Deck 10: Fascial Spaces and the Spread of Infection
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Deck 10: Fascial Spaces and the Spread of Infection
1
What space connects the fascial spaces of the mouth with the fascial spaces of the neck?
Lateral pharyngeal space
2
What space in the neck contains infection that affects breathing?
Retropharyngeal space, danger space #3
3
What space is located between the alar and buccopharyngeal fasciae?
Retropharyngeal space, danger space #3
4
What layer of the pharyngeal wall can be observed as the floor of the semilunar space?
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5
What structure partially separates the sublingual and submandibular fascial spaces?
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6
What muscle determines the drainage pattern from a tooth infection?
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7
What are the two layers of skin?
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8
What two muscles are surrounded by the investing fascia?
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9
Which muscles are surrounded by the middle layer of deep fascia (muscle fascia) in the neck?
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10
Which viscera are surrounded by pretracheal fascia of the neck?
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11
What name is given to the pretracheal fascia that covers the pharynx?
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12
How can infection from the floor of the mouth spread into spaces posterior and lateral to the mylohyoid muscle?
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13
Which fascial space is located between the alar fascia and the prevertebral fascia?
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14
The lateral boundary of the submental fascial space is the __________.
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15
The ____________________ muscle divides the floor of the mouth into three fascial spaces.
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16
A fibrous sheath of connective tissue surrounding organs, muscles, and neurovascular structures is known as ____________________.
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17
The ____________________ fascia forms the anterior half of the visceral sheath that covers the larynx and thyroid gland.
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18
The neck is subdivided into a series of tubes by ____________________ fascia.
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19
An infection from the roots of the second and third molar teeth would most likely spread directly into the ____________________ space.
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20
The ____________________ space is located between the vertebral column and the visceral compartment of the neck.
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21
The lateral boundary of the submental space is formed by the
A) mandible.
B) hyoid bone.
C) mylohyoid muscle.
D) digastric muscles.
E) submandibular gland.
A) mandible.
B) hyoid bone.
C) mylohyoid muscle.
D) digastric muscles.
E) submandibular gland.
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22
What type of fascia is found in the potential space between the vertebral column and the pharynx?
A) Carotid sheath
B) Pretracheal fascia
C) Investing fascia
D) Buccopharyngeal fascia
E) Alar fascia
A) Carotid sheath
B) Pretracheal fascia
C) Investing fascia
D) Buccopharyngeal fascia
E) Alar fascia
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23
The investing fascia of the neck
A) surrounds the platysma muscle.
B) forms the floor of the submental triangle.
C) is the anterior boundary of danger space #4.
D) extends onto the face as the parotid fascia.
E) is formed by superficial fascia.
A) surrounds the platysma muscle.
B) forms the floor of the submental triangle.
C) is the anterior boundary of danger space #4.
D) extends onto the face as the parotid fascia.
E) is formed by superficial fascia.
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24
Which of the following pairs of fascial spaces do not communicate with each other directly?
A) Submental-sublingual
B) Lateral pharyngeal-retropharyngeal space
C) Submandibular-submental
D) Lateral pharyngeal-sublingual
E) Submandibular-lateral pharyngeal
A) Submental-sublingual
B) Lateral pharyngeal-retropharyngeal space
C) Submandibular-submental
D) Lateral pharyngeal-sublingual
E) Submandibular-lateral pharyngeal
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25
What structure forms the lateral boundary of the retropharyngeal space?
A) Pretracheal fascia
B) Pharyngobasilar fascia
C) Superior pharyngeal constrictor muscle
D) Carotid sheath
E) Levator veli palatini muscle
A) Pretracheal fascia
B) Pharyngobasilar fascia
C) Superior pharyngeal constrictor muscle
D) Carotid sheath
E) Levator veli palatini muscle
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26
The superficial layer of deep fascia is known as
A) muscle fascia.
B) visceral fascia.
C) investing fascia.
D) prevertebral fascia.
E) buccopharyngeal fascia.
A) muscle fascia.
B) visceral fascia.
C) investing fascia.
D) prevertebral fascia.
E) buccopharyngeal fascia.
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27
Which of the following types of fascia is derived from prevertebral fascia?
A) Alar fascia
B) Pretracheal fascia
C) Buccopharyngeal fascia
D) Superficial fascia
E) Carotid sheath
A) Alar fascia
B) Pretracheal fascia
C) Buccopharyngeal fascia
D) Superficial fascia
E) Carotid sheath
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28
Pus from an infection in the right mandibular canine tooth would most likely drain directly into which of the following fascial spaces?
A) Submental space
B) Retrovisceral space
C) Submandibular space
D) Lateral pharyngeal space
E) Sublingual space
A) Submental space
B) Retrovisceral space
C) Submandibular space
D) Lateral pharyngeal space
E) Sublingual space
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29
An infection in the mandibular central incisors would most likely drain into the
A) submental space.
B) retrovisceral space.
C) submandibular space.
D) lateral pharyngeal space.
E) sublingual space.
A) submental space.
B) retrovisceral space.
C) submandibular space.
D) lateral pharyngeal space.
E) sublingual space.
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30
The lateral border of the retrovisceral space is the
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
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31
The posterior border of the retrovisceral space is the
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
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32
The anterior border of the retrovisceral space is the
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
A) root of the neck.
B) carotid sheath.
C) prevertebral fascia.
D) base of the skull.
E) buccopharyngeal fascia.
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33
The middle layer of deep fascia includes which of the following? (Select all that apply.)
A) Prevertebral fascia
B) Visceral fascia
C) Investing fascia
D) Muscular fascia
E) Buccopharyngeal fascia
A) Prevertebral fascia
B) Visceral fascia
C) Investing fascia
D) Muscular fascia
E) Buccopharyngeal fascia
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34
Which of the following structures are posterior attachments of the investing fascia? (Select all that apply.)
A) Mastoid process
B) External occipital protuberance
C) Body of the mandible
D) Spinous processes of cervical vertebrae
E) Acromion of the scapula
A) Mastoid process
B) External occipital protuberance
C) Body of the mandible
D) Spinous processes of cervical vertebrae
E) Acromion of the scapula
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35
The inferior attachments of the investing fascia include the (select all that apply)
A) clavicle.
B) hyoid bone.
C) mandible.
D) manubrium.
E) spine of the scapula.
A) clavicle.
B) hyoid bone.
C) mandible.
D) manubrium.
E) spine of the scapula.
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36
Which triangle(s) of the neck superior to the hyoid bone are covered by investing fascia? (Select all that apply.)
A) Occipital
B) Carotid
C) Submandibular
D) Muscular
E) Submental
A) Occipital
B) Carotid
C) Submandibular
D) Muscular
E) Submental
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37
Structures found within the carotid sheath include the (select all that apply)
A) vagus nerves.
B) internal jugular veins.
C) external carotid arteries.
D) deep cervical lymph nodes.
E) common carotid arteries.
A) vagus nerves.
B) internal jugular veins.
C) external carotid arteries.
D) deep cervical lymph nodes.
E) common carotid arteries.
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38
Which of the following structures represent a border of the sublingual space? (Select all that apply.)
A) Mylohyoid muscle
B) Anterior belly of the digastric muscle
C) Investing fascia
D) Inferior border of the mandible
E) Mucosa of the floor of the mouth
A) Mylohyoid muscle
B) Anterior belly of the digastric muscle
C) Investing fascia
D) Inferior border of the mandible
E) Mucosa of the floor of the mouth
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39
The submandibular space is bordered by the (select all that apply)
A) mylohyoid muscle.
B) anterior belly of the digastric muscle.
C) investing fascia.
D) inferior border of the mandible.
E) mucosa of the floor of the mouth.
A) mylohyoid muscle.
B) anterior belly of the digastric muscle.
C) investing fascia.
D) inferior border of the mandible.
E) mucosa of the floor of the mouth.
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40
What structures form the boundaries of the submental space? (Select all that apply.)
A) Mylohyoid muscle
B) Anterior belly of the digastric muscle
C) Investing fascia
D) Inferior border of the mandible
E) Hyoid bone
A) Mylohyoid muscle
B) Anterior belly of the digastric muscle
C) Investing fascia
D) Inferior border of the mandible
E) Hyoid bone
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41
Boundaries of the lateral pharyngeal space include the (select all that apply)
A) lateral pterygoid muscle.
B) medial pterygoid muscle.
C) pharyngeal wall.
D) prevertebral fascia.
E) buccopharyngeal fascia.
A) lateral pterygoid muscle.
B) medial pterygoid muscle.
C) pharyngeal wall.
D) prevertebral fascia.
E) buccopharyngeal fascia.
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42
Which of the following fascial spaces has the mylohyoid muscle as one of its boundaries? (Select all that apply.)
A) Submental space
B) Retropharyngeal space
C) Submandibular space
D) Sublingual space
E) Lateral pharyngeal space
A) Submental space
B) Retropharyngeal space
C) Submandibular space
D) Sublingual space
E) Lateral pharyngeal space
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43
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Submandibular lymph nodes
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Submandibular lymph nodes
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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44
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Carotid sheath
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Carotid sheath
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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45
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Lingual artery
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Lingual artery
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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46
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Hypoglossal nerve
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Hypoglossal nerve
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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47
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Facial vein
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Facial vein
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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48
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Styloid process
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Styloid process
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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49
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Facial artery
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Facial artery
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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50
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Lingual nerve
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Lingual nerve
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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51
Match the structures with their proper locations. Answers may be used once, more than once, or not at all.
-Submandibular duct
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
-Submandibular duct
A) Sublingual space
B) Submandibular space
C) Submental space
D) Lateral pharyngeal space
E) Retrovisceral space
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