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semester 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What makes up the lips?   show
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show The red area/transition btwn extern & internal skin of the lips.  
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What is the purpose of the nasolabial sulci?   show
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show To demarcate the lower lip from chin.  
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show That midline groove going up from upper lip to your nasal septum.  
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show The lateral angle btwn upper and lower lips. Will usually be at about 1st premolar in neutral.  
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show Midline folds of mucosa from upper and lower lips to gingiva close to central incisors.  
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Where does blood to the lips come from?   show
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Where does lymph from UPPER and LATERAL part of LOWER lip drain into?   show
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show Submental nodes (and some will cross near midline).  
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What is motor innervation to lips? Sensory?   show
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show Buccinator, pterygomandibular raphe, skin, mucous membrane, buccal mucous glands (aka minor salivary glands).  
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Where does blood to the cheeks come from?   show
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show Tributaries of facial & transverse facial veins, and pterygoid plexus.  
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show Tributaries of similarly named arteries, then into facial veins, and pterygoid plexus. Then ophthalmic veins & emissary veins to cavernous sinus.  
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show Mostly to submandibular nodes, but also superficial parotid & external jugular (aka superficial cervical) nodes.  
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What is motor innervation to cheeks? Sensory?   show
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What do the mylohyoid and geniohyoid form? Where are they located?   show
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Where does the mylohyoid attach?   show
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show NOWHERE. IT IS FREE OF ATTACHMENTS. Rather, it forms one of the borders of the gap btwn superior and middle constrictors.  
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Where does the geniohyoid attach?   show
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show Just superior to mylohyoid muscle. On either side of midline.  
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show Elevates hyoid when swallowing. If hyoid is fixed, it will depress mandible to open the mouth.  
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show Also elevates hyoid when swallowing. As well as depresses mandible to open mouth when hyoid stays fixed.  
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What innervates mylohyoid?   show
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What is the path of nerve to mylohyoid?   show
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What innervates geniohyoid?   show
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What is the path of C1 for geniohyoid?   show
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Where is the parotid gland located? Where is its duct going?   show
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show Largest part is superficial & fills up a lot of submandibular triangle. Deep to skin & deep cervical fascia that encloses it. Inferior to mylohyoid & forms submandibular fossa on medial mandible.  
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show Superior to mylohyoid & lateral to hyoglossus & styloglossus. Pretty small part.  
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show Comes out deep part of gland & goes anterior on flow of mouth to open on sublingual caruncle next to base of frenulum of tongue.  
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show The lingual nerve. It will start out lateral to the duct then loops medially as you go anteriorly along the duct.  
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show ENTIRELY WITHIN oral cavity. Deep to mucosa in floor of mouth. Just superior to mylohyoid line & forms sublingual fossa of mandible. Lateral to hyoglossus posteriorly, while it is the genioglossus anteriorly, with the lingual nerve & ducts in btwn.  
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Where does the sublingual gland's duct go?   show
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show Branches off posterior auricular, superficial temporal (w/the transverse facial branch) & maxillary arteries.  
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show Branches off facial & lingual arteries.  
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show Goes to submandibular nodes to (Superior) Deep cervical nodes to the jugulo-omohyoid node (or directly to jugulo-omohyoid). Some from sublingual glands go to submental nodes first though.  
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show superficial & deep parotid nodes??? to superior deep cervical nodes???  
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What is parasympathetic innervation to the minor salivary glands?   show
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show Lesser petrosal and otic ganglion via auriculotemporal of V3.  
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What is chorda tympani's route to the submandibular and sublingual glands?   show
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...SYNAPSES in submandibular ganglion! > ...   show
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What does the sympathetic innervation of the salivary gland do?   show
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What is the route of sympathetic innervation of oral salivary glands?   show
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What are the functions of the tongue?   show
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show Root attaches to mandible & hyoid. Inferior part attaches to floor of mouth via frenulum.  
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What separates the body of the tongue from the root?   show
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What does the terminal sulcus point to? What did that structure used to be?   show
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show lingual papillae and some contain taste buds. taste butds are on fungiform, vallate & foliate papillae, but NOT filiform.  
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What are the most numerous papillae? Which ones have the moat and form in a V just anterior to terminal sulcus? Which ones are larger and more sparse and scattered?   show
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show No. The posterior 1/3 does not have any.  
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What *does* the dorsal mucosa of the posterior 1/3 of the tongue contain?   show
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What is the difference btwn extrinsic and intrinsic muscles of the tongue?   show
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What are all the extrinsic muscles of the tongue?   show
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Where does the genioglossus attach?   show
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show Comes out inferior to tongue, on both sides of the median lingual septum along the entire length of tongue. Will be just superior to geniohyoid.  
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show tongue protrusion via superior and anterior fibers. tongue depression in the center via middle fibers.  
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show Anterior and distal end of styloid process to lateral edge of tongue to tip and main mass of tongue.  
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show elevates & retracts tongue  
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show Greater cornu & body of hyoid to subtrance of tongue.  
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Where is the hyoglossus?   show
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What nerves and vessels run alongside the hyoglossus?   show
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What does the hyoglossus do?   show
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show Palatine aponeurosis above and down to intermingle w/intrinsic tongue muscles in posterolateral aspect of tongue.  
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show Elevates the posterior tongue. Depresses palate. Moves palatoglossal arches inward to close off oropharyngeal isthmus.  
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What are the intrinsic muscles of the tongue?   show
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Where is the superior longitudinal muscle? What does it do?   show
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show Runs on inferior surface of tongue longitudinally btwn genioglossus & hyoglossus. Goes from base to apex. Will curl tongue down and longitudinally. Also shortens tongue tho.  
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show In plane btwn superior and inferior longitudinal muscles. Attaches to median fibrous septum and laterally to submucosa on sides of tongue. Narrow & elongates tongue.  
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show The palatoglossus fibers.  
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show Mainly anterior pt of tongue. Goes vertically btwn superior and inferior longitudinal muscle. Flattens & broadens the tongue.  
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show Hypoglossal (CN12) except palatoglossus.  
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show Vagus...like w/most of the other palate muscles.  
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show Comes out hypoglossus canal medial & posterior to carotid sheath contents > sweeps around laterally to all that > loops around occipital artery near angle of mandible > passes deep to posterior digastric > runs lateral to hyoglossus & deep to mylohyoid  
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show Btwn mylohyoid and genioglossus muscles.  
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What supplies sensory innervation to tongue?   show
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Where does the lingual nerve arise? How does it travel?   show
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show It goes down into pharynx by accompanying stylopharyngeus btwn superior & middle constrictor. Will enter pharyngeal pt of tongue by passing deep to styloglossus & hyoglossus.  
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What tonsil is the glossopharyngeal associated with?   show
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Where does taste information from taste buds anterior to the vallate papillae go?   show
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show If from taste buds on vallate papillae and post tongue, they go with CN9 to inferior ganglion of CN9.  
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Where does taste from a small area of posterior tongue AND epiglottis go?   show
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show Lingual artery that comes off near greater cornu of hyoid.  
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show The hypoglossal nerve, posterior digastric & sylohyoid muscle all cross it laterally.  
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show It passes in btwn middle pharyngeal constrictor and hyoglossus.  
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Where does the lingual artery branch? What does it branch into?   show
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Where does the deep lingual artery go?   show
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Where does the sublingual artery run?   show
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show Dorsal lingual artery off lingual artery.  
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How does blood drain from the tongue?   show
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show It depends on where you are coming from on the tongue...So...  
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Where does lymph drain from root of the tongue?   show
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show Drains bilaterally to deep cervical lymph nodes.  
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show First goes to submandibular nodes.  
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Where does lymph from the tongue apex drain into?   show
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show Dense fibrous CT covered with mucous membrane attached to alveolar processes of maxillae & mandible.  
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What is the function of teeth?   show
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How many sets of teeth do you get in your life time? What are they called?   show
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show In babies & young children (6 mo to 24 mo)  
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show Youth & adolescence (6-12 yo; except wisdom teeth), b/c that's when your facial skeleton starts to enlarge.  
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show Crown, root, neck, cusp.  
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show The part that sticks out ABOVE gingiva. Enamel caps it.  
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show The part that is embedded IN the alveolus. Cementum is external to the root.  
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What is the neck of the tooth?   show
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To what is the root of the tooth attached, and how does it stay put?   show
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show Dentine  
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show CT, nerves & blood vessels. It is in the center of the tooth.  
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How do the blood vessels & nerves get into the tooth?   show
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show Vestibular, lingual, mesial, distal & occlusal.  
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What is the vestibular surface of the tooth?   show
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What is the lingual surface of the tooth?   show
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show The part of the tooth that contacts the other tooth medially.  
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What is the distal surface of the tooth?   show
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show The surface that touches the opposite tooth in the opposite jaw.  
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show incisors, canines, premolars & molars  
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What shape are the crowns on incisors? What are they spcially used for? What do the roots look like?   show
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show Big, conical, & blunt cusp. Roots are long, large & singular. Grasping & tearing food.  
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show Two cusps (a labial & lingual) on crowns separated by groove. Single root & the end/apex might be bifid. Helps in chewing.  
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What do the molar crowns look like? What are they used for?   show
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show Maxillary ones have 3 roots. Mandibular have 2 roots.  
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What are wisdom teeth & what do their roots usually look like?   show
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What is the difference btwn deciduous and permanent teeth?   show
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show 13-25 yo  
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What supplies mandibular teeth with blood?   show
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show Posterior alveolar artery, or a direct branch off maxillary, or middle & anterior superior alveolar artieres off infraorbital artery.  
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show It depends on where you are....  
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So what is the blood supply to the gingivae that face the oral vestibule?   show
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show Supplied by lingual artery  
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What is the blood supply to the superior lingual gingiva?   show
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show The pterygoid plexus as well as some tributaries to facial vein.  
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Where does lymph from the teeth & gingivae drain?   show
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What innervates all teeth?   show
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What innervates the teeth in the upper jaw specifically?   show
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What innervates the teeth in the lower jaw specifically?   show
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show V2  
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What innervate the gingivae associated with lower teeth?   show
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show Posterior, middle & anterior superior alveolar nerve.  
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show The nasoplatine & greater palatine nerves from V2  
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show Mental nerve branch of inferior alveolar.  
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show Buccal branch of V3  
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show Lingual nerve off V3  
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