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145 Cards in this Set
- Front
- Back
What part of the brain is the spinal cord continuous with? |
Medulla oblongata |
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Where does the spinal cord begin? |
Foramen magnum |
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At what level of vertebra does the spinal cord end? |
L1 or L2 |
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Which is longer: The spinal cord or the vertebral column. Why? |
Vertebral column is longer than the spinal cord, because it grows for a longer period of time. |
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What is the tapered, terminal portion of the spinal cord? |
Conus medullaris |
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What extends inferiorly from the conus medullaris and resembles a horse's tail? |
Cauda equina |
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What is the cauda equina comprised of? |
Anterior (ventral) and posterior (dorsal) roots from inferior spinal cord segments |
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What is the spinal epidural space filled with? |
Fat |
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What is the (spinal) subarachnoid space filled with? |
CSF |
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Between what spinous processes is Lumbar Puncture (Spinal Tap) inserted? What is it inserted through? |
L3 & L4, or L4 & L5. Inserted through a needle |
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What layers does a Lumbar Puncture (Spinal Tap) pierce through? Into what is it inserted? What does it withdraw? |
Pierces the dura and arachnoid layers. Inserted into subarachnoid layer and withdraws 3-9 mL of CSF. |
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Between what spinous processes is Epidural Block inserted? |
L4 &L5 |
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Through what is an Epidural Block inserted? Into what is it inserted? |
Through a catheter into the epidural space in lumbar region (hence L4 &L5) |
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Does the catheter of an Epidural Block pass through the dura mater? |
No-- it is only inserted into the epidural space |
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Epidural Block provides ___ (sensory/motor/both) anesthesia. |
Sensory |
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Between what spinous processes is Spinal Block (Spinal Anesthesia) inserted? Through what is it inserted? |
L3 & L4. Inserted through a needle. |
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What layers does a Spinal Block (Spinal Anesthesia) pierce? Into what is it inserted? |
Dura and arachnoid layers. Inserted into the subarachnoid layer |
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Spinal Block (Spinal Anesthesia) provides ___ (sensory/motor/both) anesthesia. |
Both (Sensory & Motor) |
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The ___ (grey/white) matter of the spinal cord has no myelination, contains cell bodies (nucleus), and is butterfly-shaped. |
Grey |
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The ___ (grey/white) matter of the spinal cord contains myelinated axons. |
White |
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What type of axons terminate at the posterior (dorsal) gray horn of the spinal cord? |
GSA and GVA axons |
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What type of cell bodies (GVE/GSE) does the anterior (ventral) gray horn contain? |
Cell bodies of GSEs-- Skeletal muscle |
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What type of cell bodies (GVE/GSE) does the lateral gray horn contain? |
Cell bodies of GVEs from T1-L2 level-- sympathetic |
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The ____ is continuous with the 4th ventricle of the spinal cord and contains CSF. |
Central canal |
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The ascending tract is the ___ (sensory/motor) tract. |
Sensory |
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The descending tract is the ___ (sensory/motor) tract. |
Motor |
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The ascending tract conveys sensory information to what structure? |
Thalamus |
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Sensory information enters at the ___ (posterior/anterior/lateral) gray horn. |
Posterior (dorsal). |
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The ____ (posterior/anterior/lateral) gray horn provides motor to viscera. |
Lateral |
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The ____ (posterior/anterior/lateral) gray horn has motor leaving CNS to go to skeletal muscle. |
Anterior (ventral) |
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Spinal nerves are part of what nervous system? |
Peripheral Nervous System (PNS) |
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What are spinal nerves formed by? |
Formed by the joining of posterior (dorsal) and anterior (ventral) roots |
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List the numbering and number of spinal nerves in the following group: Cervical |
C1-C8. 8 |
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List the numbering and number of spinal nerves in the following group: Thoracic |
T1-T12. 12 |
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List the numbering and number of spinal nerves in the following group: Lumbar |
L1-L5. 5 |
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List the numbering and number of spinal nerves in the following group: Sacral |
S1-S5. 5 |
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List the numbering and number of spinal nerves in the following group: Coccygeal |
Co1. Only 1 |
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Spinal nerves exit the vertebral column through which 2 types of foramen? |
Intervertebral or sacral foramen |
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Where does C1 exit the vertebral column? (C1 is the exception to the norm) |
Above the C1 vertebrae |
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Spinal nerves C1-C7 exit ___ (superior/inferior) to same-numbered vertebra |
Superior |
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Spinal nerve C8 exits __ (superior/inferior) to C7. |
Inferior |
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Spinal nerves T1-Co1 exit ___ (superior/inferior) to same-numbered vertebra |
Inferior |
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Posterior (dorsal) roots contain axons of ___ (motor/sensory) neurons |
Sensory |
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Posterior (dorsal) root ganglia contains cell bodies of ___ (motor/sensory) neurons |
Sensory |
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Anterior (ventral) roots contain axons of ___ (motor/sensory) neurons |
Motor |
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Anterior (ventral) and posterior (dorsal) roots join to make what? How long is it? |
A spinal nerve. 1 cm long |
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True or false: The anterior and posterior rami contain a mix of motor and sensory nerves |
True |
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In referred pain, why is the info "misinterpreted" by the CNS? |
Because of the shared final pathway between GVA and GSA. (All GVAs and GSAs have cell bodies in a PRG/DRG) |
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What type of axons do posterior (dorsal) rami carry? |
GSE, GSA, and GVE |
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What do GSE axons of the posterior (dorsal) rami innervate? |
Intrinsic back muscles |
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What do GSA axons of the posterior (dorsal) rami innervate? |
The skin dermatomes of the back |
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What do GVE axons of the posterior (dorsal) rami innervate? |
Blood vessels, sweat glands, etc. |
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The anterior (ventral) rami carries motor and sensory neurons to structures of what body wall? |
Anterolateral |
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What type of axons does the anterior (ventral) rami carry? |
GSA, GSE, GVA, GVE |
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Where does the GVE axon of the anterior (ventral) wall go? |
Blood vessels and internal organs |
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Where are anterior (ventral) rami located? |
The costal groove of a rib |
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The ___ (anterior/posterior) rami form somatic neural plexuses. |
Anterior (ventral) |
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What is the term for networks of intersecting nerves? |
Neural plexuses |
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Between what vertebra is there no neural plexus? |
T2-T12 |
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What vertebra makes up the brachial neural plexus? |
C5-T1 |
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What part of the body does the brachial neural plexus distribute to? |
Upper limb |
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What 2 components make up the upper limb appendicular skeleton? |
The pectoral girdle and the upper limb bones |
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What structure attaches the upper limb to the axial skeleton? |
Pectoral girdle |
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What structure makes the connection between the axial skeleton and the pectoral girdle? |
Clavicle |
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The sternoclavicular joint and the acromioclavicular joint are articulations of the ___ (clavicle/scapula). |
Clavicle |
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What bones does the sternoclavicular joint articulate? |
The clavicle and the sternum |
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What bones does the acromioclavicular joint (AC joint) articulate? |
The clavicle and the acromion process of the scapula |
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What is the lateral end of the clavicle called? |
Acromial end |
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Where is the location of the scapula in the body? |
Posterolateral upper trunk and shoulder. |
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What bone is the scapula connected to? Does the scapula connect with the axial skeleton? |
Clavicle. No, doesnt connect with axial skeleton |
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The acromioclavicular joint, glenohumeral (shoulder) joint, and the scapulothoracic joint are all articulations of the ___ (clavicle/scapula). |
Scapula |
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What 2 bones does the glenohumeral (shoulder) joint articulate? |
Glenoid fossa and humerus head |
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The following describes what articulation of the scapula: Anterior surface of scapula lies over upper ribs |
Scapulothoracic |
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What bone has a roughly triangle-shaped body? |
Scapula |
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The supraspinous fossa and the infraspinous fossa are fossae of the scapula lie on the ___ (anterior/posterior) surface. |
Posterior |
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The subscapular fossa of the scapula lies on the ___ (anterior/posterior) surface. |
Anterior |
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The glenoid cavity (fossa) of the scapula is located at the ___ (medial/lateral) angle and articulates with the ___ (humerus/radius). |
Lateral, humerus |
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What 2 muscles attach to the scapular spine of the scapula? |
Trapezius and deltoid |
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What muscle (1) attaches at the acromion process of the scapula? |
The deltoid muscle |
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What articulation happens at the acromion process of the scapula? Between what? |
Acromioclavicular joint (AC joint). Between the scapula and clavicle |
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What process of the scapula is inferior to the clavicle and is most anterior? |
Coracoid process |
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The supraglenoid tubercle of the scapula is the ___ (superior/inferior) small bump, while the infraglenoid tubercle is the ___ (superior/inferior) small bump. |
Superior, inferior |
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Where is the humerus located? |
In the arm (brachium) |
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The glenohumeral joint and the elbow joint are 2 articulations of what bone? |
Humerus |
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The radiohumeral joint of the humerus is ___ (lateral/medial). |
Lateral |
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The ulnohumeral joint of the humerus is ___ (lateral/medial) |
Medial |
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What does the head of the humerus articulate with? |
Glenoid cavity |
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What surrounds the head of the humerus and is the location of the epiphyseal plate? |
Anatomical neck |
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What begins at the narrowing immediately distal to the tubercles of the humerus and is a frequent fracture site? |
Surgical neck |
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What muscles are associated with the greater and lesser tubercles of the humerus? |
Rotator cuff muscles |
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What muscles are associated with the intertubercular groove of the humerus? |
Tendon of BB muscle, back muscles |
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What muscle is associated with the deltoid tuberosity? |
Deltoid |
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The radial groove is associated with which nerve? |
Radial nerve. Also blood vessels |
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The capitulum of the humerus is ___ (lateral/medial) |
Lateral |
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The trochlea of the humerus is ___ (lateral/medial) |
Medial |
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The olecranon fossa of the humerus is ___ (anterior/posterior) |
Posterior |
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The coronoid fossa of the humerus is ___ (anterior/posterior) |
Anterior |
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A fracture of the surgical neck of the humerus could cause damage in what soft tissue (nerve)? |
Axillary nerve |
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A fracture of the midshaft of the humerus could cause damage in what soft tissue (nerve)? |
Radial nerve |
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A fracture of the medial epicondyle of the humerus could cause damage in what soft tissue (nerve)? |
Ulnar nerve |
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The radius is located at the ___ (lateral/medial) antebrachium (forearm) & is on the ___ (thumb/pinky) side |
Lateral, thumb |
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The proximal radioulnar joint, distal radioulnar joint, and radiocarpal (wrist) joints are all articulations associated with what bone? |
Radius |
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The ___ (proximal/distal) radius articulates with the carpal bones to form the radiocarpal joint |
Distal |
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In a colles fracture of the radius, the distal radius displaces ___ (anteriorly/posteriorly) |
Posteriorly |
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The ulna is located at the ___ (medial/distal) antebrachium & is on the ___ (thumb/pinky) side |
Medial, pinky |
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The radius contains the ___ (radial/ulnar) notch, and the ulna contains the ___ (radial/ulnar notch. |
Ulnar, radial |
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Is the head of the ulna on the same or opposite end as the head of the radius? |
Opposite |
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The ulnohumeral joint articulates the ___ (trochlear notch/trochlea) of the ulna with the ___ (trochlear notch/trochlea) of the humerus |
Trochlear notch, trochlea |
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The nightstick fx fracture of the ulna occurs where? |
Mid-shaft of the ulna |
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In what position must your arms be to obtain a nightstick fracture of the ulna? (Like what sport) |
Arms in a boxing position (arm bend at elbow, hands up) |
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How many carpal bones are there? |
8 |
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What are the names of the two rows of carpal bones? |
Proximal row and distal row |
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What are the bones of the proximal row of carpals, from lateral to medial? |
Scaphoid, Lunate, Triquetrum, Pisiform |
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What is the mnemonic for the proximal row of the carpals? |
Some Like Two Pops |
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What are the bones of the distal row of carpals, from lateral to medial? |
Trapezium, Trapezoid, Capitate, Hamate |
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Radiocarpal, intercarpal, and caropmetacarpal are all articulations of what bones? |
Carpals |
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What bones of the carpals are involved in the radiocarpal articulation with the radius? |
The proximal carpals. Scaphoid, lunate, triquetrum |
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What bones of the carpals are involved in the carpometacarpal articulation with the metacarpals? |
The distal carpal row |
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What is the name for the common wrist fracture? |
Scaphoid fracture |
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A scaphoid fracture can occur in the SCAPHOID if the angle of wrist is ___ (less than/greater than) 90 degrees. |
Less than |
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The carpals are the bones of the ___ (fingers/wrist) |
Wrist |
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The metacarpals are the bones of the ___ (fingers/palm |
Palm |
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The phalanges are the bones of the ___ (fingers/wrist/palm) |
Fingers |
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What two bone groups is the carpometacarpal joint articulating? |
Distal carpals and metacarpals |
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What two bone groups is the metacarpophalangeal joints articulating? |
Metacarpals and proximal phalanges |
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How many phalange bones are in each hand? How many in thumb? How many in each other finger? |
14. 2. 3 |
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What movement happens at interphalangeal joints? |
The fingers bend |
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What are the 2 types of interphalangeal joints? |
Proximal interphalangeal joints (PIP) & Distal interphalangeal joints (DIP) |
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What is the most mobile joint in the body? |
Glenohumeral joint |
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What type of joint is the glenohumeral joint? |
Ball and socket, triaxial |
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The glenohumeral joint is highly ___ (mobile/stable) and very ___ (stable/unstable) |
Mobile, unstable |
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What does the joint capsule of the glenohumeral span? |
From the glenoid fossa to the surgical neck |
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The glenohumeral ligaments are located ___ (anteriorly/posteriorly) |
Anteriorly |
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The coracohumeral ligament is located ___ (superiorly/inferiorly) |
Superiorly |
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The coracoacrominal ligament is located ___ (superiorly/inferiorly) and is an ___ (intrinsic/extrinsic) ligament |
Superiorly, extrinsic |
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The coracoacromial ligament forms the coracoacromial ___ that prevents superior dislocations |
Arch |
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The biceps brachii tendon (long head) attaches to what in the glenohumeral joint? |
Supraglenoid tubercle |
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What muscles are primarily responsible for holding the head of the humerus within the glenoid fossa? |
Rotator cuff muscles |
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Rotator cuff muscles are critical for stability, but are weak ___ (superiorly/inferiorly) |
Inferiorly |
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The subacromial and subdeltoid bursa in the glenohumeral joint are non-communicating with the glenoid cavity because they are ___ (superficial/deep) to rotator cuff tendons/muscles |
Superficial. They aren't deep enough to communicate! |
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What glenohumeral joint bursa communicates with the glenoid cavity? |
Subscapular bursa |
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Shoulder separation is a dislocation at the ___ (glenohumeral/AC) joint, between the clavicle and acromion |
AC joint |
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With a shoulder separation, the clavicle is ___ (superior/inferior) to acromion process |
Superior. Clavicle rises |
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Where does shoulder dislocation occur? |
Glenohumeral joint |
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In a shoulder dislocation, the humerus is forcibly driven ___ (superiorly/inferiorly) and anteriorly. |
Inferiorly. Being pulled away from the shoulder. |