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Questions and Answers

What type of muscle is the temporalis considered to be?

  • Segmented muscle
  • Circular muscle
  • Convergent muscle (correct)
  • Prime mover muscle
  • What is the most common position of the vermiform appendix?

  • Retrocaecal (correct)
  • Subcaecal
  • Intracaecal
  • Retroileal
  • Which statement correctly describes a prime mover in muscle action?

  • It opposes the action of the antagonists.
  • It engages in circular movements at the joints.
  • It performs a specific action on the joint. (correct)
  • It stabilizes other joints during movement.
  • What is the primary function of the clavicle?

    <p>To transmit forces from the upper limb to the axial skeleton.</p> Signup and view all the answers

    Which structure is NOT associated with the liver's portal circulation?

    <p>Inferior vena cava</p> Signup and view all the answers

    What is the main function of the biliary passages?

    <p>Secrete bile from the liver to the duodenum</p> Signup and view all the answers

    Which type of synovial membrane structure would be associated with a long tendon rubbing against multiple bony prominences?

    <p>Synovial sheath</p> Signup and view all the answers

    Which part of the pancreas is located in the concavity of the C-shaped duodenum?

    <p>Head</p> Signup and view all the answers

    What characteristic defines the medial (sternal) end of the clavicle?

    <p>It has a quadrilateral shape and articulates with the sternum.</p> Signup and view all the answers

    Which lobe of the liver is larger and more prominent than the other?

    <p>Right lobe</p> Signup and view all the answers

    Study Notes

    Muscle Forms

    • Convergent - Fan shaped, example: Deltoid muscle.
    • Parallel - Fibers run parallel to the long axis of the muscle, example: Sartorius muscle.
    • Pennate - Short fibers attach obliquely to a central tendon, example: Rectus femoris muscle.
    • Circular - Sphincter-like, example: Orbicularis oculi muscle.
    • Segmented - Fused parts, example: Rectus abdominis muscle.

    Muscle Action

    • Prime Mover - Main muscle responsible for a specific movement, example: Brachialis for elbow flexion.
    • Antagonist - Opposes the action of the prime mover, example: Triceps for elbow flexion.
    • Synergist & Fixator - Stabilizes other joints for smooth movement, example: Muscles that stabilize the shoulder during elbow flexion.
    • Synovial Bursa - Closed fibrous sac lined by a synovial membrane, present where a tendon rubs against a bony prominence, example: Subscapular bursa.
    • Synovial Sheath - Tubular fibrous sheath lined by a synovial membrane, present where a tendon rubs against multiple bony prominences, example: Long flexor tendons of the forearm.

    Clavicle

    • A long bone (S-shaped) located in the root of the neck.
    • Functions: Transmits forces from the upper limb to the axial skeleton and supports the arm.
    • Consists of a medial (sternal) end, body (shaft), and lateral (acromial) end.
    • Forms the sterno-clavicular and acromio-clavicular joints.

    Liver

    • Largest abdominal organ, occupying the right hypochondriac and epigastric regions.
    • Consists of two main lobes (right and left) and two accessory lobes (caudate and quadrate).
    • Related to the anterior abdominal wall, diaphragm, vertebral column, IVC, right ribs, and viscera.
    • Contains a fossa for the gallbladder and the liver hilum (porta hepatis).

    Portal Circulation

    • Nutrient-rich blood circulates between the gut and liver.
    • Allows the liver to remove harmful substances before blood enters the main circulation.
    • Starts in the alimentary tract, collects in the portal vein, and ends in the liver for metabolism.

    Biliary Passages

    • Pathway for bile secreted by the liver to the duodenum.
    • Starts with right and left hepatic ducts, unites into the common hepatic duct.
    • Joins the cystic duct of the gallbladder to form the common bile duct (CBD).
    • Ends with the main pancreatic duct into the second part of the duodenum.

    Pancreas

    • Mixed gland located horizontally at the level of the 2nd lumbar vertebra.
    • Consists of a head, neck, body, and tail.

    Cranial Nerves

    • 12 pairs of nerves that originate from the brain.
    • Primarily involved in sensory and motor functions of the head and neck.
    • Examples: Olfactory (smell), Optic (vision), Trigeminal (sensory from face, motor to muscles of mastication), Facial (motor to facial muscles, parasympathetic), Vagus (parasympathetic to heart, respiratory and GIT).

    Spinal Nerves

    • 31 pairs of nerves attached to the spinal cord.
    • Consists of two roots: dorsal sensory and ventral motor.
    • 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal nerves.
    • Mixed nerves containing motor, sensory, and autonomic fibers.

    Autonomic Nervous System

    • Controls involuntary functions like heart rate, smooth muscle contraction, and gland secretions.
    • Sympathetic division: Located in the spinal cord (thoracic and first two lumbar segments), increases activity in stress conditions, decreases GIT activity, dilates bronchi, and increases heart rate.
    • Parasympathetic division: Located in brain stem nuclei and sacral segments, increases activity in rest conditions, increases GIT activity, constricts bronchi, and decreases heart rate.

    Brain Coverings

    • Dura Mater - Tough outer membrane.
    • Arachnoid Mater - Delicate, spider web-like membrane.
    • Pia Mater - Thin, delicate membrane that adheres to the brain surface.

    Female Genital System

    • External Genital Organs - Vulva (composed of labia majora, labia minora, and clitoris), breast (mammary gland).
    • Internal Genital Organs - Ovaries (primary sex organs), fallopian tubes, uterus, vagina.

    Ovaries

    • Primary sex organ in females.
    • Almond-shaped, 1x2x3 cm.
    • Mixed gland: Produces estrogen and progesterone hormones (endocrine) and ova (exocrine).

    Fallopian Tubes

    • 10 cm in length.
    • Site of fertilization (ampulla).
    • Transports the zygote to the uterine cavity via ciliary action.
    • Parts: Infundibulum with fimbriae, ampulla, isthmus, intramural part.

    Uterus

    • Pear-shaped pelvic organ (1x2x3 inches).
    • Located between the urinary bladder and rectum.
    • Consists of three parts: fundus, body, and cervix.
    • Layers: Epimetrium (outer), myometrium (middle), and endometrium (inner).

    Birth Defects & Prenatal Diagnosis

    • Structural, functional, and metabolic disorders present at birth.
    • Teratology studies these disorders.
    • Major structural anomalies occur in 4-6% of live-born infants and contribute significantly to disability.
    • Minor structural anomalies occur in 15% of live-born infants.

    Types of Abnormalities

    • Malformations - Disorders occurring during organ formation (embryonic period), organ not formed, partially formed, or abnormally formed, example: renal aplasia and polydactyly.
    • Disruptions - Morphological alterations of already formed structures, example: amniotic band syndrome.
    • Deformations - Abnormality due to a mechanical force, example: clubfoot due to compression in the amniotic cavity.
    • Syndromes - Group of anomalies occurring together due to a specific cause, example: VACTERL association.

    Teratogens

    • Agents that can cause congenital anomalies or birth defects.
    • 50-60% of birth defects have an unknown cause.
    • Genetic causes: 15% due to chromosomal abnormalities.
    • Environmental causes: 10% due to teratogens, including infectious agents, physical agents, drugs, hormones, and environmental pollutants.

    Examples of Teratogens

    • Infectious Agents: Rubella virus and cytomegalovirus can produce cardiac and neural tube defects.
    • Physical Agents: X-rays can kill rapidly dividing cells.
    • Drugs: Thalidomide (sedative) can produce limb defects, Valproic acid (anti-epileptic) can produce neural tube defects.
    • Hormones: Synthetic progesterone (norethistrone) can masculinize female fetal genital organs.

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