Exam 2 Exam guide Flashcards

1
Q

main components of the axial skeleton

A

skull, vertebral column, thoracic cage

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2
Q

main components of the appendicular skeleton

A

pectoral girdle, arms and hands, pelvic girdle, lower limbs

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3
Q

most of cranial vault developed from what

A

mesoderm derived bones

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4
Q

neural crest derived bones in skull

A

maxilla, mandible, zygomatic, some cranial

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5
Q

base of skull developed from what

A

endochondral bone s

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6
Q

parietal bone developed from what

A

dermal bone

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7
Q

frontal bone developed from what

A

dermal bone

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8
Q

nasal bone dev from what

A

neural crest

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9
Q

occipital bone developed from what

A

endochondrial - mesoderm

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10
Q

maxilla dev from what

A

neural crest

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11
Q

zygomatic arch developed from hat

A

neural crest

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12
Q

mandible dev from what

A

neural crest

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13
Q

vertebrae dev from what

A

endochondrial mesoderm

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14
Q

which sutures are serrate sutures

A

coronal, saggittal, lambdoidal suture

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15
Q

what kind of suture is overlapping

A

squamous sutures aka lap sutures

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16
Q

suture that is straight, butt joints

A

plane suture

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17
Q

anterior fontanelle located where

A

between frontal and parietal bone

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18
Q

posterior fontanelle located wehre

A

between parietal and occipital bone

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19
Q

condition wehre sutures/fontanelles close to early

A

craniosynostosis

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20
Q

what does craniosynostosis affect

A

skull shape and brain development

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21
Q

function of the secondary palate

A

protect nasal cavity, separates oral and nasal cavity, allows for breathing and chewing, efficient swallowing

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22
Q

what comprises the secondary palate

A

the hard palate and soft palate

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23
Q

cleft palate occurs when…

A

palatal shelves fail to fuse during embryonic development

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24
Q

effects of a cleft palate

A

feeding difficulties, speech issues, inc risk of ear infections

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25
Q

treatment of cleft palate

A

usually surgery in infancy

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26
Q

function of zygomatic arch

A

protects eye, attachment site for chewing muscle, contributes to facial structure

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27
Q

what is a sclerotome

A

portion of a somite that gives rise to axial skeleton

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28
Q

what does sclerotome give rise to

A

vertebrae, intervertebral discs, ribs, base of skull

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29
Q

what does sclerotome arise from

A

paraxial mesoderm, forms when somites differentiate into 3 regions

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30
Q

what happens when you ave a bulging disc

A

annulus fibrous weakens, disc protrudes outwards but doesn’t rupture, can press on nearby nerves

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31
Q

what happens when you have a herniated disc

A

when nucleus pulposus pushes through a tear in the annulus fibrosus, likely to compress spinal nerves

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32
Q

why are bulging and herniated discs most common in the lumbar region

A

this area experiences the most stress and weight bearing forces

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33
Q

outer layer of intervertebral disc

A

annulus fibrosus

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34
Q

annulus fibrosus composed of what

A

tough, fibrous cartilage , made of mostly collagen

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35
Q

gel like inner core of intervertebral disc

A

nucleus pulposus

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36
Q

what movements does atlas allow

A

flexion and extension of neck

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37
Q

atlas articulates with skull where

A

occipital condyles

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38
Q

axis enables what movements

A

rotation of the head

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39
Q

dens function

A

pivot point for rotation of the head

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40
Q

function of vertebra prominens

A

reference pt for identifying level of cervial spine

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41
Q

structure of vertebra prominens

A

prominent spinous process

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42
Q

fracture of the dens

A

dens fractures, can cause spinal cord injury or go into brain

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43
Q

How much mobility is provided by the clavicle at the SC
joint?

A

small amount of movements compared to other joints

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44
Q

What do rotator cuff muscles do?

A

play a crucial role in the stability and movement of the shoulder

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45
Q

4 rotator cuff muscles

A

Supraspinatus
Infraspinatus
Teres Minor
Subscapularis

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46
Q

What parts of the shoulder are most often injured?

A

rotator cuff, AC joint, glenohumeral joint, labrum

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47
Q

separated shoulder occurs when and what happens

A

injury to AC joint, ligaments that hold the clavicle to the scapula are stretched or torn

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48
Q

dislocated shoulder occurs when and what happens

A

humorous is forced out of glenoid cavity , often causes tearing/ stretching of tissues around the shoulder

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49
Q

What does the interosseous
membrane do if the radius experiences high loading?

A

distributes forces from the radius to the ulna

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50
Q

what bones are broken in colles fracture

A

distal radius

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51
Q

Which forearm bone articulates more with the
humerus?

A

ulna

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52
Q

which forearm bone articulates more with the carpals

A

radius

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53
Q

Where does the femur articulate?

A

at the hip joint, with the tibia

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54
Q

What can doctors do to
treat an infant with a dislocated hip – hip dysplasia?

A

use harness that keeps baby’s hips in flexed and abducted position, helps joint develop properly,

closed reduction - manually manipulating femoral head back into the acetabulum while baby is under anesthesia

open reduction - surgical repositioning of femoral head into acetabulum

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55
Q

why is it important to resolve hip dysplasia as early as possible

A

delaying treatment can lad to permanent joint damage, mobility issues, long term complications

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56
Q

What typically breaks when someone has a ‘broken hip’?

A

femoral neck fracture

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57
Q

What bones meet at the knee joint?

A

femur, tibia, patella

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58
Q

what bones meet at the ankle

A

tibia, fibula, talus

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59
Q
A
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60
Q

what portions are fractured when someone has a broken ankle

A

tibia, fibula, medial/lateral malleolus

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61
Q

what portions are fractured when someone has a broken wrist

A

distal radius

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62
Q

joints that allow little to no movement

A

synarthorisis

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63
Q

synarthrosis joints often held together by what

A

fibrous connective tissue or cartilage

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64
Q

examples of synarthosis its

A

sutures of skull, gomphosis

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65
Q

joints that allow limited movmemtn

A

amphiarthrosis

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66
Q

amphiarthosis often connected by what

A

fibrocartilage or ligament

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67
Q

joints that allow a wide range of motion

A

diarthrosis

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68
Q

diarthrosis enclosed in what

A

synovial capsule, lines with synovial fluid

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69
Q

joints where bones are connected by dense fibrous connective tissue with little to no movement

A

fibrous joints

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70
Q

types of fibrous joints

A

suture, syndesmosis, gomphosis

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71
Q

joints where bones are connected by cartilage, allowing limited movement

A

cartilaginous joints

72
Q

symphysis joints made of what

A

fibrocartilage

73
Q

structural and functional joint type at knee

A

synovial and diarthrosis

74
Q

structural and functional types of joints at skull sutures

A

fibrous, synarthrosis

75
Q

structural and functional types of joint at elbow

A

synovial, diarthrosis

76
Q

struct and func type of joint at teeth attachment

A

fibrous, synarthrosis

77
Q

struct and func type of joint at sternoclavicular

A

synovial, diarthoris

78
Q

struct and func type of joint between centra of vertebrae

A

cartilaginous, amphiarthorsis

79
Q

struct and func type of joint at pubic symphysis

A

cartilaginous, amphiarthrosis

80
Q

struct and func type of joint at TMJ

A

synovial, diarthrosis

81
Q

what composes synovial joints

A

articular cartilage, joint cavity, articular capsule, synovial fluid, reinforcing ligaments, nerves and vessels, articular disc, bursa and tendon sheaths

82
Q

how is synovial fluid produced

A

blood is filtered, arising from capillaries in synovial membrane, contains glycoprotein molecules

83
Q

where is synovial fluid produced

A

arises from capillaries in the synovial membrane

84
Q

what does synovial fluid do

A

nourishes cells in articular cartilages and libricates free surfaces of these cartilages

85
Q

what is weeping lubrication

A

squeezing of synovial fluid into and out of the articular cartilages

86
Q

what is fluid film lubricaiton

A

synovial fluid is compressed by the load on joint

87
Q

what type of cartilage at synovial joints is not vascularized

A

articular cartilages

88
Q

what are the consequences of some of the cartilages not being vascularized in a synovial joint

A

limited nutrient supply, regeneration is tough, depends on joint movement to receive nutrients from fluid

89
Q

what is an articular disc or meniscus

A

disc of fibrocartilage between two articulating surfaces that fit poorly, the disc fills the gap and improves the fit of the joint

90
Q

what type of tissue makes a meniscus

A

fibrocartilage

91
Q

examples of where meniscus are found

A

TMJ, sternoclavicular joint, knee joint

92
Q

what ia bursa

A

flattened fibrous sac lined by synovial membrane

93
Q

what is a tendon sheath

A

elongated bursa that wraps around a tendon

94
Q

function of bursa

A

reduce friction between body elements

95
Q

function of tendon sheath

A

reduce friction onto tendons

96
Q

What happens to the articular disc and condylar process
when you open/close your jaw?

A

First,
the concave inferior surface receives the condylar process of
the mandible and allows the familiar hingelike movement of
depressing and elevating the mandible. Second, the superior

surface of the disc glides anteriorly with the condylar pro-
cess when the mouth is opened wide. This anterior move-
ment braces the condylar process against the dense bone

of the articular tubercle, so that the mandible is not forced
superiorly through the thin roof of the mandibular fossa
when one bites hard foods such as nuts or hard candies.

97
Q

what is TMJ disorder with reduction

A

articular disc moves out of place during jaw movements but returns to correct position when jaw moves back

98
Q

what is TMJ without reduction

A

articular disc does not return to its correct position after it moved out of alignment

99
Q

ACL prevents what movement

A

sliding forward of the tibia, hyper extension

100
Q

PCL prevents what movement

A

sliding backward of the tibia

101
Q

MCL prevents what movement

A

knee bending toward the midline of the body

102
Q

LCL prevents what

A

knee from collapsing outward

103
Q

What two types of cartilage are likely to be damaged at joints?

A

hyaline and fibrocartilage

104
Q

what is dislocation of joint

A

bones of a joint

are forced out of alignment.

105
Q

what is subluxation

A

partial or incomplete dislocation of a joint.

In a subluxation, the bone ends return to their proper posi-
tion on their own.

106
Q

what is reduction of joint

A

process of realigning or repositioning a dislocated joint to its normal anatomical position

107
Q

what is the cause of osteoarthritis

A

true cause is unknown, but theory is that repeated strain on a joint releases cartilage destroying enzyme

108
Q

what kind of joint damage in osteoarthritis

A

cartilage degrades, bone can develop spurs, joint instability

109
Q

how is rheumatoid arthritis different than OA

A

it its autoimmune, body mistakenly attacks synovial membrane leading in inflammation in joints

110
Q

functions of muscle

A

produce movement, open and close body passageways, maintain posture, stabilize joints, generate heat

111
Q

3 types of muscle tissue

A

skeletal, smooth, cardiac

112
Q

what is epimysium

A

outer layer of dense, irregular connective tissue surrounding whole skeletal muscle

113
Q

what is perimysium

A

layer of fibrous connective tissue that surrounds fascicles

114
Q

what is a fascicle

A

group of muscle fibers

115
Q

what is endomysium

A

fine sheath of loose connective tissue surrounding each muscle fiber

116
Q

what is an origin

A

attachment of the muscle on the less moveable bone

117
Q

what Is an insertion

A

attachment of muscle on the more moveable bone

118
Q

insertion and origin, what is pulled to what

A

insertion pulled towards its origin

119
Q

what is a tendon

A

tough fibrous connective tissue that connects muscles to bone

120
Q

what is a aponeurosis

A

broad, flat, sheet-like connective tissue structure that acts like a tendon but is wider and flatter.

121
Q

Know the muscle force vs. muscle length relationship and why it happens in relation to thick/thin
filament overlap.

A

The optimal resting length for skeletal muscle fibers is the
length that will generate the greatest pulling force when the
muscle is contracted. This optimal length occurs when a fiber

is slightly stretched, so that its thin and thick filaments over-
lap to only a moderate extent (Figure 10.7 1 ). Under these

conditions, the myosin heads can move and pull along the
whole length of the thin filaments.

122
Q

how do SO cells obtain their ATP

A

aerobic reactions

123
Q

SO mitochondria

A

large number of them

124
Q

SO capillaries

A

lots of capillaries

125
Q

color of SO and why

A

red, lots of myoglobin

126
Q

SO are resistant to fatigue as long as..

A

there is enough oxygen present

127
Q

power of SO and shape/size

A

low power, thin and small

128
Q

FG color and why

A

pale/white bc of little myoglobin

129
Q

size of FG, number of myofilamemnts, power

A

twice size of SO, lots mo0re myofilaments, lots of power

130
Q

mitochondria and capillaries of FG

A

few mitochondria, few capillaries

131
Q

what do FG use as fuel source

132
Q

FO contraction

133
Q

FO myoglobin content

134
Q

FO mitochondria, capillaries

A

lots of mitochondria, capillaries

135
Q

diameter of FO

A

intermediate

136
Q

what muscle cell type can be converted during endurance training and how does its physiology change

A

FO and FG can change between each other , inc capillary network, inc mitochondria density, more glycogen storage

137
Q

What happens to the muscle cells after lifting heavy objects that causes muscles to become
thicker in size (hypertrophy)?

A

increases the production

of the contractile proteins actin and myosin, of the myofila-
ments containing these proteins, and of the myofibril organ-
elles these myofilaments form. As the number and size of

the myofibrils increase, the fibers enlarge.

138
Q

how are satellite cells involved in hypertrophy

A

are scat-
tered in the muscle tissue outside the muscle fibers. These cells fuse with the fibers, contributing the additional nuclei
needed as the fibers enlarge.so they can increase in diameter and not mitotically

increases myofibrils which increases diameter

139
Q

order of recruitment for muscle cells

A

SO, FO, FG

140
Q

early contraction, fatigue resistance

141
Q

max loading, fatigue easily, large motor unit

142
Q

are muscles made of one type of muscle

A

no, mix of cells in different ratios

143
Q

with training, which cells cannot change types

A

slow oxidative

144
Q

endurance training does what

A

turns FG into FO

145
Q

strength training does what

A

hypertrophy of FG fibers in response to micro tears along muscle cell

146
Q

tendon attaches what to what

A

muscle to bone

147
Q

tendon made of what kind of tissue

A

dense regular

148
Q

what is an aponeuroses

A

wide tendon like sheet that allow muscle to have wide attachment to bone

149
Q

what is fascia

A

collagenous CT just below hypodermic, wraps all muscles and envelopes most anatomy

150
Q

deep fascia includes what

A

perichondrium, periosteum, endosteum, epimysium, synovial membrane, bursa

151
Q

what causes a strain

A

tension forces on a lengthened muscle

152
Q

what is a grade 1 strain

A

pain, swelling, typical muscle strength, no loss of function

153
Q

what is a grade 2 strain

A

more extensive damage, weakness present, not completely torn

154
Q

what is grade 3 strain

A

complete rupture of the muscle/tendon

155
Q

which grades of strain associated with weak muscle func

A

grade 2 and 3

156
Q

intramuscular hematoma

A

w injury, blood trapped within perimysium or epimysium causing severe pain

157
Q

inter muscular hematoma

A

blood can escape epimysium and enter surrounding tissue

158
Q

weakening during muscular dystrophy occurs in what direction

A

proximal to distal

159
Q

what happens during muscular dystrophy

A

detachment of myofibrils over time, contraction doesn’t do anything

160
Q

Name the four special functional properties of muscle
tissue.

A

contractility, excitability, extensibility, elasticity

161
Q

Distinguish a tendon from an aponeurosis

A

A tendon is a ropelike cord of fibrous tissue, and an aponeurosis
is a broad, flat sheath

162
Q

Define motor unit.

A

consists of one motor neuron and all the muscle fibers it innervates

163
Q

What is the function of the sarcoplasmic reticulum in a skeletal
muscle cell?

A

The sarcoplasmic reticulum stores calcium ions. When the SR releases these ions into the
cytoplasm, they act as triggers for the sliding filament mechanism of muscle contraction

164
Q

Define sarcolemma and sarcoplasm.

A

The sarcolemma is the plasmalemma of a muscle cell, and the sarcoplasm is the
cytoplasm of a muscle cell

165
Q

Define joint.

A

sites of contact between two elements of the skeleton, usually
between two bones and occasionally between bone and cartilage

166
Q

Where does synovial fluid come from?

A

derived from the synovial membrane of synovial joints. It is primarily a
tissue fluid derived from capillaries in the synovial membrane. It also contains a glycoprotein
(sugar protein) lubricant that is secreted by fibroblasts in the connective tissue of the synovial
membrane

167
Q

Explain weeping lubrication of the synovial joint surfaces.

A

When pressure on a synovial joint pushes the adjacent articular cartilages together, it
squeezes synovial fluid from the cartilages onto the cartilage surfaces. This fluid acts as a
slippery lubricant, allowing the cartilages to glide across one another without friction

168
Q

Name two specific examples of each: hinge joint, plane joint, con-
dylar joint, ball-and-socket joint.

A

Hinge joint: elbow and ankle (the knee and temporomandibular joints could be called
modified hinge joints); plane joint: intertarsal, intercarpal, superior tibiofibular, and
sacroiliac joints; condylar joint: atlanto-occipital joint, wrist, and metacaropophalangeal; balland-socket joint: shoulder and hip

169
Q

What are the functions of the menisci of the knee? Of the anterior
and posterior cruciate ligaments?

A

The knee menisci even out the distribution of compressive load and of synovial fluid in
the joint cavity; they also help guide movements of the condyles and prevent side-to-side rocking
of the femur on the tibia. The cruciate ligaments act to prevent anterior and posterior sliding of
the tibia on the femur, and help to secure the joint.

170
Q

Why are sprains and injuries to joint cartilages particularly trou-
blesome?

A

These injuries cause problems because they heal poorly. Sprains—tearing of joint
ligaments—heal slowly because all ligaments are poorly vascularized. Torn cartilages heal
poorly (in adults) because cartilage cells have no ability to divide. (

171
Q

Name the most common direction in which each of the following
joints tends to dislocate: (a) shoulder, (b) elbow.

A

The humerus dislocates anteroinferiorly; (p. 226) (b) the ulna dislocates posteriorly;
(p. 227) (c) the femur dislocates posteriorly. (

172
Q

List the functions of the following parts of a synovial joint:
(a) fibrous layer of the capsule, (b) synovial fluid, (c) articular disc.

A

The fibrous layer contains the joint contents and resists tension so the bones of the
joint are not pulled apart. (b) Synovial fluid is a lubricant that prevents articular elements from
rubbing together and destroying the joint through friction. (c) Articular discs
improve the fit between the two bone elements in joints, evenly distributing the load and minimizing wear. They also may allow two different movements at the same joint.

173
Q

Name and diagram the four normal vertebral curvatures. Which
are primary and which are secondary?

A

The normal vertebral curvatures are cervical, thoracic, lumbar, and sacral. The thoracic
and sacral curvatures are primary. The cervical and lumbar are secondary.

174
Q

(a) What is the function of intervertebral discs? (b) Distinguish the
anulus fibrosus from the nucleus pulposus of a disc. (c) Which part
herniates in the condition called prolapsed disc?

A

The discs act as shock absorbers, bind successive vertebrae together, and allow the
spine to flex and extend. They also resist tension forces placed on the vertebral column. (b) The
anulus fibrosus is a series of about 12 concentric rings, which contain fibrocartilage and surround
the nucleus pulposus. The nucleus pulposus is a sphere of gelatinous substance in the center of
each intervertebral disc. (c) The nucleus pulposus herniates in a prolapsed disc.

175
Q

Briefly describe the anatomical characteristics and impairment of
function seen in cleft palate.

A

Cleft palate: a persistent opening in the medial part of the hard palate that interferes with
sucking and can lead to aspiration of food into the lungs. A cleft palate is a common birth defect.

176
Q

Identify what types of movement are allowed by the lumbar region
of the vertebral column, and compare these with the movements
allowed by the thoracic region.

A

Movements allowed by the lumbar region: flexion and extension of the spine, but not
rotation. Movements allowed by the thoracic region: rotation and some lateral flexion, but not
flexion or extension.