Anatomy Flashcards
Thyroid gland is invested by what structure?
Pretracheal fascia
Cranial nerve that descends through the neck in the Carotid sheath?
Vagus nerve
Dental abscess. Pathway in which infection spread to the mediastinum?
Retropharyngeal space
Ludwig’s angina primarily involves which fascial planes?
Submandibular space
Hyoid bone approximately lies at what level of cervical vertebrae?
C3
Suprahyoid muscles?
Digastric (ant&post)
Mylohyoid
Stylohyod
Geniohyoid
Action of suprahyoid muscles
Elevates hyoid bone
Infrahyoid muscles
Deep
Thyrohyoid
Sternothyroid
Superficial
Omohyoid
Sternohyoid
The right and left thyroid gland is connected by a narrow __________ located at the ________tracheal rings
ISTHMUS
2nd 3rd and 4th tracheal rings
How many grams is the thyroid?
20 grams
Blood supply of the thyroid?
Venous drainage?
Superior thyroid artery from external carotid
Inferior thyroid artery from thyrocervical trunk
Venous drainage:
Superior thyroid - IJV
Middle thyroid - IJV
Inferior thyroid- brachiocephalic
Present in 12% of individuals, its a small midline artery
Thyroidea Ima artery
First endocrine gland to develop; 24 days after fertilization
Thyroid gland
The developing thyroid gland is connected to the tongue by ?
The thyroglossal duct
The most common site of an ectopic thyroid?
Lingual
Primary tumors to oral cavity metastasize to nodes?
Level I,II and III
Tumors to oropharynx, hypopharynx and larynx will metastasize to nodes?
LN II, III AND IV
Nasopharyngeal and thyroid cancers will metastasize to what level of nodes?
Level V
The cricoid cartilage of the larynx is at the level of which cervical vertebrae?
Cricoid cartilage - C6
Nerve injured during ligation of superior thyroid artery? Inferior thyroid artery?
Superior thyroid artery - External laryngeal nerve
Inferior thyroid artery- inferior/recurrent laryngeal
Laryngeal muscle acts as the chief tensor of the vocal cords? Relaxor?
Cricothyroid - tensor
Thyroarytenoid - relaxor
What side of the recurrent laryngeal nerve is more commonly injured?
Left side is more commonly injured
In tracheotomy, opening is made in the trachea at what tracheal ring?
Between 1st and 2nd
Or second through 4th tracheal rings
What cells produces the parathyroid hormone?
Parathyroid gland : chief cells (PTH) and oxyphil cell
Thyroid gland: follicular cell and para follicular cell
Motor supply to the diaphragm?
Phrenic nerve from C3C4C5
In the neck it lies on scalenus anterior
In gb inflammation pain is referred to C 4 distribution
Which zones of the neck is most commonly injured? Which zones obstruct the airway and have the greatest risk for morbidity and mortality?
ZONES I AND III - obstruct the airway
ZONE II - most common
Crutch injury. What nerve is affected?
Radial nerve - manifests as weakness un extending the forearm and wrist drop
Bones involved in transmission of weight while standing?
Sacrum
Pelvis
Femur
Tibia
Equivalent layer of deep investing fascia of abdomen in perineum? And in penis?
Deep investing fascia: Gallaudet’s
deep investing fascia: buck’s facia
Equivalent of camper’s fascia in the perineum and penis?
Camper’s fascia (fatty superficial layer): fatty superficial layer: dartos muscle (first layers)
Equivalent of dartos fascia in the abdomen and perineum?
Dartos fascia (middle layer): scarpas fascia (membranous superficial layer) : colle’s fascia (MSL)
Which part of the pelvis has an obstetrical significance?
Lesser pelvis, true pelvis, pelvis minor
Below the arcuate line that has a obstetrical significance
Shape of right and left adrenal glands
Right : triangle
Left : crescent
Cartilage that is pyramidal n shape?
Arytenoid
FSH IS SECRETED BY WHAT TYPE OF CELL IN the PITUITARY?
Basophils - FSH, LH, TSH, ACTH
acidophils - GROWTH HORMONE AND PROLACTIN
supraoptic nuclei - Vasopressin mainly
Paraventricular nuclei - Oxytocin mainly
Costal line of pleural reflection?
Lower margin of lungs?
Costal:
8th rib MCL
10th rib MAL
12th rib Sides of vertebral column
lower margin:
6th rib MCL
8th rib MAL
10th rib sides of vertebral column
Layers passed in doing spinal tap
Skin, supraspinatous ligament, interspinous ligament, dura mater and subarachnoid space
Tumor cells in the gonads will affect which nodes initially?
Lumbar (aortic) lymph nodes
Blood supply of the fundus of the stomach?
Short gastric artery
Lesser curvature : right and left gastric artery
Greater curvature: right and left gastroomental artery
May thurner syndrome?
The LEFT common iliac VEIN is compressed by the RIGHT common iliac ARTERT
Predisposes to deep vein thrombosis
Keisselbach’s plexus
Arterial supply - MOF : GrAPeS Sa Labi
Sphenopalatine artery and Greater palatine artery of the MAXILLARY artery
Anterior and Posterior Ethmoidal artery of the OPHTHALMIC branch
Superior labial artery AND Lateral nasal branches of the FACIAL ARTERY
What differentiates the PCT to DCT?
Brush border
The inner ear is housed in which bone?
Temporal bone
Pelvis :
Transverse > AP diameter
“FLAT” : platypelloid
Pelivs:
AP > transverse
AnthroPoid
Tumor compressing brachial plexus and and cervical stellate ganglion
Pancoast syndrome
Structures passed in passing a needle at the pleural space in MAL
Internal intercostals
External intercostals
Innermost intercostals
Parietal pleura
Right border of the heart
Right atrium
Inferior border of the heart
Right ventricle
Quadrate lobe. Bile drainage? Blood supply?
Quadrate lobe is part of the LEFT LOBE and thus drains bile to the LEFT HEPATIC DUCT and is supplied by the LEFT HEPATIC ARTERY
MALFORMATION of the TRANSVERSALIS muscle will lead to a defective ___________.
Deep inguinal ring
Other inguinal ligaments and ring is from the aponeurosis of the EOM
Remnant of the left umbilical vein?
LEFT umbilical vein = ROUND LIGAMENT
RIGHT umbilical vein degenerates during early embryonic period
Remnant of the ductus venosus? Ductus areteriosus? Umbilical artery?
Ductus Venosus - ligamentum venosum
Ductus arteriosus-ligamentum arteriosum
UMBILICAL ARTERY- MEDIAL UMBILICAL LIGAMENT
Great cardiac vein: ——
Middle cardiac vein:——-
Anterior cardiac vein: ——-
Small cardiac vein:—–
Great cardiac vein: Anterior Interventricular artery
Middle cardiac vein:accompanies POST INTERVENTICULAR ARTERY
Anterior cardiac vein: drains directly to Right atrium
Small cardiac vein: marginal artery
What muscle forms boundaries of the triangle of auscultation and lumbar triangles?
Latissimus dorsi supplied by the thoracodorsal artery
The isthmus of the thyroid gland lies anterior to the….
2-3 tracheal ring
What comprises the nasal septum?
Septal cartilage
Vomer
Perpendicular plate of ethmoid
Nasolacrimal duct drains to what nasal meatus?
Inferior nasal meatus
Forms the fascial floor of the posterior triangle
Prevertebral layer
What innervates the muscles of facial expression?
Cervical branch of facial nerve
The only bone that does not articulate with another bone?
Hyoid bone
At what cervical level does the common carotid and Internal and external carotid artery bifurcate?
At the c4 at the level of e superior border of the thyroid cartilage
If the patient is stabbed at the occipital triangle , what artery will be more likely be injured? What nerve?
Occipital artery and Accessory nerve
What vessels cross the supraclavicular triangle?
External jugular vein
Subclavian artery
A fibrous band that connects the pyramidal lobe to the hyoid bone?
Levator glandula thyroidea
Remnant of the thyroglossal duct?
Foramen cecum
Muscles of deglutition?
SUPERIOR CONSTRICTOR MIDDLE CONSTRICTOR INFERIOR CONSTRICTOR CRICOPHARYNGEUS STYLOPHARYNGEUS SALPHINGOPHARYNGEUS PALATOPHARYNGEUS
Innervation of the muscles for deglutition?
Afferent : Cranial nerve 9 - glossopharyngeal nerve
Efferent fibers: cranial nerve 10- vagus nerve
What nerve is injured that results to a monotonous speech?
Superior laryngeal nerve -external branch
Osteoclastic activity of bone is a result of what hormone?
Pth
What cell of the parathyroid produces the pth?
Chief cells - pth
Follicular cells produces?
Parafollicular cells produces?
Follicular cells : t3t4
Parafollicular cells : calcitonin
Reabsorption of calcium occurs at what part of the kidney?
Proximal convoluted tubules
Common location of ectopic parathyroid?
Superior mediastinum
Zones of penetrating neck trauma
Zone I, II, III
Most commonly injured zone of the neck?
Zone 2
Zone or zones of the neck that has the greatest risk for morbidity and mortality?
Zones 1 & 3
At what level of the vertebra does the trachea bifurcates?
At the sternal angle at T4
Commonly fractured ribs? And which area?
The 5th-9th ribs at the anterior of its angle
True ribs? False ribs? Floating ribs?
1-7 true
8-12 false
11 and 12 floating
Patient presents with pain down the medial forearm and hand with wasting of the hand muscles
Thoracic outlet syndrome where there is pressure on the LOWER TRUNK OF THE BRACHIAL PLEXUS
Three muscles that depresses the ribs
Serratus posterior inferior
Internal intercostal muscles
Transversus thoracis muscles
What is the sternal plane?
An imaginary line that passes fron the angle of louie anteriorly and t4 posteriorly
In DiGeorge syndrome, the thymus gland is absent. What else will be missing in the anterior mediastinum?
Parathyroid gland
Normal pericardial fluid
30ml
You noticed that a patient’s jugular veins distend upon inspiration…what sign is this?
Kussmaul sign
You were assigned to do a pericardiocentesis… Where will you insert the needle?
At the left xiphocostal angle to insert until the serous layer of the parietal pericardium
What are the hearts auscultatory areas?
Pulmonic - left 2nd ics
Aortic -right 2nd ics
Mitral - 5th ics MCL LEFT
tricuspid - right lower and of sternum 5th ics
The second heart sound is due to the closure of what valves?
Aortic and pulmonic valves
Common site of myocardial infarction
Anterior interventricular artery
Coronary artery lesion at the circumflex will lead to what wall defect?
Posterolateral wall seen at V4-V6 of the ECG
Fossa ovalis is seen at what chamber of the heart?
Right atrium
Most anterior portion of the heart?
Right ventricle
Chamber with a moderator band?
Right ventricle
Most posterior chamber of the heart
Left Atrium
Primitive atrium
Left atrium
Primitive ventricle
Left ventricle
Right atrium is from?
Right horn of sinus venosus
The left horn of the sinus venosus forms the?
Coronary sinus
The right ventricle is formed from?
The bulbos cordis
The truncus areteriosus becomes the?
Root of the aorta and pulmonary trunk
Most common form of an ASD?
Patent foramen ovale
Most common type of CHD?
VSD
Most common cause of cyanotic heart disease?
Transposition of the great arteries
Components of TOF
P-pulmonary stenosis
R-right ventricular hypertrophy
O-overriding of the aorta
V- vsd
Ductus arteriosus becomes the?
Ligamentum arteriosum
Foramen ovale becomes the?
Fossa ovalis
Ductus venosus becomes the
Ligamentum venosum
Umbilical VEIN becomes the ?
Ligamentum teres
Umbilical ARTERIES becomes the?
Medial umbilical ligaments