Intro to Anatomical Terms & Planes
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A surgeon is operating on a patient and needs to access a structure located deep within the body, while minimizing damage to superficial tissues. Which of the following approaches would be most appropriate, considering the anatomical relationships?

  • A wide excision of the superficial tissues to provide maximal exposure and ease of access.
  • Employing a series of retractors to pull superficial structures laterally, providing a direct path to the deep target.
  • A direct incision through the superficial fascia, followed by blunt dissection to separate muscle layers.
  • Utilizing an endoscopic approach with multiple small incisions to navigate between structures. (correct)

In the context of limb movement, if a kinesiologist instructs an athlete to perform a 'circumduction' exercise at the shoulder joint, which of the following accurately describes the sequential and integrated joint actions involved?

  • Simultaneous flexion and extension with concurrent internal and external rotation at a fixed point.
  • Unidirectional movement in a single plane encompassing either flexion-extension or abduction-adduction.
  • Isolated rotation of the humerus around its longitudinal axis, followed by medial and lateral displacement.
  • A sequential combination of flexion, abduction, extension, and adduction, creating a conical movement. (correct)

Consider a scenario where a patient presents with limited lateral rotation of the hip. Assuming no structural abnormalities of the joint itself, which muscle dysfunction is LEAST likely to be a primary contributor to this restriction?

  • Spasm or contracture of the iliopsoas muscle. (correct)
  • Adhesions within the piriformis muscle belly restricting its normal elasticity.
  • Weakness or inhibition of the obturator internus muscle leading to functional imbalance.
  • Hypertonicity of the gluteus maximus impeding external rotation.

A researcher is investigating the vascular supply to a specific region of the brain following a stroke. Occlusion of which vessel would MOST severely compromise the collateral circulation, leading to the largest area of infarction, assuming minimal pre-existing anastomoses?

<p>The main trunk of the middle cerebral artery proximal to the lenticulostriate branches. (D)</p> Signup and view all the answers

During a complex surgical reconstruction, precise identification of tissue origins and insertions is paramount. What is the MOST critical distinction between 'origin' and 'insertion' when describing a muscle's attachment points, particularly in the context of biomechanics and joint movement?

<p>The origin is the attachment that moves less during muscle contraction, while the insertion is the attachment that moves more. (A)</p> Signup and view all the answers

In a patient exhibiting symptoms indicative of a lesion affecting a specific nerve, which of the following clinical presentations would MOST strongly suggest damage to a purely sensory (afferent) nerve, as opposed to a mixed motor and sensory nerve?

<p>Selective loss of tactile discrimination and proprioception in the nerve's distribution, with preserved motor function. (D)</p> Signup and view all the answers

Considering the concept of anatomical planes, what is the MOST accurate description of movement occurring within the sagittal plane?

<p>Flexion and extension movements, dividing the body into right and left sections. (A)</p> Signup and view all the answers

A novel therapeutic agent is designed to selectively enhance angiogenesis within muscle tissue post-injury. Which of the following mechanisms would MOST directly contribute to its efficacy by optimizing the transition from arterioles to capillaries?

<p>Stimulation of vascular endothelial growth factor (VEGF) signaling to induce endothelial cell proliferation and migration. (C)</p> Signup and view all the answers

In the context of bone tissue engineering, a scaffold material is designed to mimic the natural bone extracellular matrix. Which combination of structural features and biochemical cues would MOST effectively promote osteoblast differentiation and subsequent bone formation within a load-bearing application?

<p>A biodegradable scaffold with interconnected pores, incorporating hydroxyapatite and bone morphogenetic protein-2 (BMP-2). (E)</p> Signup and view all the answers

In a patient with a complete spinal cord transection at the level of T4, which of the following physiological responses related to blood vessel control would be MOST severely compromised due to the disruption of descending sympathetic pathways?

<p>Reflex vasoconstriction in response to a sudden decrease in blood pressure upon standing (orthostatic hypotension). (B)</p> Signup and view all the answers

A patient presents with a lesion described as being 'ipsilateral and proximal' to the antecubital fossa. Assuming standard anatomical positioning, which of the following best describes the lesion's location relative to the elbow?

<p>Located on the same side of the body and closer to the shoulder than the elbow. (B)</p> Signup and view all the answers

During a surgical procedure, a surgeon needs to access the retroperitoneal space. Which anatomical approach would be MOST appropriate, considering the relationships of anatomical planes and regional anatomy?

<p>A posterior approach, dissecting through the lumbar musculature, maintaining a plane parallel to the median sagittal plane. (A)</p> Signup and view all the answers

In the context of advanced reconstructive surgery, a surgeon plans to harvest a free flap from the patient's dorsum pedis. Which of the following considerations regarding anatomical terminology is MOST crucial for successful flap elevation and transfer?

<p>Accurately defining the superior border of the flap relative to the calcaneal tendon insertion. (D)</p> Signup and view all the answers

A researcher is investigating the effects of a novel angiogenesis inhibitor on tumor growth in vivo. To quantify changes in tumor vasculature, they employ dynamic contrast-enhanced MRI. Which anatomical plane would be MOST suitable for acquiring cross-sectional images to accurately measure tumor volume and vascular density?

<p>Transverse (axial) plane, to obtain serial sections perpendicular to the body's long axis for volumetric analysis. (D)</p> Signup and view all the answers

During the dissection of a cadaver, a medical student is instructed to identify the structures located within the anterior mediastinum. Which of the following anatomical structures would the student expect to find in this region?

<p>The thymus gland, lymph nodes, and internal thoracic artery, anterior to the pericardium. (A)</p> Signup and view all the answers

A novel gene therapy is being developed to target specific cells within the stratum basale of the epidermis. Considering the anatomical position and descriptive terms, how would you BEST describe the location of these target cells relative to the stratum corneum?

<p>The target cells are located deep and internal to the stratum corneum. (A)</p> Signup and view all the answers

A patient presents with chronic exertional compartment syndrome in the lower leg. Based on anatomical terminology, which of the following BEST describes the location of the lateral compartment relative to the anterior compartment?

<p>The lateral compartment is lateral and posterior to the anterior compartment. (A)</p> Signup and view all the answers

A researcher is studying the biomechanics of the knee joint during gait. They need to precisely define the axis of rotation for flexion and extension. Which anatomical plane is MOST relevant for determining this axis?

<p>The coronal plane, as it divides the body into anterior and posterior sections, aligning with the medial-lateral axis of rotation. (D)</p> Signup and view all the answers

During a complex neurosurgical procedure, a surgeon encounters a rare anatomical variation where the anterior spinal artery is duplicated. One branch courses ventral to the spinal cord, as expected, while the other courses dorsally. How would you BEST describe the position of the aberrant dorsal branch relative to the ventral branch?

<p>The dorsal branch is posterior and dorsal to the ventral branch. (A)</p> Signup and view all the answers

In a research study investigating the effects of prolonged microgravity on bone density, scientists perform DEXA scans on astronauts returning from space. If they observe a significant decrease in bone density in the femoral neck, how would they MOST accurately describe the location of this finding using anatomical terminology relative to the femoral head?

<p>The decreased bone density is distal and lateral to the femoral head. (A)</p> Signup and view all the answers

Flashcards

Anatomy

Science dealing with the structure of the human body.

Gross Anatomy

Study of body structures on embalmed bodies, region or system-wise.

Living Anatomy

Study of body structures in living humans through various methods.

Histology

Study of tissues of the body using a microscope.

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Embryology

Study of prenatal developmental changes.

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Topographic Anatomy

Study of deep body parts concerning the skin surface.

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Anatomical Position

Standing straight, arms at sides, palms forward.

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Sagittal Plane

Divides the body into right and left halves.

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Anterior

In front or nearest to the front surface of the body.

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Superior

Toward the head or upper part of the body.

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Proximal

Nearer to the trunk or point of origin.

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Distal

Away from the trunk or point of origin.

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Flexion

Decrease in angle between articulating bones.

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Extension

Increase in angle between articulating bones.

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Abduction

Moving a body part away from the median plane.

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Adduction

Moving a body part towards the median plane.

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Origin (muscle)

The fixed attachment point of a muscle.

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Insertion (muscle)

The moving attachment point of a muscle.

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Motor nerves

Nerves that carry signals for movement.

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Veins

Carry deoxygenated blood towards the heart.

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Study Notes

Introduction to Anatomical Terms & Planes

  • Anatomy is the science of the structure of the human body.
  • It underpins all of medicine and introduces medical terminology.
  • The word "anatomy" comes from Greek "anatome", which combines "ana" meaning "up" and "tome" meaning "cutting". It literally translates to "cutting up."

Subdivisions of Anatomy

  • Gross (Cadaveric) Anatomy: The study of body structures using embalmed dead bodies. It can be done regionally (e.g., upper/lower limbs, head/neck/brain) or systemically (e.g., skeletal, muscular, nervous, respiratory, digestive systems, also known as splanchnology).
  • Living Anatomy: The study of structures in living human beings. Techniques include inspection, palpation, auscultation (listening to sounds), and endoscopy (using instruments to view internal structures), bronchoscopy, gastroscopy, and radiography (e.g., X-rays), ECG.

Histology/Microscopic Anatomy

  • Microscopic study of tissues.

Embryology (Developmental Anatomy)

  • Study of prenatal developmental changes.

Neuroanatomy

  • Study of the structure and organization of the nervous system.

Topographic Anatomy (Surface Anatomy)

  • Study of deep body parts in relation to the skin surface.

Radiographic & Imaging Anatomy

  • Uses techniques like plain or contrast radiography, and CT scans.

Applied (Clinical) Anatomy

  • Application of anatomical knowledge in medical and surgical practice.

Position of the Body

  • Anatomical position: Person standing upright, facing forward with arms at the sides, palms forward, and feet together.

Descriptive Terms (Positions)

  • Supine: Lying on the back, palms up.
  • Prone: Lying on the stomach.
  • Lithotomy: Lying on back, legs elevated and supported.

Body Planes and Sections

  • Median (Midsagittal) Plane: Divides the body into right and left halves through the center.
  • Sagittal Plane: Parallel to the median plane.
  • Coronal Plane: Perpendicular to the median plane, dividing the body into anterior (front) and posterior (back) halves.
  • Transverse Plane: Perpendicular to both the median and coronal planes, dividing the body into superior (upper) and inferior (lower) parts.

Terms of Relationship (Directional Terms)

  • Anterior (Ventral): In front of.
  • Posterior (Dorsal): Behind.
  • Superior (Cranial/Cephalic): Toward the head.
  • Inferior (Caudal): Toward the feet.
  • Medial: Toward the midline.
  • Lateral: Away from the midline.
  • Proximal: Nearer to the point of origin (trunk).
  • Distal: Farther from the point of origin (trunk).
  • Superficial: Toward the surface.
  • Deep: Farther from the surface / deeper.
  • External: Outside.
  • Internal: Inside.
  • Central: Toward the center.
  • Peripheral: Away from the center.
  • Ipsilateral: On the same side of the body.
  • Contralateral: On the opposite side of the body.

Terms Describing Movements at Joints

  • Flexion: Decreases the angle at a joint.
  • Extension: Increases the angle at a joint.
  • Abduction: Movement away from the midline.
  • Adduction: Movement toward the midline.
  • Rotation: Movement around an axis. Medial rotation & Lateral rotation
  • Circumduction: Circular movement combining flexion, abduction, extension, adduction.
  • Protrusion: Moving a part forward.
  • Retraction: Moving a part backward.
  • Dorsiflexion: Bending the foot upwards.
  • Plantar flexion: Bending the foot downwards
  • Origin: Attachment point of a muscle on a stationary bone.
  • Insertion: Attachment point of a muscle on a movable bone.
  • Belly: Fleshy, contractile part of a muscle.
  • Tendon: Fibrous, non-contractile part of a muscle that connects to bones.
  • Aponeurosis: Flattened sheet of dense connective tissue that connects a muscle to a bone/skin.
  • Motor (Efferent) Nerves: Carry signals from the brain and spinal cord to muscles for movement.
  • Sensory (Afferent) Nerves/Cutaneous Nerves: Carry signals from sensory receptors to the brain and spinal cord for sensory perception.
  • Central Nervous System (CNS): Brain and spinal cord.
  • Peripheral Nervous System (PNS): Peripheral nerves (cranial & spinal), autonomic nerves.
  • Arteries: Carry oxygenated blood away from the heart [Exception: umbilical & pulmonary arteries].
  • Veins: Carry deoxygenated blood towards the heart.
  • Arterioles: Smallest branches of arteries.
  • Venules: Smallest branches of veins, connecting arterioles and capillaries.
  • Capillaries: Tiny vessels connecting arterioles and venules, where oxygen/nutrient exchange occurs.
  • Anastamoses: Connections between neighboring blood vessels (arteries, veins, etc.)

Terms Used for Describing Bone Features

  • Elevations: Projections (e.g., tubercle, tuberosity, condyle, epicondyle, malleolus).
  • Depressions: Indentations (e.g., fovea, fossa, groove, notch).
  • Openings: Passageways (e.g., foramen, canal).
  • Cavities: Spaces or cavities within bones (e.g., sinus).

Basic Tissues of the Body

  • Cells: The fundamental structural and functional units of the body, including epithelial, muscle, neuronal/nerve, connective tissue cells (e.g., fibroblasts), cartilage cells (chondrocytes), bone cells (osteocytes) etc.
  • There are four main types of tissue in the body (Epithelial, connective, muscle and neural tissue)

Organs

  • Different types of basic tissues work together to form organs.
  • Examples include the heart, kidneys, lungs, stomach , intestines.

Organ Systems

  • Groups of organs work together to perform specific functions.
  • Examples include: gastrointestinal system, respiratory system, cardiovascular system, urinary system.

Urinary System

  • Eliminates waste products, and regulates fluid and electrolyte balance.

Digestive System

  • Breaks down food and absorbs nutrients.

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Learn the basics of anatomy, its subdivisions like Gross, Living, and Microscopic Anatomy. Understand anatomical terms, planes, and their importance in medicine. Explore the study of body structures in both cadavers and living beings.

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