Podcast
Questions and Answers
What unique feature does the fetal skull have that is not present in the adult skull?
What unique feature does the fetal skull have that is not present in the adult skull?
- Larger cranial capacity
- A larger face relative to the cranium
- Fontanelles (correct)
- Fused sutures
Which of the following structures is found superior to the middle ear?
Which of the following structures is found superior to the middle ear?
- Tegmen tympani (correct)
- Tympanic membrane
- Jugular bulb
- Mastoid air cells
What forms the medial wall of the orbit?
What forms the medial wall of the orbit?
- Greater wing of sphenoid
- Frontal bone
- Maxilla
- Ethmoid bone (correct)
Which muscle is responsible for tensing the vocal cords?
Which muscle is responsible for tensing the vocal cords?
Which nerve provides sensory innervation to the anterior 2/3 of the tongue?
Which nerve provides sensory innervation to the anterior 2/3 of the tongue?
What can cause a subdural hematoma?
What can cause a subdural hematoma?
Which artery is located superficial to the sternocleidomastoid muscle?
Which artery is located superficial to the sternocleidomastoid muscle?
What is the primary function of cortical interneurons?
What is the primary function of cortical interneurons?
Which structure is part of the boundaries of the orbit?
Which structure is part of the boundaries of the orbit?
Which nerve is associated with the afferent component of the pupillary reflex?
Which nerve is associated with the afferent component of the pupillary reflex?
What is the location of Little's area?
What is the location of Little's area?
Which nerve is responsible for the sensation of the posterior one-third of the tongue?
Which nerve is responsible for the sensation of the posterior one-third of the tongue?
Which muscles are primarily responsible for closing the mouth?
Which muscles are primarily responsible for closing the mouth?
What is the role of the chorda tympani?
What is the role of the chorda tympani?
Which artery contributes to the anastomosis between the internal carotid artery (ICA) and external carotid artery (ECA)?
Which artery contributes to the anastomosis between the internal carotid artery (ICA) and external carotid artery (ECA)?
What structures are covered by the pretracheal fascia?
What structures are covered by the pretracheal fascia?
In which part of the auditory pathway does sound first gain synaptic relay?
In which part of the auditory pathway does sound first gain synaptic relay?
Which of the following is a characteristic of Jacksonian seizures?
Which of the following is a characteristic of Jacksonian seizures?
What is the function of the ciliary muscle in relation to lens shape?
What is the function of the ciliary muscle in relation to lens shape?
Which of the following best describes the drainage of the maxillary sinus?
Which of the following best describes the drainage of the maxillary sinus?
What is the primary function of the chorda tympani nerve?
What is the primary function of the chorda tympani nerve?
Which structure is primarily responsible for closing the mouth?
Which structure is primarily responsible for closing the mouth?
Which nerve is responsible for sensation in the lower eyelid?
Which nerve is responsible for sensation in the lower eyelid?
Which structure anatomy primarily contributes to the drainage of the parotid salivary gland?
Which structure anatomy primarily contributes to the drainage of the parotid salivary gland?
What does the recurrent laryngeal nerve innervate?
What does the recurrent laryngeal nerve innervate?
Which artery is involved in the anastomosis between the internal carotid artery and external carotid artery?
Which artery is involved in the anastomosis between the internal carotid artery and external carotid artery?
Where does the cerebrospinal fluid (CSF) flow after leaving the third ventricle?
Where does the cerebrospinal fluid (CSF) flow after leaving the third ventricle?
Which cranial nerve is responsible for the complete vision loss in the affected eye due to optic nerve damage?
Which cranial nerve is responsible for the complete vision loss in the affected eye due to optic nerve damage?
What is the main role of the ciliary muscle in the eye?
What is the main role of the ciliary muscle in the eye?
Which fascia surrounds the thyroid gland?
Which fascia surrounds the thyroid gland?
What is the primary difference between the adult and fetal skull regarding facial structure?
What is the primary difference between the adult and fetal skull regarding facial structure?
Which of the following structures is located posterior to the middle ear?
Which of the following structures is located posterior to the middle ear?
Which bones form the lateral wall of the orbit?
Which bones form the lateral wall of the orbit?
Which muscle is NOT innervated by the vagus nerve?
Which muscle is NOT innervated by the vagus nerve?
What structure is known for modulating excitatory and inhibitory signals within the cortex?
What structure is known for modulating excitatory and inhibitory signals within the cortex?
Which of the following correctly describes the location of the quadrangular ligament?
Which of the following correctly describes the location of the quadrangular ligament?
What is the main function of the external jugular vein?
What is the main function of the external jugular vein?
Which of these causes is associated with thoracic outlet syndrome?
Which of these causes is associated with thoracic outlet syndrome?
What imaging finding is typical for a subarachnoid hemorrhage?
What imaging finding is typical for a subarachnoid hemorrhage?
Which artery contributes to the blood supply of the scalp?
Which artery contributes to the blood supply of the scalp?
Flashcards
What are fontanelles?
What are fontanelles?
In a fetal skull, the fibrous membranes connecting cranial bones, allowing for growth and molding during birth.
Describe the relations of the middle ear.
Describe the relations of the middle ear.
The middle cranial fossa is superior to the middle ear, the jugular bulb is inferior, the internal carotid artery and Eustachian tube are anterior, the mastoid air cells are posterior, the tympanic membrane is lateral, and the oval and round windows are medial.
What are the boundaries of the orbit?
What are the boundaries of the orbit?
The roof is formed by the frontal bone, the floor by the maxilla and zygomatic bone, the medial wall by the ethmoid and lacrimal bone, and the lateral wall by the zygomatic bone and greater wing of the sphenoid.
Which muscles are innervated by the vagus nerve?
Which muscles are innervated by the vagus nerve?
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Which muscle tenses the vocal cords?
Which muscle tenses the vocal cords?
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What is the function of cortical interneurons?
What is the function of cortical interneurons?
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Describe the attachments and location of the quadrangular ligament.
Describe the attachments and location of the quadrangular ligament.
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Which blood vessel lies superficial to the sternocleidomastoid muscle?
Which blood vessel lies superficial to the sternocleidomastoid muscle?
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What is the structure of the alar space?
What is the structure of the alar space?
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Which nerve is near the superior thyroid artery?
Which nerve is near the superior thyroid artery?
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Location of Little’s area
Location of Little’s area
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Salivary gland drainage
Salivary gland drainage
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Muscles closing the mouth
Muscles closing the mouth
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Innervation of posterior digastric
Innervation of posterior digastric
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Lens shape change mechanism
Lens shape change mechanism
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Blindness from optic nerve damage
Blindness from optic nerve damage
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Temporal bone relations
Temporal bone relations
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Foramina location
Foramina location
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Fascial coverings of thyroid
Fascial coverings of thyroid
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Nerve for lower eyelid sensation
Nerve for lower eyelid sensation
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Function of chorda tympani
Function of chorda tympani
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Fetal skull differences
Fetal skull differences
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Middle ear relations
Middle ear relations
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Orbital boundaries
Orbital boundaries
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Vagus nerve innervation
Vagus nerve innervation
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Vocal cord tension
Vocal cord tension
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Cortical interneuron function
Cortical interneuron function
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Quadrangular ligament
Quadrangular ligament
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External jugular vein location
External jugular vein location
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Alar space structure
Alar space structure
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Nerve near superior thyroid artery
Nerve near superior thyroid artery
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What is Kiesselbach's plexus?
What is Kiesselbach's plexus?
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How do the major salivary glands drain?
How do the major salivary glands drain?
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Which muscles close your mouth?
Which muscles close your mouth?
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What nerve innervates the posterior digastric muscle?
What nerve innervates the posterior digastric muscle?
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How does the lens change shape for focusing?
How does the lens change shape for focusing?
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What happens when the optic nerve is damaged?
What happens when the optic nerve is damaged?
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Where is the temporal bone located and what are its parts?
Where is the temporal bone located and what are its parts?
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What are foramina and what are their functions?
What are foramina and what are their functions?
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What fascial layer covers the thyroid gland?
What fascial layer covers the thyroid gland?
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Which nerve provides sensation to the lower eyelid?
Which nerve provides sensation to the lower eyelid?
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Study Notes
Skull and Cranial Structures
- Fetal Skull Differences: Fontanelles present, sutures unfused, smaller face relative to cranium.
- Middle Ear Relations: Superior: Tegmen tympani (middle cranial fossa); Inferior: Jugular bulb; Anterior: Internal carotid artery, Eustachian tube; Posterior: Mastoid air cells; Lateral: Tympanic membrane; Medial: Oval & round windows.
- Orbit Boundaries: Roof: Frontal bone; Floor: Maxilla, zygomatic bone; Medial wall: Ethmoid, lacrimal bone; Lateral wall: Zygomatic bone, greater wing of sphenoid.
- Vagus Nerve Innervation: Palatoglossus, levator veli palatini, pharyngeal constrictors, intrinsic laryngeal muscles (except cricothyroid), palatopharyngeus.
- Vocal Cord Tension: Cricothyroid muscle.
- Cortical Interneuron Function: Modulate excitatory & inhibitory signals within the cortex.
- Quadrangular Ligament: Attaches epiglottis to arytenoid cartilage; upper boundary aryepiglottic fold, lower boundary vestibular fold.
- Sternocleidomastoid Surface Vessel: External jugular vein.
- Alar Space: Between prevertebral & alar fascia from skull base to T2.
- Superior Thyroid Artery Neighbor: External branch of superior laryngeal nerve.
- Tongue Innervation: Posterior 1/3: Glossopharyngeal (CN IX); Anterior 2/3: Lingual nerve (general sensation, CN V3), chorda tympani (taste, CN VII).
- Pupillary Constriction Reflex Afferent: Optic nerve (CN II).
- Thoracic Outlet Syndrome Symptoms: Pain, numbness, weakness in upper limb; potential swelling/discoloration with vascular compression.
- Subdural Hematoma Causes: Trauma (bridging vein tears), anticoagulation, age-related brain atrophy.
- Subarachnoid Hemorrhage Imaging: CT: Hyperdensity in basal cisterns/sulci; Angiography: Aneurysm detection.
- Scalp Structure & Blood Supply: Layers: Skin, connective tissue, aponeurosis, loose areolar tissue, periosteum; Blood Supply: Superficial temporal, occipital, posterior auricular, supraorbital arteries.
- Little's Area Location: Anterior nasal septum (Kiesselbach's plexus).
- Salivary Gland Drainage: Parotid (Stensen's duct to upper 2nd molar); Submandibular (Wharton's duct to sublingual papilla); Sublingual (Rivinus ducts to oral floor).
- Mouth Closure Muscles: Masseter, medial pterygoid, temporalis.
- Posterior Digastric Belly Innervation: Facial nerve (CN VII).
- Temporal Bone Relations: Squamous, tympanic, mastoid, & petrous parts relating to middle & inner ear structures.
- Foramina Location: Examples: Foramen ovale (CN V3), foramen rotundum (CN V2), foramen spinosum (MMA), jugular foramen.
Eye and Brain
- Lens Shape Change: Ciliary muscle contraction relaxes zonular fibers, thickening lens for near vision.
- Optic Nerve Damage & Blindness: Complete vision loss in affected eye.
- Foramina Location (Examples): Foramen ovale (CN V3), foramen rotundum (CN V2), jugular foramen, foramen spinosum (MMA).
- Thyroid Fascial Coverings: Pretracheal fascia.
- Lower Eyelid Sensation: Infraorbital nerve (CN V2).
- Chorda Tympani Function: Taste anterior 2/3 of tongue, parasympathetic to submandibular/sublingual glands.
- Neck Triangles & Fascia: Anterior (submental, submandibular, carotid, muscular); Posterior (occipital, supraclavicular); Layers: Investing, pretracheal, prevertebral, carotid sheath.
- Medial Pterygoid & Superior Pharyngeal Constrictor Attachments: Medial pterygoid: Medial surface lateral pterygoid plate to mandible; Superior constrictor: Pterygoid hamulus, buccinator to pharyngeal raphe.
- Laryngeal Muscles Innervation/Action: Recurrent laryngeal: All intrinsic except cricothyroid (external branch superior laryngeal); Actions: Phonation, vocal cord tension/relaxation.
- Central Visual Pathway/Field Defects: Retinotopy (retina to LGN to primary visual cortex); Lesions result in homonymous hemianopia, quadrantanopia.
- Auditory Pathway Order: Cochlea → cochlear nuclei → superior olive → lateral lemniscus → inferior colliculus → MGN → auditory cortex.
- Posterior Tongue Sensation: Glossopharyngeal (CN IX).
- Waldeyer's Ring Components: Palatine, pharyngeal, lingual, tubal tonsils.
- Infratemporal Fossa Boundaries: Superior: Greater wing sphenoid; Lateral: Mandible ramus; Medial: Lateral pterygoid plate.
- Orbit Upper Lateral Margin Muscles: Lacrimal branch CN V2.
Neck and Other Structures
- Anterior Neck Innervation: Cervical plexus, ansa cervicalis.
- Scalp Innervation: Anterior: Supraorbital (CN V1); Lateral: Auriculotemporal (CN V3); Posterior: Lesser/greater occipital nerves.
- Pterygopalatine Fossa Nerve: Maxillary nerve (CN V2).
- Ocular Muscle Integrity Test: H-test for extraocular muscle function.
- Cortical Cell Structure/Function: Pyramidal (output, excitatory); Stellate (input, inhibitory).
- Skull Foramina (Examples): Foramen rotundum (CN V2), foramen spinosum (MMA).
- Innervation Exceptions: Tensor veli palatini (CN V3), Palatoglossus (CN X).
- Facial Nerve Integrity Test: Buccinator (puff cheeks).
- Uvula Deviation & Lesion: Vagus nerve (CN X).
- Expressive Aphasia Location: Broca's area (frontal lobe).
- Jacksonian Seizures Origin: Focal seizures originating from frontal lobe.
- Nasal Septum Bones: Perpendicular plate ethmoid, vomer.
- Sinuses Drainage: Maxillary sinus: Middle meatus.
- Cranial Nerve Eye Lesions: CN III: Ptosis, mydriasis; CN IV: Vertical diplopia; CN VI: Lateral gaze palsy.
- Cerebral Artery Meninges Location: Subarachnoid space.
- Neck Fascia Surrounding Thyroid: Pretracheal fascia.
- Alar Fascia Extent: Skull base to T2.
- Cerebrospinal Fluid (CSF) Flow: Lateral ventricles → foramen of Monro → third ventricle → cerebral aqueduct → fourth ventricle → subarachnoid space.
- Eustachian Tube in Children: Shorter, more horizontal.
- Blind Spot: Optic disc.
- Carotid Anastomosis: Dorsal nasal (ophthalmic) and angular (facial).
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