Foundations of Anatomy Complete Flashcards
(468 cards)
1
Q
What is vessel number 5?
A
Right Femoral Artery, continues from the external iliac artery.
2
Q
What is vessel number 4?
A
Right Common Iliac Artery. Found at the aortic bifurcation. Bifurcates into the internal and external iliac arteries infront of the sacroiliac joint.
3
Q
What is vessel number 3?
A
Right renal artery. Runs from the abdominal aorta, to the kidneys.
4
Q
What is vessel number 2?
A
Ascending Aorta, originating from the left vetrical of the heart, becomes the arch of aorta, and then the descending thoracic aorta.
5
Q
What is vessel number 1?
A
Right Vertebral Artery
Major artery of the neck, passes through transverse section of the cervical vertebrae (C6 to atlas) from the subclavian arteries.
6
Q
What is vessel number 6?
A
Left internal iliac artery, originates at the bifurcation of the common iliac artery. It is shorter, thicker and smaller than the external iliac artery.
7
Q
What is vessel number 7?
A
Left external iliac artery, originates from the bifurcation of the common iliac artery. Runs to the femoral artery.
8
Q
What is vessel number 8?
A
Decending thoracic aorta. Runs from the aortic arch, to the T12 vertebrae where it becomes the abdominal aorta
9
Q
What is vessel number 9?
A
Left brachial artery, continues from axillary artery, bifurcates to the radial and ulnar artery at around the elbow.
10
Q
What is vessel number 10?
A
Left subclavian artery. Unlike the right subclavian, it comes directly off the aortic arch, becomes the axillary artery after the lateral border of the first rib.
11
Q
Describe anterior
A
Front of the body
12
Q
Describe caudal
A
Pertaining to the tail/coccyx
13
Q
Describe cranial
A
Pertaining to the head
14
Q
Describe deep
A
Far from the surface, internal
15
Q
Describe distal
A
Close to the end of the limb, far from the limb attachment
16
Q
Describe dorsal
A
Back of the body
17
Q
Describe dorsum
A
Upper surface of foot
18
Q
Describe inferior
A
Lower in the body
19
Q
Describe lateral
A
Far from the middle line of the body
20
Q
Describe medial
A
Close to the middle line of the body
21
Q
Describe plantar
A
Sole of the foot
22
Q
Describe posterior
A
Back of the body
23
Q
Describe prone position
A
Lying down, face down
24
Q
Describe proximal
A
Close to the limb attachment
25
Describe rostral
Pertaining to the beak (nose/mouth)
26
Describe superficial
Close to the surface (skin)
27
Describe superior
Higher in the body
28
Describe supine
Lying down, face up
29
Describe the anatomical position
Standing position, facing forwards. Erect penis. Hands supinated.
30
Describe ventral
Front of the body
31
Give the location of the aorta.
The ascending aorta originates from the left ventricle of the heart, until the upper second costal cartilage. The aortic arch ends between the forth and fifth thoracic vertebrae. The thoracic aorta runs until level with the twelfth thoracic vertebrae. The abdominal aorta runes until its bifurcation into the R+L common iliac arteries.
32
Give the location of the basilic vein.
Superficial vein, originates medial side of the dorsal venous network of the hand. Drains into the axillary vein.
33
Give the location of the brachial artery.
Continues from the axillary artery at the inferior border of the teres major tendon. Bifurcates into the radial and ulnar arteries near the elbow joint.
34
Give the location of the brachiocephalic vein.
Formed from the internal jugular and subclavian artery level with the sternoclavicular joint. R+L brachiocephalic veins merge to form the superior vena cava, posterior to the first right costal cartilage/manubrium sternum junction.
35
Give the location of the cephalic vein.
Superficial. Drains blood from the hand and arm, empties into the axillary vein.
36
Give the location of the common iliac artery.
The common iliac arteries (R+L) originate at the bifurcation of the abdominal aorta. They bifurcate in front of the sacroiliac joint, where they become the internal and external iliac arteries.
37
Give the location of the common iliac vein.
Internal and external iliac veins join anteriorly to the sacroiliac joint. R+L join level with the L5 vertebrae to form the inferior vena cava.
38
Give the location of the external iliac artery.
Begins at bifurcation of the common iliac artery. Runs inferiority, anteriorly and laterally towards the lower limb. Becomes the femoral artery behind the inguinal ligament.
39
Give the location of the external iliac vein.
Continues from the femoral vein, at the inferior margin of the inguinal ligament. Joins with the internal iliac vein, anterior to the sacroiliac joint, where they become the common iliac vein.
40
Give the location of the femoral artery.
Begins from the external iliac artery, behind the inguinal ligament. Becomes the popliteal artery as it basses through the adductor hiatus (gap adductor Magnus muscle)
41
Give the location of the femoral vein.
Arises at the adductor hiatus, gap in the adductor Magnus vessel. Ends at the inferior margin of the inguinal ligament, where it becomes the external iliac vein.
42
Give the location of the inferior vena cava.
Formed from the common iliac veins joining, level with the L5 vertebrae. Enters the right atrium of the heart inferior to the superior vena cava.
43
Give the location of the internal iliac artery.
Begins at bifurcation of the common iliac artery. Runs posteromedially towards the greater sciatic foramen.
44
Give the location of the internal iliac vein.
Begins in the upper part of the greater sciatic foramen. Joins with the external iliac vein, anterior to the sacroiliac joint, where it becomes the common iliac vein.
45
Give the location of the internal jugular vein.
Collectors blood from the sigmoid sinus and inferior petrosal sinus. Begins in the posterior compartments of the jugular foramen, and merges with the subclavian vein at the root of the neck: becoming the brachiocephalic vein.
46
Give the location of the renal artery.
The renal artery branches off the abdominal aorta and run to the kidneys
47
Give the location of the renal vein.
Takes blood from kidneys to the inferior vena cava.
48
Give the location of the subclavian artery.
Left subclavian artery branches off the aortic arch. Right subclavian artery originates at the bifurcation of the brachiocephalic artery. Both become the axillary artery at the lateral border of the first rib.
49
Give the location of the superior vena cava.
Formed from both brachiocephalic veins merging posterior to the junction between the first right costal cartilage and the manubrium sternum junction. It enters the right atrium of the heart superior to the inferior vena cava.
50
Give the location of the vertebral artery.
Major artery of the neck, passes through transverse section of the cervical vertebrae (C6 to atlas) from the subclavian arteries.
51
What is vein number 4?
Inferior vena cava. Runs from the R+L common iliac arteries in front of the L5 vertebrae, and enters the heart at the right atrium.
52
What is vein number 3?
Superior vena cava. Formed from the R+L brachiocephalic veins, level with the junction of the first costal cartilage with the manubrium sternum. Enters the heart at the superior, posterior part of the right atrium.
53
What is vein number 2?
Right Brachiocephalic vein. Formed from internal jugular vein and subclavian vein (level to sternoclavicular joint).
R+L join to become the superior vena cava at the junction between the first costal cartilage with the manubrium sternum.
54
What is vein number 1?
Right Internal jugular vein. Formed from inferior petrosal sinus and sigmoid all sinus in the posterior compartment of the jugular foramen. Joins with the subclavian vein at the root of the neck, where they become a brachiocephallic vein.
55
What is vein number 5?
Right Renal Vein. Runs from the kidneys to the inferior vena cava
56
What is vein number 6?
Right common iliac vein. Formed from the external and internal iliac veins in front of the sacroiliac joint.
Forms the inferior vena cava, level with the L5 vertebrae.
57
What is vein number 7?
Right femoral vein. Begins in adductor hiatus (opening in the adductor Magnus muscle). Becomes the external iliac vein at the inferior margin of the inguinal ligament.
58
What is vein number 8?
Left external iliac vein. Continues from the femoral vein at the inferior level of the inguinal ligament. Joins the internal iliac vein to become the common iliac vein at the brim of the pelvis.
59
What is vein number 9?
Left internal iliac vein. Begins near the upper part of the greater sciatic foramen. Joins the external iliac vein at the brim of the pelvis to become the common iliac vein.
60
What is vein number 11?
Left Cephalic vein. Superficial vein. Drains blood from hand and arm. Superficial vein empties into the axillary vein.
61
What is vein number 10?
Left basilic vein. Begins medial to ulnar, drains into the axillary vein. Superficial vein.
62
What does the pectoral girdle include?
Clavicles and scapulae
63
What does the pelvic girdle include?
Hipbones and limbs.
64
What is a bodily system?
A group of organs working together for a particular funcion
65
What is the appendicular skeleton?
Pectoral and pelvic girles, plus limbs.
66
What is the axial skeleton?
Head, neck trunk
67
What is the basic role of the left atria of the heart?
Receives oxygenated blood via the pulmonary vein. Pumps into the left ventricle.
68
What is the basic role of the left ventricle of the heart?
Pumps oxygenated blood to the body, via the ascending aorta.
69
What is the basic role of the right atria of the heart?
Receives deoxygenated blood from vena cavae. Pumps into right ventricle.
70
What is the basic role of the right ventricle of the heart?
Receives deoxygenated blood from the right atrium. Pumps blood to lungs via the pulmonary artery.
71
What is the black bone?
Trapezoid. Articulates with the scaphoid, trapezium, capitate and 2nd metacarpal.
72
What is the blue bone?
Lunate. Articulates with the radius, capitate, hamate, scaphoid and triquetrum
73
What is the coronal plane?
Dissects the anterior and posterior portions of the body.
74
What is the dark green bone?
Capitate. Articulate with the lunate, hamate, trapezoid, scaphoid and 3rd metacarpal.
75
What is the flesh coloured bone?
Trapezium. Articulates with the 1st and 2nd metacarpal, scaphoid, and trapezoid.
76
What is the green bone?
Cuboid bone. Articulates with calcaneus, (sometimes navicular), lateral cuneiform, 4th and 5th metatarsal.
77
What is the light green bone?
Triquetrum. Articulates with the pisiform, lunate and hamate.
78
What is the purple bone?
Hamate. Articulates with the lunate, capitate, triquetum, and 4th/5th metacarpal.
79
What is the red bone?
Scaphoid. Articulates with the radius, trapezoid, trapezium, capitate and lunate.
80
What is the red bone?
The cuneiforms. Articulating with metatarsals, each other, cuboid bone and navicular.
81
What is the sagittal plane?
Cuts the mid-line of the body.
82
What is the transverse plane?
Dissects the superior and inferior portions of the body.
83
What is the yellow bone?
Pisiform. Articulates with the triquetrum
84
What is the yellow bone?
Talus. Ankle bone. Articulates with the tibia, fibula, calcaneus and navicular.
85
What is the blue bone?
Navicular. Articualtes with the talus, all three cuneiforms, and the cuboid bone.
86
What is the purple bone?
Calcaneus. Heel bone. Articulating with talus and cuboid bone.
87
Descibe a monocyte based on its microscopy.
Large kidney shaped nucleus.
88
Describe a basophil based on its microscopy.
Bi-lobed nucleus, stain blue with H&E because of granules of histamine and heparin.
89
Describe a eosinophil based on its microscopy.
Bi-lobed nucleus, stain pink, granules in cytoplasm.
90
Describe a lymphoctye based on its microscopy.
Large circular nucleus,
91
Describe a neutrophil based on its microscopy.
Pink on H&E stain, with 3-5 lobed nucleus
92
Describe a white blood cell based on its microscopy.
Biconcave disc, enucleated, solid black on ECM, pink on H&E staining.
93
Describe the anterior and posterior sections of a vertebrae.
Body, anterior to the foramen.Vertebral arch, circle of bone posterior to foramen.
94
Describe the head of the radius.
Cylindrical head, circular smooth face, at proximla radius.
95
Describe the location and function of the inferior and superior articulating surface.
Inferior and superior to the midline of the vertebral arch.
96
Describe the location of the calcaneus.
Tarsal bone of the foot. Forms the heel. Most posterior tarsal bone. Articulates with the talus and cuboid bone.
97
Describe the location of the capitate.
Distal row of carpal bones. Articulates with 3rd metacarpal, hamate (medially), trapezoid (laterally), lunate and scaphoid (proximally).
98
Describe the location of the clavicle.
Long bone, anterior superior thorax. Articulates with the scapula and manubrium of the sternum.
99
Describe the location of the cuboid bone.
Tarsal bone of the foot. Articulates with the calcaneus (posteriorly), lateral cuneiform (medially), 4th and 5th metatarsal. Rarely articulated with the Navicular. Found anterior medial lateral part of foot.
100
Describe the location of the femur.
Long bone in thigh. Articulates with acetabulum in the hip bone. Articulates with tibia and patella at knee joint.
101
Describe the location of the fibula.
Long bone in lower leg. Articulates with the inferior and superior tibia, and the talus.
102
Describe the location of the hamate.
Distal row of carpals, most medial. Articulates with 4th and 5th metacarpals, lunate (proximally), triquetrum (medially), capitate (laterally).
103
Give the location of the humerus.
Long bone in upper arm. Articulates with the scapula at the glenohumeral joint and the radius and ulna at the elbow.
104
Describe the location of the ilium.
Hip flat bone. Largest, most superior section.
105
Describe the location of the intermediate cuneiform.
Tarsal bone of the foot. Articulates with the navicular (posteriorly), the medial and lateral cuneiform, and the 2nd metatarsal.
106
Describe the location of the ischium.
Hip flat bone. Inferior, posterior region.
107
Describe the location of the lateral cuneiform.
Tarsal bone of the foot. Articulates with the navicular (posteriorly), cuboid bone (laterally), intermediate cuneiform (medially), 2nd 3rd 4th metatarsal.
108
Describe the location of the lunate.
Carpal bone of the wrist. Proximal row, 2nd most lateral.Articulates with the radius (proximally), capitate and hamate (distally), scaphoid (laterally), triquetrum (medially)
109
Describe the location of the medial cuneiform.
Tarsal bone of the foot. Articulates with the navicular (posteriorly), the intermediate cuneiform (laterally), the 1st and 2nd metatarsal.
110
Describe the location of the navicular.
Tarsal bone of the foot. Articulates with the talus (posteriorly), the three cuneiform bones (anteriorly), and the cuboid bone (laterally).
111
Describe the location of the patella.
Sesamoid bone, kneecap. Articulates with the femur.
112
Describe the location of the pisiform.
Carpal sesamoid bone of the wrist. Proximal row, most medial, anteriorly.Articulates with the triquetrum (posteriorly).
113
Describe the location of the pubis.
Hip flat bone. Pubic bone. Inferior, anterior region. R+L bind via the pubic symphysis.
114
Describe the location of the scaphoid.
Carpal bone of the wrist. Proximal row, most lateral.Articulates with the radius (proximally), the trapezoid and trapezium (distally), and the capitate and lunate (medially).
115
Describe the location of the scapula.
Shoulder blade, flat bone. Articulates with the humerus and the clavicle.Lies between the 2nd and 7th rib.
116
Describe the location of the talus.
Tarsal bone of the foot. Articulate with the tibia, fibula, calcaneus and navicular. Most proximal tarsal bone.
117
Describe the location of the tibia.
Long bone in lower leg. Articulates with femur, the inferior and superior fibula, and the talus. It is medial and more anterior than the fibula.
118
Describe the location of the trapezium.
Distal row of carpal bones. Most lateral. Articulates with 1st and 2nd metacarpals, scaphoid (proximally) and trapezoid (medially).
119
Describe the location of the trapezoid.
Distal row of the carpal bones. Second most lateral. Articulates with scaphoid (proximally), trapezium (laterally), capitate (medially) and 2nd metacarpal.
120
Describe the location of the triquetrum.
Carpal bone of the wrist. Proximal row, most medial, posteriorly. Articulates with the lunate (laterally), pisiform (anteriorly) and hamate (distally).
121
Describe the location of the ulna.
Long bone in medial forearm. Articulates with the the humerus and the radius at the elbow. Articulates with the radius at the wrist.
122
Describe the location, and nomenclature of the metacarpals.
Long bones, articulates with the lateral carpals to phalanges. Numbered 1 to 5, lateral to medial. (Thumb is number 1).
123
Describe the location, and nomenclature of the metatarsals.
Long bones, articulates with the cuneiforms and cuboid bones to phalanges. Numbered 1 to 5, medial to lateral. (Big toe is number 1).
124
Describe the location, and nomenclature of the phalanges.
Long bones, articulate with the metacarpals. Numbered 1 to 5, thumb and big toe are number 1. There are 2 is digits 1. And 3 in digits 2-5, they are named proximal, intermediate and distal.
125
Describe the sternal angle, and its importance.
Landmark formed at the manubriosternal joint, palpable and lies level with second costal cartilage.
126
Describe what happens when you pronate your hands, with regards to the ulnar and radius.
The elbow joint is not involved.The distal end of the radius rotates around the ulna.
127
Give an example of a suture joint.
Bones in the cranium.
128
Give an example of a syndesmoses.
Between the tibia and fibula.
129
How are the tibia and fibula held together?
Syndesmosis at the distal end.
130
How are vertebrae numbered?
1 - X. Cranial to cordal.
131
How do they sacral vertebrae differ?
Fused. Shorter, flatter spinous processes, laminae, and transverse processes. Rough articular surface laterally, for the sacro-iliac joint.
132
How does the atlas connect to the skull?
Articulates with the occipital condyles around the foramen magnus. Allows nodding of head, and slight side-to-side nodding.
133
How does the spinous process differ in each vertebrae?
C1 doesnt have oneC2-6: spinal processes bifurcate. C7 is much longer, and the first palpable. Thoracic: long, angles downwards.Lumbar: short blunt.
134
Name the 7th vertebrae.
Vertebrae prominens.
135
What are scoliosis and kyphosis?
Kyphosis is an abnormal hunch at the top of the spine.Scoliosis is a medial-lateral curvature.
136
What are the attachment sites of erector spinae?
Ribs, sacrum, iliac crest, vertebrae processes.Ribs, mastoid process, vertebrae processes.
137
What are the attachment sites of the deltoid muscle?
Clavicle, acromion, spine of the scapulaDeltoid tuberosity.
138
What are the attachment sites of the external obliques?
Ribs (5-12)Xiphoid process, iliac crest, pubic tubercle, linea alba, and anterior superior iliac spine
139
What are the attachment sites of the internal obliques?
Anterior superior iliac spine and iliac crest.Linea alba, superior ramus of pubis, ribs.
140
What are the attachment sites of the pectoralis major?
Clavicle, sternum, costal cartilageIntertubercle groove of humerus.
141
What are the attachment sites of the rectus abdominus?
Pubic crestRibs and xiphoid process.
142
What are the attachment sites of the transversus abdominis?
Iliac crest, anterior superior iliac spine, costal cartilage.Xiphod process, linea alba, pubic crest, superior ramus of pubis.
143
What are the attachments of flexor digitorum superficialis?
Anterior radius, coronoid process of ulna, medial epicondyl of the humerus (through common flexor tendon)Anterior base of 2nd-5th phalanges
144
What are the attachments of the bicep brachii?
Long: supraglenoid tubercle of scapulaShort: coracoid process of scapularadial tuberosity.
145
What are the attachments of the brachialis muscle?
Distal, anterior surface of humerusCoronoid process of ulna
146
What are the attachments of the extensor carpi radialis?
Longus: lateral supracondylar ridge of humerus2nd metacarpalBrevis: lateral epicondyl of the humerus (through common extensor tendon)base of 3rd metacarpal.
147
What are the attachments of the extensor carpi ulnaris?
Humeral head, lateral epicondyl of humerus (through common extensor tendon), ulnar head, olecranon process, posterior surface of ulna5th metacarpal
148
What are the attachments of the extensor digitorum?
Lateral epicondyl of the humerus (through common extensor tendon)2nd-5th phalanges
149
What are the attachments of the flexor carpi radialis?
Medial epicondyl of humerus (through common flexor tendon)2nd and 3rd metacarpals.
150
What are the attachments of the flexor carpi ulnaris?
Olecranon of Ulna, medial epicondyl of humerus (through common flexor tendon).Pisiform, hamate, 5th metacarpal
151
What are the attachments of the gluteus maximus?
Ilium surface and sacrum.Lateral ridge of linea aspera.
152
What are the attachments of the Iliacus?
Iliac fossaLesser trochanter of the femur
153
What are the attachments of the latissimus dorsi?
Spinous processes of vertebrae, iliac crest, ribs, inferior angle of scapula.Intertubercular groove of the humerus.
154
What are the attachments of the psoas major?
VertebraeLesser trochanter of the femur
155
What are the attachments of the serratus anterior?
Scapula: protraction, anterolateral rotation around the sternoclavicular joint/Accessory to inspiration.
156
What are the attachments of the tricep brachii?
Below glenoid cavity of scapula, posterior surface of humerus.Olecranon of ulna
157
What are the bones in the skull?
Occipital, parietal, orbit, temporal, maxilla, mandible, frontal, nasal, zygomatic bone and mastoid process.
158
What are the five sections of the spine? (And number)
Cervical (7), Thoracic (12), Lumbar (5), Sacral (5 fused), coccygeal.
159
What are the joints involved with the clavicle?
Acromioclavicular (laterally).Sternoclavicular (medially).
160
What are the major flexors of the elbow?
Bicep Brachii and Brachialis
161
What are the muscles in the abdominal wall?
Two rectus abdominus, external obliques, internal obliques, transversus abdominus.
162
What are the muscles that aid movement around the shoulders?
Deltoid muscle, pectoralis major, trapezius, latissimus dorsi and serratus anterior.
163
What are the roles of the tibia and fibula?
Tibia is large and weight bearing.Fibula has muscle attachment.
164
What are the six types of synovial joint?
Hinge, ellipsoid, ball-and-socket, plane, pivot and saddle.
165
What are the superficial extensors of the wrist?
Extensor carpi ulnaris, extensor carpi radialis (longus and brevis), and extensor digitorum,
166
What are the superficial flexor muscles of the wrist joint?
Flexor carpi ulnarisFlexor carpi radialisFlexor digitorum superficialis
167
What are the three types of joint?
Fibrous, cartilaginous, and synovial.
168
What are the types of bone, structure, and their function?
Compact, outer shell and shaft. Resist force.Cancellous, lighter, trabeculae struts form irregular porous structure. Resist force.
169
What are the types of cartilage?
Hyaline, elastic and fibrocartilage.
170
What are the types of cartilaginous joints?
Primary (synchondrosis) and secondary (symphysis).
171
What are the types of connective tissue?
Proper, specialised (cartiage, bone, adipose, blood)
172
What are the types of fibrous joint?
Suture (between flat bones) and syndesmoses (between long bones).
173
What bones form the knee joint?
Femur, Patella, Tibia
174
What does joint stability depend on?
Size, shape, form of articular surfacesLigamentsTone of muscle.
175
What is a joint?
A site where two or more bones meet.
176
What is a ligament?
Join bone to bone.
177
What is a tendon?
Joins bone to muscle.
178
What is abduction/adduction?
Medial-Lateral movement. Abduction is raising.
179
What is an aponeurosis?
A flattened out tendon. Pearly white in appearance.
180
What is connective tissue proper?
Loose (more cells), supporting functionDense, regular (more fibres, aligned) - strength (ligament/tendon)Dense, irregular (more fibres, not aligned) - strength (dermis)
181
What is deep fascia?
Dense fibrous connective tissue covering skeletal muscle, encloses muscles in compartments.
182
What is dorsiflexion?
Lift toes to shin.
183
What is flexion/extension?
Anterior-posterior movement
184
What is plantarflexion?
Going on tip toes/pressing on pedal.
185
What is special about the C1 vertebrae?
Atlas, is ring shaped as part of a pivot joint with C2. Has foramina in in the transverse process to allow the vertebral artery and vein to pass through.
186
What is special about the C2 vertebrae?
Axis, has a upwards process (dens) which forms a pivot joint with C1 vertebrae. Has foramina in in the transverse process to allow the vertebral artery and vein to pass through.
187
What is superficial fascia?
Subcutaneous fatty later under skin
188
What is the anatomical neck, how does it different from the surgical neck?
Grove around the head of the humerus. The surgical neck connects head to shaft, and is more likely to fracture.
189
What is the composition and function of elastic cartilage?
Hyaline cartilage with elastin. Highly flexible. Forms epiglottis and ear structure.
190
What is the composition and function of fibrocartilage?
Alternating layers of hyaline cartilage and type 1 collagen - tough/strength.Forms secondary cartilaginous joints: invertebral disc and pubic symphysis.
191
What is the composition and function of hyaline cartilage?
Most common. Type 2 collagen. Smoothly lines articulating surfaces of synovial joint. Forms fetal skeleton.
192
What is the composition of a ligament?
Connective tissue, largely parallel arrays of collagen fibres, with a small amount of elastin.
193
What is the composition of a synchondrosis? Give an example.
Hyaline cartilage. Links ribs to costal cartilage.
194
What is the composition of bone (connective tissue)?
ECM, synthesised by osteoblast, is hard and rigid. Inorganic: hydroxypatite (calcium phosphate) with fluoride/sodium/magnesium deposits.Organic: type 1 collagen.
195
What is the composition of cartilage?
70% water, 20% collagen, 10% proteoglycans. Contains chondroblast.
196
What is the composition of connective tissue?
Cells (typically fibroblast), collagen, ground substance
197
What is the composition of of symphysis? Give an example.
Bones lined with hyaline cartilage, with a fibrocartilage disc/pad between them. Intevertebral disc, manubriosternal joint and symphysis pubis. Found on mid-line of the body.
198
What is the foramen magnum?
Oval hole in base of occipital bone of the skull. Vertebral arteries and spinal cord pass through here.
199
What is the frontal bone?
Superior anterior skull.
200
What is the function of a ligament?
Provide strength and restrict excessive movement.
201
What is the function of adipose (connective tissue)?
Insulation and energy (fat) store.
202
What is the function of cartilage?
Resilient, smooth, shock absorbing, low friction on articular surfaces of bones.
203
What is the function of erector spinae?
Extension of trunk. Stabilise flexion. Side bending.
204
What is the function of extensor carpi ulnaris?
Extend and adduct wrist
205
What is the function of external oblique?
Flexion, side bending, rotation.
206
What is the function of flexor carpi radialis?
Wrist: flexion and abduction
207
What is the function of flexor digitorum superficialis?
Wrist and 2nd-5th phalange flexion
208
What is the function of internal oblique?
Flexion, side bending, rotation, forced expiration.
209
What is the function of rectus abdominus?
Flexion, and intra-abdominal pressure
210
What is the function of symphysis?
Permits limited movement.
211
What is the function of the bicep brachii?
Elbow: flexion and supinationGlenohumoral: weak flexion
212
What is the function of the brachialis muscle?
Elbow: flexion
213
What is the function of the deltoid muscle?
Flexion/extention and internal/external rotation of the arm. Abduction.
214
What is the function of the extensor carpi radialis?
Extensor and abductor at wrist joint
215
What is the function of the extensor digitorum?
Extension at wrist and 2nd-5th metacapals
216
What is the function of the flexor carpi ulnaris?
Flex and adduct wrist
217
What is the function of the gluteus maximus?
Acetabulofemoral: extension, abduction, adduction, external rotation.
218
What is the function of the Iliacus?
Acetabulofemoroal flexion, external rotation
219
What is the function of the pectoralis major?
Arm: adduction, internal rotation, flexion and extension.Scapula: protract and depress.Accessory breathing muscle.
220
What is the function of the psoas major?
Acetabulofemoral flexion, weak adduction and external rotation
221
What is the function of the serratus anterior?
RibsAnterior+ posterior superior+inferior angle of scapula. Medial border of the scapula.
222
What is the function of the trapezius muscle?
Scapula: retract, depress, rotate around sternoclavicular joint.Spine: rotation of head, extend neck.
223
What is the function of the tricep brachii?
Elbow: extensionGlenohumoral: extension and adduction.
224
What is the function of transversus abdominis?
Stabilise lumbar spine and pelvis. Corset effect.
225
What is the ground substance?
Glycosaminoglycan (e.g. hyaluronic acid), proteoglycans, (bind water, give gel consistency) and glycoproteins.
226
What is the head of the humerus?Whats the function?
Proximal end of the humerus, distinguishable by the anatomical neck.Articulates with the glenoid cavity of scapula for glenohumeral joint.
227
What is the intevertebral foramina, and its purpose?
Gap between two articulating vertebrae. Allows nerves, arteries and veins to pass through.
228
What is the lamina of the vertebrae?
Flatter section between the transverse process and spinous process.
229
What is the linea alba? What is its function?
White fibrous line down middle of abdomen. Separates left and right rectus abdominis.
230
What is the location and direction of the external obliques?
Most superficial, on lateral abdomen. Run diagonally (belly button to shoulders direction).
231
What is the location and direction of the internal obliques?
Middle layer on lateral abdomen. Run diagonally (sternum to hips direction).
232
What is the location and direction of the transversus abdominus?
Deepest layer on lateral abdomen. Run horizontally.
233
What is the location of the mandible?
Lower jaw.
234
What is the location of the mastoid process?
Sticky out bony bit behind ear.
235
What is the location of the maxilla?
Two bones of the upper jaw.
236
What is the location of the nasal bone?
Two bones behind the nose.
237
What is the location of the occipital bone?
Posterior base of skull.
238
What is the location of the orbit?
Bone around the eye socket.
239
What is the location of the parietal bone?
Two parietals on roof off skull.
240
What is the location of the rectus abdominus?
Two either side of midline, form six pack.
241
What is the location of the temporal bone?
Two bones at lateral base of skull. Behind ear.
242
What is the location of the zygomatic bone?
Two cheek bones.
243
What is the main muscle of the back?
Erector spinae
244
What is the major extensor muscle of the elbow?
Triceps brachii
245
What is the pedicle on the a vertebrae?
Joins the body to the vertebral arch.
246
What is the purpose of the coracoid process?
Ligament attachement.Tendon attachment for: pectoralis major and short head of bicep brachii.
247
What is the purpose of the glenoid cavity?
Socket. Articulates with the head of the humerus.
248
What is the purpose of the synovial membrane?
Secretes synovial fluid.
249
What is the spinous process, and its purpose?
The posterior protrusion off the vertebral arch.Muscle attachment site.
250
What is the structure of a synovial joint?
Bones covered with smooth hyaline cartilage, lubricated with synovial fluid, enclosed with a fibrous capsule which is lined internally with a synovial membrane.
251
What is the thoracic inlet?
First rib, first thoracic vertebrae, superior manubrium.
252
What is the transverse process of the vertebrae, and its purpose?
The lateral protrusions off the vertebral arch. Muscle attachment site.
253
What is the vertebral foramen, and what is its purpose?
Hole in the middle of the vertebrae. Enclose the spinal cord.
254
What is the xiphoid process?
Cartilaginous section inferiorly attached to sternum.
255
What makes up the sternum?
Manubrium, body, xiphoid process.
256
What makes up the thoracic cage?
Thoracic vertebrae, ribs/costae, costal cartilage, and the sternum.
257
What movement can the scapula show?
Protraction and retraction (forwards/backwards)Elevated and depressed (shrug shoulders and relax)Rotate (medially and laterally).
258
What movement is permitted between vertebrae?
Small amounts of flexion, extension, lateral flexion, lateral extension and rotation.Cumulative effect when all vertebrae work together.
259
What movement is permitted by a ball-and-socket joint? Give an example.
Multi-axial movement: flexion, extension, abduction, adduction, medial and lateral rotation, circumduction.Acetabulofemoral and glenohumeral.
260
What movement is permitted by a hinge joint? Give an example.
Uni-axial movement: flexion and extension. Elbow and interphalangeal joints.
261
What movement is permitted by a pivot joint? Give an example.
Allows rotation. Atlas-axis vertebrae. Both radio-ulna joint.
262
What movement is permitted by a plane joint? Give an example.
Allow gliding.Carpals, tarsals, acromioclavicular, sternocostal, and between vertebrae.
263
What movement is permitted by a saddle joint? Give an example.
Biaxial: flexion, extension, abduction, adduction. No circumduction. Carpometacarpal joint of the thumb and sternoclavicular joint
264
What movement is permitted by an ellipsoid joint? Give an example.
Bi-axial movement: flexion, extension, abduction and adduction.The wrist, metacarpophalangeal and metatarsophalangeal joints.
265
What movement is possible at the ankle joint?
Dorsiflexion and plantarflexion.
266
What movement is possible at the knee joint?
Flexion and extension.
267
What movement is possible at the wrist joint?
Flexion, extension, abduction and adduction.
268
What movement is possible in the interphalangeal joints?
Flexion and extension.
269
What movement is possible in the metacarpophalangeal joint?
Flexion, extension, abduction and adduction. Circumduction (asides from the thumb)
270
What movement is possible in the trunk?
Flexion, extension, lateral flexion and some rotation.
271
What muscle is used for extension at the acetabulofemoral joint?
Gluteus maximus
272
What muscle is used for flexion at the acetabulofemoral joint?
Iliopsoas muscle:Iliacus and Psoas Major
273
What muscles attach via the common flexor tendon?
Flexor carpi radialisFlexor carpi ulnarisFlexor carpi digitorum superficialis
274
What shows up on H&E staining?
Acidic nuclei are stained blue.Basic protein/cytoplasm are stained pink.
275
What the composition of a tendon?
Parallel bundles of collagen.
276
Whats the function of the latissimus dorsi?
Arm: adduction, extension, and internal rotation.Assist respiration
277
Where is the adductor tubercle?What is its purpose?
Protrusion at base medial linea aspera ridge. Attachment of muscles.
278
Where is the anterior inferior iliac spine?What is its purpose?
The bone ridge after the notch inferior to the anterior superior iliac spine. Next to acetabulum. Rectus femoris attaches here.
279
Where is the anterior superior iliac spine?What is its purpose?
Bony projection, palpable anterior section. Muscle attachment, and clinical landmark.
280
Where is the capitulum of the humerus?What is its purpose?
Lateral portion of the distal articulating region of the humerus.Articulates with the head of the radius.
281
Where is the condyles of the femur?
Projection at posterior distal end of femur. Medial and lateral condyles on either side.
282
Where is the condyles of the tibia?What is its purpose?
Lateral and medial protrusion at proximal head of tibia. Lateral: attachment for bicep femoris.Medial: attachment for semimembranosus (medial hamstring)
283
Where is the coracoid process?
Anterior projection on superior, lateral scapula.
284
Where is the coronoid fossa?What is its purpose?
Lateral anterior depression on the distal end of the humerus. Receives coronoid process during flexion at the elbow joint.
285
Where is the coronoid process? What is its purpose?
Anterior bump at base of ulna proximal head. Brachialis and flexor digitorum superficialis attachment. Articulates with radial notch, and coronoid process of humerus when elbow flexed.
286
Where is the deltoid tuberosity?What is its purpose?
Rough bump on anteriolateral humerus shaft.Deltoid muscle attachment.
287
Where is the epicondyles of the femur?What is its purpose?
Superior and medial/lateral protrusions to the condyles of the femur. Muscle and ligament attachment.
288
Where is the fovea capitis?What is its purpose?
Dimple on proximal head of femur.Ligament attachment.
289
Where is the glenoid cavity?
Articular surface of the lateral superior scapula.
290
Where is the greater sciatic notch?What is its purpose?
Groove between the posterior inferior iliac spine and the ischial spine.Forms large foramen next to lower sacrum for veins, arteries and nerves to pass through.
291
Where is the greater trochanter?What is its purpose?
Protrusion lateral to the head of the femur. Muscle attachment.
292
Where is the greater tubercle of the humerus?What is its purpose?
Larger, posterior projection at the head of the humerus. Site of attachment for teres minor muscle.
293
Where is the iliac crest?What is its purpose?
Palpable ridge of superior lateral pelvis.Attachment for abdominal external and internal obliques, transversus abdominis, erector spinae, and latissimus dorsi.
294
Where is the iliac fossa?
Anterior superior medial surface of the pelvic bone.
295
Where is the inferior ramus of the pubis?What is its purpose?
Anterior, inferior, bone to the obturator foramen (ring).Attachment site for muscles.
296
Where is the intercondylar notch?What is its purpose?
Deep groove between the medial and lateral condyles on the distal posterior femur. Helps stabilise the knee joint.
297
Where is the intertubercular (bicipital) groove?What is its purpose?
Groove between the lesser and greater tubercle at the head of the humerus.Attachment for long head of bicep brachii
298
Where is the intracondular eminence of the tibia?What is its purpose?
Ridge between medial and lateral protrusions at head of tibia. Ligament attachment site.
299
Where is the ischial spine?What is its purpose?
Bump posterior to the acetabulum, separates the greater and lesser sciatic notches. Muscle attachment, and also tendon which forms the sciatic foramen.
300
Where is the ischial tuberosity?What is its purpose?
Posterior ischium, on superior ramus, "sitting bone".Muscle and ligament attachment, including bicep femoris.
301
Where is the lateral epicondyle of the humerus?What is its purpose?
Lateral bump on distal end of the humerus. Attachment site of extensor carpi ulnaris and extensor carpi radialis brevis.
302
Where is the lateral malleolus?What is its purpose?
Bony bit on lateral ankle. Palpable. Muscle and ligament attachment
303
Where is the lateral supracondylar ridge of the humerus?What is its purpose?
Ridge proximal to the lateral epicondyle. Extensor carpi radialis longus and Triceps brachii attachment site.
304
Where is the lesser sciatic notch?What is its purpose?
Groove just below ischial spine.Forms small foramen inferior to the greater sciatic foramen for veins, arteries and nerves to pass through.
305
Where is the lesser trochanter?What is its purpose?
Protrusion inferior (medial) to the head of the femur.Psoas major attachment.
306
Where is the lesser tubercle of the humerus?
Smaller, anterior projection at the head of the humerus.
307
Where is the linea aspera?What is its purpose?
Rough ridge on posterior shaft of femur.Gluteus maximus and other muscle/ligament attachments.
308
Where is the medial epicondyle of the humerus?What is its purpose?
Medial bump on the distal end of the humerus. Attachment site of the common flexor tendon.
309
Where is the medial malleolus?What is its purpose?
Bony bit on medial ankle. Palpable.Muscle and ligament attachment
310
Where is the medial supracondylar ridge of the humerus?What is its purpose?
Ridge proximal to the medial epicondyle.Tricep brachii attachment site.
311
Where is the obturator foramen?What is its purpose?
Hole formed between ischium, and the pubic rami.Hole for nerves and bones to pass through.
312
Where is the olecranon fossa?What is its purpose?
Deep depression on posterior distal humerus. Receives the olecranon process during extension at the elbow joint.
313
Where is the olecranon process?What is its purpose?
Posterior bony hook, proximal end of ulna.Tricep brachii and flexor carpi ulnaris attachment.Sits in olecranon fossa when elbow joint extended.
314
Where is the patella surface?What is its purpose?
Anterior distal femur surface.Articulates with the patella.
315
Where is the popliteal surface?
Smooth triangle surface on posterior femur. Bound by linea aspera and the condyles.
316
Where is the posterior inferior iliac spine?What is its purpose?
Posterior iliac edge, after the notch seperating it from the superior spine (skin dimple sometimes visible)
317
Where is the posterior superior iliac spine?
Posterior to the iliac crest. Palpable. Ends at notch where it becomes the inferior spine (skin dimple sometimes visible)
318
Where is the pubic tubercle?What is its purpose?
Palpable anterior bump on medial pubis. Ligament attachment site.
319
Where is the radial (spiral) groove?What is its purpose?
Groove on posterior surface of humerus. Radial nerve passes along here, along with vessels.
320
Where is the radial fossa?What is its purpose?
Medial anterior depression on the distal end of the humerus. Receives head of the radius during flexion at the elbow joint.
321
Where is the radial notch?What is its purpose?
Narrow depression on lateral side of coronoid process (head of ulna).Articulates with head of the radius at proximal radioulnar joint.
322
Where is the radial tuberosity?What is its purpose?
Medial radius, distal to the neck of the radius.Attachment site for bicep brachii.
323
Where is the spine of the scapula?
Ridge on superior, posterior scapula.
324
Where is the styloid process?What is its purpose?
Ulnar: distal medial bump. Extensor carpi ulnaris attachment.Radial: distal lateral bump.
325
Where is the superior ramus of the pubis?What is its purpose?
Anterior, superior, bone to the obturator foramen (ring). Attachment site for muscles and tendons.
326
Where is the supracondylar ridges/lines femur?
Ridges continuing from the bifurcation of the linea aspera on the posterior distal femur.
327
Where is the tibial plateau?What is its purpose?
Flat surface at proximal head of tibia. Articulates with the femur.
328
Where is the tibial tuberosity?What is its purpose?
Bony projection on anterior proximal tibia, palpable.Common ligament for quadriceps femoris, and ligament holding patella in place. Prevents collapse of knee.
329
Where is the trochlea notch?What is its purpose?
Depression formed from olecranon and coronoid process at head of ulnar. Fits trochlea of the humerus.
330
Where is the trochlea of the humerus?What is its purpose?
Medial portion of the distal articulating region of the humerus.Articulates with the trochlea notch of the ulna
331
Where is the ulnar notch?What is its purpose?
Smooth concave surface on distal end of the radius. Articulates with the ulna for the distal radioulnar joint.
332
Why are the cervical vertebrae not palpable?
They're deep to muscle and a strong ligament (ligamentum nuchae)
333
What are the extensor muscles of the knee joint?
Quadriceps femoris: vastus muscles and rectus femoris
334
What is the function of rectus femoris?
Acetabulofemoral flexion Knee joint extension
335
What are the attachments of rectus femoris?
Anterior inferior iliac spine, acetabulum margin Tibial tuberosity
336
What is the function of the vastas muscles?
Extension at knee joint
337
What are the attachments of the vastas muscles
Linea aspera, greater trochanter of the femur, anterior proximal femur Tibial tuberosity
338
What are the flexor muscles of the knee joint?
Hamstring group. Medial, middle and lateral muscles.
339
What are the attachments of the hamstring group?
Ischial tuberosity, linea aspera, lateral supracondylar line of femur Medial surface of tibia, medial tibial condyle, lateral side of fibula head.
340
What is the function of the hamstring group?
Knee extension Hip flexion.
341
What superficial muscles control dorsiflexion of the ankle joint?
Tibialis anterior
342
What superficial muscles control plantarflexion?
Gastrocnemius (two heads) and Soleus
343
What is the function of the tibialis anterior?
Dorsiflexion and to invert foot (lift medial side)
344
What are the attachments of the tibialis anterior?
Lateral tibia condyl, tibial shaft, interosseous membrane Medial cuneiform, base of 1st metatarsal
345
What is the function of the gastrocnemius?
Plantarflexion and flexion at knee
346
What are the attachments of the gastrocnemius?
Lateral: lateral condyle of femur Medial: medial condyle of femur. Popliteal surface of femoral shaft. Calcaneus
347
What is the function of the soleus?
Plantarflexion
348
What are the attachments of the soleus?
Posterior and medial tibia, fibula head, posterior border of fibula Calcaneus
349
What are cranial nerves?
Nerves carrying information to/from the brain
350
What are spinal nerves?
Nerves carrying information to/from the spinal cord
351
What is sensory information?
Information received by external/internal environments, taken to CNS
352
What is motor information?
Information from CNS, carried via autonomic and somatic nervous system to effector
353
What are the main structural parts of a neuron?
Nucleated cell body, dendrites (receivers) and an axon (away from cell body)
354
What are afferent neurons?
Carry sensory information towards the CNS
355
What are efferent neurons?
Carry motor information away from the CNS
356
What is a nerve plexus?
A network of nerve fibres from different regions of the CNS fused together
357
What is the function of a nerve plexus?
Allows multiple nerve fibres (axons) to be distributed in a single peripheral nerve
358
What is a ganglion?
Collection of neuronal cell bodies, outside the CNS
359
How many spinal nerves are there?
31: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal
360
How do the spinal nerves leave the spinal cord?
They leave through the intervertebral foramen. C1-7 leave above corresponding vertebrae C8 leaves below C7 vertebrae T1 onwards leaves below corresponding vertebrae
361
What forms the intervertebral foramen?
Inferior vertebral notch (on superior vertebrae) Superior vertebral notch (on inferior vertebrae)
362
Describe the gross structure of the spinal cord.
Begins from lower border of foramen magnum (skull), continuous with medulla oblongata, ends L1/2 with the conus medullaris (tapering end) and cauda equina (bundle of spinal nerves)
363
What is the conus medullaris?
The tapering end of the inferior spinal cord
364
Describe the structure of a transverse section of spinal cord
Outer, white matter region Central grey matter: dorsal (thinner), lateral and ventral horns
365
What does the dorsal horn of the spinal cord do?
Receives sensory information (including fine touch, proprioception and vibration)
366
What does the lateral horn of the spinal cord do?
Involved in sympathetic activity of the autonomic nervous system. Typically T1-L2
367
What does the ventral horn of the spinal cord do?
Contains cell bodies of motor neurones that affect skeletal muscle
368
What layers cover the spinal cord?
Meninges, connective tissue. (superficial) dura mater (middle) arachnoid mater (deep) pia mater
369
Describe the pathway of nerves from spinal cord, to
Rootlets emerge from the spinal cord (ventral/dorsal) Merge to create respective root (Dorsal/ventral) Roots merge to create spinal nerve Spinal nerve divides into rami (ventral/dorsal/white/grey)
370
What information is contained in ventral roots/rootlets?
Motor information
371
What information is contained in dorsal roots/rootlets?
Sensory information
372
What information is contained in spinal nerves?
Motor and sensory information
373
What information is carried in the rami?
Dorsal/ventral: mixed information Grey: postganglionic autonomic information White: preganglionic autonomic information
374
What structure is unique to the dorsal root?
Dorsal root ganglion, containing cell bodies of sensory neurons
375
What is the function of the denticulate ligament?
Delicate membrane of pia mater, attached to arachnoid and dura mater. Provide stability to spinal cord
376
Where is the cerebrospinal fluid found?
In the subarachnoid space, between arachnoid mater and pia mater, the central canal, and the ventricular system
377
What is the function of cerebrospinal fluid?
Cushioning of spinal cord/brain. Also helps clear waste and circulate nutrients.
378
What is the cauda equina?
Bundle of nerve roots (L2-S5+coccygeal nerve), inferior to spinal cord. These are not spinal nerves until they leave the spinal column
379
What is the filum terminale?
Modified pia mater, extending inferior to the spinal cord, enclosing the cauda equina. Contained in dura mater.
380
Where is the epidural space?
Space between vertebral canal and dura mater
381
What is the blood supply to the spinal cord?
Spinal arteries which arise in the neck (often from vertebral arteries. These run caudally, anterior and posterior to the spinal cord, in the subarachnoid space
382
Why is the spinal column longer than spinal cord?
It is same length in embryonic development, but the column grows more quickly after that.
383
What is the relationship between cervical vertebrae and their spinous process?
Spinous process is 1 lower on spinal cord segments
384
What is the relationship between upper thoracic vertebrae and their spinous process?
Spinous process is 2 lower on spinal cord segments
385
What is the relationship between lower thoracic vertebrae and their spinous process?
Spinous process is 3 lower on spinal cord segments
386
What is the size difference between the dorsal and ventral rami?
Dorsal is smaller, as it only supplies the back
387
Where is a lumbar puncture performed? What surface markers can be used?
L3/4, below spinal cord. L4 vertebrae is level with the iliac crest
388
What do the thoracic dorsal rami supply?
The erector spinae group of muscles and an area of skin over each, level with the vertebrae
389
What is the path of the thoracic ventral rami?
Form intercostal nerves, pass anteriorly in intercostal space (VAN), supplying chest. Lateral cutaneous branches supply the skin. The inferior nerves continue into the abdomen to supply those muscles and skin.
390
What is a dermatome?
Area of skin supplied by a single spinal nerve
391
Describe dermatome C1
No skin area
392
Describe dermatome C2
Skull
393
Describe dermatome C3
Neck, stop at subclavicular fossa
394
Describe dermatome C4
Front shoulder, stop at acromioclavicular joint
395
Describe dermatome C5
Laterally Glenohumoral joint to antecubital fossa
396
Describe dermatome C6
Laterally Antecubital fossa to thumb and 2nd finger
397
Describe dermatome C7
3rd and 4th finger
398
Describe dermatome C8
Little finger and distal 1/2 of medial forearm
399
Describe dermatome T1
Over 1st rib, axillary, and medial upper arm
400
Describe dermatome T2-T12
Follows path of rib
401
Describe dermatome L1
Superior, anterior thigh, below V markings
402
Describe dermatome L2
Mid, anterior thigh
403
Describe dermatome L3
Lower, anterior thigh, end at knee
404
Describe dermatome L4
Anterior medial lower leg, anterior lateral inferior thigh
405
Describe dermatome L5
Middle lower leg, first, second, third toes
406
Describe dermatome S1
Lateral lower leg, lateral malleolus, fourth and fifth toe, lateral posterior leg, outermost sacral area
407
Describe dermatome S3-5
Circles around sacrum and perianal area
408
Describe S2
Medial posterior leg and outer sacral area
409
What is a myotome?
Area of muscle innervated by a single spinal nerve
410
Where do the cell bodies of motor neurons reside?
Ventral horn of grey matter
411
What is the somatic nervous system?
Voluntary nervous system, skeletal muscle
412
What is a somatic reflex arc?
Simplest neural pathway that activates a reflex
413
What do somatic plexuses supply?
Skin, voluntary skeletal muscle and joints
414
What do autonomic plexuses supply?
Blood vessels and viscera
415
Name the somatic nerve plexuses, and give their spinal nerve origins
Cervical: C1-4 Brachial: C5-C8 and T1 Lumbar: L1-4 Sacral: L4-5 and S1-4
416
What does each somatic nerve plexus supply?
Cervical: Neck and Shoulder Brachial: Upper limbs Lumbar: Anterior thigh (lower limb) Sacral: Posterior thigh and lower leg (lower limb)
417
What are the nerves which arise from the brachial plexus?
Axillary, Radial, Musculocutaneous, Ulnar and Median
418
Give the pathway of the axillary nerve.
Arise from posterior cord (behind humerus), splits high up and goes across to the shoulder
419
Give the pathway of the radial nerve
Arises from posterior cord (behind humerus), travels posteriorly to posterior arm, forearm and hand
420
Give the pathway of the musculocutaneous nerve
Arise from lateral cord, stay lateral, supplies anterior arm
421
Give the pathway of the ulnar nerve
Arises from medial cord, can be felt by medial epicondyle, towards anterior-medial forearm and hand
422
Give the pathway of the medial nerve
Arises from medial and lateral cord, passes through antecubital fossa, towards anterior-lateral forearm and hand
423
What nerves arise from the lumbar plexus?
Femoral and Obturator
424
What nerves arise from the sacral plexus?
Sciatic
425
Give the pathway of the femoral nerve.
From lumbar plexus, passes anteriorly to the thigh, to the quadricep femoris muscle compartment
426
Give the pathway of the obturator nerve.
From lumbar plexus, pass medial through pelvis, to the medial thigh adductors
427
Give the pathway of the sciatic nerve.
From the sacral plexus, leaves pelvis through greater sciatic foramen, into the gluteal region and down the posterior leg to the popliteal fossa. Supply foot and lower leg
428
When do lower limb buds appear?
Upper: day 24 Lower: day 28
429
Limbs are derived from which germ layers?
Ectoderm: skin Mesoderm: skeletomuscular system
430
What is an apical ectodermal ridge?
Structure formed on distal end of limb buds, directs proximo-distal growth. Promotes underlying mesenchyme to form cartilage and muscle.
431
What is mesenchyme?
Undifferentiated embryonic connective tissue
432
When are handplates and footplates formed?
Week 6
433
How are digits formed?
Apoptosis in sections of the apical ectodermal ridge
434
When is limb development most sensitive?
Weeks 4 and 5 of embryonic development
435
What are limb abnormalities called?
Amelia: complete absense Meromelia: partial absense
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What is the significance of limb rotation in embryonic development?
Rotation (weeks 6-8) results in spiraling of the dermatomes. Upper limb rotates laterally. The lower limb rotates medially, and is more extreme.
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What are the divisions of the autonomic nervous system?
Sympathetic and Parasympathetic
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What are the types of efferent neurons in the autonomic nervous system?
Preganglionic and Postganglionic.
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What is the origin of the sympathetic nervous system?
The grey matter of the thoracolumbar autonomic outflow (T1 - L2 or L3)
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Where do preganglionic neurons synapse?
Paravertebral ganglia (sympathetic chain): anterolaterally alongside the vertebral column Prevertebral ganglia: anterior to vertebral column
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What are splanchnic nerves?
Nerves which pass through the sympathetic chain without synapsing. Can be sympathetic or parasympathetic. Parasympathetic are often called pelvic splanchnic nerves
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What is the arrangement of ganglia in sympathetic chain?
Closely correspond to the number of vertebrae, except in the cervical region when they are fused into 3 ganglia (instead of 7). Sometimes the inferior cervical ganglion can fuse with the upper thoracic ganglion.
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What is the arrangement of prevertebral ganglia?
They form plexuses
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How are sweat glands and blood vessels in the trunk innervated?
Through intercostal nerves, by way of the paravertebral sympathetic
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How does the sympathetic nervous system innervate the upper limbs?
Arising from the thoracolumbar autonomic outflow (T1 - L2 or 3), travel to the level of the spinal nerves responsible for the brachial plexus, synapse in the cervical paravertebral ganglia. Postganglionic neurons enter the brachial plexus.
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How does the sympathetic nervous system innervate the lower limbs?
Arise from the thoracolumbar autonomic outflow (T1 - L2 or 3). Preganglionic nerves travel down sympathetic chain until they're at the ganglia associated with lumbosacral plexus spinal nerves. Synapse here, postganglionic neurons enter the lumbosacral plexus
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What is the origin of the parasympathetic nervous system?
Brain stem (cranial) origin (III, VII, IX or X) or sacral spinal cord (S2-4). The Craniosacral autonomic outflow.
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What is the typical path of a preganglionic parasympathetic nerve?
Craniosacral origin, no paravertebral ganglia, synapse in prevertebral ganglia close to organ (deep in body).
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How is sensory information carried in the autonomic nervous system?
Carried from viscera, to sensory ganglia (associated with cranial or spinal nerves depending on PNS or SNS), to CNS, then local reflex arc or to higher centres in the brain.
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What are the 3 parts of the brain?
Cerebrum (main body: cerebral hemispheres and basal ganglia) Cerebellum (walnut next to brainstem) Brainstem
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What are the groves on the cerebrum called?
Longitudinal fissure: grove divides cerebral hemispheres Sulci (sulcus): valleys between ridges Gyri (gyrus): ridges
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What are the four major lobes of the brain, their relative locations and role?
Frontal lobe: rostral (anterior), motor and decision function Temporal lobe: inferior temporal, memory function Parietal lobe: superior middle, sensory function Occipital lobe: caudal (posterior), visual processing
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What is the corpus callosum?
Thick C-shaped white matter connective tissue in centre of cerebrum
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What are some of the structures found below the cerebral cortex, and their function?
Basal ganglia (superior) - movement control Thalami/Thalamus - relay centres Hypothalamus (inferior, caudal to the above) - hormone control Hippocampus (inferior, rostral) - memory formation
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What is the ventricular system of the brain?
Cavities containing CSF, containing choroid plexus, it is continuous with the central canal of the spinal cord
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What is the choroid plexus?
Network of ependymal cells
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What are ependymal cells?
Cells lining ventricular system, they secrete CSF
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How is CSF reabsorbed?
Arachnoid granulations drain them to the venous system
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What can happen if the ventricular system is compromised?
Blockage leads to buildup of CSF, leading to raised intracranial pressure
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Describe the structure of the brainstem.
Midbrain (superior) Pons Medulla Oblongata (inferior)
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How is the brainstem connected to the cerebrum?
3 pairs of cerebellar peduncles
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What information is contained in the brainstem?
Sensory pathways (ascending) and motor pathways (descending) to/from the spinal cord
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What is ataxia?
Lack of voluntary muscle coordination, can be a result of brainstem damage
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What are the grooves of the cerebellum?
Deep fissures and shallower folia
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What is the dentate nucleus?
Large prominent nucleus, deep in brainstem, controls voluntary movement
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What are nerve fibres made up of?
Axon and supporting schwann cell
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What are bundles of nerve fibres called?
Nerve fascicles
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What connective tissue binds nerve fibres?
Epineurium: dense irregular, groups fascicles together Perineurium: surrounds a fascicle Endonurium: loose, surrounds individual fibres and blood vessels
