7a. Spine HAL - Acland Videos Flashcards

1
Q

what is the vertebral size and shape of the typical C spine

A

small body and curved upper and lower surface

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2
Q

what does the vertebral foramen look like in typical C spine

A

large and triangular

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3
Q

what is the neural arch formed by

A

2 straight laminae

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4
Q

what is the pedicle size for typical C spine vertebrae

A

short

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5
Q

what is the spinous process for typical C spine vertebrae

A

short and double point

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6
Q

where does the upper and lower articular facet face in a typical C spine vertebrae

A

upper faces up and inward

lower faces down and forward

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7
Q

what is the articular pillar

A

mass of bone betw the articular facets

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8
Q

what passes through the transverse foramen

A

vertebral artery

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9
Q

what is the transverse foramen shaped like in a typical C spine vertebrae

A

shaped like a gutter and points downwards

ends in 2 tubercles - ant and post

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10
Q

what is different from the typical C spine vertebrae in the 7th vertebrae

A

long spinous process ending in single point

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11
Q

what are the 4 movements that can be made by the C spine

A

lateral flexion, flexion and extension and rotation

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12
Q

where does the C spine rotation occur

A

antlantooccipital joints between atlas and occipital bone

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13
Q

the vertebrae of T spine articulates with ribs at what 2 poitns

A

end of transverse process

where pedicle meets body

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14
Q

what direction does the transverse and spinous process of the t spine vertebrae point

A
transverse = sideways
spinous = downwards and overlaps one below
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15
Q

what shape are the articular processes of the typical T spine vertebrae and what direction do they face

A

almost vertical, upper face straight backwards and lower face forward

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16
Q

what direction does the upper and lower articular processes of the L spine face

A
upper = inwards
lower = outward
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17
Q

is there rotation of the L spine and why

A

no because of the arrangement of the upper and lower articular processes

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18
Q

what are the 3 movments that can occur in the L spine

A

extension, flexion and lateral flexion

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19
Q

the shape of the sacrum

A

marked backward curve from top to bottom

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20
Q

what is the shape of the lower intervertebral disks and why are they this shape

A

wedge shaped due to curve of spine between lumbar vert and sacrum

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21
Q

what is the most ant part of the sacrum called

A

sacral promontory

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22
Q

the anterior rami of spinal nerves S1-4 emerge where

A

from within the vertebral canal from the pelvic sacral foramina

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23
Q

the posterior spinal nerve rami emerge from where

A

dorsal sacral formina

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24
Q

where does the vertebral canal ends

A

sacral hiatus

25
Q

what are the 2 layers of the intervertebral disk

A

outer ring of tough fibrocartilage anulus fibrosis

inner called nucleus pulposus

26
Q

what does the intervertebral disks do - 2 things

A

transmit weight of body

permit movement between vertebrae

27
Q

what does the side of the intervertebral disk form in terms of spinal nerves

A

forms the anterior margin of intervertebral foramen through which spinal nerve emerges

28
Q

the spinal cord is attached to the dura by what

A

series of fine triangular ligaments - denticulate ligaments

29
Q

each spinal nerve arises from what

A

small bundle of dorsal filaments

30
Q

what forms the dorsal sensory root of the nerves

A

small bundle of dorsal filaments

31
Q

in the cervical region the nerve roots follow what course

what happens in thoracic region

A

slightly oblique downward course

in T region its course becomes more oblique

32
Q

the dural sac is occupied what what

A

leash of vertically running lumbar and sacral nerve roots - cauda equina

33
Q

the spinal nerves passes from where to emerge where

A

from inside subarachnoid space to emerge from intervertebral formamen

34
Q

the roots of nerve leaves from where and the nerve emerges from where

A

leaves dural sac

nerve emerges from intervertebral foramen

35
Q

what is the dorsal root gnaglion

A

thickening at very beginning of the spinal nerve

36
Q

the azygous vein arches over what structure and joins with what vessel

A

arches over right main bronchus and joins SVC

37
Q

where does the azygous vein begin and where does it travel

A

begins below diaphragm and runs up right side of the vertebral column

38
Q

the azygous vein recieves blood from where

A

posterior and lateral parts of chest wall

39
Q

what empties into the azygous vein from the right

A

posterior intercostal veins

40
Q

where does the posterior intercostal veins empty into on the left

A

2 hemi-azygous veins that empty into the azygous

41
Q

the psoas major muscle arises from where

A

from transverse processes vertebral bodies and intervertebral disks from T12-L5

42
Q

what is the path of the psoas muscle

A

runs down across the ala of the sacrum and across the SI joint along the pelvic brim

43
Q

the iliacus muscle fills what

A

iliac fossa

44
Q

the iliacus muscle arises from what area

A

wide area on ilium wing

45
Q

what 2 things form the ilio-psoas

A

medial fibres of iliacus and lateral fibres of psoas major

46
Q

the iliopsoas follows what path

A

runs beneath the inguinal ligament and passes backwards to insertion

47
Q

where does the ilio-psoas insert

A

on lesser trochanter of femur

48
Q

what movement does the iliacus and psoas maj allow

A

flexion at hip joint

49
Q

where do the common carotid and subclavian emerge

A

through opening at top of chest the superior thoracic aperture

50
Q

what is the subclavian artery’s path

A

upward and laterally giving off branches and passes behind the scalene muscle crossing the underlying first rib as it does so

runs beneath clavicle towards axilla

51
Q

what does the subclavian artery supply

A

upper extremity

52
Q

the common carotid artery follows what path

A

runs up lateral to thyroid gland, trachea and larynx

53
Q

where does the common carotid divide into the ext and in carotids

A

little below the level of the angle of the mandible

54
Q

where is the carotid sinus

A

bifurcation of the common carotid

55
Q

the branches of the ext carotid artery supplies what structures

A

skull, dura and all of head outside the cranial cavity apart from orbit

56
Q

what vessels supply the brain

A

int carotid art and vertebral art

57
Q

where does the vertebral arteries arise from

A

subclavian artery in root of neck

58
Q

what is the path of the vertebral arteries in the neck

A

runs straight upwards and passes through the opening in transverse process of the upper 6 C vertebrae

59
Q

what is the path of the vertebral arteries in the head

A

2 vertebral art pass through transverse process of atlas and turns backwards then medially to pass through the atlanto-occipital membrane and dura just below foramen magnum

pass through dura and join together forming basilar artery