Anatomy Flashcards

1
Q

The middle meningeal artery is a branch of with artery?

A

Maxillary artery

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2
Q

What are the spleen’s embryonic origins?

A

Derived from the mesoderm of the dorsal mesentery. Although, it is unique because it gets its blood supply from a foregut derivative.

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3
Q

What nerve innervates the posterior portion of the external auditory canal?

A

The auricular branch of the Vagus nerve. Patients may experience vasovagal syncope after stimulation of this part of the auditory canal and may pass out (especially if inflamed).

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4
Q

What is the blood flow through the kidney?

A

Interlobar arteries → arcuate arteries → radial arteries → afferent arterioles → glomerular capillaries → efferent arterioles → peritubular capillaries → interlobar veins

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5
Q

An opening in what structure forms the superficial inguinal ring?

A

External oblique muscle aponeurosis

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6
Q

Where should a femoral nerve block be administered?

A

In the inguinal crease at the lateral border of the femoral artery.
Note that the femoral nerve is not part of the femoral sheath so the block should not be administered in the femoral ring.

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7
Q

What is the position of the ureters relative to the uterine arteries and veins?

A

Posterior to the arteries and veins. “Water under the bridge”=ureter carrying water, the uterine vessels signifying the bridge.

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8
Q

What does the iliohypogastric nerve innervate?

A

It arises from the L1 nerve root, emerges from the lateral border of hte upper psoas major, and passes behind the kidney anterior to the quadratus lumborum. It provides motor function to the anterolateral abdominal wall muscles. The anterior branch emerges above the superificial inguinal ring to innervate the skin above the pubic region and the lateral branch descends over the iliac crest to innervate the gluteal region. The anterior branch can be injured during an appendectomy, which causes decreased sensation at the suprapubic region.

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9
Q

What does the ilioinguinal nerve innervate?

A

It arises from the L1 nerve root and accompanies the spermatic cord through the superficial inguinal ring. It provides sensation to the upper and medial thigh and parts of the external genitalia.

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10
Q

What nerve courses togethers with the superior thyroid artery and vein?

A

The external branch of the superior laryngeal nerve (branch of the Vagus nerve). This nerve is a risk for injury during thyroid surgery. The cricothyroid muscle is the only muscle innervated by this nerve. This muscle tenses the vocal cords.

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11
Q

What is the function of the internal branch of the superior laryngeal nerve (branch of Vagus nerve)?

A

It provides sensory innervation to the laryngeal mucosa above the vocal cords. It does not innervate any muscles.

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12
Q

What is thoracic outlet syndrome (TOS)?

A

TOS is due to compression of the lower trunk of the brachial plexus in the scalene triangle, the space bordered by the anterior and middle scalene muscles and the first rib. Symptoms include upper extremity numbness, tingling, and weakness. It is due to an anomalous cervical rib, scalene muscular anomalies, or injury (e.g. repetitive overhead arm movements, trauma).

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13
Q

What does the musculocutaneous nerve innervate?

A

The major forearm flexors (e.g. biceps brachii, brachialis) and the coracobrachilais (flexes and adducts the arm). After innervating these muscles, the remaining fibers become the lateral cutaneous nerve of the forearm and provides sensory innervation of the skin of the lateral forearm. It is derived from the C5-C7 spinal nerve roots and arises from the lateral cord of the brachial plexus.

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14
Q

What part of the aorta does blunt aortic injury (i.e. traumatic aortic rupture due to sudden deceleration) usually damage?

A

The aortic isthmus, which is tethered in palce by the ligamentum arteriosum.

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15
Q

What 4 structures does the incision for a cricothyrotomy pass through?

A
  1. Skin
  2. Superficial cervical fascia (including SQ fat and platysma muscle)
  3. Investing and pretracheal layers of the deep cervical fascia.
  4. Cricothyroid membrane
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16
Q

What artery supplies the femoral neck?

A

The medial circumflex (damage can cause osteonecrosis).

17
Q

What artery supplies blood to the proximal ureter?

A

Renal artery.

18
Q

What structure(s) is/are located in the hepatoduodenal ligament?

A

Common bilde duct, hepatic artery, and hepatic portal vein.

19
Q

Where do many of the extensors of the wrist have an origin of attachment?

A

Lateral epicondyle.

20
Q

Where does the lymphatic drainage of the glans penis and skin of the posterior calf drain to?

A

The deep inguinal lymph nodes.

This is an exception as the superficial inguinal lymph nodes drain most cutaneous lymph from the umbilicus down, including the external genitalia and anal canal.

21
Q

Pain fibers for the pleura are carried by what nerves (pleuritic chest pain)?

A

The phrenic nerve (C3-C5) carries pain fibers from the diaphragmatic and mediastinal pleura. Irritation of the pleura in either area will cause a sharp pain worsened by inspiration that will be referred to the C3-C5 distribution at the base of the neck and over the shoulder.

Sensory innervation of the remainder of the parietal pleura is accomplished by intercostal nerves and is typically felt closer to the source of the pain.

22
Q

What nerve runs under the piriform recess in the oropharynx?

A

The internal laryngeal nerve (branch of the superior laryngeal nerve of CN X). It mediates the afferent limb of the cough reflex. Foreign bodies, such as chicken or fish bones, can become lodged in the piriform recess which may damage the internal laryngeal nerve.

23
Q

What space are patients at risk for hemorrhaging into if the puncture into the common femoral artery for cardiac catheterization is achieved superior to the inguinal ligament?

A

Retroperitoneal hemorrhage (this portion of the common femoral artery lies directly inferior to the peritoneum). Bleeding into the retroperitoneal space cannot be controlled with external compression, thus causing a dangerous complication.

24
Q

What ligament of the ankle is most commonly injured?

A

The anterior talofibular ligament

25
Q

Damage to what nerve causes winging of the scapula?

A

The long thoracic nerves (serratus anterior).

26
Q

What is another name for the suspensory ligament of the ovary?

A

The infundibulopelvic ligament. It houses the ovarian artery and vein, as well as the ovarian nerve plexus.

27
Q

Do the popliteal lymph nodes drain the medial or lateral foot?

A

Lateral (the medial foot bypasses the popliteal nodes and drains directly to the inguinal lymph nodes).

28
Q

Stimulation of what facial nerve can help with obstructive sleep apnea?

A

Hypoglossal nerve - an implantable nerve stimulator can cause the tongue to move more forward slightly

29
Q

What is the lymphatic drainage of the rectum?

A

Proximal to the anal dentate line: inferior mesenteric and internal iliac lymph nodes.
Distal to the anal dentate line: inguinal nodes

30
Q

What portion of the male urethra is most susceptible to injury in the setting of pelvic trauma?

A

The membranous segment because it is unsupported by adjacent tissues like the rest of the urethra. Trauma to the pelvis severe enough to cause fracture often results in disruption of the posterior urethra at the bulbmembranous junction.

31
Q

What is the most common site of bleeding during epistaxis?

A

The vascular watershed area of the nasal septum known as the Kiesselbach plexus (anterioinferior part of the nasal septal mucosa). Anastamosis occurs among the anterior ethmoidal artery, sphenopalatine artery, and the superior labial artery here.

32
Q

What heart chamber normally lies within the closest proximity to the esophagus?

A

Left atrium

33
Q

What boney structure is used as a landmark for lumbar puncture?

A

The iliac crest. LPs are performed in the L3/L4 or L4/L5 space. The L4 vertebral body lies on a line drawn between the highest points of the iliac crests

34
Q

What muscles does the recurrent laryngeal nerve innervate?

A

All of the intrinsic muscles of the larynx that are responsible for sound production (e.g. posterior and lateral crioarytenoids, oblique and transverse arytenoids, thyroarytenoid) except the cricothyroid (innervated by the external laryngeal nerve).

35
Q

What is important about the left supraclavicular lymph node (Virchow’s node)?

A

It drains the abdomen via the thoracic duct. It also drains the thorax.

36
Q

Where is the opening to the maxillary sinus in the nasal cavity?

A

In the middle nasal meatus.