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NWCC GA MASH 4

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Question
Answer
Erector Spinae m. which inserts into the mastoid process. (be specific)   Longissimus Capitis  
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Erector Spinae m. which originates from the upper ribs and inserts into the TP's of mid-cervical vertebrae. (be specific)   Iliocostalis Cervicis  
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Muscle originating off SP's of upper thoracic vertebrae (T3-T6) and inserting on TP's of Upper cervical (C1-3).   Splenius Cervicis  
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Erector Spinae m. which originates of TP's of uppper thoracic vertebrae and inserts of TP's of cervical (up to C2 not including C1)   Longissimus Cervicis  
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Suboccipital m. that originates off the posterior tubercle of the ATLAS and inserts into the medial part of the occipital bone.   Rectus Capitus Posterior Minor  
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Muscle found throughout the length of the vertebral column; it arises from the TPs and inserts into the SP's of TWO to FIVE segments above the origin.   Multifidus  
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Erector Spinae muscle which originates from the upper ribs and inserts into the transverse processes of mid-cervical vertebrae. (be specific)   Iliocostalis Cervicis  
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Give two actions of the suboccipital mm.   Extension of the neck and Rotation of head to face the same direction.  
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The MAJOR action of the lateral pterygoid m.   Protraction of the jaw/mandible  
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Muscle originating off the ligamentum nuchae and SP's of upper thoracic (T1-3) and inserting on the mastoid process of the adjacent occipital bone.   Splenious Capitis  
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Muscle that originates from the TP's of vertebrae and inserts into SP's of vertebrae ONE segment above origin.   Short Rotators  
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Besides drawing the head posteriorily, give 2 actions of the Splenius Capitis.   1. Rotate the head to the same side 2. Bends the head laterally  
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Muscle that pulls hyoid bone anterosuperiorly, shortens floor of mouth and widens pharynx.   Geniohyoid  
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Origin of the scalene muscles (do not give ORIGIN of each individual muscle)   TP's of cervical vertebrae  
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This SPECIFIC muscle is now considered part of semispinalis capitis.   Spinalis Capitis  
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Insertion of the posterior scalene.   Rib #2  
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Give action of the transversospinalis muscles.   Extends column, rotates body (spinal column) to the opposite side  
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Errector Spinae m. which originates off iliac crest, sacrum and thoracolumbar fascia and inserts into angles of lower ribs.   Iliocostalis Lumborum  
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Erector Spinae m. which originates off the sacrum, illiac crest and thoracolumbar fascia and inserts into lower 10 ribs and TP's off lumbar and thoracic vertebrae   Logissimus Thoracis  
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Erector Spinae m. which originates off the spines of lower thoracic and upper lumbar vertebrae and inserts into the spines of upper thoracic vertebrae. (be specific)   Spinalus thoracis  
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Muscle best developed in cervical region, also present in lumbar region - absent in most of the thoracic; extends vertebral column and bends column toward same side.   Intertransversarii  
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Erector Spinae m. which originates off the lower ribs and inserts into the angles of the upper ribs and TP of C7.   Iliocostalis Thoracis  
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Intrinsic back muscle which originates off the TP of a vertebra and inserts into the spine of one or two vertebrae above.   Rotators (Short and Long)  
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Suboccipital m. which originates from the SP of the axis and inserts into area near the inferior nuchal line.   Rectus Capitis Posterior Major  
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Muscle immediately deep (anterior) to upper trapezius; it has attachments to the skull and rotates the face to the same side.   Splenius Capitis  
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Muscle that lies immediately posterior to most of the suboccipital muscles.   Semispinalis Capitis  
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Innervation of the deep intrinsic back muscles.   Posterior Primary Division of Spinal Nerves (Dorsal Rami)  
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Insertion of the middle/medial scalene m.   1st Rib  
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Muscle that originates from the inferior mental spine.   Geniohyoid  
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Muscle which originates of the SP of axis and inserts on the TP of the atlas.   Obliquus Posterior Inferior  
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Innervation of thyrohyoid   Hypoglossal contribution to C1 - ansa cervicalis  
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Muscle that depresses, retracts and steadies the hyoid bone.   Omohyoid m.  
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Muscle that depresses hyoid bone and elevates larynx.   Thyrohyoid m.  
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Muscle that elevates hyoid bone, floor of the mouth, and tongue during swallowing and speaking.   Mylohyoid m.  
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Give the spinal cord segments represented by the: a. lesser splanchnic nerve; b. lumbar splanchnics   a. lesser - T10-T11; b. Lumbar - L1-L2, L3  
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Give spinal cord segments represented by the: a. least splanchnic n.; b. pelvic splanchnics   a. least - T12; b. pelvic - S2-S4  
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Give the spinal cord segments represented by the: a. greater splanchnic n. ; b. pelvic splanchnics   a. greater - T5-T9 b. pelvic - S2-S4  
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Specific tract which conducts proprioception and discriminating(fine) touch.   Posterior White Column - Medial Leminscal System  
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Parasympathetics have _______(long, short) preganglionic fibers. Both sympathetic and parasympathetic preganglionic fibers are _________ (myelinated, non-myelinated)   Long, Myelinated  
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What is meant by an intersegmental reflex?   This is when the impulse involves more than 1 spinal cord segment.  
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What is meant by an ipsilateral reflex?   Impulse and effector are on the same side of the body.  
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(A.) Draw a simple CROSS SECTION of the spinal cord with dorsal & ventral roots attached. Now draw in thhe components (cell bodies, fibers, etc) of a CROSSED EXTENSOR reflex arc. (B.) Does the reflex illustrate the principle of the common path?   A. Draw on your own... B. Yes this illustrats the Principle of the Common Path  
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(A.) Draw a simple CROSS SECTION of the spinal cord with dorsal & ventral roots attached. Now draw in thhe components (cell bodies, fibers, etc) of a STRETCH reflex arc. (B.) What is the stimulas which causes reflex? C. Is this contralateral reflex?   A. Draw on your own... B. myotaxisor stretch on the muscle spindle fibers. C. no, its an ipsilateral reflex.  
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The effector organ of a somatic reflex arc.   Skeletal m.  
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Pharmacological classification of postganglionic sympathetics to arrector pili muscles?   Adrenergic  
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Pharmacological classification of postganglionic sympathetic fibers?   Adrenergic  
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Pharmacological classification of preganglionic sympathetic fibers?   Cholenergic  
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Describe in detail how most parasympathetics are supplied to pelvic viscera?   Preganglionics via pelvic splanchnic nerves, S2-4,synapse in the parasympathetic terminal ganglia near or in walls of viscera. Postganglionics to pelvic viscera, descending & sigmoid colon, rectum & upper part of anal canal.  
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Describe in detail how most parasympathetics are supplied to thoracic and abdominal viscera.   Preganglionics via cranial nerve 10 to synapse in parasympathetic terminal ganglia. Postganglionics to thoracic and abdominal viscera.  
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What does a sympathetic splanichnic nerve primarily contain? Where does it end? (be specific)   Preganglionic Fibers; the terminal and synapse in the collateral ganglia. (Upon termination of the splanchnic nerves, postganglionic fibers then travel from collateral ganglia to innervate viscera.)  
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A. In general, where are the parasympathetic ganglia located? B. Afferent fibers using parasympathetic routes are, in general, of what type? (do NOT give letter classification)   A. They are located in or near the organ to be innervated. B. Physiological afferent  
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NAME (name NOT number) the cranial nerve innervating the superior oblique muscle?   Trochlear N.  
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The cranial nerves containing BOTH motor and sensory fibers(just list cranial nerve numbers).   CN. 5,7,9,10  
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The MOTOR only cranial nerves.   CN 3,4,6,11,12  
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Specific tract which conducts pain, temperature, pressure and crude touch.   Spinothalamic Tract  
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Besides being a 3 sensory neuron relay, list 4 general principals about afferent tracts to the cerebral cortex.   1. principle of divergence; 2. discriminating awareness occurs in the cerebral cortex; 3. crude awareness occurs in thalamus; 4. neuron #2 decussates  
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How are preganglionic parasympathetics supplied to thoracic and abdominal viscera?   Preganglionics via CN 10(Vagus) to the terminal parasympathetic ganglion (near or in visceral wall); postaganglionics to thoracic and abdominal viscera  
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How are preganglionic parasympathetics supplied to abdominal and pelvic viscera?   Preganglionics via pelvic splanchnics (S2-4) to terminal ganglia. Postganglionics to abdominal and pelvic viscera.  
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Parasympathetics arise only from these specific cranial nerves.   CN 3,7,9,10  
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Discuss in detail how most sympathetics are supplied to the head. You may begin with the white ramus communicans.   Preganglionics go up, through the upper cervical ganglion, synapse there, then the postganglionic sympathetic neurons go to the head structures.  
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Discuss in detail how most sympathetics are supplied to the thoracic viscera. You may begin with the white ramus communicans.   Preganglionics - synapse in the superior, middle and inferior cervical ganglia and C1-4 ganglia of sympathetic trunk. Postganglionics - go to the thoracic viscera via small visceral branches.  
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Name the main collateral ganglia.   Superior mesenteric, inferior mesenteric, celiac  
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Cranial nerve that supplies only the superior oblique muscle.   CN IV (4)Trochlear N  
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Innervation of anterior belly of digastric?   CN V (5)Trigeminal N  
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Innervation of posterior digastric?   CN VII (7) Facial N  
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Cranial nerve that innervates the posterior 1/3 of the tongue (taste and general sensation)   Glossopharyngeal  
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Specific tract which decussates (crosses) in the pyramids of the medulla (be very specific)   Lateral Corticospinal Tract  
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Cranial Nerve that supplies the superior, medial and inferior rectus, inferior oblique and levators palpebrae superior muscles?   CN III (3) Oculomotor N  
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Cranial nerve that supplies the lacrimal gland, sublingual gland, submandibular glands and other minor glands and mucosa.   CN VII (7) Facial N.  
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The lateral horn of the spinal cord functionally contains __________ (3 letter classification) neuron cell bodies. These neurons start impulses which innervate _________.   GVE; glands, cardiac m., smooth m.  
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The SENSORY ONLY Cranial Nerves?   CN 1,2,8  
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Cranial Nerve that supplies the lateral rectus m.?   CN VI (6) Abducens  
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Mnemonic for Cranial Nerves.   Oh, Oh, Oh! To Touch And Feel Very Good Velvet, AH!  
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Mnemonic for Sensory, Motor or Both.   Some Say Marry Money, But My Brother Says Bad Business Marry Money  
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Describe the basic structure of the tempror-mandibular joint. (BE DETAILED AND COMPLETE!)   The mandibular fossa, and mandibular chondyle are both covered w/ fibrocartilage. There is fibrocartilagenous disk which separates the articular capsule into an upper and lower compartment. The joint is considered a hinge, and a plane joint  
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Describe the basic structure of the tempror-mandibular joint. (BE DETAILED AND COMPLETE!)   Answer #2; 1.)Fibrocartilagenous cover for articular surfaces instead of hyaline. 2.)Fibrocartilagenous disc in articular space, which seperates space into upper and lower compartments.  
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Give the SPECIFIC named areas of mandibular attachments of the: a. stylomandibular ligament; b. sphenomandibular ligament; c. lateral ligament   a. from styloid process to the lower mandibular ramus; b. spine of sphenoid to the lingula of the mandible foramen; c. lateral ligament-lateral surface of neck of ramus of mandible  
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Discuss the movements of the structural components of the TM Joint during opening of the mouth. (NO MUSCLES) Also Worded as: Discuss the specific movements of the articular disk and mandibular condyle?   Protraction: mandibular condyle & articular disc move forward until the articular tubercle (upper compartment); Depression: mandibular condyle roatates under the articular disc (lower compartment)  
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Upon OPENING the mouth, the patient's jaw involuntarily deviates to the left. This would predominately indicate a lack of function of the _______ muscle of the _______(right, left) side?   Lateral Pterygoid; Left  
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Upon OPENING the mouth, the patient's jaw involuntarily deviates to the right. This would predominately indicate a lack of function of the _______ muscle of the _______(right, left) side?   Lateral Pterygoid; Right  
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Of the 4 MAJOR muscles of mastication, name the muscle that PRIMARILY responsible for: a. protraction of the mandible; b. retraction of the mandible   A. Lateral Pterygoid; B. Temporalis  
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Of the 4 MAJOR muscle of mastication, which is/are capable of the following action(s)? Give name even if it provides onle a slight contribution. A. elevate(s) the mandible B. depress(es) the mandible   A. masseter, temporalis, medial pterygoid; b. lateral pterygoid  
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Portion of the maxilla bearing teeth sockets?   Alveolar Processes  
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Name the ligaments responsible for reinforcing the temporomandibular joint?   Lateral TM Ligament, Stylomandibular ligament, Sphenomandibular ligament  
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Muscle of mastication which originates in part from the tuberosity of the maxilla?   Medial Ptergoid  
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Origin of the masseter muscle?   Zygomatic arch  
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Name the structure(s) transmitted by the following skull openings: a. stylomastoid foramen; b. foramen cecum; c. mandibular foramen; d. internal acoustic meatus; e. foramen rotundum; f. condylar/condyloid canal   a. stylomastoid f.-Some of CN 7; b. f. cecum -Emissary Veins; c. mandibular- Inferior Alveolar NAV; d. IAM - CN 7,8; e. f. rotundum - CN 5 Trigeminal Division 2 (V2); f. condylar/condyloid canal-Emissary Veins  
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Name the structure(s) transmitted by the following skull openings: g. Cribiform Plate; h. mastoid foramen; i. jugular foramen; j. foramen spinosum; k. foramen ovale;   g. Cribiform Plate-(filaments of)CN1; h. mastoid f.-Emissary Veins; i. jugular f.-internal jugular v., CN9 glossopharyngeal, 10 Vagus, 11 Spiral Accessory; j. f. spinosum-middle meningeal a.; k. f. ovale-1/3 mandibular division of trigeminal n.;  
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Name given to the closed posterolateral fontanelle?   Asterion  
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Name given to the closed anterior fontanelle?   Bregma  
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Suture usually present in fetus; usually disappears on adult?   Metopic(frontal)Suture  
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Named PORTION of the temporal bone containig the INNER ear?   Petrous Portion  
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Named part of the maxilla containing the maxillary sinus?   Body  
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BONE that articulates posteriorly with the ethmoid and anteriorly with the frontal process of the maxilla.   Lacrimal  
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Name given to the large space between the lesser and greater wings of the sphenoid; it transmits certain cranial nerves?   Superior Orbital Fissure  
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Name given to the CLOSED anterolateral fontanelle?   Pterion  
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Part of the bony nasal septum that articulates with the perpendicular plate of the ethmoid?   Vomer  
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A deep HORIZONTAL groove extending from the internal occipital protuberance and joining the "sulcus for the sigmoid sinus"?   Sulcus for the transverse sinus  
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Ridge over each orbit?   Supracilliary Arch  
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Part of the sphenoid on which the hypophyseal fossa is located; this part is also known as "Turk's Saddle"?   Sella Turcica  
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A pair of projections for muscle attachments on the anterior INNER surface of the mandible?   Mental Spines  
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Midline projection in anterior cranial cavity - falx cerbri, a sheet of dura, attached here; also known as the "cock's comb"?   Cristae Galli  
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Origin of the inferior head of the lateral pterygoid muscle.   Lateral surface of medial pterygoid plate  
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Basilar portion of occipital bone, anterior to the foramen magnum and fused to sphenoid; term means "declining part"?   Clivus  
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Large opening on floor of orbit seperating the orbital plate of the maxilla and greater wing of sphenoid?   Inferior orbital fissure  
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Name given to where the ramus and body of the mandible meet?   Angle of mandible  
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Pointed projections extending over the sella turcica for attachment of sura; they are located on lesser wings of sphenoid?   Anterior Clinoid Process  
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Origin of the superior head of the lateral pterygoid m.?   Greater wing of the sphenoid  
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Bone contributing LEAST to the bony orbit?   Palatine  
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Suture between the squamosal part of the temporal bone and the parietal bone?   Squamosal Suture  
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Smooth area in the midline between the the 2 supracilliary arches?   Glabella  
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Curved ridge/line extending laterally from the EOP?   Superior Nuchal Line  
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L-shaped bone that contributes to the orbit, hard palate, and lateral wall of nasal cavity?   Palatine  
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Forms part of the bony nasal septum; articulates with the vomer inferiorly?   Perpendicular plate of ethmoid bone  
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Insertion of the POSTERIOR scalene muscle?   2nd Rib  
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Muscle best developed in cervical region, also present in lumbar region. Absent in most of the thoracic area; act to extend the vertebral column, but does not bend it laterally?   Interspinalis  
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