Exam I: General Concepts Flashcards

1
Q

Contralateral – Ipsilateral

A

Used in terms of neurons
Contralateral: neuron starting on one side and switching to the opposite side
Ipsilateral: neuron continuing to run on the same side

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2
Q

Dorsal Body Cavities

A

Cranial and Vertebral

posterior

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3
Q

Ventral Body Cavities

A

Thoracic and Abdominopelvic separated by the diaphragm
Thoracic contains: pleural, mediastinum, pericardial, and superior mediastinum
Abdominopelvic contains: abdominal and pelvic

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4
Q

Serous Membranes

A

Two membrane system (although only made of one membrane like the balloon example)
Parietal: lines the cavity wall
Visceral: lines the organ
Serous: fluid in between the parietal and visceral

Pericardial: Heart
Pleural: Lungs
Peritoneal: Abdominal
Retroperitoneal: Behind the abdomen

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5
Q

Cephalic

A

head

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6
Q

Frontal

A

forehead

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7
Q

Orbital

A

eye

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8
Q

Buccal

A

cheek

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9
Q

Mental

A

chin

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10
Q

Nasal

A

nose

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11
Q

Oral

A

mouth

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12
Q

Cervical

A

neck

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13
Q

Deltoid

A

shoulder

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14
Q

Axillary

A

armpit

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15
Q

Brachial

A

arm

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16
Q

Antebrachial

A

forearm

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17
Q

Antecubital

A

front of elbow

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18
Q

Coxal

A

hip

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19
Q

Carpal

A

wrist

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20
Q

Palmar

A

palm

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21
Q

Digital

A

finger

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22
Q

Femoral

A

thigh

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23
Q

Patellar

A

knee

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24
Q

Crural

A

leg

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25
Pes/Pedal
foot
26
Tarsal
ankle
27
Dorsum of the foot
top of the foot
28
Pubic
pubic area
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Inguinal
groin
30
Pelvic
pelvis area
31
Abdominal
abdomen
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Mammary
breast | part of thoracic section
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Pectoral
chest | part of thoracic section
34
Sternal
sternum | part of thoracic section
35
Otic
ear
36
Occipital
back of head
37
Vertebral
spinal column
38
Olecranal
elbow
39
Sacral
sacrum
40
Gluteal
buttock
41
Dorsum of the hand
top of the hand
42
Calcaneal
heel
43
Popliteal
back of the knee
44
Perineal
anything between the legs; anus, reproductive structures
45
Lumbar
lower back
46
Functions of the Skeletal System
1. Supports: soft tissues and provides attachment for skeletal muscles 2. Protects: internal organs 3. Movement: assists in movement with skeletal muscles 4. Storage: store and releases minerals 5. Blood Cell Production (Hematopoiesis): bone marrow gives rise to blood cells; spleen and liver involved
47
Axial vs. Appendicular Skeleton
Axial: skull, vertebrae, and ribs Appendicular: appendages, pelvis
48
Long, Short, Flat, Irregular, and Sesamoid Bones
Long Bones: greater length than width Short Bones: cube-shaped, equal in length and width Flat Bones: thin and composed of two nearly parallel plate of compact bone Irregular Bones: cannot be placed into any other group; complex shapes. Sesamoid Bones: small nodules of bone that are found in certain tendons, and not really connected to other bones ex. patella
49
Parts of a Long Bone
Diaphysis- middle/shaft Epiphysis- end of bone Metaphysis- between the diaphysis and epiphysis Medullary Cavity- contains the spongy bone/blood vessels (can be red or yellow marrow) Endosteum- lining the inside of the bone/medullary cavity Periosteum- covering the outside of the bone Articular Cartilage- cartilage outside of the epiphysis to decrease friction between sliding bones
50
Cells of Bone
Osteoprogenitor cells differentiate into osteoblasts, which then become surrounded in the secreted matrix and become osteocytes Monocytes (phagocytic) differentiate into osteoclasts, which are made of fused marrow cells
51
Intramembranous Ossification
Occurs when osteoblasts produce bones of the skull Mesenchymal models of bones undergo ossification 1. Start in mesenchymal tissue where osteoblasts are converting to osteocytes once surrounded by the hardened matrix 2. Other osteoblasts spread out into the surrounding mesenchymal tissue to ossify it 3. Cartilage and mesenchymal tissue don’t need blood/vasculature, but once enough bone formed, then new vessel formation to supply it with blood/nutrients 4. Once the bones are finished, we have compact and trabecular bone right in the center with blood vessels 5. Outside have periosteum with osteoprogenitor cells in case need them to differentiate
52
Endochondrial Ossification
Forms from cartilage models via hyaline cartilage Bone forms in ossification centers 1. Invasion of cartilage with blood vessels so cells can enter= primary ossification center with bone collar surrounding it 2. Once the cartilage is gone, the blood vessel in the primary ossification center wants to expand towards the ends- epiphysis have secondary ossification centers and we start to form the medullary cavity 3. We have the epiphyseal plate between the primary and secondary ossification centers so the bone can continue to grow 4. Once the epiphyseal plates divides to its extent, then it disappears and develops into a solid line
53
Interstitial vs. Appositional Bone Growth
Interstitial: growth occurs longitudinally Appositional: widening of bone using osteoblasts and osteoclasts to expand the shaft and increase the diameter of the medullary cavity
54
Blood Supply and Innervation of Bone
Arteries: periosteal, nutrient, epiphyseal, and metaphyseal Nutrient arteryr goes in the medullary cavity that was in the primary ossification center Metaphyseal and nutrient arteries make a connection in order to supply enough blood Nerves: pain fibers to periosteum, and vasomotor fibers to blood vessels (control the amount of blood supply to the bones by constriction or dilation
55
Types of Movement
1. Synarthrosis: immovable joint 2. Amphiarthrosis: slightly movable joint 3. Diarthrosis: freely movable joint
56
Fibrous Joints
1. Strengthen sutures 2. Gomphosis: periodontal membrane is the fibrous connection between the tooth and the bone 3. Syndesmosis: slightly movable joint in which the tibia and fibula are joined together by a membrane of fibrous connective tissue running between the bones
57
Uniaxial Synovial Joints
moving in one plane 1. Gliding/Planar- short bones within the hand (carpal bones) 2. Pivot- vertebral column with skull (shake head "no") 3. Hinge- knee, elbow, fingers, toes; flex or extend
58
Biaxial Synovial Joints
Two planes of movement 1.. Condyloid- ovoid articular structure; metacarpal bones in the hand coming back and attaching to metacarpal bones in the wrist; flexion, extention, and medial 2. Saddle- opposing surfaces are reciprocally concave-convex; 1st metacarpal bones with the carpal bones, especially in thumb 3. Ball and Socket- arm and shoulder joint
59
Body Planes
Frontal/Coronal: divides anterior from posterior Sagittal: divides body right from left Transverse: divides body top from bottom
60
Acromial
shoulder blade/scapula
61
Hallux
Big toe
62
Pollux
Thumb
63
Fibular
lateral part of the leg
64
Cephalic
towards the head
65
Sural
back of the leg/calf; made of gastrocnemius and soleus
66
Cartilaginous Joints
1. Synchondroses: connecting medium is hyaline cartilage like the epiphyseal plate 2. Symphyses: fibrocartilaginous fusion between two bones such as the pubic symphyses or intervertebral disc
67
Synovial Joints
Gets the most movement Every synovial joint will have: joint capsule made of the synovial membrane which produces synovial fluid, and fibrous membrane, which covers the whole joint and provides strength Articular cavity: surrounding the joint capsule on both sides of the cavity we will have cartilage; cavity contains the synovial fluid Articular disc: look like wedges, ring, or disc of cartilage; area of cartilage for joint to sit on (minicus for example) Fat pad: inside the capsule to cushion the joint so we don’t irritate the structures beneath it Tendons with sheath around them (have synovial sheath with synovial fluid to slide back and forth); irritation = tendonitis Bursa: a membrane bound structure filled with synovial fluid; not the same fluid as the one in the joint to act as a cushion; if we irritate the bursa – bursitis
68
Bicondylar Joints
Once we add more plane of movement, more problems can occur because less stability Shoulders, hips, etc. Formed by two convex condyles that articulate with a concave or flat surface Knee joint- sit in concave areas Still have one axis, but have limited rotation around a second axis
69
Multiaxial Synovial Joints Ball-and-Socket
Many planes and most movement with a price…. Less stability Shoulders and hips Support the structure with many muscles and tendons to add stability
70
Collateral Circulation and Anastromosis
Collateral circulation- multiple lines of blood coming into the same area Anastramosis: main vessels coming down and fuse Especially larger joints we see these things– if we do damage to one vessel, we have other ones to back it up/supply blood
71
Extension vs. Flexion
Flexion: decreasing the angle between the two bones Extension: increasing the angle between the two bones Past 180: hyperextension – can do that with your neck
72
Abduction vs. Adduction
Adduction: adding to the body– bringing the arm and bringing it to the body Abduction: moving the arm away, or body part away– subtracting from the body
73
Circumduction
Flexion, entension, adduction, and abduction all blended together
74
Lateral Flexion
“side bending”
75
Rotation
Flexed laterally is out and medially is towards the body | Pivoting the arm (humerus)
76
Dorsiflexion vs. Plantarflexion
Plantarflexion: up on the toes where toes are down and heel is up Doriflexion: where heel is down and toes are up When you walk you change between plantar and dorsiflexion continuously
77
Inversion vs. Eversion
Inversion: soles of feet together so facing each other Eversion: face soles of the feet outwards When walking there is slight inversion and eversion
78
Pronation vs. Supination
Supination: palms are facing down and turn them up Pronation: palms are facing up and turn them down
79
Protraction vs. Retraction
Protraction: sticking chin out Retraction: chin in
80
Opposition
Pinky to thumb
81
Layers of Muscle
Fascia is the more important one between muscle and fascia because it interconnects everything Epimysium: covering of connective tissue that runs and combines with fascia, tendon, and eventually the bone Perimysium: around a fascicle Endomysium: around the muscle fiber
82
Origin, Insertion, and Reference Reversal
Origin: is not moving; end of a muscle that is attached to a fixed bone Insertion: end of a muscle that is attached to the bone that moves Reference reversal: switch the use of the muscle/use the muscles in the opposite way
83
Ligament, Tendon, Aponeurosis
Ligament: attaches bone to bone Tendon: attachment between muscle and bone; dense regular connective tissue Aponeurosis: flat tendon such as in the abdomen; are layers of flat broad tendons; are histologically similar to tendons, and are very sparingly supplied with blood vessels and nerves
84
Naming of Muscles
Muscle action (function) Specific body region Muscle attachment: biceps brachii (arm); fibularis (to the fibula), retus capitus major (attaches to the back of the head) Shape and size: adductor magnus (big muscle); deltoid (shape) Heads or tendons of origin: quadriceps (4) Orientation of muscle fibers: how they are running
85
Prime Mover, Synergist, Fixator, and Antagonist
Prime mover: the muscle that is contributing the most Synergist: assist the prime mover; don’t play the biggest role but help Fixator: provides stability Antagonist: moves the opposite of the prime mover
86
Motor Unit of a Muscle
There are more muscle cells to neurons ratio Neuron comes into an area and branches off and goes to multiple muscle cells so when the neuron is excited it will excite every muscle cell that is it in contact with Types of movements that occur depend on the ratios Smaller movement have smaller ratios Fine motor control have more neurons to muscle (instead of 1: 10, its 5:10 for example)
87
Basic Concepts of Muscles
Movements are performed by GROUPS Different segments of a muscle can have different actions Innervated on DEEP surface of belly Muscle compartments usually share function, attachment, nerves, vessels
88
Fascia
Two types: superficial and deep Function: provide strength, compartmentalization, and ease of movement Example: In the leg there is a thick fascia = compartmentalize the muscles to help with strength and provide easier movement Composition: ECM, collagen (structure), elastin (elasticity), and reticular (support) Cells: fibroblasts, adipose (especially superficially), macrophages, and mast cells 1. Superficial: broken into (a) superficial (usually the fatty layer especially on abdomen), and (b) deep (membranous) 2. Deep investing fascia: very thick, cannot tear it; continuous that runs into the joints and muscles
89
Deep Fascia Specializations
Fibrous sheath on fingers Muscle attachment Neurovascular sheath encased in the fascia example: carotid nerve sheath in the neck Retinacula: thick fascia as seen on the hand Intermuscular septa: divides muscle into sections/compartments Because it forms compartments, damage can really effect the muscle groups; if blood hemorrhage occurs, there is not a lot of give, so surrounding vessels are closed off from pressure and this causes compartment syndrome and needs fasciectomy to treat it