11/01
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| This Gross Anatomy stack covers the neck section discussed in class while Clayton was off in Florida playing soccer. | (blank)
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| Q: Name the subdivisions of the anterior triangle. | A: The anterior triangle is divided into four subdivisions: The submandibular triangle, submental triangle, carotid triangle, and the muscular triangle.
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| Q: Name the boundaries of the submandibular triangle. | A: The submandibular triangle, a subdivision of the anterior triangle, is outlined by the inferior border of the mandible and the anterior & posterior bellies of the digastric muscle.
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| Q: Name the boundaries of the submental triangle. | A: The submental triangle, a subdivision of the anterior triangle, is outlined by the hyoid bone, the anterior belly of the digastric muscle, and the midline.
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| Q: Name the boundaries of the carotid triangle. | A: The carotid triangle, a subdivision of the anterior triangle, is outlined by the superior belly of the omohyoid muscle, posterior belly of the digastric muscle, and the SCM.
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| Q: Name the boundaries of the muscular triangle. | A: The muscular triangle, a subdivision of the anterior triangle, is outlined by the superior belly of the omohyoid muscle, the SCM, and the midline (Gray’s includes the hyoid bone as a superior border).
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| Q: What forms the floor of the submandibular triangle? | A: Most of the floor is formed by the mylohyoid muscle, but you could also include the hyoglossus muscle and a small part of the middle constrictor of the pharynx.
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| Q: Name the contents of the submandibular triangle. | A: The submandibular gland, submandibular lymph nodes, submandibular ducts (Wharton’s ducts), hypoglossal nerve (CNXII), nerve to the mylohyoid, part of the facial nerve & artery, and the submental artery.
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| Q: The superior part of each common carotid artery and its divisions into external and internal carotid arteries occurs in which triangle? | A: About halfway up the carotid triangle.
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| Q: At the bifurcation of the common carotid artery the internal carotid arteries are dilated. What is this dilation called and what is its function? | A: These dilations are the carotid sinuses. They contain baroreceptors that monitor blood pressure and are innervated by the glossopharyngeal nerve (CN IX).
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| Q: In addition to baroreceptors, what other type of receptors can be found near the bifurcation of the common carotid arteries? | A: You can also find an accumulation of chemoreceptors known as the carotid body. These chemoreceptors monitor things like oxygen levels, CO2 levels and pH.
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| Q: What is the innervation of the carotid bodies? | A: The carotid bodies are innervated by both the glossopharyngeal n. (CN IX) and the vagus n. (CN X).
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| Q: I am a fascia wrapping that protects a neurovascular bundle and allows for movement of the neck at the same time. What am I? | A: The carotid sheath.
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| Q: What can be found within the carotid sheath? | A: From medial to lateral, carotid artery, vagus nerve (located posteriorly), and the jugular vein. Picture this arrangement from our dissection.
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| Q: The ansa cervicalis is not considered a content of the carotid sheath. So where is it? | A: The ansa cervicalis can be found adhered to the outside of the carotid sheath.
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| Q: What are the contents of the muscular triangle? | A: You can find some infrahyoid muscles, the thyroid gland, and the parathyroid glands on the posterior aspect of the thyroid gland.
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| Q: Name the contents of the submental triangle. | A: Submental lymph nodes and some small veins.
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| Q: What drains the middle lower lip & the lower front teeth? | A: Submental lymph nodes.
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| Q: Define lymphadenopathy. It’s not in you notes unless you wrote it down on page 12. | A: Swollen & painful lymph nodes.
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| Q: Dr. Kirk didn’t really talk much about the common carotid arteries but tell me about them anyway. Where do they come from? | A: The right common carotid artery comes from the brachiocephalic trunk and the left common carotid artery comes directly off the arch of the aorta.
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| Q: How many branches of the internal carotid arteries can be found in the neck? | A: None! The internal carotid arteries pass into the head via the carotid canal prior to branching.
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| Q: Name the anterior branches of the external carotid artery. | A: There are three anterior branches of the external carotid artery: superior thyroid a., lingual a., and facial a.
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| Q: Name the terminal branches of the external carotid artery. | A: There are two terminal branches of the external carotid artery: maxillary a. and superficial temporal a.
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| Q: If you know the anterior and terminal branches of the external carotid artery you really don’t have to worry about the posterior branches because on a test question the choices that are not anterior or terminal will be posterior. | A: Example TQ: Which of the following is not considered an anterior branch of the external carotid artery? A. facial a. B. lingual C. superior thyroid D. occipital
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| Q: Did you know terminal branches make really good test questions? | A: Neither did I. I’m sure glad Dr. Kirk made this clear.
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| Q: Here are two free points on your exam: What is the first branch off the external carotid artery? | A: The superior thyroid artery. Now all you need is 48 more points and you’re set.
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| Q: I extend from just inferior to the jugular foramen to the brachiocephalic vein. What am I? | A: The internal jugular vein.
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| Q: Does the internal jugular vein have valves? | A: Yes! The internal jugular vein has two major bicuspid valves: one at the superior bulb (located just inferior to the jugular foramen) and the other at the inferior bulb (at the location of the brachiocephalic vein).
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| Q: Name the tributaries of the internal jugular vein. | A: On second thought, that would require a lot more memorization and Dr. Kirk did say we don’t need to worry about these so never mind. Forget I even mentioned it.
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| Q: I am a prevertebral muscle that acts as a kinesiology monitors since I am full of Golgi tendon organs and chances are you will never see me because you won’t dissecting me out in lab. Who am I? | A: I don’t have enough info. You could be either rectus capitus anterior or rectus capitus lateralis.
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| Q: If longus colli m. is the answer, what is the question? | A: Which of the following prevertebral muscles does NOT attach to the occipital bone? Remember, colli means neck.
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| Q: Which scalene muscle is the longest and largest? | A: The middle scalene.
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| Q: Which scalene muscle(s) attaches to the first rib? | A: The anterior and middle scalene muscles, but the posterior scalene muscle will not pass up the opportunity to grab onto that first rib on its way the rib two.
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| Q: Which scalene muscle(s) attach to the clavicle? | A: None! Scalene muscles go from TVPs to ribs.
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| Q: Sometimes I can be found attached from a TVP as high as C2 and down as far as C6 to the first rib. Who am I? | A: I am the middle scalene, the largest and longest of the scalene muscles.
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| Q: Name the boundaries of the root of the neck. | A: Superior thoracic aperture (body of T1), first rib, manubrium.
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| Q: The first branch off the subclavian artery in the root of the neck is… | A: …the vertebral artery.
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| Q: The second branch off the subclavian artery in the root of the neck is… | A: …the thyrocervical trunk.
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| Q: Name the branches of the thyrocervical trunk. | A: The inferior thyroid a., suprascapular a., and the transverse cervical a.
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| Q: What is the largest branch off the thyrocervical trunk and where does it go? | A: The largest branch off the thyrocervical trunk is the inferior thyroid artery which goes to the thyroid.
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| Q: Do we need to worry about the costocervical trunk or the dorsal scapular artery? | A: Not according to Dr. Kirk.
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| Q: Do the veins in the root of the neck have valves? | A: Nope! They’re valveless.
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| Q: Which veins are present in the root of the neck? | A: Anterior jugular v., external jugular v., internal jugular v., and subclavian v.
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| Q: I can be found within the carotid sheath and hooking up with the subclavian vein behind the medial end of the clavicle. Who am I? | A: Internal jugular vein.
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| Q: I came from the axillary vein, I cross the first rib anterior to the anterior scalene, and I help form the brachiocephalic vein. Who am I? | A: Subclavian vein.
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| Q: Does the anterior jugular pass anterior or posterior to the SCM? | A: Posterior.
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| Q: What does the external jugular drain in to? | A: The external jugular drains into the subclavian vein just LATERAL to the internal jugular vein.
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