FA CRAM MFERS Flashcards

1
Q

3 joints of the shoulder girdle

A

sternoclavicular joint
acromioclavicular joint - upper
shoulder joint - lower

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2
Q

Sterno-clavicular joint location

A

1cm in length, extending over lower ½ medial surface of clavicle, passing inferolaterally for approx 0.5cm (onto 1st CC)

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3
Q

Acromio-clavicular joint location

A

immediately lateral to lateral 1/3 (concave anteriorly) of clavicle / 1.5cm medial to the lateral border of acromion

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4
Q

Glenohumeral joint location

A

lateral to coracoid process, infero-laterally 3cm towards axilla, lower 2/3 denotes rim of glenoid cavity

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5
Q

how does one palpate serratus anterior

A

pt in supine
punch forward and physio resists
below pits
lateral and inferior pectoralis major

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6
Q

how does one palpate rhomboids

A

underneath trapezius

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7
Q

how does one palpate pectoralis major/deltoid

A

abduction

internal/external rotation

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8
Q

how does one palpate latissimus dorsi

A

lie prone

extension

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9
Q

how does one palpate supraspinatus

A

abduction

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10
Q

how does one palpate infraspinatus and teres minor

A

shoulder flexion in 90 degrees
elbow flexion 90 degrees
arm makes 90 degrees

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11
Q

bones in the mandubriosternal joint

A

manubrium & body of sternum

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12
Q

what kind of joint is the mandubriosternal joint

A

secondary cartilaginous jt., fibrocartilaginous disc

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13
Q

what level of the spine in the mandubriosternal joint

A

T4/5

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14
Q

bones in the Xiphisternal joint

A

body of sternum & xiphoid process,

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15
Q

what kind of joint is the xiphisternal joint

A

primary cartilaginous jt

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16
Q

what level of the spine in the xiphisternal joint

A

T9

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17
Q

bones in the sternocostal joint

A

medial end costal cartilages of 1st -7th ribs & sternum,

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18
Q

what kind of joint is the xiphisternal joint

A

1st SC primary cartilaginous, no mvmt, 2nd-7th synovial jts, fibrous capsule, intra-articular lig, anterior / posterior radiate ligaments

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19
Q

what bones are involved in costochondral jts

A

transition between bone / cartilage of anterior ends of each rib

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20
Q

what kind of joint is the costochondral jts

A

no capsule / ligs, periosteum continuous with perichondrium, cartilaginous jt, no mvmt

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21
Q

what kind of bones are involved in the interchondral jts

A

– tips of costal cartilages 8th, 9th 10th ribs

22
Q

what kind of joints are involved in the interchondral jts

A

lower border of cartilage above, 8th & 9th synovial, 10th fibrous

23
Q

bones involved in the costrovertebral joint

A

synovial jts, convex facet head ribs / concave facet vertebrae
1st, 10th -12th ribs articulate with own vertebrae

24
Q

what kind of joints are involved in the costrovertebral jts

A

fibrous capsule / hyaline cartilage, intra-articular ligament, radiate lig anteriorly single jt cavity, no intra-artic lig / poorly developed radiate lig.

25
Q

bones involved in the costotransverse joint

A

artic facet transverse process & tubercle of rib

26
Q

what kind of joints are involved in the costotransverse joints

A

upper CT jts convex/ concave, lower CT jts flatter / thin fibrous capsule, ligs – lateral costotransverse / costotransverse / superior costotransverse

27
Q

bones involved in the Apophyseal joint

A

articulate with superior & inferior facets

28
Q

what kind of joints are involved in the Apophyseal joints

A

synovial jts, plane variety

hyaline cartilage, loose capsule,

29
Q

how does apophyseal joint change down the spine

A

upper thoracic, angle approx.60 degrees to horizontal, mid thoracic - closer to vertical, lower lie in sagittal plane, mvmt – flex/ext, side bend & rotation.

30
Q

joints involved in the Interbody joint

A

Intervertebral disc, ligs – lig flavum, Anterior Longitudinal Ligament, Posterior Longitudinal Ligament, supra-/ interspinous, intertransverse

31
Q

what kind of joints are involved in the Interbody joints

A

secondary cartilaginous

32
Q

how is the suprasternal/ jugular notch palpated and on what vertebral level is it at

A

at upper border of the manubrium (vertebral level T2)

33
Q

location of manubriosternal joint/angle of louis

A

5cm down manubrium - horizontal line

34
Q

what vertebral level is manubriosternal joint/angle of louis

A

T4/5

35
Q

in what intercostal space is the apex beat of the heart

A

5th intercostal space in the midclavicular line

36
Q

at what i) costal cartilage and at what ii) vertebral level is the xiphoid process

A

i) 7th costal cartilage

ii) T9

37
Q

What ribs run inferolaterally fromt he xiphisternal joint

A

7-10th ribs

38
Q

what do the costal cartilages of the 7-10th rib form

A

costal arch and converge to form sides of infrasternal angle

39
Q

what i)costal cartilage ii)vertebral level and iii)rib can the costal angle be found

A

i) 9th costal cartilage
ii) L1
iii) 12th ribs

40
Q

where does the 11th rib end

A

mid-axillary line

41
Q

thoracic inlet

A

T1
1st rib
manudbrium

42
Q

thoracic outlet

A

T12, full length of R 12 costal cartilages of 7-10 xiphoid process

43
Q

where is the nipple in intercostal space

A

4th intercostal space

44
Q

location of pulmonary valve on chest

A

behind the medial end of the 3rd left costal cartilage and adjoining end of the sternum / medial end of the 2nd left intercostal space

45
Q

location of aortic valve on chest

A

behind the right half of the sternum opposite the 3rd right intercostal space / medial end of the 2nd right intercostal space

46
Q

location of mitral valve on chest

A

behind the left half of the sternum at the level of the 4th costal cartilage / over the apex beat, i.e. level of the 5th intercostal space 9cm from midline

47
Q

location of tricuspid valve on chest

A

behind the left half of the sternum opposite the 4th intercostal space / over left half of the lower end of the body of the sternum

48
Q

how many lobes on the left lung and what separates them

A

2 lobes separated by the oblique fissure

49
Q

how many lobes on the right lung and what divides them

A

3 lobes

separated by the oblique and horizontal fissue

50
Q

location of horizontal fissure on the chest

A

4th rib

51
Q

location of oblique fissure on right

A

from 4th to 6th ribs