Head & Neck Exam 4

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1
What is the cellular component of the nervous system called?
Neuron
2
What is a bundle of neural processes in PNS called?
Nerve
3
What is an accumulation of neuron cell bodies called?
Ganglion
4
What is the junction between two neurons (or between a neuron and effector organ) where neural impulses are transmitted called?
Synapse
5
What is a supply of nerves to tissue, structures, or organs called?
Innervation
6
Which nervous system includes the brain and spinal cord?
Central Nervous System
7
What type of nerves are sensory nerves?
Afferent Nerves
8
What type of nerves are motor nerves?
Efferent Nerve
9
How can you remember the difference between Afferent and Efferent nerves?
SAME: Sensory Afferent Motor Efferent
10
What type of nerve caries informationfrom the periphery of the body to the brain or spinal cord?
Afferent Nerve
11
What type of nerve caries information from the brain or spinal cord to the periphery of the body?
Efferent
12
How can you remember which nerves bring info to the brain vs away from?
Efferent Exits and Afferent Arrives
13
Which nervous system operates without any concious control?
Autonomic Nervous System
14
Which nervous system transmits sensory and motar signals to and form the central nervous system?
Somatic Nervous System
15
Which branch of the ANS is responsible for fight or flight?
Sympathetic
16
Which branch of the ANS is responsible for rest and digest?
Parasympathetic
17
What is the name of Cranial Nerve I?
Olfactory Nerve
18
What is the function of the olfactory nerve?
Smell
19
Which nerve is Cranial Nerve II?
Optic Nerve
20
What is the function of the optic nerve?
Sight
21
Which nerve is Cranial Nerve III?
Oculomotor Nerve
22
What is the function of the oculomotor nerve?
Eye Movement
23
Which nerve is Cranial Nerve IV?
Trochlear Nerve
24
What is the function of the trochlear nerve?
Eye Movement
25
Which nerve is Cranial Nerve V?
Trigeminal Nerve
26
What is the function of the trigeminal nerve?
Movement of the muscles of mastication and sensation of the head and oral cavity
27
Which nerve is Cranial Nerve VI?
Abducens Nerve
28
What is the function of the Abducens nerve?
Eye Movement
29
Which nerve is Cranial Nerve VII?
Facial Nerve
30
What is the function of the facial nerve?
Movement of muscles of facial expression, submandibular, sublingual, and minor salivary glands, sensation for skin around the ear and taste
31
Which nerve is Cranial Nerve VIII?
Vestibulocochlear Nerve
32
What is the function of the vestibulocochlear nerve?
Inner Ear
33
Which nerve is Cranial Nerve IX?
Glossopharyngeal Nerve
34
What is the function of the glossopharyngeal nerve?
Movement of stylopharyngeus muscle, parotid salivary gland, skin around the ear, mucosa of the pharynx, middle ear, and taste
35
Which nerve is Cranial Nerve X?
Vagus Nerve
36
What is the function of the vagus nerve?
Movement of muscles of soft palate, pharynx, larynx, thoracic, and abdominal organs, skin around the ear and taste sensation for epiglottis
37
Which nerve is Cranial Nerve XI?
Accessory (Spinal) Nerve
38
What is the function of the accessory nerve?
Movement of the muscles of the neck
39
Which nerve is Cranial Nerve XII?
Hypoglossal Nerve
40
What is the function of the Hypoglossal Nerve?
Movement of the tongue muscles
41
Which nerve innervates the upper lip, medial part of the cheek, side of the nose, and the lower eyelid?
Infraorbital Nerve
42
What structure does the infraorbital nerve pass through?
Infraorbital Foramen
43
Which nerve innervates the incisors to the midline?
Anterior Superior Alveolar Nerve
44
What structure does the ASA nerve pass through?
Apical Foramina of Maxillary Anterior Teeth
45
Which nerve innervates the premolars and the MB root of the 1st molar?
Middle Superior Alveolar Nerve
46
What structure does the MSA originate in?
Apical Foramina
47
Which nerve innervates the maxillary sinus, maxillary molars (minus the MB root of the 1st molar), and associated periodontium?
Posterior Superior Alveolar Nerve
48
What structures does the PSA nerve pass through?
Apical Foramina of Maxillary Molars
49
Which nerve innervates the posterior hard palate and the periodontium of the maxillary posterior teeth?
Greater Palatine Nerve
50
What structure does the GP nerve pass through?
Greater Palatine Foramen
51
Which nerve innervates the soft palate and the palatine tonsils?
Lesser Palatine Nerve
52
What structure does the Lesser Palatine Nerve pass through?
Lesser Palatine Foramen
53
Which injection anesthetizes the maxillary molares and associated periodontium (Minus the MB root of the 1st molar)?
PSA
54
Which injection anesthetizes the premolars and the MB root of the maxillary 1st molars?
MSA
55
Which injection anesthetizes the incisors to the midline?
ASA
56
Which injection anesthetizes the upper lip, cheek, side of the nose, and lower eyelid?
IO
57
Which injection anesthetizes the posterior hard palate and the periodontium of maxillary posterior teeth?
GP
58
Which injection anesthetizes the anterior hard palate and palatal periodontium of maxillary anterior teeth?
NP
59
What is the target area of the NP injection?
Incisive Foramen
60
Which injection anesthetizes the mandibular teeth, surrounding periodontium, labial mucosa, and the tongue to the midline?
IA
61
What is the target structure of the IA injection?
Mandibular Foramen
62
Which injection anesthetizes the skin of the cheek, buccal mucosa, and periodontium of mandibular molars?
Buccal
63
What is the target structure associated with the buccal injection?
Anterior Border of the Ramus
64
Which injection anesthetizes the chin, lower lip, labial mucosa, facialperiodontium of mandibular anterior teeth, and premolars to the midline?
Mental
65
What is the target structure associated with the mental injection?
Mental foramen
66
Which injection anesthetizes the mandibular anterior teeth, premolars, and associated periodontium to the midline?
Incisive
67
What is the target structure associated with the incisive injection?
Mental Foramen
68
What three structures form the TMJ?
Condylar Process of the Mandible, Articular Fossa and Articular process of the Temporal Bone
69
What structures work in union with the TMJ?
Temporal Bone, Mandible, Meniscus, Specific Muscles, and Specific Ligaments
70
What is the depression on the temporal bone that is posterior and medial to the zygomatic process called?
Articular or Glenoid Fossa
71
Which structure of the TMJ controls how far the mandible can open?
Articular Eminence
72
What is the sharp ridge posterior to the articular fossa called?
Postglenoid Process
73
What type of joint is the TMJ?
Synovial Joint
74
What type of movement does the TMJ have?
Both Hinge and Gliding
75
What does it mean when a joint is a compound joint?
Has an articular disc
76
What is the articular disc of a joint called?
Meniscus
77
What are the 3 TMJ ligaments?
Temporomandibular Ligament, Sphenomandibular Ligament, and Stylomandibular Ligament
78
What is TMD?
Temporomandibular Disorder
79
What are the symptoms of TMD?
Chronic Joint Inflammation, Swelling, Tenderness of the Jaw Muscles, Painful Muscle Spasms, Clicking or Popping of the Joint, Limited, deviated, or abnormal mouth opening, headache, tooth sesitivity, abnormal attrition
80
What is hypermobility of the TMJ and partial dislocation of the mandible called?
Subluxation or Partial Dislocation
81
Where are the occipital lymph nodes located?
Posterior Base of the Skull
82
What do the occipital lymph nodes drain?
Occipital Part of the Scalp
83
Where do the occipital lymph nodes empty?
Deep Cervical Nodes
84
Where are the Posterior Auricular Lymph Nodes located?
Posterior to each ear
85
What do the posterior auricular lymph nodes drain?
Ear, Lacrimal Gland, Adjacent Scalp, and Face
86
Where do the posterior auricular lymph nodes empty?
Deep Cervical Nodes
87
Where are the anterior auricular lymph nodes?
Anterior to each ear
88
What do the anterior auricular lymph nodes drain?
Ear, Lacrimal Gland, Adjacent Scalp, and Face
89
Where do the anterior auricular lymph nodes empty?
Deep cervical Nodes
90
Where are the Superficial Parotid Lymph nodes?
Superficial to parotid salivary gland
91
What do the superficial parotid lymph nodes drain?
Ear, lacrimal gland, and adjacent scalp and face
92
Where do the superfical parotid lymph nodes empty?
Deep Cervical Lymph Nodes
93
Where are the facial lymph nodes?
Along the facial vein across the side of the face
94
What do the facial lymph nodes drain?
Skin and mucous membrane
95
Where do the facial lymph nodes empty?
Deep Cervical Lymph Nodes
96
Where are the deep parotid lymph nodes?
Deep within the parotid salivary gland
97
What do the deep parotid lymph nodes drain?
Middle ear, auditory tube, and parotid salivary gland
98
Where do the deep parotid lymph nodes empty?
Deep Cervical Nodes
99
Where are the retropharyngeal lymph nodes?
Near deep parotid nodes at the level of the atlas
100
What do the retropharyngeal lymph nodes drain?
Palate, pharynx, paranasal sinuses, and nasal cavity
101
Where do the retropharyngeal lymph nodes empty?
Deep Cervical Nodes
102
Where are the submental lymph nodes?
Inferior to the chin
103
What do the submental lymph nodes drain?
Lower lip, both sides of the chin, floor of the mouth, apex of the tongue, mandibular incisors, and associated tissues
104
Where do the submental lymph nodes empty?
Submandibular nodes or directly into the deep cervical nodes
105
Where are the submandibular lymph nodes?
Inferior border of the mandibular ramus
106
What do the submandibular lymph nodes drain?
Cheeks, Upper Lip, body of the tongue, Anterior hard palate, sublingual and submandibular salivary glands, and most teeth with associated periodontium except mandibular incisors and max 3rd molars
107
Where do the submandibular lymph nodes empty into?
Deep Cervical Nodes
108
Where are the external jugular lymph nodes?
On each side of the neck along external jugular vein
109
What do the external jugular lymph nodes drain?
Secondary nodes for occipital, posterior and anterior auricular, and superficial parotid nodes?
110
Where do the external jugular lymph nodes empty?
Deep Cervical Nodes
111
Where are the anterior jugular lymph nodes?
On each side of the neck along the length of the anterior jugular vein
112
What do the anterior jugular lymph nodes drain?
Infrahyoid Region
113
Where do the Anterior Jugular lymph nodes empty?
Deep Cervical Nodes
114
Where are the superior deep cervical lymph nodes?
Deep to the SCM
115
What structures do the superior deep cervical lymph nodes drain?
Posterior nasal cavity, posterior hard palate, soft palate, base of the tongue, maxillary third molars with associated periodontium and gingiva, TMJ, esophagus, trachea, and thyroid
116
Where do the superior deep cervical lymph nodes empty?
Inferior deep cervical nodes or directly into the jugular trunk
117
Where are the inferior deep cervical lymph nodes?
Deep to the SCM
118
What structures do the inferior deep cervical lymph nodes drain?
Posterior part of the scalp and the neck, and the superficial pectoral region and part of the arm
119
Where do the inferior deep cervical lymph nodes empty?
Venous system via thoracic or lymphatic ducts
120
Where are the accessory lymph nodes?
Along cranial nerve XI
121
What structures do the accessory lymph nodes drain?
Scalp and neck regions
122
Where do the accessory lymph nodes empty?
Supraclavicular Nodes
123
Where are the supraclavicular lymph nodes?
Superior to the clavicle
124
What structures do the supraclavicular lymph nodes drain?
Lateral cervical triangles of the neck
125
Where do the supraclavicular lymph nodes empty?
Directly into right lymphatic duct or left thoracic duct
126
What are layers upon layers of fibrous connective tissue called?
Fascia
127
Where is the maxillary vestibular space?
Between the buccinator and the maxillary oral mucosa
128
What does the maxillary vestibular space communicate with?
Maxillary Molars, Gingiva, and Periodontium
129
What are the potential sources of infection of the maxillary vestibular space?
Maxillary Molars and Associated Periodontium
130
Where is the mandibular vestibular space?
Between the buccinator and the mandibular oral mucosa
131
What structures does the mandibular vestibular space communicate with?
Mandibular posterior teeth, gingiva, periodontium, and the space of the body of the mandible
132
What are the possible sources of infection of the mandibular vestibular space?
Mandibular posterior teeth and associated periodntium
133
Where is the canine space?
Within the superficial fascia covering the canine fossa (lateral to the canine eminence)
134
What structure is within the canine space?
Infraorbital Nerve
135
What structure does the canine space communicate with?
Buccal Space
136
What are the possible sources of infection of the canine space?
Maxillary Canine
137
Where is the buccal space?
Between the buccinator and masseter
138
What is contained within the buccal space?
Buccal Fat Pad
139
What structures does the buccal space communicate with?
Canine Space, Pterygomandibular Space, and Space of Body of the Mandible
140
What are the potential sources of infection of the buccal space?
Maxillary premolar/molar or mandibular molar
141
Where is the parotid space?
Envelops the parotid gland
142
What is contained within the parotid space?
Parotid Salivary Gland and much of cranial nerve VII, part of the external carotid artery and retromandibular vein
143
What structures does the parotid space communicate with?
Parapharyngeal Space
144
What are the possible sources of infection of the parotid space?
Parotid Salivary Gland
145
Where is the masticator space?
Area of the mandible and muscles of mastication
146
What is contained within the masticator space?
Temporal, infratemporal, and submasseteric spaces
147
What structures does the masticator space comunicate with?
Submandibular space, cervical space, and parapharyngeal space
148
Where is the temporal space?
Part of the masticator space between the temporal fascia and temporalis
149
What is contained within the temporal space?
Fat tissue
150
What structures does the temporal space communicate with?
Infratemporal and submasseteric spaces
151
What are the possible sources of infection of the temporal space?
Infratemporal and/or pterygomandibular spaces
152
Where is the infratemporal space?
Part of the masticator space between the lateral pterygoid plate, maxillary tuberosity, and mandibular ramus
153
What is contained within the infratemporal space?
Maxillary artery, mandibular nerve, and pterygoid plexus of veins
154
What structures communicate with the infratemporal space?
Temporal, submasseteric, submandibular, and parapharyngeal spaces
155
What are the possible sources of infection of the infratemporal space?
Maxillary 3rd molars or needle tract infection
156
Where is the pterygomandibular space?
Part of the infratemporal space
157
What structures are within the pterygomandibular space?
IA & Lingual nerves
158
Where is the submasseteric space?
Part of masticator space between masseter muscle and lateral surface of the ramus of the mandible
159
What is contained within the submasseteric space?
Masseteric artery and vein
160
What structures does the submasseteric space communicate with?
Both the temporal and infratemporal spaces
161
Where is the space of the body of the mandible?
Formed by the periosteum covering the mandible
162
What is contained within the space of the body of the mandible?
Mandible and the IA nerve
163
What structures does the space of the body of the mandible communicate with?
The vestibular, buccal, submental, submandibular, and sublingual spaces
164
What are the possible sources of infection of the space of the body of the mandible?
Mandibular Teeth
165
Where is the submental space?
In the midline between the mandibular symphysis and hyoid
166
What is contained within the submental space?
Submental lymph nodes and anterior jugular vein
167
What structures does the submental space communicate with?
The space of the body of the mandible, submandibular and sublingual spaces
168
What are the possible sources of infection of the submental space?
Mandibular anterior teeth or extension of infection from submandibular space
169
Where is the submandibular space?
Medial to mandible and inferior to mylohyoid muscle
170
What is contained within the submandibular space?
Submandibular lymph nodes, most of the submandibular salivary gland, and part of the facial artery
171
What structures does the submandibular space communicate with?
Infratemporal, submental, sublingual, and parapharyngeal spaces
172
What are the possible sources of infection of the submandibular space?
Mandibular Posterior Teeth
173
Where is the sublingual space?
Medial to the mandible and superior to the mylohyoid muscle
174
What structures are within the sublingual space?
Sublingula salivary gland/ducts, duct of the deep lobe of the submandibular salivary gland, part of the lingual nerve and artery, and the XII cranialnerve
175
What structures does the sublingual space communicate with?
Submental, submandibular spaces, and the space of the body of the mandible
176
What are the possible sources of infection of the sublingual space?
Mandibular 1st Molar or Premolar
177
What type of lesion is suppuration filled and usually localized?
Abscess
178
What type of lesion is diffuse inflammation of soft tissue spaces?
Cellulitis
179
What type of lesion is inflammationof the bone marrow of the jaw?
Osteomyelitis
180
When does an abscess form?
When there is localized entrapment of pathogens from a dental infection
181
What is cellulitis of the submandibular space and sublingual space called?
Ludwig's Angina
182
What happens as a result of infection spreading to the paranasal sinuses?
Maxillary Sinusitis
183
What results from the spread of infection by the vascular system?
Bacteremia or Cavernous Sinus Thrombosis
184
What happens as a result of infection spreading by the lymphatic system?
Lymphadenopathy
185
What happens as a result of infection spread by the spaces?
Cellulitis
186
What can the spread of infection to the paranasal sinuses result from?
Infection from PA abscess or contaminated toothoot fragment
187
Why is there an increased possibility of spreading infection via the vascular system?
Anastomosis
188
Which sinus is most likely to be involved in the possibly fatal spread of dental infection?
Cavernous Sinus
189
What can result in the spread of infection to the pterygoid plexus of veins?
Needle Tract Contamination during PSA block
190
What are the best ways to prevent the spread of infection?
Thorough MHX, Rescheduling immunocompromised pt for elective tx, treating decayed/infected deeth before major surgeries, standard infection control protocol, pre-procedural rinses, not administering LA through an area of dental infection
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