Test 1 - Cards Flashcards
Superficial back muscles (trap, levator, rhomboids, lat, serratus anterior) are innervated by what (in general)?
Ventral rami
In general, the deep back muscles, or the intrinsic/epaxial/paraspinal muscles, are all innervated by what?
Dorsal rami
Which 2 deep back muscles touch the occipital bone?
Splenius capitis
Splenius cervicis
What are the 3 erector spinae mm.?
Spinalis
Longissimus
Iliocostalis
Where are the transversospinalis mm and what 3 do you need to know?
Underneath splenius
Multifidus
Rotatores
Semispinalis
Going up the spine: MRS
What are the 4 suboccipital mm, where are they, and what do they do, and what innervates them?
*All are innervated by suboccipital n (C1 - dorsal ramus)
Rectus capitis posterior minor - Diagonal just medial to rectus capitis posterior major - rotate head to same side
Rectus capitis posterior major - Diagonal just lateral to rectus capitis posterior minor - rotate head to same side
Obliquus capitis inferior - most inferior muscle runs diagonal - rotate head to same side
Obliquus capitits superior - Most lateral muscle - Tilt to same side, rotates to opposite side
Synarthroses are what type of joints?
Immovable joints
EX
- Sutures
- Gomphoses
- Hy Syn (Hyaline, synchondroses)
Sympheses have what type of cartilage?
Fibrocartilage
-Fib symph
Diarthroses are what type fo joints?
Freely movable
-Synovial
Levator scapulae and both rhomboids are innervated by what?
Dorsal scapular n. - C5
Serratus anterior is innervated by what nerve?
Long thoracic n. - C5, C6, C7
Nerve to subclavius goes to what muscle?
Subclavius - C5, C6
Supraspinatus and infraspinatus are innervated by what nerve?
Suprascapular - C4, C5, C6
Latissimus dorsi is innervated by what nerve?
Thoracodorsal nerve - C6, C7, C8
Upper and lower subscapular nn innervate what muscle?
Subscapularis
The CNS is composed of what?
Brain and spinal cord
The PNS is composed of what?
CNs and spinal nerves
The somatic system controls what?
Voluntary, conscious movement
The ANS controls what and what are the 2 divisions?
Subconscious movements
Parasympathetic
—Rest and digest
Sympathetic
—Fight or flight
Where does the spinal cord end (cauda equina)? What vertebral position?
L1-L2
What is the vertebral column formula?
C7-T12-L5-S5
Nervous vertebral column formula?
C8-T12-L5-S5
Nerves C1-C7 emerge above cervical vertebrae
C8 and nerves below emerge below corresponding vertebral level
What are the 2 layers of the dura mater?
Periosteal
Meningeal
Dentate ligaments are what meningeal layer?
Pia
What are housed in the gray matter of the spinal cord?
Cell bodies
White matter is enriched for axons
What is the tree analogy for spinal nerves?
Roots
Trunk
Branches
What is the DAVE mnemonic?
Dorsal afferent
Ventral efferent
Nerve two way traffic happens where?
Trunks and rami
Ventral rami serves what?
Body wall and limbs
Dorsal rami serves what?
Deep back mm, skin on back
Dermatomes:
- C2
- C4
- C5
- C6
- C7
- C8
- T1
- T4
- T7
- T10
- L1
Occipital Collar (Rhymes...but not) Lat shoulder Thumb Middle finger (no heaven) Little finger Medial elbow Nipple Xiphoid Umbilicus Inguinal
Myotomes:
- C5
- C6
- C7
- C8
- T1
Shoulder abduction Elbow flexion, wrist extension Elbow extension Wrist flexion, thumb abduction Finger abduction/adduction
Sympathetic pathways have a ________ pre-gang neuron and a _________ post-gang neuron, while parasympathetic pathways have a _________ pre-gang neuron and a __________ post-gang neuron.
Short, long
Long, short
Sympathetics come from what levels of the spinal cord?
T1-L2
Parasympathetics come from where?
Brain stem and S2-S4
DRGs are formed from what embryonic tissues?
Neural crest cells
Preaortic ganglia are found in what system?
Sympathetic
Parasympathetic ganglia directly on the effector organ are called what?
Intramural ganglion
What is in the superior mediastinum?
SVC Brachiocephalics Aortic arch Brachiocephalic artery Left common carotid Left subclavian Esophagus Trachea
What is in the inferior mediastinum?
Thymus
What is in the posterior mediastinum?
D desc aorta A azygos veins T thoracic duct E esophagus S sympathetic trunk
The hemiazygos and accessory hemiazygos are on what side of the body and what levels?
Left
Accessory - T4-T7
Hemi - T8-T12
Feed into azygos vein -> SVC
Sympathetic splanchnic levels?
Greater
Lesser
Least
Where do they synapse?
Greater - T5-T9
Lesser - T10-T11
Least - T12
Pre-aortic ganglion
The layers of the pericardium are what from deep to superficial?
Serous visceral pericardium
Serous parietal pericardium
Fibrous parietal pericardium
The lub is from what?
The dub is from what?
Lub - S1, contracting ventricles caused the AV valves to snap shut
Dub - S2, relaxing ventricles caused semilunar valves to snap shut
All physicians take money auscultations and S1 and S2 auscultations.
Aortic valve - Right of sternum - 2nd intercostal space
Pulmonary valve - Left of sternum - 2nd intercostal space
Tricuspid valve - Left of sternum - 4th intercostal space
Mitral (bicuspid) valve - Left midclavicular - 5th intercostal space
Coronary circulation.
Aortic arch
-LCA - Left coronary a
—LCXA - Left circumflex a
—LAD (AIA - Ant interventricular a)
-RCA - Right coronary a (If RCA supplies PDA, then its a right dominant heart 67% of population)
—RMA - Right marginal a
—PDA (PIA - Posterior interventricular a)
Great cardiac vein->Coronary sinus->RA
Middle cardiac vein (post)->Coronary sinus->RA
Sympathetic innervation to the heart from what?
Thoracic sympathetic cardiac nerve OR cardiopulmonary splanchnic nerve
T1-T4/T5
Symp chain
Cervical and thoracic symp nn
Increase heart rate and contraction
Parasympathetic innvervation of the heart?
Vagus
Intramural gang
Electrical progression of heart beat.
SA->AV->Bundle of His
Name the 4 regions of parietal pleura.
Cervical
Costal
Diaphragmatic
Mediastinal
What is the space b/t diaphragm and the body wall?
Costodiaphragmatic recess
What is the only somatic nerve that refers pain?
Phrenic nerve
The parietal pleura has what innervation?
Somatic
C3, 4, and 5 keep what alive?
Diaphragm
_______ nerve innervates the diaphragm.
PHRENIC
Visceral pleura has what innervation?
Autonomic, stretch receptors only
Right lung has what fissures?
Oblique (So does left)
Horizontal
______ nerve does parasympathetic for bronchoconstriction of the bronchus and lungs?
VAGUS
What is the primary muscle of respiration?
Diaphragm
What are the accessory mm of breathing?
Intercostals
Serratus anterior
Scalenes
SCM
Which type of cartilage does not have a perichondrium?
Fibrocartilage
Proteoglycans are made of what?
Chondroitin sulfate and hyaluronic acid
Collagen type I
Collagen type II
Collagen type III
I - Most abundant; skin, tendons, ligaments, bone
II - Least abundant; articular and hyaline cartilages, eyes
III - Middle abundant; intestinal walls, mm, blood vessels, with collagen type I
Hyaline cartilage - collagen type?
Type II only
Fibrocartilage - collagen type?
Type I and II
Elastic cartilage - collagen type?
Elastic fibers and type II
**Elastin
Loss of ________ ________ in cartilage contributes to pathogenesis of osteoarthritis.
Chondroitin sulfate
What is the most widespread cartilage?
Hyaline
*Weakest of the 3
What cartilage has the ability to calcify into bone?
Hyaline
-It is the precursor to endochondral ossification
What is the strongest kind of cartilage?
Fibrocartilage
*Highly compressible
Where is elastic cartilage found?
Ext ear
Eustachian tube
Epiglottis
Cartilage is ________, while bone is highly ___________.
Avascular
Vascularized
Osteoclasts attach to bone via what?
Integrity in areas called sealing zones
Osteoclasts are activated indirectly by what?
PTH
- Osteoblasts fuse with osteoclasts precursors and express RANK
- PTH binding up-regs osteoblast expression of the ligand for RANK, RANKL.
What determines the extent of bone resorption?
Ratio of osteoprotegerin:RANKL produced by osteoblasts
What does PTH do?
Secreted by CHIEF cells
- Mobilizes Ca2+ from bone
- Increases urinary PO4+ excretion
Activated VitD does what?
Increases CA2+ absorption from intestine
Increases Ca2+ in bone
What does calcitonin do?
Released by PARAFOLLICULAR CELLS (C cells)
Inhibits bone resorption
Bone protector
In general, Vit D does what for Ca2+?
Increases Ca2+ reuptake in gut
90% of body’s vit D is obtained by what?
Sunlight activation of Vit D precursors in the skin