Y1 Anatomy Buzzwords Flashcards
placement of stethoscope for the middle lobe of the right lung
between ribs 4 and 6 in mid-clavicular and mi-axillary lines
placement of stethoscope for lung bases
posteriorly in the scapular line at T11 vertebral level
horizontal fissure of right lung
rib 4
oblique fissures
rib 6 anteriorly, rising to the level of T3 posteriorly
anterior intercostal arteries
branch from internal thoracic artery
posterior intercostal arteries
branch from the thoracic aorta
anterior intercostal veins
drain into internal thoracic veins
posterior intercostal veins
drain into the azygous vein
intercostal neuromuscular bundles
from superior to inferior
vein, artery, nerve
VAN
openings in the diaphragm
I Ate (8) 10 eggs at 12
inferior vena cava pierces at T8
oesophagus pierces at T10
aorta pierces at T12
what type of muscle is the diaphragm
skeletal muscle
what is the phrenic nerve made up of?
anterior rami of C3, C4, C5
what nerve supplies the serratus anterior?
long thoracic nerve
what 3 blood vessels are either side of the sternum?
internal thoracic artery and a pair of veins
what is the most inferior part of the pleural cavity?
costodiaphragmatic recess
most inferior part of this is the costophrenic angle
what happens if fluid builds up in the costodiaphragmatic recess?
blunting of angles and a fluid level being seen on x ray
what is the tongue on the superior lobe of the left lung called?
lingula
where is the cephalic vein located?
delta-pectoral groove
where does the trachea bifurcate?
level of the sternal angle
where do inguinal ligaments attach between?
ASIS and pubic tubercle
what is the midpoint of the inguinal ligament?
deep ring
direct inguinal hernia
a bit of peritoneum is forced through the posterior wall of the inguinal canal, and DIRECTLY out of the SUPERFICIAL ring
indirect inguinal hernia
a bit of peritoneum is forced through the DEEP, into the inguinal canal, then out of the superficial ring
which is more medial, the vagus or the phrenic nerve?
vagus
order of the great vessels from right to left
SAP
superior vena cava
aorta
pulmonary artery
where does the tricuspid valve sit?
deep to the coronary groove which contains the right coronary artery
what marks the boundary between the 2 ventricles?
anterior interventricular groove
what contains the LAD branch?
anterior interventricular groove
what is the posterior interventricular artery?
a branch of the RCA
where does the posterior interventricular artery sit?
in the posterior interventricular groove
where is the LCA found?
left atrioventricular groove
what are the 3 openings into the right atrium?
SVC IVC and coronary sinus
what is the fossa ovalis?
a depression in the right atrium which is a remnant of the foramen ovale
what represents the boundary between the smooth and rough parts of the RA?
crista terminalis
how are cusps of heart valves connected to the heart wall?
by tendinous cords which are anchored to papillary muscles
what is the transverse thoracic line?
the line between the sternal angle and the T4/T5 intervertebral disc
what differentiated between the superior mediastinum and the inferior mediastinum?
transverse thoracic plane
how does the vagus nerve pass through the diaphragm?
with the oesophagus
where does the azygous vein drain into?
the superior vena cava
name the branches of the aorta
ascending = 2 coronary arteries arch = brachiocephalic trunk, left common carotid and left subclavian arteries descending = bilateral posterior intercostal arteries
what is the venous angle?
the junction between the subclavian and internal jugular veins
where is the venous angle located?
at the sternoclavicular joint
where does the vagus nerve lie in terms of the lung root?
posterior
where does the phrenic nerve lie in terms of the lung root?
anterior
what does the recurrent laryngeal branch of the left vagus nerve hook under?
the ligament arteriosum
nerves of the superior mediastinum from lateral to medial
phrenic
vagus
recurrent laryngeal
where does the right laryngeal nerve hook under
the right subclavian artery and does not enter the chest
where does the left laryngeal nerve hook under?
the arch of the aorta and does enter the chest
where can lymph from the inferior lobe of the left lung drain into
the right lymphatic duct
name the structures of the posterior mediastinum from anterior to posterior
brachiocephalic veins + SVC arch of the aorta trachea oesophagus thoracic duct
what are all of the tongue muscles except the palatoglossus innervated by?
CN XII hypoglossal
what is the palatoglossus innervated by?
CN X vagus
what are constrictor muscles of the pharynx?
external layer of pharyngeal muscles
what are the constrictor muscles of the pharynx innervated by?
CN X vagus
what are the inner longitudinal muscles of the pharynx innervated by?
CN IX and X
what is the muscle innervated by CN IX in the pharynx?
stylopharyngess
what controls the sensory limb of the gag reflex?
CN IX
what controls the motor limb of the gag reflex?
CN IX and CN X
what is the nerve supply to the anterior 2/3rds of the tongue?
general sensory- CN V3
special sensory- CN VII
nerve supply to the posterior 1/3rd of the tongue?
CNIX
what are the muscles of opening and closing the jaw all innervated by?
CNV3
the mandibular division of the trigeminal nerve
muscles of the jaw closing
masseter
temporalis
medial pterygoid
muscle of jaw opening
lateral pterygoid
what bone are the pterygoid plates part of?
sphenoid bone
what is the parasympathetic innervation of the GIT until the distal end of the transverse colon?
vagus nerve
what is the parasympathetic innervation of the GIT from the descending colon to the anal canal?
pelvic splanchnic nerves (S2,3,4)
what kind of organ is the liver in terms of the peritoneum?
intraperitoneal
in which part of the body do sympathetic nerves synapse directly onto the cells of?
the adrenal gland
visceral afferent nerve fibres of the foregut
T6 to T9
visceral afferent nerve fibres of the midgut
T8 to T12
visceral afferent nerve fibres of the hindgut
T10 to L2
where does the coeliac trunk branch from the abdominal aorta?
T12
where does the splenic artery run?
along the superior border of the pancreas
role of gall bladder
stores and concentrates bile
role of spleen
breaks down red blood cells to produce bilirubin
which ribs protect the spleen?
9-11
which ribs protect the liver?
7-11
what supplies blood to the gall bladder?
cystic artery
which sac are the hepatorenal and subphrenic recesses located within?
the greater sac
what forms the ampulla of vater
bile duct and pancreatic duct
what causes jaundice
increase in blood levels of bilirubin
blood supply to the stomach
right and left gastric arteries
right and left gastro-mental arteries
blood supply to the pancreas
pancreatic branches of splenic artery
gasproduodenal branch of the hepatic artery
pancreaticoduodenal arteries
which part of the duodenum are intraperitoneal?
first part
what are the last 3 parts of the duodenum?
retroperitoneal
what are the parabolic gutters a part of?
the greater sac of the peritoneal cavity
at what level does the abdominal aorta bifurcate into the common iliacs?
L4 level
main arterial anastomosis in the large intestine
marginal artery of Drummond
blood supply to the rectum and anal canal
superior rectal artery from IMA
middle and inferior rectal arteries from the internal iliac artery
separation of the rectum from the anal canal
pectinate line
3 important sites of portal systemic anastomoses
Distal end of oesophagus. Skin around the umbilicus. Rectum/anal canal
what is the pelvic floor?
levator ani muscle
where is the rectosigmoid junction?
anterior to S3
where does the rectum become the anal canal?
anterior to the tip of the coccyx
3 muscles associated with the levator ani
iliococcygeus, pubococcygeus, puborectalis
nerve supply to the levator ani
Nerve to levator ani (a branch of the sacral plexus, S3, S4) Pudendal nerve (S2, S3, S4)
what stimulates contraction of the external anal sphincter?
pudendal nerve
how does the pudendal nerve exit the pelvis?
via the greater sciatic foramen
how does the pudendal nerve enter the perineum?
through the lesser sciatic foramen
nerve supply above pectinate line
autonomic
arterial supply above pectinate line
inferior mesenteric
venous drainage above pectinate line
portal system via IMV
lymphatic drainage above pectinate line
IM nodes
nerve supply below pectinate line
somatic
pudendal
arterial supply below pectinate line
internal iliac
venous drainage below pectinate line
systemic system via internal iliac veins
lymphatic drainage below pectinate line
superficial inguinal nodes
what lies on either side of the anal canal?
ischioanal fossa
extra part of the axis
odontoid process
first palpable vertebrae
C7
where are spinal nerves located
below the vertebrae of the same number in the intervertebral foramen
nipple level dermatome
T4
umbilical level dermatome
T10
thumbs dermatome
C6
where are the lumbar and sacral spinal nerves
cauda equina
where is the caudal equine
begins at L1/L2
types of fibrous joints
sutures
fibrous sheets
sutures
between bones of the skull
fibrous sheets
in between bones eg radius and ulna
types of cartilaginous joints
primary
secondary
primary cartilaginous joint
inside the bone eg epiphyseal growth plate
secondary cartilaginous joint
intervertebral discs
synovial joints
pivot ball and socket plane hinge biaxial
pivot
neck
ball and socket
hip
plane
acromiocalvicular
hinge
elbow
biaxial
hands and feet
what contains the vagus nerve in the neck
carotid sheath
where is the thyroid gland
C7
grey matter of the brain
outside
white matter of the brain
inside
grey matter of the spinal cord
inside
white matter of the spinal cord
outside
where can diaphragmatic pain be referred to?
tip of the shoulder
blood supply the the testicles
testicular artery
pampniform plexus of veins
sympathetic supply to heart and lungs
cardiopulmonary splanchnic nerves
bony features of the humerus
greater and lesser tubercles at proximal end
lateral and medial epicondyles at the distal end
bony features of the femur
greater and lesser trochanters at the proximal end
lateral and medial condyles at the distal end (also epicondyles)
auscultation of apices of the lung
superior to the middle 1/3rd of the clavicle
medial half of the breast drains to
parasternal lymph nodes
lateral half of the breast drains to
axillary lymph nodes
lymph nodes at the carina
tracheobronchial
lymph nodes at the hilum
hilar (bronchopulmonary)
right border of the heart
right atrium
left border of the heart
left ventricle
where is the cardiac plexus
base of the heart
nerve supply to the carotid sinus
CN IX glossopharyngeal
nerve supply to the aortic sinus
CN X vagus
TMJs
condylar process
mandibular fossa
articular tubercle
muscles maintaining faecal continence
levator ani
ligament of the liver from the liver to the diaphragm
coronary ligaments
ligament of the liver to anterior abdominal wall
falciform ligament
constrictions of the oesophagus
cricopharyngeus muscles
thoracic constriction
diaphragmatic
ccricopharyngeus constriction
C6
thoracic constriction
arch of the aorta