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OTE 645 EXAM 4 UNIT 3 QUESTIONS WITH 100%RATED ANSWERS 2024/2025 LATEST UPDATED/GET A+

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Visceral efferents: -dry eye, dry mouth afferents: -ageusia (loss of taste) bell's palsy vs. stroke - bells palsy: (peripheral nerve) entire ipsilateral face: flaccid paralysis stroke: (supranuclear lesion) only lower face paralysis, bilateral innervation preserves upper face functions layers of scalp - "SCALP" -Skin -Close connective Tissue -Aponeurosis -Loose connective Tissue ("Danger Zone") -Pericranium (periostium) arterial anastomosis of scalp - (connection of arteries) -supratroclear artery -supra-orbital artrery -superficial temporal artery dura extensions - falx cerebri, tentorium cerebelli falx cerebri location - in longitudinal fissure, separate l/r hemisphere tentorium cerebelli - separates cerebrum from cerebellum Innervation of dura mater - -sensory: V1 of trigeminal, some V2 and V3 -brain has no sensory nerves what causes headache - irritation in the dura mater venous sinuses - inferior sagittal sinus sigmoid sinus great crebral vein transverse sinus straigth sinus confluence of sinuses cavernous sinus superior sagital sinus cavernous sinus thrombosis - blood clot in response to infection in head or face -symptoms: high fever, decreased visual acuity, CN palsies, periorbital edema and chmosis epidural hematoma - a collection of blood in the space between the skull and dura mater (epidural space) subdural hematoma - collection of blood under the dura mater -bleeding from bridging veins where is CSF made - choroid plexus of lateral ventricle basal cisterns - pools of CSF around the base of the brain where space is wider cisterna magna - large area of cerebrospinal fluid collection between the cerebellum and the medulla arachnoid granulations - Extensions of the arachnoid mater that allow excess CSF to be absorbed by the dural sinuses. bridging veins - -Veins that drain venous blood from the surface of the brain penetrate the arachnoid mater then the dura mater to enter the dural venous sinuses elevated intracranial pressure (ICP) - -ICP and CSF pressure rises -CSF pushed out of skull -Blood flow to brain affected hydrocephalus - abnormal accumulation of fluid (CSF) in the brain -babies are okay because of fontaneles ventriculoperitoneal shunt - a tube used to drain fluid from brain ventricles into the abdominal cavity frontal lobe - -pre-central gyruls (primary motor cortex) -personality, complex thought, decision making parietal lobe - -post-cenral gyrus (somatosensory cortex) occipital lobe - primary visual cortex temporal lobe - primary auditory cortex what does MCA affect (homonculus)? - motor and sensory of face and hands broca's area - speech production -frontal lobe wernicke's area - speech reception -temporal lobe diencephalon - thalamus and hypothalamus thalamus - -relay structure between different parts of brain hypothalamus - -regulate autonomic nervous system (heart rate, blood pressure, hormones) -endocrine in communicaiton with pitutitary gland brainstem parts - midbrain, pons, medulla oblongata midbrain location - between 3rd and 4th ventricles, above the pons midbrain function and what comes from it - -controls consciousness -origin of CN III (oculomotor) and CN IV (trochlear) pons function and what comes from it - -unconscious -CN V (trigeminal), CN VI (abducens), CN VII (facial), and CN VII (vestibulocochlear) medulla function and what comes from it - -many subconscious activities -autonomic centers (respiratory and cardiac) -olivary nuclei (hearing and locating sounds) -pyramids -voluntary muscle movement -coughing, sneezing, hiccupping, swallowing -CN IX (glossopharyngeal), CN X (Vagus), CN XI (Accessory), CN XII (hypoglossal) cerebellum - -adjust somatic motor centers -coordination and balance -learning -50% of neurons but 10% of mass where does ICA go through - carotid canal of temporal bone, passes through cavernous sinus branches of internal carotid artery - OPAM Ophthalmic Posterior communicating Anterior Cerebral

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OTE 645 EXAM 4 UNIT 3 QUESTIONS WITH
100%RATED ANSWERS 2024/2025 LATEST
UPDATED/GET A+
sternocleidomastoid - attachment: sternum, clavicle, mastoid process

innervation: CN XI: spinal accessory

unilateral function: contralateral head roations, ipsilateral neck flexion

bilateral function: neck flexion

what is deep to sternocleidomastoid - Internal carotid arter, external carotid artery, common
carotid arter, ansa cervicalis, internal jugular vein

attachments of hyoid bone - muscles and ligaments, muscles of tongue and floor of mouth,
middle pharyngela constrictor and epiglottis, larynx below

what is hyoid bone involved in - tongue movement, swallowing (elevates with swallowing by
closing off glottis during swallowing), and voice production

infrahyoid muscles - thyrohyoid, thyroid cartilage, sternothyroid, sternohyoid, omohyoid

function and innervation of infrahyoid muscles - depress hyoid and/or larynx

innervated mostly by ansa cervicallis

ansa cervicalis - inputs from C1-C3

motor innervation to infrahyoid muscles

anterior branches of cervical plexus - hypoglassal nerve (CN XII), ansa cervalis (C1 to C3, motor
function to infrahyoid muscles), and phrenic nerve (C3-C5, motor function to diaphragm)

suprahyoid muscles - mylohoid, digastric, stylohyoid, geniohyoid, hypoglossus,

what do suprahyoid muscles do - elevate hyoid bone
-if hyoid bone is fixed in place, they can assist in depressing the mandible

contents of carotid sheath - common carotid artery (anterior), internal jugular vein(posterior),
vagus nerve (deep)

,-sympathetic chain is deep to carotid sheath

external carotid artery branches - maxillary artery, facial artery, lingual artery, superior thyroid
artery

ischemic stroke - thrombosis: clot in carotid artery, extends directly to MCA

embolism: clot fragment from heart or more proximal artery

hypoxia: hypotension and poor cerebral perfusion, border zone infarcts, no vascular occlusion

hemorrhagic stroke - subarachnoid hemorrage: ruptured aneurysm

intracerebral hemorrhage: hypertensive

solutions for buildup of debris in carotid artery - carotid endarterectomy, carotid stent

how do superficial lymph nodes of face and neck drain to deep cervical nodes - nodes along the
internal jugular vein within the carotid sheath

where is submandibular gland - wraps around mylohyoid, (digastric triangle)

thyroid gland - endocrine gland: thyroid hormone controls basal metabolic rate

left and right lobes connected by isthmus

blood supply from superior thyroid A (first branch of external carotid A) and inferior thyroid A

thyroid descent - starts at base of tongue, moves lower in neck

thyroglossal duct normall disappears after birth, sometimes part of it remains-leads to:

thyroglossal duct cyst

pyramidal lobe: additional thyroid tissue

parathyroid glands - four small glands behind thyroid gland

increases calcium levels in blood

calvaria - skull cap

sutures in skull - fibrous type joints

what area of skull is most vulnerable to fracture - pterion- where frontal, temporal, sphenoid, and
parietal bones join

, frontanelles - soft spots
closure 12-24 months after birth

sutures of brain - frontal (fused after infancy)

coronal: between parietal and frontal

sagittal: between parietal bones

lamboid: between occiptal and each parietal bone

cranial base - posterior cranial fossa, middle cranial fossa, and anterior cranial fossa

anterior cranial fossa - houses frontal lobe

ethmoid bone

middle cranial fossa - sella turcia (houses pituitary gland)

foramen lacerum (filled with cartilage)

foramen rotundum (V2)

foramen ovale (trigeminal (V3))

foramen spinosum (middle meningela artery)

posterior cranial fossa - houses cerebellum, pons, and medulla

jugular foramen (internal jugular vein, CN IX, CN X, CN XI)

foramen magnum (brainstem and spinal cord, CN XII)

hypoglossal canal (CN XII)

3 divisions of trigeminal nerve (C V) - V1 - ophthalmic
V2 - maxillary
V3 - mandibular

facial expression muscles - frontalis

orbiculari oculi orbital part

orbicularis oculi palpebral part
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