Anatomy Flashcards

1
Q

Uterus Lymph Node Drainage

A

External Iliacs

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2
Q

Cervix lymph drainage

A

Internal iliacs

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3
Q

Proximal vagina lymph drainage

A

Internal iliacs

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4
Q

Distal vagina lymph drainage

A

Inguinofemoral

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5
Q

Ovaries lymph drainage

A

Para Aortics

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6
Q

Vulva lymph drainage

A

Inguinofemoral

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7
Q

What coronary artery supplies the Posterior Descending Artery

A

The dominant circulation side.
Right - R-Coronary (90%)
Left = L-Circumflex

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8
Q

Testicle lymph drainage

A

ParaAortics

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9
Q

Valsava maneuver release phase

A

Increases venous return

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10
Q

Supraspinatus mechanism and innervation

A

Abduction
Suprascapular nerve

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11
Q

Infraspinatus mechanism and innervation

A

External rotation
Suprascapular nerve

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12
Q

Teres minor mechanism and innervation

A

Adduction and external rotation
Axillary nerve

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13
Q

Subscapularis mechanism and innervation

A

Adduction and internal rotation
Upper and lower subscapular nerve

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14
Q

Lateral ceasarean (c-section) artery at risk

A

Inferior epigastric artery

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15
Q

Gastric band placement maneuver through what structure

A

Lesser omentum

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16
Q

Cardinal veins give rise to

A

Superior vena cava

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17
Q

Ankylosing Spondylitis presentation

A

Stooped walking
Sacroiliac joint tenderness
Relieved with hot showers
bony erosions and new bone formation
Osteoclasts

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18
Q

High altitude blood gases after 2 days

A

Ph= alkalotic
PaO2=decreased(low 02)
PaCO2=decreased (hyperventilating)
HCO3=metabolic compensation

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19
Q

Neural crest (ectoderm) derivatives

A

Adrenal Medulla, Apia/Arachnoid Mater, Ganglia, Melanocytes, Schwann Cells, Septum/Cushions, Laryngeal/Tracheal Cartilage, Skull Bones,.

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20
Q

Neural Tube (Ectoderm)

A

CNS, Posterior Pituitary, Pineal, Retina

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21
Q

Surface Ectoderm

A

Anterior Pituitary, Lens/Cornea, Inner Ear, olfactory/nasal/oral epithelium, salivary/sweat/mammary glands, epidermis.

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22
Q

Endoderm Derivatives

A

Epithelial Lining, Middle Ear, Thymus, Thyroid Follicular Cells, Parathyroids, Parafollicular C-cells, Lungs, GI tract, Liver, Pancreas, Bladder/Urethra.

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23
Q

Mesoderm Derivatives

A

Adrenal Cortex, All muscle, CT, Bone(not skull), cartilage(not Branchial arches), serosal linings, CV/Lymph system, Spleen, Stem cells, Kidneys/Ureters, Internal genitalia

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24
Q

Kidneys and ureter origin

A

Mesoderm

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25
Q

Adrenal cortex origin

A

Mesoderm

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26
Q

Adrenal medulla origin

A

Neural crest

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27
Q

Anterior pituitary origin

A

Rathkes pouch, Surface ectoderm

28
Q

Posterior pituitary origin

A

Neural tube

29
Q

Bladder and urethra origin

A

Endoderm

30
Q

GI tract, Liver, Pancreas Origin

A

Endoderm

31
Q

Spleen origin

A

Mesoderm

32
Q

Melanocyte origin

A

Neural crest

33
Q

Pilocytic Astrocytoma (kids)

A

Astrocyte Origin
GFAP+
Posterior Fossa(Cerebellum)
Eosinophilic Cells
“Cork-screw”

34
Q

Medulloblastoma (kids)

A

Cerebellum (MC malignant)
Primitive Neural Ectoderm Tumor
Small blue cells
Headaches, Pappiledema, morning vomiting

35
Q

Ependyoma (kids)

A

4th Ventricle
Blepharoblasts
Morning vomiting
Perivascular pseudorosettes

36
Q

Craniopharyngioma (kids)

A

Supratentorial
Calcification
ChE crystals
Rathkes pounch

37
Q

Pinealoma (kids)

A

Parinaud(vertical gaze palsy)
PreCocious puberty-hCG
Germ Cell

38
Q

Neuroblastoma (kids)

A

Adrenal Medulla tumor in children
Increased Catecholamines
Dancing eyes and feet (could be arms too)

39
Q

Glioblastoma Multiforme (adults)

A

Astrocyte
GFAP
Necrosis
Hemorrhage
Micro vascular proliferation
PsuedoPallisading

40
Q

Oligodendryoma (adults)

A

Frontal lobes
Calcified
Fried egg cells
Chicken wire capillary

41
Q

Meningioma (adults)

A

Seizures
Arachnoid Cells
Spindle cells
Whorled pattern
Psammoma bodies

42
Q

BRCA1

A

DNA repair gene
Loss of function
Breast and ovarian

43
Q

Loss of function mutation
Anti onco genes

A

RB
Tp53
BRCA1
APC
=tumor suppressors

44
Q

Label sarcomere

A

A= Z Line
-Actin bound to structural protein (titin,actinin)

B= A band
-myosin overlapped with actin
-remains the same length

C= M Line
-myosin anchors to central sarcomere

F= H Band
-Myosin does not overlap with Actin

E= I Band
-Actin does not overlap with myosin

45
Q

Communicating Hydrocele

A

Peritoneal fluid in tunica vaginalis
Processus vaginalis remains patent

( also indirect inguinal hernia)

46
Q

Scrotum Lymph drainage

A

Superficial inguinal

47
Q

Glans penis lymph drainage

A

Deep Inguinal nodes

48
Q

Eyes open (sleep pattern)

A

Beta waves

(REM too)

49
Q

Eyes closed but awake (sleep pattern)

A

Alpha waves

50
Q

Non REM stage 1

A

Theta waves
Light sleep

51
Q

Non REM stage 2 (sleep pattern)

A

Theta waves technically
Spindles and K complexes
Deeper sleep
Teeth grinding

52
Q

Non REM stage 3 (sleep pattern)

A

Delta waves
Sleep walking
Bed wetting
Night terrors
Hypertonia

53
Q

REM (sleep pattern)

A

Beta waves
Atonia
Vivid dreams
Erection
Eye movements (PPRF)
Every 90min

54
Q

Prostate Lymph drainage

A

Internal iliacs

55
Q

Upper portion of bladder lymph drainage

A

External iliacs

56
Q

Inferior portion of bladder lymph drainage

A

Internal iliacs

57
Q

Superficial inguinal lymph nodes

A

Most cutaneous lymph from umbilicus down, including anus below dentate line.

Except glans penis and popliteal->deep inguinal

58
Q

Metanephric blastema

A

Glomeruli, bowman’s space, tubules

59
Q

Metanephric diverticulum (uretic bud)

A

Collecting system
Pelvis, calyces, collecting duct, ureters

60
Q

Axillary (C5-C6) Root injury

A

*Surgical neck fracture humerus
*Ant Dislocation of shoulder

Flatten deltoid, no abduction, loss of sensation to lateral arm

61
Q

Radial (C5-C7)

A

“Wrist Drop”

*Mid shaft fracture of humerus

Motor: loss of elbow, wrist, finger flexion

Sensory: loss of dorsum of the hand and posterior forearm

62
Q

Median (C5-T1)

A

“Ape Hand”. “Popes blessing”

  • supracondylar fracture of humerus
  • carpal tunnel syndrome
  • wrist laceration

Motor:
-Lost of wrist flexion, lateral wrist flexion
-Lumbricals of second and third digit -thumb opposition
Sensory:
-Thenar eminence
-dorsal, and Palmer aspects of lateral 3 1/2 fingers
-tinel sign (pins &needle)

63
Q

Ulnar Nerve (C8-T1)

A

“Claw Hand”
* fall on outstretched hand
* fracture of hook of hamate
* Fracture medial epicondyle of humerus

Motor:
-radial deviation of wrist upon flexion
-loss of wrist flexion and medial finger
-Loss of abduction, and adduction of fingers (lumbricals)
Sensory:
-loss of medial four and five digits
-hypothenar eminence

64
Q

Musculocutaneous (C5-C6)

A

“Erbs Palsy” “Waiters tip”

*traction tear of UPPER TRUNK (adult)
* traction on neck during delivery (infant)

-Deltoid, supraspinatus and infraspinatus, biceps brachii
-Abduction, lateral rotation, flexion, supination

Patient’s arm is adducted internally, rotated, extended, and pronated

65
Q

Ulnar Root (C8-T1) Root

A

“Klumpkes”

  • Traction, tear of lower trunk
  • upward force on arm during delivery
  • Falling and grabs a ledge

-Intrinsic muscles of hand seen on extension
-Claw of hand – can’t extend
-Flexion at MCP joints
-Extension at the DIP/PIP joins

66
Q

Thoracic outlet syndrome

A
  • Compression of lower trunk and subclavian
  • cervical rib injury/extra rib
  • Superior Soukous tumor/Pancoast tumor

-Same as klumpke
-Atrophy of hand, muscles/edema and pain
-Scalene muscles