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Fundamentals OKAP Questions And Answers

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Fundamentals OKAP Questions And Answers Fundamentals OKAP Questions And Answers Fundamentals OKAP Questions And Answers

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  • September 20, 2024
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  • 2024/2025
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  • Fundamentals OKAP
  • Fundamentals OKAP
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Fundamentals OKAP Questions
Total volume of orbit - ANS 30 mL



Average orbital entrance diameter - ANS 35 mm in height, 45 mm in width (widest approx 1 cm
behind anterior orbital margin)



Depth of the orbit - ANS 40-45 mm



Bones that make up the orbital margin/rim - ANS Frontal bone (superior, top medial, lateral)

Posterior lacrimal crest of lacrimal bone (bottom medial)

Anterior lacrimal crest of the maxillary bone (bottom medial)

Maxillary bone (inferior)

Zygomatic bone (inferior, lateral)



Bones that make up the orbital roof - ANS Orbital plate of frontal bone

Lesser wing of the sphenoid bone



Bones that form the medial wall of the orbit - ANS Frontal process of maxillary bone

Lacrimal bone

Orbital plate of the ethmoid bone

Lesser wing of the sphenoid bone



Lamina papyracea - ANS Orbital plate of ethmoid bone that makes up the largest portion of the
medial orbital wall



Most common site of fracture following blunt trauma to orbit - ANS Lamina papyracea



What is the most direct path to the optic nerve - ANS Along the medial wall



Rule of 12s - ANS Distance from anterior lacrimal crest to the anterior ethmoidal foramen is 24 mm

,Distance from anterior ethmoidal foramen to posterior ethmoidal foramen is 12 mm



Distance from posterior ethmoidal foramen to the optic canal is 6 mm



Bones that form the floor of the orbit (roof of the maxillary sinus) - ANS Orbital plate of the maxillary
bone

Palatine bone

Orbital plate of the zygomatic bone



What is the only extra ocular muscle that does not originate from the orbital apex - ANS Inferior
oblique muscle



Whitnall tubercle - ANS Lateral orbital tubercle



Small elevation of orbital margin of zygomatic bone, lies approximately 11 mm below the
frontozygomatic suture.



Site of attachment for the following structures:

-Ligament of the lateral rectus muscle

-Suspensory ligament of the eyeball (Lockwood suspensory ligament)

-Lateral canthal ligament

-Lateral horn of the levator aponeurosis



What is contained in the optic canal - ANS optic nerve

Ophthalmic artery

Sympathetic fibers from the carotid plexus



What bone does the optic canal pass through - ANS Lesser wing of the sphenoid



What does the supraorbital foramen/notch contain - ANS Blood vessels

Supraorbital nerve (branch of frontal nerve which branches off of CN5 (V1))

,What does the anterior ethmoidal foramen contain - ANS Anterior ethmoidal vessels and nerve



What does the infraorbital canal contain - ANS Infraorbital nerve (branch of CN5, V2 aka maxillary
division)



Superior orbital fissure (contains and location) - ANS Above Annulus of Zinn:

-Lacrimal nerve of CN5 V1

-Frontal nerve of CN5 V1

-CN 4 (trochlear nerve)

-Superior ophthalmic



Within the Annulus of Zinn:

-Superior and inferior divisions of CN3 (oculomotor nerve)

-Nasociliary branch of CN5 V1 (which also carries postganglionic sympathetic fibers in route to the
ciliary ganglion)

-CN6 (abducens nerve)



Located between greater and lesser wings of the sphenoid

Lateral to optic foramen



Annulus of Zinn - ANS Tendinous ring formed by the common origin of the rectus muscles



Inferior orbital fissure contains - ANS Transmits the infraorbital and zygomatic branches of CN5 V2
and orbital nerve from the pterygopalatine ganglion and sometimes the inferior ophthalmic vein



What does the inferior ophthalmic vein drain into - ANS Into the cavernous sinus



Fovea ethmoidalis - ANS Forms the roof of the ethmoid sinuses and is a lateral extension of the
cribiform plate



If damaged, can cause CSF leakage and intracranial injury

, Ciliary ganglion - ANS Located 1 cm in front of the annulus of Zinn



Receives innervation from the sensory root (from nasociliary branch of CN5 V1, contains sensory
fibers), motor root (arises from inferior division of CN3 and carries preganglionlic parasympathetic
fibers from Edinger-Westphal nucleus) and the sympathetic root (postganglionic fibers originating
from the superior cervical canclion because they course superiorly with the internal carotid artery)



Only the parasympathetic fibers synapse in the ciliary ganglion



Short ciliary nerves - ANS Arise from the ciliary ganglion

Enter the sclera around the optic nerve and pass anterior between the choroid and the sclera to the
ciliary muscle



Then form a plexus with the long ciliary nerve that supplies the cornea, ciliary body and the iris



Both sensory and motor nerves



Superior tendon of the annulus of Zinn - ANS Gives rise to the superior rectus muscle, portions of
lateral and medial rectus muscles



Inferior tendon of the annulus of Zinn - ANS Gives rise to the inferior rectus muscle and portions of
the lateral and medial rectus muscles



Where does the elevator palpebrae superioris muscle arises from - ANS The lesser wing of the
sphenoid bone at the apex of the orbit, just superior to the annulus of Zinn



Where does the superior oblique muscle originate from - ANS The periosteum of the body of the
sphenoid bone, above and medial to the optic foramen



Where does the medial rectus insert - ANS Medially, in horizontal meridian 5.5 from the limbus



Blood supply to medial rectus - ANS Medial (inferior) muscular branch of ophthalmic artery

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