Anatomy Flashcards

1
Q

What are the layers of the body wall? Which parts are derived from ectoderm? Mesoderm?

A

Layers in order:

Superficial Body Wall:

1) Epidermis (keratinized squamous stratified epithelium)
2) Dermis of skin (dense irregular connective tissue)
3) Superficial Fascia (fat + loose connective tissue)

Deep Body Wall:

4) Deep investing fascia
5) Skeletal Muscle/Bone
6) Parietal layer of celom lining (simple squamous mesothelium)

Epidermis = derived from ectoderm

Everything else: mesoderm

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2
Q

What are the parts of the sternum?

A

Manubrium -> sternal angle -> sternal body -> xiphoid process

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3
Q

What are the key structures of the female breast?

A

Nipple, areola, lactciferous duct, mammary gland (lobule shaped when resting), fat

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4
Q

Describe pectoralis major and pectoralis minor

A

These muscles help contorl the movement of the arm. They grow over the body wall during development. Pectoralis major is superficial to pectoralis minor and attaches to the humerus and sternum. Pectoralis minor, which is superficial to the thoracic skeletan, attaches to the ribs and scapula.

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5
Q

Describe serratus anterior

A

Located on the lateral side of the chest. Used in pushing.

Attached to scapula

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6
Q

What are the “true” body wall muscles? Which direction are the striations in each of the muscles?

A

External oblique (45 degree angle down from rib down)

Internal Oblique (90 degree rotation from the external oblique)

Transverse Thoracis (parallel with ground if person sitting)

These muscles are also called external intercostal, internal intercostal, and innermost intercostal if they are located between the ribs.

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7
Q

What are the functions of the intercostal muscle?

A

1) Protect viscera
2) Respiration:

External intercostal -> pulls down on ribs -> expands thoracic cavity -> inspiration

Internal Intercostal -> pushes ribs in -> contracts thoracic cavity -> expiration

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8
Q

What is segmentation? Why do neurovascular bundles appear in series? Where do neurovascular bundles run?

A

Seegmentation -> wall of abdoment/thorax organized like stack of similarly stacked circles (tires/pancakes) Neurovascular bundles are present on each of these stacked circles, thus giving them a “in series” look. Neurovascular bundles run between the middle and innermost muscle layers.

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9
Q

Describe the circulation of the typical body segment? What is function of aorta? What is function of internal thoracic artery?

A

Aorta-> posterior intercostal artery

Subclavian -> internal thoracic artery -> anterior intercostal artery

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10
Q

What does the autonomic nervous system innervate? What is unique about the autonomic nervous system? What are the divisions of the autonomic nervous system?

A

Cardiac muscle, smooth muscle, glands

In autonomic nervous system, neurons are arranged so that there are always 2 neurons in sequence from brain to target tissue.

Parasympathetic, sympathetic

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11
Q

What is the role of the sympathetic nervous system? Parasympathetic?

A

Sympathetic: increase HR, Increased BP, dilate airways, dilate pupils

Parasympathetic: Decrease HR, Decrease BP, constrict airway, constrict pupils, increase gland constriction (saliva/stomach acid), peristalsis

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12
Q

What is difference between efferent and afferent neurons?

A

Afferent = adding = sensory neurons (brings input into the CNS)

Efferent = exiting = motor neurons from CNS to organs/muscles

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13
Q

What is the anatomy of sympathetic neurons? What is the siginificance of the sympathetic trunk? What is thoracolumbar flow?

A

Presynaptic cell body located in the lateral horn of the spinal chord. The axons of the presynaptic neuron leave via the entral root and enter the sympathetic trunk. In the sympathetic trunk, they innervate the post synaptic neuron which goes on to act on the target tissue (primarily controlling blood flow).

Sympathetic trunk is the location where the presynaptic neuron innervates the post synaptic neuron. Additionally, since sympathetic presynaptic neurons only exit from T1 - L2 (thoracolumbar flow), the sympathetic trunk allows presynaptic neurons to innervate postsynaptic neurons on other levels of the spinal chord.

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14
Q

What is are white rami communicans? What are grey rami communicans?

A

White rami communicans = pre-synaptic neuron

Gray rami communicans = post-synaptic neuron

** every spinal nerve recieves postsynaptic sympathetics from the sympatethic trunk

white = myelinated

gray = non-myelinated

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15
Q

What is the pathway for sympathetic neurons?

A

Lateral horn T1-L2 -> ventral root T1-L2 -> white ramus communicans (presynaptic communicating ramus) -> synapse in the sympathetic trunk -> grey ramus communicans (post synaptic communicating ramus) -> spinal nerve -> ventral/dorsal ramus

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16
Q

Which is more lateral? Presynaptic communicating ramus or postsynpatic communicating ramus?

A

Presynaptic

17
Q

What are splanchnic nerves?

A

Sympathetic nerves also innervate organs (i.e. heart, trachea). Splanchnic nerves are sympathetic nerves which travel from the sympathetic trunk directly to innervate the organ (i.e. heart).

Splanchnic nerves always innervate inferiorly to the location where they branched off the sympathetic trunk.

18
Q

What is unique about sympathetic pathway for abdominal/pelvic splanchnic nerves?

A

The presynaptic neurons do NOT synapse in the sympathetic trunk for abdominal splanchnic nerves. Instead, they synpase on collateral ganglia (next to organ). Post synaptic neurones then follow arteries to their target organs.

19
Q

Where do parasympathetic nerves exit? What does vagus nerve do? What is the main mechanism of parasympathetics? Where do parasympathetic presynaptic neurons innervate post synpatic neurons?

A

Craniosacral outflow

Vagus Nerve (Cranial Nerve 10): Innervates smooth muscle in GI tract, glands, basically everything in gut

Mainly uses acetylcholine

Synapses usually occur in the wall of organ. Presynpatic neurons -> very long. Post synaptic -> very short.

20
Q

What is difference between visceral and general sensory?

A

General sensory -> provide innervation for the body wall

Visceral -> follow splanchnic nerves to provide sensation in organs (usually provide dull sensation)

** only exception is that they will provide sharp pain from stretching/inflamation (gall stones, appendicities, lesions etc)

21
Q

What is referred sensation?

A

Pain/signal originates from visceral location and is sensed by the same spinal segment in the body wall. (i.e. heart pain interpretted by brain as coming from the arm at T1)

22
Q

What is the coelimic cavity? What happens to it during development?

A

Coelimic cavity is a fluid filled body cavity which gives rise to the pleural cavity, pericardial cavity, peritoneal cavity

23
Q

What does the phrenic nerve do?

A

The phrenic nerves originate from C3-C5 and they innervate the diaphragm. Therefore, they are crucial for breathing.

24
Q

How does the parasympathetic nervous system work on the heart?

A

The post synaptic neuron releases Acetylcholine onto the muscarinic GPCR in the heart. The beta and gamma subunits of the activated G-proteins then bind to K+ channels on the membrane and HYPERpolarize the muscles, therefore decreasing the propagation of action potentials and slowing the heart.

25
Q

Which side of the body wall has the hemiazygous vein? What about the azygous vein? Where do these veins feed into?

A

The left side of the body wall has the hemiazygous vein. Intercostal veins from the left body wall feed into the superior and inferior hemiazygous veins. The right side of the body wall has the azygous vein.

26
Q

What is costal cartilage?

A

Costal cartilage is the cartilage linking the sternal body with the ribs.

27
Q

How many lobes does the right lung have? How about the left lung?

A

Right lung = 3. Superior, middle, Inferior

These lobes are differentiated from each other using the horizonal fissure (between superior and middle lobes) and oblique fissure (between middle and inferior lobes)

Left lung = 2. Superior Inferior

Superior lobe and inferior demarcated by the left oblique fissure.

28
Q

What does RALS stand for? What is it used for?

A

RALS stands for right anterior, left superior.

It is used to determine the location of the artery relative to the bronchioles.

In the RIGHT LUNG, the pumlonary artery is ANTERIOR to the bronchus.

In the LEFT lung, the pumlonary artery is SUPERIOR to the bronchus.

29
Q

What is the lingula?

A

The lingula is a portion of the LEFT lung attached to the superior lobe.

30
Q

What are the layers of the heart?

A

1) Parietal pleura
2) Fibrous pericardium
3) Parietal pericardium (parietal layer of serous pericardium)
4) Visceral Pericardium (epi cardium)

5 Myocardium

6) Endocardium (epithelial layer facing blood in the atrium/ventricles)

31
Q

What do the brachio cephalic veins feed into? What veins feed into the brachiocephalic veins?

A

Superior vena cava

The jugular veins and the subclavian veins feed into the superior vena cava, which ultimately feeds blood into teh right atrium.

32
Q

What does the aorta give rise to?

A

1) Brachiocephalic aretery
2) Left common carotid artery
3) Left subclavian artery
4) descending aorta which also gives rise to the posterior intercostal arteries

33
Q

What are the subdivisions of parietal pleura?

A

1) Diaphragmatic pleura
2) Medistainal pleura
3) Costal pleura
4) Cervical pleura

34
Q

Waht are the structures in the hilum/root of the lung?

A

1) Bronchus
2) Pulmonary artery (deoxgenated blood from right ventricle)
3) Pulmonary vein (oxygenated blood from into left atrium)

35
Q

Describe the path of the phrenic nerve

A

Originates C3-C5 and passes over aorta, into pericardium, and ultimately innervates the diaphragm

36
Q

What are the layers of meninges in the CNS?

Where is CSF found?

A

From outside in: Dura, Arachnoid, Pia

Pia directly covers the brain and spinal chord. CSF is located in the subarachnoid space between the pia and arachnoid layers.

External to the arachnoid is the dura layer.

In the spinal chord, external to the dura is the epidural space. 5

37
Q

What kind of collagen is used in reticular fibers?

A

Collagen Type 3

38
Q
A