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Questions and Answers
Which nerve provides motor innervation to the muscles involved in facial expression and is responsible for the movement of the temple region?
Which nerve provides motor innervation to the muscles involved in facial expression and is responsible for the movement of the temple region?
Which artery supplies blood to the skin anterior and superior to the auricle (ear)?
Which artery supplies blood to the skin anterior and superior to the auricle (ear)?
What nerve innervates the skin of the occipital region, providing sensation to the back of the head?
What nerve innervates the skin of the occipital region, providing sensation to the back of the head?
Which artery provides blood supply to the scalp in the posterio-lateral region, behind the auricle?
Which artery provides blood supply to the scalp in the posterio-lateral region, behind the auricle?
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The nerve responsible for supplying sensation to the anteromedial part of the forehead is the:
The nerve responsible for supplying sensation to the anteromedial part of the forehead is the:
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Which of these does NOT contribute to the blood supply of the scalp?
Which of these does NOT contribute to the blood supply of the scalp?
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Which nerve innervates the skin posterior to the ear and is responsible for providing sensation to that region?
Which nerve innervates the skin posterior to the ear and is responsible for providing sensation to that region?
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The nerve responsible for the sensory innervation of the skin anterior and superior to the auricle originates from the:
The nerve responsible for the sensory innervation of the skin anterior and superior to the auricle originates from the:
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Which of the following muscles attaches to the external occipital protuberance?
Which of the following muscles attaches to the external occipital protuberance?
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What is the name of the unossified membranous interval located at the junction of the two parietal bones and the occipital bone?
What is the name of the unossified membranous interval located at the junction of the two parietal bones and the occipital bone?
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Which of the following correctly describes the location of an extradural hematoma?
Which of the following correctly describes the location of an extradural hematoma?
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What is the name of the highest point of the skull?
What is the name of the highest point of the skull?
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Which of the following structures is NOT part of the scalp layers?
Which of the following structures is NOT part of the scalp layers?
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Which of the following statements is TRUE regarding the neonatal skull?
Which of the following statements is TRUE regarding the neonatal skull?
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What is the name of the suture that forms the junction of the coronal and sagittal sutures?
What is the name of the suture that forms the junction of the coronal and sagittal sutures?
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Which of the following structures serves as an attachment point for the occipitofrontalis muscle?
Which of the following structures serves as an attachment point for the occipitofrontalis muscle?
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Which of the following is NOT a characteristic of the anterior fontanelle?
Which of the following is NOT a characteristic of the anterior fontanelle?
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What is the name of the junction of the sagittal and lambdoid sutures?
What is the name of the junction of the sagittal and lambdoid sutures?
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Which of the following nerves supplies the sensory innervation to the area behind the ear?
Which of the following nerves supplies the sensory innervation to the area behind the ear?
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What is the primary function of the emissary veins of the scalp?
What is the primary function of the emissary veins of the scalp?
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Which of the following is NOT a direct branch of the facial nerve (CN VII)?
Which of the following is NOT a direct branch of the facial nerve (CN VII)?
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The loose areolar connective tissue layer of the scalp is considered the "dangerous layer" because:
The loose areolar connective tissue layer of the scalp is considered the "dangerous layer" because:
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Which of the following structures is responsible for connecting the frontal belly and occipital belly of the occipitofrontalis muscle?
Which of the following structures is responsible for connecting the frontal belly and occipital belly of the occipitofrontalis muscle?
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Which of the following is NOT a component of the scalp?
Which of the following is NOT a component of the scalp?
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The occipital belly of the occipitofrontalis muscle is primarily responsible for which action?
The occipital belly of the occipitofrontalis muscle is primarily responsible for which action?
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Which of the following statements regarding the blood supply to the scalp is TRUE?
Which of the following statements regarding the blood supply to the scalp is TRUE?
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Study Notes
Skull and Scalp
- The skull is composed of two parts: the neurocranium (cranial vault) and the viscerocranium (facial bones).
- The neurocranium protects the brain.
- The viscerocranium forms the face.
- The neurocranium has 8 bones: ethmoid, sphenoid, frontal, occipital, and two parietal bones, two temporal bones.
- The viscerocranium has 14 bones: vomer, mandible, inferior conchae (2), nasal (2), lacrimal (2), maxilla (2), palatine (2), and zygomatic (2).
- The skull contains 22 bones in total (21 are immobile, 1 is mobile: the mandible).
- Skull bones are composed of external and internal tables (compact bone), diploë (spongy bone), and sutures.
Specific Learning Outcomes
- Bones: Identify and list the bones that construct the skull.
- Positions: Define the anatomical position of the skull.
- Landmarks: Identify bregma, lambda, pterion, and asterion, and describe their clinical significance.
- Comparison: Compare characteristics between adult and neonatal skulls.
- Layers: Describe the layers of the scalp and their clinical significance.
- Supplies: Detail the innervation and blood supply of the scalp.
Anatomical Position of the Skull
- The skull's anatomical position has the forehead facing forward, while the eyes and mouth should be forward-facing, as well as the nose pointing directly forward.
Skull Landmarks
- Bregma: The junction of the coronal and sagittal sutures.
- Lambda: The junction of the sagittal, and lambdoid sutures.
- Pterion: The junction of the frontal, parietal, temporal, and sphenoid bones. A significant landmark for the middle meningeal artery.
- Asterion: The junction of the parietal, occipital, and mastoid processes of the temporal bone.
Skull Bones (Anterior View)
- Frontal: Forehead bone.
- Nasal: Bridge of the nose.
- Maxilla: Upper jaw.
- Zygomatic: Cheekbone.
- Mandible: Lower jaw.
Skull Bones (Lateral View)
- Frontal: Forehead bone.
- Parietal: Top of the head.
- Temporal: Below the parietal bone, near the ear.
- Occipital: Back of the head.
- Zygomatic: Cheekbone.
- Maxilla: Upper jaw.
- Mandible: Lower jaw.
Skull Bones (Important Points, Lateral View)
- Pterion: A crucial, often weak point in the skull's lateral aspect, where multiple bones connect. This location sits over the middle meningeal artery.
- Nasion: Intersection of the frontal and nasal bone.
- Anterior Nasal Spine: An important landmark on the nasal bone.
- Sagittal suture: The suture between the two parietal bones.
- Lambdoid suture: A suture (junction) between the parietal bone and the occipital bone at the posterior aspect of the skull.
- Coronal suture: Suture between the frontal bone and the parietal bones.
Skull Foramens (Anterior View)
- Supraorbital notch/foramen
- Zygomaticotemporal foramen
- Zygomaticofacial foramen
- Infraorbital foramen
- Mental foramen
Skull Structures (Posterior View)
- Superior nuchal line: A prominent superior line on the occipital bone
- Inferior nuchal line: A curved line inferior to the superior nuchal line.
- External occipital protuberance: A bump at the junction of the nuchal lines.
- External occipital crest: A ridge extending from the external occipital protuberance.
Skull Structures (Posterior View)
- Occipital bone: At the back of the skull, houses the foramen magnum.
- Parietal bone: Top of the head
- Temporal bone: Near the ear
- Vomer: A facial bone
Neonatal Skull
- Bones are smooth and unilaminar (lack diploë).
- The neurocranium is relatively large compared to the face.
- This is due to rapid growth of the mandible, maxillae, and paranasal sinuses.
Fontanelles
- Are unossified membranous intervals (gaps in the skull).
- Anterior fontanelle: Diamond-shaped, fuses by 18-24 months.
- Posterior fontanelle: Triangular-shaped, fuses by 1 year.
- Sphenoidal/anterolateral: fuses by the age of 18-24 months
- Mastoid/posterolateral: fuses by the age of 18-24 months.
Layers of the Scalp
- Skin: The outermost layer, containing hair follicles.
- Connective tissue: Anchors skin to the next layer.
- Aponeurosis: Flat tendon-like tissue uniting frontal and occipital muscles.
- Loose areolar tissue: Connects scalp veins to the intracranial venous sinuses. Contains emissary veins. (Dangerous layer due to potential for infection spreading.)
- Periosteum: Outer covering of the skull bone
Scalp Innervation
- Anterior: Supratrochlear, supraorbital, zygomaticotemporal, and auriculotemporal nerves (from the trigeminal nerve).
- Posterior: Great auricular, lesser occipital, and great occipital nerves (cervical nerves).
- Also: Temporal branch of facial nerve
Scalp Blood Supply
- Anterior: Supratrochlear, supraorbital, and superficial temporal arteries.
- Posterior: Posterior auricular and occipital arteries.
- Also: ophthalmic branches from the internal carotid artery.
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Description
Test your knowledge on the anatomy of the skull and scalp. This quiz covers the composition of the skull, including the neurocranium and viscerocranium, as well as identifying key bones and anatomical landmarks. Perfect for students in anatomy or medical courses.