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97 Cards in this Set
- Front
- Back
what cranial nerves come out of the superior orbital fissure?
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3,4,5,6
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what is in the inferior mediastinum?
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3 things!
1. anterior mediastinum 2. middle mediastinum - heart, ascending aorta, lower half of SVC, pulmonary trunk, pulmonary veins 3. posterior mediastinum - esophagus, descending aorta, azygos and hemiazygos veins, bifurcation of trachea |
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what to find in the right ventricle
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trabeculae carnae
papillary muscles chordae tendinae cusps of triscuspid valve conus arteriosus cusps of pulmonary valve pulmonary trunk (right and left pulmonary arteries) interventricular septum |
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stuff to find in left atrium
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1. superior/inferior pulmonary veins (right and left)
2. mitral valve |
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the trachea divides into bronchi at the level of what?
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sternal angle
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The _____ is a septum or keel-like ridge at the inferior end of the trachea marking the origins of the R and L bronchi
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carina
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at the bifurcation of the trachea, the _____ bronchus is wider and shorter and runs more vertically than does the left, therefore more objects drop down it
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Right bronchus
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the ______ is found deep to the trachea
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esophagus
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fun stuff at the sternal angle
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5 things!
1. trachea divides into R and L bronchi 2. second costal cartilage 3. Junction of 4th and 5th thoracic vertebrae 4. ascending aorta ends and the aortic arch begins 5. divides superior mediastinum from the inferior mediastinum |
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what to find inside the right atrium
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pectinate muscles
crista terminales tricuspid valve opening of coronary sinus fossa ovalis SVC and IVC SA node - on crista terminales close to SVC AV node - interatrial septum close to opening of coronary sinus |
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what rib is the level of the horizontal fissure of the R lung?
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fourth rib
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at the midclavicular line the lungs are at the level of the _____ rib
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6th rib
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at the midaxillary line, the lungs are at the level of the _____ rib
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8th rib
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the lungs are at the level of the spine of ______ posteriorly
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T10
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the pleura extends to the level of the ______ rib at the midclavicular line
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8th rib
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the pleura extends to the level of the ______ rib at the mid axillary line
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10th rib
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the pleura extends to the level of the ______ rib posteriorly
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12th rib
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during deep inspiration the lung maydescend as much as _____ intercostal spaces
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2 intercostal spaces
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the ____ pleura is the membrane covering the surface of lungs and dipping into fissures between its lobes
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pulmonary pleura
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the ______ pleura is a membrane lining the inner surface of the chest wall
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parietal pleura
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the ____ pleura covers the diaphragm and is reflected over structures occupying the middle of the thorax
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parietal pleura
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the pleural cavity is a potential space containing thin film of fluid separating pleurae
the ____ marks the site where the two pleural sacs meet at midline |
sternal angle
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there are ___ ribs on each side of the body
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12
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there are _____ true or vertebrosternal ribs. they connect to sternum by costal cartilages
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7 true ribs (1-7)
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there are ____ false ribs
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5 false ribs (ribs 8-12)
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there are ____ vertebrocostal ribs
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3 vertebrocostal ribs
ribs 8,9,10 |
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There are ___ floating ribs
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2 floating ribs
ribs 11 and 12 |
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the nipple on the male is located at the ____ interspace in the midclavicular line
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4th interspace
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The superior angle of the scapula is at the level of the ___ rib
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second rib
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the root of the spine of the scapula is at the level of the ____ spinous process
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T3
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The inferior angle of the scapula is at the level of the ___ rib
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T7
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right side course of the phrenic nerve (4 steps)
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1. ventral surface of anterior scalene
2. over cupulo of the lung 3. along lateral aspect of the pericardium 4. reaches the diaphragm where it branches *it passes between the subclavian artery and subclavian vein.* |
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left side course of the phrenic nerve
R and L phrenic nerves end up in the diaphragm |
ITS LONGER! the left side course of the phrenic nerve is longer b/c the heart inclines left and the left diaphragm dome is LOWER.
On the left side, the phrenic nerve passes between the left subclavian artery and left common carotid artery. |
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what goes through the esophageal hiatus in the diaphragm?
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the "US"s
1. esophagus 2. R and L vagus nerves |
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what goes through the aortic hiatus in the diaphragm?
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AAT
1. aorta 2. azygos vein 3. thoracic duct |
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what goes through the vena caval hiatus in the diaphragm?
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1. IVC
2. R phrenicnerve |
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cool stuff in the left ventricle
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aortic valve
interventricular septum cusps of mitral valve chordae tendinae papillary muscles trabeculae carnae |
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what nerves innervate the muscles of the pharynx (superior, medius, inferior constrictor) aka muscles of swallowing?
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pharyngeal plexus
CN 9 and 10 glossopharyngeal and vagus (girl's vagina) |
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what are the stages of swallowing?
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1. bolus pushed by tongue into the pharynx and the tongue is raised againts hard palate
2. there is contraction of walls of pharynx. 3 constrictor muscles contract moving bolus thru pharynx into the esophagus. the SOFT PALATE elevates againts the posterior pharyngeal wall to prevent food from entering the nasopharynx. the walls of the pharynx are raised as elevation of the hyoid (1st) and larynx (2nd). the glottis is closed (epiglottis folds over it to prevent food from getting into the larynx) 3. the INFERIOR CONSTRICTOR muscles squeezes the bolus from the laryngopharyx into the esophagus |
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the _____ elevates againts the posterior pharyngeal wall to prevent food from entering the nasopharynx
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soft palate
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the _____ prevents food from getting into the larynx
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epiglottis
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the _____ constrictor muscle squeezes the bolus from the laryngopharynx into the esophagus
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inferior constrictor
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the ____ opens the glottis
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posterior cricoarytenoid
n: recurrent laryngeal nerve from vagus nerve |
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the _____ closes the glottis
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lateral cricoarytenoid
n: recurrent laryngeal nerve from vagus nerve |
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what are two muscles of the soft palate that help raise it againts the posterior pharyngeal wall?
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1. tensor veli palatini
2. levator veli palatini elevate and tense soft palate to close off mouth from the nasal cavity during swallowing and speaking |
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the fetal circulation has ___ umbilical vein which carries ___ blood and ____ umbilical arteries
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1 umbilical vein with oxygenated blood
2 umbilical arteries |
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describe the fetal circulation
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1. umbilical vein(ligamentum teres) from mom has oxygenated blood
2. some blood goes to liver, some goes thru Ductus Venosus (ligamentum venosus) then to IVC 3. IVC empties into RA, then blood goes thru fossa ovale into the LA, then LV, then to aorta 4. deoxygenated blood goes thru SVC, then RA, then RV, then pulmonary trunk, then left pulmonary artery, where it is shunted to the Aorta 5. then mixed blood goes to left common-iliac artery and itnernal iliac artery 6. deoxygenated blood goes back to mom via 2 umbilical arteries |
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Describe the arteries coming off the descending aorta, starting at the diaphragm
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1. celiac trunk
2. superior mesenteric artery 3. R and L renal arteries 4. Testicular arteries (male) 5. Inferior mesenteric artery 6. R and L common iliac arteries Off the common iliac arteries are the 1. external iliac artery 2. internal iliac artery off the internal iliac artery is the OBTURATOR artery |
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what arteries come off the left of the celiac trunk? (2)
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1. Splenic artery
2. Left gastric artery |
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what arteries come off the right of the celiac trunk
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1. Common hepatic artery
coming off common hepatic artery is 1. Hepatic artery (then R and L hepatic artery, and cystic artery) 2. Gastroduodenal artery 3. Right gastric artery (lesser curvature) 4. Right gastroepiploic artery (greater curvature) |
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the right testicular vein empties into the ____
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IVC
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the left testicular vein empties into the ___
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L renal vein
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the right and left renal veins empties into the ____
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IVC
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the hemiazygos vein comes off the _____
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left renal vein
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the hepatic vein empties into the ____
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azygos vein
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what three veins empty into the portal vein?
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1. splenic vein
2. inferior mesenteric vein (middle one) 3. superior mesenteric vein recall that the portal vein divides into R and L portal veins when it goes into the liver. coming out of the liver are the hepatic veins, which empty into the IVC. |
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what are the structures of the Porta Hepatis?
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1. R and L hepatic arteries
2. portal vein 3. R and L hepatic ducts, and common bile duct |
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explain the duct system
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R and L hepatic ducts drain into the Common Hepatic duct.
The common hepatic duct and the Cystic duct(from gall bladder) empty into the Common bile duct. The common bile duct and the Pancreatic duct empty into the duodenum. |
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tell me the structures of the kidney
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1. fibrous capsule
2. cortical substance 3. medullary substance 4. pyramids 5. minor calyx 6. major calyx 7. renal pelvis 8. ureter |
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who has the longer urethra? male or female?
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male 17.5-20cm
female is only 4cm |
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start, end, length of duodenum
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start: pylorus
end: duodeno-jejunal flexure 1 foot |
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start, end, length of jejunum
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start: duodenojejunal flexure
end: blend into ileum 8 ft |
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start, end, length ilieum
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start: blend w/ jejunu
end: ilieocecal valve 12 ft |
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start, end of ascending colon
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start: cecum
end: right colic flexure |
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start and end of transverse colon
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start: right colic flexure
end: left colic flexure |
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start and end of descending colon
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start: left colic flexure
end: superior aperture of lesser pelvis |
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start and end of sigmoid colon
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start: superior aperture of lesser pelvis
end: rectum |
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cecum, ileocecal valve, and the vermiform appendix are located in the ____
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right iliac fossa
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penis
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composed of cavernous tissue bound by loose connective tissue and covered w/ skin. the urethra passes through it
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corpus cavernosum
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the two corpus cavernosa lie dorsal to the corpus spongiosum in the shaft of the penis
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corpus spongiosum
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lies midline in the shaft of the penis near the ventral surface of the column formed by the two corpus cavernosa.
the urethra runs through the middle of the corpus spongiosum |
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scrotum
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cutaneous and fibromuscular sac containing the testes
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testis
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an ovoid gland surrounded by a dense layer of connective tissue suspended in the scrotum by the spermatic cords. produces sperm
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epididymis
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found on the superior and posterolateral aspect of the testes.
storage of sperm. where sperm undergo final stages of maturation |
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ductus (vas) deferens
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duct of testes from the epididymus to the ejaculatory duct
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seminal vesicles
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two lobulated membranous pouches, placed at the base of the bladder, anterior to the rectum which secrete a fluid to be added to the secretions of the testes
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prostate gland
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the prostate consists of glandular tissue and fibromuscular tissue. it lies immediately inferior to the bladder and surrounds the upper portion of the urethra. it is secretory in function, contributing to the bulk of the ejaculate
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ejaculatory ducts
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these ducts are formed by the union of the ducts of the seminal vesicle and the ductus deferens. they empty into the prostatic urethra where the semen then passes into the membranous urethra
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ductus deferens
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a continuation of the epididymis and ascends in the spermatic cord. it then passes through the inguinal canal, crosses over the external iliac vessels and courses to the base of the bladder where it enlarges and is called the ampulla
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cremasteric muscle
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surrounding the spermatic cord reflexly draws the testis to a higher position. the prostate gland is located immediately below the internal urethral orifice and around the commencement of the urethra
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course of the pudendal nerve for male
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originates at S2-4. passes thru GSF, crosses spine of ischium and reenters the pelvis thru the LSF, then to the ischiorectal fossa to branch as follows:
1. dorsal nerve of the penis 2. perineal nerve to the scrotum 3. inferior rectal nerve |
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course of pudendal nerve thru female
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originates at S2-4. passes thru GSF, crosses spine of ischium and reenters the pelvis thru the LSF, then to the ischiorectal fossa to branch as follows:
1. dorsal nerve of the clitoris 2. perineal nerve to the labia 3. inferior rectal nerve |
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ovary
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two nodular bodies on either side of the uterus, attached to the posterior-superior aspect of the broad ligament
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fimbria
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finger-like processes at the distal end of the uterine tube which spread over the surface of the ovary, trap the oocyte, and sweep it into the uterine tube
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uterine tube
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(fallopian tubes, oviducts) lies in the free edges of the broad ligament of the uterus. to convery oocytes discharged from the ovarian follicles to the uterine cavity
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uterus
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thick walled hollow muscular tissue organ situated in the pelvis between the bladder and rectum
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cervix of uterus
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portion of the uterus between the isthmus and vagina. it projects into the uppermost part of the anterior wall of the vagina
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vagina
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a musculomembranous tube extending from the vestibule to the uterus. it is located posterior to the bladder and anterior to the rectum
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labia major and minor
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prominent longitudinal folds (cutaneous). extend from the mons pubis to the pudendal cleft
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clitoris
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erectile structure under the anterior ends of the labia minor
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broad ligament
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this is a double layered fold of the peritoneum which holds the uterus, uterine tube, and ovaries in a normal position
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suspensory ligament of the ovary
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this is an extension of the broad ligament posterior-laterally which carries the ovarian vessels
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round ligament of the uterus
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this ligament lies anterior-inferiorly within the broad ligament and enters the inguinal canal
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sphincter ani externus
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muscle fibers around the inferior margin of the anal canal. keeps the anal canal and orifice closed. this muscle is under VOLUNTARY control from the PUDENDAL nerve
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sphincter ani internus
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an involuntary sphincter of the canal. it is a thickening of the circular smooth muscle of the intestines. it relaxes when stimulated by PARASYMPATHETIC nerves
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levator ani
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floor of the pelvis, supports and slightly raises the floor of the pelvis, resisting increased intra-abdominal pressure as during forced expiration. It forms the LARGEST PART OF THE PELVIC DIAPHRAGM
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coccygeus
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floor of pelvis, draws the coccyx toward the pubis and constricts it. support and slightly raises the floor of the pelvis, resisting increased intra-abdominal pressure as during forced expiration. it forms the POSTERIOR AND SMALLER PART OF THE PELVIC DIAPHRAGM
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