Clinical Anatomy Notes
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Questions and Answers

The superior boundary of the epiploic foramen:

  • free border of the lesser omentum containing the portal triad (correct)
  • first portion of the duodenum
  • caudate process of the caudate lobe of the liver
  • inferior vena cava

Less likely to produce ascites:

  • hepatic cirrhosis
  • cancer of the ovary
  • gastritis (correct)
  • congestive hear failure

Important factor in the production of an ulcer in the anterolateral wall of the first part of the duodenum:

  • bile secretion after food intake
  • high level of pepsin
  • acid chime squired as the stomach empties (correct)
  • digestive enzymes excreted out by the pancreas

Which of the following does not contribute to why the appendix is prone to infection:

<p>it has a large amount of lymphoid tissue in its wall (A)</p> Signup and view all the answers

Occurring at points where the circular muscle is weakest. Where the blood vessels pierce the muscles, herniation of the lining mucosa through the circular muscle between taenia coli occurs:

<p>diverticulosis (C)</p> Signup and view all the answers

Which is not true regarding aneurysm of the abdominal aorta:

<p>occur most commonly in elderly women (A)</p> Signup and view all the answers

Common cause of colic, EXCEPT:

<p>compression of the inferior vena cava (A)</p> Signup and view all the answers

Total gastrectomy for gastric cancer does not include the removal of:

<p>head of the pancreas (B)</p> Signup and view all the answers

Herniorrhaphy of an indirect inguinal hernia constitute the repair of the floor of the inguinal canal, the floor is formed by:

<p>inguinal ligament (B)</p> Signup and view all the answers

While doing a spinal tap, the spinal needle is inserted in between the:

<p>L3 and L4 vertebrae (B)</p> Signup and view all the answers

The cresenteric inferior border of the posterior rectus sheath:

<p>arcuate line of Douglas (C)</p> Signup and view all the answers

Intraperitoneal organ:

<p>jejunum (D)</p> Signup and view all the answers

The femoral ring:

<p>is the base of the femoral canal (C)</p> Signup and view all the answers

In the neck:

<p>all of the above are correct (D)</p> Signup and view all the answers

Forms the floor of both the submental and the digastric triangle:

<p>mylohyoid (D)</p> Signup and view all the answers

Surgical procedures at the digastric triangle could possibly injure the following nerves, except:

<p>spinal accessory nerve (A)</p> Signup and view all the answers

In doing cricothyroidotomy, hemorrhage can occur from accidental injury to branches of:

<p>superior thyroid artery (D)</p> Signup and view all the answers

In doing stellate ganglion block, the needle of the anesthetic syringe is inserted through the skin over the carotid tubercle; this carotid tubercle is a part of:

<p>6th cervical vertebra (A)</p> Signup and view all the answers

Due to the close proximity of their drainages in the nasal cavity, frontal sinusitis nearly always involves this sinus:

<p>anterior ethmoidal (D)</p> Signup and view all the answers

The trigeminal nerve provides sensory innervation to the face except for a small area which is supplied by the:

<p>great auricular nerve (D)</p> Signup and view all the answers

On its way to the tongue, the chorda tympani:

<p>all of the above are correct (D)</p> Signup and view all the answers

In the living subject, the foramen lacerum of the cranial fossa is closed inferiorly by cartilage and fibrous tissue; above this closed inferior opening, foramen lacerum receives the:

<p>carotid canal (B)</p> Signup and view all the answers

The artery supplying the "leg area" of the cerebral cortex:

<p>all of the above are correct (D)</p> Signup and view all the answers

The sensory nerve supplying the tip of the nose is the distal continuation of the:

<p>anterior ethmoidal nerve (A)</p> Signup and view all the answers

The following extraocular muscle is supplied by the most slender cranial nerve:

<p>superior oblique (A)</p> Signup and view all the answers

The retina extends anteriorly as far as the:

<p>ora serrata (B)</p> Signup and view all the answers

True regarding the walls of the middle ear:

<p>all of the above are correct (D)</p> Signup and view all the answers

Epistaxis usually occur upon rupture of the anastomosing branches of:

<p>greater palatine and sphenopalatine arteries (D)</p> Signup and view all the answers

The vestibular ligaments of the larynx represent the inferior margin of the:

<p>quadrangular membrane (B)</p> Signup and view all the answers

Flashcards

Epiploic Foramen Boundary

Superior boundary of the opening to the lesser sac.

Least Likely Ascites Cause

Inflammation of the stomach lining

Duodenal Ulcer Factor

High acidity damages the duodenal wall.

Appendix Infection Resistance

The appendicular artery being a terminal artery

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Diverticulosis

Herniation through muscle weakness between taenia coli.

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Abdominal Aorta Aneurysm

More common in elderly men than women.

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Uncommon Cause of Colic

Compression of the inferior vena cava

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Gastrectomy Excision

Removal of esophagus, duodenum and spleen, but not the pancreas.

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Floor of Inguinal Canal

Inguinal ligament

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Spinal Tap Location

Between L3 and L4 vertebrae.

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Inferior Rectus Sheath Border

Arcuate line of Douglas

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Intraperitoneal Organ

Jejunum

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The Femoral Ring

Base of the Femoral canal.

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Characteristics of neck Anatomy

Pretracheal fascia attached to the hyoid bone.

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Floor of submental and digastric triangle

Mylohyoid.

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Digastric Triangle Injury

Vagus Nerve

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Cricothyroidotomy Hemorrhage

Superior Thyroid Artery.

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Carotid Tubercle Part

6th cervical vertebra.

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Frontal Sinusitis Involvement

Anterior Ethmoidal.

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Face Sensory Innervation

Great Auricular Nerve

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Chorda tympani to the tongue

All of the above are correct

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Foramen lacerum receives

Carotid canal

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Artery supplying the leg area

The correct answer is D.

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Supplies the tip of the nose.

Anterior ethmoidal nerve

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Most slender cranial nerve

Superior Oblique

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Retina extends anteriorly

Ora serrata

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walls of the middle ear

All of the above

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Epistaxis

Greater palatine, spheno

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Vestibular ligaments larynx margin

Quadrangular Membrane.

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Freyś Syndrome damage

auriculotemporal and zygomaticotemporal.

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Study Notes

  • These notes cover clinical anatomy for medical students, focusing on key anatomical questions and concepts.

Epiploic Foramen

  • The superior boundary is the caudate process of the caudate lobe of the liver.

Ascites

  • Gastritis is less likely to produce ascites compared to hepatic cirrhosis, cancer of the ovary, and congestive heart failure.

Duodenal Ulcers

  • An important factor in the production of an ulcer in the anterolateral wall of the first part of the duodenum is acid chyme squirting as the stomach empties.

Appendix Infections

  • The appendix is prone to infection due to having a large amount of lymphoid tissue in its wall, a lumen tending to become obstructed by hardened intestinal contents, a long small artery that does not anastomose with any other artery, and it is a long narrow blind-ended tube encouraging stasis of large bowel contents.

Diverticulosis

  • Diverticulosis occurs at points where the circular muscle is weakest, specifically where bloods vessels pierce the muscles, leading to herniation lining mucosa through the circular muscle between taenia coli.

Aneurysms of the Abdominal Aorta

  • Aneurysms usually occur below the origin of the renal arteries, are related to atherosclerosis, and large aneurysms should be surgically excised and replaced with a graft.

Colic

  • Compression of the inferior vena cava, intestinal obstruction, and passage of a stone in the ureter can cause colic.

Total Gastrectomy

  • Total gastrectomy for gastric cancer does not include the removal of the head of the pancreas.

Inguinal Hernias

  • Herniorrhaphy of an indirect inguinal repair consists of the repair of the floor of the inguinal canal, which is formed by the inguinal ligament.

Spinal Tap

  • During a spinal tap, the spinal needle is inserted between the L3 and L4 vertebrae.

Rectus Sheath

  • The crescenteric inferior border of the posterior rectus sheath is the arcuate line of Douglas.

Intraperitoneal Organs

  • The jejunum is an intraperitoneal organ.

Femoral Ring

  • The femoral ring is theis the medial pening of the inguinal canal.

Neck Anatomy

  • The anterior rami of the C1-C4 spinal nerves, the investing layer of the deep cervical fascia forms the stylomandibular ligament, and the pretracheal fascia is attached superiorly to the hyoid bone.

Submental and Digastrics Triangles

  • The floor is formed by the mylohyoid.

Digastric Triangle

  • Surgical procedures at the digastric triangle could possibly injure several nerves, except for the vagus nerve.

Cricothyroidotomy

  • In doing cricothyroidotomy, hemorrhage can occur from accidental injury to branches of the superior thyroid artery.

Stellate Ganglion Block

  • In doing stellate ganglion block, the needle is inserted through the skin over the carotid tubercle, a part of the 6th cerival vertebra

Front Sinusitis

  • Frontal sinusitis nearly always involves the anterior ethmoidal sinus.

Trigeminal Nerve

  • The great auricular nerve supplies that area of the face not supplied to the trigeminal nerve.

Chordtympani

  • On its way to the tongue, the chorda tympani enters the infratermporal fossa through the petrotympanic fissure.

Foramen Lacerum

  • The foramen lacerum of the cranial fossa receives the carotid canal.

"Leg Area" of the Cerebral Cortex

  • The artery lies in the longitudinal fissure of the cerebrum and is a component of the circulus arteiosus.

Sensory Nerve to Tip of Nose

  • The sensory nerve supplying the tip of the nose is the distal continuation of the anterior ethmoidal nerve.

Innervation of the Eye

  • The most slender cranial nerve that innervates the extracular muslce that of the superior oblique.

Retina

  • The retina extends anteriorly as far as the ora serrata.

Walls of the Middle Ear

  • Concerning the walls of the middle ear, the posterior wall contains the origin of stapedius.

Epistaxis

  • Epistaxis usually occur upon rupture of the anastomosing branches of the greater palatine and sphenopalatine arteries.

Vestibular Ligaments of the Larynx

  • The inferior margin of the quadrangular membrane is represented the vestibular ligaments of the larynx.

Frey's Syndrome

  • Results from the following nerve damage: auriculotemporal and zygomaticotemporal.

Ureter

  • In the pelvic cavity, the ureter turns medially towards the urinary bladder at the level of the sacral promontory.

Caldwell-Moloy Pelvic Classification

  • A transversely wide pelvis is classified as platypelloid.

Anorectal Ring

  • Composed of the internal anal sphincter, external anal sphincter (deep part), and puborectalis.

Internal Iliac Artery

  • ALL branches of the internal iliac branch pass through the foramen EXCEPT the obturator.

Sigmoid Mesocolon

  • Structure lies at the apex: superior rectal artery.

Pelvic Inlet

  • Bound by all expect: ischial spine.

Voluntary Control of Micturition

  • Is done at the level of the apex of the urinary bladder.

Pudendal Nerve

  • Major branches in the perineum & passes within the pelvic cavity via thelesser foramen.

Connective Tissue

  • Main cell for repair is the fibroblast.

Bones

  • Type is the one that consist consist inorganic salts.

Spinal Cord

  • Segment fascicules Cuneatus, Cervical.

Lamination

  • Coordinates function of cranial nerves medial longitudal fascicules.

Pupilliary

  • Efferont Edinger,trochlear nucleus.

3rd Ventricle

  • cerebral aqueduct.

Post Thyroidectomy

  • Hypeness results from accidcuting interior thyroid artery.

Anterior fasial compartment

  • Femoral

SADDLE JOINT

  • JOINT THUMB

ALL About adrenal galnd, except

  • adrenal veins drain into the inferior vena cava.

Kympericks palsy / klumpke's palsy is characterized by

lower branchial pleaus.

In the upper extremities

  • medial is affected.

Bone cells

  • medullary cavity / ostium, as one remains not effected the bone heals porperly.

Muscle injured

  • superclaviculr.

4th intercostal space @ right sternal is heart

RIGHT ATRIUM

Pulmonary Stenoisis

  • PULMONARY valve is heard @ 2nd left upper chest

Kidneys at ribes

  • at T10 rib.

Superior Vena Cava injury

THORATHIC DUTT.

Serratus Anterior

  • LONG thoracic nerveterm-3

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Description

Concise clinical anatomy notes covering key anatomical concepts relevant to medical students. Topics include the epiploic foramen, ascites, duodenal ulcers, appendix infections, and diverticulosis. Notes also explain the causes and important factors relating to each topic.

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