MSK Test 2 Flashcards

1
Q

The carpal tunnel contains

A
  • median nerve
  • flexor digitorum superfificalis
  • flexor digitorum profundus
  • flexor pollicis longus
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2
Q

what does not pass through the carpal tunnel

A

The flexor carpi radialis tendon

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3
Q

What carpal bones surround the carpal tunnel?

A

hook of hamate, flexor retinaculum, hamate, capitate, trapezoid and trapezium

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4
Q

The only muscle in the forearm innervated by the ulnar nerve is

A

flexor carpi ulnaris

The ulnar nerve passes between the 2 heads of flexor carpi ulnaris muscle

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5
Q

actions of flexor digitorum superficialis:

A
  1. flexion of fingers 2-5 AT MCP and PIP joints
  2. Flexion of hand at wrist joint (flexion of wrist)
  3. WEAK flexion of forearm
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6
Q

Flexor Digitorum Profundus (FDP);
Ori:

A

Proximal anterior & medial surface of ulna - Interosseous membrane

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7
Q

actions of flexor digitorum profundus:

A

flexion of the wrist, flexion of fingers at all joints

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8
Q

actions of coracobrachialis

A

flexion of arm and adduction of the arm (especially horizontal)

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9
Q

flexor digitorum profundus is unique because

A

Dual innervation
* Role of medial and lateral halves of muscle in flexing the fingers

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10
Q

What does the retinacula prevent

A

bowstringing of the tendons when the hand flexed or hyperextended
at the wrist joint.

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11
Q

what serves as a processing and distribution centre, relaying and regulating information from the outside world and the internal milieu to the cerebral cortex and sustaining cortico-thalamo-cortical communication.

A

the thalamus

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12
Q

The thalamus also involves multiple activities including….

A

consciousness, sleep, attention, memory and sensory and motor functions

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13
Q

the ________ is inferior and medial to the thalamus and functions as the centre of the ________ nervous system

A

hypothalamus- autonomic nervous system

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14
Q

the hypothalamus controls

A

emotion, body temperature, eating, drinking, etc

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15
Q

The hypothalamus also regulations the function of the major components of the endocrine system through the …..

A

pituitary gland

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16
Q

epithalamus mainly consists of what gland?

A

pineal gland

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17
Q

The pineal gland regulates the… and distribution of…

A

the pineal gland regulates the circadian rhythm (sleep and awake cycle) and distribution of pigment melanin in the skin.

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18
Q

The cerebellum is contained within the… underneath the…

A

the posterior cranial fossa, underneath the tentorium cerebelli

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19
Q

the cerebellum is behind the medulla and pons from which is separated by the ……

A

fourth ventricle

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20
Q

It consists of two cerebellar hemispheres connected by a worm-like structure, the…

A

vermis

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21
Q

It is joined to the brainstem by three bilaterally paired major fibre tracts called the

A

cerebellar peduncles

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22
Q

the __________ cerebellar peduncles carry axons that connect the cerebellum to the red nucleus of the midbrain and thalamus

A

superior cerebellar peduncles

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23
Q

the _________ cerebellar peduncles connect the pontine nuclei of the pons to the cerebellum

A

middle cerebellar peduncles

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24
Q

the ___________ cerebellar peduncles carry bundles of axons travelling between the medulla and cerebellum, such as spinocerebellar tracts.

A

inferior cerebellar peduncles

25
Q

The _____ matter forms the cerebellar cortex that surrounds the _____ matter in which deep cerebellar nuclei are located.

A

gray matter, white matter

26
Q

what together are referred to as the interposed nucleus

A

The globose and emboliform together

27
Q

what are the names of the white matter in which deep cerebellar nuclei are located?

A

These nuclei include the fastigial, globose & and emboliform (interposed), and dentate

28
Q

The cerebellar cortex is thrown into folds that appear as leaf-like ridges, _____, on the surface of the cerebellum

A

folia

29
Q

The primary function of the cerebellum includes…

A

the coordination of voluntary movements and maintaining posture and balance.

30
Q

the brainstem is composed of

A

medulla oblongata, pons and midbrain

31
Q

the major functions of the brainstem include (3)

A
  1. It acts as a passageway for all ascending and descending tracts between the cerebrum and the spinal cord
  2. it contains the nuclei of the cranial nerves III to XII
  3. It regulates the automatic behaviours required for survival such as respiration
32
Q

the brainstem contains the nuclei of the cranial nerves ______

A

III to XII

33
Q

The anterior aspect of the midbrain presents two columns, the cerebral peduncles, between which the C.N. ___ emerges.

A

III

34
Q

the cerebral peduncles (columns) contain descending tracts such as

A

corticospinal and corticobulbar tracts

35
Q

collectively, the corticospinal and corticobulbar tracts are known as

A

crus cerebri

36
Q

The nuclei deep in these colliculi (in the midbrain) (named after the colliculi) are a relay center for the…

A

The nuclei deep in these colliculi (named after the colliculi) are a relay center for the visual and auditory reflexes, respectively.

37
Q

several nuclei are embedded within the white matter in the midbrain. Some of which are associated with cranial nerves…

A

III, IV, and V

38
Q

The other major nuclei in the midbrain include (2)

A

red nucleus and the substantia nigra.

39
Q

The _______ is associated with the rubrospinal tract as part of the extrapyramidal pathways

A

The red nucleus

40
Q

The __________ is functionally linked to the basal ganglia regulating voluntary movements

A

The substantia nigra
(Parkinson’s disease)

41
Q

The __________ is located behind the cerebral aqueduct, the tegmentum, from the cerebral aqueduct to the substantia nigra, and the cerebral peduncle.

A

The tectum (roof)

42
Q

the ________ located around the cerebral aqueduct is a site of production of natural painkillers (endorphins and enkephalins).

A

The Periaqueductal Gray Matter (PAG)

43
Q

The anterior surface is convex and carries a longitudinal sulcus, the ___________, occupied by the basilar artery

A

basilar sulcus

44
Q

The cranial nerves ____, _____, _____ emerge from the ponto-medullary sulcus, whereas cranial nerve ___ appears at the anterolateral surface of the pons.

A

The cranial nerves VI, VII, and VIII emerge from the ponto-medullary sulcus, whereas cranial nerve V appears at the anterolateral surface of the pons.

45
Q

The _____ matter of the pons is formed by the ascending and descending tracts. The ____ matter is organized as nuclei embedded in the white matter.

A

white, gray

46
Q

Some of these gray nuclei in the pons are related to the cranial nerves __, ___, ___, and ___.

A

V, VI, VII, and VIII.

47
Q

The other major nuclei include but are not limited to the pontine nuclei that act as a relay center for

A

motor pathways between the cerebrum and cerebellum to coordinate voluntary movements.

48
Q

Two important nuclei are found within the pons that add more control to the respiration –

A

– pneumotaxic and apneustic area.

49
Q

The medulla oblongata or medulla is pyramidal in shape, separated from the pons by a ____________, the ponto-medullary sulcus, superiorly and continuous with the spinal cord inferiorly.

A

a transverse sulcus

50
Q

The cranial nerves ___, ____, ___ and ____, emerge from the anterolateral surface of the medulla oblongata.

A

IX, X, XI, and XII

51
Q

At the junction of the medulla and spinal cord, one can find the _______________ that deep to that the corticospinal tracts cross each other.

A

decussation of pyramids

52
Q

how is the arrangement of the gray and white matter in the inferior half of the medulla?

A

same as the spinal cord

53
Q

how is the arrangement of the gray and white matter in the superior half of the medulla?

A

the gray matter is embedded within the white matter as clusters of nuclei.

54
Q

most of the nuclei in the medulla oblongata is associated with cranial nerves

A

V, VIII, IX, X, XI, and XII

55
Q

The other major nuclei in the medulla include but are not limited to the inferior olivary nucleus - a relay center for

A

proprioceptive information to the cerebellum

56
Q

The major functional areas in the medulla include but are not limited to the

A

cardiovascular center, respiratory center (medullary rhythmicity area), and centers that control vomiting, coughing, and sneezing.

57
Q

what system responds to some stimuli, potentially disrupting a relatively constant flow and unchanged level of intensity of incoming signals

A

the reticular activating system (RAS) (or ascending reticular activating system (ARAS).

58
Q

the reticular formation is involved in regulating our

A

regulating our circadian rhythm (internal clock) and sleep-wake cycle, plus it makes its input to the spinal cord (reticulospinal pathway). This pathway contributes to muscle tone

59
Q

A general anesthetics work to suppress what system?

A

RAS (ARAS) SYSTEM