FINALS Flashcards
main abductor of the arm, between 10-100 degrees
Deltoid
intitates abduction of arm, first 10-15 degrees
supraspinatus
main lateral rotator of arm
infraspinatus
principal medial rotator of arm
subscapularis
enumerate rotator cuff muscles
supraspinatus, infraspinatus, subscapularis, teres minor
boundaries of the quadrangular space
teres major (below) Teres minor (above) long head of triceps (medially) humerus (laterally)
boundaries of triangular space
teres major (below) teres minor (above) long head of triceps (laterally)
what structures pass through the quadrangular space
posterior humeral circumflex artery
axillary artery
what structures pass through the triangular space
dorsal scapular artery which joins the scapular anastamosis
significance of scapular anastamosis
used as a collateral circulation when there is a block in the proximal part of the axillary artery since it interconnects braches from the subclavian artery and third part of axillary a.
forms the carpal tunnel
flexor retinaculum
structures passing under the flexor retinaculum
flexor digitorum superficialis and profundum
median nerve
tendon of flexor pollicis longus
describe carpal tunnel syndrome
due to pressure on median nerve
Winging of the scapula is produced by injury to the
long thoracic nerve supplying the serratus anterior
Erb-Duchenne paralysis or waiter’s tip is caused by an injury to the ___
Upper trunk of brachial plexus
Klumpke’s paralysis is caused by an injury to the
lower trunk of brachial plexus
loss of extensors of forearm, wrist and hand (Saturday Night Palsy/ Crutch Palsy) is caused by injury to the
posterior cord of the brachial plexus
claw hand deformity is due to the injury in
ulnar nerve
wrist drop deformity is due to injury to
radial nerve
the anatomical snuffbox is bounded by
Tendons of extensor pollicis brevis and longus muscles
which artery principally forms the superficial palmar arterial arch
ulnar artery
which artery principally forms the deep palmar arterial arch
radial artery
Which anastamoses of upper limbs connects the axillary system with subclavian system
Scapular anastamosis
Which anastamoses of upper limbs connects branches of brachial artery with branches of radial and ulnar artery
elbow joint anastamosis
the most common football knee injury is __
the rupture of the medial collateral ligament
chief extesor and most powerful lateral rotator of the thigh
gluteus maximus
intramuscular injection at the gluteal region is done at the ___ quadrant
upper outer quadrant
what structures emerge along the lower border of the piriformis
inferior gluteal nerve and vessels
sciatic nerve
nerve supply of gluteus medius and minimus
superior gluteal nerve
Nerve supply of gluteus maximus
inferior gluteal nerve
Boundaries of the femoral triangle
Inguinal ligament (above) abductor longus (medially) sartorius (laterally)
contents of the femoral triangle
femoral vein, artery, and nerve (medial to lateral)
which content of the femoral triangle lies outside the femoral sheath
contents of femoral triangle: femoral vein, artery, and nerve
The femoral nerve lies outside the femoral sheath
These (3) muscles form the deep group in the posterior compartment of the leg and their tendons pass behind the medial malleolus.
Tibialis posterior (Tom) Flexor digitorum longus (dick) Flexor hallucis longus (harry)
the __ nerve supplies muscles in anterior compartment of thigh
femoral nerve
the __ nerve supplies muscles in medial compartment of thigh
obturator nerve
the __ nerve provides principal innervation of the perineum
pudendal nerve
the __ nerve innervates muscles in posterior compartment of thigh
Tibial nerve
EXCEPT: short head of biceps femoris = common perineal nerve
damage in the common peroneal nerve results in ___ because it winds aroud the neck of the fibula
foot drop
origin of femoral artery
external iliac artery
the superficial vein of the leg that passes upwards immediately infront of the medial malleolus to the groin and drains into the femoral vein
Greater saphenous vein
the superficial vein of the leg that passes behind the lateral malleolus, to the back of the calf, and drains into popliteal vein
lesser saphenous vein
which vertebra is the first palpable spinous process, used as landmark to count the level of vertebrae
C7
ligaments encountered in doing a lumbar tap (in sequence)
Supraspinous, interspinous, ligamentum flavum, dura mater, arachnoid membrane, subarachnoid space containing CSF
This is the lateral bending of vertebral column
scoliosis
this is the exaggeration of concave curvature of thoracic region (hunchback)
Kyphosis
exaggerated convex curvature of vertebral column in lumbar region
Lordosis
the right upper quadrant of the body drains lymph into the ___
right lymphatic duct –> right jugulo-subclavian junction
Lansang p.30
the lower quadrant of the body below the diaphragm and left upper quadrant of the body drains lymph to the
thoracic duct –> junction between the left internal jugular and subclavian vein
(Lansang p.30)
in cancer of the breast, cancer cells may attach to ___ and produce shortening and cause dimpling of the skin of the breast
ligaments of cooper
the neurovascular bundle runs between the ____ and ____ muscles along the ____ border of a rib
between the internal intercostal and innermost intercostal muscles along the inferior border of a rib
in doing thoracentesis, the needle is inserted close to ___ border of rib to avoid injury to the vessels and nerves
close to the superior border of the rib
motor innervation of diaphragm
phrenic nerve (c3, c4, c5)
opening of the diaphragm that transmits abdominal aorta, thoracic duct, and azygos vein; also state thethoracic level of the opening
Aortic opening at T12
Opening of the diaphragm that transmits the esophagus, branches of left gastric artery and vein, and two vagus nerves
esophageal opening at T10
Opening of the diaphragm at the central tendon which transmits inferior vena cava and right phrenic nerve
Vena caval opening at T8
the potential space between the parietal and visceral pleurae is the ___
pleural cavity
Thoracentesis is performed ____ usually at ___ intercostal space immediately above the superior margin of a rib
…is performed posterior to midaxillary line usuall at 7th IC space
Level of bifurcation of trachea in erect position and full inspiration
T6
the esophagus begins at ___ and ends at ___
begins at C6 and ends at T11
Three constrictions of the esophagus and corresponding vertebral level
Beginning at C6
Where it is crossed by left primary bronchus at T4
Esophageal hiatus at T10
The __ vein receives blood from posterior intercostal veins and empties into superior vena cava
azygos vein
The ___ vein drains left 9th-11th ICS
Hemiazygos vein
The __ vein drains left 4th-8th ICS
Accessory hemiazygos vein
2nd and 3rd ICS is drained by __ vein
superior intercostal veins
right–>azygos vein
left–> left brachiocephalic vein
After birth, the umbilical vein becomes the ___
ligamentum teres of the liver