Muscles of the Neck and Skull

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Questions and Answers

Which action would be most affected by damage to the sternocleidomastoid muscle?

  • Swallowing
  • Facial expression
  • Shoulder adduction
  • Lateral flexion of the neck (correct)

A surgeon needs to access structures deep within the anterior triangle of the neck. Which muscle would they most likely need to incise or retract to gain access?

  • Splenius capitis
  • Omohyoid (correct)
  • Sternocleidomastoid
  • Trapezius

A patient reports difficulty swallowing and speaking after a surgical procedure in the neck. Which muscle could have been affected?

  • Splenius capitis
  • Trapezius
  • Masseter
  • Sternothyroid (correct)

In a diagram of the neck, which structure lies immediately anterior to the trachea?

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

Which muscle is innervated by the hypoglossal nerve (CN XII)?

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

During a physical exam, a doctor palpates the area between the sternocleidomastoid muscle and the trachea. Which structure is most likely being assessed?

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

Which landmark is crucial for guiding surgical procedures involving the great vessels of the neck?

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

Damage to the ansa cervicalis would MOST directly affect which of the following muscles?

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

A lesion affecting the spinal accessory nerve (CN XI) would MOST directly impair the function of which muscle in the neck?

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

A patient is diagnosed with an infected thyroglossal duct cyst. Which of the following BEST explains the location of this cyst?

<p>Anterior to the trachea (D)</p> Signup and view all the answers

Stridor, a high-pitched breathing sound, can occur due to various laryngeal obstructions. Which structure, if obstructed, would MOST likely produce this sound?

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

Which muscle is the MOST likely to be involved in forced expiration, such as during coughing or shouting?

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

Which structure is located within the carotid sheath?

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

A tumor in the posterior triangle of the neck is MOST likely to directly affect which nerve?

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

When performing a tracheostomy, which structure is MOST at risk of being injured?

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

Which structure typically traverses through the scalene muscles in the neck?

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

A patient presents with a neck mass that moves superiorly during swallowing. Which anatomical structure is MOST likely involved?

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

Which muscle is located in the posterior triangle of the neck and is innervated by the spinal accessory nerve (CN XI)?

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

Which of the following structures is associated with the anterior belly of the digastric muscle?

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

Which of the following lies between the trachea and the vertebral column?

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

Flashcards

Sternohyoid muscle

The longest and most superficial of the hyoid muscles. Depresses hyoid bone after elevation

Thyrohyoid muscle

A muscle in the anterior neck that depresses the hyoid and elevates the larynx.

Sternothyroid muscle

A muscle in the anterior neck that depresses the thyroid cartilage.

Mylohyoid muscle

A muscle that elevates the larynx and hyoid bone, or depresses the mandible.

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Geniohyoid muscle

A muscle that elevates the hyoid bone and draws it forward.

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Hyoglossus Muscle

A muscle that depresses and retracts the tongue.

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Genioglossus

A muscle that depresses and protrudes the tongue.

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Sternocleidomastoid muscle

A muscle that rotates and flexes the neck.

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Levator scapulae muscle

A muscle that elevates the scapula and rotates the neck.

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Anterior scalene

A muscle that acts to laterally flex the neck and elevate the ribs during inhalation.

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Middle scalene

A muscle that laterally flexes the neck and elevates the ribs.

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Posterior scalene

A muscle that laterally flexes the neck and elevates the ribs.

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Trapezius muscle

The largest muscle in the upper back which extends to the back of the neck, it rotates, adducts, elevates and depresses the scapula.

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Digastric muscle - anterior/posterior belly

Suprahyoid muscle, that opens the jaw and elevates the hyoid.

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Esophagus

The muscular tube posterior to the trachea.

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Cricoid cartilage

Cartilage forming the base of the larynx.

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Thyroid cartilage

The structure that sits on top of the trachea.

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Epiglottis

A flap of cartilage that closes during swallowing.

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medial thyrohyoid ligament

A structure that attaches muscle to the thyroid cartilage to the hyoid bone

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Parathyroid gland

A gland behind the thyroid

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Study Notes

  • Neck activity involves labeling all muscles and other structures related to the neck area exclusively
  • Skull identification focuses on origin and insertion points of neck muscles only

Muscles of the Neck

  • Sternocleidomastoid muscle is a prominent neck muscle
  • Omohyoid muscle has a superior and inferior belly
  • Sternohyoid and Sternothyroid muscles are located in the anterior neck
  • Thyrohyoid muscle connects the thyroid cartilage to the hyoid bone
  • Masseter muscle is involved in mastication and located in the face, but relevant to skull origin/insertion
  • Genioglossus and Hyoglossus muscles are tongue muscles, relevant for origin/insertion on the skull
  • Geniohyoid and Mylohyoid muscles are suprahyoid muscles
  • Digastric muscle has anterior and posterior bellies
  • Splenius Capitis is a posterior neck muscle
  • Levator Scapulae muscle elevates the scapula
  • Scalene muscles include anterior, middle, and posterior scalene
  • Trapezius muscle spans from the neck to the upper back

Skull Features and Muscles

  • Occipitalis muscle is located at the back of the head
  • Depressor labii inferioris and depressor anguli oris control lower lip movement
  • Platysma is a superficial neck muscle

Deeper Neck Muscles

  • Longissimus Capitis is a deep neck extensor
  • Rectus Capitis Lateralis, Anterior and Posterior are small muscles that stabilize the head
  • Stylopharyngeus, Stylohyoid and Styloglossus muscles are associated with the styloid process
  • Superior constrictor muscle is part of the pharynx

Anterior Neck Structures

  • Digastric Muscle has anterior and posterior bellies
  • The Genioglossus and Geniohyoid muscles connect to the hyoid bone
  • Epiglottis and Epiglottis Cartilage protect the airway during swallowing
  • Vestibule is the entrance to the larynx
  • Laryngeal Sinus is a recess in the larynx
  • Vestibular Fold and Vocal Fold are involved in voice production
  • Infraglottic Cavity is the space below the vocal folds
  • Hyoid Bone and Greater Horn are part of the hyoid complex
  • Laryngeal Nerve and Thyroid Artery supply the larynx
  • Medial Thyrohyoid Ligament connects the thyroid cartilage and hyoid bone
  • Cricothyroid Muscle is involved in vocal cord tension

Cartilages of the Larynx

  • Thyroid Cartilage provides structure to the larynx
  • Cricoid Cartilage forms the base of the larynx
  • Trachea is the airway extending from the larynx

Oral Cavity and Neck

  • Oral Cavity, Palatine Tonsil, and Oropharynx are part of the upper aerodigestive tract
  • Laryngopharynx is the lower part of the pharynx
  • Investing Layer of Deep Cervical Facia surrounds neck structures
  • Suprainternal Space is in the neck
  • Manubrium of Sternum is the upper part of the sternum

Neck Spaces and Vertebrae

  • C7 Vertebral Body is the seventh cervical vertebra
  • Danger Space and Retro Pharyngeal Space are potential spaces for infection
  • Esophagus and Trachea are located in the neck

Anatomy Triangles

  • Submandibular, Submental, Carotid, Occipital, Muscular, and Supraclavicular are triangles used for anatomical location in the neck

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