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ch 21 head and face injuries

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Question
Answer
how many bones does the skull contain   28  
How many auditory ossicles function in hearing   6  
where are the 6 auditory ossicles located   3 on each side of the head  
what consists of 8 bones that encase and protect the brain   cranial vault  
the paired parietal bones join together at the   sagittal suture  
the parietal bones abut the frontal bone at the   coronal suture  
the occipital bone attaches to the parietal bones at the   lambdoid suture  
fibrous tissues called ____ link the sutures of the skull together   fontanelles  
at the base of each temporal bone is a cone shaped section of bone known as the   mastoid process  
The floor of the cranial vault is devided into how many compartments? Name them   3. Anterior fossa, middle fossa, posterior fossa  
what forms a prominent bony ridge in the center of the anterior fossa, and is the point of attachment for the meninges   crista galli  
what are the cranial nerves for smell   the olfactory nerves  
what is the chamber inside the nose that lies between the floor of the cranium and the roof of the mouth   the nasal cavity  
what lies on either side of the foramen magnum and are the points of articulation between the skull and the vertebral column   occipital condyles  
what is the irregular shaped bone in the posterior nasal cavity called   palatine bone  
what bone extends along the front of the skull below the orbit   zygomatic arch  
how many facial bones form the structure of the face, without contributing to the cranial vault   14  
two major nerves provide sensory and motor control to the face. Name them   the trigeminal nerve (5th cranial nerve)and the facial nerve (the seventh cranial nerve)  
The ophthalmic nerve supplies sense to what   the skin of the forehead, upper eyelid, and conjunctiva  
the maxillary nerve supplies sense to what   the posterior part of the side of the nose, lower eye lid, cheek, upper lip  
the mandibular nerve supplies sense to what   the muscles of chewing, skin of the lower lip, chin, temporal region, and part of the external ear  
the facial nerve supplies sense to what   the muscles for facial expressions  
Several bones associated with the nose contain cavities known as   the paranasal sinuses  
What is the largest movable bone forming the lower jaw and containing the lower teeth   mandible  
what "floats" in the superior aspect of the neck just below the mandible   hyoid bone  
the eyeball is also know as the   globe  
the globe is about ___ '' in diameter   1  
what nerve innervates the muscles that cause motion of the eyeballs and the upper eyelids   oculomotor nerve (3rd cranial nerve)  
the whites of the eye are also known as   the sclera  
what is the transparent anterior portion of the eye that overlies the iris and pupil   the cornea  
what is the delicate mucus membrane that covers the sclera and internal surfaces of the eyelids but not the iris   the conjunctiva  
what is the pigmented part of the eye that surrounds the pupil   the iris  
what is behind the pupil and iris? It is a transparent structure that can alter it's thickness to focus light on the retina at the back of the eye   the lens  
what lies in the posterior aspect of the interior globe, is a delicate, 10-layered structure of nervous tissue that extends from the optic nerve   retina  
the anterior compartment of the eye is filled with a substance that if lost will gradually be replenished. what is it   aqueous humor  
the posterior chamber of the eye is filled with a substance that if lost will not replenish. What is it   vitreous humor  
a jelly like substance that maintains the shape of the globe, is   vitreous humor  
the optic nerve transmits an image to the brain, where it is converted into conscious imigaes in the   visual cortex  
which vision facilitates visualization of objects directly in front of you   central vision  
which vision gives us visualization of lateral objects while looking forward   peripheral vision  
what secrets and drains tears from the eye   lacrimal apparatus  
the ear is devided into 3 anatomical parts. what are they   external, middle, and inner.  
vibration of sound waves in against the tympanic membrane sets up vibration in the   ossicles  
how many permanent teeth does the normal adult mouth contain   32  
the top portion of the tooth is called what   the crown  
what forms the principal mass of the tooth   dentin  
the sdockets in the gum for the tooth is called   alveoli  
the ridges between the teeth are called   alveolar ridges  
the chewing of food by the teeth is known as   mastication  
what arteries run laterally to the cervical vertebrae in the posterior part of the neck   the vertebral arteries  
the brain occupies how much of the cranial vault   80%  
there are 4 major regions of the brain. Name them   the cerebrum, diencephalon, brain stem, and the cerebellum  
the brain metabolizes how much of the bodies glucose. In % and in mg/min   25%, 60mg/min  
what is the largest portion of the brain, and what is it responsible for   the cerebrum, higher functions such as reasoning  
what is the largest portion of the cerebrum and what is it responsible for   the cerebral cortex, it regulates voluntary skeletal movement, and level of awareness  
what lobe is important for voluntary motor action and personality traits   frontal lobe  
what lobe controls the somatic, and voluntary sensory and motor functions for the opposite side of the body, as well as memory and emotions   parietal lobe  
what lobe is reponsible for processing visial information   the occipital lobe  
what lobe is the speech center located in   the temporal lobe  
where do you find the thalmus, subthalmas, and hypothalmas   the diencephalon  
what is located beneath the cerebral hemispheres in the inferoposterior part of the brain   the cerebellum  
what does the brain stem consist of   the pons, midbrain, and the medulla  
what is responsible for maintenance of consciousness   RAS, reticular activating system  
what has an important role in coordination of motor movements and posture   basal ganglia  
what influences emotions, motivation, mood, and sensations of pain and pleasure   limbic system  
protective layers that surround and enfold the entire CNS are called   Meninges  
the outer most meninges layer is known as the   dura mater  
what structure seperates the cerebral hemispheres from the cerebellum and brain stem   tentorium  
The second meningeal layer is a delicate transparent membrane called   the arachnoid  
the third meningeal layer is known as the   pia mater  
where are the meningeal arteries located   between the dura mater and the skull  
bleeding above the dura mater is known as what type of bleed   epidural hematoma  
where is CSF manufactured   in the ventricales of the brain  
how much force is required to fracture the maxilla   up to 150g  
what is dental malocclusion   misalignment of the teeth  
what is a Le Forte I fracture   a horizontal fracture of the maxilla  
what is a Le Forte II fracture   a pyramidal fracture involving the nasal bone, and the inferior maxilla  
what is a Le Forte III fracture   a fracture of all midfacial bones, seperating the entire midface from the cranium  
what is diplopia   double vision  
what is the most common type of orbit fracture   inferior  
~ how many eye injuries occure in the united states each year   1.5 million  
if there is a laceration of the globe itself what shouldn't you do   apply pressure to the eye  
what is bleeding into the anterior chamber of the eye that obscures vision   Hyphema  
what is seperation of the inner layers of the retina from the underlying choroid   retinal detachment  
what is the most important symptom of an eye injury   visual loss that does not improve when the patient blinks  
what is the condition in which the pupils are not of equal size   Anisocoria  
If part of the globe is exposed what should you do   gently apply a moist sterile dressing to prevent drying  
when flushing an eye, you should always flush from what side of the eye   the nose side, so you don't flush the material into the unaffected eye  
what are the three different types of contact lenses.   hard, rigid gaspermeable, and soft  
when is the only indication for removing contact lenses in the field   a chemical burn, because the chemical might be trapped under the contact lens  
What is the Pinna   the ear  
when caring for an avulsed tooth, what shouldn't you do, and what should you preserve it in   touch the root, and cold whole milk or sterile water or saline  
what should you do with an open neck would   seal it with an occlusive dressing immediately  
what is tracheal transection   when the trachea is seperated from the larynx  
what can be used as a fast way to seal a small hole in the chest   ECK electrodes  
what does BTF stand for   brain trauma foundation  
according to BTF how many deaths occur anually from severe head injury   52,000  
scalp lacerations often what   indicate deeper more severe injuries  
skull fractures are broken down into four different types. What are they   Linear, depressed, basilar, open  
Which fracture accounts for 80% of all fractures to the skull   linear skull fractures  
what skull fracture results from high-energy direct trauma to a small surface area of the head with a blunt object   Depressed  
What 2 regions of the skull are most susceptible to a depressed skull fracture due to bone thickness   the frontal and parietal  
What skull fracture is associated with high energy trauma, but they usually occur following diffuse impact to the head   Basilar  
What is defined as a traumatic insult to the brain capable of producing physical, intellectual, emotional, social, and vocational changes   traumatic brain injury  
Normal ICP in adults ranges from   0-15mm Hg  
what is the pressure of blood flow through the brain   CPP, Cerebral profusion pressure  
what is the average pressure against the arterial wall during a cardiac cycle   MAP, Mean arterial pressure  
What is the critical minimum threshold   the minimum CPP required to adequately to profuse the brain  
what is the minimum CPP required to profuse the brain   60mm Hg  
A CPP below 60mm Hg does what   doubles the patients chance of dying  
The body responds to a decrease in CPP by increasing the MAP. This is known as   autoregulation  


   


 

 

 

 

 

 
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