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92 Cards in this Set
- Front
- Back
Oculomotor does what
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Pupillary sphincter (parasump), levator palpebrae, sup / med, inf rectus, inf oblique (elevation and abduction)
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Trochlear does what
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Superior oblique (abducts and depresses)
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Abducens does what
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motor to lateral rectus
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Trigeminal Opthalmic
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Sensory to dorehead, conjunctiva, upper eyelid
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Trigeminal maxillary
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sensory to lower eyelid, cheek, upper teeth, hard palate
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Trigeminal mandibular
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Sensory to skin over jaw and temple, ant 2/3 tongue, motor to muscles of mastication
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Facial nerve
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facial expression, taste to anterior 2/3, secretomotor
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Facial goes through
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internal acoustic meatus
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Vestibulocochlear
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Internal acoustic meatus
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Glossopharyngeal
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Sensory to orthopharynx, secretomotor to parotid
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Vagus
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Motor to palate, pharynx, larynx, sensory to larynx and resp, fore- and midgut GI tract below airway; parasympathetic to foregut and midgut thoracic and most abdominal viscera; somatic sensory to external acoustic meatus
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Accessory
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Sternomastoid and trapezius
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Hypoglossal
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Tongue
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Four air sinuses
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Distribution of cranial nerves through skull, names of foraminae
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1 / 2 / 3, 4, 5a, 6 / b / c / 7, 8 / 9, 10, 11 / 12
Crib / Optic canal / SOF / Rotundum / Ovale / IAM / Jug foramen / Hypoglossal canal COSplayers ROw In Joggers and Heels |
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From outside of skull to inside:
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Skull, Periostrum, bone, dura mater, arachnoid mater, pia mater
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Foramen spinosum
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Middle meningeal artery
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Jugular foramen
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4, 5a, 6 and internal jugular vein
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foramen magnum
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spinal cord, vertebral artery
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carotid canal
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carotid artery and symp plexus
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sup and inf orbital fissures
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opthalmic veins as well as 3/4/5a/6
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IAM
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7, 8, laberynthine artery
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Basics of the circle of willis
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Lacrinal gland innervated by
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parasymp facial nerve
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Blink reflex
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Opthalmic nerve
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Blink, afferent and efferent, muscle
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afferent - opthalmic. Efferent - facial to orbicularis oculi
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What is cornea, what is schlera?
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Cornea is covering of eye at iris, schlera is covering everywhere else
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Directions of gaze
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Where do opthalmic, maxillary, and mandibular divisions of V. C2-C4 supplies where?
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Forehead block
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infiltration above the line of the eyebrows, from the midline, to just lateral to the mid-pupillary line.
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Infraorbital nerve block
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The approach is a line that runs between the first and second premolars at apex of the superior vestibule of the mouth.
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Mental nerve block
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It supplies the skin of the lower lip and gum through the mental canal. This can be palpated in the mid-pupillary line,
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Orbicularis oris
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Surrounds the mouth, continuous with buccinator. Sphincter
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Buccinator
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Muscle of the cheek
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Orbicularis oculi
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Surrounds the eye
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Bell's palsy
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Damage to facial nerve in middle ear
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Muscles of mastication supplied by
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Mandibular branch of trigeminal
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Masseter, temporalis, medial and lateral pterygoids
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Taste innervated by
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VII and IX
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Lateral deviation and wasting of tongue after lesion of?
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XII
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Muscles of soft palate controlled by
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pharyngeal branch of vagus nerve derived from the cranial accessory nerve
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Function and sensory innervation of soft palate
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Swallowing, gag reflex. Nerve IX
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Transverse ligament of atlas
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Around odontoid peg
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Ligamentum flava, anterior and posterior longitudinal ligaments?
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Between laminae of vertebrae
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Hangman's fracture
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The inferior articular process of C2 is broken allowing the axis to move forward on C3. The spinal cord is damaged at this level and so respiration is paralysed.
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Scalenus anterior?
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Sternomastoid?
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Termination of spinal cord in adult/newborn?
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L1-2/L3-4
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What layers does spinal anaesthesia pierce in what order?
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Spinal nerves exit through?
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Intervertebral foraminae
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Cauda equina syndrome
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LOF of lumbar plexus due to CE damage. Lower motor neuron lesion.
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Spinal anaesthesia
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Local anaesthetic into the subarachnoid space, must be below L2 to avoid damage to spinal cord. Circulates in CSF.
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role of coracoclavicular ligament
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Prevents dislocation of acromioclavicular joint
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Latissimus dorsi
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Large back muscles, dorsal. Insert into anterior side of humerus
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serratus anterior
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superior external rotation of scapula, draws internally and forwards. Is along ribs on side of body, draws scapula from its medial part
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What articulates the humerus to the radius / ulna?
What fossae do they go into? What's on the posterior side of the elbow? |
Capitulum / trochlea.
Radial / coronoid fossa Olecranon fossa into which olecranon goes |
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Supracondular fracture can cause?
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Damage to median nerve and brachial artery
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Ligaments of elbow capsule?
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First articular capsule, anular ligament of radius, radial and ulnar collateral ligaments to stop elbow adduction/abduction
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Biceps brachii insertion / origins?
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Radial tuberosity. Long head - supraglenoid tubercle of scapula, short head - coracoid process
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Supinator is where?
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Lateral part of proximal radius just after elbow
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Triceps inserts
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Olecranon process of ulna
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Pronator originates / inserts
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Medial epicondyle of humerus and coronoid process of ulna, inserts lateral radius
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Dislocation of radius head caused by
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Pull on pronated hands#
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Colles' fracture
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Falling onto outstretched arms, distal radius/ulna becomes dorsal to proximal
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Contents of cubital fossa
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Brachial artery, MCV, median nerve
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Bones of wrist
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Wrist joint is?
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Synovial
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Flexor reticulatum?
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Forms the tunnel of the carpal tunnel
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What flexes wrist?
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Flexor carpi radialis / ulnaris.
Ulnaris inserts around hook of hamate. |
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What flexes fingers?
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Flexor digitorum superficialis and profundus
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What flexes thumbs?
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Flexor pollicis longus and brevis
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Finger flexor sheathes
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Extensors of wrist (4)
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Extensor digitorum, extensor pollicis longus and brevis, abductor pollicis longus
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Lumbericals do what?
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Flex metacarpophalangeal joints
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Interossei do what?
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Abduct / adduct fingers
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Carpal tunnel syndrome
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Compression of carpal tunnel, compression of median nerve. Numbness and pain
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Ulnar nerve damage
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causes clawing, cannot extend 4th and 5th digit
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Upper limb arteries: subclavian, axillary, brachial, radial, ulnar, supericial and deep palmar arches
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Supracondular fracture can cause damage to the
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Brachial artery
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Veins of upper limb - dorsal venous arch of hand, basilic, cephalic, median cubital, axillary and subclavian
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dermatomes of the arm
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Lesion of upper brachial plexus
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Erb's palsy - main loss will be of shoulder abduction and lateral rotation, and elbow flexion. Waiter's tip. Loss of sensation too
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Lesion of lower brachial plexus
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Damage to C8 and T1 would weaken the long flexors and extensors of the fingers, and all the intrinsic muscles of the hand
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Horner's syndrome
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Damage to T1 - sympathetic outflow to head. a constricted pupil, a drooping eyelid and hot , dry skin on the cheek or forehead of the affected side
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Musculocutaneous nerve innervates
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Elbow flexors
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Median nerve innervates
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most forearm flexors, thenar eminence, sensory to hand
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Ulnar nerve supplies
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Flexor dig profundus to ring and litle fingers, flexor carpi ulnaris, other snall muscles. Sensory to palm and dorsum
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Axillary nerve supplies
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deltoid, regimental badge skin. can be damaged by shoulder dissociation
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Radial nerve supplies
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Extensors of elbow, wrist, and fingers, sensory distribution esp dorsum of hand
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Effect of damage by mid-shaft fracture of humerus
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wrist drop
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Ways to test for damage to C6/7/8 and ulnar / radial
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tip of thumb C6 and median nerve,
tip of middle finger C7; tip of little finger C8 and ulnar nerve; dorsum of hand - radial nerve |