Saqs Flashcards

1
Q

the key steps during the embryonic development of the hand starting with the hand plate, and‬
‭ state 4 congenital anomalies of the hand. (8 marks)‬

A

Formation of digital rays‬


‬‭ Notching‬


‬‭ Webbing‬


‬‭ Separation via apoptosis‬

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2
Q

state 4 congenital anomalies of the hand

A

Polydactyly
Syndactyly
Amelia
Meromelia
Club foot
Brachydactyly

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3
Q

Name the boundaries and contents of the mid-palmar space. (6 marks)

A

BOUNDARIES OF THE MID-PALMAR SPACE (4 MARKS):‬
‭ ❖‬‭ Ventral - palmar aponeurosis‬
‭ ❖‬‭ Dorsal - 3rd to 5th metacarpal bones‬
‭ ❖‬‭ Medial - septum to the 5th metacarpal‬
‭ ❖‬‭ Lateral - septum to the 3rd metacarpal

CONTENTS (2 MARKS MAX):
- lumbricals
- synovial sheaths of long flexor tendons
- long flexor tendons

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4
Q

State any 2 varieties of spina bifida (2 marks)‬

A


‭ Spina bifida cystica:‬

-
‬‭ With meningocele [1]‬

-
‬‭ With myelomeningocele [1]‬

-
‬‭ Myeloschisis [1]‬

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5
Q

CONTENTS OF THE MID-PALMAR SPACE (2 MARKS):‬

A

‭ ❖‬‭ Long flexor tendons‬
‭ ❖‬‭ Synovial sheaths of the above‬
‭ ❖‬‭ Lumbricals‬
‭ 3. a) Identify A and C in the diagram below. (2 m

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6
Q

Name two structures that contribute to the anterior column stability of the spine. (2 marks)‬

A

‬‭ Anterior longitudinal ligament‬

-
‬‭ Anterior two-thirds of the vertebral body‬

-
‬‭ Anterior two-thirds of the intervertebral disc‬

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7
Q

Shxj

A
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8
Q

Name two structures that pass through the intervertebral foramen. (2 marks)‬

A

Spinal nerve‬
‭Dorsal nerve

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9
Q
  1. Describe the clinical relevance of the cavernous venous sinus
A

CLINICAL RELEVANCE:‬
‭ ➔‬‭ Cavernous sinus thrombosis - following spread of infections‬
‭ ➔‬‭ Compression of various cranial nerves within the cavernous sinus‬
‭ ➔‬‭ Rupture of the internal carotid artery within the sinus - pulsating exophtalmos

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10
Q

State the significance of the ischial spine. (1 mark

A

Pudendal nerve block‬
‭ NB// A pudendal nerve block is an injection in your pelvic region that can provide temporary pain relief.‬
‭ It aims to block the nerve as it enters the lesser sciatic foramen, 1 cm inferior and medial relative to the‬
‭ attachment of the sacrospinous ligament to the ischial spine

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11
Q
  1. Name three internal rotators of the hip joint. (3 marks
A

Iliopsoas, gluteus medius, gluteus minimus

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12
Q

Name three joints where supination and pronation occur. (3 mar

A

Proximal radio-ulnar joint‬

-
‬‭ Middle radio-ulnar joint‬

-
‬‭ Distal radio-ulnar jo

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13
Q

Name three structures traversing the jugular foramen, and 2 structures traversing foramen spinosum.‬
‭ (5 marks)‬‭

A

FORAMEN SPINOSUM: Middle meningeal artery, and meningeal branch of mandibular nerve‬
‭ (nervus spinosus).‬
‭ JUGULAR FORAMEN:‬

-
‬‭ CN IX - glossopharyngeal nerve‬
‭ 5‬

-
‬‭ CN X - vagus nerve‬

-
‬‭ CN XI - accessory nerve‬

-
‬‭ Sigmoid sinus‬

-
‬‭ Inferior petrosal sinus‬

-
‬‭ Posterior meningeal artery‬

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14
Q

Name two segments of the spine with a secondary curvature. (2 mark

A

Cervical segment‬
‭lumbar segment

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15
Q

State 2 stability factors of the spinal cord. (2 marks) [‬‭ SPINE AND SPINAL CORD ARE TWO‬
‭ DIFFERENT THINGS!‬‭ ]‬

A

-
‬‭ Continuation with the brain‬

-
‬‭ Spinal nerves‬

-
‬‭ Denticulate ligaments‬

-
‬‭ Filum terminale‬

-
‬‭ CSF‬

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16
Q

Name two arteries that form the plantar arterial arch. (2 marks)

A

Dorsalis pedis and Lateral plantar artery‬

17
Q

Name two bursae that communicate with the synovial cavity of the knee joint. (2 marks)‬

A

‬‭ Suprapatellar bursa‬

-
‬‭ Gastrocnemius bursa‬

-
‬‭ Popliteus bursa‬

-
‬‭ Anserine bursa‬

-
‬‭ Semimembranous bursa [SOMETIMES

18
Q

Name two branches of the radial nerve in the axilla. (2 marks)‬

A

-
‬‭ Posterior cutaneous nerve of the arm‬

-
‬‭ Muscular branch to long head of triceps

19
Q

State the embryonic sources of the following:‬
‭ a)‬‭ Muscles of the back (1 mark)‬‭
‭ b)‬‭ Nucleus pulposus (1 mark)‬‭

A

1)Epimere‬
‭ 2)Notochord

20
Q

Name 4 arteries that contribute to the cruciate anastomosis. (4 marks)‬

A

‬‭ Transverse branch of LCFA‬

-
‬‭ Transverse branch of MCFA‬

-
‬‭ Descending branch of IGA‬

-
‬‭ Ascending branch of 1st perforating artery

21
Q

Name 4 branches of the common peroneal nerve. (4 marks)‬

A

‬‭ Lateral sural (sural communicating)‬

-
‬‭ Lateral cutaneous nerve of calf‬

-
‬‭ Superior lateral genicular‬

22
Q

Name two nerves active in shoulder hyper-abduction. (2 marks)‬

A

‬‭ Long thoracic nerve‬

-
‬‭ (Spinal) accessory nerve

23
Q

State the course and termination of the great saphenous vein. (6 marks)‬
‭ COURSE:‬

A

‬‭ Medial border/margin of the foot‬

-
‬‭ Anterosuperior to medial malleolus‬

-
‬‭ Medial leg/calf‬

-
‬‭ Posteromedial knee‬

-
‬‭ Medial thigh/femoral triangle‬

TERMINATION:
‬‭ Femoral vein, at the femoral triangle

24
Q

State the extents of the popliteal artery

A

EXTENTS:‬

-Adductor hiatus to lower part of popliteus/soleal arch‬

25
Q

Relations of popliteal artery

A

RELATIONS:‬
‭ Anteriorly:‬

-
‬‭ Popliteal surface of femur‬

-
‬‭ Capsule of knee joint‬

-
‬‭ Popliteus muscle/fascia‬
‭ Posteriorly:‬

-
‬‭ Popliteal vein‬

26
Q

Clinical relevance of popliteal artery

A

CLINICAL RELEVANCE:‬

-
‬‭ Occlusion leads to gangrene (tissue loss) in the leg‬
‭ 14‬

-
‬‭ Injured in supracondylar fracture‬

-
‬‭ Partial narrowing leads to intermittent claudication (pain in the legs or arms that occurs while‬
‭ walking or using the arms).‬

-
‬‭ Aneurysms (bulge in arterial wall)‬

27
Q

Outline the static stability factors of the talocrural joint (6 marks)‬
‭ BONY FACTORS:‬

A

‬‭ The mortise, formed by the two malleoli, and;‬

-
‬‭ Maintained by the distal tibiofibular syndesmosis‬
‭ LIGAMENTOUS FACTORS:‬

-
‬‭ Deltoid ligament‬

-
‬‭ Anterior talofibular‬

-
‬‭ Calcaneofibular‬

-
‬‭ Posterior talofibular‬

28
Q

Describe the course and distribution of the ulnar nerve (8 mark

A

DISTRIBUTION:‬
‭ Sensory distribution‬
‭ Medial forearm, medial wrist, and medial one and one-half digits.‬
‭ Motor distribution‬

-
‬‭ FCU and FDP in the forearm‬

-
‬‭ All intrinsic muscles of the hand apart from thenar muscles and lateral 2 lumbricals.

29
Q

3a.State the pattern of arterial blood supply to:

A

i.Body of talus(1 mark)
ii.Tendon Achilles(1 mark)
b.State the boundaries of the adult female breast(4 marks)

30
Q

Today’s SAQs
1a.Name three terminal branches of the radial artery(3 marks)

A

1a.
●Radialis Indicis
●Princeps pollicis
●Deep palmar arterial arch

31
Q

b.Name 4 structural type of neurons(4 marks)

A

b.
●Multipolar
●Bipolar
●Pseudounipolar
●Apolar

32
Q
  • 2a. State 3 functions of the syncitiophoblast(3 marks)
A

2a
●Secrete human chorionic gonadotropin hormone.
●Burrowing of endometrium wall
●Site of primitive exchange via trophoblastic lacunae
b.
●Fertilisation of single oocycyte,monozygotic
●Partial separation of the embryonic cells during primitive streak stage

33
Q
  • 3a.State the pattern of arterial blood supply to:
    i.Body of talus(1 mark)
    ii.Tendon Achilles(1 mark)
A

3 a
i- Retrograde/distoproximal pattern
ii- Water-shed pattern

34
Q

b.State the boundaries of the adult female breast(4 marks)

A

b
Superiorly-2nd rib
Inferiorly-6th rib
Laterally - midaxillary line
Medially - lateral sternal border