GS and CQ - Exam 2 Flashcards

(89 cards)

1
Q

All muscles on anterior aspect of forearm are innervated by median n. except

A

flexor carpi ulnaris & 2 tendons on ulnar side of flexor digitorium profundus which are innervated by ulnar n.

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2
Q

(C.P.) an ulnar (medial) collateral ligament injury in a sprain may lead to?

A

abnormal abduction of the forearm

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3
Q

(C.P.) a radial (lateral) collateral ligament injury in a sprain may lead to?

A

abnormal adduction of the forearm

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4
Q

(C.P.) Colle’s fracture

A

falling on the hand with the arm extended. The radius is fractured with posterior displacement, giving a dinner fork shape to the forearm. May have injury to median and ulnar n.

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5
Q

(C.P.) Fractures of the carpal bones

A

70% scaphoid fractures
10% all hand fractures
14% triquetral fractures (2nd most common)

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6
Q

(C.P.) Carpal tunnel syndrome is a pathologic condition of the anterior region of the wrist caused by?

A

Compression of the median nerve in the carpal tunnel.

Most common cause is repetitive movement of the wrist

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7
Q

(C.P.) radial n. injury

A

wrist drop

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8
Q

(C.P.) median n. injury

A

ape hand

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9
Q

(C.P.) ulanr n. injury

A

claw hand

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10
Q

(C.P.) large hematomas may develop in the scalp following head injuries due to?

A

a loose subaponeurotic layer, and inections reaching this layer may spread widely to the dura by means of emissary veins

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11
Q

(C.P.) mandibular nerve block can be achieved by?

A

injection of local anesthesia around the mandibular nerve in the infratemporal fossa

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12
Q

(C.P.) coniotomy involves puncturing the cricothyroid ligament to?

A

allow air through the airways artificially, when there is an obstruction of the glottis or glottal edema

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13
Q

(C.P.) cleft palate occurs when?

A

the lateral palantine processes, the nasal septum, and/or the median palatine process fail to fuse, and there are a number of possible causes.
Posterior cleft is more common than anterior cleft

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14
Q

(C.P.) macroglassia

A

enlargement of the tongue, often seen in hypothyroidism, amyloidosis, and cretinism

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15
Q

(C.P.) Dupuytren’s contracture

A

Progressive fibrosis; the thickening and shortening of the palmar aponeurosis that leads to the partial flexion of the ring and small finger

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16
Q

(C.P.) Coniotomy

A

Puncturing the cricothyroid ligament to allow air through the airways artificially, when there is an obstruction of the glottis or glottal edema

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17
Q

(C.P.) Tracheotomy

A

A procedure used to create an adequate airway in patients with an upper respiratory tract obstruction or respiratory failure.
Emergency tracheotomy might be necessary when the laryngeal opening (rima glottidis)

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18
Q

(C.P.) Sprain

A

Stretching or tearing of the ligaments that reinforce a joint. Sprains can be very painful, and the complete rupture of the ligaments requires surgical repair or removal

*(Sprain to ligament as strain to muscle)

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19
Q

(C.P.) Dislocation (luxation)

A

Bones of the joint are forced out of alignment

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20
Q

(C.P.) Subluxation

A

The partial or incomplete dislocation of the joint

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21
Q

(C.P.) Bursitis and tendinitis

A

Inflammation of the bursa or tendon

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22
Q

(C.P.) Housemaid’s knee

A

Patellar bursitis

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23
Q

(C.P.) Student’s elbow or olecranon bursitis

A

The development of a bursa on the posterior aspect of the elbow

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24
Q

(C.P.) Arthritis

A

Inflammation or degeneration of the joints accompanied by pain, swelling, and stiffness

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25
(C.P.) Rheumatoid arthritis
An autoimmune disease resulting in severe inflammation of the joints
26
(C.P.) Ankylosing spondylitis
A kind of rheumatoid arthritis, seen mainly in males, that affects the sacroilliac joints and vertebrea
27
(C.P.) Osteoarthritis
A degenerative condition involving articular cartilages, primarily in the weight-bearing joints
28
(C.P.) Lyme disease
Arthritis caused by bacteria transmitted via tick bites
29
If long thoracic nerve is damaged then it may cause winged scapula
if the arm can not be lifted then serratus anterior may be damaged if arm can be lifted then it may be rhomboid muscle
30
short head and long head of biceps, brachialis, and coracobrachialis
I: Musculocutaneous N.
31
Knee jerk/patella reflex
L3/L4 | hitting the patella tendon makes leg jump
32
Biceps jerk
C5/C6
33
Triceps jerk
C7/C8
34
Triceps brachii is strongest
extensor of elbow
35
all muscles of the posterior aspect of the arm and forearm are
extensors
36
all the muscles of the anterior aspect of the forearm(palm up) are innervated by the MEDIAN nerve EXCEPT
flexor carpi ulnaris and 2 tendons on ulnar side of the flexor digitorum profundus that are innervated by the ULNAR nerve
37
MEDIAN nerve injury leads to papal benediction sign and ape hand
papal benediction sign keeps ring and pinky finger flexed
38
Thenar eminence
hypothenar eminence mostly by the medial nerve “Ape hand” the Thenar eminence becomes flat and atrophies
39
what is the common head? Medial and lateral epicondyle
The medial epicondyle of the humerus is the common head for the flexors in forearm The lateral epicondyle of the humerus is the common head for the extensors in forearm
40
Medial epicondylitis golfers elbow
inflammation of the elbow from one way motion
41
Lateral epicondylitis tennis elbow
inflammation of the elbow from forward and backward motions
42
Flexor Digitorum Profundus
I: Median and Ulnar n. | palpal benediction sign keeps middle and pointer finger paralyzed by ring and punky can flex
43
Ape hand
median nerve paralyzed causing the thenar area to become stagnant
44
Guyon’s canal
transmits ulnar artery, vein, and nerve | between the two layers of flexor rentinaculum not in the carpal tunnel
45
Superficial radial nerve
goes to skin of thumb side of hand | dorsal side
46
Deep radial nerve
innervates most of muscles on dorsal of forearm
47
Brachioradialis
I: radial nerve before branching to deep/superficial
48
Extensor capri radialis brevis
I: deep radial n
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Extensor carpi radialis longus
I: radial n before branching
50
Close to elbow the radial nerve divides
superficial and deep
51
Ulnar nerve injury leads to flexion of fingers
extension at metacarpal joints flexion at interfalangial joints CLAW HAND – due to interosseous unique extensor/flexor functionality
52
Interosseous muscles
I: ulnar n. | A: abduction and adduction of digits
53
Mid shaft injury may still have extension of elbow
if above mid shaft then extension of elbow may be compromised as well Wrist drop in both scenarios Radial nerve injury
54
Saturday night palsy
injury to radial nerve | looks like wrist drop but temporary from compression on radial nerve(someone sleeping on upper arm over night)
55
Honeymoon palsy
radial nerve injury from compression like Saturday night palsy but longer term
56
Thenar Innervation
Median N.
57
Adductor pollicis brevis
I: Ulnar N.
58
Opposition
pinky and thumb touch
59
Reposition
pinky and thumb not touching
60
Flexion
thumb to mid palm
61
Adduction
Thumb to index finger
62
Abduction
thumb away from index finger
63
Extension
thumb away from mid palm
64
Dorsal interossei
abduction
65
For hand: 7 and 3
each finger has 2 nerve on back and front of finger in palm of hand 70% by median n 30% by ulnar n on back of hand 70% by 30% by ulnar
66
Claw hand
C8-T1
67
Tips of fingers innervated by
median nerve
68
Palpal benediction sign
not seen injury is low in forearm
69
8, 9, 10 innervated by ulnar nerve
part of ring finger and pinky finger
70
Lateral thoracic artery is
blood supply to breast
71
Lymphangitis
The thoracic duct has 75% of the lymphatic system go through it The lymphatic system speed is about 20 meters per day Carry larger material the Venus system can not
72
Radial and ulnar arteries joint two times
deep palmar arch(higher of the two towards wrist) | superficial palmar arch(lower towards fingers)
73
Laryngeal muscles are innervated by
CN 10(Vagus n.) superior laryngeal nerve inferior laryngeal nerve Recurrent laryngeal nerve innervates all laryngeal except cricothyroid
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The buccinator muscle is pierced by the
carotid duct for salivary gland
75
Hypoglossal nerve
CN 12 | Innervates all muscles of tongue
76
Lymph node, especially on left side
sentinel lymph node can be a side of cancer at root of neck intraabdominal or intrathoracic cancer
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Occipito frontalis
when contracted – astonishment
78
Corrugator supercilli
thinkers brow | pulls down the brow
79
Risorius
can elevate the mouth | laughing and smiling
80
Platysma
brings the angle of the mouth down | expression of sadness
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Muscles of mastication Masseter Temporalis Lateral Pterygoid Medial Pterygoid
Put wrinkles on the face after 40-45 years wrinkles can become permanent CV5/3 mandibular nerve Lateral pterygoid inserts inside the TMJ(temporal mandibular joint)
82
greater occipital nerve in back of head(migraine relief)
figure 8-33 pterygopalatine fossa *read paragraph and be familiar with it know ganglion(migraine relief)
83
Mental nerve, infraorbital nerve, supraorbital nerve are the
sensory innervation of the face 3 terminal branches of the trigeminal nerve 1 inch from midline Migraine relief
84
Palmaris brevis and platysma are the only
cutaneous muscles left in the human body Contraction brings the angles of the mouth down resulting in the sadness look
85
Cervical Ansa(C1, C2, C3)
Innervates all hyoid muscles
86
Branchial(pharyngeal) nerves(arches)
``` 1st arch Trigeminal nerve (CN 5) 2 CN 7(Facial) 3 CN 9(glossopharyngeal) 4 CN 10(vagus) 5 degenerates in humans 6 Vagus nerve(CN 10) ```
87
Cervicle ansa
C1, C2, C3, C4 | GS: innervates all infrahyoid muscles
88
Herings nerve is part of
CN 9(glossopharyngeal)
89
Lumbral sacral plexus L1-S3 Brachial Plexus C5-T1 Cervicle Ansa C1-C4
Lumbral sacral plexus L1-S3 Brachial Plexus C5-T1 Cervicle Ansa C1-C4