USMLE Anatomy, Embryology, Neuroanatomy, Histology
Terms
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- What gland is found in the muscular triangle of the neck?
- Thyroid gland
- Is an afferent or efferent pupillary defect described as B/L pupillary constriction when light is shined in the unaffected eye and B/L paradoxical dilation when light is shined in the affected eye?
- Afferent pupillary defect (CN II lesion); in an efferent pupillary defect (CN III), B/L constrict when light is shined in the unaffected eye and consentual pupil constriction occurs when light is shined in the affected eye.
- What is the name of the spinal cord passing within the subarachnoid space and forming the spinal nerves that exit the lumbar and sacral foramina?
- Cauda equina
-
Name the laryngeal muscle described by the following:
⬢ Pulls the arytenoids cartilages closer to the thyroid, relaxing the vocal ligaments and thereby decreasing the pitch - Thyroarytenoid muscles
-
Name the laryngeal muscle described by the following:
⬢ Tenses the vocal ligaments, increasing the distance between the cartilages, thereby increasing the pitch - Cricothyroid muscles
-
Name the laryngeal muscle described by the following:
⬢ Adducts the vocal ligaments, closes the air passageway during swallowing, and allows phonation - Lateral cricoarytenoid muscles
-
Name the laryngeal muscle described by the following:
⬢ Only muscle to abduct the vocal cords - Posterior cricoarytenoid muscles
- Where does the parotid (Stensen's) duct enter the oral cavity?
- Opposite the second upper molar tooth
-
From what aortic arch are the following structures derived?
⬢ Common and internal carotid arteries -
Third aortic arch
MS CARD is my mnemonic for the aortic arch derivatives -
From what aortic arch are the following structures derived?
⬢ Degenerates -
Fifth
MS CARD is my mnemonic for the aortic arch derivatives -
From what aortic arch are the following structures derived?
⬢ Stapes artery -
Second
MS CARD is my mnemonic for the aortic arch derivatives -
From what aortic arch are the following structures derived?
⬢ Maxillary artery -
First
MS CARD is my mnemonic for the aortic arch derivatives -
From what aortic arch are the following structures derived?
⬢ Arch of the aorta and right subclavian artery -
Fourth
MS CARD is my mnemonic for the aortic arch derivatives -
From what aortic arch are the following structures derived?
⬢ Right and left pulmonary arteries and the ductus arteriosus -
Sixth
MS CARD is my mnemonic for the aortic arch derivatives - What abdominal muscle contributes to the anterior layer of the rectus sheath, forms the inguinal ligament, and in men gives rise to the external spermatic fascia of the spermatic cord?
- External abdominal oblique
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Adduct the thigh and flex the hip - Medial compartment of the thigh, obturator nerve
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Plantar flex the foot, flex the toes, and invert the foot - Posterior compartment of the leg, tibial nerve
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Dorsiflex the foot, extend the toes, and invert the foot - Anterior compartment of the leg, deep peroneal nerve
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Flex the hip and extend the knee - Anterior compartment of the thigh, femoral nerve
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Extend the hip and flex the knee - Posterior compartment of the thigh, tibial nerve
-
Name the compartment of the lower extremity and the nerve based on its movements.
⬢ Plantar flex the foot and evert the foot - Lateral compartment of the leg, superficial peroneal nerve
- What are the five branches of the posterior cord of the brachial plexus?
-
STARS
1. Upper Subscapularis
2. Thoracodorsal
3. Axillary
4. Radial
5. Lower Subscapularis -
Name the correct artery.
⬢ The right recurrent laryngeal nerve passes around it. - Right brachiocephalic artery
-
Name the correct artery.
⬢ The left recurrent laryngeal nerve passes around it. - Arch of the aorta
- The inferior mesenteric vein drains into it.
- The splenic vein
- Are the quadrate and caudate lobes of the liver functionally part of the left or right lobe?
- Functionally they are part of the left lobe of the liver because they receive their blood supply from the left hepatic artery. Anatomically they are considered part of the right lobe of the liver.
- What bones make up the acetabulum?
- Pubis, ilium, and ischium
- What is the anatomic positioning of the right and left gastric nerve plexus of the esophagus as they pass through the diaphragm?
- LARP: Left goes Anterior and Right goes Posterior (because of the rotation of the gut; remember your embryology!)
- What vessel is lacerated in an epidural hematoma?
- Middle meningeal artery
- True or false? Below the arcuate line, all the aponeurotic fibers run anterior to the rectus abdominis.
- True
-
What ocular muscle
⬢ Adducts the eyeball and is involved in horizontal conjugate gaze? -
Medial rectus (CN III)
(LR6 SO4)3 -
What ocular muscle
⬢ Elevates and adducts the eyeball? -
Superior rectus (CN III)
(LR6 SO4)3 -
What ocular muscle
⬢ Depresses and abducts the eyeball? -
Superior Oblique (CN IV)
(LR6 SO4)3 -
What ocular muscle
⬢ Elevates and abducts the eyeball? -
Inferior Oblique (CN III)
(LR6 SO4)3 -
What ocular muscle
⬢ Abducts the eyeball and is involved in horizontal conjugate gaze? -
Lateral rectus (CN VI)
(LR6 SO4)3 -
What ocular muscle
⬢ Depresses and adducts the eyeball? -
Inferior rectus (CN III)
(LR6 SO4)3 - Which muscles of the eye are under parasympathetic control?
- Constrictor pupillae and ciliary muscles
- Which direction does the uvula deviate in a left vagus nerve lesion?
- A left CN X lesion results in the uvula deviating to the right. (Uvula points away from the affected side.)
- Is a subdural hematoma an arterial or venous bleed?
- Subdural hematoma is a rupture of the cerebral veins where they enter the superior sagittal sinus.
- Which CNs are found in the midline of the brainstem?
-
CN I, II, III, VI, and XII
Add 1 + 1 = 2, 1 + 2 = 3, 1 + 2 + 3 = 6, 1 + 2 + 3 + 6 = 12 - What muscles insert in or on the intertubercular groove of the humerus?
- "Lady between two Majors": latissimus dorsi, pectoralis major, and teres major
- What nerve supplies taste sensation to the anterior two-thirds of the tongue?
- Chorda tympani of CN VII
-
What part of the heart forms
⬢ The right border? - Right atrium
-
What part of the heart forms
⬢ Left border? - Left ventricle and auricle of left atrium
-
What part of the heart forms
⬢ Apex? - Tip of the left ventricle
-
What part of the heart forms
⬢ Base? - Left atrium and tip of the right atrium
-
What part of the heart forms
⬢ Superior border? - Conus arteriosus of the right ventricle and right and left auricles
-
What part of the heart forms
⬢ Anterior wall? - Right ventricle
-
What part of the heart forms
⬢ Posterior wall? - Left atrium
-
What part of the heart forms
⬢ Diaphragmatic wall? - Left ventricle and tip of right ventricle
- What nerves carry the sensory and motor components of the blink reflex?
- CN V1 carries the sensory and CN VII carries the motor component of the blink reflex.
- What muscle keeps the stapes taut against the oval window?
- Stapedius muscle
- Name the components of the femoral canal, working laterally to medially.
- NAVEL: Femoral Nerve, Artery, Vein, Empty space, and Lymphatics/Lacunar ligament
- What muscle is most superior in the orbit?
- Levator palpebrae superioris
- What portion of the pericardium adheres to the tunica adventitia of the great vessels?
- Fibrous pericardium
- What two veins form the portal vein?
- The superior mesenteric vein and the splenic vein (after it receives the inferior mesenteric vein) join to form the portal vein.
- What CNs are responsible for the sensor and motor components of the light reflex?
- CN II is the sensory limb and CN III is the motor component through parasympathetic stimulation.
-
Arrange the following layers in the correct sequence through which a needle must pass in a lumbar puncture.
⬢ Skin
⬢ Subarachnoid space
⬢ Interspinous ligament
⬢ Dura mater
⬢ Deep fascia
⬢ Epidural spa -
During a lumbar puncture the needle passes through the interlaminar space in the midline of L3–L4, with the tip of the iliac crest in the flexed position as the landmark.
Order of puncture:
1. Skin
2. Superficial fascia
3. Deep fascia
4. Supraspinous ligament
5. Interspinous ligament
6. Interlaminar space
7. Epidural space
8. Dura mater
9. Arachnoid mater
10. Subarachnoid space.
(They ask this in some variation every year, so know it.) - What ocular ganglion is affected if the pupil on the affected side sluggishly responds to light with normal accommodation?
- Ciliary ganglion producing a tonic pupil
- What is the name for the most prominent spinous process?
- Vertebra prominens (C7 in 70% of cases, C6 in 20%, T1 in 10%)
- What muscles make up the rotator cuff?
- SITS—Subscapularis, Infraspinatus, Teres minor, Supraspinatus
- What is the function of white rami communicantes?
- They are preganglionic sympathetic axons. They are white because they are myelinated.
-
What muscle or muscles are innervated by the following nerves?
⬢ Suprascapular nerve - Supraspinatus and infraspinatus
-
What muscle or muscles are innervated by the following nerves?
⬢ Upper subscapularis nerve - Subscapularis
-
What muscle or muscles are innervated by the following nerves?
⬢ Thoracodorsal nerve - Latissimus dorsi
-
What muscle or muscles are innervated by the following nerves?
⬢ Long thoracic nerve - Serratus anterior
-
What nerve is associated with the following functions?
⬢ Flex the wrist and digits, pronate the wrist and the LOAF (Lumbricales, Opponens pollicis, Abductor pollicis brevis, Flexor pollicis brevis) muscles of the hand - Median nerve
-
What nerve is associated with the following functions?
⬢ Flex the shoulder, flex the elbow, and supinate the elbow - Musculocutaneous nerve
-
What nerve is associated with the following functions?
⬢ Innervation of the flexor carpi ulnaris, flexor digiti profundus (pinky and ring fingers), and the intrinsic muscles of the hand - Ulnar nerve
-
What nerve is associated with the following functions?
⬢ Supinate the wrist, extend the wrist and digits, extend the shoulder and elbow - Radial nerve
- What abdominal muscle runs horizontally, contributes to the posterior rectus sheath, and contributes to form the conjoint tendon?
- Transverse abdominis
- Which CNs act as the sensory and motor components of the gag reflex?
- The sensory limb is via CN IX, and the motor limb is from CN X.
- Which kidney is lower? Why?
- The right kidney is lower in the abdominal cavity because of the amount of space the liver occupies.
- What two regions of the vertebral column are considered primary curvatures?
- Thoracic and sacral
- What vein drains the lower third of the thoracic wall?
- Hemiazygous vein
- At what point does the axillary artery become the brachial artery?
- When it crosses the teres major
- What direction would the tongue protrude in a left CN XII lesion?
- Left CN XII lesion would result in the tongue pointing to the left (points at the affected side).
- At what vertebral level does the common carotid artery bifurcate?
- C4 (the upper border of the thyroid cartilage)
- True or false? Males are more likely to develop femoral hernias than females.
- False. Females are more likely to develop femoral hernias then males (remember Female's Femoral).
- In what compartment of the thigh is the profundus femoris artery found?
- Anterior compartment (it's the blood supply to the posterior compartment)
- Where is the cupola of the lung in relation to the subclavian artery and vein?
- The cupola of the lung is posterior to the subclavian artery and vein. It is the reason one must be cautious when performing subclavian venipuncture.
- True or false? The first cervical vertebra has no vertebral body.
- True. The odontoid process of C2 acts as the vertebral body of C1 allowing lateral rotation of the head.
- What is the largest muscle in the body?
- Gluteus maximus
- At what vertebral levels does the aortic arch begin and end?
- It both begins and ends at T4 (sternal angle [of Louis]).
-
What artery travels with the following veins?
⬢ Great cardiac vein - Left anterior descending artery
-
What artery travels with the following veins?
⬢ Middle cardiac vein - Posterior interventricular artery
-
What artery travels with the following veins?
⬢ Small cardiac vein - Right coronary artery
- The ophthalmic artery is a branch of what vessel?
- Internal carotid artery
-
What structure or structures cross the diaphragm at
⬢ T8 level? -
IVC
Remember: 1 at T8, 2 at T10, and 3 at T12 -
What structure or structures cross the diaphragm at
⬢ T10 level? -
Esophagus and esophageal nerve plexus (CN X)
Remember: 1 at T8, 2 at T10, and 3 at T12 -
What structure or structures cross the diaphragm at
⬢ T12 level? -
Aorta, azygos vein, and thoracic duct
Remember: 1 at T8, 2 at T10, and 3 at T12 - Is the carotid sinus sensitive to pressure or oxygen?
- The carotid sinus is a pressure-sensitive (low) receptor, while the carotid body is an oxygen-sensitive (low) receptor. (Remember "Sinus Pressure").
- What nerve or nerves supply general sensation and taste to the posterior third of the tongue?
- CN IX and X
- Which muscle of the eye is under sympathetic control?
- Dilator pupillae muscle
- True or false? both the left and right lungs have an oblique fissure?
- True. on the right lung the oblique fissure divides the middle from the inferior lobe and the horizontal fissure further divides the middle from the upper lobe. On the left the oblique divides the superior from the inferior lobe.
- What are the three branches of the lateral cord of the brachial plexus?
-
1. Lateral pectoral
2. Lateral head of the median
3. Musculocutaneus - What is the major difference between the veins in the face and the veins in the rest of the body?
- There are no valves and no smooth muscle in the walls of the veins in the face.
-
Name the bony articulations of the following sites. Be specific.
⬢ Shoulder - Clavicle, acromion, and glenoid fossa of the scapula and the humerus
-
Name the bony articulations of the following sites. Be specific.
⬢ Elbow - Humerus with ulna (major) and radius (minor)
-
Name the bony articulations of the following sites. Be specific.
⬢ Wrist - Radius with scaphoid and lunate and ulna with triquetrum and pisiform (Remember, for major articulations, wrist/radius and humerus/ulna = elbow)
- What is the only laryngeal muscle innervated by the external laryngeal nerve?
- Cricothyroid muscle; all other laryngeal muscles are innervated by the recurrent laryngeal nerve.
- What seven structures are found in more than one mediastinum?
- Esophagus, SVC, vagus nerve, azygos vein, thoracic duct, thymus, and phrenic nerve
- How many bronchopulmonary segments are on the right lung? Left lung?
- There are 10 bronchopulmonary segments on the right and 8 on the left.
- The duodenal–jejunal flexure is suspended from the posterior abdominal wall by what?
- Ligament of Treitz
- What is the only tongue muscle innervated by CN X?
- Palatoglossus muscle is innervated by CN X; all other tongue muscles are innervated by CN XII.
- What abdominal muscle runs in a posteroinferior direction, splits to contribute to the rectus sheath, contributes to the formation of the conjoint tendon, and in men gives rise to the middle spermatic fascia and the cremasteric muscle of the spermatic co
- Internal abdominal oblique
- What are the five branches of the superior mesenteric artery?
- Inferior pancreaticoduodenal, middle colic, right colic, ileocolic, and 10 to 15 intestinal arteries
- What spinal nerves contribute to the pelvic splanchnic (parasympathetic) nerves that innervate the detrusor muscle of the urinary bladder?
- S2, S3, S4—keeps the pee-pee off the floor!
- What connects the third and the fourth ventricles?
- Cerebral aqueduct
- What nerve and artery could be affected in a humeral neck fracture?
- Axillary nerve and posterior humeral artery
- What type of hernia is described as passing through the deep lateral ring of the inguinal canal?
- Indirect hernia passes in the inguinal canal; a direct hernia passes directly through Hesselbach's triangle.
- What two vessels come together to form the external jugular vein?
-
1. Posterior auricular vein
2. Posterior division of the retromandibular vein - What is the only vein in the body with a high O2 content?
- The pulmonary vein, which carries oxygenated blood from the lung to the left atrium.
- What are the three branches of the celiac trunk?
- The left gastric, splenic, and common hepatic arteries
- What region of the pharynx does the eustachian tube enter?
- Nasopharynx
- What is the only muscle of the soft palate that is innervated by CN V3?
- The tensor veli palatine is innervated by the mandibular division of the trigeminal nerve; all others are innervated by CN X.
- How many pairs of spinal nerves exit from the spinal cord?
- 31 pairs
- What artery turns into the dorsalis pedis when it crosses the extensor retinaculum?
- Anterior tibial artery
- What is the term for pupils that react normally to accommodation but have bilateral loss of constriction in response to light?
- Argyll Robertson pupils
- What connects the lateral ventricles to the third ventricle?
- Foramen of Monro
- What nerve supplies general sensation to the anterior two-thirds of the tongue?
- Lingual nerve of CN V3
- What type of pleura is adherent to the surface of the organ?
- Visceral pleura
- What artery supplies the left ventricle, left atrium, and interventricular septum?
- Left coronary artery
- Where are the tonsillar tissues?
- Waldeyer's ring
- What is the name of the superficial subcutaneous fascia of the abdomen containing fat?
- Camper's fascia; Scarpa's fascia is devoid of fat. (Remember campers are fat.)
- What are the three anatomic characteristics that differentiate the large bowel from the small bowel and the rectum?
-
1. Tinea coli
2. Haustra
3. Epiploic appendages - What area of the posterior aspect of the eye has no photoreceptors?
- The optic disk is the blind spot.
- At the level of rib 6, the internal thoracic artery divides into what two arteries?
- Musculophrenic and superior epigastric arteries
- What is the name of inflammation of the prepatellar bursa?
- Housemaid's knee
- What nerve roots constitute the cervical plexus?
- C1 through C4
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Heart and pericardium - Middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Descending aorta - Posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Thymus - Superior and anterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Phrenic nerve - Superior and middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Esophagus - Superior and posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Trachea - Superior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Ascending aorta - Middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Thoracic duct - Superior and posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Azygos vein - Superior and posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ SVC - Superior and middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Splanchnic nerves - Posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Aortic arch - Superior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ IVC - Middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Vagus nerve - Posterior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Brachiocephalic vein - Superior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Pulmonary artery and veins - Middle
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Left common carotid artery - Superior
-
Name the compartment of the mediastinum associated with the following thoracic structures:
⬢ Left subclavian artery - Superior
- What is the only organ in the body supplied by preganglionic sympathetic fibers?
- Adrenal medulla
- The left subclavian artery is a branch of what artery?
- The left is a branch of the aortic arch, while the right is a branch of the brachiocephalic trunk.
- What are the four muscles of mastication?
-
1. Masseter
2. Temporalis
3. Medial pterygoid
4. Lateral pterygoid - With what thoracic vertebra or vertebrae does rib 7 articulate?
- Rib 7 articulates with T7 and T8. Each rib articulates with the corresponding numerical vertebral body and the vertebral body below it.
- What are the three branches of the inferior mesenteric artery?
- Left colic, superior rectal, and sigmoidal arteries
- What is the only valve in the heart with two cusps?
- Mitral (bicuspid) valve
- What are five clinical signs of portal HTN?
- Caput medusa, internal hemorrhoids, esophageal varices, retroperitoneal varices, and splenomegaly
- What three muscles constitute the erector spinae?
-
1. Iliocostalis
2. Longissimus
3. Spinalis
("I Love Science" muscles) - What nerve is compromised in carpal tunnel syndrome?
- Median nerve
- What vascular injury may result from a supracondylar fracture of the femur?
- The popliteal artery, the deepest structure in the popliteal fossa, risks injury in a supracondylar fracture of the femur.
- What nerve and artery could be affected in a midshaft humeral fracture?
- Radial nerve and the profunda brachii artery
- Name the 10 retroperitoneal organs.
-
1. Duodenum (all but the first part)
2. Pancreas
3. Ascending Colon
4. Descending colon
5. Rectum
6. Supra renal glands (adrenals)
7. Kidneys
8. Ureters
9. Aorta
10. IVC
D CUPS DAKRI is the mnemonic, everything else is covered with peritoneum - Ventral rami of what cervical nerves constitute the phrenic nerve?
- C3, C4, and C5 keep the diaphragm alive!
- What is the region of the fallopian tube where fertilization most commonly occurs?
- Ampulla
- What foramen must be traversed for entry into the lesser peritoneal sac?
- Foramen of Winslow
-
Name the structure that enters or exits the following foramina:
⬢ Foramen magnum - CN XI, vertebral arteries
-
Name the structure that enters or exits the following foramina:
⬢ Foramen spinosum - Middle meningeal artery
-
Name the structure that enters or exits the following foramina:
⬢ Foramen rotundum - CN V2
-
Name the structure that enters or exits the following foramina:
⬢ Foramen ovale - CN V3 and the lesser petrosal nerve
-
Name the structure that enters or exits the following foramina:
⬢ Jugular foramen - CN IX, X, and XI; sigmoid sinus
-
Name the structure that enters or exits the following foramina:
⬢ Carotid canal - Internal carotid artery and sympathetic plexus
-
Name the structure that enters or exits the following foramina:
⬢ Stylomastoid foramen - CN VII
-
Name the structure that enters or exits the following foramina:
⬢ Hypoglossal canal - CN XII
-
Name the structure that enters or exits the following foramina:
⬢ Internal auditory meatus - CN VII and VIII
-
Name the structure that enters or exits the following foramina:
⬢ Optic canal - CN II and ophthalmic artery
-
Name the structure that enters or exits the following foramina:
⬢ Cribriform plate - CN I
- What vessel can be found atop the scalene anterior?
- Subclavian vein
- What component of the corneal reflex is lost in a CN VII deficit?
- Motor aspect
- A motor lesion to the right CN V results in deviation of the jaw to which side?
- A right CN V lesion results in weakened muscles of mastication, and the jaw deviates to the right.
- What two arteries join to form the superficial and deep palmar arches of the hand?
- Ulnar and radial arteries (ulnar is the main supplier)
- What two ligaments of the uterus are remnants of the gubernaculum?
- Round and ovarian ligaments
-
What segments of the lumbosacral plexus form the following nerves?
⬢ Tibial nerve -
L4 to S3
(L2 to L4, thigh; L4 to S3, leg) -
What segments of the lumbosacral plexus form the following nerves?
⬢ Common peroneal nerve -
L4 to S3
(L2 to L4, thigh; L4 to S3, leg) -
What segments of the lumbosacral plexus form the following nerves?
⬢ Femoral nerve -
L2 to L4
(L2 to L4, thigh; L4 to S3, leg) -
What segments of the lumbosacral plexus form the following nerves?
⬢ Obturator nerve -
L2 to L4
(L2 to L4, thigh; L4 to S3, leg) - What three structures are in contact with the left colic flexure? With the right colic flexure?
-
Left: stomach, spleen, and left kidney;
right: liver, duodenum, and right kidney - What three muscles constitute the pes anserinus?
-
1. Sartorius
2. Gracilis
3. Semitendinous - What is the only pharyngeal muscle not innervated by CN X?
- Stylopharyngeus muscle is innervated by CN IX; all other pharyngeal muscles are innervated by CN X.
- What vessels carry deoxygenated blood into the lungs from the right ventricle?
- The right and left pulmonary arteries, the only arteries that carry deoxygenated blood
- Fracture of the fibular neck, resulting in foot drop, is an injury of what nerve?
- Common peroneal nerve
- What vein is formed by the union of the right and left brachiocephalic veins?
- Superior vena cava
- If inserting a needle to perform a pleural tap or insertion of a chest tube, do you use the inferior or the superior border of a rib as your landmark? Why?
- The superior border of the inferior intercostal rib is your landmark for a pleural tap because along the inferior border of each rib is the neurovascular bundle, and you would risk injury if you went below the rib.
- What muscle laterally rotates the femur to unlock the knee?
- Popliteus
- What chamber of the eye lies between the iris and the lens?
- Posterior chamber
- What artery supplies the right atrium, right ventricle, sinoatrial and atrioventricular nodes?
- Right coronary artery
- What four branches of the brachial plexus arise prior to the first rib?
-
1. Dorsal scapular
2. Suprascapular
3. Long thoracic
4. Nerve to subclavius - What vertebral level is marked by the xiphoid process?
- T9
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of eversion; inversion, dorsiflexion, and plantarflexion of the foot - Common peroneal nerve
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of flexion of the knees and toes, plantarflexion, and weakened inversion - Tibial nerve
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of knee extension, weakened hip flexion - Femoral nerve
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of abduction of the hip resulting in Trendelenburg gait - Superior gluteal nerve
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of flexion of the knee and all function below the knee, weakened extension of the thigh - Sciatic nerve
-
What lower extremity nerve is described by the following motor loss?
⬢ Loss of adduction of the thigh - Obturator nerve
- What nerve lesion presents with ape or simian hand as its sign?
- Median nerve lesion
- What muscle acts in all ranges of motion of the arm?
- Deltoid
- What is the first branch of the abdominal aortic artery?
- Inferior phrenic artery
- What vessel does the right gonadal vein drain into?
- The right gonadal vein drains into the inferior vena cava directly, and the left gonadal vein drains into the left renal vein.
- What two muscles do you test to see whether CN XI is intact?
- Trapezius and sternocleidomastoid
- What two CNs are responsible for the carotid body and sinus reflexes?
- CN IX and X
- At what vertebral level does the trachea bifurcate?
- T4 vertebral level posteriorly and anteriorly at the sternal angle (angle of Louis).
- What is the function of the arachnoid granulations?
- Resorb CSF into the blood
- Damage to what nerve will give you winged scapula?
- Long thoracic nerve. To avoid confusing long thoracic nerve and lateral thoracic artery: long has an n for nerve; lateral has an a for artery.
- What portion of the intervertebral disk is a remnant of the notochord?
- Nucleus pulposus
- What component of the pelvic diaphragm forms the rectal sling (muscle of continence)?
- Puborectalis
- What are the five branches of the median cord of the brachial plexus?
-
Four Ms and a U
1. Median
2. Medial antebrachial
3. Medial pectoral
4. Medial brachial cutaneus
5. Ulnar - What bone houses the ulnar groove?
- Humerus (between the medial epicondyle and the trochlea)
-
What CN is associated with the sensory innervation of
⬢ Nasopharynx? - Maxillary division of CN V and glossopharyngeal nerves
-
What CN is associated with the sensory innervation of
⬢ Oropharynx? - Glossopharyngeal nerve
-
What CN is associated with the sensory innervation of
⬢ Laryngopharynx? - Vagus nerve
- What protective covering adheres to the spinal cord and CNS tissue?
- Pia mater
- What is the name of the urinary bladder where the ureters enter and the urethra exits?
- Urinary trigone
- What is the term when the brachial artery is compressed, resulting in ischemic contracture of the hand?
- Volkmann's contracture
- What attaches the cusps of the valves to the papillary muscles in the heart?
- Chordae tendineae
- What is the lymphatic drainage of the pelvic organs?
- Internal iliac nodes
- What bursa is inflamed in clergyman's knee?
- Infrapatellar bursa
- What muscle is the chief flexor of the hip?
- Psoas major
- What component of the ANS, when stimulated, results in bronchoconstriction?
- Parasympathetic stimulation, via the vagus nerve, results in bronchoconstriction, whereas sympathetic stimulation results in bronchodilation.
- What muscles in the hand adduct the fingers?
- The Palmar interosseus ADducts, whereas the Dorsal interosseus ABducts (PAD and DAB)
- What type of cerebral bleed is due to a rupture of a berry aneurysm in the circle of Willis?
- Subarachnoid hematoma
- What are the five terminal branches of the facial nerve?
-
1. Temporal
2. Zygomatic
3. Buccal
4. Mandibular
5. Cervical
(Two Zebras Bit My Clavicle.) -
What structure of the knee is described thus?
⬢ C-shaped shock absorber; aids in attachment of the tibia to the femur via the medial collateral ligament - Medial meniscus
-
What structure of the knee is described thus?
⬢ Prevents posterior displacement and has medial-to-lateral attachment on the tibia - Posterior cruciate ligament
-
What structure of the knee is described thus?
⬢ Prevents adduction - Lateral collateral ligament
-
What structure of the knee is described thus?
⬢ Prevents anterior displacement and has lateral-to-medial attachment on the tibia - ACL
-
What structure of the knee is described thus?
⬢ Prevents abduction - Medial collateral ligament
- What branches of CN X are the sensory and motor components of the cough reflex? Be specific.
- The sensory component is through the superior laryngeal nerve, and the motor limb is via the recurrent laryngeal nerve.
- What nerves provide sensory innervation above the vocal cords? Below the vocal cords?
- The internal laryngeal nerve supplies sensory information from above the vocal cords while the recurrent laryngeal nerve supplies sensory information below.
- From what pharyngeal groove is the external auditory meatus derived?
- First pharyngeal groove; all others degenerate.
-
What embryonic structure forms the following adult male structures?
⬢ Corpus cavernosus, corpus spongiosum, and glans and body of the penis - Phallus
-
What embryonic structure forms the adult male structure?
⬢ Scrotum - Labioscrotal swelling
-
What embryonic structure forms the adult male structure?
⬢ Urinary bladder, urethra, prostate gland, bulbourethral gland - Urogenital sinus
-
What embryonic structure forms the adult male structure?
⬢ Testes, seminiferous tubules, and rete testes - Gonads
-
What embryonic structure forms the adult male structure?
⬢ Ventral part of the penis - Urogenital folds
-
What embryonic structure forms the adult male structure?
⬢ Gubernaculum testes - Gubernaculum
-
What embryonic structure forms the adult male structure?
⬢ Epididymis, ductus deferens, seminal vesicle, and ejaculatory duct - Mesonephric duct
- Which PG is associated with maintaining a PDA?
- PGE and intrauterine or neonatal asphyxia maintain patency of the ductus arteriosus. Indomethacin, ACh, and catecholamines promote closure of the ductus arteriosus.
-
When does the primitive gut herniate out of the embryo?
When does it go back into the embryo? -
6 weeks
10 weeks - What results when the palatine prominences fail to fuse with the other side?
- Cleft palate
- What is the term for a direct connection between the intestine and the external environment through the umbilicus because the vitelline duct persists?
- Vitelline fistula
- Where do the primordial germ cells arise?
- From the wall of the yolk sac
- What disorder is due to a 5--reductase deficiency, resulting in testicular tissue and stunted male external genitalia?
- Male pseudo-intersexuality (hermaphrodite); these individuals are 46XY.
- Does the zygote divide mitotically or meiotically?
- The zygote divides mitotically; only germ cells divide meiotically.