Exam 1 Quiz Questions Flashcards
What is the number of vertebrae in a typical adult?
26 segments
What is the number of vertebrae in the typical spine?
24 segments
What constitutes the spine?
the 24 presacral segments; cervical, thoracic and lumbar vertebrae
Which mammals do not have seven cervical vertebrae?
- two toed sloth
- manatee
- three toed sloth
- ant bear
Which mammals have more than seven cervical vertebrae?
- three toed sloth
- ant bear
Which mammals have less than seven cervical vertebrae?
- two toed sloth
- manatee
What does the term “cervical” refer to?
The neck region
What does the term “lumbar” refer to?
The loin; region between the rib and the hip
What does the term “coccxy” refer to?
A cuckoo birds’ bill or beak
Which variations account for the disparity in number and morphology of vertebrae within the population?
- gender variation or sexual dimorphism
- ontogenetic variation
- geographic or population based variation
- idiosyncratic variation
Differences in the number and morphology of vertebrae within the population based on the variation between individuals is identified as which type of variation?
Idiosyncratic variation
What is the length of the typical male spinal column?
70 centimeters or 28 inches
What is the length of the typical female spinal column?
60 centimeters or 25 inches
What is the length of the male cervical region?
12 centimeters or 5 inches
What is the length of the male thoracic region?
28 centimeters or 11 inches
What is the length of the male lumbar region?
18 centimeters or 7 inches
What is the length of the male sacrum?
12 centimeters or 5 inches
Based on the numbers for individual regions of the vertebral column, what is the length of the male spine?
58 centimeters or 23 inches
How does the vertebral column participate in skeletal formation?
Ribs are formed from the costal process of the embryonic vertebral template
What levels of the vertebral column specifically accommodate weight bearing transfer?
S1-S3 at the auricular surface
What specifically is responsible for the shape and position of the human frame?
- Comparative anterior vs. posterior height of the vertebral body
- Comparative anterior vs. posterior height of the intervertebral disc
What organs are specifically associated with the horizontal axis of the skull?
- Eye
- Vestibular apparatus of the inner ear
What is the general shape of the vertebral body at each region of the spine?
- Cervical: rectangular
- Thoracic: triangular
- Lumbar: reniform
What are the ages of appearance and the events occurring at each step in the formation of bone at the superior and inferior surface of the vertebral body?
- Age 7-9: appearance of epiphyseal plate centers of ossification
- Age 12: formation of epiphyseal ring
- Age 15: formation of epiphyseal rim
What are the openings found around the margins of the vertebral body?
Nutrient foramina or vascular foramina
What large opening is usually observed at the back of the vertebral body?
Basivertebral venous foramen
What is the name given to the large vessel exiting the back of the vertebral body?
Basivertebral vein
What is the generic orientation of the pedicle at each region of the spine?
- Cervical: posterolateral
- Thoracic: posterior, slight lateral
- Lumbar: posterior
What ligament will attach to the lamina?
Ligamentum flavum
What classification of bone will para-articular processes represent?
Accessory bone
What is the name given to the overlap of laminae seen on X-ray?
Shingling
What is the generic orientation of the transverse process or transverse apophysis at each region of the spine?
- Cervical: anterolateral
- Thoracic: posterolateral
- Lumbar: lateral
What will cause the transverse process/transverse apophysis to alter its initial direction in the thoracic region?
The growth of the lungs to remodel the shape of the ribs, which in turn push the transverse processes backward
What is the name given to the bone surface at the front of a zygapophysis?
Superior articular facet
What is the name given to the bone surface at the back of a zygapophysis?
Inferior articular facet
In the vertebral couple, the part of the vertebra which lies anterior to the zygapophysis is called the _______.
Pre-zygapophysis
In the vertebral couple, the part of the vertebra which lies posterior to the zygapophysis is called the ________.
Post-zygapophysis
What will form the posterior boundary of a typical intervertebral foramen?
- Inferior articular process/Post-zygapophysis
- Superior articular process/Pre-zygapophysis
- Capsular ligament
- Ligamentum flavum
What will form the superior boundary of a typical intervertebral foramen?
Inferior vertebral notch or inferior vertebral incisure
What will form the inferior boundary of a typical intervertebral foramen?
Superior vertebral notch or superior vertebral incisure
What will form the anterior boundary of a typical intervertebral foramen?
- Vertebral body of segment above
- Vertebral body of segment below
- Intervertebral disc
- Posterior longitudinal ligament
What is the method of calculating the angle of the spinous process/spinous apophysis?
Calculate the angle formed between the undersurface of the spinous process/spinal apophysis and horizontal plane
What is the name given to the normal overlap of spinous processes/spinous apophysis in as seen on x-ray?
Imbrication
What is the orientation of the spinous process /spinous apophysis at each region of the spine?
Cervical- slight angle inferiorly
Thoracic- noticeable angle inferiorly
Lumbar- no inferior angle
What neural structures will occupy the vertebral foramen until the level of L2?
- Spinal cord/spinal medulla/medulla spinalis
- Proximal part of the peripheral nerve system
- Meninges
What is the typical shape/outline of the vertebral foramen at each region of the spinal column/vertebral column?
- Cervical: triangular
- Thoracic: oval
- Lumbar: triangular
- Sacrum: triangular
Identify the meninges of the spinal cord/spinal medulla/medulla spinalis and the commonly accepted meaning of each.
- Dura mater: tough mother
- Arachnoid mater: spider mother
- Pia mater: tender/delicate mother
Name and locate each space formed between the osseous vertebral foramen and the spinal cord/spinal medulla/medulla spinalis.
-Epidural space: between the vertebral foramen and the dura mater
-Subdural space: between the dura mater and the arachnoid mater
Subarachnoid space: between the arachnoid mater and the pia mater
What are the contents of the epidural space?
- Anterior & posterior spinal canal artery and plexus
- Anterior & posterior internal vertebral venous plexus
- Basivertebral vein
- Recurrent meningeal/sinu-vertebral/sinus vertebral nerve
- Hofmann/anterior dural/meningovertebral ligaments
- Ligamentum flavum
- Posterior longitudinal ligament
Which of the contents of the epidural space will be found near the vertebral body?
- Anterior spinal canal artery & plexus
- Anterior internal vertebral venous plexus
- Basivertebral vein
- Recurrent meningeal/sinu-vertebral, sinus vertebral nerve
- Posterior longitudinal ligament
- Hofmann/anterior dural/meningovertebral ligaments
Which of the contents of the epidural space are more likely located near or around the posterior longitudinal ligament?
- Anterior spinal canal artery & plexus
- Anterior internal vertebral venous plexus
- Basivertebral vein
- Recurrent meningeal/sinu-vertebral/sinus vertebral nerve
- Hofman/anterior dura/meningovertebral ligaments
What is the name given to the fluid within the epidural space?
Interstitial fluid
What is the name given to the fluid within the subdural space?
Serous fluid
What is the name given to the fluid within the subarachnoid space?
Cerebrospinal fluid
The anterior spinal artery is a branch of which artery?
Vertebral artery
The posterior spinal artery is a branch of which artery?
Posterior inferior cerebellar artery
What forms the arterial vasa corona above C3?
- Right & left anterior spinal arteries
- Right & left posterior spinal arteries
- 4 communication arteries
What forms the vasa corona below C6?
- Median anterior spinal artery
- Right & left posterior spinal arteries
- 3 communicating arteries
Which vessel will supply the ventral/anterior nerve rootlet and nerve root?
Anterior radicular artery
Which vessel will supply the dorsal/posterior nerve rootlets, nerve root and nerve root ganglion?
Posterior radicular artery
What arterial vasa corona branches supply gray matter and most of the spinal cord?
Ventral/central/sulcal perforating arteries
What arterial vasa corona branches supply about one third of the spinal cord?
Pial perforating arteries
What is the primary artery supplementing the arterial vasa corona?
Anterior medullary feeders and posterior medullary feeders
What vessels drain the spinal cord?
Pial veins
Which vessels form the venous vasa corona?
- Right & left anterior longitudinal veins
- Right & left posterior longitudinal veins
- 4 communication veins
Which vessels will drain the ventral/anterior nerve roots?
Anteriors radicular veins
What venous vessels are identified in the intervertebral foramen?
Intervertebral veins
What veins are observed in the epidural space near the posterior longitudinal ligament?
- Anterior internal vertebral venous plexus
- Basivertebral vein
What is the continuation of pia mater below the conus medullaris called?
Filum terminale internum
What is the location and name given to the area where all meninges first converge at the caudal part of the vertebral column?
Typically S2, the dural cul de sac
In horizontal view, what direction of the spinal cord tends to be largest?
Transverse
What are the spinal cord enlargement locations and the name given to each?
- C3-T1: Cervical enlargement
* T9-T12: Lumbar/lumbosacral enlargement
Where is the greatest transverse diameter of the spinal cord?
C6
What is a generic cord level of origin - vertebral level combination for the lumbar/lumbosacral enlargement?
- L1, L2 cord levels in T9 vertebra
- L3, L4 cord levels in T10 vertebra
- L5, S1 levels in T11 vertebra
- S2, S3 cord levels in T12 vertebra
What is the caudal end of the spinal cord called?
Conus medullaris
What spinal nerves originate from the conus medullaris?
Typically S4, S5 and Co1
In which vertebral foramen will the conus medullaris typically be observed?
L1
The last arterial vasa corona creates what feature on angiogram?
Cruciate anastomosis
What is the name given to the nerve roots below L1?
Cauda equina
What is the name given to the condensation of meninges below S2?
Filum terminale externum
What is the name given to the caudal attachment of the meninges?
Coccygeal medullary vestige
What is the name given to the condition where the conus medullaris is located below L1 and the filum terminale is thickened?
Tethered cord syndrome
What is the relationship between spinal nerve number, rib number and vertebral number in a thoracic intervertebral foramen?
- The spinal nerve number relates to the upper segment number in the vertebral couple
- The rib number relates to the lower segment number in the vertebral couple
EX. T3 nerve exits intervertebral foramen formed by T3/T4
What are the four tissues of the human body?
- Epithelial
- Muscle
- Neural
- Connective tissue
What is the function of each type of bone cell?
- Osteoblasts- form bone
- Osteocytes- maintain/nurture bone
- Osteoclasts- remodel bone
What is the primary constituent of the ground substance?
Glycosaminoglycans