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Medicine 2 Week 6 - 11 > Upper Limb Review Nasher > Flashcards

Upper Limb Review Nasher Flashcards

1
Q

Vertebral Level of Hyoid Bone

A

C3/4

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2
Q

Arterial supply of thyroid

A

The superior thyroid artery (STA) arising from the external carotid artery (ECA), and the inferior thyroid artery (ITA) branching from the thyrocervical trunk

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3
Q

Ends of the clavicle

A

Sternum/Manubrium

Acromion

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4
Q

Clavicular Ligaments

A

Sternoclavicular
Costoclavicular
Interclavicular

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5
Q

What muscles originate at the clavicle

A

Deltoid
Pectoralis Major
Sternocleidomastoid

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6
Q

What muscle inserts at the clavicle

A

Trapezius

Subclavius

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7
Q

What structures are at risk with a clavicular fracture

A

Brachial plexus

Subclavian aa/vv

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8
Q

Serratus anterior origin

A

1st-8th ribs

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9
Q

Serratus anterior Action

A

Protracts scapula and holds it against thoracic wall

Rotates scapula

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10
Q

Serratus Anterior Innervation

A

Long Thoracic Nerve

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11
Q

Subclavius Action

A

Anchors and depresses clavicle at sternoclavicular joint

**Dont learn too much

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12
Q

Latissimus Dorsi (superficial) Action

A

Extends, adducts and medially rotates humerus

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13
Q

Latissimus Dorsi (superficial) Innervation

A

Thoracodorsal Nerve

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14
Q

Levator scapulae (deep) action

A

Elevates scapula

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15
Q

Levator scapulae (deep) innervation

A

Dorsal scapular nerve (C3, C4)

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16
Q

Rhomboid Major and Minor (deep) action

A

Retract scapula

Fix scapula to thoracic wall

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17
Q

Rhomboid Major and Minor (deep) innervation

A

Dorsal Scapular Nerve

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18
Q

Rotator Cuff Muscles

A

SITS

Supraspinatus
Infraspinatus
Teres Minor
Subscapularis

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19
Q

Shoulder Muscles supplied by Axillary Nerve

A

Deltoid

Teres Minor

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20
Q

Shoulder Muscles supplied by SuprascapularNerve

A

Supraspinatus

Infraspinatus

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21
Q

Shoulder Muscles supplied by Subscapular Nerve

A

Subscapularis

Teres Major

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22
Q

Quadrangular Space Contents

A

Posterior Circumflex Humeral Artery & Vein and Axillary Nerve

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23
Q

Triangular Space Contents

A

Scapular Circumflex Artery and Vein

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24
Q

Contents of Axilla

A 
Axillary Artery
Axillary Vein
Brachial Plexus
Axillary Lymph Nodes
Axillary Sheath
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25
Parts of Axillary Artery
Between lateral aspect of 1st rib and medial aspet of pec minor - Superior Thoracic Artery Posterior of pec minor - Thoracocacromial & Lateral Thoracic Arteries Between Lateral aspect of pec minor and Teres Major - Subscapular. Ant & Post Circumflex Humeral Arteries
26
What are the two main veins draining into the axillary vein
Basilic/Cephalic Veins
27
Where does most of the breast lymph drain into
Axillary Lymph Nodes
28
Important Fracture Sites of the Humerus
Surgical Neck Midshaft Supracondylar Region Medial Epicondyle
29
What is most commonly affected by a fracture in the surgical neck of the humerus
Axillary Nerve & Circumflex Humeral Artery
30
What is most commonly affected by a fracture in the radial groove of the humerus
Radial Nerve & Profunda Brachii Artery
31
What is most commonly affected by a fracture in the shaft of the humerus
Median Nerve and Brachial Artery
32
What nerve runs superficial to the Medial Epicondyle
Ulnar Nerve
33
Muscles of Anterior Arm
BBC Biceps Brachii Brachialis Coracobrachialis
34
Innervation of Arm Flexors
Musculocutaneous Nerve
35
Function of Coracobrachialis
Adduction and flexion of the arm at the shoulder joint
36
Function of Brachialis
Strong flexion of forearm at the elbow joint
37
Main Veins of the Arm
2 Brachial Beins (Deep) Basilic and Cephalic Veins (Superficial)
38
Why does the medial fragment of the clavicle displace superiorly in a clavicle fracture
Action of the SCM
39
Rotator Cuff Muscles
Supraspinatus Infraspinatus Teres Minor Subscapularis SITS
40
Action of Supraspinatus
Initiation of Abduction (First 15 Degrees) (I Think)
41
What might be injured inferiorly to a clavicle fracture
Subclavian Vessels Brachial Plexus Lungs
42
Innervation of Teres Minor
Axillary
43
Origin of Axillary Artery
Subclavian Artery
44
Which muscle inserts in the Coracoid process
Pectoralis Minor
45
Which muscles originate at the coracoid process
Biceps Brachii Short Head | Coracobrachialis
46
Auscultation Site of Mitral Valve
ICS5 Left
47
Innervation of Mediastinal Pleura
Phrenic Nerve
48
Haemothorax
When blood collects between your chest wall and your lungs
49
Boundaries of Cubital Fossa
Superior: Midline between Epicondyles Lateral: Medial End of Brachioradialis Medial: Lateral End of Pronator Teres
50
Floor of Cubital Fossa
Laterally: Supinator Medially: Brachialis
51
Roof of Cubital Fossa
Bicipital Aponeurosis Skin Fascia
52
Contents of Cubital Fossa
``` Biceps Brachii Tendon Brachial Artery (And its bifurcation) ``` Radial Nerve Median Nerve ``` Cephalic Vein (Lateral) Basilic Vein (Medial) Median Cubital Vein (Joins the above 2 veins) ```
53
How to find Brachial Pulse
Medial to the Biceps Brachii Tendon
54
Superficial Muscle(s) of Anterior Forearm
FCR Palmaris Longus FCU Palmaris Longus
55
Intermediate Muscle(s) of Anterior Forearm
Flexor Digitorum Superficialis
56
Deep Muscle(s) of Anterior Forearm
Flexor Digitorum Profundus Flexor Pollicis Longus Pronator Quadratus
57
Which bone is the olecranon a part of
Ulna
58
Colles Fracture
Complete fracture of the radius bone of the forearm close to the wrist resulting in a displacement of the distal dorsal radius and obvious deformity
59
Smiths Fracture
Fracture of the distal end of the radius caused by a fall on the back of the hand (flexed), resulting in a volar displacement of the fractured fragment Risk of Injury to Median Nerve
60
Action of FCR
Flexion and ABduction (Radial Deviation) of hand at wrist joint
61
Action of FCU
Flexion and ADduction (Ulnar Deviation) of hand at wrist joint
62
All Anterior Forearm Muscles
Pronator Teres FCR Palmaris Longus FCU FDS FDP FPL Pronator Quadratus
63
Golfer's Elbow vs Tennis Elbow
Golfer's: Medial Epicondylitis | Tennis: Lateral Epicondylitis
64
Which muscle inserts at the distal phalanges anteriorly
Flexor Digitorum Profundus
65
Which nerves innervate the FDP
Medial Half: Ulnar Nerve | Lateral Half: Median Nerve
66
How to find pronator quadratus on prosection
Spread the tendons at wrist and go down to bone - it is a muscle that looks like a square
67
What muscles of the anterior forearm are not innervated by the Median Nerve
FCU Medial Half of the Flexor Digitorum Profundus **ULNAR
68
Condyles of the Upper Limb
Trochlea (Ulna) | Capitulum (Radius)
69
Epicondyles vs Condyles
Condyles are smooth while epicondyles are rougher | Condyles articulate with ulnar and radius while epicondyles do not
70
Condyles of the Upper Limb
Trochlea (Ulna) | Capitulum (Radius)
71
Condyles of the Upper Limb
Trochlea (Ulna) | Capitulum (Radius)
72
Condyles of the Upper Limb
Trochlea (Ulna) | Capitulum (Radius)
73
Condyles of the Upper Limb
Trochlea (Ulna) | Capitulum (Radius)
74
Branches of Radial Artery
Muscular & Cutaneous Branch Radial Recurrent Artery Carpal Branches Deep Palmar Arch
75
Branches of Ulnar Artery
``` Ant Post Ulnar Recurrent Arteries Muscular Interosseous Branches Carpal Branches Superficial Palmar Arch ```
76
Veins of Forearm
Deep: 2 Radial and 2 Ulnar Veins Superficial: Basilic Cephalic
77
Action of Biceps Brachii
Flexion | Supination
78
Nerve innervating anterior compartment of arm
Musculocutaneous Nerve
79
Which deep forearm muscle is responsible for pronation
Pronator Quadratus
80
Which structure is most at risk during a distal humerus fracture (Supracondyle Fracture)
Brachial Artery
81
Muscles of Posterior Compartment of the Arm
Triceps Brachii | Anconeus
82
Which muscle innervates extensors/posterior muscles of the arm/forearm
Radial Nerve
83
Superficial Muscles of Posterior Forearm
``` Brachioradialis FCRL FCRB Extensor Digitorum Extensor Digiti Minimi ECU ```
84
Brachioradialis Action
FLEXION of Forearm Origin: Just above Lateral Epicondyle Insertion: Radial Styloid Process
85
ECRL
Extension and Abduction at wrist Lateral supracondylar ridge of humerus Posterior aspect of base of metacarpal bone 2
86
Deep Muscles of the Posterior Forearm
``` Supinator APL EPB - Extensor of Proximal Phalynx Thumb EPL - Extensor of Distal Phalynx Thumb Extensor Indices ``` **RADIAL NERVE POSTERIOR INTEROSSEUS
87
Wrist Drop
Occurs at damage to Radial Nerve (Since it innervates extensors)
88
Compartments of Extensor Retinaculum
EPB, APL ECRL, ECRB EPL EI, ED EDM ECU
89
Carpal Bones
A guy goes out on Saturday, sees a hot girl from far away and tells his friends "SHE LOOKS TOO PRETTY; TRY TO CATCH HER" ``` Proximal:: Scaphoid Lunate Triquetrium Pisiform ``` ``` Distal:: Trapezium Trapezoid Capitate Hamate ```
90
Risk of Scaphoid Fracture
Avascular Necrosis of the proximal bone
91
Palmar Aponeurosis
Central part of the deep fascia of the palm which is a highly specialized thickened structure with little mobility
92
Flexor Retinaculum
Forms the roof of the carpal tunnel - converts the carpal arch (made by the 8 carpal bones) into a carpal *tunnel*
93
Contents of the Carpal Tunnel
9 Tendons: 4 for the FDS, 4 for the FDP, 1 for the FPL Median Nerve
94
Carpal Tunnel Syndrome
Compression of Median Nerve as a result of flexor retinaculum thickening
95
Flexor Synovial Sheaths
Allowing smooth movement of flexor muscles
96
Thenar Muscles
FPB APB Opponens Pollicis **Muscles at base of thumb
97
Adductor Compartment of Hand
Adductor Pollicis Muscle
98
Innervation of Deep head of FPB
Ulnar Nerve
99
Hypothenar Muscles
FDMB ADM Opponens Digiti Minimi * *Muscles located at base of little finger * *Exactly same as Thenar **Ulnar Nerve
100
Which intrinsic hand muscles are not innervated by the Ulnar Nerve
Lateral 2 Lumbricals
101
Action of Lumbricals
Flexion at Metacarpalphalangeal Joints and Extension at Interphalngeal Joints
102
Palmar Interossei
Adductors of the ingers **Ulnar Nerve
103
Dorsal Interossei
ABduction **Ulnar Nerve
104
Contents of Anatomical Snuff Box
Radial Artery | Superficial Branch of Radial Nerve

Medicine 2 Week 6 - 11 (54 decks)

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