A and P exam 2 Flashcards
Where does the spinal cord begin and end?
MO to L1-L2
Role of norepinephrine and acetylcholine in the sympathetic and parasympathetic nervous systems.
Parasympathetic: Acetylcholine is responsible for most of the transmissions.
Sympathetic: acetylcholine transmits until the final nerve to target organ; here is conveyed by norepinephrine most of the time.
How many sympathetic ganglia are cervical?
3 which process info from eyes, glands in the head and neck and heart
How many sympathetic ganglia are thoracic?
12
Which nerve roots make up the cervical plexus? What is their function?
C1-C4. These nerves innervate the back of the head and some of the neck muscles.
Which nerve roots make up the brachial plexus?
C5-8 andT1
Axillary nerve: what are its roots and which muscles do they innervate?
C5-C6. Muscles: deltoid, teres minor
Musculocutaneous nerve: what are its roots and what muscles does it innervate?
Roots: C5, C6, C7
Muscles: biceps, brachialis, coracobrachilais
Median nerve: roots? muscles it innervates?
Roots: C5-T1
Muscles: flexors of forearm, wrist, thumb, index finger and half of ring finger, wrist, finger and thumb flexion
radial nerve: roots? muscles it innervates?
Roots: C5-T1
Muscles: triceps, dorsiflexion of wrist, forearm and finger extensors, extensors of wrist and hand
ulnar nerve: roots? muscles it innervates?
Roots: C8, T1
Muscles: Flexors on ulnar side of the hand and forearm, flexion of wrist and fingers on the ulnar side
What do the posterior branches of the thoracic nerves innervate?
Muscles of the back
What do the anterior branches of the thoracic nerves innervate?
the intercostal muscles
Which spinal roots are included in the lumbar plexus? What does it supply in general? Name two of its nerves and what muscles they innervate.
T12-L4
the lower abdomen
Obturator nerve here, powers the hip adductors and gracilis muscle
Femoral nerve: powers the iliopsoas and the quadriceps muscles
What are the roots for the sacral plexus? What does it provide, in general? Name three of its nerves
L4 through S2
In general, provides some of the innervation for the pelvic floor.
Superior and inferior gluteal nerves, sciatic nerve
What are the nerve roots for the superior gluteal nerve? the inferior gluteal nerve?
Superior? L4, L5, S1
Inferior? L5, S1, S2
What are the nerve roots for Sciatic nerve? what are the areas and muscles innervated?
L4, L5, S1, S2, S3
Hamstrings
Tibial side: gastrocnemius/soleus, posterior tib, long toe flexors, muscles of the foot
Fibular side: peroneals, anterior tib, foor and toe extensor
Name the key dermatomes and what areas they innervate
C5: Deltoid area of arm C6: thumb area C7: middle finger C8: ring finger T4: across the sternum T10: across belly button L3: thigh area L4: knee to inner calf L5: top of foot S1: top of toes
Areas of the tongue and their corresponding tastes
sour: lateral
Salty and sweet: anterior portion
Bitter: posterior portion
The capitellum of the humerus articulates with what?
the head of the radius
Name the carpal bones in order left to right starting proximal
Scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate
which carpal bone does radius articulate with?
scaphoid and lunate
Action of the rhomboids
retraction and adduction
what are the muscles of the rotator cuff?
subscapularis, supraspinatus, infraspinatus, teres minor
Supscapularis: origin, insertion, and action
O: Supscapular fossa of scapula
I: lesser tuberosity of the humerus
A: internal rotation
Supraspinatus: Origin, insertion and action
O: supraspinous fossa
I: Greater tuberosity (humerus)
A: abduction
Infraspinatus: Origin, insertion, and action
O: Infraspinous fossa
I: greater tuberosity (humerus)
A: external rotation
teres minor: Origin, insertion and action
O: lateral border of scapula
I: greater tuberosity of humerus
A; External rotation weak adduction
coracobrachialis: origin, insertion and action
O: coracoid process of scapula
I: mid medial surface of humerus
A: flexion of arm
What are the muscles of supination
biceps, brachioradialis
biceps: Origin, insertion and action
O: supraglenoid tubercle of scapula (long head), coracoid process of scapula (short head)
I: radial tuberosity of radius
A: flexion and supination
Brachialis: Origin, insertion and action
O: shaft of humerus
I: Ulnar tuberosity
A: flexion
Brachioradialis: Origin, insertion and action
O: lateral supracondylar ridge of humerus
I: Styloid process of radius
A: flexion, pronation supination
opponens pollicis: O, I, A
O: trapezium
I: 1st metacarpal
A: adduction, flexion of thumb
Give the basic arterial schematic for the blood supply of the upper limbs
the subclavian artery gives rise to the axillary artery as it passes under the clavicle. The axillary artery turns into the brachial artery, which in turn, splits into the radial and ulnar arteries at the elbow joint.
Cephalic vs. basilic veins, which is lateral, which is medial?
cephalic is lateral, basilic is medial
Axillary nerve: roots? muscles innervated?
R: C5, C6
M: deltoid, teres minor
Musculocutaneous Nerve: Roots? muscles innervated?
R: C5, C6, C7
M: biceps, bracialis, coracobrachialis
Median Nerve: Roots? Muscles innervated?
R: C5, C6, C7, C8, T1
M: flexors of the forearm, wrist, thumb, index finger and half of the ring finger
Radial nerve: Roots? Muscles innervated?
R: C5, C6, C7, C8, T1
M: triceps, dorsiflexion (extension) of wrist, forearm and finger extensors, extensors of the wrist and hand
Ulnar nerve: Roots? Muscles innervated?
R: C8, T1
M: flexors on the ulnar side of the hand and forearm, flexion of the wrist and fingers on the ulnar side
What three types of movement happen at the hip joint?
Flexion/extension, medial/lateral rotation, abduction, adduction
what are the articulating surfaces for the knee joint? what movements allowed?
Patella, femur, tibia
flexion/extension
Ankle: what are the articulating surfaces?
Movements?
Tibia, fibula, talus, medial and lateral malleoli
dorsiflexion, plantar flexion
Foot: articulating surfaces? Movements?
Talus and navicular, calcaneus and cuboid, talus and calcaneus
pronation, supination, inversion, eversion
What muscles move the hip?
Iliopsoas for flexion adductors for adduction gluteus maximus for extension gluteus medius for abduction gluteus minimus for abduction tensor fascia femoris for flexion and abduction
which muscles move the knee?
pes anserinus (flexion), quadriceps (extension), hamstrings (flexion)
Which muscles move the foot and ankle joint?
anterior tibial (dorsiflexion), gastrocnemius (plantar flexion), posterior tibial (supination, elevation of arch), peroneals (eversion, pronation)
iliopsoas: I, O, and action
iliacus: O- iliac fossa; I- lesser trochanter of femur
psoas: O- T12 thru L5; I- lesser trochanter of femur
flexion and lateral rotation at hip joint
adductor magnus: I, O, and action
O: ischial ramus and tuberocity
I: linea aspera of femur, adductor tubercle
Action, adducts (also can help in flexion and extension)
adductor longus: I, O action
O: superior aspect of pubis
I: linea aspera of femur
action: adduction and flexion at hip
gluteus maximus: I, O and action
O: sacrum and ilium
I: upper fibers to iliotibial tract, lower fibers: gluteal tuberosity of femur
extension, lateral rotation
gluteus minimus: I, O and action
O: ilium
I: greater trochanter of femur
Action: abduction, medial rotation
gluteus medius: I, O, and action
O: ilium
I: greater trochanter of femur
action: abducts hip (also some medial and lateral rotation
tensor facia latae and IT band: I, O, and action
O: anterior iliac crest
I: iliotibial tract
A: abduction, flexion
sartorius: I, O, and action
O: anterior superior iliac spine
I: medial to tibial tuberosity
A: flexion and internal rotation of knee
gracilis: O, I, and action
O: inferior pubic ramus
I: tibia, medial to tibial tuberosity
Action: flexion and internal rotation at knee
semitendinosis: O, I, and action
O: ischial tuberosity
I: medial to tibial tuberosity
A: Flexion and internal rotation at knee
rectus femoris: O, I, and action
O: anterior inferior iliac spine
I: tibial tuberosity
A: extension at knee joint
vastus medialis: O, I, and action
O: linea aspera of femur (medial side)
I: Tibial tuberosity
A: extension at knee joint
vastus intermedius: O, I, and action
O: femoral shaft (anterior side)
I: tibial tuberosity
A: extension of knee joint
vastus lateralis: O, I, and action
O: linea aspera of femur and greater trochanter
I: tibial tuberosity
A: extension of knee joint
semimembranosous: O, I, and action
O: ischial tuberosity
I: medial tibial condyle
A: flexion and external rotation of knee joint
biceps femoris: O, I, and action
O: Long head-ischial tuberosity, short head- linea aspera in middle of the femur
I: head of fibula
A: flexion and internal rotation of knee
anterior tibial muscle: O, I, and action
O: tibia
I: medial cuneiform
A: dorsiflexion and inversion
gastrocnemius: O, I, and action
O: lateral and medial epicondyles of femur
I: calcaneus via achilles tendon
A: plantar flexion
posterior tibial muscle: O, I, and action
O: interosseus membrane
I: navicular tuberosity, all three cuneiforms, metatarsals 2-4
A: supination elevation of arch
soleus: O, I, and action
O: fibular head
I: calcaneus via achille’s tendon
A: plantar flexion
peroneal longus: O, I, and action
O: fibula
I: medial cuneform
action: eversion (pronation)
peroneal brevis: OIA
O: Fibula
I: 5th metatarsal
action: eversion (pronation)
Give the basic schematic for the arteries from iliac artery to popliteal
common iliac artery splits off into internal and external iliac arteries. Internal iliac then feeds the superior and inferior gluteal arteries. The external iliac then becomes the femoral artery. On the superior part of the femoral artery, a branch goes deep (profunda). It then becomes the popliteal artery as it moves posterior at the lower part of the femur.
Give the schematic for arteries below the knee
the popliteal artery has a branch that moves to the front: anterior tibial artery. Then the posterior two are: posterior tibial artery (lateral) and fibular artery (medial)
Superficial or deep:
- femoral vein
- Great saphenous
- popliteal
- anterior tibial
- deep
- superficial
- superficial
- deep
femoral nerve: roots? muscles? motion?
Roots: L2, L3, L4
Muscles: iliacus, sartorius, quadriceps
motions: knee extension and hip flexion
superior gluteal nerve: roots? Muscles? motion?
Roots: L4, L5, S1, S2
Muscles: Gluteus medius, gluteus minimus
Motions: hip abduction
inferior gluteal nerve: roots? muscles? motion?
Roots: L5, S1, S2
Muscles: Gluteus maximus
motion: hip extension
sciatic nerve: roots? motion? branches?
Roots: L4, L5, S1, S2, S3
Motion: hamstrings and knee flexion
Branches:
Tibial nerve and peroneal (fibular nerve)
Tibial nerve: muscles and motion
muscles: calf muscles, posterior tibia, long toe flexors
motion, plantar flexion of ankle, inversion of foot
fibular nerve: muscles and motion
Muscles: peroneals, anterior tibial, toe extensors
motion: dorsiflexion of the ankle and eversion of foot