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Anatomy of the neck

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Question
Answer
The laryngeal prominence is more commonly called...   "Adam's apple"  
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What is the only bone in the human body that does not articulate with other bones?   Hyoid bone  
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The thyroid gland is divided into 3 parts:   R/L lobe and isthmus  
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The parathyroid glands are located on the __ surface of the thyroid gland   posterior  
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The thyroid gland is deep to what muscles?   Infrahyoid  
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The lobes of the thyroid gland are ____ to the trachea and larynx   anterolateral  
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What are the endrocrine functions of the thyroid gland?   Metabolism, growth,temperature regulation, secretion of T3 and T4  
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How many parathyroid glands are there?   4  
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What are the endocrine functions of the parathyroid glands?   Regulate calcium and phospate levels  
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What are the three sections of the pharynx? (superior to inferior)   Nasopharynx, oropharynx, laryngopharynx  
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What muscles wrap around the pharynx, superficially?   Constrictors  
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What nerve innervates the muscles of the pharynx?   CN 10 (vagus nerve)  
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The larynx connects ___ (superior) to ____ (inferior)   Pharynx, trachea  
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What nerve innervates the intrinsic muscles of the larynx?   CN 10 (vagus nerve)  
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What 2 branches of the vagus nerve (CN 10) supply the larynx?   Superior laryngeal branch, recurrent laryngeal nerve  
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Proximal to the larynx, the recurrent laryngeal nerve becomes...   The inferior laryngeal nerve  
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What does the inferior laryngeal nerve innervate?   All of the intrinsic muscles of the larynx  
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What condition would result from a lesion of either the recurrent laryngeal nerve or the inferior laryngeal nerve?   Paralysis of vocal folds  
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The trachea begins inferior to what structure?   Cricoid cartilage  
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What muscular tube is continuous with the laryngopharynx?   The esophagus  
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The esophagus is divided into thirds; what types of muscle are found in each third?   1st third (striated; voluntary), 2nd third (smooth and striated), 3rd third (smooth; involuntary)  
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What nerve, if damaged, could cause a person's voice to change?   Inferior laryngeal nerve (or recurrent laryngeal nerve)  
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What areas does the lymphatic system drain?   The interstitial space b/w cells and blood vessels  
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Platysma (inf, sup, N, Act)   Inf: fascia & skin over pectoralis major & deltoid muscles Sup: Inferior border of mandible & skin of lower face N: CN 7 – cervical branch (facial n) Act: tenses skin of neck, depresses angles of mouth, weak mandible depressor  
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Sternocleidomastoid (inf, sup, N, Act)   Inf: sternal head – anterior manubrium clavicular head –medial 1/3 clavicle Sup: mastoid process, lateral ½ superior nuchal line of occipital bone N: CN 11 A: Unilateral- ipsilateral lat. flex. and CONTRLATERAL rotation bilateral – flexes neck  
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Tight SCM may cause...   Head forward posture, referred pain in head (muscle tension headaches)  
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Ansa cervicalis innervates 3 infrahyoid muscles:   Sternohyoid, sternothyroid, omohyoid  
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Sternohyoid (inf, sup, N, Act)   Inf: posterior surface of manubrium and medial clavicle Sup: body of hyoid N: ansa cervicalis A: depresses hyoid  
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Thyrohyoid (inf, sup, N, Act)   Inf: oblique line of thyroid cartilage Sup: body and greater horn of hyoid N: (VPR) C1 via CN XII (hypoglossal nerve) A: depresses hyoid and elevates thyroid cartilage  
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Sternothyroid (inf, sup, N, Act)   Inf: posterior manubrium of sternum Sup: oblique line of thyroid cartilage N: ansa cervicalis A: depresses the thyroid cartilage (larynx)  
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Omohyoid (inf, sup, N, Act)   O: inferior belly - superior border scapula superior belly – intermediate tendon I: inferior belly - inferior boarder of hyoid superior belly – body of hyoid N: ansa cervicalis A: depresses, retracts and stabilizes hyoid  
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Mylohyoid (inf, sup, N, Act)   Sup: mylohyiod line of mandible Inf: raphe and body of hyoid N: mylohyoid n (CN5) A: elevates hyoid and tongue and during speech and swallowing  
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Geniohyoid (inf, sup, N, Act)   Sup: inferior mental spine of mandible Inf: body of hyoid N: branch of C1 via CN 12 (hypoglossal nerve) A: pulls hyoid anterosuperiorly (widens pharynx during deglutition/swallowing)  
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Stylohyoid (inf, sup, N, Act)   Sup: Styloid process of temporal bone Inf: body of hyoid N: CN 7 (facial nerve - cervical branch) A: elevates and retracts hyoid (elongates floor of mouth)  
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Digastric (inf, sup, N, Act)   O: Anterior belly – digastric fossa of mandible Posterior belly – mastoid notch of temporal bone I: intermediate tendon to hyoid N: Anterior belly – mylohyoid n (CN 5) Posterior belly – CN 7 A: depresses mandible, elevates hyoid  
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What structure passes between the middle and anterior scalenes?   Brachial plexus  
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What are the actions of the scalenes muscles?   Elevate ribs 1 and 2, flex cervical vertebrae and rotate C-spine to opposite side  
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Scalenus anterior attaches to...   TPs of cervical spine (sup), 1st rib (inf)  
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Scalenus medius attaches to...   TPs of cervical spine (sup), 1st rib (inf)  
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Scalenus posterior attaches to...   TPs of cervical spine (sup), 2nd rib (inf)  
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Impingement of the brachial plexus between scalenus anterior and midius may lead to referred pain in...   The scapular region / UE  
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What muscles do PTs commonly train for stability of the neck?   Prevertebral muscles (deep neck flexors)  
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Weak or inhibited "deep neck flexors" leads to...   Neck dysfunction, pain, cervical instability  
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Boundaries of posterior triangle...   Ant: SCM Post: trapezius Inf: Clavicle  
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Contents of posterior triangle... (veins, arteries, nerves, muscles)   Veins: EJV Ateries: transverse cervical artery, subclavian artery, suprascapular artery Nerves: brachial plexus, CN 11, cutaneous branch of CP Muscles: omohyoid (inf belly), med/post scalenes, levator scapla, splenius capitus  
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Floor of posterior triangle...   Medial/posterior scalenes, levator scapula, splenius capitus  
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The subdivisions of the posterior triangle are separated by...   Inferior belly of omohyoid  
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The 2 subdivisions of the posterior triangle are called...   Occipital triangle, supraclavicular triangle  
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Boundaries of the anterior triangle...   Lat: SCM Med: midline Sup: mandible  
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The occipital triangle is __ to the inf. belly of the omohyoid.   Superior  
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The supraclavicular triangle is ___ to the inf. belly of the omohyoid   Inferior  
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Contents of the anterior triangle... (muscles)   Hyoid muscles  
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Submandibular triangle (aka digastric triangle) - Boarders   anterior and posterior bellies of digastric m, mandible  
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Submandibular triangle (aka digastric triangle) - Contents   *submandibular gland/duct, submandibular lymph nodes, CN 12  
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Carotid triangle - Boarders   superior belly of omohyoid, posterior belly of digastric, anterior border of SCM  
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Carotid triangle - Contents   CCA, ECA, IJV CN 10, 11, 12, ansa cervicalis, branches of cervical plexus Thyroid, larynx, pharynx  
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Muscular triangle - Boarders   superior belly of omohyoid, anterior border of SCM, median plane of neck (midline)  
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Muscular triangle - Contents   Infrahyoid muscles, thyroid and parathyroid glands  
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Submental triangle - Boarders   Right and left anterior belly of digastric muscle, hyoid bone  
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Submental triangle - Contents   submental lymph nodes  
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The phrenic nerve is __ to the anterior scalene   Superficial  
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What are the 3 branches of the external carotid artery (ECA)?   Facial, maxillary, superficial temporal  
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All 3 branches of ECA enter...   the eye socket  
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EJV and cutaneous nerve are ___ to SCM   superficial  
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IVJ is ___ to SCM and cutaneous nerve   deep  
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