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147 Cards in this Set
- Front
- Back
which muscles act to flex the hip joint? |
psoas major, sartonrius, iliacus and rectus femoris |
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which muscles act to extend the hip? |
glut max and hamstrings |
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what action of glut med and min have on the hip? |
abduction and medial rotation |
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what side is the tensor fascia lata on and what does it do? |
lateral and Thigh - flexion, medial rotation,abduction Leg - lateral rotation,Torso - stabilization |
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what does pectineus do? |
adduct |
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what action do piriformis, obturator internus, quadratus femoris and obturator externus have on the hip? |
lateral rotators |
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where are all the adductor groups? |
adductor mag,long,bre,pec |
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when the ACL is torn what else is commonly damaged? |
the medial collateral ligament and medial meniscus |
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which side is biceps femoris? |
lateral |
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which muscle acts to unlock the knee by laterally rotating the femur on the tibia? |
popliteaus (lateral condyle to tibia) |
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which nerve is affected in foot drop? |
deep peroneal (the dorsiflexors are affected) |
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what joint type is the superior tibiofibular joint? |
arthrodial (plane) glinding joint |
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what joint type is the inferior tibiofibular joint? |
fibrous (Syndesmosis) |
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what is osgood schlatter disease? |
growth plate strain, pain in tibial tuberosity where the patella ligament attaches |
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what are shin spints caused by? |
periostitis which is inflammation in the connective tissue, caused by excercise |
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what does perineus tertius do and where is it? q |
dorsiflexion, just infront of lateral malleolus |
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what is the subtalar joint and what bones form it? |
talus and calcaneos, plane synovial, inversion and eversion |
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what bones connect in the transverse tarsal joint? |
talus with the navicular and calcaneus with the cuboid, inversion and eversion |
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when does achilles tendon rupture occur? |
when knee is extended and the ankle is dorsiflexed |
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what is a bunion? |
enlargement of bone or tissue at big toe |
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what is the transverse arch maintained by? |
tendon of peroneus longus |
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what us the medial longitudinal arch maintained by? |
spring ligament between the calcaneuos and navicular on medial side |
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what is the lateral longitutinal arch maintained by? |
long and short plantar ligaments |
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what bones is the short plantar ligament between? |
the calcaneus and the cuboid |
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what bones is the long plantar ligament between? |
the calcaneuos and the metatarsals |
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where is the insertion of the iliosoas? |
lesser trochanter |
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where is the medial collateral ligament connected? |
the tibia |
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where is the lateral collateral ligament connected? |
lateral menisci |
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what is genu valgum? |
knock knee |
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what is genu varum? |
bowed out knees |
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which fossa does infraspinatos arrise from? |
infraspinatus |
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where does the long tricepts insert? |
infraglenoid tubercle |
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which rotator cuff muscle assists in abduction? |
supraspinatus |
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what action does deltoid have on the shoulder? |
abduction |
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what is bicept brachii's distal insertation? |
radial tuberosity |
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what is tricepts distal insertation? |
olecranon |
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what forms the posterior boundary of the axilla? |
lat dorsi |
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brachial plexus? |
c5 to t1 |
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what does the head of the radius articulate with? |
the capitulum |
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what side is the capitulum on compared to the trochlea? |
lateral (articulates with the radius) |
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which vein commences over the anatomical snuffbox? |
cephalic |
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what supplies pronator tere? |
median nerve |
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what is a posterior fat pad sign? |
always pathological |
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what can a supracondylar fracture cause? |
damage to median nerve and brachial artery |
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what can an olecranaon fracture cause damage to? |
ulnar nerve |
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what is a colles fracture? |
posterior displacement of the radius |
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what is a smiths fracture? |
anterior displacement of the radius, fall with a flexed hand |
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what is frozen shoulder? |
inflammation of connective tissue surrounding the shoulder joint due to trauma, overuse or autoimmune |
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which side does golfers elbow result in pain? |
medial side becuase overuse of forearm flexors |
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what side has pain in tennis elbow? |
lateral epicondyle |
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what are the clinical signs of golfers elbow? |
pain on proximal insertation of tendon and pain on resistance to wrist flexion when hand in pronation |
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what are the clinical signs of tennis elbow? |
pain on resistance to wrist extension |
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what are the contents of the carpal tunnel? |
deep and superficial flexor tendons, median nerve, flexor pollucis longus |
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causes of carpal tunnel syndrome.. |
obesity,RA, pregnancy, acromegaly, hypothyroidism, reptitive strain injury |
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clinical signs of carpal tunnel syndrome.. |
weakness of thenar eminence and 2 radial lumbricals and loss of sensation in the 3 and a half lumbricals |
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what is phalen's sign and what is it used to diagnose? |
to diagnose carp tun. forced flexion causes pain |
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what is tinnels test? |
for carp, tapping over carpal tunnel |
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what is pulled elbow a dislocation of? |
elbow, lippage of the head of the radius under the annular ligament |
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what nerve roots are affected in erbs palsy? |
c5 and 6, waiters tip |
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what nerve roots are affected in klumpe's paralysis? |
c8-t1 |
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what even is klumpes paralysis anyway? |
paralysis of intrinsic muscles of hand, claw hand |
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what does the serratus anterior do to the shoulder gurdle? |
protracts, stabilises the scapula, keeps it down |
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what is the serratus anterior stabilised by? |
the long thoracic nerve, c567` |
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what effect does the trapezius have on the scapula? |
shoulder shrugging, elevation rotation, retraction, depression
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what is the trapezius supplied by?
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the accessory nerve...c3,4
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what is the levator scapulae supplied by? |
c3,4,5 dorsal scapula nerve and |
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what do the rhomboid major and minor muscles do to the scapula? |
retract it, fix it to the thoracic wall |
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what are the rhomboid major and minor an levator muscles supplied by? |
the dorsal scapular nerve, c4,5 |
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what nerve supplies pec minor? |
medial pectoralis nerve, c8 and t1, stabilises scapula, draws the scapula inferior |
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WHAT SIGN MAY OCCUR AFTER DAMAGE OF THE LONG THORACIC NERVE. OMG |
scapula burning pain, winged scapula |
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what occupies the space between the greater tubercle of humerus and acromium? |
|
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what is pec major supplied by? |
lateral and medial pec nerve |
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what is lat dorsi supplied by? |
thorodorsal nerve |
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what actions does lat dorsi have on the shoulder joint? |
Adducts, extends and internally rotates the arm (climbing or pull ups)
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what nerve supplies teres major? |
lower subscapular nerve, adducts humerus |
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which nerve supplies the teres minor? |
axillary nerve |
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whaich way is shoulder most commonly dislocated? |
anterior |
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what under the coraacromial arch may get damaged after a shoulder dislocation? |
supraspinous tendon and subacromial bursae |
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which is superior out of the rhomboids? |
minor |
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where does the brachialis insert onto? |
ulnar |
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which direction does the pronator teres go in? |
medial to lateral |
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what supplies the supinator? |
radial nerve (capitulum to radius) |
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what forms the top boundary of the anatomical snuffbox (medial) |
extensor pollucis longus |
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what forms the bottoms of the triangle of the anatomical snuffbow (lateral) ? |
extensor pollucis brevis |
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where is abductor pollucis longus? |
just below brevis in the triangle |
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what is the adductor pollucis supplied by? |
ulnar nerve! |
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what are the lumbricals supplied by? |
1st and 2nd are median but 3rd and 4th are radial |
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what is dupuytren's contracture? |
fixed flexion of the hand |
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what does the superficial palmar arch supply and whats its main origin? |
ulnar artery, digits |
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what is mallet finger? |
from hyperflexion of finger, cant extend the dip |
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which joints of the hand do OA affect? |
dip |
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which joints does RA affect? |
wrist, MCP, PIPs |
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where are the azygous vein, oesphagus, vagus nerve, thoracic aorta all found? |
posterior mediast inum |
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where are the main bronchi and the phrenic nerve found? |
middle mediatinum |
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what are the superior borders of the heart? |
right =3rd costal cartilage, left=2nd intercostal space |
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what are the inferior borders of the heart? |
right= 6th costal catilage, left=5th intercostal space |
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what are the left boundaries of the heart? |
2nd intercostal space, 5th intercostal space |
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right boundaries of the heart? |
6th costal cartilage and 3rd costal cartilage |
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what are the pulmonary surfaces of the heart? |
l ventricle, r atrium |
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where is the apex of the heart? |
5th intercostal space,mid clavicular line |
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how many pulmonary arteries are there? |
2 |
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how many pulmonary veins are there? |
4 |
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in what percentage of people does the right coronary artery supply the SAN? |
90% |
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in what percentage of people does the left coronary artery supply the av node? |
20 |
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what does the LAD artery travel with ? |
great cardiac vein |
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what does the marginal branch of the right coronary artery travel with? |
small cardiac vein |
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what does the posterior descending artery travel with? |
middle cardiac vein |
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WHICH VESSELS ARE OFTEN used for cornary artery bypass grafts? |
long saphenous/radial artery or internal thoracic artery |
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what is the serous pericardium made up of? |
parietal and viseral |
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what is the perital pericardium adherant to/ |
fibrous |
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what is the visceral pericardium adherent to? |
heart |
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which layers are the sinuses of the heart in between ? |
visceral and serous |
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what is the fibrous pericardium supplied by? |
the phrenic nerve |
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what is the parietal pericardium supplied by? |
the phrenic nerve |
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what is the visceral pericardium supplied by? |
the vagus and sympathetic nerves |
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where is pain from the pericardium reffered to? |
c4, shoulder tip |
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where is the thoracic aorta? |
posterior mediastinum |
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where is the azygous vein? |
posterior mediastinum |
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where is the phrenic nerve? |
superior and middle |
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where is the oesophagus? |
posterior and superior |
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what is blunted if fluid present in pleural cavity in pleural effusion? |
costophrenic angle |
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what is aortic dissection? |
when the intima of the vessel wall separates from aorta |
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what is the auscultation of the aortic valve? |
2nd intercostal space, right sternal border |
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what is the auscultation of the pulmonary valve? |
2nd intercostal space, left sternal border |
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what is the auscultation of the tricuspid valve? |
5th intercostal space, left lower sternal border |
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what is the auscultation of the mitral valve? |
5th intercostal space, midclavicular line |
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what is the ausuculatation of an aortic stenosis? |
aortic region radiating to the carotids |
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what is the auscultation of an aortic regurgitation? |
aortic region, especially in expiration when patient leaning forwards |
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where is a heart mumur of pulmonary stenosis heard? |
pulmonary region and radiates to back |
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where is a heart murmur of pulmonary regurgitation heard? |
pulmonary region when patient is leaning forwards |
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where is any mitral vavle murmur heard? |
apex and radiates to axilla |
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what kind of mumur is mitral stenosis? |
diastolic mumur |
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what is a heave a sign of? |
left ventricular hypertrophy |
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what are janeways regions? |
non tender haemorragic regions |
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what are oslers nodes? |
tender regions |
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is a transthoracic node external or internal? |
external |
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what does the ductus arteriousus connect? |
the pulmonary artery and the aorta |
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what type of blood is in the left ventricle in feotal circulation? |
mixed deoxy and oxy |
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what allows bllod to flow between the atrium in the foetus? |
formaen ovale (when pressure in l atrium exceeds pressure in r atrium the foramen ovale close) |
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what kind of blood is in the umbilical vein? |
oxygenated |
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what allows blood to be transported through the umbilical vein through the liver to the inferior v c? |
ductus venosus |
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during s1 heart sound are the ventricles contracting or relaxing? |
contracting, dont want blood to go back to atrium |
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what attches to the atrioventricular valves and is pulled on by the papillary muscles? |
chordae tendiae |
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what does the umbilical vein become after birth? |
ligamentum teres |
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what doest the medial umbilical ligament become after birth? |
medial umbilical ligament |
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what does the ductus arteriousus become after birth? |
ligamentum arteriosusm |
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which pulse do you feel on medial malleolus? |
posterior tibial |