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1) Palmar aponeurosis (blue pin)

1) Palmar aponeurosis (blue pin)


Morphological significance
Function
Clinical significance
function -
provides a semirigid barrier between
the palmer skin and important
underlying neurovascular and
tendon str.

clinical -
thickening and contraction due to inflammation
of the ulnar side of the aponeurosis leads to
dupuytrens contracture
2) Radial artery (red tie)
2) Radial artery (red tie)
Posterior relations
Clinical importance
Branches
Structures present medial to it at wrist
1. Flexor carpi radialis

clinical -
non surgical heart test
heart catheterization
3) Ulnar nerve (white tie)
3) Ulnar nerve (white tie)
Muscles supplied by it in forearm
1. Flexor digitorum profundus – medial part
2. Flexor carpi ulnaris
Root value
C8-T1
Applied anatomy
Ulnar claw
causes your fingers to bend in towards your
wrist
due to ulnar nerve palsy
4) Median nerve (green tie)
4) Median nerve (green tie)
Distribution in hand/forearm
Root value
C5-T1
Relations in cubital fossa
Medial – brachial artery
Lateral – biceps tendon

Clinical importance
helps to move forearm wrist hand and fingers
damage to M.N.
leads to weak wrist flexion loss of thumb
flexion
5) Deltoid (green pin)
5) Deltoid (green pin)
Insertion – deltoid tuberosity
Nerve supply – axillary nerve
Action
Anterior fibres – flexion, medial rotation
Lateral fibres – abduction
Posterior fibres – extension, lateral rotation
6) Triceps tendon (long pink needle)
6) Triceps tendon (long pink needle)
Attachment
Nerve supply
Action
N.S. radial n. c6-c8
attachment - posterior surface of
olecranon process of ulna
action - hold the head of
humerous in glenoid cavity
7) Axillary nerve (green tie)
7) Axillary nerve (green tie)

Accompanying structure
Muscle supplied by it
Space passes through
8) Radial nerve (red tie)
8) Radial nerve (red tie)
Structure accompanying it
Root value
Muscles supplied by it in the spiral groove
Lesion caused by its injury in this area
muscles supplied -
triceps anconeus
brachiaradialis
extensor carpi ulnaris

root - c5-t1
9) Anconeus
9) Anconeus
Origin – lateral epicondyle
Insertion – olecranon process and adjoining upper ¼ of shaft of
ulna
Nerve supply – radial nerve in the spiral groove
10) 1st dorsal interosseous
10) 1st dorsal interosseous
Nerve supply – Deep branch of ulnar
Action – abduction of fingers
Pierced by – radial artery
11) Extensor retinaculum
11) Extensor retinaculum
Attachment
Structures passing through 4th compartment
attachments -lat. surface of distal radius towards the styloid process
and distally attaches to the pisiform and triquetral bone

str. passing 4th comp. - tendons of


extensor digitorum
extensor indicis
12) Superficial palmar arch
12) Superficial palmar arch

Formation
Branches
formed by ulnar artery

br -the common palmer digital


arteries
13) Anterior interosseous nerve (green tie)
13) Anterior interosseous nerve (green tie)
• Origin
• Structures
supplied by it
• Accompanying
structure
• Posterior
relations
14) Brachial artery
14) Brachial artery
• Extent starting at lower margin of teres major muscle ends at the cubital fossa

• Branches in the arm profunda brachii


nutrient artery of humerous

• Applied anatomy supply to biceps triceps and coracobrachalis


15) Pronator quadratus (pink pin)
15) Pronator quadratus (pink pin)
• Attachment
• Nerve supply
• Action
16) Axillary artery
16) Axillary artery
commences from subclavian a. at the outer border of the first rib and terminates when it becomes brachial artery

• Extent
• Any 2 sup. thoracic
thoracoacromial
subscapular
branches
• Muscle
dividing it
pectoralis minor
17) Biceps brachii
17) Biceps brachii
• Attachment origin - short head - coracoid process of scapula
long head - supra glenoid tubercle

• action
flexion and supination n. s. - musculocutaneous c5c6
18) 1st lumbrical
18) 1st lumbrical
• Nerve supply
• Action
• Attachment
19) Ulnar artery
19) Ulnar artery
• Branches in cubital fossa
• Its continuation
• Medial relation at wrist
20) Cubital tunnel
• Structure passing through it
• Structure forming the probed area
• Clinical importance
21) Brachialis
21) brachialis
• Attachment
• Nerve supply
• Action
22) Anatomical snuff box (white pin)
22) Anatomical snuff box (white pin)
• Boundaries
• Content
23) Superficial branch of radial nerve
23) Superficial branch of radial nerve
• Distribution
• Medial relation in the distal part of forearm
24) Subscapularis (white pin)
24) Subscapularis (white pin)
• Attachment
• Nerve supply
• Action
25) Pronator teres
25) Pronator teres
• Attachment
• Nerve supply
• Action
• Structure
passing
between its
2 heads
26) Flexor retinaculum
26) Flexor retinaculum
• Attachment
• Structure passing superficial to it
• Structure passing deep to it
• Applied importance
27) Adductor pollicis
27) Adductor pollicis
• Action
• Attachment
• Nerve supply
• Structure piercing it
28) Cephalic vein
28) Cephalic vein
• Termination
• Formation
• Structure pierced by it in the pectoral region
29) Musculocutaneous nerve
29) Musculocutaneous nerve
• Structure
pierced by
it
• Muscles
supplied
by it
• Name the
cutaneous
branch
given by it
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HEAD & NECK SPOTTERS
Final with answers

G. PannEER SELVI
Department ofAnatomy
Spotter -1
1. A)Identify the pinned structure (Scalp)

B)Mention its layers.


– S.... Skin
– C.... Connective tissue(Superficial fascia)
– A ... Aponeurosis (Epicranial aponeurosis or
galea aponeurotica)
– L.... Loose areolar tissue
– P.... Pericranium

C) Which is the dangerous area in it?


Loose areolar tissue is the dangerous
layer of scalp because the emissary veins
transmit the infection from the scalp to
intracranial venous sinuses.
Spotter -1 cont…
D) Mention its blood supply.
VENOUS DRAINAGE cont..
ARTERIAL SUPPLY:
IN FRONT OF AURICLE:
Supratrochlear. A - Branch of ophthalmic artery Supra trochlear Vein + Superficial temporal Vein
+
Supra orbital. A - in turn from internal carotid Artery Supra orbital Vein Maxillay .V
Superficial temporal. A ... branch of ECA
Angular vein

BEHIND AURICLE:
Posterior auricular .A - Branch of External carotid artery
Facial vein Retromandibular Vein
Occipital artery

VENOUS DRAINAGE: Anterior division Posterior division


+
Emissary vein: Posterior auricular vein
– Parietal emissary vein... Superior Sagittal sinus
– Mastoid emissary vein... Sigmoid sinus Common facial vein
External Jugular Vein
Diploic vein:
– Frontal diploic vein into supraorbital vein
– Anterior temporal diploic vein into Anterior deep Internal jugular vein Subclavian vein
temporal vein
– Posterior temporal vein into transverse sinus
– Occipital diploic vein into Occipital vein or
transverse sinus
Spotter -1 Cont
E) Mention its nerve supply.

In front of auricle Behind auricle


Sensory supply
1 Supra orbital of ophthalmic Great auricular nerve(C2, C3 from cervical
division of trigeminal nerve plexus)
2. Supra trochlear nerve of Lesser occipital nerve(C2, from cervical
ophthalmic division of trigeminal plexus)
nerve
3. Zygomaticotemporal nerve- Greater occipital nerve(C2, dorsal ramus)
branch of maxillary nerve
4. Auriculotemporal nerve- branch of Third occipital nerve(C3, dorsal ramus )
mandibular nerve
Motor nerve
5. Temporal branch of facial nerve- Posterior auricular branch of facial nerve-
frontalis occipitalis
Spotter -2
2. A) Identify the pinned structure (Orbicularis oculi)
B) Mention its parts.
Parts:
– Orbital
– Palpebral
– Lacrimal
C) Mention its nerve supply and action.
– Tight closure of eye lids
– Gentle closure of eyelid as in blinking and
sleeping
– Dilates lacrimal sac for suction of lacrimal fluid
Nerve suppy: Temporal and zygomatic branch of
facial nerve

D) Mention its clinical importance.


– Eyes cannot be closed in Bell’s palsy of infra
nuclear lesion of facial nerve
Spotter -3
3. A) Identify the pinned
structure (Upper Eye lid)
B) Mention its nerve
supply (motor & sensory).
Motor supply:
Oculomotor nerve to LPS
Sensory nerve:
Ophthalmic nerve
branches
Spotter -4
4. A) Identify the pinned structure (Buccinator)

B) Mention its parts and attachment.


– ORIGIN:
– Upper fibres: Maxilla opposite to molar
teeth
– Lower fibres: Mandible opposite to molar
teeth
– Middle fibres: Pterygomandibular raphe
– INSERTION:
– Upper fibres: Straight to upper lip
– Lower fibres: Straight to lower lip
– Middle fibres: Decussate

C
Spotter- 4 Cont…
C) Mention its nerve supply and action.
– NERVE SUPPLY:
– Buccal branch of facial nerve
– ACTION:
– Flattens the cheek against gums and teeth
– Prevents accumulation of food in vestibule
– Whistling muscle

D )Mention the structures piercing it.


– Parotid duct
– Buccal branch of mandibular nerve

E) Mention its clinical importance.

– Food accumulates between cheek and teeth in Bell’s palsy


(infranuclear lesion of facial nerve)
Spotter -5
5. A) Identify the pinned
structure (Frontalis)
B) Mention its nerve
supply and action.
– N.S: Temporal branch of
facial nerve
– Action: Horizontal
wrinkles over the
forehead
Spotter - 6
6. A)Identify the pinned structure
(Orbicularis oris)

B) Mention its parts.


– Intrinsic part (deep stratum)
– Extrinsic part

C) Mention its nerve supply and action.


Action:
– Closure of lips
– Protrudes the lips
Nerve supply:
– Buccal branch of facial nerve

D) APPLIED ANATOMY
– Unable to protrude the lips as in whistling
– Mouth deviated to normal side when
attempted to smile in infra nuclear lesion of
facial nerve
Spotter -7
7. A) Identify the tied structure
(Facial artery)

B)Mention its branches in


the face.(SIL mnemonics)
 Superior labial
 Inferior labial
 Lateral nasal

C) What is it a branch of?


External carotid artery
Spotter - 8
8. A) Identify the pinned
area (Dangerous area of
face)
B) Mention its clinical
importance.
Infection from this area
taken retrograde to
cavernous sinus through
deep facial--- pterygoid
venous plexuses–
emissary vein---
Cavernous sinus
Spotter -9
9. A)Identify the pinned
structure (Auricle)

B)Mention the muscles


attached to it.
 Auricuris superior
 Auricuris Anterior
 Auricuris Posterior

C)Mention its nerve supply


(motor & sensory).
 Motor: Facial nerve
 Sensory: Auriculotemporal
nerve
Spotter -10
10. A) Identify the pinned structure
(Anterior Belly of digastric
muscle)

B) Mention its attachments.


 Origin: Digastric fossa of mandible
 Insertion: Common tendon to hyoid
bone

C) Mention its development.


 First pharyngeal arch

D) Mention its nerve supply.


 Nerve to mylohyoid(Mandibular
nerve branch)
Spotter -11
11. A)Identify the pinned
structure (Posterior Belly of
digastric muscle)

B) Mention its attachments


 Origin: Mastoid notch
 Insertion: Common tendon to
hyoid bone

C) Mention its development.


 Second pharyngeal arch

D) Mention its nerve supply.


 Facial nerve
Spotter -12
. A) Identify the pinned structure
(Mylohyoid)

B) Mention its attachments.


 Origin: Mylohyoid line of
mandible
 Insertion: Hyoid bone

C) Mention its development.


 First pharyngeal arch

D) Mention its nerve supply.


 Nerve to mylohyoid
(Mandibular nerve branch)
Spotter -13
13. A)Identify the tied
structure (Hypoglossal
nerve)

B) Mention the muscles


supplied by it.
Muscles of tongue
– Genioglossus, Hyoglossus,
Styloglossus
– Intrinsic muscles: Superior
and inferior longitudinal,
vertical and transverse
Spotter -14
14. A)Identify the pinned structure
(Sternocleidomastoid )

B) Mention its attachments.


Origin:
– Sternal head : Anterior surface of manubrium
sternum
– Clavicular head: Superior surface of medial
2/3rd of clavicle
Insertion: Lateral surface of Mastoid process

C)Mention its nerve supply and action.


N.S:
– Spinal Accessary nerve(Motor)
– Ventral rami C2, C3(Proprioception)

D)Mention its clinical importance.


– Wry neck or Torticollis
Spotter -15
15. A) Identify the pinned
structure (Trapezius)
B) Mention its
attachments.
C) Mention its nerve
supply and action.
– Spinal accessory nerve and
C3 and C4 fibres
– Action: Over head
abduction of shoulder
along with serratus
anterior
Spotter -16
16. A) Identify the tied structure
(Common carotid artery)

B) What is it a branch of?


– Right side : Brachiocephalic trunk
– Left side: Arch of Aorta

C) Mention its level of bifurcation or


termination.
– Disc between C3 and C4

D) Where are its pulsations felt?


– Carotid tubercle on C6 vertebra

E) Mention its branches.


– External and internal carotid artery
Spotter -17
17. A) Identify the tied structure (External carotid
artery)

B) What is it a branch of?


– Common carotid artery

C)Mention its branches


– Superior thyroid artery
– Lingual artery
– Facial artery
– Posterior auricular artery
– Occipital artery
– Ascending pharyngeal artery
– Maxillary artery
terminating branches
– Superficial temporal artery
Spotter -18
18. A)Identify the tied
structure (Internal
carotid artery)

B)What is it a branch of?


– Common carotid artery

C) Mention its branches.


– Ophthalmic artery
– Middle cerebral artery
– Anterior cerebral artery
– Superior and inferior
hypophyseal artery
Spotter -19
19. A)Identify the tied structure
(Internal jugular vein)

B)Mention its origin and


termination.
– Origin: Sigmoid sinus
– Termination: Subclavian vein

C)Mention its tributaries.
– Inferior petrosal sinus
– Lingual vein
– Common facial vein
– Pharyngeal vein
– Superior thyroid vein
– Middle thyroid vein
– 4th vein of Kocher
– Occipital vein
Spotter -20
20. A)Identify the tied
structure (Vagus nerve)

B) Mention its branches


in the neck.
– Pharyngeal branch
– Superior laryngeal nerve
– Recurrent laryngeal nerve
on right side
Spotter -21
21. A) Identify the pinned space
(Suboccipital triangle)

B) Mention its boundaries.


– Superomedially: Rectus capitis
posterior minor and major
– Superolaterally: Superior
oblique
– Inferior: Inferior oblique
– Floor: Posterior arch of atlas,
Posterior atlantoccipital
membrane

C) Mention its contents.


– Third part vertebral artery
– Suboccipital venous plexuses
– Suboccipital nerve
Spotter -22
22. A)Identify the tied structure
(External jugular vein)

B)Mention its tributaries.


– Posterior external jugular vein
– Suprascapular vein
– Transverse cervical vein

C)Mention its formation and


termination.
– Formation: Posterior Auricular
vein joins with posterior
division of retromandibular ven
– Termination: Subclavian vein
Spotter - 23
23. Identify the pinned structure
(Falx cerebri)
a) Mention its attachments.
• Anterior end : Crita galli
• Posterior end: upper Surface of
tentorium cerebelli
• Upper margin: Sagittal sulcus
• Lower margin: Free
b) Mention the sinuses related to it.
• Superior sagittal sinus along
upper margin
• Inferior sagittal sinus along lower
margin
• Straight sinus along attachment
to tentorium cerebelli
• Falx cerebri
Spotter -24
24. Identify the pinned structure
(Falx cerebelli)
a) Mention its attachments.
• Base: Attached to inferior
surface of tentorium cerebelli
• Apex: Attached to foramen
magnum
• Posterior margin: To internal
occipital crest
• Anterior margin: Free and
concave
b) Mention the sinus related to it
• Occipital sinus
Spotter -25
25. A) Identify the pinned structure (Tentorium cerebelli)
B) Mention its attachment
FREE MARGIN:
– U- shaped and free
– Ends of ‘U’ attached to anterior clinoid process
– Tentorial Notch: Occupied by midbrain and
superior vermis of cerebellum
ATTACHED MARGIN:
– Posterolaterally: Attached to transverse sulcus and
posteroinferior angle of parietal bone
– Antero laterally: Superior border of Petrous part of
temporal bone and posterior clinoid process
– At the point of meeting of both margin: Pierced by
3rd and 4th cranial nerve
– Meckel’s cave formed by evagination of inferior
layer of tentorium over trigeminal ganglion lies
along attached margin
TWO SURFACES:
– Upper surface: Posterior end of falx cerebri
attached
– Lower surface: Upper end of falx cerebelli attached

C). Mention the sinuses related to it.


– Transverse sinus
– Superior Petrosal sinus
– Straight sinus
Tentorium cerebelli
Spotter - 26
26. A) Identify the probed
space (Internal acoustic
meatus)
B) Mention the structures
passing through it.
– Facial nerve
– Glossopharyngeal nerve
– Labyrinthine vessels
Spotter - 27

27. A) Identify the probed


space (Jugular
foramen)
B) Mention the
structures passing
through it.
– 9th, 10th, 11th cranial
nerve,
– Internal jugular vein
– Inferior petrosal sinus
Spotter - 28
28. A) Identify the pinned structure (Parotid gland)

B) Mention its secretomotor pathway.


Inferior salivary nucleus in the medulla oblongata

Glossopharyngeal nerve (9th cranial)

Tympanic branch

Tympanic plexus

Lesser Petrosal nerve

Otic ganglion

Auriculotemporal nerve (postganglionic fibres)

Parotid gland

c) Mention the structures present within it.


– External carotid artery
– Retromandibular vein
– Facial vein
– PAROTID LYMPH NODE
Spotter - 29
29. A) Identify the tied
structure (Parotid duct)

B) Where does it open?


Opposite to the crown of
upper second molar tooth

C) Mention the structures


pierced by it.
– Buccal pad of fat
– Buccopharyngeal fascia
– Buccinator muscle &
– Buccal mucosa
Spotter - 30
30. A) Identify the pinned structure
(Submandibular gland)

B)Mention its secretomotor pathway.


Superior salivary nucleus

Nervous intermedius

Facial nerve

Chorda tympani

Joins lingual nerve

Submandibular ganglion (Relay)


(Postganglionic fibres)

Submandibular salivary gland


Spotter 30 cont…
C) Where does its duct open?
Opens on the summit of sublingual papillae at
the side of frenulum of tongue

D) Mention the artery which grooves it.


Facial artery

E) Name the muscle which divides it into two


parts.
Mylohyoid muscle
Spotter - 31
31. A) Identify the pinned structure
(Temporalis)

B)Mention its nerve supply and


action.
31
Temporal branch of mandibular
nerve
Action: Elevation and Retraction
of TMJ

C)Mention its attachments.


Origin: Temporal surface and
fascia
Insertion: Coronoid process

D) Mention its development


First pharyngeal arch
Spotter -32

32. A) Identify the pinned structure


(Masseter)

B) Mention its nerve supply and action.


– Massetric nerve of mandibular nerve

C) Mention its attachments.


Origin:
– Superficial fibres: Ant. 2/3rd of zygomatic
arch
– Middle fibres: Deep surface of zygomatic
arch
– Deep fibres: Posterior 1/3rd of Zygomatic
arch
Insertion: Lateral surface of ramus of Mandible

D) Mention its development


First pharyngeal arch
Spotter - 33
33. A) Identify the pinned structure (Medial
pterygoid)
B)Mention its nerve supply and action.
–Nerve to medial pterygoid of mandibular
nerve

C) Mention its attachments.


Origin:
– Superficial fibres-:Maxillary tuberosity
– Deep fibres: Medial surface of medial
pterygoid plate
Insertion: Pterygoid fovea

D) Mention its development


–First pharyngeal arch
Spotter - 34
34. A) Identify the pinned structure
(Lateral pterygoid)

B) Mention its nerve supply and action.


– Posterior division of mandibular nerve

C)Mention its attachments.


– Upper fibre: infratemporal surface and
crest of sphenoid bone
– Lower fibres: Lateral surface of Lateral
pterygoid plate

D)Mention its development


– First pharyngeal arch
Spotter - 35
35. A) Identify the tied
structure (Lingual nerve)

B) Mention its distribution.


– Anterior 2/3rd of Tongue
– Submandibular and
Sublingual salivary gland

C) Mention its clinical


importance.
– During extraction of 3rd
molar teeth , care should be
take not to injure lingual
nerve
Spotter - 36
36. A) Identify the tied structure
(Inferior alveolar nerve)

B) Mention its distribution.


– Mylohyoid branch: To mylohyoid
and anterior belly of digastrics
– Branches in the mandibular canal to
lower teeth and gum
– Mental nerve: Supplies skin over
chin, mucous membrane of lower
lips and incisive branch to gums of
canine and incisor teeth

C)Mention its clinical importance.


– In extraction of mandibular teeth,
inferior alveolar nerve is
anaesthetised
Spotter - 37
37. A)Identify the tied structure
(Maxillary artery)

B) Mention its parts


– Mandibular
– Pterygoid
– Sphenopalatine

C) Which structure divides it into


three parts?
– Lateral pterygoid

D) Mention the branches of first part.


– Deep auricular
– Anterior tympanic
– Middle meningeal
– Accessory Meningeal
– Inferior Alveolar
Spotter -38
38. A)Identify the tied
structure (Frontal nerve)

B)What is it a branch of?


– Ophthalmic division of
Trigeminal nerve

C) Mention its branches


– Supra trochlear
– Supraorbital
Spotter - 39
39. A) Identify the pinned
structure (Superior rectus
muscle)

B)Mention its
attachments

C)Mention its nerve


supply & actions
– Nerve supply: Oculomotor
nerve
– Actions: Elevation ,
adduction and intorsion
Spotter - 40

40. A) Identify the pinned


structure (Superior oblique
muscle)

B) Mention its attachments

C)Mention its nerve supply


& actions
– Nerve supply: Troclear nerve
– Actions: Depression ,
abduction and intorsion
Spotter - 41
41. A) Identify the pinned
structure (Lateral rectus
muscle)

B) Mention its
attachments

C) Mention its nerve


supply & actions
– Nerve supply: Abducent
nerve
– Actions: Abduction
Spotter - 42
42. A) Identify the pinned structure
(Levator palpebrae superioris
muscle)

B)Mention its attachments

C)Mention its nerve supply &


actions
Nerve supply:
– Voluntary part: Oculomotor nerve
– Involuntary part: sympathetic fibre
from superior cervical ganglion
Action: Elevation of upper eyelid

D) Mention its clinical importance


– Drooping of eyelid- Ptosis
Spotter - 43
43. A)Identify the tied
structure (Optic nerve)
B)Mention its function
– Vision
C)Mention its blood
supply
– Branches of ophthalmic
artery
D)Mention its clinical
importance
– Blindness
Spotter - 44
40. A) Identify the pinned structure
(Thyroid gland - lobe)

B) Mention its anterior/


posterolateral/medial relations
C) Mention its development
– Median endodermal thyroid diverticulum

D) Mention its blood supply.

E) Mention its clinical importance


– Goitre
– Thyroidectomy

F) Why do its swellings move up with


deglutition?
– Suspensory ligament of Berry attached to
cricoid cartilage
44 Thyroid gland
Spotter - 45
43. A)Identify the pinned
structure (Thyroid
cartilage)

B) Mention its histological


structure
– Hyaline cartilage

C) Name any two muscles


attached to it.
– Thyrohyoid, Sternothyroid
45 Thyroid cartilage
Spotter - 46
46. A)Identify the pinned
structure (Cricoid cartilage)

B)Mention its histological


structure
– Hyaline cartilage

C)Name any two muscles


attached to it.
– Cricothyroid and Posterior
cricoarytenoid
Cricoid cartilage
Spotter - 47
47. A) Identify the pinned
structure (Epiglottis)

B)Mention its
histological structure
– Elastic cartilage

C)Name any two


muscles attached to it.
– Aryepiglotticus
Spotter - 48
48. A) Identify the pinned
structure (Vestibular fold)
48
B)Mention the structure
present deep to it.
– Conus elasticus

C)Mention its nerve supply


– Internal laryngeal nerve

D)Mention the space below


it.
– Sinus of larynx
Spotter - 49
49
49. A)Identify the pinned structure
(Vocal fold)

B) Mention the structure present


deep to it.
– Vocalis

C) Mention its nerve supply


– Recurrent laryngeal nerve

D)Mention the space above it.


– Sinus of larynx

E) Mention its clinical importance


– Teacher’s nodule
Spotter - 50
50. A)Identify the probed
space (Sinus of larynx)

B) Mention its
boundaries.
 Above: Vestibular fold
 Below : Vocal fold
Spotter - 51
50. A)Identify the probed area
(Pyriform fossa)

B) Mention its boundaries


 Medially: Aryepiglottic fold
 Laterally: Thyroid cartilage

C) Mention the nerve related to it


 Internal laryngeal nerve

D) Mention its clinical importance


 Removal foreign antibodies
injure the internal laryngeal nerve
resulting in supra epiglottic part
anesthetised .
Spotter - 52
52. A)Identify the probed area
(Tonsillar fossa)
B) Mention its boundaries
 Anterior: Palatoglossal arch
 Posterior: Palatopharyngeal arch
 Above : Soft palate
 Below: Posterior 1/3rd of Tongue

C) Mention the structure located


in it
 Palatine tonsil

D)Mention its clinical importance.


 Tonsilitis
Spotter - 53
53. A)Identify the pinned
structure (Palatine tonsil)
B)Mention the structures
forming its bed
 Pharyngobasilar fascia
 Superior Constrictor
 Palatopharyngeus
 Superior Constrictor
 Buccopharyngeal Fascia
 Stlopharyngeus
 Glossopharyngeal nerve
C)Mention its clinical
importance
 Tonsillitis
Spotter - 54
54. A)Identify the pinned
space (Vallecula)

B) Mention its boundaries


 Medial: Median
Glossoepiglottic fold
 Lateral: Lateral
glossoepiglottic fold

C) Mention its nerve


supply
 Internal laryngeal nerve
Spotter - 55
55. A) Identify the pinned
structure (Dorsum of
tongue)
B) Mention its development
C) Mention its sensory nerve
supply
D) Mention the muscles
present in the organ
E) Mention the motor nerve
supply of the organ
F) Mention the lymphatic
drainage of the organ
G) Mention the blood supply
of the organ
H) Mention its clinical
importance
Spotter - 56
56. A)Identify the pinned structure
(Genioglossus).
B) Mention its attachments
Origin:
 Upper genial tubercle of mandible
Insertion:
 Upper fibres to tip of tongue
 Middle fibres to dorsum of tongue
 Lower fibres to hyoid
C)Mention its development
 Occipital myotomes
D)Mention its nerve supply.
 Hypoglossal nerve
E)Mention its action & clinical
importance
 Retracts the tongue
 Depresses the tongue
 Protrudes the tongue
Spotter - 57
57. A)Identify the probed
space (Vestibule of
mouth)
B) Name the structure
which opens into it.
 Parotid ducts
 Buccal glands
Spotter - 58
59. A)Identify the pinned structure (Soft
palate)
B) Mention the muscles present in it
 Tensor veli palatini
 Levator veli palatini
 Musculus uvula
 Palatoglossus
 Palatopharyngeus

C) Mention its development (muscles)


 Tensor veli palatini- from First
pharyngeal arch
 All others: 6th pharyngealarch

D) Mention its motor nerve supply.


 Pharyngeal plexus except tensor
veli palatini by mandibular nerve
Spotter - 59
59. A) Identify the probed space
(Auditory tube)

B)Name the cavities


connected by it.
 Nasopharynx to middle ear
cavity

C)Mention its development.


 First and second pharyngeal
pouch
Spotter - 60
60. A)Identify the pinned
structure
(Salpingopharyngeal
fold)
B)Mention the muscle
present in it & its nerve
supply.
Salphingopharyngeus
muscle
Nerve Supply: Pharyngeal
plexus
Spotter - 61
61. A)Identify the pinned
space. (Inferior meatus)

B) Mention the structures


opening into it.
 Nasolacrimal duct
Spotter - 62
62. A) Identify the pinned
space ( middle meatus)

B) Mention the structures


opening into it
 Frontal air sinus
 Anterior Ethmoidal air
sinus
 Middle Ethmoidal air
sinus
 Maxillary air sinus
Spotter - 63
63.A)Identify the pinned
space ( superior meatus)

B) Mention the structures


opening into it.
 Posterior ethmoidal air
sinus
Spotter - 65
65. A)Identify the pinned structure (Nasal
septum)

B) Mention the components forming it.


Bony part:
 Vomer
 Perpendicular plate of ethmoid... margins
contributed by
 Rostrum of sphenoid
 Nasal spine of frontal bone
 Nasal crest of nasal bone, maxilla and palatine
bone

Cartilagenous part:
 Septal cartilage
 Septal process of inferior nasal cartilage

Cuticular part: Fibro fatty tissue covered by skin.


Its lower margin known as Columella
Spotter 65 cont..
C)Mention its blood supply. D)Mention its nerve supply.
 Special sensory: Olfactory
 Anterosuperior: Anterior nerves
ethmoidal artery  General sensory:
 Posterosuperior: Posterior  Anterosuperior: Anterior
ethmoidal artery ethmoidal nerve
 Anteroinferior: Superior labial  Posterosuperior: Posterior
branch of facial artery superior medial nasal branch
 Posteroinferior: of pterygopalatine ganglion
Sphenopalatine artery  Anteroinferior: Anterior
superior alveolar nerve of
maxillary nerve
 Posteroinferior: Nasopalatine
nerve of pterygopalatine
ganglion
Spotter - 66
66. A)Identify the pinned space
(Frontal air sinus)

B)Where does it open?


 Middle meatus of nose

C)Mention its blood supply.

D)Mention its nerve supply.

E)Mention its clinical


significance.
Spotter - 67
67. A)Identify the pinned space
(Sphenoidal air sinus)

B) Where does it open?


Sphenoethmoidal recess

C)Mention its blood supply.

D)Mention its nerve supply.

E)Mention its clinical


significance.
THANK U
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