2nd Year Books Flashcards
What level does the isthmus of the thyroid lie?
Lies opposit the 2nd - 4th tracheal rings
How are the suprarenal glands peritonised?
They are retroperitoneal
What exists within the free border of the falciform ligament?
Round ligament
Paraumbilical veins
What vertebral level are renal veins given off at?
L1 - L2
What is the level of the thyroid?
C5 - T1
Lies between the 6th tracheal ring and the thyroid cartilage
What is the terminal group of lymph nodes for the head and neck?
The deep cervical nodes - they are found surrounding the internal jugular vein and are contained within the carotid sheath
At the inferior end of the deep cervical chain of lymph nodes, the efferent lymphatic vessels join together to form the jugular lymph trunk on each side
Aneurysms in what artery result in palsy of the third cranial nerve?
Posterior cerebral artery
With what two areas does the cavity of the middle ear communicate?
Tympanic cavity - nasal cavity via eustachian tube
Mastoid antrum via air cells
Which veins of the stomach drain into the hepatic portal vein, which ones don’t?
Right and left gastric veins drain into the hepatic portal vein
Left and right gastro omental veins ultimately drain into the superior mesenteric veins
Where does the septum pellucidum project to?
Superiorly = corpus callosum
Inferiorly = fornix
Poseriorly = interventricular foramen
Where do the superior thyroid artery and inferior thyroid artery come from?
Superior - branch of ECA
Inferior thyroid artery - subclavian artery?
What are the branches of the ECA
Some Anatomists Like Freaking Out Poor Medical Students
Superior thyroid
Ascending pharyngeal
Lingual
Facial
Occipital
Posterior auricular
Maxillary
Superficial temporal
What is the funcion of the tensor tympani?
Tenses the tympanic membrane
What is the fornix?
A bundle of fibres that links the hippocampus with the mamillary bodies of the hypothalamus
SADPUCKER
Suprarenal glands
Aorta/IVC
Duodenum 2nd and 3rd parts
Pancreas (except the tail)
Ureters
Colon (ascending and descending(
Kidneys
Oesophagus
Rectum
Which branch of the renal artery supplies the nephron?
Interlobular branches
What do the tracheal nodes drain and where do you find them?
Drain the trachea and the thyroid gland - found around the trachea
What structures pass through the cavernous sinus?
Oculomotor
Trochlear
Abducent
Opthalmic
Maxillary
Internal carotid
What part of the brain lies immediately superior to the midbrain?
Thalamus
What is contained within the diencephalon?
The hypothalamus, thalamus and pineal gland
Which 4 bones form the pterion?
Frontal
Temporal
Parietal
Sphenoid
What ioens into the sphenoethmoid recess?
Sphenoid sinus
Into which vein does the suprarenal vein drain into?
RHS = IVC
LHS = Renal vein
Which strutures pass through the parotid?
Facial nerve
Retromandibular vein
ECA
What travels through the superior orbital fissure?
3,4,5(V1), 6
Opthalmic vein
At what level does the spinal cord terminate ni the adult and a new born?
Adult = L1
Newborn = L2/L3
What is the extraocular muscle that does not arise from the posterior aspect of the orbit?
Inferior oblique
How many permanent teeth do we have?
28/32
I=8
C=4
P=8
M=8/12
What is the apex of the bladder the site of?
Site where median umbilical ligament ascends to the umbilicus
Remnant of embryonic urachus
What are the layers if the eye and what do they contain?
Tunica fibrosa - corne and sclera
Tunica vasculosa - Iris, cilliary body, choroid
Tunica neurosa oculi - Retina
What type of ossification occurs in flat bones of the vault of the skull?
Membranous ossification
Which bone is the styloid process part of?
Temporal bone
What are the 4 parts of the corpus callosum?
Rostrum, genu, body , splenium
The chorda tympani is part of the facial nerve, what does it supply?
Secromotor to submandibular and sublingual salivary glands
Carries special sense of taste to anterior 2/3rds
What separates follicles in the thyroid gland?
Fibrous septae
In which layer of the scalp are blood vessels present?
In the superficial fascia (connective tissue)
What is the nerve supply to the abdominal viscera?
Sympathetic: Abdominal pelvic splanchnic nerves
Prevertebral sympathetic ganglia
Abdominal aortic plexuses
Parasympathetic: Anterior and posterior vagal trunks (vagus)
Pelvic splanchnic nerves
What forms the roof of the nasopharynx?
The body of the sphenoid
What is the embryological origin of the components of the suprarenal glands?
Cortex = mesodermal epithelium
Medulla - neuroectoderm
What are the acidophils and what do they secrete?
Acidophils = somatotrophs = GH
Mammotrophs = Prolactin
What are emissary veins
Valveless veins that connect the extracranial venous system with the intracranial venous sinuses - THEY ARE VALVELESS
Opposite which upper tooth does the parotid duct open into the oral cavity?
Maxillary second molar
What is the cutaneous innervation of the scalp?
Anterior part = V1, V2 and V3 of the trigeminal nerve
Posterior part = cutaneous branches of cervical spinal nerves C2 and C3 (both anterior and posterior rami)
What is the appearance of white matter on a section of a spinal cord?
Spinal cord sections are almost always stained, therefore white matter appears darkly stained
How does a double ureter form?
Ureteric bud is duplicated from the mesonephrotic duct
What is the nerve supply to the kidneys?
Sympathetic nerves originate in the T12 and L1 spinal segments and coeliac ganglion
Parasympathetic nerves are derived from the vagus
Where are the adenoids found?
Just below the sphenoid sinus
Which part of the temporal bone does the inner ear lie?
Petrous part of the temporal bone
What is the vertebral level of the transpyloric plane
L1
What do the retropharyngeal nodes drain and where do you find them?
Drain the nasopharynx
Auditory tube
Upper cervical vertebral column
They lie between the pharynx and the vertebral bodies
Between what two layers are the venous sinuses found?
Periosteum and cranial dura
Where do the anterior and posterior spinal veins drain into?
They communicate freely with each other and join the internal vertebral venous plexus - it lies in the epidural space
The internal vertebral venous plexus communicates with the dural sinuses and veins within the skull.
It also communicates with the external vertebral venous plexus on the external surface of the vertebrae
Where do you find aqeous humour and vitreous humour?
Aqeous = anterior segment
Vitreous = posterior segment
What do the posterior spinal arteries form from?
The vertebral artery (25%)
or the posterior inferior cerebellar artery (75%)
Where does the facial artery end?
Ends just lateral to the pitiform arpeture - it continues as the angular artery
To which bony points does the anterior edge of the tentorium cerebelli attach to?
Superior angle of the petrous part of the temporal bone
What level does the dura mater and the arachnoid mater terminate?
Dura mater = S2
Arachnoid mater = S2
At S2 the two layers fuse into 1 and end in the filum terminal
What is the dural fold that separates the two cerebelar hemispheres called?
Falx cerebelli
What are the three muscles that form the inner longitiudinal layer of the outer layer of the pharynx?
Stylopharyngeus
Salpingopharyngeus
Palatopharyngeus
What type of fibres does the cerebral peduncle contain?
Corticofugal fibres
Contains corticospinal and corticopontine tracts
Where deos sensory innervation to the pharynx arise from?
Arises from the glossopharyngeal
Glossopharyngeus also supplies the motor innervation for the stylopharyngeus
(motor innervation is mainy supplied by the vagus)
(Pharyngeal plexus ting)
Where do the following arteries arise from:
Left and right gastric
Left and right gastro omental
Left gastric = Directly from coeliac trunk
Right gastric = Branch of the common hepatic
Left gastro omental = Branch of the splenic
Right gastro omental = Terminal branch of gastroduodenal which arises from the common hepatic
Which cranial nerve emerges just above the superior cerebellar artery?
Occulomotor
What is the blood supply to the pituitary and the hypothalamus?
Internal carotid and its branches:
Superior hypophyseal = hypothalamus
Inferior hypophyseal = Posterior pituitary
What are the basophils and what do they secrete?
Basophils = Corticotrophs (ACTH and MSH)
Thyrotrophs = TSH
Gonadotrophs = FSH and LH
Which sinus does the superior ophthalmic vein drain into?
Into the cavernous sinus within the cranial cavity - on the outside of the cranial cavity it is continuous with the facial vein
What lymph nodes are responsible for draining the middle ear and the external auditory meatus?
Middle ear - parotid nodes
External auditory meatus - mastoid nodes
What arteries form the basillar artery?
Left and right vertebral arteries
What are the cell types contained within the parathyroid gland?
Chief cells, pale stain - secrete hormones
Oxyphil cells - Contains adipocytes
What position is the eye if there is third cranial nerve palsy?
Abducted and depressed
What do the anterior cervical nodes drain and where do you find them?
Drain superficial structures of anterior neck
Lie along anterior jugular veins
What bones form the roof of the nose?
From anterior to posterior
Nasal
Frontal
Ethmoid
Body of sphenoid
What cartilage forms a complete ring in the larynx?
The cricoid cartilage
How does the hypothalamus commuicate with the anterior pituitary?
Hypothalamo-hypophydseal portal system
Which lymph nodes drain the floor of the mouth and the anterior tongue?
Submandibular and submental
What are the actions of the pterygoid muscles?
Medial - protraction and elevation of mandible
Lateral - protraction of mandible
What are the two articular processes that form this joint?
Mandibular fossa of the temporal bone
Condylar process of the mandible
What artery supplies primary auditory area and area for olfaction?
MCA
What is the innervation of the following air sinuses?
- Frontal
- Maxillary
- Sphenoid
- Ethmoid
- Frontal = V1
- Maxillary = V2
- Sphenoid = V1 and V2
- Ethmoid = V1
Which triangle of the neck does the accessory nerve lie?
Posterior
What are the two folds found in the larynx?
Vestibular fold
Vocal fold
What are the three layers of the pharynx?
The outer circular
Middle fibrous
Inner mucous membrane
Where is the glottis?
The space between the t sets of vocal chords
What is the point between the posterior of the tongue and the epiglottis?
Valecula