muscles Flashcards

(210 cards)

1
Q

all facial muscles are innervated by what nerve

A

CN VIII (facial nerve)

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2
Q

frontalis

origin
insertion
action
innervation

A

Origin: Epicranial aponeurosis
Insertion: Skin of forehead and eyebrows
Innervation: Facial nerve (CN VII)
Action: Raises eyebrows, wrinkles forehead

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3
Q

orbicularis oculi

origin
insertion
action
innervation

A

Origin: Medial orbital margin, nasal bone
Insertion: Skin around the orbit
Innervation: Facial nerve (CN VII)
Action: Closes eyelids (blink, squint)

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4
Q

oribicularis oris

origin
insertion
action
innervation

A

Origin: Maxilla and mandible
Insertion: Mucous membrane of lips
Innervation: Facial nerve (CN VII)
Action: Closes and protrudes lips (pucker)

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5
Q

buccinator

origin
insertion
action
innervation

A

Origin: Maxilla and mandible (pterygomandibular raphe)
Insertion: Orbicularis oris
Innervation: Facial nerve (CN VII)
Action: Compresses cheek (whistling, blowing)

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6
Q

zygomaticus major

origin
insertion
action
innervation

A

Origin: Zygomatic bone
Insertion: Angle of mouth
Innervation: Facial nerve (CN VII)
Action: Elevates corner of mouth (smiling)

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7
Q

zygomaticus minor

origin
insertion
action
innervation

A

Origin: Zygomatic bone
Insertion: Upper lip
Innervation: Facial nerve (CN VII)
Action: Elevates upper lip (showing teeth)

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8
Q

levator labii superioris

origin
insertion
action
innervation

A

Origin: Maxilla (infraorbital margin)
Insertion: Upper lip
Innervation: Facial nerve (CN VII)
Action: Elevates upper lip

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9
Q

depressor anguli oris

origin
insertion
action
innervation

A

Origin: Mandible (oblique line)
Insertion: Angle of mouth
Innervation: Facial nerve (CN VII)
Action: Depresses corner of mouth (frown)

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10
Q

depressor labii inferioris

origin
insertion
action
innervation

A

Origin: Mandible
Insertion: Lower lip
Innervation: Facial nerve (CN VII)
Action: Depresses lower lip

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11
Q

mentalis

origin
insertion
action
innervation

A

Origin: Mandible (incisive fossa)
Insertion: Skin of chin
Innervation: Facial nerve (CN VII)
Action: Elevates and protrudes lower lip (pout)

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12
Q

platysma

origin
insertion
action
innervation

A

Origin: Fascia of chest and shoulder
Insertion: Mandible and skin of lower face
Innervation: Facial nerve (CN VII)
Action: Tenses skin of neck, depresses mandible

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13
Q

masseter

origin
insertion
action
innervation

A

Origin: Zygomatic arch
Insertion: Lateral surface of mandibular ramus and angle
Innervation: Mandibular nerve (V3 branch of trigeminal nerve)
Action: Elevates mandible (closes jaw), assists in protraction

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14
Q

temporalis

origin
insertion
action
innervation

A

Origin: Temporal fossa
Insertion: Coronoid process of mandible
Innervation: Mandibular nerve (V3)
Action: Elevates and retracts mandible

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15
Q

medial pterygoid

origin
insertion
action
innervation

A

Origin: Medial surface of lateral pterygoid plate (sphenoid) and maxilla
Insertion: Medial surface of mandibular ramus and angle
Innervation: Mandibular nerve (V3)
Action: Elevates mandible, assists in protrusion and side-to-side (lateral) movements

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16
Q

lateral pterygoid

origin
insertion
action
innervation

A

Origin:
Superior head: Greater wing of sphenoid
Inferior head: Lateral surface of lateral pterygoid plate
Insertion: Neck of mandible and articular disc of TMJ
Innervation: Mandibular nerve (V3)
Action: Protracts mandible, depresses mandible (opens jaw), side-to-side movements

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17
Q

4 muscles of mastication and what they’re innervated by

A

CN V3 (mandibular branch of trigmeinal nerve)

masseter, temporalis, lateral and medial pterygoid

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18
Q

actions of the 4 muscles of mastication

A

masseter: elevate and protract
temporalis: elevate and retract
medial pterygoid: elevate and protrusion
lateral pterygoid: protract and depress

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19
Q

superior rectus

origin
insertion
action
innervation

A

Origin: Common tendinous ring (annulus of Zinn) at the back of the orbit
Insertion: Superior surface of the eyeball
Innervation: Oculomotor nerve (CN III)
Action: Elevates, adducts, and medially rotates the eye

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20
Q

inferior rectus

origin
insertion
action
innervation

A

Origin: Common tendinous ring
Insertion: Inferior surface of the eyeball
Innervation: Oculomotor nerve (CN III)
Action: Depresses, adducts, and laterally rotates the eye

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21
Q

medial rectus

origin
insertion
action
innervation

A

Origin: Common tendinous ring
Insertion: Medial surface of the eyeball
Innervation: Oculomotor nerve (CN III)
Action: Adducts the eye (moves eye medially)

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22
Q

lateral rectus

origin
insertion
action
innervation

A

Origin: Common tendinous ring
Insertion: Lateral surface of the eyeball
Innervation: Abducens nerve (CN VI)
Action: Abducts the eye (moves eye laterally)

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23
Q

superior oblique

origin
insertion
action
innervation

A

Origin: Body of the sphenoid bone
Insertion: Superior, lateral surface of the eyeball (via trochlea pulley)
Innervation: Trochlear nerve (CN IV)
Action: Depresses, abducts, and medially rotates the eye

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24
Q

inferior oblique

origin
insertion
action
innervation

A

Origin: Maxillary bone (anterior floor of the orbit)
Insertion: Inferior, lateral surface of the eyeball
Innervation: Oculomotor nerve (CN III)
Action: Elevates, abducts, and laterally rotates the eye

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25
3 erector spinal muscles
Iliocostalis: The most lateral muscle group, with sections in the lumbar, thoracic, and cervical regions. Longissimus: The intermediate muscle group, also with lumbar, thoracic, and cervical sections. Spinalis: The most medial muscle group, primarily found in the thoracic and cervical regions. They are responsible for extending (bilateral contraction), laterally flexing (unilateral contraction), and rotating the vertebral column, as well as maintaining posture and stabilizing the spine.
26
3 transversospinalis muscles
Rotatores: The deepest and shortest muscles, spanning one to two vertebrae. Multifidus: Span two to four vertebrae and are most developed in the lumbar region. Semispinalis: The most superficial of the group, spanning four to six vertebrae, and attaching to the occipital bone in the head.
27
deep to superificial for the transversospinalis muscles
They are categorized into three main subgroups: rotatores, multifidus, and semispinalis, ordered from deepest to most superficial. These muscles play a crucial role in stabilizing the spine and assisting with movements like rotation and extension. Three Main Muscles (from superficial to deep): Semispinalis (spans 4–6 vertebrae) Multifidus (spans 2–4 vertebrae) Rotatores (spans 1–2 vertebrae) (Mnemonic: "Some More Rotations")
28
order of erector spinae
**3 Columns (from lateral to medial): Iliocostalis β†’ lateral Longissimus β†’ intermediate Spinalis β†’ medial (Mnemonic: I Love Spine)
29
which transversospinalis muscle is most key in lumbar spine stabiliization
mulfidus
30
rectus capitis posterior major and Minor origin insertion action innervation
Rectus capitis posterior major Origin: Spinous process of C2 (axis) Insertion: Inferior nuchal line of occipital bone Innervation: Suboccipital nerve (dorsal ramus of C1) Action: Extends and rotates the head to the same side Rectus capitis posterior minor Origin: Posterior tubercle of C1 (atlas) Insertion: Medial part of inferior nuchal line of occipital bone Innervation: Suboccipital nerve (C1 dorsal ramus) Action: Extends the head
31
obliquus capitis superior and inferior origin insertion action innervation
Obliquus capitis superior Origin: Transverse process of C1 (atlas) Insertion: Between superior and inferior nuchal lines of occipital bone Innervation: Suboccipital nerve (C1 dorsal ramus) Action: Extends and laterally flexes the head Obliquus capitis inferior Origin: Spinous process of C2 (axis) Insertion: Transverse process of C1 (atlas) Innervation: Suboccipital nerve (C1 dorsal ramus) Action: Rotates the atlas (and head) to the same side
32
iliocostalis origin insertion action innervation
Origin: Sacrum, iliac crest, and lumbar vertebrae (via thoracolumbar fascia) Insertion: Angles of ribs and cervical transverse processes Innervation: Dorsal rami of spinal nerves Action: Extends and laterally flexes vertebral column
33
longissimus origin insertion action innervation
Origin: Sacrum, iliac crest, lumbar vertebrae Insertion: Transverse processes of thoracic and cervical vertebrae, mastoid process of temporal bone Innervation: Dorsal rami of spinal nerves Action: Extends and laterally flexes vertebral column and head
34
spinalis origin insertion action innervation
Origin: Spinous processes of upper lumbar and lower thoracic vertebrae Insertion: Spinous processes of upper thoracic and cervical vertebrae Innervation: Dorsal rami of spinal nerves Action: Extends vertebral column
35
semispinalis origin insertion action innervation
Origin: Transverse processes of C4-T12 vertebrae Insertion: Spinous processes of cervical and thoracic vertebrae (4-6 segments superior), and occipital bone (capitis part) Innervation: Dorsal rami of spinal nerves Action: Extends head and thoracic and cervical regions; rotates them contralaterally
36
multifidus origin insertion action innervation
Origin: Sacrum, iliac spine, transverse processes of T1-L5 vertebrae Insertion: Spinous processes of vertebrae 2-4 segments above Innervation: Dorsal rami of spinal nerves Action: Stabilizes vertebrae; assists with extension and contralateral rotation of vertebral column
37
rotatores origin insertion action innervation
Origin: Transverse processes of vertebrae Insertion: Spinous processes of vertebrae 1-2 segments above Innervation: Dorsal rami of spinal nerves Action: Stabilizes vertebrae; aids in local extension and contralateral rotation
38
serrates anterior origin insertion action innervation
Origin: Outer surfaces of upper 8–9 ribs Insertion: Anterior surface of the medial border of the scapula Innervation: Long thoracic nerve (C5-C7) Action: Protracts and upwardly rotates scapula; holds scapula against thoracic wall
39
serrates posterior superior and inferior origin insertion action innervation
Serratus posterior superior Origin: Spinous processes of C7 to T3 vertebrae Insertion: Superior borders of ribs 2–5 Innervation: Intercostal nerves (ventral rami of upper thoracic spinal nerves) Action: Elevates ribs during inspiration Serratus posterior inferior Origin: Spinous processes of T11 to L2 vertebrae Insertion: Inferior borders of ribs 9–12 Innervation: Intercostal nerves (ventral rami of lower thoracic spinal nerves) Action: Depresses ribs during expiration
40
splenius capitis origin insertion action innervation
Origin: Spinous processes of C7 to T3 vertebrae Insertion: Mastoid process of temporal bone and lateral third of superior nuchal line of occipital bone Innervation: Dorsal rami of middle cervical spinal nerves Action: Unilateral - laterally flexes and rotates head to the same side; Bilateral - extends head and neck
41
scalenes origin insertion action innervation
Anterior scalene Origin: Transverse processes of C3-C6 vertebrae Insertion: Scalene tubercle on the first rib Innervation: Ventral rami of cervical spinal nerves (C4-C6) Action: Elevates first rib (during inspiration), laterally flexes neck Middle scalene Origin: Transverse processes of C2-C7 vertebrae Insertion: First rib (posterior to subclavian groove) Innervation: Ventral rami of cervical spinal nerves Action: Elevates first rib, laterally flexes neck Posterior scalene Origin: Transverse processes of C4-C6 vertebrae Insertion: Second rib Innervation: Ventral rami of cervical spinal nerves Action: Elevates second rib, laterally flexes neck
42
sternocleidomastoid origin insertion action innervation
Origin: Sternal head: Manubrium of sternum Clavicular head: Medial third of clavicle Insertion: Mastoid process of temporal bone and superior nuchal line of occipital bone Innervation: Accessory nerve (cranial nerve XI) and cervical spinal nerves (C2-C3) for proprioception Action: Unilateral - tilts head to the same side and rotates face to the opposite side; Bilateral - flexes neck and assists in forced inspiration
43
supra hyoid muscles (digastric, stylohyoid, mylohyoid, geniohyoid) origin insertion action innervation
Digastric Origin: Anterior belly: Digastric fossa of mandible Posterior belly: Mastoid notch of temporal bone Insertion: Intermediate tendon connected to the hyoid bone via a fibrous loop Innervation: Anterior belly: Mandibular nerve (V3) Posterior belly: Facial nerve (CN VII) Action: Elevates hyoid bone; assists in depressing the mandible (opens jaw) Stylohyoid Origin: Styloid process of temporal bone Insertion: Body of hyoid bone Innervation: Facial nerve (CN VII) Action: Elevates and retracts the hyoid bone during swallowing Mylohyoid Origin: Mylohyoid line of mandible Insertion: Body of hyoid bone and median raphe Innervation: Mandibular nerve (V3) Action: Elevates floor of mouth and hyoid bone; helps depress mandible Geniohyoid Origin: Inferior mental spine of mandible Insertion: Body of hyoid bone Innervation: C1 via hypoglossal nerve (CN XII) Action: Pulls hyoid bone anterosuperiorly; shortens floor of mouth
44
infrahyoid (sternohyoid, sternothyroid, thyrohyoid, omohyoid) origin insertion action innervation
Sternohyoid Origin: Manubrium of sternum and medial end of clavicle Insertion: Body of hyoid bone Innervation: Ansa cervicalis (C1-C3) Action: Depresses hyoid bone after swallowing Sternothyroid Origin: Manubrium of sternum (posterior surface) Insertion: Thyroid cartilage (oblique line) Innervation: Ansa cervicalis (C2-C3) Action: Depresses thyroid cartilage and larynx Thyrohyoid Origin: Thyroid cartilage (oblique line) Insertion: Body and greater horn of hyoid bone Innervation: C1 via hypoglossal nerve (CN XII) Action: Depresses hyoid bone and elevates larynx Omohyoid Origin: Superior border of scapula (medial to scapular notch) Insertion: Body of hyoid bone Innervation: Ansa cervicalis (C1-C3) Action: Depresses and retracts (stabilizes) hyoid bone
45
supra and infrahyoid muscle names
supra hyoid: digastric, stylohyoid, mylohyoid, genoihyoid infrahyoid: sternohyoid, sternothryoid, thyrohyoid, omohyoid
46
intercostal muscles origin insertion action innervation
External intercostals Origin: Inferior border of ribs (1-11) Insertion: Superior border of ribs below (2-12) Innervation: Intercostal nerves (ventral rami of T1-T11) Action: Elevate ribs during inspiration (increases thoracic volume) Internal intercostals Origin: Superior border of ribs (2-12) Insertion: Inferior border of ribs above (1-11) Innervation: Intercostal nerves (ventral rami of T1-T11) Action: Depress ribs during forced expiration (decreases thoracic volume) Innermost intercostals Origin: Inner surface of ribs Insertion: Inner surface of adjacent ribs Innervation: Intercostal nerves (ventral rami of T1-T11) Action: Assist internal intercostals in depressing ribs
47
diaphragm origin insertion action innervation
Origin: Sternal part: Xiphoid process of sternum Costal part: Inner surfaces of lower six ribs and their costal cartilages Lumbar part: Lumbar vertebrae via right and left crura and arcuate ligaments Insertion: Central tendon of diaphragm Innervation: Phrenic nerve (C3-C5) Action: Primary muscle of inspiration; contracts to increase vertical thoracic volume, causing air to be drawn into lungs
48
external oblique origin insertion action innervation
External oblique Origin: External surfaces of ribs 5-12 Insertion: Linea alba, pubic tubercle, anterior half of iliac crest Innervation: Thoracoabdominal nerves (T7-T11) and subcostal nerve (T12) Action: Compresses abdomen, flexes and rotates trunk
49
internal oblique origin insertion action innervation
Origin: Thoracolumbar fascia, anterior iliac crest, lateral half of inguinal ligament Insertion: Inferior borders of ribs 10-12, linea alba, and pectineal line of pubis Innervation: Thoracoabdominal nerves (T7-T11), subcostal nerve (T12), and first lumbar nerves (L1) Action: Compresses abdomen, flexes and rotates trunk (opposite side)
50
transversus abdominus origin insertion action innervation
Origin: Internal surfaces of ribs 7-12, thoracolumbar fascia, iliac crest, and lateral third of inguinal ligament Insertion: Linea alba with aponeurosis of internal oblique, pubic crest, and pectineal line Innervation: Thoracoabdominal nerves (T7-T11), subcostal nerve (T12), and first lumbar nerves (L1) Action: Compresses abdominal contents
51
rectus abdominis origin insertion action innervation
Origin: Pubic symphysis and pubic crest Insertion: Xiphoid process and costal cartilages of ribs 5-7 Innervation: Thoracoabdominal nerves (T7-T11) and subcostal nerve (T12) Action: Flexes trunk, compresses abdominal contents
52
pelvic diaphragm
levator ani (composed of pubococcygeus, puborectalis, iliococcygeus) and coccygeus
53
levator ani (composed of pubococcygeus, puborectalis, iliococcygeus) origin insertion action innervation
Origin: Pubis and ischial spine Insertion: Coccyx, anococcygeal ligament, and walls of prostate/vagina and rectum Innervation: Pudendal nerve (S2-S4) and direct branches from sacral plexus Action: Supports pelvic viscera; maintains continence by supporting rectum and vagina
54
coccygeus origin insertion action innervation
Origin: Ischial spine Insertion: Inferior end of sacrum and coccyx Innervation: Pudendal nerve (S2-S4) Action: Supports pelvic viscera; flexes coccyx
55
deep transverse perineal muscle origin insertion action innervation
Origin: Ischial rami Insertion: Median raphe of perineum Innervation: Pudendal nerve (S2-S4) Action: Supports pelvic floor; stabilizes perineal body
56
sphincter urethrae (external urethral sphincter) origin insertion action innervation
Origin: Ischiopubic rami Insertion: Surrounds urethra Innervation: Pudendal nerve (S2-S4) Action: Voluntary constriction of urethra to maintain continence
57
external and internal anal sphincter origin insertion action innervation
External anal sphincter Origin: Perineal body and coccyx Insertion: Encircles anal canal Innervation: Inferior rectal branch of pudendal nerve (S2-S4) Action: Voluntary constriction of anus Internal anal sphincter Origin: Thickening of circular smooth muscle of rectum Insertion: Encircles anal canal Innervation: Autonomic nervous system (sympathetic maintains tone, parasympathetic relaxes) Action: Involuntary constriction of anus; maintains continence at rest
58
all muscles for scapula elevation depression protraction retraction upward rotation downward rotation
elevation: upper trapezius, levator scapulae, rhomboids depression: lower trapezius, pec minor, serrates anterior protraction: serrates anterior, pec minor retraction: middle trapezius, rhomboids upward rotation: trapezius, serrates anterior downward rotation: rhomboid, levator scapulae, pec minor
59
muscles for elevation of scapula
elevation: upper trapezius, levator scapulae, rhomboids
60
muscles for depression of scapula
depression: lower trapezius, pec minor, serrates anterior
61
muscles for protraction of scapula
protraction: serrates anterior, pec mino
62
muscles for retraction of scapula
retraction: middle trapezius, rhomboids
63
muscles for downward rotation of scapula
downward rotation: rhomboid, levator scapulae, pec minor
64
muscles for upward rotation of scapula
upward rotation: trapezius, serrates anterior
65
🦠 7. Microbiology – Streptococcus pneumoniae Which of the following characteristics best describes the organism responsible for lobar pneumonia, otitis media, and meningitis? A. Gram-negative diplococcus, oxidase-positive B. Gram-positive cocci, alpha-hemolytic, optochin sensitive C. Gram-positive cocci, beta-hemolytic, bacitracin sensitive D. Acid-fast bacilli, obligate aerobe
B. Gram-positive cocci, alpha-hemolytic, optochin sensitive
66
😷 6. Immunology – Type I Hypersensitivity A 25-year-old woman experiences wheezing, pruritus, and hypotension minutes after a bee sting. Which immune mediator is primarily responsible for her symptoms? A. IgM B. IgG C. IgA D. IgE
D. IgE
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🩸 5. Hematology – Thrombotic Thrombocytopenic Purpura (TTP) A 30-year-old woman presents with fever, neurologic symptoms, renal failure, anemia, and thrombocytopenia. Labs show schistocytes on peripheral smear and elevated LDH. What is the underlying enzyme deficiency? A. ADAMTS13 B. G6PD C. Factor VIII D. von Willebrand factor
A. ADAMTS13
68
πŸ§ͺ 4. Renal – Nephritic Syndrome A 12-year-old boy presents with hematuria, periorbital edema, and hypertension. He had a sore throat 2 weeks ago. Urinalysis reveals RBC casts. Which of the following is the most likely diagnosis? A. Minimal change disease B. Focal segmental glomerulosclerosis C. Post-streptococcal glomerulonephritis D. IgA nephropathy
C. Post-streptococcal glomerulonephritis
69
🧬 3. Genetics – Marfan Syndrome A tall, thin 20-year-old male presents with pectus excavatum, hypermobile joints, and lens dislocation. A systolic murmur suggests aortic root dilation. Which gene is most likely mutated? A. FBN1 B. COL1A1 C. NF1 D. TSC1
A. FBN1
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❀️ 2. Cardiovascular – Aortic Stenosis A 72-year-old man presents with exertional syncope, dyspnea on exertion, and a crescendo-decrescendo systolic murmur at the right second intercostal space. What is the most likely underlying pathology? A. Mitral valve prolapse B. Calcification of the aortic valve C. Rheumatic fever-induced mitral stenosis D. Infective endocarditis
Answer: B. Calcification of the aortic valve Aortic valve stenosis has the crescendo and decrescnedo
71
🧠 1. Neurology – Myasthenia Gravis A 35-year-old woman presents with ptosis and diplopia that worsen throughout the day. She reports difficulty chewing in the evening and generalized fatigue. Acetylcholine receptor antibodies are detected. Which of the following is the most likely mechanism of her condition? A. Demyelination of peripheral motor neurons B. Autoimmune destruction of nicotinic acetylcholine receptors C. Inhibition of acetylcholinesterase D. Mutation of the dystrophin gene
B. Autoimmune destruction of nicotinic acetylcholine receptors
72
πŸ”Ή 1. Which of the following muscles protracts the scapula and helps keep it tight to the thoracic wall? a. Rhomboid major b. Serratus anterior c. Trapezius d. Levator scapulae
b. Serratus anterior
73
πŸ”Ή 2. Which nerve innervates the muscles of mastication? a. Facial nerve (CN VII) b. Glossopharyngeal nerve (CN IX) c. Mandibular nerve (V3) d. Hypoglossal nerve (CN XII)
c. Mandibular nerve (V3)
74
πŸ”Ή 3. The lateral rectus muscle of the eye is responsible for which action? a. Medial rotation b. Lateral rotation c. Abduction d. Adduction
c. Abduction
75
πŸ”Ή 4. The suboccipital nerve (C1) innervates all of the following muscles except: a. Rectus capitis posterior major b. Obliquus capitis inferior c. Semispinalis capitis d. Obliquus capitis superior
βœ… Answer: c. Semispinalis capitis (It is innervated by dorsal rami but not specifically the suboccipital nerve)
76
πŸ”Ή 5. Which of the following correctly orders the erector spinae muscles from lateral to medial? a. Spinalis β†’ Longissimus β†’ Iliocostalis b. Iliocostalis β†’ Spinalis β†’ Longissimus c. Iliocostalis β†’ Longissimus β†’ Spinalis d. Longissimus β†’ Iliocostalis β†’ Spinalis
βœ… Answer: c. Iliocostalis β†’ Longissimus β†’ Spinalis (Mnemonic: I Love Spine)
77
πŸ”Ή 6. Which abdominal muscle compresses the abdominal contents but does not flex the trunk? a. Rectus abdominis b. External oblique c. Transversus abdominis d. Internal oblique
βœ… Answer: c. Transversus abdominis
78
πŸ”Ή 7. Which pelvic floor muscle is responsible for voluntary control of urination? a. Coccygeus b. External urethral sphincter c. Levator ani d. Internal urethral sphincter
βœ… Answer: b. External urethral sphincter
79
πŸ”Ή 8. Which muscle originates from the styloid process and inserts on the hyoid, functioning to elevate and retract the hyoid? a. Mylohyoid b. Geniohyoid c. Digastric (anterior belly) d. Stylohyoid
d. Stylohyoid
80
πŸ”Ή 9. Which diaphragm muscle passes through the esophageal hiatus? a. Quadratus lumborum b. External intercostals c. Right crus of the diaphragm d. Central tendon
βœ… Answer: c. Right crus of the diaphragm (It forms part of the esophageal hiatus)
81
πŸ”Ή 10. Which of the following muscles is part of the transversospinalis group and spans 2–4 vertebrae? a. Iliocostalis b. Semispinalis c. Multifidus d. Spinalis
c. Multifidus
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how many vertebrae do the semispinalis, multifidus, rotatores (transversospinalis group)
Semispinalis (spans 4–6 vertebrae) Multifidus (spans 2–4 vertebrae) Rotatores (spans 1–2 vertebrae) β€œRMS Beauty” low to high
83
πŸ”Ή 11. Which muscle depresses the hyoid bone and is innervated by ansa cervicalis? a. Geniohyoid b. Thyrohyoid c. Sternohyoid d. Digastric
βœ… Answer: c. Sternohyoid
84
πŸ”Ή 12. Which of the following muscles is innervated by C1 via the hypoglossal nerve (CN XII)? a. Thyrohyoid b. Mylohyoid c. Omohyoid d. Stylohyoid
a. Thyrohyoid
85
πŸ”Ή 13. The sternocleidomastoid muscle performs which of the following actions when contracted unilaterally? a. Extends the head b. Rotates the head to the same side c. Rotates the head to the opposite side d. Depresses the mandible
c. Rotates the head to the opposite side
86
πŸ”Ή 14. Which of the following orbital muscles is not innervated by the oculomotor nerve (CN III)? a. Inferior rectus b. Medial rectus c. Superior oblique d. Inferior oblique
βœ… Answer: c. Superior oblique (It is innervated by CN IV - trochlear nerve)
87
πŸ”Ή 15. Which of the following muscles is part of the levator ani group? a. Ischiocavernosus b. Pubococcygeus c. Deep transverse perineal d. Obturator internus
b. Pubococcygeus
88
πŸ”Ή 16. Which infrahyoid muscle attaches to the thyroid cartilage? a. Omohyoid b. Sternothyroid c. Thyrohyoid d. Both b and c
βœ… Answer: d. Both b and c (Sternothyroid inserts on thyroid cartilage; thyrohyoid originates from it)
89
πŸ”Ή 17. The diaphragm receives motor innervation from: a. Vagus nerve b. Intercostal nerves c. Phrenic nerve d. Subcostal nerve
βœ… Answer: c. Phrenic nerve (C3, C4, C5)
90
πŸ”Ή 18. Which of the following back muscles inserts on the spinous processes and is part of the transversospinalis group? a. Spinalis b. Rotatores c. Iliocostalis d. Longissimus
b. Rotatores
91
πŸ”Ή 19. Which muscle of the anterior abdominal wall has fibers running horizontally? a. External oblique b. Internal oblique c. Transversus abdominis d. Rectus abdominis
βœ… Answer: c. Transversus abdominis
92
πŸ”Ή 20. Which facial muscle is responsible for closing the eyelids? a. Levator palpebrae superioris b. Orbicularis oculi c. Frontalis d. Zygomaticus major
βœ… Answer: b. Orbicularis oculi
93
Boundaries of the axilla
πŸ”· Apex (Inlet) Bounded by: 1st rib (medial) Clavicle (anterior) Superior border of scapula (posterior) πŸ – Leads into the cervicoaxillary canal β€” entry point for nerves and vessels. πŸ”Ά Base (Floor) Skin, subcutaneous tissue, and axillary fascia (forms the armpit) πŸ”Έ Anterior Wall Pectoralis major Pectoralis minor Clavipectoral fascia πŸ – Forms the anterior axillary fold πŸ”Έ Posterior Wall Subscapularis (superior part) Teres major Latissimus dorsi πŸ – Forms the posterior axillary fold πŸ”Ή Medial Wall Serratus anterior Thoracic wall (ribs 1–4 and intercostal muscles) πŸ”Ή Lateral Wall Intertubercular groove of the humerus (narrowest wall)
94
where do anterior vs posterior muscles of forearm come from
anterior= medial epidoncdyle (flexors) posterior= lateral epicondyle (extensors)
95
what nerves in hand
median or ulnar or radial nerve
96
latissimus dorsi origin insertion innervation action
🟒 Origin: Spinous processes of T7–L5, thoracolumbar fascia, iliac crest, lower 3–4 ribs, and inferior angle of scapula πŸ”΅ Insertion: Intertubercular groove (floor) of humerus 🟑 Innervation: Thoracodorsal nerve (C6–C8) πŸ”΄ Action: Extends, adducts, and medially rotates humerus ("swimmer's muscle")
97
teres major origin insertion innervation action
🟒 Origin: Inferior angle of scapula (posterior surface) πŸ”΅ Insertion: Medial lip of intertubercular groove of humerus 🟑 Innervation: Lower subscapular nerve (C5–C6) πŸ”΄ Action: Adducts and medially rotates humerus; assists in extension
98
trapezius origin insertion innervation action
🟒 Origin: External occipital protuberance, nuchal ligament, spinous processes of C7–T12 πŸ”΅ Insertion: Lateral third of clavicle, acromion, spine of scapula 🟑 Innervation: Spinal accessory nerve (CN XI) + C3–C4 sensory πŸ”΄ Action: Upper fibers: Elevate scapula Middle fibers: Retract scapula Lower fibers: Depress scapula Together: Rotate scapula upward
99
rhomboid major and minor origin insertion innervation action
πŸ”Ή Rhomboid Major 🟒 Origin: Spinous processes of T2–T5 πŸ”΅ Insertion: Medial border of scapula (below spine) 🟑 Innervation: Dorsal scapular nerve (C4–C5) πŸ”΄ Action: Retracts scapula, rotates it downward, stabilizes scapula πŸ”Ή Rhomboid Minor 🟒 Origin: Nuchal ligament and spinous processes of C7–T1 πŸ”΅ Insertion: Medial border of scapula (at spine level) 🟑 Innervation: Dorsal scapular nerve (C4–C5) πŸ”΄ Action: Same as rhomboid major β€” retracts and stabilizes scapula
100
levator scapulae origin insertion innervation action
🟒 Origin: Transverse processes of C1–C4 πŸ”΅ Insertion: Superior angle and medial border of scapula (above spine) 🟑 Innervation: Dorsal scapular nerve (C4–C5) + cervical nerves (C3–C4) πŸ”΄ Action: Elevates scapula, rotates scapula downward, assists in lateral neck flexion
101
deltoid origin insertion innervation action
🟒 Origin: Transverse processes of C1–C4 πŸ”΅ Insertion: Superior angle and medial border of scapula (above spine) 🟑 Innervation: Dorsal scapular nerve (C4–C5) + cervical nerves (C3–C4) πŸ”΄ Action: Elevates scapula, rotates scapula downward, assists in lateral neck flexion WRONGGGGG
102
supraspinatous origin insertion innervation action
🟒 Origin: Supraspinous fossa of scapula πŸ”΅ Insertion: Superior facet of greater tubercle of humerus 🟑 Innervation: Suprascapular nerve (C5–C6) πŸ”΄ Action: Initiates abduction (0–15Β°), stabilizes humeral head
103
infraspinatous origin insertion innervation action
🟒 Origin: Infraspinous fossa of scapula πŸ”΅ Insertion: Middle facet of greater tubercle of humerus 🟑 Innervation: Suprascapular nerve (C5–C6) πŸ”΄ Action: Lateral rotation of arm, stabilizes shoulder
104
teres minor origin insertion innervation action
🟒 Origin: Lateral border of scapula (middle portion) πŸ”΅ Insertion: Inferior facet of greater tubercle of humerus 🟑 Innervation: Axillary nerve (C5–C6) πŸ”΄ Action: Lateral rotation and adduction of arm, stabilizes shoulder
105
subscapularis origin insertion innervation action
🟒 Origin: Subscapular fossa (anterior surface of scapula) πŸ”΅ Insertion: Lesser tubercle of humerus 🟑 Innervation: Upper and lower subscapular nerves (C5–C7) πŸ”΄ Action: Medial rotation of arm, stabilizes shoulder
106
biceps brachii origin insertion innervation action
🟒 Origin: Long head: Supraglenoid tubercle of scapula Short head: Coracoid process of scapula πŸ”΅ Insertion: Radial tuberosity and bicipital aponeurosis 🟑 Innervation: Musculocutaneous nerve (C5–C7) πŸ”΄ Action: Flexes forearm at elbow Supinates forearm (most powerful supinator) Assists in shoulder flexion
107
triceps brachii origin insertion innervation action
🟒 Origin: Long head: Infraglenoid tubercle of scapula Lateral head: Posterior humerus above radial groove Medial head: Posterior humerus below radial groove πŸ”΅ Insertion: Olecranon of ulna 🟑 Innervation: Radial nerve (C6–C8) πŸ”΄ Action: Extends forearm at elbow Long head assists in shoulder extension and adduction
108
brachialis origin insertion innervation action
🟒 Origin: Distal half of anterior humerus πŸ”΅ Insertion: Coronoid process and tuberosity of ulna 🟑 Innervation: Musculocutaneous nerve (C5–C7) πŸ”΄ Action: Primary flexor of the forearm (regardless of pronation/supination)
109
coracobrachilais origin insertion innervation action
🟒 Origin: Coracoid process of scapula πŸ”΅ Insertion: Middle third of medial humerus 🟑 Innervation: Musculocutaneous nerve (C5–C7) πŸ”΄ Action: Assists in flexion and adduction of arm at shoulder
110
brachilais vs coracobraichilis
Yes, the coracobrachialis crosses the shoulder joint, and the brachialis crosses the elbow joint. The coracobrachialis originates from the coracoid process of the scapula and inserts on the humerus, influencing shoulder movement. The brachialis originates on the humerus and inserts on the ulna, impacting elbow flexion
111
anconeus origin insertion innervation action
🟒 Origin: Coracoid process of scapula πŸ”΅ Insertion: Middle third of medial humerus 🟑 Innervation: Musculocutaneous nerve (C5–C7) πŸ”΄ Action: Assists in flexion and adduction of arm at shoulder
112
mnemonic for the superficial layer of anterior forearms
β€œPass, Fail, Pass, Fail” β†’ Order of superficial layer from lateral to medial: Pronator teres Flexor carpi radialis Palmaris longus Flexor carpi ulnaris
113
superficial, intermediate and deep layers of the anterior forearm muscles
superficial: pronator teres flexor carpi radialis palmaris longus flexor carpi ulnaris intermediate: flexor digitorum superficialis deep: flexor digitorum profundus flexor polices longus pronator quadratura
114
pronator teres origin insertion innervation action
🟒 Origin: medial epicondyle of humerus πŸ”΅ Insertion: Lateral radius 🟑 Innervation: Median nerve πŸ”΄ Action: Pronates forearm, flexes elbow
115
flexor carpi radialis origin insertion innervation action
🟒 Origin: medial epicondyle of humerus πŸ”΅ Insertion: Base of 2nd and 3rd metacarpals 🟑 Innervation: Median nerve πŸ”΄ Action: Flexes and abducts wrist
116
palmaris longus origin insertion innervation action
🟒 Origin: medial epicondyle of humerus πŸ”΅ Insertion: Palmar aponeurosis 🟑 Innervation: Median nerve πŸ”΄ Action: Flexes wrist, tenses palmar fascia (Absent in ~15% of people)
117
flexor carpi ulnaris origin insertion innervation action
🟒 Origin: medial epicondyle of humerus πŸ”΅ Insertion: Pisiform, hook of hamate, base of 5th metacarpal 🟑 Innervation: Ulnar nerve πŸ”΄ Action: Flexes and adducts wrist
118
flexor digitorum superficialis origin insertion innervation action
🟒 Origin: Medial epicondyle, coronoid process, radius πŸ”΅ Insertion: Middle phalanges of digits 2–5 🟑 Innervation: Median nerve πŸ”΄ Action: Flexes PIP joints of fingers 2–5, assists wrist flexion
119
flexor digitorum profundus origin insertion innervation action
🟒 Origin: Ulna and interosseous membrane πŸ”΅ Insertion: Distal phalanges of digits 2–5 🟑 Innervation: Lateral half (digits 2–3): Median nerve (anterior interosseous) Medial half (digits 4–5): Ulnar nerve πŸ”΄ Action: Flexes DIP joints of fingers 2–5
120
flexor polices longus origin insertion innervation action
🟒 Origin: Radius and interosseous membrane πŸ”΅ Insertion: Distal phalanx of thumb 🟑 Innervation: Median nerve (anterior interosseous) πŸ”΄ Action: Flexes thumb (IP joint)
121
pronator quadratus origin insertion innervation action
🟒 Origin: Distal ulna πŸ”΅ Insertion: Distal radius 🟑 Innervation: Median nerve (anterior interosseous) πŸ”΄ Action: Primary forearm pronator
122
all of the anterior forearm muscles (i.e. flexors) are innervated by which nerve? which is the exception?
all median nerve, except flexor carpi ulnaris is ulnar nerve flexor digitorum profundus lateral 1/2 is median nerve but medial 1/2 is ulnar nerve
123
muscles of superficial and deep layer of the posterior forearm
superficial: - brachioradialis -extensor capri radialis longus -extensor carpi radialis brevis -extensor digitorum -extensor digiti minimi -extensor carpi ulnaris -anconeus deep: -supinator -abductor polices longus -extensor pollicis brevis -extensor polices longus -extensor indices
124
brachioradialis origin insertion innervation action
🟒 Origin: Lateral supracondylar ridge πŸ”΅ Insertion: Styloid process of radius 🟑 Innervation: Radial nerve πŸ”΄ Action: Flexes forearm (despite being in extensor group!)
125
extensor carpi radialis longus origin insertion innervation action
🟒 Origin: Lateral supracondylar ridge πŸ”΅ Insertion: Base of 2nd metacarpal 🟑 Innervation: Radial nerve πŸ”΄ Action: Extends and abducts wrist
126
extensor capri radialis brevis origin insertion innervation action
🟒 Origin: Lateral epicondyle πŸ”΅ Insertion: Base of 3rd metacarpal 🟑 Innervation: Deep branch of radial nerve πŸ”΄ Action: Extends and abducts wrist
127
extensor digitorum origin insertion innervation action
🟒 Origin: Lateral epicondyle πŸ”΅ Insertion: Extensor expansions of digits 2–5 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends fingers 2–5 and wrist
128
extensor digiti minimi origin insertion innervation action
🟒 Origin: Lateral epicondyle πŸ”΅ Insertion: Extensor expansion of digit 5 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends 5th digit
129
extensor carpi ulnaris origin insertion innervation action
🟒 Origin: Lateral epicondyle and ulna πŸ”΅ Insertion: Base of 5th metacarpal 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends and adducts wrist
130
anconeus origin insertion innervation action
🟒 Origin: Lateral epicondyle πŸ”΅ Insertion: Olecranon and posterior ulna 🟑 Innervation: Radial nerve πŸ”΄ Action: Assists triceps in elbow extension; stabilizes elbow
131
most extensors/ posterior forearm compartment are innervated by and originate from
radial nerve lateral epicondyle
132
supinator origin insertion innervation action
🟒 Origin: Lateral epicondyle, radial collateral and annular ligaments, and supinator crest of ulna πŸ”΅ Insertion: Proximal radius 🟑 Innervation: Deep branch of radial nerve πŸ”΄ Action: Supinates forearm
133
abductor pollicis longus origin insertion innervation action
🟒 Origin: Ulna, radius, interosseous membrane πŸ”΅ Insertion: Base of 1st metacarpal 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Abducts thumb and extends it at CMC joint
134
extensor polices brevis origin insertion innervation action
🟒 Origin: Radius and interosseous membrane πŸ”΅ Insertion: Base of proximal phalanx of thumb 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends thumb at MCP joint
135
extensor indices origin insertion innervation action
🟒 Origin: Posterior ulna and interosseous membrane πŸ”΅ Insertion: Extensor expansion of digit 2 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends index finger (digit 2)
136
extensor pollicus longus origin insertion innervation action
🟒 Origin: Ulna and interosseous membrane πŸ”΅ Insertion: Base of distal phalanx of thumb 🟑 Innervation: Posterior interosseous nerve πŸ”΄ Action: Extends thumb at IP, MCP, and CMC joints
137
muscles of thenar eminence of hand all which nerve and the exception muscles of hypothenar eminence and all which nerve
thenar eminence is all median nerve except adductor pollicis is ulnar nerve thenar: -abductor pollicis brevis -flexor pollicis brevis -opponens pollici -adductor pollicis hypothenar: -abductor digiti minimi -flexor digiti minimi brevis -opponens digiti minimi all ulnar nerve
138
abductor pollicis brevis origin insertion innervation action
🟒 Origin: Flexor retinaculum, scaphoid, trapezium πŸ”΅ Insertion: Base of proximal phalanx of thumb 🟑 Innervation: Median nerve πŸ”΄ Action: Abducts thumb (at CMC joint)
139
flexor pollicis brevis origin insertion innervation action
🟒 Origin: Flexor retinaculum, trapezium πŸ”΅ Insertion: Base of proximal phalanx of thumb 🟑 Innervation: Superficial head = median nerve; Deep head = ulnar nerve πŸ”΄ Action: Flexes thumb (MCP joint)
140
opponens pollicis origin insertion innervation action
🟒 Origin: Flexor retinaculum, trapezium πŸ”΅ Insertion: Lateral side of 1st metacarpal 🟑 Innervation: Median nerve πŸ”΄ Action: Opposes thumb (draws across palm)
141
adductor pollicis origin insertion innervation action
🟒 Origin: Oblique head: 2nd–3rd metacarpals and capitate; Transverse head: 3rd metacarpal πŸ”΅ Insertion: Medial base of proximal phalanx of thumb 🟑 Innervation: Ulnar nerve (deep branch) πŸ”΄ Action: Adducts thumb toward palm
142
abductor digiti minimi origin insertion innervation action
🟒 Origin: Pisiform πŸ”΅ Insertion: Base of proximal phalanx of 5th digit 🟑 Innervation: Ulnar nerve πŸ”΄ Action: Abducts little finger
143
flexor digiti minimi brevis origin insertion innervation action
🟒 Origin: Hook of hamate, flexor retinaculum πŸ”΅ Insertion: Base of proximal phalanx of 5th digit 🟑 Innervation: Ulnar nerve πŸ”΄ Action: Flexes proximal phalanx of 5th digit
144
opponent digiti minimi origin insertion innervation action
🟒 Origin: Hook of hamate, flexor retinaculum πŸ”΅ Insertion: Medial border of 5th metacarpal 🟑 Innervation: Ulnar nerve πŸ”΄ Action: Opposes 5th digit toward thumb
145
lumbricals (4 muscles) origin insertion innervation action
🟒 Origin: Tendons of flexor digitorum profundus (FDP) πŸ”΅ Insertion: Lateral sides of extensor expansions of digits 2–5 🟑 Innervation: 1st and 2nd: Median nerve 3rd and 4th: Ulnar nerve πŸ”΄ Action: Flex MCP, extend PIP & DIP joints (writing position)
146
palmar interossei (3 muscles) origin insertion innervation action
🟒 Origin: Palmar surfaces of metacarpals 2, 4, 5 πŸ”΅ Insertion: Extensor expansions & bases of proximal phalanges 🟑 Innervation: ulnar nerve πŸ”΄ Action: Adduct digits toward midline (PAD = Palmar ADduct)
147
dorsal interossei (4 muscles) origin insertion innervation action
🟒 Origin: Adjacent sides of metacarpals πŸ”΅ Insertion: Extensor expansions & bases of proximal phalanges (digits 2–4) 🟑 Innervation: ulnar nerve πŸ”΄ Action: Abduct digits away from midline (DAB = Dorsal ABduct)
148
innervation of palmar and dorsal interossei and lumbricals
palmar and dorsal: ulnar nerve lumbricals: 1 and 2 are median nerve, 3 and 4 are ulnar nerve
149
femoral triangle boundaries
superiorly by the inguinal ligament, medially by the adductor longus, laterally by the sartorius. the floor is comprised of the iliopsoas and pectinous muscles
150
psoas major and minor origin insertion innervation action
πŸ”Έ Iliopsoas (combined psoas major + iliacus) 🟒 Origin: Psoas major: Lumbar vertebrae (T12–L5) Iliacus: Iliac fossa πŸ”΅ Insertion: Lesser trochanter of the femur 🟑 Innervation: Psoas major: Lumbar plexus (L1–L3) Iliacus: Femoral nerve (L2–L4) πŸ”΄ Action: Hip flexion (primary) Assists in external rotation of thigh Stabilizes lumbar spine when standing
151
iliacus (part of iliopsoas) origin insertion innervation action
🟒 Origin: Iliac fossa and anterior inferior iliac spine (AIIS) πŸ”΅ Insertion: Lesser trochanter of femur (merges with psoas major) 🟑 Innervation: Femoral nerve (L2–L4) πŸ”΄ Action: Flexes thigh at hip and helps stabilize the pelvis
152
tensor fascia lata (TFL) origin insertion innervation action
🟒 Origin: Anterior superior iliac spine (ASIS) and iliac crest πŸ”΅ Insertion: Iliotibial tract (IT band) β†’ lateral condyle of tibia 🟑 Innervation: Superior gluteal nerve (L4–S1) πŸ”΄ Action: Abducts, medially rotates, and flexes the thigh Helps stabilize the knee via tension on the IT band
153
nerve that innervates most of thigh adductor muscles
obturator nerve
154
where do most of the adductor muscles of thigh originate
~pubis
155
nerve for all the quadriceps muscles and sartorius
femoral nerve
156
action of all quadriceps
extend leg
157
sartorius action
flex thigh and leg, abduct and laterally rotate thigh
158
nerve for the hamstrings
sciatic nerve
159
from medial to lateral for hamstrings
semimembranosus, semitendinosus, biceps femoris
160
action of the 3 hamstring
semitendinosus and semimembranosu for extend thigh, flex and medially rotate leg biceps femroris for extend thigh, flex and laterally rotate leg
161
gluteus maximus origin insertion innervation action
🟒 Origin: Posterior ilium, sacrum, coccyx, and sacrotuberous ligament πŸ”΅ Insertion: Gluteal tuberosity of femur and iliotibial tract 🟑 Innervation: Inferior gluteal nerve (L5–S2) πŸ”΄ Action: Extends and laterally rotates the thigh Assists in rising from sitting, climbing, running
162
gluteus medius origin insertion innervation action
🟒 Origin: External surface of ilium between anterior and posterior gluteal lines πŸ”΅ Insertion: Greater trochanter of femur (lateral surface) 🟑 Innervation: Superior gluteal nerve (L4–S1) πŸ”΄ Action: Abducts thigh Medially rotates thigh Stabilizes pelvis during walking (prevents Trendelenburg gait)
163
gluteus minimus origin insertion innervation action
🟒 Origin: External surface of ilium between anterior and inferior gluteal lines πŸ”΅ Insertion: Greater trochanter of femur (anterior surface) 🟑 Innervation: Superior gluteal nerve (L4–S1) πŸ”΄ Action: Abducts and medially rotates thigh Assists in pelvic stabilization
164
piriformis origin insertion innervation action
🟒 Origin: External surface of ilium between anterior and inferior gluteal lines πŸ”΅ Insertion: Greater trochanter of femur (anterior surface) 🟑 Innervation: Superior gluteal nerve (L4–S1) πŸ”΄ Action: Abducts and medially rotates thigh Assists in pelvic stabilization
165
superior and inferior gemillus origin insertion innervation action
πŸ”Έ Superior Gemellus 🟒 Origin: Ischial spine πŸ”΅ Insertion: Greater trochanter (via tendon of obturator internus) 🟑 Innervation: Nerve to obturator internus (L5–S2) πŸ”΄ Action: Laterally rotates the extended thigh πŸ”Έ Inferior Gemellus 🟒 Origin: Ischial tuberosity πŸ”΅ Insertion: Greater trochanter (via tendon of obturator internus) 🟑 Innervation: Nerve to quadratus femoris (L4–S1) πŸ”΄ Action: Laterally rotates the thigh
166
obturator internus and externus origin insertion innervation action
πŸ”Έ Obturator Internus 🟒 Origin: Internal surface of obturator membrane and surrounding bones πŸ”΅ Insertion: Greater trochanter (medial surface) 🟑 Innervation: Nerve to obturator internus (L5–S2) πŸ”΄ Action: Laterally rotates the extended thigh and abducts when flexed πŸ”Έ Obturator Externus 🟒 Origin: External surface of obturator membrane and margins of obturator foramen πŸ”΅ Insertion: Trochanteric fossa of femur 🟑 Innervation: Obturator nerve (L3–L4) πŸ”΄ Action: Laterally rotates the thigh and helps stabilize femoral head in acetabulum
167
quadrates femoris origin insertion innervation action
🟒 Origin: Lateral border of ischial tuberosity πŸ”΅ Insertion: Intertrochanteric crest of femur 🟑 Innervation: Nerve to quadratus femoris (L4–S1) πŸ”΄ Action: Laterally rotates thigh and stabilizes hip joint
168
adductor longus origin insertion innervation action
🟒 Origin: Lateral border of ischial tuberosity πŸ”΅ Insertion: Intertrochanteric crest of femur 🟑 Innervation: Nerve to quadratus femoris (L4–S1) πŸ”΄ Action: Laterally rotates thigh and stabilizes hip joint
169
adductor brevis origin insertion innervation action
🟒 Origin: Body and inferior ramus of pubis πŸ”΅ Insertion: Proximal linea aspera and pectineal line 🟑 Innervation: Obturator nerve (L2–L4) πŸ”΄ Action: Adducts thigh; helps with hip flexion
170
adductor magnus origin insertion innervation action
(has 2 parts: adductor + hamstring) πŸ”Ή Adductor part: 🟒 Origin: Inferior ramus of pubis and ischial ramus πŸ”΅ Insertion: Gluteal tuberosity, linea aspera, and medial supracondylar line 🟑 Innervation: Obturator nerve (L2–L4) πŸ”΄ Action: Adducts and flexes thigh πŸ”Ή Hamstring part: 🟒 Origin: Ischial tuberosity πŸ”΅ Insertion: Adductor tubercle of femur 🟑 Innervation: Tibial part of sciatic nerve (L4) πŸ”΄ Action: Extends thigh
171
gracilis origin insertion innervation action
🟒 Origin: Body and inferior ramus of pubis πŸ”΅ Insertion: Medial surface of tibia (part of pes anserinus) 🟑 Innervation: Obturator nerve (L2–L3) πŸ”΄ Action: Adducts thigh, flexes leg, medially rotates leg
172
pectineus origin insertion innervation action
🟒 Origin: Superior ramus of pubis (pectineal line of pubis) πŸ”΅ Insertion: Pectineal line of femur (just inferior to the lesser trochanter) 🟑 Innervation: Femoral nerve (L2–L3) (May also receive a branch from obturator nerve in some individuals) πŸ”΄ Action: Adducts thigh Flexes thigh Assists with medial rotation of thigh
173
adductor muscles
adductor longus, adductor brevis, adductor Magnus, gracillis, pectinous
174
rectus femoris origin insertion innervation action
🟒 Origin: Anterior inferior iliac spine (AIIS) Superior rim of acetabulum πŸ”΅ Insertion: Tibial tuberosity via patellar ligament 🟑 Innervation: Femoral nerve (L2–L4) πŸ”΄ Action: Extends leg at knee Flexes thigh at hip
175
vastus lateralis origin insertion innervation action
🟒 Origin: Greater trochanter and lateral linea aspera of femur πŸ”΅ Insertion: Tibial tuberosity via patellar ligament 🟑 Innervation: Femoral nerve (L2–L4) πŸ”΄ Action: Extends leg at knee
176
vastus medialis origin insertion innervation action
🟒 Origin: Intertrochanteric line and medial linea aspera of femur πŸ”΅ Insertion: Tibial tuberosity via patellar ligament 🟑 Innervation: Femoral nerve (L2–L4) πŸ”΄ Action: Extends leg at knee
177
vastus intermedius origin insertion innervation action
🟒 Origin: Anterior and lateral surfaces of femoral shaft πŸ”΅ Insertion: Tibial tuberosity via patellar ligament 🟑 Innervation: Femoral nerve (L2–L4) πŸ”΄ Action: Extends leg at knee
178
sartorius origin insertion innervation action
🟒 Origin: Anterior superior iliac spine (ASIS) πŸ”΅ Insertion: Medial surface of proximal tibia (part of pes anserinus) 🟑 Innervation: Femoral nerve (L2–L3) πŸ”΄ Action: Flexes, abducts, and laterally rotates thigh at hip Flexes leg at knee
179
gastrocnemius origin insertion innervation action
🟒 Origin: Anterior superior iliac spine (ASIS) πŸ”΅ Insertion: Medial surface of proximal tibia (part of pes anserinus) 🟑 Innervation: Femoral nerve (L2–L3) πŸ”΄ Action: Flexes, abducts, and laterally rotates thigh at hip Flexes leg at knee
180
soleus origin insertion innervation action
🟒 Origin: Posterior fibula and soleal line of tibia πŸ”΅ Insertion: Posterior calcaneus via calcaneal tendon 🟑 Innervation: Tibial nerve (S1–S2) πŸ”΄ Action: Plantarflexes ankle (main postural muscle)
181
plantaris origin insertion innervation action
🟒 Origin: Lateral supracondylar line of femur πŸ”΅ Insertion: Posterior calcaneus (sometimes via calcaneal tendon) 🟑 Innervation: Tibial nerve (S1–S2) πŸ”΄ Action: Weak plantarflexion and knee flexion
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popliteus origin insertion innervation action
🟒 Origin: Lateral femoral condyle πŸ”΅ Insertion: Posterior surface of tibia (superior to soleal line) 🟑 Innervation: Tibial nerve (L4–S1) πŸ”΄ Action: Unlocks knee by rotating femur laterally Weakly flexes knee
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does soleus or gastrocnemius cross the knee and can therefore flex it
gastrocnemius
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flexor hallicus longus origin insertion innervation action
🟒 Origin: Posterior fibula and interosseous membrane πŸ”΅ Insertion: Distal phalanx of great toe 🟑 Innervation: Tibial nerve (S2–S3) πŸ”΄ Action: Flexes great toe Plantarflexes ankle Supports medial longitudinal arch
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flexor digitorum longus origin insertion innervation action
🟒 Origin: Posterior tibia πŸ”΅ Insertion: Distal phalanges of digits 2–5 🟑 Innervation: Tibial nerve (S2–S3) πŸ”΄ Action: Flexes lateral 4 toes Plantarflexes ankle Supports longitudinal arches
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tibialis posterior origin insertion innervation action
🟒 Origin: Posterior tibia, posterior fibula, and interosseous membrane πŸ”΅ Insertion: Navicular, cuneiforms, cuboid, and bases of metatarsals 2–4 🟑 Innervation: Tibial nerve (L4–L5) πŸ”΄ Action: Plantarflexes and inverts foot Supports medial arch
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where do all the posterior thigh/ hamstring muscles originate from
All originate from the ischial tuberosity (except short head of biceps) and extend the hip/flex the knee.
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biceps femoris origin insertion innervation action
πŸ”Ή Long Head: 🟒 Origin: Ischial tuberosity πŸ”΅ Insertion: Head of fibula 🟑 Innervation: Tibial division of sciatic nerve (L5–S2) πŸ”΄ Action: Extends thigh Flexes and laterally rotates leg at knee πŸ”Ή Short Head: 🟒 Origin: Linea aspera and lateral supracondylar line of femur πŸ”΅ Insertion: Head of fibula (joins long head) 🟑 Innervation: Common fibular division of sciatic nerve (L5–S2) πŸ”΄ Action: Flexes and laterally rotates leg at knee (no hip extension)
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semitendinosus origin insertion innervation action
🟒 Origin: Ischial tuberosity πŸ”΅ Insertion: Medial surface of tibia (part of pes anserinus) 🟑 Innervation: Tibial division of sciatic nerve (L5–S2) πŸ”΄ Action: Extends thigh Flexes and medially rotates leg
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semimembranosus origin insertion innervation action
🟒 Origin: Ischial tuberosity πŸ”΅ Insertion: Posterior part of medial tibial condyle 🟑 Innervation: Tibial division of sciatic nerve (L5–S2) πŸ”΄ Action: Extends thigh Flexes and medially rotates leg
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what are all the anterior leg muscles innervated by
🧠 All dorsiflex the foot and are innervated by the deep fibular (peroneal) nerve (L4–S1).
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tibialis anterior origin insertion innervation action
🟒 Origin: Lateral condyle and proximal lateral surface of tibia Interosseous membrane πŸ”΅ Insertion: Medial cuneiform and base of 1st metatarsal 🟑 Innervation: Deep fibular nerve (L4–L5) πŸ”΄ Action: Dorsiflexes and inverts foot Supports medial longitudinal arch
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extensor hallicus longus origin insertion innervation action
🟒 Origin: Middle anterior surface of fibula Interosseous membrane πŸ”΅ Insertion: Distal phalanx of great toe 🟑 Innervation: Deep fibular nerve (L5–S1) πŸ”΄ Action: Extends great toe Assists in dorsiflexion
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extensor digitorum longus origin insertion innervation action
🟒 Origin: Lateral condyle of tibia Anterior surface of fibula Interosseous membrane πŸ”΅ Insertion: Middle and distal phalanges of digits 2–5 🟑 Innervation: Deep fibular nerve (L5–S1) πŸ”΄ Action: Extends lateral 4 toes Assists in dorsiflexion
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fibularius (peroneus) tertius origin insertion innervation action
🟒 Origin: Distal anterior fibula πŸ”΅ Insertion: Base of 5th metatarsal 🟑 Innervation: Deep fibular nerve (L5–S1) πŸ”΄ Action: Dorsiflexes and everts foot
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nerve for posterior leg muscles
tibial nerve
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nerve for posterior vs anterior leg
posterior: tibial nerve anterior: deep peroneal nerve
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dorsum of foot vs sole of foot nerves
dorsum: deep peroneal nerve; extension sole: medial and lateral plantar nerves (flexion and abduct and adduct etc)
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abductor hallicus origin insertion innervation action
🟒 Origin: Medial tubercle of calcaneus πŸ”΅ Insertion: Medial base of proximal phalanx of great toe 🟑 Innervation: Medial plantar nerve πŸ”΄ Action: Abducts and flexes great toe (digit 1)
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flexor digitorum brevis origin insertion innervation action
🟒 Origin: Medial calcaneal tubercle πŸ”΅ Insertion: Middle phalanges of digits 2–5 🟑 Innervation: Medial plantar nerve πŸ”΄ Action: Flexes digits 2–5 at PIP joints
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abdcutor digiti minimi origin insertion innervation action
🟒 Origin: Lateral tubercle of calcaneus πŸ”΅ Insertion: Lateral base of proximal phalanx of digit 5 🟑 Innervation: Lateral plantar nerve πŸ”΄ Action: Abducts and flexes 5th toe
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quadrates plantae origin insertion innervation action
🟒 Origin: Calcaneus πŸ”΅ Insertion: Tendon of flexor digitorum longus (FDL) 🟑 Innervation: Lateral plantar nerve πŸ”΄ Action: Assists FDL in flexing digits 2–5
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lumbricals of foot origin insertion innervation action
🟒 Origin: Tendons of FDL πŸ”΅ Insertion: Extensor expansions of digits 2–5 🟑 Innervation: 1st: Medial plantar nerve 2nd–4th: Lateral plantar nerve πŸ”΄ Action: Flex MCPs, extend PIP and DIPs of digits 2–5
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flexor hallicus brevis origin insertion innervation action
🟒 Origin: Cuboid and lateral cuneiform πŸ”΅ Insertion: Both sides of base of proximal phalanx of digit 1 🟑 Innervation: Medial plantar nerve πŸ”΄ Action: Flexes great toe at MTP
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adductor hallicus origin insertion innervation action
(two heads: oblique & transverse) 🟒 Origin: Oblique head: Bases of metatarsals 2–4 Transverse head: Plantar ligaments of MTP joints πŸ”΅ Insertion: Lateral base of proximal phalanx of digit 1 🟑 Innervation: Deep branch of lateral plantar nerve πŸ”΄ Action: Adducts great toe
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flexor digiti minimi brevis origin insertion innervation action
🟒 Origin: Base of 5th metatarsal πŸ”΅ Insertion: Base of proximal phalanx of 5th digit 🟑 Innervation: Superficial branch of lateral plantar nerve πŸ”΄ Action: Flexes 5th toe at MTP
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plantar interossei of foot origin insertion innervation action
🟒 Origin: Medial sides of metatarsals 3–5 πŸ”΅ Insertion: Medial sides of proximal phalanges 3–5 🟑 Innervation: Lateral plantar nerve πŸ”΄ Action: Adducts digits 3–5 (PAD)
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dorsal interossei of foot origin insertion innervation action
🟒 Origin: Adjacent sides of metatarsals 1–5 πŸ”΅ Insertion: 1st: medial side of proximal phalanx of digit 2 2nd–4th: lateral sides of digits 2–4 🟑 Innervation: Lateral plantar nerve πŸ”΄ Action: Abducts digits 2–4 (DAB)
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innervation for dorsal and plantar interossei of foot and lumbricals
dorsal and plantar: lateral plantar nerve lumbricals: 1st: medial plantar nerve, 2nd-4th is lateral plantar nerve
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