Exam 4: Not From Muscle Tables Flashcards

1
Q

Act as walls to separate breast into 15-20 lobes, each lobe containing milk glands.

A

Suspensory ligaments (cooper’s ligaments

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2
Q

Fractures of the distal phalanx. Treated by splinting and caring for associated soft tissue injuries

A

Tuft fracture

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3
Q

Features include:
Soft tissue swelling
Increased coracoclavicular distance (5mm more than the normal side)
Widening of AC join (2-4mm asymmetry
Superior displacement of the distal clavicle

A

AC joint separation

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4
Q

Arteries of the mammary gland

A

Internal thoracic artery (medially)
Thoracocromial artery
Lateral thoracic artery

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6
Q

Results from damage to the long thoracic nerve. ______ no longer holds the scapula to thoracic wall. (Two answers)

A

Winged scapula

No longer holds serratus anterior muscle

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7
Q

Layer of loose connective tissue separating breast from deep fascia. Potential space allows for movement of breasts over underlying structures. Tumors can sometimes invade the deep fascia and pectoralis major leading to fixation of breast to thoracic wall

A

Retromammary space

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8
Q

“Ulnar artery territory”

A

Medial 3.5 digits

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9
Q

Drains the lateral breast. About 75% of lymph from breast

A

Pectoral nodes

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10
Q

Amount of AC joint assymetry indicative of an AC joint separation?

A

2-4mm

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11
Q

What age group / activity is most commonly associated w clavicle fracture

A

Children and adolescents

Athletic activities

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12
Q

Severance of the radial nerve due to fracture of the humerus leads to

A

Wrist drop (unable to extend wrist)

[DOES NOT AFFECT TRICEPS bc lets off branches before it gets to the radial groove]

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13
Q

Most common injury to the shoulder

A

Fracture of the clavicle

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14
Q

View that prevens the overlap of the humeral head over the glenoid.
Considered the true AP view of shouder

A

Grashey View

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15
Q

Relatively rare deformity which is the result of a fall on outstretched, hyperextended hand. Occurs when lunate maintains normal position w respect to the distal radius while all other carpal bones are dislocated posteriorly

Almost always associated w a scaphoid fracture
Lunate appears triangular in shape on frontal view

A

Perilunate dislocation

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16
Q

3 ligaments that make up the glenohumeral joint

A

Coracohumeral
Transverse humeral
Glenohumeral

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17
Q

What are the two openings in the capsule of the glenohumeral joint

A

Opening for the subscapular bursa

Opening for the tendon of long head of biceps brachii

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17
Q

Most commonly fx’d carpal
Mech of injury usually falling on outstretchd hand resulting in hyper-extension of wrist
Radiographs indicated if there is post-traumatic wrist pain w/ anatomical snuff box tenderness
If fx missed, avascular necrosis of prox pole of bone may occur

A

Scaphoid fracture

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18
Q

The lactiferous duct empties at the __

A

Nipple

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21
Q

Transverse fracture of the 5th metacarpal.
Most common type of metacarpal fx.
Usually a result of a direct blow w a clenched fist against a solid surface

A

Boxer’s Fracture

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21
Q

Amount of coracoclavicular asymmetry indicative of an AC joint separation?

A

5mm

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22
Q

What tendons have sesamoid bones in them in the thumb ?

A

One sesamoid bone in tendons of flexor pollicis brevis and abductor pollicis brevis.

One sesamoid bone w/in tendon of adductor pollicis

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23
Q

Action of the superficial layer of muscles of the back

A

Move upper extremity

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25
Q

Modified sweat gland located in superficial fascia.

A

Mammary gland

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26
Q

Contents of clavipectoral (deltopectoral) trianlge

A

Cephalic vein

Tip of coracoid process of scapula

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27
Q

Ligament that can stay intact during dislocation of AC joint

A

Coracoacromial ligament

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28
Q

Lobectomy

A

Removal of 1 of 15-20 lobes

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29
Q

Responsible for abduction of arm in 15* to 20* range

A

Deltoid

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30
Q

This is normal on elbow x-rays unless it has the appearance of a sail

A

Anterior fat pad

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30
Q

Most common type of shoulder dislocation/

A

Anterior

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31
Q

Borders of clavipectoral (deltopectoral) triangle

A

Deltoid, pectoralis major, clavicle

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32
Q

Initiates the first 15* of abduction of the arm

A

Supraspinatous

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33
Q

Gradual degeneration with wear and tear or other inflammatory disorders such as RA

A

Attrition

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35
Q

Joint between head of ulna and ulnar notch of radius

A

Distal radioulnar joint

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36
Q

Most commonly torn tendon of rotator cuff

A

Supraspinatous tendon

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37
Q

Deep branch of ulnar nerve innervates? (4)

A

All interosseous muscles

Lateral 2 lumbricals

Hypothenar muscles

Adductor pollicis

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37
Q

Most common shoulder injury in middlee age individuals?

A

Shoulder dislocations and AC joint separations

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38
Q

C5 C6 nerve damage causing motor deficits which includes medial rotation of arm and pronation of the forearm

A

Erb-Duchenne Palsy

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39
Q

Most frequently broken bone in body

A

Clavicle

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39
Q

Most common shoulder injury in elderly individuals

A

Proximal humerus fractures

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41
Q

Insertion of superficial group of back muscles

A

Scapula, clavicle, hmerus

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42
Q

Drains the lateral side of the superficial aspect of upper limb. Enters deltopectoral triangle, and pierces clavipectoral fascia to join the axillary vein

A

Cephalic vein

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43
Q

GROUP of back muscles that act to extend trunk when acting bilaterally, are located dorsal to the vertebral column and are innervated by dorsal primary rami of spinal nervees

A

Deep group

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44
Q

Suggests an occult fracture and indicates the presence of elbow joint effusion

A

Posterior fat pad sign

Or

Positive sail sign

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44
Q

Type of indirect force to the arm which will cause an anterior shoulder dislocation?

A

Abduction, extension, and external rotation

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45
Q

The axillary tail of the mammary gland which extends into the armpit (is removed in modified radical or radical mastectomy)

A

Tail of Spencee

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46
Q

Major Nerve that enters the palm of hand by passing through the carpal tunnel

A

Median nerve

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47
Q

A branch of the lateral cord of the brachial plexus

A

Lateral pectoral nerve

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48
Q

Physical exam finding that is characteristic of Klumpke Palsy

A

Claw Hand (fingers hyperextended at MP joints and flexed at PIP and DIP joints)

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50
Q

Drains milk ducts to the nipple

A

Lactiferous duct

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50
Q

Fx of the distal 1/3 of the radius assoc w subluxation of the head of the ulna at the wrist.
Commonly occurs w FOOSH injury
(Aka reverse monteggia fracture)

A

Galeazzi Fracture

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52
Q

Boundaries of the triangle of auscultation (good place to listen to lung sounds)

A

Inferior: lattisumus dorsi
Superior: trapezius
Lateral: Rhomboid Major

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53
Q

Weakened abduction of the arm (15-120 degrees) and loss of cutaneous innervation to upper lateral arm

A

Axillary nerve damage

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54
Q

Function of deep layer of muscles of the back

A

Move trunk and back; support body weight

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55
Q

What three ligaments are involved in the metacarpophalangeal joints?

A

Deep transverse metacarpal ligament
Palmar ligament
Collateral ligaments

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56
Q

What three muscles make up the thenar eminence

A

Abductor pollicis brevis
Flexor pollicis brevis
Opponens pollicis

57
Q

Physical exam finding where the arm is medially rotated and in pronation

A

Waiter’s tip

57
Q

Superficial branch of ulnar nerve innervates ? (3)

A

Skin of medial 1.5 digits
Palmaris brevis
Skin of distal medial 1/3 of palm

57
Q

Fx of the proximal 1/3 of ulna and anterior dislocation of the head of the radius at the elbow.
May result from a direst blow to the posterior ulna or a FOOSH injury
Most commonly physical exam reveals radial head displacement into the cubital fossa w elbow pain and tenderness

A

Monteggia fracture

58
Q

The rupture of the side slips of the extensor expansion that insert into the distal phalanx. Due to the hyperflexion of the. DIP joint

A

Baseball finger (mallet finger)

59
Q

In posterior elbow dislocation, what nerve might be damaged?

A

Ulnar nerve

59
Q

FOOSH

A

Fall on an out stretched hand

60
Q

Synovial sac filled w fluid between the supraspinatous muscle and acromion and deltoid muscle
If inflammed causes painful arc syndrome

A

Subacromial bursa

61
Q

Structures that pierce the clavipectoral fascia

A

Cephalic vein
Thoracoacromial artery
Lateral pectoral nerve

61
Q

What vertebra lies underneath the decussating fibers of the thoracolumbnar fascia?

A

L5

61
Q

Results in loss of function of deltoid muscle and loss of sensory innervation to upper lateral arm

A

Injury to axillary nerve

62
Q

Does coracoacromial ligament maintain AC joint?

A

No

62
Q

Most severe of carpal instabilities
Caused by high energy trauma resulting in loading of a dorsiflexed wrist.
Involves disruption of most major carpal ligaments
Produces volar dislocation and forward rotation of -___
Triangular appear of ___ on frontal projection

A

Lunate dislocation

63
Q

Action of intermediate layer of muscles of the back

A

Respiratory muscles (insert to ribs)

64
Q

Drains the medial breast

A

Parasternal nodes

64
Q

Origin of superficial group of back muscles

A

Vertebrae …

64
Q

Responsible for abduction of arm past 90 degrees of rotation

A

Trapezius, serratus anterior

66
Q

Due to inflamation of subacromial bursa, causes painful movement of arm from 70 - 120 degrees

A

Painful arc syndrome

66
Q

‘Pulled elbow’

A

Dislocation of the proximal radioulnar joint

70
Q

‘Piece of a pie’ sign

A

Lunate dislocation

71
Q

What nerve innervates the muscles of the thenar eminence?

A

Recurrent branch of median nerve

72
Q

Sensory innervation by the median nerve of the hand

2

A

Lateral 3.5 digits (palmar) and the dorsal nail beds.

Lateral 2/3 of the palm

74
Q

Painful arc syndrome

A

Inflammation of the subacromial bursa

75
Q

Causes clavicle to be elevated due to the upward pull of trapezius and the shoulder droops from weight of upper limb

A

Dislocation of acromioclavicular joint

77
Q

innervation of the muscles of the thenar eminence

A

Recurrent branch of the median nerve

78
Q

The rupture of the central slip of. The extensor expansion that inserts into the middle phalanx.
Results from flexion of PIP joint and simultaneous extension of DIP joint from trauma to end of dorsum of finger

A

Boutenniere deformity

79
Q

Pertaining to the palm or the sole

A

Volar

80
Q

Medial rotation of the first metacarpal so that the thumb touches the other digits

A

Opposition

81
Q

_______, unlike the median nerve, does not pass through the flexor retinaculum to. Enter the hand

A

Ulnar nerve

83
Q

Most common elbow fx in adults

FOOSH injury common.

A

Radial head fracture

84
Q

Innervation of all deep muscles of the back

A

The dorsal rami of spinal nerves

85
Q

Acromioclavicular and coracoclavicular ligaments torn causes

A

Separated shoulder

Dislocation of acromioclavicular joint

86
Q

Physical exam finding common of Erb-Duchenne Palsy

A

Waiter’s tip (medial rotation of arm and pronation of forearm )

87
Q

Results from hyperabduction of the arm as when a person grabs something to prevent a fall or when newborn’s arm is pulled during pregnancy. Also results from the presence of cervicle rib placing traction on the lower trunk.

A

Klumpke Palsy (T1 spinal nerve torn [also sometimes C8])

89
Q

Motor innervation by the median nerve in the hand (4)

A
Lateral 2 lumbricals
Opponens pollicis
Flexor pollicis brevis
Abductor pollicis brevis 
(Note last 3 are thenar eminence)
90
Q

What muscle’s heads does the ulnar nerve pass between?

A

The flexor carpi ulnaris. In between the ulnar head at the olecranon and the humeral head at the medial humeral epicondyle

91
Q

What two heads does the median nerve pass through and is also the point at which the anterior interosseous branch of the nerve splits off?

A

The pronator teres. One head at the coronoid process and the other at the medial humeral epicondyle

92
Q

Inflammation around synovial sheath causing difficulty extending phalanges at the IP joints

A

Trigger finger

93
Q

Type of joint in which the joint capsule surrounds the joint cavity

A

Synovial plane joint

94
Q

What type of joint is the acromioclavicular joint?

A

Synovial plane joint

95
Q

A very strong bipartite accessory ligament which goes from the coracoid process to the clavicle and suspends the weight of the scapula and upper extremity from the clavicle

A

Coracoclavicular joint

96
Q

What type of joint is the shoulder (glenohumeral) joint?

A

Synovial ball and socket joint

97
Q

Two openings of the capsule of the shoulder joint?

A

Between tubercles of humerus for passage of tendon of long head biceps and anteriorly for comm w bsubscapular bursa

98
Q

Deepens the shallow glenoid cavity. Fibrocartilage rim

A

Glenoid labrum

99
Q

Thickenings of the anterior part of the glenohumeral joint capsule

A

Superior, middle and inferior glenohumeral ligaments

100
Q

An accessory ligament extending from greater to lesser tubercles of the humerus.

Forms a bridge over thee bicipital groove that holds tendon of long head of biceps against humerus

A

Transverse humeral ligament

101
Q

Strong ligament that extends from the coracoid process of scapula to greater tuberosity of humerus and strengthens the superior part of the joint capsul

A

Coracohumeral ligament

102
Q

What type of joint is the elbow joint

A

Synovial hinge joint, permitting flexion etension movements

103
Q

What type of joint is the proximal radio-ulnar joint?

A

Synovial joint permitting supination and pronation of forearm in jonjuction w the distal radioulnar joint

104
Q

‘pulled elbow’

A

Dislocation of the proximal radioulnar joit from tears in annular ligament

105
Q

What type of joint is the middle radio-ulnar joint

A

Syndesmosis

106
Q

What type of joint is the distal radio-ulnar joint

A

Synovial picot type joint permitting supination and pronation of forearm.

107
Q

Articular disk of the distal radioulnar joint extends where

A

From the lower border of ulnar notch of radius to base of styloid process of ulnar

108
Q

What type of joint is the wrist ( radiocarpal joint )

A

Ellipsoidal synovial joint ,

Permits movements of abduction-adduction, flexion-extension, and cicrumduction

109
Q

Ligament In the wrist that strengthens anterior and posterior surfaces of the capsule

A

Dorsal and palmar ligaments

110
Q

Ligaments of the wrist that exten from styloid processes of radius and ulna to carpal bones , respectively. Somewhat limit abduction-adduction movements

A

Radial and ulna collateral ligametns

111
Q

Fx of the distal end of the radius and ulna
Most common fx in persons over 50 years of age.
More freq in women.
FOOSH injury
Distal fragment of radius often displaced posteriorly from shaft resulting in “dinner fork” deformity

A

Colles’ fracturee

112
Q

The carpometacarpal joint of the thumb is a

A

Synovial saddle shaped joint that permits flexion-extension and adduction-abduction

113
Q

Metacarpophalangeal joints are

A

Synovial condyloid joints which permit movements of flexion-exteension and abduction-adduction

114
Q

Interphalangeal joints are

A

Synovial hinge articulators
Permit only flexion-extension movements
Similar structurally to metacapalphalangeal joints

115
Q

Means “lack of sensation

A

Anasthesia

116
Q

Means diminished sensation

A

Hypothesia

117
Q

Pins and needles or burning pain

A

Paresthesia

118
Q

Myotome for abduction of arm at the glenohumeral joint

A

C5

119
Q

Myotome for flexion of the forearm at the elbow

A

C6

120
Q

Myotome for extension of the forearm at the elbow

A

C7

121
Q

Myotome for flexion of the fingers

A

C8

122
Q

Myotome for adduction and abduction of the fingers

A

T1

123
Q

C5 dermatome

A

Lateral arm, lateral forearm and shoulder

124
Q

C6 dermatome

A

Thumb

125
Q

C7 dermatome

A

Middle finger

126
Q

C8 dermatome

A

Little finger

127
Q

T1 dermatome

A

Medial arm

128
Q

Thick basement membrane (hair)

A

Glassy membrane

129
Q

Downgrowth of. Epidermis

A

External root sheath

130
Q

Surrounds the beginning of the hair shaft at the hair bulb. Ends at the level of the sebaceous gland

A

Internal root sheath

131
Q

Matrix that gives rise to the shaft of the hair.

Site of stem cell division and differentiation into cells of the shaft and internal root sheath
(Increase length of hair shaft)
Has keratinocytes and melanocytes

A

Hair bulb

132
Q

Loose connective tissue containing blood vessel

Brings essential nutrients to the hair follicle, location of division, growth, cornification, and hair formation

A

Hair papilla

133
Q

Part of hair shaft.

Layer of overlapping dead squamous cells

A

Cuticle

134
Q

Layer of hair shaft
Cuboidal cells, keratinized portion of the hair shaft
Contains melanosomes

A

Cortex

135
Q

Part of hair shaft. Found only in thick hair.

Large vacuolated cells

A

Medulla