MUSCULAR SYSTEM PT. 2 Flashcards

1
Q

Which muscle originates from the ischial spine and inserts into the lower sacrum and upper coccyx?

A

Ischiococcygeus

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2
Q

Which muscle supports and maintains the position of pelvic viscera and pulls the coccyx anteriorly following defecation or childbirth?

A

Ischiococcygeus

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3
Q

Which muscle is innervated by sacral spinal nerves S4–S5?

A

Ischiococcygeus

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4
Q

During childbirth, the levator ani muscle supports the head of the fetus, and the muscle may be injured during a diffi cult childbirth or traumatized during an __ a cutmade with surgical scissors to prevent or direct tearing of the perineum during the birth of a baby

A

episiotomy

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5
Q

the leak age of urine whenever intra- abdominal pressure is increased— for example, during coughing.

A

urinary stress incontinence

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6
Q

One way to treat urinary stress incontinence is to strengthen and tighten the muscles that support the

A

pelvic viscera

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7
Q

the alternate contraction and relaxation of muscles of the pelvic floor. To find the correct muscles, the person imagines that she is urinating and then contracts the muscles as if stop ping in midstream. The muscles should be held for a count of three, then relaxed for a count of three. This should be done 5–10 times each hour— sitting, standing, and lying down. Kegel exercises are also encouraged during pregnancy to strengthen the muscles for delivery.

A

Kegel exer cises

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8
Q

the region of the trunk inferior to the pelvic diaphragm. It is a diamond- shaped area that extends from the pubic symphysis anteriorly, to the coccyx posteriorly, and to the ischial tuberosities laterally.

A

perineum

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9
Q

A transverse line drawn between the ischial tuberosities divides the perineum into an anterior ___ that contains the external genitals and a posterior ___ that contains the anus

A

urogenital triangle; anal triangle

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10
Q

a muscular intersection anterior to the anus into which several perineal muscles insert

A

perineal body

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11
Q

The muscles of the perineum are arranged in two layers:

A

superficial and deep.

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12
Q

The muscles of the superficial layer are

A

superficial transverse perineal, the bulbospongiosus, and the ischiocavernosus

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13
Q

The deep muscles of the male perineum are the

A

deep transverse peri neal and external urethral sphincter

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14
Q

The deep muscles of the female perineum are the

A

compressor urethrae, sphincter urethrovaginalis, and external urethral sphincter

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15
Q

assist in urination and ejaculation in males and urination and compression of the vagina in females and helps strengthen the pelvic floor

A

perineal muscles

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16
Q

closely adheres to the skin around the margin of the anus and keeps the anal canal and anus closed except during defecation

A

external anal sphincter

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17
Q

Arrange the muscles in this section according to the following actions of the perineum

A

(1) expulsion of urine and semen, (2) erection of the cli toris and penis, (3) closure of the anal orifice, and (4) constric tion of the vaginal orifice.

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18
Q

Which muscle originates from the ischial tuberosity and inserts into the perineal body of the perineum?

A

Superficial transverse perineal

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19
Q

Which muscle stabilizes the perineal body of the perineum?

A

Superficial transverse perineal

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20
Q

Which muscle originates from the perineal body of the perineum and inserts into the perineal membrane of deep muscles of the perineum, corpus spongiosum of penis, and deep fascia on dorsum of penis in male, and pubic arch and root and dorsum of clitoris in female?

A

Bulbospongiosus

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21
Q

Which muscle helps expel urine during urination and assists in erection of the penis in male and erection of the clitoris in female?

A

Bulbospongiosus

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22
Q

Which muscle originates from the ischial tuberosity and ischial and pubic rami and inserts into the corpora cavernosa of the penis in male and clitoris in female, and pubic symphysis?

A

Ischiocavernosus

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23
Q

Which muscle maintains erection of the penis in male and clitoris in female by decreasing urine drainage?

A

Ischiocavernosus

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24
Q

Which muscle originates from the ischial ramus and inserts into the perineal body of the perineum?

A

Deep transverse perineal

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25
Q

Which muscle helps expel the last drops of urine and semen in males?

A

Deep transverse perineal

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26
Q

Which muscle originates from the ischial and pubic rami and inserts into the median raphe in male and vaginal wall in female?

A

External urethral sphincter

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27
Q

Which muscle helps expel the last drops of urine and semen in males and urine in females?

A

External urethral sphincter

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28
Q

Which muscle originates from the ischiopubic ramus and blends with the same muscle of the opposite side anterior to the urethra?

A

Compressor urethrae

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29
Q

Which muscle serves as an accessory sphincter of the urethra?

A

Compressor urethrae

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30
Q

Which muscle originates from the perineal body and blends with the same muscle of the opposite side anterior to the urethra?

A

Sphincter urethrovaginalis

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31
Q

Which muscle serves as an accessory sphincter of the urethra and facilitates closing of the vagina?

A

Sphincter urethrovaginalis

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32
Q

Which muscle originates from the anococcygeal ligament and inserts into the perineal body of the perineum?

A

External anal sphincter

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33
Q

Which muscle keeps the anal canal and anus closed?

A

External anal sphincter

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34
Q

Muscles that move the pectoral girdle can be classified into two groups based on their location in the thorax:

A

anterior and posterior thoracic muscles

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35
Q

are the subclavius, pectoralis minor, and ser ratus anterior.

A

anterior thoracic muscles

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36
Q

is a small, cylindrical muscle under the clavicle that extends from the clavicle to the first rib. It steadies the clavicle during movements of the pectoral girdle.

A

subclavius

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37
Q

is a thin, flat, triangular muscle that is deep to the pectoralis major. Besides its role in movements of the scapula, the pectoralis minor muscle assists in forced inha lation.

A

pectoralis minor

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38
Q

is a large, flat, fan- shaped muscle between the ribs and scapula. It is so named because of the saw- toothed appearance of its origins on the ribs.

A

serratus anterior

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39
Q

are the trapezius, levator scapulae, rhomboid major, and rhomboid minor.

A

posterior thoracic muscles

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40
Q

large, flat, triangular sheet of muscle extending from the skull and vertebral column medially to the pectoral girdle laterally. It is the most superficial back muscle and covers the posterior neck region and superior portion of the trunk

A

trape zius

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41
Q

The two trapezius muscles form a

A

trapezoid

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42
Q

is a nar row, elongated muscle in the posterior portion of the neck. It is deep to the sternocleidomastoid and trapezius muscles. As its name suggests, one of its actions is to elevate the scapula

A

levator scapulae

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43
Q

lie deep to the trapezius and are not always distinct from each other. They appear as parallel bands that pass inferiorly and laterally from the vertebrae to the scapula

A

rhomboid major and rhomboid minor

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44
Q

are used when forcibly lowering the raised upper limbs, as in driving a stake with a sledgehammer.

A

Both rhomboid muscles

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45
Q

superior movement of the scapula, such as shrugging the shoulders or lifting a weight over the head.

A

Elevation

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46
Q

inferior movement of the scapula, as in pull ing down on a rope attached to a pulley

A

Depression

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47
Q

movement of the scapula later ally and anteriorly, as in doing a push- up or punching.

A

abduction (protraction)

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48
Q

movement of the scapula medially and posteriorly, as in pulling the oars in a rowboat

A

adduction (retraction)

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49
Q

movement of the inferior angle of the scapula laterally so that the glenoid cavity is moved upward. This movement is required to move the humerus past the horizontal, as in raising the arms in a jumping jack.

A

Upward rotation

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50
Q

movement of the inferior angle of the scapula medially so that the glenoid cavity is moved downward. This movement is seen when a gymnast on parallel bars supports the weight of the body on the hands

A

Downward rotation

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51
Q

Muscles that move the pectoral girdle originate on the ___ and insert on the clavicle or scapula.

A

axial skeleton

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52
Q

Arrange the muscles in this section according to the following actions on the scapula

A

(1) depression, (2) elevation, (3) abduc tion, (4) adduction, (5) upward rotation, and (6) downward rota tion.

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53
Q

Which muscle inserts at the clavicle?

A

Subclavius

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54
Q

Which muscle originates from rib 1?

A

Subclavius

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55
Q

Which muscle depresses and moves the clavicle anteriorly and helps stabilize the pectoral girdle?

A

Subclavius

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56
Q

Which muscle is innervated by the subclavian nerve?

A

Subclavius

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57
Q

Which muscle inserts at the coracoid process of the scapula?

A

Pectoralis minor

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58
Q

Which muscle originates from ribs 2–5, 3–5, or 2–4?

A

Pectoralis minor

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59
Q

Which muscle abducts the scapula and rotates it downward and elevates ribs 3–5 during forced inhalation when the scapula is fixed?

A

Pectoralis minor

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60
Q

Which muscle is innervated by the medial and lateral pectoral nerve?

A

Pectoralis minor

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61
Q

Which muscle inserts at the vertebral border and inferior angle of the scapula?

A

Serratus anterior

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62
Q

Which muscle originates from ribs 1–8 or 1–9?

A

Serratus anterior

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63
Q

Which muscle abducts the scapula and rotates it upward and is known as the “boxer’s muscle”?

A

Serratus anterior

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64
Q

Which muscle is innervated by the long thoracic nerve?

A

Serratus anterior

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65
Q

Which muscle inserts at the clavicle and acromion and spine of the scapula?

A

Trapezius

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66
Q

Which muscle originates from the superior nuchal line of the occipital bone, ligamentum nuchae, and spines of C7–T12?

A

Trapezius

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67
Q

Which muscle stabilizes the scapula and assists in rotating it upward, adducting, depressing, and elevating it?

A

Trapezius

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68
Q

Which muscle is innervated by the Accessory (XI) nerve and cervical spinal nerves C3–C5?

A

Trapezius

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69
Q

Which muscle inserts at the superior vertebral border of the scapula?

A

Levator scapulae

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70
Q

Which muscle originates from the transverse processes of C1–C4?

A

Levator scapulae

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71
Q

Which muscle elevates the scapula, rotates it downward, and laterally flexes the neck to the same side?

A

Levator scapulae

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72
Q

Which muscle is innervated by the dorsal scapular nerve and cervical spinal nerves C3–C5?

A

Levator scapulae

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73
Q

Which muscle inserts at the vertebral border of the scapula inferior to the spine?

A

Rhomboid major

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74
Q

Which muscle originates from the spines of T2–T5?

A

Rhomboid major

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75
Q

Which muscle adducts the scapula, rotates it downward, and stabilizes it?

A

Rhomboid major

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76
Q

Which muscle is innervated by the dorsal scapular nerve?

A

Rhomboid major

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77
Q

Which muscle inserts at the vertebral border of the scapula superior to the spine?

A

Rhomboid minor

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78
Q

Which muscle originates from the spines of C7–T1?

A

Rhomboid minor

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79
Q

Which muscle adducts the scapula, rotates it downward, and stabilizes it?

A

Rhomboid minor

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80
Q

Which muscle is innervated by the dorsal scapular nerve?

A

Rhomboid minor

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81
Q

Of the nine muscles that cross the shoulder joint, all except the pectoralis major and latissimus dorsi originate on the

A

scapula

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82
Q

The pectoralis major and latissimus dorsi thus are called ___, because they originate on the axial skeleton

A

axial muscles

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83
Q

The remaining seven muscles, the ___, arise from the scapula

A

scapular muscles

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84
Q

is a large, thick, fan- shaped mus cle that covers the superior part of the thorax and forms the anterior fold of the thorax. It has two origins: a smaller clavicu lar head and a larger sternocostal head.

A

pectoralis major

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85
Q

a broad, triangular muscle located on the inferior part of the back that forms most of the posterior wall of the axilla.

A

latissimus dorsi

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86
Q

enables the vertebral column and torso to be elevated, as in doing a pull up. It is commonly called the “swimmer’s muscle” because its many actions are used while swimming; consequently, many competitive swimmers have well- developed “lats.”

A

reverse muscle action (RMA) of the latissimus dorsi

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87
Q

a thick, powerful shoulder muscle that covers the shoulder joint and forms the rounded contour of the shoulder. This muscle is a frequent site of intramuscular injections.

A

deltoid

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88
Q

a large triangular muscle that fills the subscapular fossa of the scapula and forms a small part in the apex of the posterior wall of the axilla.

A

subscapularis

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89
Q

a rounded muscle named for its location in the supraspinous fossa of the scapula, lies deep to the tra pezius.

A

supraspinatus

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90
Q

a triangular muscle, also named for its location in the infraspinous fossa of the scapula.

A

infraspinatus

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91
Q

a thick, flattened muscle inferior to the teres minor that also helps form part of the posterior wall of the axilla.

A

teres major

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92
Q

a cylindrical, elongated muscle, often inseparable from the infraspinatus, which lies along its superior border.

A

teres minor

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93
Q

an elongated, nar row muscle in the arm.

A

coracobrachialis

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94
Q

Four deep muscles of the shoulder that strengthen and stabilize the shoulder joint

A

subscapularis, supraspinatus, infraspinatus, and teres minor

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95
Q

Their flat tendons fuse together to form the ___, a nearly complete circle of tendons around the shoulder joint, like the cuff on a shirtsleeve.

A

rotator (musculotendinous) cuff

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96
Q

is especially subject to wear and tear because of its location between the head of the humerus and acromion of the scapula, which compress its tendon during shoulder movements, especially abduction of the arm. This is further aggravated by poor posture with slouched shoulders.

A

supraspinatus muscle

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97
Q

Arrange the muscles in this section according to the following actions on the humerus at the shoulder joint:

A

(1) flexion, (2) extension, (3) abduction, (4) adduction, (5) medial rotation, and (6) lateral rotation

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98
Q

The strength and stability of the shoulder joint are provided by the tendons that form the

A

rotator cuff

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99
Q

What muscle originates from the clavicle, sternum, and costal cartilages of ribs 2–6 (sometimes ribs 1–7)?

A

Pectoralis major

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100
Q

What muscle inserts at the greater tubercle and lateral lip of the intertubercular sulcus of the humerus?

A

Pectoralis major

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101
Q

What muscle adducts and medially rotates the arm at the shoulder joint, with its clavicular head flexing the arm and the sternocostal head flexing the extended arm?

A

Pectoralis major

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102
Q

What muscle is innervated by the medial and lateral pectoral nerves?

A

Pectoralis major

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103
Q

What muscle originates from the spines of T7–L5, lumbar vertebrae, crests of sacrum and ilium, and ribs 9–12 via thoracolumbar fascia?

A

Latissimus dorsi

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104
Q

What muscle inserts at the intertubercular sulcus of the humerus?

A

Latissimus dorsi

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105
Q

What muscle extends, adducts, and medially rotates the arm at the shoulder joint, and also draws the arm inferiorly and posteriorly?

A

Latissimus dorsi

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106
Q

What muscle is innervated by the thoracodorsal nerve?

A

Latissimus dorsi

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107
Q

What muscle originates from the acromial extremity of the clavicle, acromion of the scapula, and spine of the scapula?

A

Deltoid

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108
Q

What muscle inserts at the deltoid tuberosity of the humerus?

A

Deltoid

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109
Q

What muscle abducts, flexes, medially rotates, extends, and laterally rotates the arm at the shoulder joint?

A

Deltoid

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110
Q

What muscle is innervated by the axillary nerve?

A

Deltoid

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111
Q

What muscle originates from the subscapular fossa of the scapula?

A

Subscapularis

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112
Q

What muscle inserts at the lesser tubercle of the humerus?

A

Subscapularis

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113
Q

What muscle medially rotates the arm at the shoulder joint?

A

Subscapularis

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114
Q

What muscle is innervated by the upper and lower subscapular nerves?

A

Subscapularis

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115
Q

What muscle originates from the supraspinous fossa of the scapula?

A

Supraspinatus

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116
Q

What muscle inserts at the greater tubercle of the humerus?

A

Supraspinatus

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117
Q

What muscle assists the deltoid muscle in abducting the arm at the shoulder joint?

A

Supraspinatus

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118
Q

What muscle is innervated by the suprascapular nerve?

A

Supraspinatus

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119
Q

What muscle originates from the infraspinous fossa of the scapula?

A

Infraspinatus

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120
Q

What muscle inserts at the greater tubercle of the humerus?

A

Infraspinatus

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121
Q

What muscle laterally rotates the arm at the shoulder joint?

A

Infraspinatus

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122
Q

What muscle is innervated by the suprascapular nerve?

A

Infraspinatus

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123
Q

What muscle originates from the inferior angle of the scapula?

A

Teres major

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124
Q

What muscle inserts at the medial lip of the intertubercular sulcus of the humerus?

A

Teres major

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125
Q

What muscle extends the arm at the shoulder joint and assists in adduction and medial rotation of the arm?

A

Teres major

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126
Q

What muscle is innervated by the lower subscapular nerve?

A

Teres major

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127
Q

What muscle originates from the inferior lateral border of the scapula?

A

Teres minor

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128
Q

What muscle inserts at the greater tubercle of the humerus?

A

Teres minor

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129
Q

What muscle laterally rotates and extends the arm at the shoulder joint?

A

Teres minor

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130
Q

What muscle is innervated by the axillary nerve?

A

Teres minor

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131
Q

What muscle originates from the coracoid process of the scapula?

A

Coracobrachialis

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132
Q

What muscle inserts at the middle of the medial surface of the shaft of the humerus?

A

Coracobrachialis

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133
Q

What muscle flexes and adducts the arm at the shoulder joint?

A

Coracobrachialis

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134
Q

What muscle is innervated by the musculocutaneous nerve?

A

Coracobrachialis

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135
Q

One of the most common causes of shoulder pain and dysfunction in athletes is known as ___, which is some times confused with another common complaint, compartment syndrome

A

impingement syndrome

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136
Q

The repetitive movement of the arm over the head that is common in baseball, overhead racquet sports, lifting weights over the head, spiking a volleyball, and swimming puts these athletes at risk.

A

impingement syndrome

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137
Q

may also be caused by a direct blow or stretch injury. Continual pinching of the supraspinatus tendon as a result of overhead motions causes it to become inflamed and results in pain. If movement is continued despite the pain, the tendon may degenerate near the attachment to the humerus and ultimately may tear away from the bone (rota tor cuff injury).

A

impingement syndrome

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138
Q

Treatment consists of resting the injured tendons, strengthening the shoulder through exercise, massage therapy, and surgery if the injury is particularly severe. During surgery, an inflamed bursa may be removed, bone may be trimmed, and/or the coracoacromial ligament may be detached. Torn rotator cuff ten dons may be trimmed and then reattached with sutures, anchors, or surgical tacks. These steps make more space, thus relieving pres sure and allowing the arm to move freely.

A

impingement syndrome

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139
Q

a strain or tear in the rotator cuff muscles and is common among baseball pitchers, volleyball players, rac quet sports players, and swimmers due to shoulder movements that involve vigorous circumduction. It also occurs as a result of wear and tear, aging, trauma, poor posture, improper lifting, and repetitive motions in certain jobs, such as placing items on a shelf above your head.

A

Rotator cuff injury

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140
Q

Most often, there is tearing of the supraspinatus muscle tendon or the rotator cuff. This tendon is especially predis posed to wear and tear because of its location between the head of the humerus and acromion of the scapula, which compresses the tendon during shoulder movements. Poor posture and poor body mechanics also increase compression of the supraspinatus muscle tendon

A

Rotator cuff injury

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141
Q

The biceps brachii, brachialis, and brachioradialis muscles are the

A

flexor muscles

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142
Q

triceps brachii and the anconeus are the

A

extensor muscles

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143
Q

is the large muscle located on the anterior surface of the arm. As indicated by its name, it has two heads of origin (long and short), both from the scapula. The muscle spans both the shoulder and elbow joints. In addition to its role in flexing the forearm at the elbow joint, it also supinates the forearm at the radioulnar joints and flexes the arm at the shoulder joint.

A

biceps brachii

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144
Q

is deep to the biceps brachii muscle. It is the most powerful flexor of the forearm at the elbow joint.

A

brachialis

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145
Q

flexes the forearm at the elbow joint, especially when a quick move ment is required or when a weight is lifted slowly during flex ion of the forearm.

A

brachioradialis

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146
Q

the large muscle located on the pos terior surface of the arm. It is the more powerful of the exten sors of the forearm at the elbow joint. As its name implies, it has three heads of origin, one from the scapula (long head) and two from the humerus (lateral and medial heads). The long head crosses the shoulder joint; the other heads do not

A

triceps brachii

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147
Q

a small muscle located on the lateral part of the posterior aspect of the elbow that assists the triceps brachii in extending the forearm at the elbow joint.

A

anconeus

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148
Q

Some muscles that move the radius and ulna are involved in pronation and supination at the

A

radioulnar joints

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149
Q

The prona tors, as suggested by their names, are the

A

pronator teres and pronator quadratus muscles

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150
Q

The supinator of the forearm is aptly named the

A

supinator

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151
Q

In the limbs, functionally related skeletal muscles and their associated blood vessels and nerves are grouped together by fascia into regions called

A

compartments

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152
Q

In the arm, the biceps brachii, brachialis, and coracobrachialis muscles com pose the

A

anterior (flexor) compartment

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153
Q

The triceps brachii muscle forms the

A

posterior (extensor) compartment

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154
Q

Arrange the muscles in this section according to the following actions on the elbow joint:

A

(1) flexion and (2) extension

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155
Q

Arrange the muscles in this section according to the following actions on the radioulnar joints

A

(1) supination and (2) pronation

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156
Q

Arrange the muscles in this section according to the following actions on the shoulder joint

A

(1) flexion and (2) extension

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157
Q

The anterior arm muscles __ the forearm, and the posterior arm muscles ___ it.

A

flex; extend

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158
Q

What muscle’s long head originates from the tubercle above the glenoid cavity of the scapula (supraglenoid tubercle)?

A

Biceps brachii

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159
Q

What muscle’s short head originates from the coracoid process of the scapula?

A

Biceps brachii

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160
Q

What muscle inserts at the radial tuberosity of the radius and bicipital aponeurosis?

A

Biceps brachii

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161
Q

What muscle flexes the forearm at the elbow joint, supinates the forearm at the radioulnar joints, and flexes the arm at the shoulder joint?

A

Biceps brachii

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162
Q

What muscle is innervated by the musculocutaneous nerve and originates from the distal, anterior surface of the humerus?

A

Brachialis

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163
Q

What muscle inserts at the ulnar tuberosity and coronoid process of the ulna?

A

Brachialis

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164
Q

What muscle flexes the forearm at the elbow joint?

A

Brachialis

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165
Q

What muscle originates from the lateral border of the distal end of the humerus?

A

Brachioradialis

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166
Q

What muscle inserts superior to the styloid process of the radius?

A

Brachioradialis

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167
Q

What muscle flexes the forearm at the elbow joint most effectively when the arm is mid-pronated?

A

Brachioradialis

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168
Q

What muscle is innervated by the radial nerve and has a long head originating from the infraglenoid tubercle of the scapula?

A

Triceps brachii

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169
Q

What muscle has a lateral head that originates from the lateral and posterior surface of the humerus?

A

Triceps brachii

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170
Q

What muscle has a medial head that originates from the entire posterior surface of the humerus inferior to a groove for the radial nerve?

A

Triceps brachii

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171
Q

What muscle inserts at the olecranon of the ulna?

A

Triceps brachii

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172
Q

What muscle extends the forearm at the elbow joint and extends the arm at the shoulder joint?

A

Triceps brachii

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173
Q

What muscle originates from the lateral epicondyle of the humerus and inserts at the olecranon and superior portion of the shaft of the ulna?

A

Anconeus

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174
Q

What muscle extends the forearm at the elbow joint?

A

Anconeus

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175
Q

What muscle originates from the medial epicondyle of the humerus and coronoid process of the ulna?

A

Pronator teres

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176
Q

What muscle inserts at the midlateral surface of the radius?

A

Pronator teres

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177
Q

What muscle pronates the forearm at the radioulnar joints and weakly flexes the forearm at the elbow joint?

A

Pronator teres

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178
Q

What muscle is innervated by the median nerve and originates from the distal portion of the shaft of the ulna?

A

Pronator quadratus

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179
Q

What muscle inserts at the distal portion of the shaft of the radius?

A

Pronator quadratus

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180
Q

What muscle pronates the forearm at the radioulnar joints?

A

Pronator quadratus

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181
Q

What muscle originates from the lateral epicondyle of the humerus and the ridge near the radial notch of the ulna (supinator crest)?

A

Supinator

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182
Q

What muscle inserts at the lateral surface of the proximal one-third of the radius?

A

Supinator

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183
Q

What muscle supinates the forearm at the radioulnar joints?

A

Supinator

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184
Q

Those in this group that act on the digits are known as

A

extrinsic muscles of the hand

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185
Q

Based on location and func tion, the muscles of the forearm are divided into two groups:

A

(1) anterior compartment muscles and (2) posterior compart ment muscles.

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186
Q

the forearm originate on the humerus; typically insert on the carpals, metacarpals, and phalanges; and function primarily as flexors. The bellies of these muscles form the bulk of the fore arm.

A

anterior (flexor) compartment muscles

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187
Q

is missing in about 10% of individuals (usually in the left forearm) and is commonly used for tendon repair.

A

palmaris longus muscle

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188
Q

originate on the humerus, insert on the metacarpals and phalanges, and function as extensors. Within each compartment, the muscles are grouped as superficial or deep.

A

posterior (extensor) compartment mus cles

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189
Q

The superficial anterior compartment muscles are arranged in the following order from lateral to medial:

A

flexor carpi radialis, palmaris longus, and flexor carpi ulnaris

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190
Q

is deep to the other three muscles and is the largest superficial muscle in the forearm.

A

flexor digitorum superficialis

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191
Q

The deep anterior compartment muscles are arranged in the following order from lateral to medial:

A

flexor pollicis longus (the only flexor of the distal phalanx of the thumb) and flexor digitorum profundus (ends in four tendons that insert into the distal phalanges of the fingers).

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192
Q

The superficial posterior compartment muscles are arranged in the following order from lateral to medial:

A

extensor carpi radialis longus, extensor carpi radialis brevis, exten sor digitorum (occupies most of the posterior surface of the forearm and divides into four tendons that insert into the mid dle and distal phalanges of the fingers), extensor digiti minimi (a slender muscle usually connected to the extensor digito rum), and extensor carpi ulnaris.

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193
Q

The deep posterior compartment muscles are arranged in the following order from lateral to medial:

A

abductor polli cis longus, extensor pollicis brevis, extensor pollicis longus, and extensor indicis.

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194
Q

At the wrist, the deep fascia is thickened into fibrous bands called

A

retinacula

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195
Q

s located over the palmar surface of the carpal bones. The long flexor tendons of the digits and wrist and the median nerve pass deep to the flexor retinaculum.

A

flexor retinaculum

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196
Q

The flexor retinaculum and carpal bones form a narrow space called the

A

carpal tun nel

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197
Q

Through this tunnel pass the median nerve and tendons of the flexor digitorum superficialis, flexor digitorum profun dus, and flexor pollicis longus muscles

A

carpal tun nel

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198
Q

is located over the dorsal surface of the carpal bones. The extensor tendons of the wrist and digits pass deep to it.

A

extensor retinaculum

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199
Q

Arrange the muscles in this section according to the follow ing actions on the wrist joint:

A

(1) flexion, (2) extension, (3) abduction (radial deviation), and (4) adduction

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200
Q

the following actions on the fingers at the metacarpo phalangeal joints:

A

(1) flexion and (2) extension

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201
Q

the following actions on the fingers at the interphalangeal joints

A

(1) flexion and (2) extension

202
Q

the following actions on the thumb at the carpometacarpal, metacarpophalangeal, and interphalan geal joints:

A

(1) extension and (2) abduction

203
Q

the following action on the thumb at the interphalangeal joint:

204
Q

The anterior compartment muscles function as ___, and the posterior compartment muscles function as ___.

A

flexors; extensors

205
Q

What muscle originates from the medial epicondyle of the humerus and inserts at metacarpals 2 and 3?

A

Flexor carpi radialis

206
Q

What muscle flexes and abducts the hand (radial deviation) at the wrist joint?

A

Flexor carpi radialis

207
Q

What muscle is innervated by the median nerve and inserts at the flexor retinaculum and palmar aponeurosis?

A

Palmaris longus

208
Q

What muscle weakly flexes the hand at the wrist joint?

A

Palmaris longus

209
Q

What muscle originates from the medial epicondyle of the humerus and the superior posterior border of the ulna?

A

Flexor carpi ulnaris

210
Q

What muscle inserts at the pisiform, hamate, and base of metacarpal 5?

A

Flexor carpi ulnaris

211
Q

What muscle flexes and adducts the hand (ulnar deviation) at the wrist joint?

A

Flexor carpi ulnaris

212
Q

What muscle is innervated by the ulnar nerve and inserts at the middle phalanx of each finger?

A

Flexor digitorum superficialis

213
Q

What muscle flexes the middle phalanx of each finger at the proximal interphalangeal joint, proximal phalanx at the metacarpophalangeal joint, and the hand at the wrist joint?

A

Flexor digitorum superficialis

214
Q

What muscle originates from the anterior surface of the radius and interosseous membrane and inserts at the base of the distal phalanx of the thumb?

A

Flexor pollicis longus

215
Q

What muscle flexes the distal phalanx of the thumb at the interphalangeal joint?

A

Flexor pollicis longus

216
Q

What muscle originates from the anterior surface of the ulna and ulnar side of the interosseous membrane?

A

Flexor digitorum profundus

217
Q

What muscle inserts at the base of the distal phalanx of each finger?

A

Flexor digitorum profundus

218
Q

What muscle flexes the distal and middle phalanges of each finger at the interphalangeal joints, proximal phalanx at the metacarpophalangeal joint, and hand at the wrist joint?

A

Flexor digitorum profundus

219
Q

What muscle is innervated by both the median and ulnar nerves?

A

Flexor digitorum profundus

220
Q

What muscle originates from the lateral supracondylar ridge of the humerus and inserts at metacarpal 2?

A

Extensor carpi radialis longus

221
Q

What muscle extends and abducts the hand at the wrist joint (ulnar deviation)?

A

Extensor carpi radialis longus

222
Q

What muscle originates from the lateral epicondyle of the humerus and inserts at metacarpal 3?

A

Extensor carpi radialis brevis

223
Q

What muscle extends and abducts the hand at the wrist joint?

A

Extensor carpi radialis brevis

224
Q

What muscle originates from the lateral epicondyle of the humerus and inserts at the distal and middle phalanges of each finger?

A

Extensor digitorum

225
Q

What muscle extends the distal and middle phalanges of each finger at the interphalangeal joints, proximal phalanx at the metacarpophalangeal joint, and hand at the wrist joint?

A

Extensor digitorum

226
Q

What muscle originates from the lateral epicondyle of the humerus and inserts at the tendon of the extensor digitorum on phalanx 5?

A

Extensor digiti minimi

227
Q

What muscle extends the proximal phalanx of the little finger at the metacarpophalangeal joint and the hand at the wrist joint?

A

Extensor digiti minimi

228
Q

What muscle originates from the lateral epicondyle of the humerus and the posterior border of the ulna?

A

Extensor carpi ulnaris

229
Q

What muscle inserts at metacarpal 5?

A

Extensor carpi ulnaris

230
Q

What muscle extends and adducts the hand at the wrist joint (ulnar deviation)?

A

Extensor carpi ulnaris

231
Q

What muscle originates from the posterior surface of the middle of the radius and ulna and the interosseous membrane?

A

Abductor pollicis longus

232
Q

What muscle inserts at metacarpal 1?

A

Abductor pollicis longus

233
Q

What muscle abducts and extends the thumb at the carpometacarpal joint and abducts the hand at the wrist joint?

A

Abductor pollicis longus

234
Q

What muscle originates from the posterior surface of the middle of the radius and interosseous membrane and inserts at the base of the proximal phalanx of the thumb?

A

Extensor pollicis brevis

235
Q

What muscle extends the proximal phalanx of the thumb at the metacarpophalangeal joint, the first metacarpal of the thumb at the carpometacarpal joint, and the hand at the wrist joint?

A

Extensor pollicis brevis

236
Q

What muscle originates from the posterior surface of the middle of the ulna and interosseous membrane?

A

Extensor pollicis longus

237
Q

What muscle inserts at the base of the distal phalanx of the thumb?

A

Extensor pollicis longus

238
Q

What muscle extends the distal phalanx of the thumb at the interphalangeal joint, extends the first metacarpal of the thumb at the carpometacarpal joint, and abducts the hand at the wrist joint?

A

Extensor pollicis longus

239
Q

What muscle originates from the posterior surface of the ulna and interosseous membrane and inserts at the tendon of the extensor digitorum of the index finger?

A

Extensor indicis

240
Q

What muscle extends the distal and middle phalanges of the index finger at the interphalangeal joints, proximal phalanx at the metacarpophalangeal joint, and hand at the wrist joint?

A

Extensor indicis

241
Q

Components of the carpal tunnel:

A

1 Median nerve
2 Tendons of flexor digitorum superficialis muscles
3 Tendons of flexor digitorum profundus muscles
4 Tendon of flexor pollicis longus muscle

242
Q

is a condition that can be caused by strain of the flexor muscles, especially the flexor carpi radialis, as a result of repetitive movements such as swinging a golf club. Strain can, however, be caused by many actions. Pianists, violinists, movers, weight lifters, bikers, and those who use computers are among those who may develop pain near the medial epicondyle (medial epicondylitis).

A

Golfer’s elbow

243
Q

produce the weak but intricate and precise movements of the digits that characterize the human hand

A

intrinsic muscles of the hand

244
Q

The intrinsic muscles of the hand are divided into three groups:

A

(1) thenar, (2) hypothenar, and (3) intermediate

245
Q

include the abductor pollicis brevis, opponens pollicis, flexor pollicis brevis, and adductor pollicis

A

thenar muscles

246
Q

a thin, short, relatively broad superficial muscle on the lateral side of the thenar eminence.

A

abductor pol licis brevis

247
Q

a short, wide muscle that is medial to the abductor pollicis brevis muscle.

A

flexor pollicis brevis

248
Q

a small, tri angular muscle that is deep to the flexor pollicis brevis and abductor pollicis brevis muscles.

A

opponens pollicis

249
Q

is fan- shaped and has two heads (oblique and transverse) separated by a gap through which the radial artery passes.

A

adductor pollicis

250
Q

The thenar muscles plus the adductor pollicis form the ___, the lateral rounded contour on the palm that is also called the ball of the thumb.

A

thenar eminence

251
Q

The three hypothenar muscles act on the little finger and form the ___, the medial rounded contour on the palm that is also called the ball of the little finger.

A

hypothenar eminence

252
Q

are the abductor digiti minimi, flexor digiti minimi brevis, and opponens digiti minimi.

A

hypothenar muscles

253
Q

a short, wide muscle and is the most superficial of the hypothenar muscles. It is a powerful muscle that plays an important role in grasping an object with outspread fin gers

A

abductor dig iti minimi

254
Q

also short and wide and is lateral to the abductor digiti minimi muscle.

A

flexor digiti minimi brevis

255
Q

is triangular and deep to the other two hypothenar muscles

A

opponens digiti minimi

256
Q

include the lumbricals, palmar interossei, and dorsal interossei

A

11 or 12 intermediate (midpalmar) muscles

257
Q

are worm- shaped. They originate from and insert into the tendons of other muscles (flexor digitorum profundus and extensor digitorum)

A

lumbricals

258
Q

are the smallest and more anterior of the inter ossei muscles.

A

pal mar interossei

259
Q

are the most posterior of this series of muscles.

A

dorsal interossei

260
Q

located between the metacarpals and are important in abduc tion, adduction, flexion, and extension of the fingers, and in movements in skilled activities such as writing, typing, and playing a piano.

A

palmar and dorsal interossei

261
Q

Most of the dexterity of the hand depends on movements of the

262
Q

The general activities of the hand are

A

free motion, power grip, precision handling, and pinch

263
Q

forcible movement of the fingers and thumb against the palm, as in squeezing

A

power grip

264
Q

a change in position of a handled object that requires exact control of finger and thumb positions, as in winding a watch or threading a needle

A

precision handling

265
Q

(com pression between the thumb and index finger or between the thumb and first two fingers

266
Q

The five principal movements of the thumb

A

flexion, extension, abduction, adduction, and opposition

267
Q

movement of the thumb medially across the palm

268
Q

movement of the thumb laterally away from the palm

269
Q

movement of the thumb in an anteroposterior plane away from the palm

270
Q

movement of the thumb in an anteroposterior plane toward the palm

271
Q

movement of the thumb across the palm so that the tip of the thumb meets the tip of a finger

A

opposition

272
Q

is the single most distinctive digital movement that gives humans and other primates the ability to grasp and manipulate objects precisely

A

opposition

273
Q

Arrange the muscles in this section according to the following actions on the thumb at the carpometacarpal and metacarpo phalangeal joints:

A

(1) abduction, (2) adduction, (3) flexion, and (4) opposition

274
Q

the following actions on the fingers at the metacarpophalangeal and interphalangeal joints:

A

1) abduc tion, (2) adduction, (3) flexion, and (4) extension.

275
Q

What thenar muscle originates from the flexor retinaculum, scaphoid, and trapezium?

A

Abductor pollicis brevis

276
Q

What muscle abducts the thumb at the carpometacarpal joint?

A

Abductor pollicis brevis

277
Q

What thenar muscle originates from the flexor retinaculum and trapezium and inserts on the lateral side of metacarpal 1?

A

Opponens pollicis

278
Q

What muscle moves the thumb across the palm to meet any finger (opposition) at the carpometacarpal joint?

A

Opponens pollicis

279
Q

What muscle is innervated by the median nerve and flexes the thumb at the carpometacarpal and metacarpophalangeal joints?

A

Flexor pollicis brevis

280
Q

What muscle has an oblique head that originates from capitate and metacarpals 2 and 3, and a transverse head from metacarpal 3?

A

Adductor pollicis

281
Q

What muscle adducts the thumb at the carpometacarpal and metacarpophalangeal joints?

A

Adductor pollicis

282
Q

What hypothenar muscle originates from the pisiform and the tendon of flexor carpi ulnaris?

A

Abductor digiti minimi

283
Q

What muscle abducts and flexes the little finger at the metacarpophalangeal joint?

A

Abductor digiti minimi

284
Q

What hypothenar muscle originates from the flexor retinaculum and hamate and inserts on the medial side of the proximal phalanx of the little finger?

A

Flexor digiti minimi brevis

285
Q

What muscle flexes the little finger at the carpometacarpal and metacarpophalangeal joints?

A

Flexor digiti minimi brevis

286
Q

What hypothenar muscle moves the little finger across the palm to meet the thumb (opposition) at the carpometacarpal joint?

A

Opponens digiti minimi

287
Q

What muscle is responsible for flexing each finger at the metacarpophalangeal joints and extending each finger at the interphalangeal joints?

A

Lumbricals

288
Q

What intermediate muscle is innervated by both the median and ulnar nerves?

A

Lumbricals

289
Q

What palmar muscle adducts and flexes each finger (except the third) at the metacarpophalangeal joints?

A

Palmar interossei

290
Q

What muscle extends fingers (except the third) at the interphalangeal joints?

A

Palmar interossei

291
Q

What dorsal muscle abducts fingers 2–4 at the metacarpophalangeal joints?

A

Dorsal interossei

292
Q

What muscle flexes and extends fingers 2–4 at the metacarpophalangeal and interphalangeal joints?

A

Dorsal interossei

293
Q

Structures within the carpal tunnel, espe cially the median nerve, are vulnerable to compression, and the resulting condition is called

A

carpal tunnel syndrome.

294
Q

Compression of the median nerve leads to sensory changes over the lateral side of the hand and muscle weakness in the thenar eminence. This results in pain, numbness, and tingling of the fingers. The condition may be caused by inflammation of the digital tendon sheaths, fluid retention, excessive exer cise, infection, trauma, and/or repetitive activities that involve flexion of the wrist, such as keyboarding, cutting hair, or play ing the piano. Treatment may involve the use of nonsteroidal anti- inflammatory drugs (such as ibuprofen or aspirin), wear ing a wrist splint, corticosteroid injections, or surgery to cut the flexor retinaculum and release pressure on the median nerve.

A

carpal tunnel syndrome.

295
Q

produce the intricate and precise movements of the digits that characterize the human hand.

A

intrinsic muscles of the hand

296
Q

arise from the spinous processes of cervical vertebrae on the midline and extend superiorly to attach laterally on move superior vertebral and the skull

A

splenius muscles

297
Q

(consisting of the iliocostalis, longissimus, and spinalis muscles) arises either from the midline or more laterally but usually runs almost longi tudinally, with neither a significant lateral nor medial direction as it is traced superiorly.

A

erector spinae muscle group

298
Q

(semispinalis, multifidus, rotatores) pass from lateral to medial toward the midline as they are traced superiorly. Deep to these three muscle groups are small segmental muscles that extend between spinous processes or transverse processes of vertebrae.

A

muscles of the transversospinalis group

299
Q

also play a role in moving the vertebral column

A

rectus abdominis, external oblique, internal oblique, and quadratus lumborum muscles

300
Q

The bandage-like ___ are attached to the sides and back of the neck. T

A

splenius muscles

301
Q

The two muscles in this group are named on the basis of their superior attachments (insertions):

A

splenius capitis (head region) and splenius colli (cervical region).

302
Q

is the largest muscle mass of the back, forming a prominent bulge on either side of the vertebral col umn. This muscle group the chief extensor of the vertebral column. It is also important in controlling flexion, lateral flexion, and rotation of the vertebral column and in maintaining the lumbar curve.

A

erector spinae

303
Q

it consists of three groups: iliocostalis (laterally placed), longissimus (intermediately placed), and spi nalis (medially placed). These groups, in turn, consist of a series of overlapping muscles, and the muscles within the groups are named according to the regions of the body with which they are associated.

A

erector spinae

304
Q

The iliocostalis group consists of three muscles:

A

the iliocostalis cervicis (cervical region), iliocostalis thoracis (tho racic region), and iliocostalis lumborum (lumbar region).

305
Q

The longissimus group resembles a herringbone and consists of three muscles:

A

the longissimus capitis (head region), longissi mus colli (cervical region), and longissimus thoracis (thoracic region).

306
Q

The spinalis group also consists of three muscles:

A

spinalis capitis, spinalis colli, and spinalis thoracis.

307
Q

are so named because their fibers run from the transverse processes to the spinous processes of the vertebrae.

A

transversospinales

308
Q

The semispinalis muscles in this group are also named according to the region of the body with which they are associated:

A

semispinalis capitis (head region), semispina lis coli (cervical region), and semispinalis thoracis (thoracic region).

309
Q

is segmented into several bundles. It extends and laterally flexes the vertebral column. This muscle is large and thick in the lumbar region and is important in maintaining the lumbar curve

A

multifidus

310
Q

are short and are found along the entire length of the vertebral column. These small muscles contribute little to vertebral movement but play important roles in monitoring the position of the vertebral column and providing proprioceptive feedback to the stronger vertebral muscles.

311
Q

unite the spi nous and transverse processes of consecutive vertebrae within the segmental muscle group. They function primarily in stabilizing the vertebral column during its movements, and providing proprioceptive feedback.

A

interspinales and intertransversarii

312
Q

Within the scalene group, the ___ muscle is anterior to the scalenus medius muscle, the ___ muscle is intermediate in placement and is the longest and largest of the scalene muscles, and the ___ muscle is posterior to the scalenus medius muscle and is the smallest of the scalene muscles. The posterior scalene muscles flex, laterally flex, and rotate the head and assist in deep inhalation.

A

anterior scalene, scalenus medius, and posterior scalene

313
Q

Arrange the muscles in this section according to the following actions on the head at the atlanto- occipital and intervertebral joints:

A

(1) extension, (2) lateral flexion, (3) rotation to same side as contracting muscle, and (4) rotation to opposite side as contract ing muscle;

314
Q

arrange the muscles according to the following actions on the vertebral column at the intervertebral joints:

A

(1) flexion, (2) extension, (3) lateral flexion, (4) rotation, and (5) sta bilization

315
Q

is the largest muscular mass of the back and is the chief extensor of the vertebral column.

A

erector spinae group (iliocostalis, longissimus, and spinalis muscles)

316
Q

Which muscle originates from the Nuchal ligament and spinous processes of C7–T4?

A

Splenius capitis

317
Q

Which muscle inserts at the Occipital bone and mastoid process of temporal bone?

A

Splenius capitis

318
Q

Which muscle acts to extend the head and vertebral column bilaterally, and laterally flex or rotate head unilaterally?

A

Splenius capitis

319
Q

Which muscle is innervated by the Middle cervical spinal nerves?

A

Splenius capitis

320
Q

Which muscle originates from the Spinous processes of T3–T6?

A

Splenius cervicis

321
Q

Which muscle inserts at the Transverse processes of C1–C2 or C1–C4?

A

Splenius cervicis

322
Q

Which muscle acts to extend the head bilaterally, and laterally flex or rotate the head unilaterally?

A

Splenius cervicis

323
Q

Which muscle is innervated by the Inferior cervical spinal nerves?

A

Splenius cervicis

324
Q

Which muscle originates from Ribs 1–6?

A

Iliocostalis cervicis

325
Q

Which muscle inserts at the Transverse processes of C4–C6?

A

Iliocostalis cervicis

326
Q

Which muscle acts to extend and maintain erect posture of the vertebral column, and laterally flex it unilaterally?

A

Iliocostalis cervicis

327
Q

Which muscle is innervated by the Cervical and thoracic spinal nerves?

A

Iliocostalis cervicis

328
Q

Which muscle originates from Ribs 7–12?

A

Iliocostalis thoracis

329
Q

Which muscle inserts at Ribs 1–6?

A

Iliocostalis thoracis

330
Q

Which muscle is innervated by the Thoracic spinal nerves?

A

Iliocostalis thoracis

331
Q

Which muscle originates from the Iliac crest?

A

Iliocostalis lumborum

332
Q

Which muscle inserts at Ribs 7–12?

A

Iliocostalis lumborum

333
Q

Which muscle is innervated by the Lumbar spinal nerves?

A

Iliocostalis lumborum

334
Q

Which muscle originates from the Articular processes of C4–C7 and transverse processes of T1–T4?

A

Longissimus capitis

335
Q

Which muscle inserts at the Mastoid process of temporal bone?

A

Longissimus capitis

336
Q

Which muscle acts to extend the head and vertebral column bilaterally, and rotate the head unilaterally?

A

Longissimus capitis

337
Q

Which muscle is innervated by the Middle and inferior cervical spinal nerves?

A

Longissimus capitis

338
Q

Which muscle originates from the Transverse processes of T4–T5?

A

Longissimus cervicis

339
Q

Which muscle inserts at the Transverse processes of C2–C6?

A

Longissimus cervicis

340
Q

Which muscle acts to extend the vertebral column bilaterally and laterally flex it unilaterally?

A

Longissimus cervicis

341
Q

Which muscle is innervated by the Cervical and superior thoracic spinal nerves?

A

Longissimus cervicis

342
Q

Which muscle originates from the Transverse processes of lumbar vertebrae?

A

Longissimus thoracis

343
Q

Which muscle inserts at the Transverse processes of all thoracic and superior lumbar vertebrae and ribs 9 and 10?

A

Longissimus thoracis

344
Q

Which muscle originates with the semispinalis capitis and is often absent or very small?

A

Spinalis capitis

345
Q

Which muscle inserts at the Occipital bone?

A

Spinalis capitis

346
Q

Which muscle is innervated by the Cervical spinal nerves?

A

Spinalis capitis

347
Q

Which muscle originates from the Nuchal ligament and spinous process of C7?

A

Spinalis cervicis

348
Q

Which muscle inserts at the Spinous process of axis?

A

Spinalis cervicis

349
Q

Which muscle is innervated by the Inferior cervical and thoracic spinal nerves?

A

Spinalis cervicis

350
Q

Which muscle originates from the Transverse processes of C3–C6?

A

Scalenus anterior

351
Q

Which muscle inserts at Rib 1?

A

Scalenus anterior

352
Q

Which muscle acts to elevate the first ribs during deep inhalation?

A

Scalenus anterior

353
Q

Which muscle is innervated by the Cervical spinal nerves?

A

Scalenus anterior

354
Q

Which muscle originates from the Transverse processes of C2–C7?

A

Scalenus medius

355
Q

Which muscle inserts at Rib 1?

A

Scalenus medius

356
Q

Which muscle acts to flex cervical vertebrae and laterally flex and slightly rotate cervical vertebrae?

A

Scalenus medius

357
Q

Which muscle originates from the Transverse processes of C4–C6?

A

Scalenus posterior

358
Q

Which muscle inserts at Rib 2?

A

Scalenus posterior

359
Q

Which muscle acts to elevate the second ribs during deep inhalation and flex cervical vertebrae?

A

Scalenus posterior

360
Q

Which muscle is innervated by the Cervical spinal nerves?

A

Scalenus posterior

361
Q

The four factors associated with increased risk of ___ are amount of force, repetition, posture, and stress applied to the backbone.

A

back injury

362
Q

Poor physical condition, poor posture, lack of exercise, and excessive body weight contribute to the num ber and severity of sprains and strains. Back pain caused by a muscle strain or ligament sprain will normally heal within a short time and may never cause further problems. However, if ligaments and muscles are weak, discs in the lower back can become weakened and may herniate (rupture) with excessive lifting or a sudden fall, causing considerable pain

A

back injury

363
Q

Full flexion at the waist, as in touching your toes, over stretches the erector spinae muscles. Muscles that are over stretched cannot contract effectively. Straightening up from such a position is therefore initiated by the hamstring muscles on the back of the thigh and the gluteus maximus muscles of the buttocks. The erector spinae muscles join in as the degree of flexion decreases. Improperly lifting a heavy weight, how ever, can strain the erector spinae muscles

A

heavy lifting

364
Q

The result can be painful muscle spasms, tearing of tendons and ligaments of the lower back, and herniating of intervertebral discs. The lumbar muscles are adapted for maintaining posture, not for lifting. This is why it is important to bend at the knees and use the powerful extensor muscles of the thighs and buttocks while lifting a heavy load.

A

heavy lifting

365
Q

function in sta bility, locomotion, and maintenance of posture.

A

lower limb muscles

366
Q

The psoas major and iliacus muscles share a common insertion (lesser trochanter of femur) and are collec tively known as the

367
Q

There are three gluteal muscles:

A

gluteus maximus, gluteus medius, and gluteus min imus

368
Q

is the largest and heaviest of the three muscles and is one of the largest muscles in the body. It is the chief extensor of the femur. In its reverse muscle action (RMA), it is a powerful extensor of the torso at the hip joint.

A

gluteus maximus

369
Q

is mostly deep to the gluteus maximus and is a powerful abductor of the femur at the hip joint. It is a com mon site for intramuscular injection.

A

gluteus medius

370
Q

is the smallest of the gluteal muscles and lies deep to the gluteus medius.

A

gluteus minimus

371
Q

is located on the lateral surface of the thigh

A

tensor fasciae latae

372
Q

is a layer of deep fascia, composed of dense connective tissue, that encircles the entire thigh. It is well developed laterally where, together with the ten dons of the tensor fasciae latae and gluteus maximus muscles, it forms a structure called the iliotibial tract. The tract inserts into the lateral condyle of the tibia.

A

fascia lata

373
Q

are all deep to the gluteus maximus muscle and function as lateral rotators of the femur at the hip joint

A

piriformis, obturator internus, obturator externus, superior gemellus, inferior gemellus, and quadratus fem oris

374
Q

Three muscles on the medial aspect of the thigh are the

A

adductor longus, adductor brevis, and adductor magnus

375
Q

They originate on the pubic bone and insert on the femur

A

adductor longus, adductor brevis, and adductor magnus

376
Q

adduct the thigh and are unique in their ability to both medially and laterally rotate the thigh. When the foot is on the ground, these muscles medially rotate the thigh, but when the foot is off the ground, they are lateral rotators of the thigh. This results from their oblique orientation, from an anterior origin to a posterior insertion

A

adductor longus, adductor brevis, and adductor magnus

377
Q

flexes the thigh and the adductor magnus extends the thigh

A

adduc tor longus

378
Q

also adducts and flexes the femur at the hip joint

379
Q

At the junction between the trunk and lower limb is a space called the

A

femoral triangle

380
Q

The base is formed superiorly by the inguinal ligament, medially by the lateral border of the adductor longus muscle, and laterally by the medial border of the sartorius muscle. The apex is formed by the crossing of the adductor longus by the sartorius muscle

A

femoral triangle

381
Q

The contents of the femoral triangle, from lateral to medial, are the femoral nerve and its branches, the femoral artery and several of its branches, the femoral vein and its proximal tributaries, and the deep inguinal lymph nodes. The femoral artery is eas ily accessible within the triangle and is the site for insertion of catheters that may extend into the aorta and ultimately into the coronary vessels of the heart. Such catheters are utilized during cardiac catheterization, coronary angiography, and other pro cedures involving the heart. Inguinal hernias frequently appear in this area.

A

femoral triangle

382
Q

Most muscles that move the femur originate on the ___ and insert on the femur.

A

pelvic (hip) girdle

383
Q

Arrange the muscles in this section according to the following actions on the thigh at the hip joint: (

A

(1) flexion, (2) extension, (3) abduction, (4) adduction, (5) medial rotation, and (6) lateral rotation.

384
Q

What muscle originates from the transverse processes and bodies of lumbar vertebrae?

A

Psoas major

385
Q

What muscle inserts with iliacus into the lesser trochanter of the femur?

A

Psoas major

386
Q

What muscle acts to flex the thigh at the hip joint, rotate the thigh laterally, and flex the trunk on the hip as in sitting up from a supine position?

A

Psoas major

387
Q

What muscle is innervated by the lumbar spinal nerves L2–L3?

A

Psoas major

388
Q

What muscle originates from the iliac fossa and sacrum?

389
Q

What muscle inserts with psoas major into the lesser trochanter of the femur?

390
Q

What muscle is innervated by the femoral nerve?

391
Q

What muscle originates from the iliac crest, sacrum, coccyx, and aponeurosis of sacrospinalis?

A

Gluteus maximus

392
Q

What muscle inserts into the iliotibial tract of fascia lata and superior lateral part of linea aspera (gluteal tuberosity) under the greater trochanter of the femur?

A

Gluteus maximus

393
Q

What muscle extends and laterally rotates the hip joint?

A

Gluteus maximus

394
Q

What muscle is innervated by the inferior gluteal nerve?

A

Gluteus maximus

395
Q

What muscle originates from the lateral surface of the ilium?

A

Gluteus medius

396
Q

What muscle inserts into the greater trochanter of the femur?

A

Gluteus medius

397
Q

What muscle abducts and medially rotates the hip joint?

A

Gluteus medius

398
Q

What muscle is innervated by the superior gluteal nerve?

A

Gluteus medius

399
Q

What muscle originates from the lateral surface of the ilium?

A

Gluteus minimus

400
Q

What muscle inserts into the greater trochanter of the femur?

A

Gluteus minimus

401
Q

What muscle abducts and medially rotates the hip joint?

A

Gluteus minimus

402
Q

What muscle is innervated by the superior gluteal nerve?

A

Gluteus minimus

403
Q

What muscle originates from the lateral surface of the anterior iliac crest and anterior superior iliac spine?

A

Tensor fasciae latae

404
Q

What muscle inserts into the tibia by way of the iliotibial tract?

A

Tensor fasciae latae

405
Q

What muscle flexes and abducts the hip joint?

A

Tensor fasciae latae

406
Q

What muscle is innervated by the superior gluteal nerve?

A

Tensor fasciae latae

407
Q

What muscle originates from the anterior sacrum?

A

Piriformis

408
Q

What muscle inserts into the superior border of the greater trochanter of the femur?

A

Piriformis

409
Q

What muscle laterally rotates and abducts the hip joint?

A

Piriformis

410
Q

What muscle is innervated by the sacral spinal nerves S1 or S2, mainly S1?

A

Piriformis

411
Q

What muscle originates from the inner surface of the obturator foramen, pubis, and ischium?

A

Obturator internus

412
Q

What muscle inserts into the medial surface of the greater trochanter of the femur?

A

Obturator internus

413
Q

What muscle laterally rotates and abducts the hip joint?

A

Obturator internus

414
Q

What muscle is innervated by the nerve to obturator internus?

A

Obturator internus

415
Q

What muscle originates from the outer surface of the obturator membrane?

A

Obturator externus

416
Q

What muscle inserts into the deep depression inferior to the greater trochanter (trochanteric fossa) of the femur?

A

Obturator externus

417
Q

What muscle laterally rotates and abducts the hip joint?

A

Obturator externus

418
Q

What muscle is innervated by the obturator nerve?

A

Obturator externus

419
Q

What muscle originates from the ischial spine?

A

Superior gemellus

420
Q

What muscle inserts into the medial surface of the greater trochanter of the femur?

A

Superior gemellus

421
Q

What muscle laterally rotates and abducts the hip joint?

A

Superior gemellus

422
Q

What muscle is innervated by the nerve to obturator internus?

A

Superior gemellus

423
Q

What muscle originates from the ischial tuberosity?

A

Inferior gemellus

424
Q

What muscle inserts into the medial surface of the greater trochanter of the femur?

A

Inferior gemellus

425
Q

What muscle laterally rotates and abducts the hip joint?

A

Inferior gemellus

426
Q

What muscle is innervated by the nerve to quadratus femoris?

A

Inferior gemellus

427
Q

What muscle originates from the ischial tuberosity?

A

Quadratus femoris

428
Q

What muscle inserts into the elevation superior to mid-portion of the intertrochanteric crest (quadrate tubercle) on the posterior femur?

A

Quadratus femoris

429
Q

What muscle laterally rotates and stabilizes the hip joint?

A

Quadratus femoris

430
Q

What muscle is innervated by the nerve to quadratus femoris?

A

Quadratus femoris

431
Q

What muscle originates from the pubic crest and pubic symphysis?

A

Adductor longus

432
Q

What muscle inserts into the linea aspera of the femur?

A

Adductor longus

433
Q

What muscle adducts and flexes the thigh at the hip joint and rotates the thigh?

A

Adductor longus

434
Q

What muscle is innervated by the obturator nerve?

A

Adductor longus

435
Q

What muscle originates from the inferior ramus of the pubis?

A

Adductor brevis

436
Q

What muscle inserts into the superior half of the linea aspera of the femur?

A

Adductor brevis

437
Q

What muscle adducts and flexes the thigh at the hip joint and rotates the thigh?

A

Adductor brevis

438
Q

What muscle is innervated by the obturator nerve?

A

Adductor brevis

439
Q

What muscle originates from the inferior ramus of the pubis and ischium to the ischial tuberosity?

A

Adductor magnus

440
Q

What muscle inserts into the linea aspera of the femur?

A

Adductor magnus

441
Q

What muscle adducts the thigh at the hip joint and rotates the thigh; anterior part flexes the thigh at the hip joint, and posterior part extends the thigh at the hip joint?

A

Adductor magnus

442
Q

What muscle is innervated by the obturator and tibial nerve from the sciatic nerve?

A

Adductor magnus

443
Q

What muscle originates from the superior ramus of the pubis?

444
Q

What muscle inserts into the pectineal line of the femur, between the lesser trochanter and linea aspera?

445
Q

What muscle flexes and adducts the thigh at the hip joint?

446
Q

What muscle is innervated by the femoral nerve?

447
Q

are among the most active muscle groups in the body, they are also used in many non-athletic activities.

A

core muscles

448
Q

consist of about 29 pairs of muscles that link the upper and lower body by transferring force between the two. These muscles include the abdominal muscles, back muscles, erector spinae muscles, latissimus dorsi, ilio psoas muscles, gluteal muscles, and muscles of the pelvic floor.

A

core muscles

449
Q

are involved in sitting, standing or even standing still, bending, twisting, lifting, reaching, and so on. Now apply these actions to everyday activities and you will generate an almost endless list: getting out of bed, bathing, putting on your shoes, eating breakfast, lifting a backpack, driving a car, observing traffic signs, walking to class, sit ting at a desk, using a mobile phone, keyboarding, carrying books, participating in sports activities, sneezing, coughing, laughing, urination, defecation, and maybe even labor and delivery.

A

core muscles

450
Q

The numerous functions of core muscles can be grouped into three basic categories:

A
  1. Containing and supporting internal organs.
  2. Stabilizing the thorax and pelvis during various move ments.
  3. Providing greater mobility of the vertebral column and trunk.
451
Q

A rupture or tear of one or more of these muscles can cause a

A

groin pull

452
Q

most often occur during sprinting or twisting, or from kicking a solid, perhaps stationary object. Symptoms of a groin pull may be sudden or may not surface until the day after the injury; they include sharp pain in the inguinal region, swelling, bruising, or inability to contract the muscles.

A

groin pull

453
Q

As with most strain injuries, treatment involves PRICE (Protection, Rest, Ice, Compression, and Elevation). After the injured part is protected from further damage, ice should be applied imme diately, and the injured part should be elevated and rested. An elastic bandage should be applied, if possible, to compress the injured tissue.

A

groin pull

454
Q

separates the muscles of the thigh that act on the femur (thigh bone) and tibia and fibula (leg bones) into medial, anterior, and posterior compartments

A

Deep fascia (intermuscular septum)

455
Q

have a similar orientation and adduct the femur at the hip joint.

A

medial (adductor) compartment of the thigh

456
Q

the other muscle in the medial compartment, is a long, straplike muscle on the medial aspect of the thigh and knee. This muscle adducts the thigh and medially rotates the leg at the knee joint.

457
Q

extend the leg and flex the thigh. This compartment contains the quadriceps femoris and sartorius muscles.

A

anterior (extensor) compartment of the thigh

458
Q

is the largest muscle in the body, covering most of the anterior surface and sides of the thigh

A

quadriceps femoris

459
Q

The muscle is actually a composite muscle, usually described as four separate muscles

A

(1) rectus femoris, on the anterior aspect of the thigh; (2) vastus lateralis, on the lateral aspect of the thigh; (3) vastus medialis, on the medial aspect of the thigh; and (4) vastus intermedius, located deep to the rectus femoris between the vastus lateralis and vastus medialis

460
Q

The common tendon for the four muscles, known as the ___, inserts into the patella.

A

quadri ceps tendon

461
Q

The tendon continues below the patella as the ___, which attaches to the tibial tuberosity

A

patellar ligament

462
Q

great extensor muscle of the leg

A

quadriceps femoris

463
Q

is a long, nar row muscle that forms a band across the thigh from the ilium of the hip bone to the medial side of the tibia. The various move ments it produces (flexion of the leg at the knee joint and flex ion, abduction, and lateral rotation at the hip joint) help effect the cross- legged sitting position in which the heel of one limb is placed on the knee of the opposite limb. Its name means tailor’s muscle; it was so called because tailors often assume a cross- legged sitting position.

464
Q

flex the leg (and extend the thigh)

A

posterior (flexor) compartment of the thigh

465
Q

This compartment is composed of three muscles collectively called the hamstrings:

A

(1) biceps femoris, (2) semitendinosus, and (3) semimembra nosus.

466
Q

are long and stringlike in the popliteal area. Because the ham strings span two joints (hip and knee), they are both exten sors of the thigh and flexors of the leg

A

hamstrings

467
Q

is a diamond- shaped space on the posterior aspect of the knee bordered laterally by the tendons of the biceps femoris muscle and medially by the tendons of the semitendinosus and semi membranosus muscles.

A

popliteal fossa

468
Q

Arrange the muscles in this section according to the following actions on the thigh at the hip joint:

A

(1) abduction, (2) adduc tion, (3) lateral rotation, (4) flexion, and (5) extension

469
Q

according to the following actions on the leg at the knee joint:

A

(1) flexion and (2) extension

470
Q

Muscles that act on the leg originate in the hip and thigh and are separated into compartments by

A

Deep fascia (intermuscular septum)

471
Q

What muscle originates from the body and inferior ramus of the pubis?

472
Q

What muscle inserts into the medial surface of the body of the tibia?

473
Q

What muscle adducts the thigh at the hip joint, medially rotates the thigh, and flexes the leg at the knee joint?

474
Q

What muscle is innervated by the obturator nerve?

475
Q

What muscle originates from the anterior inferior iliac spine?

A

Rectus femoris

476
Q

What muscle inserts into the patella via the quadriceps tendon and then the tibial tuberosity via the patellar ligament?

A

Rectus femoris

477
Q

What muscle extends the leg at the knee joint and also flexes the thigh at the hip joint?

A

Rectus femoris

478
Q

What muscle is innervated by the femoral nerve?

A

Rectus femoris

479
Q

What muscle originates from the greater trochanter and linea aspera of the femur?

A

Vastus lateralis

480
Q

What muscle inserts into the patella via the quadriceps tendon and then the tibial tuberosity via the patellar ligament?

A

Vastus lateralis

481
Q

What muscle extends the leg at the knee joint?

A

Vastus lateralis

482
Q

What muscle is innervated by the femoral nerve?

A

Vastus lateralis

483
Q

What muscle originates from the linea aspera of the femur?

A

Vastus medialis

484
Q

What muscle inserts into the patella via the quadriceps tendon and then the tibial tuberosity via the patellar ligament?

A

Vastus medialis

485
Q

What muscle extends the leg at the knee joint?

A

Vastus medialis

486
Q

What muscle is innervated by the femoral nerve?

A

Vastus medialis

487
Q

What muscle originates from the anterior and lateral surfaces of the body of the femur?

A

Vastus intermedius

488
Q

What muscle inserts into the patella via the quadriceps tendon and then the tibial tuberosity via the patellar ligament?

A

Vastus intermedius

489
Q

What muscle extends the leg at the knee joint?

A

Vastus intermedius

490
Q

What muscle is innervated by the femoral nerve?

A

Vastus intermedius

491
Q

What muscle originates from the anterior superior iliac spine?

492
Q

What muscle inserts into the medial surface of the body of the tibia?

493
Q

What muscle weakly flexes the leg at the knee joint, weakly flexes, abducts, and laterally rotates the thigh at the hip joint?

494
Q

What muscle is innervated by the femoral nerve?

495
Q

What muscle originates from the long head of the ischial tuberosity and the short head from the linea aspera of the femur?

A

Biceps femoris

496
Q

What muscle inserts into the head of the fibula and lateral condyle of the tibia?

A

Biceps femoris

497
Q

What muscle extends the thigh at the hip joint?

A

Biceps femoris

498
Q

What muscle is innervated by the tibial and fibular nerves from the sciatic nerve?

A

Biceps femoris

499
Q

What muscle originates from the ischial tuberosity?

A

Semitendinosus

500
Q

What muscle inserts into the proximal part of the tibia medial to the tibial tuberosity?

A

Semitendinosus