Week 1 Flashcards

General arrangement of the trunk and the bony rib cage and sternum

1
Q

Label the main stages of the development of the embryo

A
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2
Q

What stage is this? What week does it occur in? label it

A

Blastocyst stage

Week 1 day 6

  1. Blastocyst cavity
  2. Inner cell mass
  3. Outer cell mass
  4. Zona Pellucida
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3
Q

Label the parts of the blastocyst. What week does this happen?

A
  1. Blastocyst Cavity
  2. Inner cell mass
  3. Outer cell mass
  4. Zona Pellucida
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4
Q

What is the two layered embryo known as? What week does this happen? Label the main parts

A

Bilaminar Disc: Week 2

  1. Developing Amniotic Cavity
  2. Epiblast
  3. Hypoblast
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5
Q

What is the three-layered embryo known as? What week does this happen? Label the layers, including what they were formally known as.

A

Trilamina Disc: Week 3

  1. Ectorderm (formally eipiblast)
  2. Mesoderm (newly created)
  3. Endoderm (formally hypoblast)
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6
Q

How does the long axis develop? What week does This happen? Label the embryo

A

Process of gastrulation: Cells from epiblast multiply and migrate through the opening known as the primitive streak.

Week 3

  1. Primitive Streak
  2. Endoderm
  3. Mesoderm
  4. Ectoderm
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7
Q

What will the following layers become:

Ectoderm
Mesoderm

Endoderm

A

Ectoderm: (outer layer) Skin (epidermis only), Hair, Nails, Sebaceous glands and Nervous system.

Mesoderm: (middle layer), Connective tissue, muscle, kidneys and gonads

Endoderm: (Inner Layer), Lining of gut tube (except mouth and anus), Lining of lungs (e.g. Trachea, Bronchi and Alveoli), Glands that branch of gut tube (E.g. Liver, Pancreas), Urinary bladder and Trachea

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8
Q

What is the part highlighted in blue? What layer is it growing in? What is its purpose? What does it become the template for?

A

The Notochord:

  • A rod-like structure which grows deep in the mesodermal layer
  • As the notochord develops it elongates the trilaminar disc to produce a distinct long axis of between the cranial and caudal ends
  • This becomes a template for bilateral symmetry
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9
Q

Label the following developing cross section through the embryonic disc.

Breifly explain the different components of the middle layer (what will they become)?

A

A. Ectoderm, B. Mesoderm, C. Endoderm

1. Limb Buds: Future limbs

2. Paraxial Mesoderm: (runs parallell to axis) Cartilage, Skeletal Muscle and Dermis

3. Lateral Plate Mesoderm: Body wall, wall of gut, Heart and circulatory system

4. Intermediate Mesoderm: Kidneys and Gonads

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10
Q

Label it. What have they been derived from? What is the point of them? What will they differentiate into?

A

The Somites:

  • Derived from the paraxial mesoderm (each side of the notochord)
  • Responsible for the segmentation of the embryo

The Somites will differentiate to form:

  • The Axial skeleton (Ribs, sternum, vertebrae, hyoid, skull bones)
  • The Associated musculature (Muscles of the back and body wall)
  • The associated connective tissue (Ligaments, Tendons, and dermis)
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11
Q

List the bony components of the thorax?

A
  • Sternum
  • 12 pairs of ribs
  • 12 thoracic vertebrae
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12
Q

What type of cartilage is at the end of each rib connecting them to the sternum? What features does this type of cartilage display? What is the cartilage reffered to when in relation to the ribs?

A

Hyaline cartilage:

Contributes to elasticity and flexibility

  • Known as costal cartilage when in relation to the ribs
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13
Q

Which ribs attach directly to the sternum? Which ribs attach indirectly? What is the “network” of cartilage that indirectly attaches these ribs to the sternum?

A

1-7 are direct

8 - 10 indirect and the cartilage network that indirectly joins them is known as the costal margin?

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14
Q

Label the 3 sections of the sternum

A
  1. Manubrium
  2. Body of sternum
  3. Xiphoid Process
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15
Q

How does the sternum ossify? what classification of bone is it?

A

Flat bone

The sternum ossifies through a process known as segmental endochondral ossification.

There are 6 ossification centres which fuse by the age of about 25

Manubrium: 1

Body: 4

Xiphoid Process: 1

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16
Q

Label the image. What is the difference in attachment type between parts labelled 3 and 4? What type of a facet is “4” known as?

A
  1. Jugular or suprasternal notch
  2. Clavicular notches (SAY LEFT OR RIGHT)
  3. 1st Costal notch (SAY LEFT OR RIGHT)
  4. 2nd Costal notch (SAY LEFT OR RIGHT)

The difference between the 1st and 2nd costal notch is the 1st costal notch is rough and part of a cartilagenous attachment for rib 1, Whereas the 2nd costal notch is smooth and part of a synovial attachment for rib 2.

The 2nd Costal notch is known as a demifacet (2 half facets)

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17
Q

What is the name of this JOINT? is the surface rough or smooth and why? and what import surface land mark does the anterior angle make up?

A

The manubriosternal joint

Rough surfaces “joined” by a fibrocartilaginous pad

This makes up the sternal angle (angle of louis)

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18
Q

Label the borders of the sternum body.

A
  1. Superior border
  2. Lateral Borders
  3. Inferior border
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19
Q

What is unique about costal notches 2 and 7?

A

They are demifacets (two half facets)

20
Q

What is the Xiphoid bone made out of? what joint does its superior border participate in? What important surface landmark does this junction create?

A

Hyaline cartilage

Xiphisternal joint

Epigastric fossa

21
Q

What is the space between the ribs called? How many spaces are there? How do we number the spaces? What is the 12th space known as? What is the purpose of all of these spaces?

A

The space between the ribs is known as the intercostal space. There are 11 intercostal spaces on each side. We label the spaces by the rib number above. There is no 12th intercostal space as there is no rib below it, therefor it is known as the subcostal space. These intercostal spaces allow for movement of the ribs with a degree of variable rigidity.

22
Q

Which of the 12 ribs are typical and which ones are atypical?

A

3-10 = typical (fairly consistent)

1, 2, 11, 12 = atypical (variability)

23
Q

Label the parts of a typical rib.

A
  1. Head of rib
  2. neck of rib
  3. shaft of rib
24
Q

label the components. If this was rib number 6 what vertebrae would components labelled 1 and 3 articulate with?

A
  1. Superior articulating demifacet of rib __ on the right side
  2. Crest of head of rib number ___ on the right side
  3. Inferior articulating demifacet of rib ___ on the right side

The superior articulating demifacet of rib 6 would would articulate with T5, and the inferior articulating demifacet of rib 6 would articulate with T6

25
Q

What is unique about rib 10’s articulation with the vertebrae?

A

Rib 10 often only has one articulating facet, therefore has no crest and articulates with only one vertebra, its own (T10).

26
Q

What part of the spine are the crests of the heads of the ribs in line with?

A

The intervertebral discs

27
Q

Label the following components. What type of surface does “1” have and why? What is the purpose of “2a” and “2b”?

A
  1. Crest of neck
  2. Tubercle of the rib
    2a. Articular facet of tubercle of the rib
    2b. Non articular part of the tubercle of the rib

The crest of the neck has a rough surface as it partakes in ligament attachment.

The articular facet is smooth and part of a synovial joint with the transverse process of the vertebrae, whilst the non-articular part is rough and serves a point for ligament attachment.

28
Q

Label the following. What is the purpose if “3”?

A
  1. superior border of the rib
  2. Inferior border of the rib
  3. Costal groove

The costal groove is there to house the neurovascular bundle

29
Q

Label 3, 4, and 5. which rib is this? What makes you so sure? is this a superior or inferior view (and why)? What structures run through features 1 and 2 ? what attaches to feature 3? what is feature 5 the boundary for?

A
  1. Scalene tubercle, 4. Lateral border, 5 medial border

This is the left 1st rib; It is much shorter, flatter, wider, and more horizontal than the others. It contains 1 articular facet on the head, 1 articular facet on the tubercle and it lacks a discrete angle (instead it is fused with the tubercle). This is a superior view as the surface is much rougher (the inferior surface is relatively smooth). The subclavian artery runs through the groove posterior to the scalene tubercle and the subclavian vein runs anterior to the scalene tubercle. The anterior scalene muscle attaches to the scalene tubercle. The medial border is the boundary for the thoracic inlet.

30
Q

What rib is this? what makes you so sure? What muscle attaches to feature “A”?

A

Right 2nd rib; It still consists of a superior and inferior surface similar to rib 1, The costal groove is present (not visible in this image). The angle is seperate (discrete) from the tubercle. Head has two demifacets that articulate with body of T1 and T2 vertebrae. Has a rough tuberosity midshaft on the superolateral aspect.

Seratus anterior attaches to the costal tuberosity.

31
Q

Which rib is this? what makes you so sure? What is the significance underlying this ribs head and tubercle?

A

The right 11th rib; There is no anterior attachment, only will have a small tip of costal cartilage, Has a head but no distiguishable neck, has a poorly marked tubercle (if any), only has a slight discrete angle with a shallow costal groove. With this rib only having one facet on the head and no facet on the tubercle, this means that the head only articulates in one place on the vertebral body, and that the tubercle does not articulate with the vertebrae at all.

32
Q

Which rib is this? What makes you so sure? What is the significance underlying the head of this rib?

A

This is the right 12th rib. The reason we can determine this is that it has no anterior attachement, Small tip of costal cartilage, much smaller, poor markings, no neck, tubercle, angle or costal groove. The singular facet on the head of this rib indicates that the head only articulates in one place on the vertebral body.

33
Q

What two points does a typical rib articulate with posteriorly? what are these two joints called?

A

The body and the transverse process of the vertebrae:

Body of vertebrae + head of rib = costovertebral joint

Transverse process + tubercle of rib = costotransverse joint

34
Q

Typical ribs articulate with how 1 or 2 vertebrae?

A

2

35
Q

Which vertebrae would rib 5 attach to?

A

Superiorly to vertebrae 4

inferiorly to rib 5

36
Q

What cool science lingo has garry told us to use instead of true, false and floating ribs? explain each briefly.

A

True -> Vertebrosternal:
- Ribs 1-7

  • ribs attach directly and independantly to sternum via thier own costal cartilage

False -> Vertebrochondral:

  • Ribs 8, 9, and 10
  • ribs attach indirectly to sternum via costal cartilage of the rib above

Floating -> Vertebral:

  • No anterior attachment
37
Q

What is this? What direction does it face? What is it bounded by? What is it the passage for?

A

Superior thoracic aperture. IT points down anteriorly (oblique).

It is bounded:

Posteriorly: Vertebral body of T1

Laterally: Medial border of first rib

Ant/Lat: costal cartilage of first rib

Ant: Superior border of manubrium

Passage for: Trachea, oesophagus, nerves (E.g. Vagus and Phrenic), Blood vessels (E.g. Common carotid Artery)

38
Q

What is this? What direction does it face? What is it bounded by? what spans across it?

A

Inferior Thoracic aperture:

  • Points down posteriorly (larger and oblique)

Bounded:

Post: T12 vertebral body

Post/Lat: Inferior border of rib 12 and tip of rib 11

Ant/Lat: Costal margin (costal cartilages of ribs 7-10)

Ant: Xiphoid process of sternum

Spanned by respiratory diaphragm

39
Q

The diaphragm seperates ______ and ______ spaces. What must pass through between these spaces? What vertebral level do these structures pass through the diaphragm?

A

The diaphragm seperates thoracic and abdominal spaces.

Inferior vena cava: T8

Oesophagus: T10

Aorta: T12

(also nerves and lymphatics but that shit too complicated)

40
Q

What is this abdominal boundary known as? What is is bounded by (1 - 4)? What muscle spans across it?

A

The inferior pelvic aperture (aka pelvic outlet)

Bounded:

Ant: 1.a. = Pubic symphysis and 1.b. = Pubic arch

Lat: 2. Ischial tuberosities

Post/lat: 3. Sacrotuberous ligaments (only visible on the left side)

Post: Coccyx

Spanned by pelvic diaphragm

41
Q

What are the main 4 surface landmarks created anteriorly via sternum? Name the vertebral level/s of each landmark?

A
  1. Sternal Angle = T4/T5
  2. Suprasternal notch = T2
  3. Manubrium = between T3 and T4
  4. Body of sternum = between T5-T9
42
Q

What 3 main structures/structural features can we find at the level of the sternal angle?

A
  1. Biforcation of the trachea
  2. Arching of the aorta
  3. Azygous vein draining into Superior Vena Cava
43
Q

What level is the epigastic fossa located at? What plexys is it in line with?

A

T9

Celiac plexus

44
Q

How would you describe the location of the apex of the heart?

A

At the junction between the 5th left intercostal pace and the midclavicular line.

45
Q

How would you describe the location of the gall bladder?

A

At junction of 9th rib and right costal margin

46
Q

What do the nipples in males and young nulliparous women lie anteriorly to? Is this a reliable landmark?

A

Generally lies anterior to 4th intercostal space and just lateral to midclavicular line , however, level can vary depending on breat size especially in multiparous women.

Not vary realiable as too much variation unlike other landmarks.