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Head and Neck

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Question
Answer
Temporomandibular joint   combined hinge & planar joint formed by the condylar process of the mandible & the mandibular fossa & articular tubercle of the temporal bone  
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Movement of Temporomandibular joint   Depression, elevation, protraction, retraction, lateral gliding  
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What is the only moveable joint between skulls?   Temporomandibular joint  
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muscles of facial expression   frontalis, occipitalis, orbicularis oris, zygomaticus major, buccinator, platysma, orbicularis oculi  
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Frontalis   draws scalp anteriorly, raises eyebrow, wrinkles skin  
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Occipitalis   draws scalp posteriorly  
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Orbicularis oris   closes and protrudes lips  
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Zygomaticus major   draws angle of mouth superiorly & laterally (smiling)  
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Buccinator   presses cheeks against teeth and lips (whistling, blowing)  
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Platysma   depresses mandible  
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Orbicularis oculi   closes eye  
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Muscles of mastication   masseter, temporalis, medial& lateral pterygoid  
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Masseter & temporalis   elevates & retracts mandible  
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Medial pterygoid   elevates & protracts mandible  
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Lateral pterygoid   depresses & protracts mandible  
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Digastric & mylohyoid   Elevates hyoid bone & depresses mandible  
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Infrahyoid muscles   omohyoid, sternohyoid, sternothyroid, thyrohyoid  
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sternohyoid   14 & 15 depress hyoid bone  
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sternothyroid   depresses thyroid cartilage of larynx  
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Thyrohyoid   elevates thyroid cartilage & depresses hyoid bone  
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Neck muscles   Sternocleidomastoid  
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Sternocleidomastoid   bilaterally: flex cervical vertebrae, extend head; unilaterally lateral flex & rotate head to side opposite contracting muscle  
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Scalene muscles   bilaterally: flex head unlaterally: lateral flex & rotate head to side opposite contracting muscle  
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The brain receives blood from where?   internal carotid arteries and vertebral arteries  
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Internal carotid arteries   no branches in neck & supplies structures internal to skull  
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Basilar artery   formed by the left & right vertebral arteries  
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Vertebral arteries   arise from subclavian arteries  
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How is the Circle of Willis form?   anastomoses of left & right internal carotid arteries along with the basilar artery  
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What vessels make up the Circle of Willis   anterior cerebral artery (L&R) anterior communicating artery internal carotid artery (L&R) posterior cerebral artery (L&R) posterior communicating artery (L&R)  
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What vessels drain in the internal jugular veins?   all venous sinus, superior& inferior sagittal, straight & transverse sinus, sigmoid  
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3 layers of cranial meninges?   dure, arachnoid, pia matter  
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Does the brain have the epidural space?   no  
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What are the 3 dural septa?   falx cerebri, falx cerebelli, tentorium cerebelli  
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What is the blood brain barrier?   protective mechanism that helps maintain a stable environment for the brain  
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What form the blood brain barrier?   continuous endothelium of capillary walls, relatively thick basal lamina, bulbous feet of astrocytes  
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What is the blood brain barrier function?   allows nutrients to pass, ineffective against substances that can diffuse through plasma membranes, absent in some areas allowing these areas to monitor the chemical composition of the blood  
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Is the bbb the same as the bcfb?   no  
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What structures produce the CSF?   choroid plexus  
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What structures absorb it back to the sinus?   arachnoid villi  
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What is the correct order as the CSF starting in the brain?   lateral v. -> third v. -> cerebral aqueduct -> 4th v. -> subarachnoid space & central canal of spinal cord  
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What are the 2 regions of the brain stem involved in the control of respiration?   medulla and pons  
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Brain stem   3 regions: midbrain, pons, medulla oblongata contains embedded nuclei controls automatic behaviors necessary for survival provides pathway for tracts between higher & lower brain centers associated w/ 10 of 12 pairs of cranial nerve  
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What make up the tectum of the midbrain?   four domelike protrusions of the dorsal midbrain (2 superior colliculi & 2 inferior colliculi)  
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Superior Colliculi   visual reflex centers  
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Inferior Colliculi   auditory relay centers  
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Medullar oblongata   cranial nerve 8-12, pyramids: 2 longitudinal ridges formed by corticospinal tracts, decussation of pyramid: crossover points of corticospinal tract Function: cardiovascular control center, respiratory center, reflex center  
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Pons   cranial nerves 5-8 connect higher brain centers & spinal cord, relay impulses between the motor cortex & the cerebellum function: minor respiratory centers  
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Midbrain   cranial nerve 3&4 cerebral peduncles- 2 bulging structures that contain descending pyramidal motor tracts cerebral aqueduct- hollow tube that connects the 3rd & 4th ventricle  
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Which area/ structure maintains one's consciousness & awakening from the sleep?   reticular formation: reticular activating system  
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functions of limbic system   motivation, memory, emotion  
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Function of basal nuclei?   selects purposeful activity, suppresses unwanted activity, inhibits muscle tone, monitors/ coordinates slow sustained contractions, inhibits thalamus  
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Parietal lobe   primary- receives info from skin & skeletal muscles: touch, temp, pain somatosensory- integrates sensory info, forms comprehensive understanding of stimulus  
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Occipital lobe   primary- receives visual info from retinas visual- interprets visual stimuli  
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Temporal lobe   primary- receives info related to pitch, rhythm, & loudness Auditory- stores memories of sound & permits perception of sounds  
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Sulci   shallow grooves  
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Gyri   the folds  
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Folia   is a wrinkle (gyrus) on the surface of the cerebellum  
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Vermis   the rounded and elongated central part of the cerebellum, between the two hemispheres  
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What structure allows information to travel between the two cerebral hemispheres   Corpus callosum  
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A midsagittal section of the brain would pass what structures?   longitudinal fissure, corpus callosum, sagittal suture, superior sagittal sinus,  
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Brocas speech area is located in which lobe?   frontal lobe  
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Function of broca's's speech area?   control muscles of the larynx, pharynx, & mouth coordinates contractions of your speech & breathing muscles enable you to speak your thougths  
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Where is the pre central gyrus & its function?   frontal lobe- primary motor cortex function: allows conscious control of precise, skilled, voluntary movements  
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Where is the post central gyrus & its function?   parietal lobe- primary somatosensory cortex function: receives info from skin & skeletal muscles: touch, proprioception, temp, pain  
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Frontal lobe structure   pre central gyrus, composed of pyramidal cells whose axons make up the corticospinal tracts, premotor cortex  
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Frontal lobe function   emotional expression, problem solving, memory, language, judgment, and sexual behavior. “control panel”  
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Thalamus structure   makes up 80% of diencephalons, bridge of gray matter called intermediate mass joins right and left halves  
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Thalamus function   major relay station for sensory impulses (except smell) allows for crude sensory awareness, positively reinforces voluntary motor activity  
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Hyothalamus structure   located below thalamus, caps the brainstem & forms the inferolateral walls of the 3rd ventricle  
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Hyothalamus function   regulates blood pressure, rate & force of heartbeat, perception of pleasure fear & rage, controls mechanisms needed to maintain normal body temp. regulates feelings of hunger & satiety, regulates sleep  
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