muscle that elevates the angle of the mouth, used in sneering.

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Mentalis

Muscle that creates a pouting or doubting expression.

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Platysma

Muscle that depresses the angle of the mouth.

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Levator palpebrae superioris

Muscle responsible for 80% of eye opening, innervated by CN III.

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Mueller's muscle

Muscle that contributes 20% to eye opening, innervated by sympathetic nerves.

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Orbicularis oculi

Muscle that closes the eye, innervated by CN VII (facial nerve).

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Superior oblique muscle

Eye muscle that moves the eye downward and inward.

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Inferior oblique muscle

Eye muscle that moves the eye upward and inward.

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Superior Rectus

A muscle that moves the eye upward and outward.

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Inferior Rectus

A muscle responsible for moving the eye downward and outward.

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Lateral Rectus

Muscle that abducts the eyeball, moving it away from the nose.

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Medial Rectus

A muscle that adducts the eyeball by moving it toward the nose.

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SCM (Sternocleidomastoid)

A neck muscle innervated by CN XI, responsible for turning the head.

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Suprahyoid Muscles

Muscles located above the hyoid bone involved in swallowing.

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Infrahyoid Muscles

Muscles located below the hyoid bone that help depress the hyoid during swallowing.

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Temporomandibular Joint (TMJ)

The joint that connects the mandible (jaw) to the skull.

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Maxillae

Facial bones, there are 2 maxillae.

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Layers of the scalp

Five layers including skin, connective tissue, aponeurosis, loose areolar tissue, and periosteum.

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Aponeurosis

Galea aponeurosis connecting occipitalis and frontalis muscles.

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Periosteum

Innermost layer of the scalp, also known as pericranium.

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Anterior fontanelle

Soft spot on a baby's skull, closes between 18-24 months.

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Posterior fontanelle

Soft spot on the back of an infant's skull, closes between 9-12 months.

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Sutures

Synarthrodial joints connecting cranial bones.

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Cranial bones

Eight main bones forming the skull, including frontal and parietal bones.

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Study Notes

Head, Neck, and TMJ Anatomy and Conditions

  • Scalp: Soft tissue covering and protecting the cranial vault
  • Scalp Layers:
    • Skin: Outermost layer, with sebaceous glands and hair follicles
    • Connective tissue: Contains major arteries and veins
    • Aponeurosis (Galea aponeurotica): Connects occipitalis and frontalis muscles
    • Loose areolar tissue: Contains emissary veins ("dangerous layer")
    • Periosteum (Pericranium): Innermost layer, providing nutrition to the scalp
  • Cranial Bones:
    • Frontal bone: 1
    • Parietal bones: 2
    • Occipital bone: 1
    • Temporal bones: 2
    • Sphenoid bone: 1
    • Ethmoid bone: 1
  • Facial Bones:
    • Zygomatic bones: 2
  • Sutures (Synarthrodial joints):
    • Joints joining cranial bones
    • Important sutures include coronal, sagittal, and lambdoid sutures.
    • Temporal bone joins with the parietal bone at the squamosal suture
  • Fontanelles:
    • Spaces between cranial bones in infants
    • Anterior fontanelle closes between 18-24 months
      • Bregma is the point where coronal and sagittal sutures meet
    • Posterior fontanelle closes between 9-12 months
      • Lambda is the point where sagittal and lambdoid sutures meet

Landmarks of the Skull

  • Nasion: Midline bony depression between the eyes; where frontal and nasal bones meet
  • Glabella: Area between eyebrows and above the nose
  • Nasolabial folds: Creases from nose to mouth corners
  • Philtrum: Vertical groove between nose base and upper lip
  • Pterion: Thinnest portion of the lateral skull; middle meningeal artery location
  • Inion: Most prominent point on the external occipital protuberance; landmark for head circumference

Facial Muscles

  • Occipitofrontalis: Elevates eyebrows
  • Corrugator supercilii: Pulls eyebrows together
  • Procerus: Wrinkles bridge of nose
  • Zygomaticus major: Primary muscle for smiling
  • Zygomaticus minor: Secondary muscle for smiling
  • Risorius: Muscle for a grimace or fake smile
  • Orbicularis oris: Closes lips
  • Buccinator: Pouts cheeks
  • Levator anguli oris: Elevates angle of mouth
  • Mentalis: Raises and wrinkles chin
  • Platysma: Depresses mandible angle

Eye Muscles

  • Levator palpebrae superioris: Responsible for 80% of eye opening
  • Müller's muscle: Responsible for 20% of eye opening
  • Orbicularis oculi: Closes eyelids

Extraocular Muscles

  • Superior rectus: Upward and outward movement
  • Inferior rectus: Downward and outward movement
  • Lateral rectus: Abduction (lateral movement) of eye
  • Medial rectus: Adduction (medial movement) of eye
  • Superior oblique: Downward and inward movement
  • Inferior oblique: Upward and inward movement

Neck Region

  • Cervical Vertebrae: Small, triangular shaped bodies
  • Atlas (C1): No body and no spinous process
  • Axis (C2): Odontoid process
  • Hyoid Bone: Located in the neck, not directly articulated with other bones; connected by ligaments

Neck Triangles

  • Anterior triangles: Submental, submandibular/digastric, carotid
  • Posterior triangles: Occipital, supraclavicular/jugular

Temporomandibular Joint (TMJ)

  • Articulation between mandibular condyle and mandibular fossa, modified hinge joint.
  • Superior joint: Translation
  • Inferior joint: Rotation
  • Open packed position: Mouth slightly open, lips together
  • Closed packed position: Tightly clenched teeth.

Muscles of Mastication

  • Temporalis: Muscle for closing the mouth
  • Internal pterygoid: Muscle for protrusion
  • Masseter: Muscle for protrusion
  • External pterygoid: Muscle for opening the mouth

TMJ Conditions

  • TMJ Disc Displacement: Clicking during mouth opening or closing
  • TMJ Displacement: Clicking during mouth opening or closing.
  • TMJ Capsulitis: Pain during mouth opening

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Head, Neck And TMJ Anatomy PDF

Description

Explore the intricate anatomy of the head, neck, and temporomandibular joint (TMJ). This quiz covers essential structures including the scalp layers, cranial and facial bones, sutures, and fontanelles. Perfect for students of anatomy and medicine.

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