Triangles of the Neck II
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Questions and Answers

Which of the following arteries branches directly from the facial artery?

  • Dorsal lingual artery
  • Ascending palatine artery (correct)
  • Inferior thyroid artery
  • Recurrent laryngeal artery
  • What is the primary function of the superior laryngeal nerve?

  • Motor to the muscles of the larynx
  • Motor to the cricothyroid muscle (correct)
  • Sensory to the lower part of the cavity of the larynx
  • Parasympathetic fibers to the heart
  • Which structure does the internal jugular vein merge with to form the brachiocephalic vein?

  • External jugular vein
  • Left common carotid artery
  • Subclavian vein (correct)
  • Facial vein
  • What does the lingual artery NOT provide tributaries to?

    <p>Auricular branch</p> Signup and view all the answers

    Which of the following is NOT a function of the vagus nerve in the neck?

    <p>Motor to the cricothyroid muscle</p> Signup and view all the answers

    Which muscles are primarily supplied by the spinal part of the accessory nerve?

    <p>Sternocleidomastoid and trapezius</p> Signup and view all the answers

    What anatomical structure does the hypoglossal nerve wind forward over?

    <p>Superficial to the internal carotid, external carotid, and lingual artery</p> Signup and view all the answers

    Which structure lies above the posterior belly of the digastric muscle?

    <p>Jugulo-digastric lymph nodes</p> Signup and view all the answers

    The inferior root of descendens cervicalis is associated with which spinal segments?

    <p>C2 and C3</p> Signup and view all the answers

    Which statement best describes the role of the hypoglossal nerve?

    <p>It supplies the muscles of the tongue.</p> Signup and view all the answers

    Which structure forms the floor of the digastric triangle?

    <p>Mylohyoid muscle</p> Signup and view all the answers

    What is located in the contents of the anterior part of the digastric triangle?

    <p>Facial vein</p> Signup and view all the answers

    Which structure is found within the posterior part of the digastric triangle?

    <p>External carotid artery</p> Signup and view all the answers

    Which muscle bounds the digastric triangle posteriorly?

    <p>Stylohyoid muscle</p> Signup and view all the answers

    Which of the following is NOT part of the muscular triangle's structure?

    <p>Posterior belly of digastric muscle</p> Signup and view all the answers

    Which arteries branch from the external carotid artery in the neck?

    <p>Superior thyroid artery</p> Signup and view all the answers

    What is the function of the ansa cervicalis?

    <p>Supplies infrahyoid muscles</p> Signup and view all the answers

    Which statement accurately describes the internal jugular vein?

    <p>It ends by joining the subclavian vein to form the brachiocephalic vein.</p> Signup and view all the answers

    What areas does the vagus nerve provide branches to in the neck?

    <p>Cardiac branches to the cardiac plexus</p> Signup and view all the answers

    Which structure forms the boundaries of the Digastric triangle?

    <p>Lower border of the mandible and digastric muscles</p> Signup and view all the answers

    What is the origin of the sternocleidomastoid muscle?

    <p>Sternum and medial end of the clavicle</p> Signup and view all the answers

    Which structure is NOT a boundary of the Carotid triangle?

    <p>Ansa cervicalis</p> Signup and view all the answers

    Which lymph nodes drain the central part of the lower lip and the floor of the mouth?

    <p>Submental lymph nodes</p> Signup and view all the answers

    At which level does the common carotid artery bifurcate?

    <p>At the upper border of the lamina of the thyroid cartilage</p> Signup and view all the answers

    What nerve supplies the sternocleidomastoid muscle?

    <p>Spinal accessory nerve</p> Signup and view all the answers

    What is the carotid tubercle primarily used for?

    <p>To serve as a landmark for the common carotid artery</p> Signup and view all the answers

    At which vertebral level does the common carotid artery terminate?

    <p>C3 and C4</p> Signup and view all the answers

    Which artery is NOT a branch of the external carotid artery?

    <p>Subclavian artery</p> Signup and view all the answers

    What are the terminal branches of the common carotid artery?

    <p>Internal and external carotid arteries</p> Signup and view all the answers

    Where can the pulsation of the common carotid artery be palpated?

    <p>Anterior to the sternocleidomastoid muscle</p> Signup and view all the answers

    Why is the carotid tubercle significant in surgical procedures?

    <p>It serves as a landmark to avoid injury to the carotid artery.</p> Signup and view all the answers

    Which structure is part of the floor of the Carotid triangle?

    <p>Hyoglossus muscle</p> Signup and view all the answers

    What function does the carotid body serve?

    <p>Chemo-receptor</p> Signup and view all the answers

    Where can the carotid pulse be palpated?

    <p>Deep to the anterior border of the sternocleidomastoid muscle</p> Signup and view all the answers

    What can the carotid tubercle provide leverage against?

    <p>The vertebrae of the neck</p> Signup and view all the answers

    What is the purpose of carotid artery compression?

    <p>To control hemorrhage from the head or neck</p> Signup and view all the answers

    Study Notes

    Triangles of the Neck II

    • Objectives: The lecture covers boundaries, contents, arteries, veins, nerves, and lymphatic systems of the anterior triangle, specifically its subdivisions. Clinical importance is also addressed.

    Anterior Triangle

    • Boundaries:
      • Posterior: Sternocleidomastoid muscle
      • Anterior: Midline of the neck from symphysis menti to the suprasternal notch
      • Base: The lower border of the mandible and a line connecting the angle of the mandible to the mastoid process
      • Apex: Directed downward towards the suprasternal notch

    Subdivision of the Anterior Triangle

    • The superior belly of the omohyoid and posterior belly of the digastric muscles divide the anterior triangle into:
      • Digastric (Submandibular) triangle
      • Carotid triangle
      • Muscular triangle
      • Submental triangle (located at the midline)

    Carotid Triangle

    • Contents:
      • Common carotid artery and its bifurcation
      • External carotid artery and its branches
      • Carotid sheath with its contents (common carotid artery, internal jugular vein, vagus nerve)
      • Ansa cervicalis (a nerve loop)
      • Spinal accessory nerve
      • Hypoglossal nerve
      • Deep cervical lymph nodes

    External Carotid Artery & Its Branches

    • Branches:
      • Ascending pharyngeal artery
      • Superior thyroid artery
      • Lingual artery
      • Facial artery
      • Occipital artery
      • Posterior auricular artery
      • Maxillary artery
      • Superficial temporal artery

    Carotid Sheath & its Content

    • This sheath contains:
      • Common carotid artery
      • Internal carotid artery
      • Internal jugular vein
      • Vagus nerve

    Vagus Nerve in the Neck

    • Branches:
      • Superior laryngeal nerve (Internal/External)
      • Recurrent laryngeal nerve
      • Cardiac branches
      • Branches to carotid body & sinus
      • Auricular branch (Alderman's nerve)
      • Pharyngeal branch

    Internal Jugular Vein (IJV) & its Tributaries

    • Formation: Continuation of the sigmoid sinus; brings venous blood from the brain and cranium.
    • Tributaries:
      • Inferior petrosal sinus
      • Pharyngeal veins
      • Common facial vein
      • Lingual vein
      • Middle & inferior thyroid veins
    • Termination: Joins with the subclavian vein to form the brachiocephalic vein

    Ansa Cervicalis

    • Roots: Superior root (Descendens hypoglossi) and Inferior root (Descendens cervicalis)
    • Function: Supplies motor to infrahyoid muscles.

    Spinal Accessory Nerve

    • Supplies sternocleidomastoid and trapezius muscles

    Hypoglossal Nerve

    • Divides into external and internal branches; supplies muscles of the tongue
    • Relation to arteries: Passes superficial to the internal carotid, external carotid arteries, and the first part of the lingual artery.

    Deep Cervical Lymph Nodes

    • Chain of nodes found in close relation to the internal jugular vein.

    Digastric Triangle (Submandibular Triangle)

    • Boundaries: Base of the mandible, extending from angle of the mandible to the mastoid process, posterior belly of the digastric. And anterior belly of the digastric
    • Contents: Submandibular gland, facial vein, facial artery, mylohyoid vessels & nerve, hypoglossal nerve

    Muscular Triangle

    • Boundaries: Anterior midline of the neck, body of the hyoid bone, superior belly of the omohyoid muscle, and lower part of the sternocleidomastoid muscle.
    • Contents: Sternohyoid, sternothyroid, thyrohyoid, omohyoid, Supplied by the Ansa cervicalis

    Submental Triangle

    • Boundaries:
      • Apex: Symphysis menti
      • Base: Hyoid bone
      • Sides: Anterior belly of digastric
      • Floor: Mylohyoid
    • Contents:
      • Submental lymph nodes; draining central part of lower lip/mouth floor/tip of tongue
      • Anterior jugular vein

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    Description

    This quiz covers the anatomy and clinical importance of the anterior triangle of the neck. It examines boundaries, subdivisions, and the critical contents such as arteries, veins, nerves, and lymphatic systems. Understanding these aspects is essential for clinical practice in anatomy and medicine.

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