small animal musculoskeletal (wk 1) Flashcards

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1
Q

fat storage is a function of bone - true or false?

A

true - lipids are stored as yellow marrow in long bones

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2
Q

which muscle type is NOT striated - skeletal, smooth or cardiac?

A

smooth muscle

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3
Q

which is the effects of resistance training vs endurance training on myofibres (muscle fibres)?
1. increased number of blood vessels, mitochondria, mitochondrial proteins and oxidative enzymes
2. increased diameter of muscle fibres and myofibrils, increased number of myofibrils

A

1 - endurance training (cardio)
2 - resistance training (big muscles)

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4
Q

which of the following will NOT cause decreased skeletal muscle tone?
1. low blood potassium levels
2. low glucose levels
3. dysfunction of acetylcholinesterase

A
  1. dysfunction of acetylcholinesterase - this is the thingie that removes the acetylcholine and causes the muscle to relax
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5
Q

normal numbers of cervical, thoracic, lumbar and sacral vertebrae on an average dog and cat? *caudal/tail vertebrae is variable

A

7 cervical, 13 thoracic, 7 lumbar, 3 sacral - think 7, 13, 7, 3.

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6
Q

true or false - there are joints between the vertebral bodies

A

true - a mix of different types too

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7
Q

A dog has damage to the nerve that supplies the triceps brachii muscle. The nerve damage means that the triceps brachii cannot contract.
What would you expect to see clinically?
1. inability to bear weight on the affected limb.
2. inability to flex the carpus.
3. inability to move the limb forwards when walking.

A
  1. inability to bear weight on the affected limb - contraction of the triceps is what extends the elbow, and weight bearing is performed with joints held in extended position.
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8
Q

You are at the pub after a hard day of Kuracloud lessons. Which proximal limb muscle needs to contract for you to get your hard-earned drink to your mouth?
1. Biceps brachii m.
2. Brachiocephalicus m.
3. Trapezius m.
4. Triceps brachii m.

A
  1. Biceps brachii m. contraction - this causes elbow flexion needed to lift drink
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9
Q

muscle contraction - does the insertion move towards the origin, or vice versa?

A

insertion point moves towards origin, origin point of the muscle stays put

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10
Q

what’s the normal name for the gastrocnemius muscle?

A

the calf muscle

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11
Q

What would be the expected consequence of rupture of the gastrocnemius tendon (runs from knee to ankle)?
1. Extension of the stifle.
2. Flexion of the stifle.
3. Extension of the tarsus.
4. Flexion of the tarsus.

A
  1. Flexion of the tarsus
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12
Q

What would be the expected consequence of rupture of the cranial cruciate ligament?
1. Increased adduction of the tibia
2. Increased gliding of the tibia cranial to the femur
3. Increased rotation of the tibia relative to the femur

A
  1. Increased gliding of the tibia cranial to the femur
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13
Q

is gliding or rotation possible in the normal elbow?

A

nope

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14
Q

is rotation possible in a normal hip joint?

A

yes - it’s a ball and socket joint, can do everything except gliding

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15
Q

is a head nod normally seen with forelimb lameness, or forelimb and hindlimb?

A

mostly forelimb

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16
Q

what does effusion mean?

A

abnormal amounts of fluid within a joint space

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17
Q

what does laxity mean?

A

abnormal looseness or instability of a joint

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18
Q

what does subluxation mean?

A

partial dislocation of a joint - where the joint surfaces are still in partial contact but not properly aligned

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19
Q

what does crepitus mean?

A

a grating or crackling sensation when moving a joint

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20
Q

which image depicts collateral ligaments?

A

B - collateral ligaments are located medially and/or laterally

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21
Q

What is the function of collateral ligaments?
1. Prevention of hyperextension/hyperflexion
2. Prevention of medial/lateral angulation
3. Prevention of cranial and caudal movement

A
  1. Prevention of medial/lateral angulation - they’re located on the sides of the joint
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22
Q

which joint does not allow flexion and extension?
1. carpus
2. atlantoaxial joint
3. shoulder

A
  1. atlantoaxial joint (the close to the skull vertebrae)
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23
Q

true or false - all of the following are unable to rotate: atlantoaxial joint, elbow, stifle, shoulder, carpus and tarsus?

A

true - only the hip can

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24
Q

which of the following allows pendular (abduction and adduction) movements?
- hip, shoulder, carpus, atlantoaxial, elbow, tarsus, stifle?

A

only atlantoaxial (it’s a pivot joint)

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25
Q

is the pelvis part of the axial or appendicular skeleton?

A

appendicular (included with the hindlimbs/forelimbs)

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26
Q

Which forelimb structures bear weight in the normal standing dog/cat?
1. Digits 1-5 and their pads, the metacarpal pad, the carpal pad
2. Digits 1-5 and their pads, the metacarpal pad, the carpal pad
3. Digits 1-4 and their pads, the metacarpal pad
4. Digits 2-5 and their pads, the metacarpal pad, the carpal pad
5. Digits 2-5 and their pads, the metacarpal pad

A
  1. Digits 2-5 and their pads, the metacarpal pad - digit 1 is the dew claw, it’s not on the ground
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27
Q

what is supination (pronounced soup-in-nation)?

A

to turn or hold a hand/limb/foot so that the palmar/plantar surface faces upwards or outwards (think your hands face upwards when holding a bowl of soup)

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28
Q

what is pronation?

A

the opposite of supination - to turn or hold a hand/foot/limb so that the palmar/plantar surface faces downwards or inwards

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29
Q

What are the structures within the stifle joint that stop cranial and caudal movement of the tibia relative to the femur?
1. The cruciate ligaments
2. The collateral ligaments
3. The menisci
4. The infrapatellar fat pad

A
  1. The cruciate ligaments
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30
Q

are the cruciate ligaments named based on:
a. their origin
b. their insertion

A

b. their insertion - the cranial cruciate ligament inserts on the cranial aspect of the tibia and originates caudolaterally

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31
Q

which cruciate ligament originates craniomedially and inserts on the caudal aspect of the tibia?
a. the cranial cruciate ligament
b. the caudal cruciate ligament

A

b. the caudal cruciate ligament - remember, they’re named after the INSERTION point

32
Q

What would happen if the CRANIAL cruciate ligament is ruptured?
1. The tibia can slide cranial to the femur
2. The tibia can slide caudal to the femur
3. Nothing - both ligaments need to be ruptured to have a clinical effect

A
  1. The tibia can slide cranial to the femur
33
Q

what does luxating mean

A

dislocation (subluxation = partial dislocation)

34
Q

What structure is responsible for delivery of nutrients, oxygen and electrolytes to the back legs?
a. the caudal vena cava
b. the aorta
c. femoral artery

A

b. the aorta

35
Q

A dog has ruptured its gastrocnemius tendon. What would you see on clinical examination?
1. Hyperflexion of the tarsus/a plantigrade posture
2. Hyperextension of the tarsus/an overly upright hindlimb posture
3. Increased valgus angulation on stressing the tarsus
4. Increased varus angulation on stressing the tarsus

A
  1. Hyperflexion of the tarsus/a plantigrade posture - the gastrocnemius muscle extends the tarsus
36
Q

what is a lower motor neuron and the skeletal muscle fibre it controls?
a. motor unit
b. muscle fibre
c. sarcomere

A

a. motor unit

37
Q

what is a skeletal muscle cell, also known as a myocyte?
a. motor unit
b. muscle fibre
c. sarcomere

A

b. muscle fibre

38
Q

what is the functional unit of skeletal muscle cells?

A

c. sarcomere

39
Q

what is myoglobin?

A

an iron containing compound found in your heart and skeletal muscles that stores oxygen used to generate energy for muscle contraction

40
Q

which is thick vs thin muscle fibre components?
1. made up of bundles of myosin
2. made up of actin, tropomyosin and troponin

A
  1. thick muscle fibres - made up of myosin
  2. thin muscle fibres - made up of actin, tropomyosin and troponin
41
Q

Which electrolyte, released by the sarcoplasmic reticulum, is essential for the binding of myosin to actin (and subsequent muscle contraction)?
1. Calcium
2. Magnesium
3. Potassium
4. Sodium

A
  1. Calcium
42
Q

An action potential is necessary to trigger muscle contraction. What is an action potential?

A

a fast and transient change in the membrane potential of a cell

43
Q

Which neurotransmitter binds to skeletal muscle to open sodium channels and trigger an action potential in the muscle?
1. Acetylcholine
2. Adrenaline
3. Nerve growth factor
4. Noradrenaline

A
  1. Acetylcholine
44
Q

what is potassium’s influence of muscle contractions if low amounts are present in the blood?

A

hypokalaemia - muscle weakness (low potassium in blood = fewer positive ions crossing over membrane = lower resting membrane potential = harder to trigger depolarisation)

45
Q

what is potassium’s influence of muscle contractions if high amounts are present in the blood?

A

hyperkalaemia - increased muscle contractions (increased positive ions in the blood = more cross over to cell = increased membrane potential = easier to trigger depolarisation/action potentials)

46
Q

what is sodium’s influence on muscle contractions if low amounts are present in the blood?

A

hyponatraemia - muscle weakness (it’s the opening of the sodium channels that stimulates depolarisation, so there’s decreased stimulation of muscle contraction)

47
Q

what is sodium’s influence on muscle contractions if high amounts are present in the blood?

A

hypernatraemia - increased muscle contractions (spasms, twitching - the opening of sodium channels stimulates depolarisation, so there’s increased stimulation of muscle contraction)

48
Q

what is glucose’s influence on muscle contractions if low amounts are present in the blood?

A

hypoglycaemia - decreased muscle contraction (not enough ATP production = decreased ability for myosin to bind to actin)

49
Q

what is glucose’s influence on muscle contractions if high amounts are present in the blood?

A

hyperglycaemia - no effect on muscle contraction

50
Q

what is glucose’s role in muscle contraction?

A

glucose –> ATP to provide energy for muscle cells (ATP is used in the binding of myosin to actin, which draws muscle filaments together, causing contraction)

51
Q

is the opening of potassium channels triggering:
a. depolarisation
b. repolarisation

A

b. repolarisation (return of the membrane potential to its resting level stops the action potential, and ends muscle contraction)

52
Q

is the opening of sodium channels triggering:
a. depolarisation
b. repolarisation

A

a. depolarisation (which causes the action potential which causes the muscle contraction)

53
Q

Calcium is required for transmission of action potentials across the neuromuscular junction, which in turn trigger muscle contraction. Calcium is also necessary for myofibril contraction through its interaction with troponin.

However, calcium also blocks sodium channels involved in depolarisation of nerves and muscle fibres. what is calcium’s effect on muscle contraction if high levels in blood?

A

hypercalcaemia - muscles unable to contract (calcium blocks sodium channels involved in depolarisation)

54
Q

Calcium is required for transmission of action potentials across the neuromuscular junction, which in turn trigger muscle contraction. Calcium is also necessary for myofibril contraction through its interaction with troponin.

However, calcium also blocks sodium channels involved in depolarisation of nerves and muscle fibres. what is calcium’s effect on muscle contraction if low levels in blood?

A

hypocalcaemia - uncontrollable muscle contraction (think tetanus) because less sodium channels are blocked = increased depolarisation

55
Q

Calcium is one of the most abundant electrolytes in the body and is mostly stored in bones. Too much calcium in the blood (hypercalcaemia) might be caused by:
a. destruction of bone
b. new bone formation

A

a. destruction of bone

56
Q

When a tissue is damaged, it releases/leaks compounds, such as enzymes, proteins and metabolites, into the blood. We can test for products of muscle breakdown in the blood and urine - what does increased creatine kinase (CK) indicate?

A

Increased CK - myofibre damage (creatine kinase is located in the skeletal muscle, myocardium and brain, catalyses a reaction in the formation of ATP which is the energy source for muscle contraction)

57
Q

When a tissue is damaged, it releases/leaks compounds, such as enzymes, proteins and metabolites, into the blood. We can test for products of muscle breakdown in the blood and urine - what does increased myoglobin indicate?

A

muscle damage - this causes the myoglobin (protein that carries and stores oxygen in muscle) into the blood where it is then filtered by kidneys. myoglobin causes the urine to be dark red/brown coloured

58
Q

When a tissue is damaged, it releases/leaks compounds, such as enzymes, proteins and metabolites, into the blood. We can test for products of muscle breakdown in the blood and urine - what does increased lactate dehydrogenase (LDH) indicate?

A

Increased LDH is not specific to muscle damage, but could support the suspicion in combination with other diagnostic test findings - it catalyses the interconversion of lactate and pyruvate, and is found in large amounts in skeletal muscle and myocardium, kidney and liver.

59
Q

what projection is this radiograph?
a. craniocaudal
b. craniopalmar
c. dorsoventral
d. lateral

A

d. lateral

60
Q

what is structure B?

A

lateral fabella

61
Q

what projection is this radiograph?
a. cranioplantar
b. craniocaudal
c. dorsoventral

A

b. craniocaudal

62
Q

what is structure C?

A

common calcaneus tendon

63
Q

what is structure A?

A

patella ligament

64
Q

the nerve that passes through the area indicated by the yellow dashed line innervates muscles that:
a. abduct the hips
b. adduct the hips
c. extend the hindlimb
d. flex the hindlimb

A

b. adduct the hips - it’s the obturator nerve that passes through the obturator foramen, trauma to this region would cause the affected limb to splay out (eg calving injuries)

65
Q

what is structure A?

A

6th lumbar vertebrae

66
Q

what is structure B?

A

the ilium

67
Q

what is structure C?

A

the ischium

68
Q

structure surrounded by the solid yellow line?

A

the acetabulum

69
Q

structure pointed to by the two yellow arrows - is it a:
a. fracture
b. the sacroiliac joint
c. the hip

A

b. the sacroiliac joint

70
Q

where is the occipital bone?

A

top right

71
Q

where is the frontal sinus?

A

air pocket thing rostral to brain?

72
Q

where is the tympanic bulla?

A

bottom right

73
Q

true or false - the wing of the ilium is also referred to as the tuber coxae in dogs

A

true (that would explain why I was confused as to what the tuber coxae was)

74
Q

where is the proximal physis?

A

here - the physis is the cartilaginous disk separating the epiphysis from the metaphysis. it is responsible for the growth of long bones

75
Q

locate the antebrachiocarpal joint in this puppy’s radiograph

A

here - not to be confused with distal epiphyseal lines