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145 Cards in this Set

  • Front
  • Back

What part of the brain is the spinal cord continuous with?

Medulla oblongata

Where does the spinal cord begin?

Foramen magnum

At what level of vertebra does the spinal cord end?

L1 or L2

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.

What is the tapered, terminal portion of the spinal cord?

Conus medullaris

What extends inferiorly from the conus medullaris and resembles a horse's tail?

Cauda equina

What is the cauda equina comprised of?

Anterior (ventral) and posterior (dorsal) roots from inferior spinal cord segments

What is the spinal epidural space filled with?

Fat

What is the (spinal) subarachnoid space filled with?

CSF

Between what spinous processes is Lumbar Puncture (Spinal Tap) inserted? What is it inserted through?

L3 & L4, or L4 & L5. Inserted through a needle

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.

Between what spinous processes is Epidural Block inserted?

L4 &L5

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)

Does the catheter of an Epidural Block pass through the dura mater?

No-- it is only inserted into the epidural space

Epidural Block provides ___ (sensory/motor/both) anesthesia.

Sensory

Between what spinous processes is Spinal Block (Spinal Anesthesia) inserted? Through what is it inserted?

L3 & L4. Inserted through a needle.

What layers does a Spinal Block (Spinal Anesthesia) pierce? Into what is it inserted?

Dura and arachnoid layers. Inserted into the subarachnoid layer

Spinal Block (Spinal Anesthesia) provides ___ (sensory/motor/both) anesthesia.

Both (Sensory & Motor)

The ___ (grey/white) matter of the spinal cord has no myelination, contains cell bodies (nucleus), and is butterfly-shaped.

Grey

The ___ (grey/white) matter of the spinal cord contains myelinated axons.

White

What type of axons terminate at the posterior (dorsal) gray horn of the spinal cord?

GSA and GVA axons

What type of cell bodies (GVE/GSE) does the anterior (ventral) gray horn contain?

Cell bodies of GSEs-- Skeletal muscle

What type of cell bodies (GVE/GSE) does the lateral gray horn contain?

Cell bodies of GVEs from T1-L2 level-- sympathetic

The ____ is continuous with the 4th ventricle of the spinal cord and contains CSF.

Central canal

The ascending tract is the ___ (sensory/motor) tract.

Sensory

The descending tract is the ___ (sensory/motor) tract.

Motor

The ascending tract conveys sensory information to what structure?

Thalamus

Sensory information enters at the ___ (posterior/anterior/lateral) gray horn.

Posterior (dorsal).

The ____ (posterior/anterior/lateral) gray horn provides motor to viscera.

Lateral

The ____ (posterior/anterior/lateral) gray horn has motor leaving CNS to go to skeletal muscle.

Anterior (ventral)

Spinal nerves are part of what nervous system?

Peripheral Nervous System (PNS)

What are spinal nerves formed by?

Formed by the joining of posterior (dorsal) and anterior (ventral) roots

List the numbering and number of spinal nerves in the following group: Cervical

C1-C8. 8

List the numbering and number of spinal nerves in the following group: Thoracic

T1-T12. 12

List the numbering and number of spinal nerves in the following group: Lumbar

L1-L5. 5

List the numbering and number of spinal nerves in the following group: Sacral

S1-S5. 5

List the numbering and number of spinal nerves in the following group: Coccygeal

Co1. Only 1

Spinal nerves exit the vertebral column through which 2 types of foramen?

Intervertebral or sacral foramen

Where does C1 exit the vertebral column? (C1 is the exception to the norm)

Above the C1 vertebrae

Spinal nerves C1-C7 exit ___ (superior/inferior) to same-numbered vertebra

Superior

Spinal nerve C8 exits __ (superior/inferior) to C7.

Inferior

Spinal nerves T1-Co1 exit ___ (superior/inferior) to same-numbered vertebra

Inferior

Posterior (dorsal) roots contain axons of ___ (motor/sensory) neurons

Sensory

Posterior (dorsal) root ganglia contains cell bodies of ___ (motor/sensory) neurons

Sensory

Anterior (ventral) roots contain axons of ___ (motor/sensory) neurons

Motor

Anterior (ventral) and posterior (dorsal) roots join to make what? How long is it?

A spinal nerve. 1 cm long

True or false: The anterior and posterior rami contain a mix of motor and sensory nerves

True

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)

What type of axons do posterior (dorsal) rami carry?

GSE, GSA, and GVE

What do GSE axons of the posterior (dorsal) rami innervate?

Intrinsic back muscles

What do GSA axons of the posterior (dorsal) rami innervate?

The skin dermatomes of the back

What do GVE axons of the posterior (dorsal) rami innervate?

Blood vessels, sweat glands, etc.

The anterior (ventral) rami carries motor and sensory neurons to structures of what body wall?

Anterolateral

What type of axons does the anterior (ventral) rami carry?

GSA, GSE, GVA, GVE

Where does the GVE axon of the anterior (ventral) wall go?

Blood vessels and internal organs

Where are anterior (ventral) rami located?

The costal groove of a rib

The ___ (anterior/posterior) rami form somatic neural plexuses.

Anterior (ventral)

What is the term for networks of intersecting nerves?

Neural plexuses

Between what vertebra is there no neural plexus?

T2-T12

What vertebra makes up the brachial neural plexus?

C5-T1

What part of the body does the brachial neural plexus distribute to?

Upper limb

What 2 components make up the upper limb appendicular skeleton?

The pectoral girdle and the upper limb bones

What structure attaches the upper limb to the axial skeleton?

Pectoral girdle

What structure makes the connection between the axial skeleton and the pectoral girdle?

Clavicle

The sternoclavicular joint and the acromioclavicular joint are articulations of the ___ (clavicle/scapula).

Clavicle

What bones does the sternoclavicular joint articulate?

The clavicle and the sternum

What bones does the acromioclavicular joint (AC joint) articulate?

The clavicle and the acromion process of the scapula

What is the lateral end of the clavicle called?

Acromial end

Where is the location of the scapula in the body?

Posterolateral upper trunk and shoulder.

What bone is the scapula connected to? Does the scapula connect with the axial skeleton?

Clavicle. No, doesnt connect with axial skeleton

The acromioclavicular joint, glenohumeral (shoulder) joint, and the scapulothoracic joint are all articulations of the ___ (clavicle/scapula).

Scapula

What 2 bones does the glenohumeral (shoulder) joint articulate?

Glenoid fossa and humerus head

The following describes what articulation of the scapula: Anterior surface of scapula lies over upper ribs

Scapulothoracic

What bone has a roughly triangle-shaped body?

Scapula

The supraspinous fossa and the infraspinous fossa are fossae of the scapula lie on the ___ (anterior/posterior) surface.

Posterior

The subscapular fossa of the scapula lies on the ___ (anterior/posterior) surface.

Anterior

The glenoid cavity (fossa) of the scapula is located at the ___ (medial/lateral) angle and articulates with the ___ (humerus/radius).

Lateral, humerus

What 2 muscles attach to the scapular spine of the scapula?

Trapezius and deltoid

What muscle (1) attaches at the acromion process of the scapula?

The deltoid muscle

What articulation happens at the acromion process of the scapula? Between what?

Acromioclavicular joint (AC joint). Between the scapula and clavicle

What process of the scapula is inferior to the clavicle and is most anterior?

Coracoid process

The supraglenoid tubercle of the scapula is the ___ (superior/inferior) small bump, while the infraglenoid tubercle is the ___ (superior/inferior) small bump.

Superior, inferior

Where is the humerus located?

In the arm (brachium)

The glenohumeral joint and the elbow joint are 2 articulations of what bone?

Humerus

The radiohumeral joint of the humerus is ___ (lateral/medial).

Lateral

The ulnohumeral joint of the humerus is ___ (lateral/medial)

Medial

What does the head of the humerus articulate with?

Glenoid cavity

What surrounds the head of the humerus and is the location of the epiphyseal plate?

Anatomical neck

What begins at the narrowing immediately distal to the tubercles of the humerus and is a frequent fracture site?

Surgical neck

What muscles are associated with the greater and lesser tubercles of the humerus?

Rotator cuff muscles

What muscles are associated with the intertubercular groove of the humerus?

Tendon of BB muscle, back muscles

What muscle is associated with the deltoid tuberosity?

Deltoid

The radial groove is associated with which nerve?

Radial nerve. Also blood vessels

The capitulum of the humerus is ___ (lateral/medial)

Lateral

The trochlea of the humerus is ___ (lateral/medial)

Medial

The olecranon fossa of the humerus is ___ (anterior/posterior)

Posterior

The coronoid fossa of the humerus is ___ (anterior/posterior)

Anterior

A fracture of the surgical neck of the humerus could cause damage in what soft tissue (nerve)?

Axillary nerve

A fracture of the midshaft of the humerus could cause damage in what soft tissue (nerve)?

Radial nerve

A fracture of the medial epicondyle of the humerus could cause damage in what soft tissue (nerve)?

Ulnar nerve

The radius is located at the ___ (lateral/medial) antebrachium (forearm) & is on the ___ (thumb/pinky) side

Lateral, thumb

The proximal radioulnar joint, distal radioulnar joint, and radiocarpal (wrist) joints are all articulations associated with what bone?

Radius

The ___ (proximal/distal) radius articulates with the carpal bones to form the radiocarpal joint

Distal

In a colles fracture of the radius, the distal radius displaces ___ (anteriorly/posteriorly)

Posteriorly

The ulna is located at the ___ (medial/distal) antebrachium & is on the ___ (thumb/pinky) side

Medial, pinky

The radius contains the ___ (radial/ulnar) notch, and the ulna contains the ___ (radial/ulnar notch.

Ulnar, radial

Is the head of the ulna on the same or opposite end as the head of the radius?

Opposite

The ulnohumeral joint articulates the ___ (trochlear notch/trochlea) of the ulna with the ___ (trochlear notch/trochlea) of the humerus

Trochlear notch, trochlea

The nightstick fx fracture of the ulna occurs where?

Mid-shaft of the ulna

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)

How many carpal bones are there?

8

What are the names of the two rows of carpal bones?

Proximal row and distal row

What are the bones of the proximal row of carpals, from lateral to medial?

Scaphoid, Lunate, Triquetrum, Pisiform

What is the mnemonic for the proximal row of the carpals?

Some Like Two Pops

What are the bones of the distal row of carpals, from lateral to medial?

Trapezium, Trapezoid, Capitate, Hamate

Radiocarpal, intercarpal, and caropmetacarpal are all articulations of what bones?

Carpals

What bones of the carpals are involved in the radiocarpal articulation with the radius?

The proximal carpals. Scaphoid, lunate, triquetrum

What bones of the carpals are involved in the carpometacarpal articulation with the metacarpals?

The distal carpal row

What is the name for the common wrist fracture?

Scaphoid fracture

A scaphoid fracture can occur in the SCAPHOID if the angle of wrist is ___ (less than/greater than) 90 degrees.

Less than

The carpals are the bones of the ___ (fingers/wrist)

Wrist

The metacarpals are the bones of the ___ (fingers/palm

Palm

The phalanges are the bones of the ___ (fingers/wrist/palm)

Fingers

What two bone groups is the carpometacarpal joint articulating?

Distal carpals and metacarpals

What two bone groups is the metacarpophalangeal joints articulating?

Metacarpals and proximal phalanges

How many phalange bones are in each hand? How many in thumb? How many in each other finger?

14. 2. 3

What movement happens at interphalangeal joints?

The fingers bend

What are the 2 types of interphalangeal joints?

Proximal interphalangeal joints (PIP) & Distal interphalangeal joints (DIP)

What is the most mobile joint in the body?

Glenohumeral joint

What type of joint is the glenohumeral joint?

Ball and socket, triaxial

The glenohumeral joint is highly ___ (mobile/stable) and very ___ (stable/unstable)

Mobile, unstable

What does the joint capsule of the glenohumeral span?

From the glenoid fossa to the surgical neck

The glenohumeral ligaments are located ___ (anteriorly/posteriorly)

Anteriorly

The coracohumeral ligament is located ___ (superiorly/inferiorly)

Superiorly

The coracoacrominal ligament is located ___ (superiorly/inferiorly) and is an ___ (intrinsic/extrinsic) ligament

Superiorly, extrinsic

The coracoacromial ligament forms the coracoacromial ___ that prevents superior dislocations

Arch

The biceps brachii tendon (long head) attaches to what in the glenohumeral joint?

Supraglenoid tubercle

What muscles are primarily responsible for holding the head of the humerus within the glenoid fossa?

Rotator cuff muscles

Rotator cuff muscles are critical for stability, but are weak ___ (superiorly/inferiorly)

Inferiorly

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!

What glenohumeral joint bursa communicates with the glenoid cavity?

Subscapular bursa

Shoulder separation is a dislocation at the ___ (glenohumeral/AC) joint, between the clavicle and acromion

AC joint

With a shoulder separation, the clavicle is ___ (superior/inferior) to acromion process

Superior. Clavicle rises

Where does shoulder dislocation occur?

Glenohumeral joint

In a shoulder dislocation, the humerus is forcibly driven ___ (superiorly/inferiorly) and anteriorly.

Inferiorly. Being pulled away from the shoulder.