Lecture 9: Vascular supply to upper extremity

Question 1

Axillary vein formed by

Answer 1

Union of basilic vein and venae comitantes

Question 2

Radial artery

Answer 2

Gives off radial recurrent to radial collateral from deep brachial
Enters wrist and hand to form deep palmar arch

Question 3

Ulnar artery

Answer 3

Gives off common interosseous artery near its orgin
Runs through antebrachium with ulnar nerve
Enters wrist and hand to form superficial palmar arch

Question 4

Dorsal scapular artery runs

Answer 4

Along the vertebral border of the scapula

Question 5

Median cubital vein lies

Answer 5

Superficial to bicipital aponeurosis

Question 6

Third part of axillary artery

Answer 6

Posterior circumflex artery
Anterior circumflex artery
Subscapular artery

Question 7

Basilic vein runs

Answer 7

Along medial side of antebrachium

Runs in deep fascia along medial side of brachium

Question 8

Part two of the subclavian arteries

Answer 8

Posterior to the anterior scalene muscle

Question 9

Cephalic vein dumps into the

Answer 9

Axillary vein

Question 10

________ drains medial side of dorsal venous arch

Answer 10

Basilic vein

Question 11

Posterior circumflex humeral

Answer 11

Passes around posterior aspect of surgical neck of humerus
Anastomoses with the anterior circumflex humeral a.
Runs with axillary nerve
Supplies deltoids, triceps and parts of contents of quadrilateral space

Question 12

Arterial branches anastomosing on scapula

Answer 12

Suprascapular artery
Dorsal scapular artery
Posterior intercostal arteries
Circumflex scapular artery
Thoracodorsal artery

Question 13

Subclavian vein forms

Answer 13

Brachiocephalic vein x2 along with jugular veins

Question 14

Axillary vein renamed ______ after

Answer 14

Subclavian vein after it passes under clavicle

Question 15

Brachial artery runs

Answer 15

Medial to median nerve in upper part of arm
Lateral to median nerve in lower part of arm
Passes deep to bicipital aponeurosis lateral to median nerve and medial to bicipital tendon

Question 16

Part one of the subclavian arteries

Answer 16

Medial to the anterior scalene muscle

Question 17

Deep brachial artery branches

Answer 17

Ascending branch to posterior circumflex humeral artery

Descending branch becomes radial collateral

Question 18

Second part of axillary artery

Answer 18

Deep to pectoralis minor
Thoracoacromial artery
Lateral thoracic artery

Question 19

Brachiocephalic veins come together to form

Answer 19

Superior vena cava

Question 20

Subclavian artery runs

Answer 20

Across subclavian groove behind anterior scalene muscle

Passes between first rib and clavicle and is renamed the axillary artery at the inferior border of the first rib

Question 21

Suprascapular artery passes

Answer 21

Passes b/w sternomastoid and anterior scalene muscles
Passes over suprascapular ligament to supraspinous fossa
Passes through spinoglenoid notch to infraspinous fossa

Question 22

Left subclavian artery is a

Answer 22

Direct branch from the aortic arch

Question 23

Lateral lymphatic drainage

Answer 23

Lymphatics follow cephalic vein to chain of nodes in deltapectoral groove to axillary nodes

Question 24

Cephalic vein runs

Answer 24

Along lateral side of antebrachium in superficial fascia
Runs along lateral side of brachium in superficial fascia
Runs through deltopectoral triangle
Pierces clavipectoral fascia

Question 25

Brachial lymph nodes

Answer 25

Lie medial to humerus near axillary artery/vein

Question 26

Superior ulnar collateral artery

Answer 26

Runs with ulnar nerve Passes posterior to medial epicondyle Anastomoses with posterior ulnar recurrent artery

Question 27

Basilic vein joins _____ to form ____

Answer 27

Joins with venae comitantes to form axillary vein

Question 28

Deep brachial artery supplies

Answer 28

Posterior compartment of brachium

Question 29

Basilic vein receives ______ drainage

Answer 29

Receives medial cubital vein drainage

Question 30

Central nodes

Answer 30

Lie in axillary fat Receive lymph from brachial, pectoral and subscapular nodes Drain to apical nodes behind clavicle

Question 31

Deep brachial artery anastomoses with

Answer 31

Radial recurrent

Question 32

Part two branches of subclavian artery include

Answer 32

Costocervical trunk, which branches into - -supreme interocostal - -deep cervical

Question 33

Part three of the subclavian arteries

Answer 33

Lateral to the anterior scalene muscle

Question 34

Pectoral lymph nodes

Answer 34

Lie behind pectoralis minor with lateral thoracic artery | Drain mammary gland

Question 35

Vertebral artery passes, unites with

Answer 35

Passes through transverse foramina 6-1 Passes through foramen magnum Unites with opposite vertebral artery to form basilar artery

Question 36

Main branch of the brachial artery is

Answer 36

Deep brachial artery (profuna brachii)

Question 37

Part three branches of subclavian artery include

Answer 37

Typically there are no branches

Question 38

Transverse cervical artery passes, runs with, supplies

Answer 38

Passes anterior to scalenus anterior muscle Runs with CN XI Supplies rhomboids

Question 39

Lateral thoracic artery

Answer 39

Extends along lateral side of pectoralis major | Supplies part of pectoral muscles, lymph nodes and breasts

Question 40

Medial lymphatic drainage

Answer 40

Lymphatics flow to epitrochlear nodes to axillary nodes

Question 41

Brachial artery is a continuation of

Answer 41

The axillary artery at the inferior border of teres major

Question 42

Thoracoacromial artery branches

Answer 42

Pectoral Deltoid Acromial Clavicular

Question 43

Superior thoracic artery

Answer 43

Supplies posterior aspects of intercostal spaces 1&2 and part of serratus anterior

Question 44

________ drains lateral side of dorsal venous arch

Answer 44

Cephalic vein

Question 45

Common interosseous artery

Answer 45

Gives off anterior/posterior interosseous arteries | Run on either side of the interosseous membrane in the antebrachium

Question 46

Cephalic vein receives tributaries from

Answer 46

Median vein near the level of the elbow

Question 47

Axillary artery branches w/respect to pectoralis minor

Answer 47

First part superior to pminor Second part deep to pminor Third part inferior to pminor

Question 48

Subscapular lymph nodes

Answer 48

Lie along lower border of scapula with subscapular artery | Drain back

Question 49

Blood drainage from hand begins with

Answer 49

Dorsal venous arch, which receives blood from digits

Question 50

Subscapular artery

Answer 50

Thoracodorsal artery-supplies latissimus dorsi | Circumflex scapular artery

Question 51

Axillary artery begins

Answer 51

At inferior border of first rib

Question 52

Dorsal scapular artery can arise from

Answer 52

3rd part of subclavian artery (most of the time) | Transverse cervical artery (30%)

Question 53

Thyrocervical trunk includes

Answer 53

Suprascapular artery Ascending cervical artery Transverse cervical artery Inferior thyroid artery

Question 54

The subclavian arteries arise

Answer 54

Posterior to the sternoclavicular joint

Question 55

Brachial artery branches into

Answer 55

Radial and ulnar arteries

Question 56

First part of axillary artery

Answer 56

Superior to pectoralis minor | Superior thoracic artery

Question 57

Branches of brachial artery

Answer 57

Deep brachial artery (profunda brachii) Nutrient humeral artery Superior ulnar collateral

Question 58

Deep brachial artery location

Answer 58

Wraps around posterior surface of humerus | Runs in radial groove with radial nerve

Question 59

Right subclavian artery is a

Answer 59

Branch from the brachiocephalic artery

Question 60

Part one branches of subclavian artery include

Answer 60

Internal thoracic (mammary) artery Vertebral artery Thyrocervical arterial trunk