Upper Limb & Fungi Flashcards
390 Upper limb bud develop :- Lower limb bud develop :- Upper limb bones derived from :- Skeletal muscles derived from :- Paraxial :- bone , artery , vein Post axial :- 1. Chin and ergosterol Not present in :- Yeast details Examples of yeast :-
309 , 1
310 Upper limb rotates :- Lower limb rotates :- Dermatomes of arm C5 :- C4 :- C6 :- C7 :- C8 :- T1 :- T2
- Yeast like details :-
Examples :-
310 , 1
311 Clavical details :- MC site of fracture :- Sternoclavicular joint is which type :- Acromioclavicular joint is which type :- Wt of upper limb is transmitted by joint :- Ligaments :- diagram Ligament not involved :- 1. Molds details Aseptate mold examples :- Septate myelin examples :-
311
1.
312 Muscle attachment of anterior surface of scapula :- Medially :- Laterally :- suprascapular foramen :- transit Ligament , artery :- Superior angle is at the level of :- Inferior angle is at the level of :- 1. Septate mold hyaline examples :-
312, 1
Long head of B iceps :- origin Long head of T riceps :- origin Scapula posterior surface :- Medial border of scapula :- Lateral border of scapula :- 1. Dimorphic fungi :- Examples of dimorphic fungi :-
313 , 1
314 Corocoid process is type of which epiphysis :- Attachment on corocoid process :- PCB :- Spine of scapula :- Trapezius has insertion on :- Humerus :- tubercles are formed by :- 1. Examples of fungi types in 1 go
314, 1
Attachment of humerus
Subscapularis to :-
Greater tubercle gives attachment to :-
SIT is attached to :-
Inter tubercular sulcus :- aka :-
Attachment to :- ( medial , lateral lip , floor )
Posteriorly neck of humerus is asso with:-
Spiral groove / radial groove content :- ( nerve , artery )
Deltoid tuberosity :-
1.
Examples sexual reproduction :-
315, 1
316 Rotator Cuff muscles :- Quadrangular space boundaries :- Content of quadrangular triangle :- Triangular interval / lower triangular space :- Content :- Upper triangular space :- Content :- 1. Asexual mode of reproduction
316
Boundaries of axilla :- Content :- 1. Crypto coccus :- Wet mount includes :-
317 , 1
318 LN read Lower end of humerus :- Trochlea :- Capacullum :- Coronid fossa :- 1. SAD contains :- Culture for diamorphic fungi :-
Olecranon fossa :-
318, 1
Medial epicondyle
Lateral epicondyle
Brachialis insertion :- Biceps insertions :- Radioulnar joint :- Supination and pronation occurs when :- Oblique cord :- Interosseous membrane is pierced by :- Lister tubercle :- 2. Causes of all :-
319 , 2
320 Carpal bones :- Proximal ( lateral to medial ) :- Distal row ( lateral to medial ) :- Ulna :- MC bone to fracture :- MC bone to dislocate :- Largest is :- 1st bone to ossify :- Smallest :- Formed in tendon of :- Last bone to ossify :- 2. Malassesia globosa and furfur:- Details of disease :- Culture :- Treatment:-
Hortae Wernikiii:-
Details of disease :-
Culture :-
Treatment :-
320
321 1st metacarpal :- Articulates with :- Base ( joint ) :- Aberrant epiphysis :- Primary ossification center :- 2. Tricosporum species :- Details of disease :- Mc sites :- Piedra hortae :- Details of inf :- Mc site :- Treatment :- For white :- For black :-
321, 2
322 Trapezius :- Nerve supply :- Action :- 1, 2 ,3 Note :- Abduction of shoulder joint :- Glenohumeral to scapular rotation :-
Levator scapulae :-
Nerve supply :-
Rhomboid major and minor :-
Nerve supply :-
2. Tricophyton :- Epidermophyton :- Microsporum :- Causes :- ON KOH MOUNT :- On LBS culture :- Treatment :- Hair penetration test :-
Sporotricosis schenkii :- Disease :- Aka :- Details :- Biopsy , H&e :- Culture at 28*c :- DOC :-
322
323 Triangle of ascultation Boundaries :- Uses :- Lumbar triangle of petit Boundaries :- Potential sites of internal hernia :- Note :- Muscle involved in both :- ??
Stratus anterior :- Origin :- Insertion :- 2. Actinomycetoma caused by :- Details :- Except :- Microscopy :- Eumycetoma caused by :- Treatment:- Actiomycetoma :- Eumycetoma :-
323
Action of seratus anterior :- 1. 2. Nerve supply :- Injury :- Winging :-
Anterior chest wall :- Lattismus Dorsi :- Origin :- Insertion humerus :- Action :- Nerve supply is :- 2. Chroblastomycosis / cromomycosis Caused by :- Biopsy :- Lesion :- Treatment :-
Examples of dimorphic fungi :-
324
Pectoralis major :-
Origin :-
Insertion :-
Action :-
Teres major & subscapularis :-
Nerve supply :-
Deltoid and deltopectoral groove :- Clavipectoral fascia :- Between :- Encloses :- 3. Histoplasma :- Aka :- Tissue biopsy :- Culture :-
Blastomycis :- Aka :- Aka :- Biopsy :- Culture :-
325
Structures piercing clavipectoral fascia :-
Pectoralis minor :- Origin :- Insertion :- Action :- No action on :- 3. Coccidiodes Immitis & psadasi :- Causes :- Tissue biopsy :- Culture :-
P. Braziliansis :- Aka :- Cause :- Biopsy :- Culture :-
P. Marnifici :-
Biopsy :-
Culture :-
326
327 Brachial plexus Lateral cord formed Posterior cord formed Medial cord :- Branches :- From root :- Upper trunk :- Lateral cord :- root no Medial cord :- Posterior cord :- 4 Criptococus Differentiate from non pathogenic criptococcus :- C. Neoformans :- Hybrid serotype :- Capsular serotype :- Mcc of cryptococcosis Type d is :- Type bc :- Virulence factor :- Mode of infection :- Immunodeficient :- Site of systemic spread :- CF :- MCC of meningitis in hiv :- Diagnosis :- Culture :- Prove lacacase enzyme :- Mouse :- Rx of cryptococcosis :-
327 , 4
328 + 329 Musculocutanous nerve pieces :- Muscles of anterior compartment of arm supplied by :- Nerve of anterior compartment of arm is :- Musculocutaneous nerve supplies The long head of biceps is :- Popliteus is :- 4. Pneumocystis jirovesi Cell membrane :- It is a :- Mode of infection :- Risk for pneumocystis jirovesi pneumonia is in hiv :- Risk factor :- Inhalation of cyst:-
328 , 4
329 + 330
Musculocutaneous nerve imp:-
Branches of posterior cord and muscle supplied by them are :- S:- T :- A :- R :- S :- Humerus bone is related to nerves :- 4 Plasma cell pneumonia :- Present as :- X ray chest :- Specimen :- Lung biopsy :- Stains :- Cyst shape :- Culture :- Tests :- DOC :- If sulphonamide allergy :- Reserve drug for sever cases :- Prophylaxis :-
329+330 , 4
331 Erbs palsy vs Klumpkes palsy 5, Aspergillus Details of aspergillus :- Human disease caused by :- Differentiate:- ABPA is caused :- Superficial infection examples :- Corneal ulcer :- Otomycosis :- Burn / wound inf :- Paranasal sinusitis :- Onchomycosis :- Fungal ball / Aspergiloma :- Aflatoxin is produced by :- Invasive Pulmonary Aspergillosis :- MC site :- Risk factor is :- Lung biopsy :- Elisa :- Rx :- DOC :- Emergency bcoz :-
331 , 5
333-337 Radial artery Course :- Triceps :- Attached to :- Injury at lower aspect of radial groove:- Radial nerve branches in elbow Below elbow :- Posterior interosseous nerve supplies except :- Low radial nerve palsy :- PIN only Superficial branch :- Wartenberg synd Wartenberg sign 5, Zygomycosis Aka :- Caused by All are :- Sexual spores :- Asexual spores :- Risk factor :-
Zygomycosis / mucormycosis :- MC species :- MC type :- Triad of :- Diagnosis :- Stains shows :- DOC :-
333-337 , 5
338 -341 , Extensor tendon reaching distal phalanx Fuction of DDE :- Tendons attached to DDE :- Examples of wing tendons :- Malet finger :- Swan neck deformity :- Boutonnières deformity :- Extensor retinaculum Muscles passing through 1 st compartment :- De quervains synovitis :- Finkelstein test does in :-
Anatomical snuff box :- Boundaries Roof contains :-v imp Content :- Floor :- 2nd compartment :- 3 rd compartment:- 4th compartment :- 5 th compartment:- 6th compartment:-
Intersection syndrome:-
6. Candida :- MC isolated :- Candida glabarta :- Identification protocol for candida :- On SDA :- Germ tube :- aka :- Positive only in :- On corn meal agar / rice meal agar :- Test is positive only in :- Hypertonic saline 45*C :- Positive only for :- Chrome agar :- Risk factors for superficial candidiasis :- Cutaneous inf :- Mucosal inf :- Systemic infection of candida :- Treatment :- For superficial inf :- For deep inf :-
MCC of mycosis in hiv infected pts and neutropenic pts :-
338-341
345 Median nerve Course :- Flexors of forearm :- Superficial flexors :- Deep flexors :- The ulnar nerve :- Gantzers muscle :- Jersey finger :- avulsion of Median nerve distribution in palm :- LOAF:- 3 of thumb Thenar muscles are :- Proper digital branch supplies :- Palmar branch pass :- Median nerve injury :- In supracondylar # :- Normal :- Paralysis of 1. :- 2. :- 3 :- 4. :- Sensory loss :- Benediction hand sign :- Pointing index finger :- Ape thumb deformity :- Supination :-
345
Wrist slash injury
Mc nerve affected :-
Normal :-
Affected are :-
Carpal tunnel syndrome :-
Features similar to
Except :-
Cubital fossa :- Roof is formed :- Floor is formed by Content MBBS
347
349 Ulnar nerve Course :- Supplies :- Root value :- Course of the nerve :- Lies in :- In anatomical snuff box :- In Guyana canal :-
Ulnar nerve in the palm :-
Superficial branch :-
Deep branch :- all muscles of palms except :-
Ulnar nerve injury Pollocks sign :- Wartenberg sign :- Froment sign / forment test :- to test Flexor Pollisis long us supplied by :-
349
Lumbricals :- Nerve supply :- Origin :- Insertion Actions of lumbricals :-
Interossie :- Palmar interossei No and structures :- Supplied by :- Action :- Origin of attachment :- 1 &2 :- ulnar or medial side 3 & 4 :- radial or lateral side Note 3rd metacarpal has no :- no palmar
352
Dorsal interossei No and structure :- Supplied by :- Action Note 1 and 5 th metacarpal has no :- Attachment:- 1:- 2:- 3:- 4:-
354
353 -354 Mid palmar space :- Boundaries :- Thenar space :- Boundaries :- Infection from index finger spread to :-
353 - 354
360 Flexor Retinaculum Flexors muscles of forearm Superficial are :- Deep are :- Guynons canal content from diagram :- Attachment of flexor retinaculum :- On lateral side :-
Pisiform bone details :- Ulnar bursa is :- Ulnar bursa continues as :- Radial bursa :- Continues as :- Median nerve :-
Guyots canal :-
Roof :-
Content :-
Structures passing above flexor retinaculum :-
Tendon of middle 3 fingers :-
Carpal tunnel syndrome
Phalens test :-
360
Subclavian artery :- Branches :- Axillary artery :- Branches :- All the branches of axillary supplies mammary gland except :-
Brachial artery :- Branches Ulnar artery :- Branches Pierce’s interosseous membrane :-
Superficial palmar arch Continuation of :- Branches :- Medially :- Laterally:-
Arteria Princess Pollicis artery
Branch of :-
Radialis indicis artery :-
Branch of :-
Deep palmar arch Continuation of :- Completed by :- Proximal:- Distally :-
Allen’s test :-
Scapular anastomoses:- Between :- Inferior angle :- Body :- Minor :-
Supracondylar # of humerus :-
355