Human Anatomy Quiz: Fascia and Ureters
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Questions and Answers

Which artery is responsible for preventing the physiological ascent of the kidneys during embryological development?

  • Inferior mesenteric
  • Middle colic (correct)
  • Superior mesenteric
  • Right colic

What is the length range of the ureters?

  • 15-20 cm
  • 25-30 cm (correct)
  • 30-35 cm
  • 20-25 cm

What are the normal constrictions of the ureters?

  • Urethra, renal pelvis, bladder wall
  • Pelvic inlet, renal pelvis, bladder wall
  • Crossing pelvic inlet, renal pelvis, bladder wall (correct)
  • Renal pelvis, pelvic inlet, urethra

Which substance is primarily secreted by the parotid gland?

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

Which cranial nerve is associated with the chorda tympani?

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

What is the primary function of the pharynx?

<p>Swallowing and passageway (B)</p> Signup and view all the answers

Which structure does the pharyngotympanic tube connect to?

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

Which condition is characterized by inflammation of the middle ear?

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

What structures does the prevertebral fascia pass behind?

<p>Oesophagus, pharynx, and great vessels (D)</p> Signup and view all the answers

Where is the pretracheal fascia firmly adherent?

<p>Front of the trachea behind the isthmus (C)</p> Signup and view all the answers

What does the prevertebral fascia become?

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

Which muscle is covered laterally by the prevertebral fascia?

<p>Scalenus anterior (B)</p> Signup and view all the answers

What is the primary function of the pretracheal fascia?

<p>To surround the trachea and esophagus (A)</p> Signup and view all the answers

What structure lies on the scalenus anterior according to the description?

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

Which compartment of the neck does the pretracheal fascia belong to?

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

Which anatomical structure is NOT associated with the prevertebral fascia?

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

What structures define the boundaries of the posterior triangle of the neck?

<p>Sternocleidomastoid, trapezius, and clavicle (B)</p> Signup and view all the answers

What is the primary function of the platysma muscle in the neck?

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

Which of the following best describes the position of the platysma in relation to the subcutaneous fat?

<p>It lies immediately deep to the subcutaneous fat. (C)</p> Signup and view all the answers

How far are the medial borders of the right and left platysma muscles separated below the level of the hyoid?

<p>2.5 cm (D)</p> Signup and view all the answers

Which nerve supplies the platysma muscle?

<p>Facial nerve, CN VII (A)</p> Signup and view all the answers

What is the superficial fascia also known as in the neck?

<p>Panniculus adiposus (A)</p> Signup and view all the answers

The degree of adiposity in the superficial fascia varies mainly due to what factor?

<p>Body mass index (BMI) (D)</p> Signup and view all the answers

In which part of the neck is the superficial fascia generally thinner?

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

Which primary bronchus is wider and shorter?

<p>Right primary bronchus (A)</p> Signup and view all the answers

What does each lung contain that is enclosed within a serous sac?

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

Which lobe configuration is correct for the right lung?

<p>Superior, middle, and inferior lobes (C)</p> Signup and view all the answers

What is the primary function of hydrochloric acid (HCl) in gastric juice?

<p>To denature proteins and kill bacteria (D)</p> Signup and view all the answers

What are the major vessels responsible for the blood supply to the lungs?

<p>Pulmonary arteries and veins (D)</p> Signup and view all the answers

Which term refers to a blockage that causes narrowing of the pylorus?

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

What is the remnant of the fetal ductus venosus in the liver referred to as?

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

Identify the muscle supplied by the long thoracic nerve.

<p>Serratus anterior (B)</p> Signup and view all the answers

What is the primary digestive enzyme that begins protein digestion in the stomach?

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

Which is NOT a type of pleura associated with the lungs?

<p>Serous pleura (A)</p> Signup and view all the answers

Which of the following nerves is NOT associated with the thoracic wall?

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

What surgical technique involves temporarily clamping blood flow into the liver?

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

Which fissures separate the lobes of the right lung?

<p>Right oblique and horizontal fissure (D)</p> Signup and view all the answers

What structural feature of the liver does the right sagittal fissure accommodate?

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

What component of gastric juice is responsible for aiding in the digestion of fats?

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

Which of the following is a key function of the pylorus in the gastrointestinal system?

<p>Regulating the passage of chyme into the small intestine (D)</p> Signup and view all the answers

Which part of the large intestine is characterized by its S-shaped loop?

<p>Sigmoid colon (A)</p> Signup and view all the answers

What structure is typically situated retrocecal in relation to the cecum?

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

What feature characterizes haustra in the large intestine?

<p>Sacculations formed by wall projections (B)</p> Signup and view all the answers

Which of the following is NOT a part of the colon?

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

What is the primary characteristic of the rectum?

<p>It is primarily retroperitoneal. (B)</p> Signup and view all the answers

The teniae coli are associated with which of the following?

<p>Both A and B (D)</p> Signup and view all the answers

Where does the rectosigmoid junction occur?

<p>At the level of S3 vertebra (A)</p> Signup and view all the answers

What is a primary function of the mesoappendix?

<p>Provide arterial supply to the appendix (B)</p> Signup and view all the answers

What is the function of the bare area of the liver?

<p>It is in contact with the diaphragm. (A)</p> Signup and view all the answers

Which ligament is formed by the left and right extremities of the coronary ligament?

<p>Right triangular ligament (A), Left triangular ligament (D)</p> Signup and view all the answers

Which of the following structures carries arterial blood to the liver?

<p>Hepatic artery (A)</p> Signup and view all the answers

What is the main venous drainage of the liver?

<p>Hepatic veins (B)</p> Signup and view all the answers

What role does the spleen primarily play in the body?

<p>Filtering blood and managing immune responses (D)</p> Signup and view all the answers

Which ligament connects the stomach to the spleen?

<p>Gastro-splenicum ligament (B)</p> Signup and view all the answers

Which anatomical structure supports the duodenum?

<p>Ligament of Treitz (C)</p> Signup and view all the answers

How does the liver receive blood from the portal vein?

<p>From the intestines and pancreas (B)</p> Signup and view all the answers

What structures does the prevertebral fascia primarily pass across?

<p>Vertebrae and prevertebral muscles (C)</p> Signup and view all the answers

Which nerve lies on the scalenus anterior according to the description?

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

What happens to the prevertebral fascia at the axillary region?

<p>It becomes the axillary sheath (C)</p> Signup and view all the answers

What is the significance of the pretracheal fascia in relation to the thyroid gland?

<p>It envelops the entire thyroid gland (C)</p> Signup and view all the answers

Which muscle is associated with the scalene muscles as described in the content?

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

Which of the following best describes the attachment of the prevertebral fascia?

<p>Attached to the base of the skull and surrounding structures (B)</p> Signup and view all the answers

Which anatomical structure does the carotid sheath surround?

<p>Common carotid artery (C)</p> Signup and view all the answers

What is the normal length of the ureters?

<p>25-30 cm (A)</p> Signup and view all the answers

Which anatomical structure allows urine to pass from the kidneys to the urinary bladder?

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

Which of the following conditions is characterized by inflammation of the pharynx?

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

Which gland secretes enzymes that initiate the breakdown of starch?

<p>Parotid gland (B)</p> Signup and view all the answers

Which spinal nerves form the lesser splanchnic nerve?

<p>T10-T11 (B)</p> Signup and view all the answers

What is the primary function of the chorda tympani?

<p>To carry taste sensations from the tongue (B)</p> Signup and view all the answers

What is the role of the pharyngotympanic tube?

<p>Equalizing barometric pressure (B)</p> Signup and view all the answers

What vertebral level does the aorta pass through the diaphragm?

<p>T12 (C)</p> Signup and view all the answers

Which of the following is a recognized constriction point of the ureters?

<p>Junction of ureters and renal pelvis (B)</p> Signup and view all the answers

In which condition do the developing kidneys fuse into a horseshoe-shaped structure?

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

What structure is drained by two ureters and can be prone to obstruction?

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

What term describes the entire swallowing process?

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

Which part of the kidney is most superficial?

<p>Renal cortex (A)</p> Signup and view all the answers

Which of the following structures does NOT drain into the renal pelvis?

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

Which renal structure is associated with filtering blood and forming urine?

<p>Renal corpuscle (B)</p> Signup and view all the answers

What is a common consequence of a horseshoe kidney?

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

What can happen if portal circulation through the liver is obstructed without surgical intervention?

<p>Formation of varices (B)</p> Signup and view all the answers

Which condition is indicated by abnormal dilatation of veins due to portal hypertension?

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

Which anatomical structure is assessed for enlargement and tumors during a digital rectal examination?

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

What is the significance of the collateral routes during diminished portal circulation?

<p>They provide an alternate path to the heart (B)</p> Signup and view all the answers

In the context of the anal canal, which method can help examine the uterus when vaginal examination is inconclusive?

<p>Bimanual palpation (A)</p> Signup and view all the answers

Which condition is characterized by excessive pressure in the rectum and anus, leading to swelling?

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

What is a common consequence of untreated portal hypertension?

<p>Development of collateral circulation (A)</p> Signup and view all the answers

Which of the following accurately describes the characteristics of a malignant prostate during examination?

<p>Hard and often irregular surface (A)</p> Signup and view all the answers

Which part of the colon is located inferior to the transverse colon?

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

What are the three types of teniae coli found in the colon?

<p>Mesocolic, omental, free (D)</p> Signup and view all the answers

Which feature is characteristic of the large intestine's structure?

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

Where does the rectum become continuous with the anal canal?

<p>At the level of the S3 vertebra (D)</p> Signup and view all the answers

What unique feature does the vermiform appendix contain?

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

Which of the following statements about the large intestine is correct?

<p>It has a larger diameter than the small intestine. (D)</p> Signup and view all the answers

Which junction marks the transition from the sigmoid colon to the rectum?

<p>Rectosigmoid junction (B)</p> Signup and view all the answers

Which artery primarily supplies blood to the colon?

<p>Inferior mesenteric artery (C)</p> Signup and view all the answers

Flashcards

Triangles of the Neck

The sternocleidomastoid muscle defines the posterior triangle of the neck, which is bounded by the sternocleidomastoid, trapezius, and clavicle. The anterior triangle is defined by the sternocleidomastoid, mandible, and midline.

Platysma Muscle

A thin, sheet-like muscle located beneath the subcutaneous fat in the anterior region of the neck. It spreads subcutaneously and is pierced by cutaneous nerves.

Nerve Supply of Platysma

The platysma is supplied by branches of the facial nerve, also known as cranial nerve VII.

Superficial Fascia

The layer of subcutaneous fat under the skin of the neck. It varies in thickness depending on the individual and location on the neck.

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Cervical Regions

The neck is divided into different regions for anatomical and clinical purposes. These are the anterior, posterior, and lateral regions.

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Prevertebral Fascia

A strong, fibrous sheet that surrounds and supports the muscles and organs of the neck. It extends from the base of the skull to the upper thorax, and encases the vertebral column, prevertebral muscles, and the major blood vessels and nerves of the neck.

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Pretracheal Fascia

The fibrous sheet of deep cervical fascia that surrounds the thyroid gland, trachea, and esophagus. It is attached to the upper trachea and the cricoid and thyroid cartilages.

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Carotid Sheath

A thick layer of deep cervical fascia that encases the carotid artery, jugular vein, and vagus nerve in the neck. It is continuous with the prevertebral fascia and extends into the chest as the axillary sheath.

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Fascial Compartments of the Neck

The arrangement of muscles and fascial layers within the neck creates compartments, each containing different structures. These compartments help to segregate and protect the various structures and facilitate their movement.

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What is the Ansa Cervicalis?

The ansa cervicalis is a loop of nerves that arises from the cervical plexus and supplies the infrahyoid muscles of the neck. These muscles are responsible for lowering the larynx and hyoid bone during swallowing.

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Right vs. Left Primary Bronchus

The right primary bronchus is wider and shorter than the left primary bronchus.

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Pleural Sac

Each lung is enclosed within a serous membrane called the pleural sac.

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Serous Pleural Fluid

A thin layer of fluid that lubricates the pleural surfaces, allowing the lungs to expand and contract during breathing.

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Parietal Pleura

The outer layer of the pleural sac that lines the thoracic cavity. It has four parts: costal, mediastinal, diaphragmatic, and cervical.

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Visceral Pleura

The inner layer of the pleural sac that directly adheres to the lung surface. It folds back at the hilum of the lung.

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Apex of the Lung

The uppermost part of the lung.

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Base of the Lung

The broad, lower portion of the lung that rests on the diaphragm.

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Bronchi

The branching divisions within the lungs that carry air from the trachea to the alveoli.

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What is the pylorus?

A muscular sphincter that controls the flow of chyme (partially digested food) from the stomach into the duodenum. It regulates the rate of gastric emptying.

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What is pylorospasm?

The process where the pyloric sphincter becomes abnormally tight, hindering the passage of chyme from the stomach into the duodenum, causing a blockage.

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What is pylorostenosis?

The narrowing or constriction of the pyloric sphincter due to a physical obstruction, often caused by a tumor or scar tissue.

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What is Chyme?

A mixture of partially digested food, gastric juices, and saliva that is formed within the stomach and transported to the duodenum for further digestion.

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What is hydrochloric acid (HCl) in gastric juice?

A strong acid secreted by the stomach that helps kill bacteria, denature proteins and activate pepsin.

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What is pepsin in gastric juice?

An enzyme found in gastric juice that begins the digestion of proteins.

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What is intrinsic factor in gastric juice?

A protein produced by the stomach that helps in the absorption of vitamin B12 in the small intestine.

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What is gastric lipase in gastric juice?

An enzyme in gastric juice that aids in mild digestion of fats, but its primary role is in breaking down proteins.

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Which artery interferes with kidney ascent?

During embryonic development, the inferior fusion of kidney poles prevents their normal ascent. This process is hindered by the superior mesenteric artery.

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What are the constrictions in the ureters?

Ureters are tubes that transport urine from the kidneys to the bladder. They have three natural constrictions along their length: where they join the renal pelvis, where they cross the pelvic inlet, and where they enter the bladder wall. These constrictions are significant because they are potential sites for obstruction and stone formation.

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What does the parotid gland secrete and what's its function?

The parotid gland secretes saliva into the vestibule of the mouth. It contains amylase, an enzyme that breaks down starch into glucose and oligosaccharides.

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Explain the role of the pharynx.

The pharynx, connecting the mouth and esophagus, is a passageway for food and air. It has no digestive or absorptive functions. It is crucial for swallowing due to its three constrictors and the epiglottis which prevents food from entering the trachea.

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What is the chorda tympani nerve?

The chorda tympani is a branch of the facial nerve that originates from taste buds on the front of the tongue. It carries taste signals to the brain.

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What is the function of the pharyngotympanic tube?

The opening of the pharyngotympanic (Eustachian) tube connects the nasopharynx to the middle ear. This tube equalizes pressure in the middle ear, but also acts as a possible pathway for infections. Inflammation of the middle ear can lead to otitis media (ear pain and fever).

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What are the key functions of the stomach?

The stomach is an organ responsible for mechanical and chemical digestion. It mixes and churns food into chyme, and secretes gastric juices including hydrochloric acid, pepsinogen, and intrinsic factor, which aid in digestion.

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What is the role of the anterior wall of the pharynx in swallowing?

The anterior wall of the pharynx plays a critical role in swallowing. It is involved in the complex process of deglutition, which moves food from the mouth to the esophagus.

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What is the mesentery?

The mesentery is a continuous fold of peritoneum that attaches the small intestine to the posterior abdominal wall. It helps to support the small intestine and allows it to move freely in the abdominal cavity.

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Distinctive features of the jejunum?

The jejunum is the middle part of the small intestine, characterized by its larger diameter, thicker walls, and more prominent plicae circulares. It is responsible for the majority of nutrient absorption.

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Distinctive features of the ileum?

The ileum is the final section of the small intestine, smaller in diameter with thinner walls and less prominent plicae circulares. It absorbs bile salts and Vitamin B12.

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What are the parts of the large intestine?

The large intestine is the final part of the digestive system, responsible for absorbing water and forming feces. It consists of the caecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anal canal.

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What is the caecum?

The caecum is a pouch-like structure at the beginning of the large intestine where the ileum joins. It houses bacteria that aid in the digestion of indigestible food.

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What is the appendix?

The appendix is a small finger-like projection extending from the caecum, containing lymphoid tissue, which plays a role in immune defense.

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What is the ascending colon?

The ascending colon is the first part of the large intestine, traveling upwards on the right side of the abdominal cavity.

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What is the transverse colon?

The transverse colon is the second part of the large intestine, traveling across the abdominal cavity from right to left.

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Pretracheal Fascia & Thyroid Gland

The entire thyroid gland is enveloped in a further layer of deep cervical fascia termed the pretracheal fascia. It adheres firmly to the front of the upper trachea behind the isthmus, and to the sides of the cricoid and thyroid cartilages.

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Prevertebral Fascia & Neck Structures

The prevertebral fascia passes across the vertebrae and prevertebral muscles behind the esophagus, the pharynx, and the great vessels. Above, it attaches to the base of the skull. Laterally, the fascia covers the scalene muscles, the phrenic nerve, and the emerging brachial plexus and subclavian artery.

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Prevertebral Fascia & Axillary Sheath

These structures carry with them a sheath formed from the prevertebral fascia, which becomes the axillary sheath.

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What are the thoracic splanchnic nerves?

The three splanchnic nerves arise from the thoracic sympathetic trunk and pass posterior to the diaphragm to supply the abdominal viscera. The greater splanchnic nerve consists of fibers from T5-T9, the lesser splanchnic nerve consists of fibers from T10-T11, and the least splanchnic nerve consists of fibers from T12.

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What structures pass through the diaphragmatic openings and their vertebral levels?

The diaphragmatic openings are crucial for the passage of vital structures. The inferior vena cava passes through the diaphragm at the level of T8, the esophagus at T10, and the aorta at T12.

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What are the three regions of the kidneys?

The kidneys are the primary filtration organs of the body. They have three distinct regions: the cortex (outermost), medulla (middle), and pelvis (innermost). The renal pyramids are conical structures within the medulla that drain into the calyces, which then drain into the renal pelvis. Each renal lobe is composed of a renal pyramid and the surrounding renal cortex.

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What is a horseshoe kidney, and what causes it?

A horseshoe kidney is a congenital anomaly where the two developing kidneys fuse in the lower abdomen. This happens when the kidneys become too close together during their ascension from the pelvis and get 'stuck' under the inferior mesenteric artery.

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What are the parts of a nephron?

In a nephron, the glomerulus with its capsule is known as the renal corpuscle, which initiates filtration. The proximal convoluted tubule begins reabsorption of water, glucose, and amino acids. The loop of Henle, with its descending and ascending limbs, further regulates water and solute balance. The distal convoluted tubule contributes to reabsorption and secretion. The collecting duct receives filtrate from multiple nephrons. The filtrate flows through the kidney, undergoing filtration, reabsorption, and secretion, eventually becoming urine.

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Which artery prevents normal kidney ascension during development?

The superior mesenteric artery plays a role in kidney development. During embryological development, the kidneys ascend from the pelvis to their final position in the abdomen. The inferior mesenteric artery can prevent this normal ascension if the kidneys fuse during development, resulting in a horseshoe kidney.

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Which artery hinders kidney ascent?

The superior mesenteric artery, located in the abdominal cavity, obstructs the natural upward movement of the kidneys during embryonic development, leading to their inferior fusion.

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What are the constrictions in ureters?

Ureters, which transport urine from the kidneys to the bladder, have three natural constrictions: at the junction of the renal pelvis, where they cross the pelvic inlet, and when they enter the bladder wall. These constrictions are important because they can be points of obstruction or stone formation.

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What does the parotid gland secrete?

The parotid glands, located near the ears, secrete saliva containing amylase. This enzyme breaks down starch into glucose and oligosaccharides, initiating the chemical digestion of carbohydrates.

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What is the role of the pharynx?

The pharynx connects the mouth to the esophagus. It acts as a passageway for food and air and is critical for swallowing. However, it does not perform any digestion or absorption.

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Explain the function of the pharyngotympanic tube.

The Eustachian (pharyngotympanic) tube connects the nasopharynx to the middle ear. It allows for equalization of pressure in the middle ear and can be a pathway for infections. Middle ear inflammation can cause otitis media (ear pain).

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Explain the role of the anterior wall of the pharynx in swallowing.

The anterior wall of the pharynx, responsible for swallowing, contracts and expands to deliver food from the mouth to the esophagus. It plays a vital role in the coordinated process of deglutition.

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What is the Falciform ligament of the liver?

The Falciform ligament is a peritoneal fold that attaches the liver to the anterior abdominal wall. It helps to support the liver and provides a pathway for vessels and nerves.

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What is the Ligamentum teres hepatis?

The Ligamentum teres hepatis is a fibrous remnant of the umbilical vein, found within the free edge of the Falciform ligament. It helps to anchor the liver to the abdominal wall.

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What is the Coronary ligament of the liver?

The Coronary ligament is a peritoneal fold that surrounds the liver, attaching it to the diaphragm. It helps to support the liver and separates its visceral and diaphragmatic surfaces.

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What are the Right and Left triangular ligaments of the liver?

The right and left triangular ligaments are formed by the left and right ends of the coronary ligament, respectively. They help to anchor the liver to the diaphragm.

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What is the Hepatogastric ligament?

The Hepatogastric ligament is a peritoneal fold that connects the liver to the stomach, forming part of the lesser omentum. It helps to suspend the stomach and provides a passageway for vessels and nerves.

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What is the Hepatoduodenal ligament?

The Hepatoduodenal ligament is a peritoneal fold that connects the liver to the duodenum, forming part of the lesser omentum. It encloses the portal triad (portal vein, hepatic artery, and common bile duct).

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What is the Ligamentum venosum?

The Ligamentum venosum is a fibrous remnant of the ductus venosus, a fetal blood vessel that shunted blood from the umbilical vein to the inferior vena cava. It is located on the visceral surface of the liver, between the inferior vena cava and the left lobe.

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What is the spleen?

The spleen is a lymphatic organ located in the upper left quadrant of the abdomen. It plays a role in filtering blood, storing red blood cells, and producing lymphocytes.

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Portal Hypertension

A condition where the blood flow through the portal vein to the liver is reduced or blocked, often due to liver disease or a tumor. This can cause blood to back up in the veins of the digestive system, leading to swelling and even bleeding.

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Varices

Abnormal dilations of veins, typically in the esophagus, which can occur with portal hypertension. These veins are fragile and susceptible to bleeding.

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Esophagus

The muscular tube connecting the pharynx to the stomach. It is a passageway for food and fluids, and is responsible for peristaltic contractions that propel food downward.

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Gastritis

Inflammation of the lining of the stomach, often caused by bacteria, alcohol, or certain medications. Symptoms include pain, nausea, and vomiting.

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Appendix

A small, finger-shaped pouch connected to the caecum in the large intestine. It plays a role in the immune system by housing beneficial bacteria.

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Polyposis

A condition characterized by the presence of small, abnormal outgrowths (polyps) in the lining of the colon. Some polyps are benign, while others can be precancerous.

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Volvulus

A condition where a part of the intestine twists upon itself, cutting off blood flow and leading to blockage. This can be life-threatening.

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Haemorrhoids

Swollen and inflamed veins in the anal canal, often caused by straining during bowel movements. They can be internal or external.

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Key features of the Jejunum

The jejunum is the middle section of the small intestine, characterized by its larger diameter, thicker walls, and prominent plicae circulares. It is responsible for the majority of nutrient absorption.

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Key Features of the Ileum

The ileum is the last section of the small intestine, smaller in diameter with thinner walls and less prominent plicae circulares. It absorbs bile salts and Vitamin B12.

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Parts of the large intestine

The large intestine is the final part of the digestive system, responsible for absorbing water and forming feces. It consists of the caecum, appendix, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anal canal.

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Study Notes

Revision 11.12.2024

  • Panagiotis Karanis, Professor of Anatomy
  • UNic Medical School

Anatomy of the Neck - Respiratory System

  • The differential diagnosis of neck lumps and the effective clinical and surgical management of pathological neck lesions require a good understanding of neck anatomy.
  • The opposite sternocleidomastoid is tensed by pressing the jaw laterally against one's hand. This muscle helps define the posterior triangle of the neck, bounded by sternocleidomastoid, trapezius and the clavicle.
  • The anterior triangle is defined by sternocleidomastoid, the mandible, and the midline.

The Surface Anatomy of the Neck

  • The thin platysma muscle, spread subcutaneously like a sheet, passes over the clavicles. It is pierced by cutaneous nerves, and is supplied by branches of the facial nerve (CN VII).
  • The platysma is a feature of the anterolateral part of the neck and does not extend to the back of the neck.
  • Above the level of the hyoid, the medial borders of the right and left platysma muscles are contiguous. Whereas below, they are separated by an interval of 2.5 cm.

Neck Fascial Layers

  • The superficial layer of the neck is essentially subcutaneous fat, which varies in thickness.
  • The superficial fascia is also called the panniculus adiposus.

Cervical Regions- Triangles and their Borders

  • The neck is divided into regions based on the borders of the superficial sternocleidomastoid and trapezius muscles.
  • These muscles make up the outermost (investing) layer of the deep cervical fascia.

The Anatomy of the Neck

  • The hyoid bone, thyroid notch, cricothyroid ligament, cricoid cartilage, cricotracheal ligament, and isthmus of the thyroid can be felt in the midline.
  • Structures palpable in the anterior aspect of the neck can be associated with corresponding vertebral levels.
  • The suprasternal notch is located at the inferior end of the manubrium of the sternum.

The Fascial Compartments of the Neck

  • The fascial compartments in the neck are the investing layer, pretracheal fascia, prevertebral fascia, and carotid sheaths.
  • The cervical viscera, major blood vessels, and nerves, and all cervical muscles (except the platysma) lie within the investing layer of the deep cervical fascia.
  • The prevertebral fascia is a relatively dense layer covering the cervical vertebral column, and the anterior aspects of prevertebral muscles.
  • The prevertebral fascia envelops the thoracic duct, esophagus, pharynx, great vessels, and the brachial plexus.

The Thyroid Gland

  • The thyroid gland is enveloped by pretracheal fascia.
  • Surrounding the upper trachea, the isthmus of the thyroid gland lies behind it.
  • The sides of the cricoid and thyroid cartilages are also firmly adherent to the pretracheal fascia.

What is the Ansa Cervicalis?

  • The ansa cervicalis is a loop-shaped nerve formed by roots from the cranial nerves that supplies the infrahyoid muscles.
  • The roots come from the C1-C3 cervical spinal nerves.
  • The superior and inferior roots form the ansa.
  • The ansa innervates the infrahyoid strap muscles.

Intrinsic Muscles of the Larynx

  • The intrinsic muscles of the larynx are involved in the adduction or abduction of the vocal cords, and can be grouped into functional groups.
  • The cricothyroid tenses the vocal cords.
  • The cricoarytenoids abduct the cords.
  • The thyroarytenoids relax the cords.
  • The transverse and oblique arytenoids adduct the cords.

Variations in Shape of Rima Glottidis

  • The rima glottidis is the space between the vocal folds.
  • The shape of the rima glottidis changes during respiration, phonation, and whispering.

Vessels, Nerves, and Lymph Nodes of the Larynx

  • The larynx is supplied by several arteries and veins, including the superior thyroid artery, superior laryngeal artery, and inferior laryngeal artery.
  • The nerves of the larynx include the superior laryngeal nerve, the recurrent laryngeal nerve, and laryngeal branches of CN X.
  • The lymph nodes in the region include the superior and inferior deep cervical lymph nodes.
  • The vagus nerve (CN X) branches to the larynx supply the inferior laryngeal nerve and superior laryngeal nerve.

The Thyroid Gland

  • The thyroid is made up of the isthmus, located atop the second and third tracheal rings, and two lateral lobes.
  • The lobes extend from the thyroid cartilage to the sixth tracheal ring.
  • An inconstant pyramidal lobe may be present on the left side of the isthmus, representing a remnant of the embryonic thyroid descent.

Development

  • The thyroid develops from a bud pushing out from the pharyngeal floor.
  • The outgrowing thyroglossal duct descends into the neck to reach its final location.
  • The lower end of the thyroglossal duct becomes the thyroid gland.
  • The duct disintegrates.

Ribs, Costal Cartilages and Intercostal Spaces

  • The true ribs (1-7) attach to the sternum directly.
  • The false ribs (8-10) attach to the sternum indirectly via the costal cartilage.
  • The floating ribs (11-12) have no connection to the sternum.

Muscles of Respiration (Inhalation and Exhalation)

  • The intercostal muscles are involved in breathing.
  • Several additional thoracic wall muscles are involved in breathing. (These muscles are the long thoracic, medial and lateral pectoral, dorsal scapular, and thoracodorsal nerves.)

The Fascial Compartments of the Neck

  • The investing layer of deep cervical fascia is the most superficial layer of deep cervical fascia, which wraps around the neck like a collar.
  • The prevertebral fascia is the deepest layer, and it covers the anterior aspects of the prevertebral muscles and the cervical vertebral column.
  • The prevertebral fascia envelops the thoracic duct, esophagus, pharynx, great vessels, and the brachial plexus.

Kidney and Urinary System

  • The kidneys are bean-shaped organs situated retroperitoneally.
  • The renal cortex is the outer layer, and the renal medulla is the inner layer, containing the renal pyramids.
  • The renal papillae drain urine into the minor calyces, which feed into major calyces and then the renal pelvis, leading to the ureter.

Renal Segments and Segmental Arteries

  • The renal segments include the apical, anterosuperior, anteroinferior, posterior and inferior.
  • The suprarenal artery, renal artery and interlobar arteries are involved in the blood supply.
  • The segments are important for segmental arteriography.

Microscopic Anatomy of the Kidneys

  • The kidneys contain glomeruli (with the glomerular capsule) as well as convoluted tubules and the loop of Henle.
  • Parts of the nephron that make up the kidneys are the proximal and distal convoluted tubules.

Clinical Relevance- Horseshoe Kidney

  • A horseshoe kidney occurs when the two developing kidneys fuse partially together to form a U-shaped structure and remain stuck behind the inferior mesenteric artery.

Normal Constrictions of the Ureters

  • The ureters have three constricted points, at their union with the renal pelvis, at the pelvic inlet, and during their passage through the bladder wall.
  • The ureters carry urine from kidneys to the bladder.

Anatomical details of Urinary Bladder and Parts of the Urethra.

  • Anatomical features of the bladder and urethra should be studied.

Gastrointestinal System I-III

  • The digestive system consists of the mouth, pharynx, esophagus, stomach, small intestines, large intestines and anus.

Mouth

  • The parotid gland secretes saliva, containing amylase, which assists in starch digestion.
  • The submandibular gland and sublingual glands secrete additional saliva.
  • Mechanical digestion in the mouth involves mixing and forming the bolus.

Tongue

  • Sensory and motor nerves provide the tongue’s sensitivity and movements.

The Pharynx

  • The pharynx comprises three constrictor muscles—superior, middle, and inferior—that propel food and liquids from the mouth into the esophagus.
  • The pharynx is used in swallowing but not digestion.

Oepning of Pharyngotympanic tube (Eustachian Tube)

  • Serves to equalize pressure between the middle ear and the atmosphere.

Anterior Wall of the Pharynx

  • The anterior wall of the pharynx contains the choana(posterior nasal aperture), posterior lip of the mouth, pharyngeal recesses, salpingopharyngeal fold.
  • It also contains the terminal sulcus of the tongue, pharyngo-epiglottic fold, aryepiglottic fold, and the piriform fossa.

Stomach

  • The stomach mixes food with gastric juice and forms chyme for further digestion.
  • It is also involved in storage and the killing of bacteria.
  • Gastric juice contains HCI, pepsin, intrinsic factor, and gastric lipase.

Arteries of the Stomach

  • The celiac trunk supplies the stomach, with branches such as the left gastric, proper hepatic and splenic arteries delivering blood.

The Biliary Tree

  • The biliary tree collects bile (produced in the liver) and transports it to the duodenum.
  • The common hepatic duct joins with the cystic duct, from the gallbladder to form the common bile duct.
  • Bile enters the duodenum via the hepatopancreatic ampulla.

Junction of Bile Duct and Duodenum

  • The sphincter of Oddi controls bile flow into the duodenum.
  • The opening into the duodenum is flanked by two sphincters that regulate bile and pancreatic juice flow.

The Pringle Maneuver

  • The Pringle maneuver is a surgical technique to temporarily clamp vessels to prevent liver bleeding.

Visceral Surface of the Liver

  • The visceral surface of the liver reveals four anatomical lobes, demarcated by two sagittal fissures.
  • The fissures include the fossa for the gallbladder and the groove for the vena cava.
  • Other elements visible are the round ligament and ligamentum venosum.

The Ligaments of the Liver

  • The falciform ligament attaches to the diaphragm, and the umbilical vein on the visceral surface of the liver.
  • Other ligaments include the coronary, right and left triangular, gastro-hepatic, and hepatoduodenal ligaments, as well as the ligamentum venosum.

Coronary Ligament

  • The coronary ligament encompasses the bare area of the liver, situated between the upper and lower layers of the coronary ligament, which contacts the diaphragm.

Blood Supply of the Liver

  • The liver receives blood from both arterial and venous sources.
  • The hepatic artery supplies oxygenated blood, while the portal vein carries nutrient-rich blood.

Celiac Trunk

  • The celiac trunk is a major artery supplying the foregut, branching into the left gastric artery, proper hepatic artery, and splenic artery.

Spleen- Venous Drainage

  • The spleen receives blood from the celiac trunk via the splenic artery.
  • Deoxygenated blood drains from the spleen to the liver via the splenic vein, a tributary of the portal vein.

Diverticulosis

  • A condition where pouches protrude from the large intestine.
  • Diverticula are typically concentrated in the sigmoid colon.
  • The condition diverticulitis results when the diverticula become inflamed.

Volvulus

  • The condition volvulus presents a twisting of the intestine, and can have severe complications.
  • This can happen in the descending or sigmoid colon.

Polyposis

  • Polyposis is characterized by the development of benign polyps throughout the large intestine.

Hemorrhoids

  • Hemorrhoids are swollen blood vessels in the rectum and anal canal.
  • Internal hemorrhoids arise above the pectinate line, while external hemorrhoids arise below.

Endocrine System

  • Endocrine organs regulate bodily functions through hormone production.

Structures Palpable Via Rectal Examination (Male and Female)

  • Structures that can be palpated during a rectal examination can vary based on genders and age.

Clinical

  • The clinical scenarios of abnormalities of the described parts of the body are detailed.

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Test your knowledge on key aspects of human anatomy related to the fascia, ureters, and other critical structures. This quiz covers various topics including embryological development, cranial nerves, and the functions of different anatomical components. Ideal for students in anatomy courses.

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