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• foramen magnum !
(2009)
!
Cervical Plexus !
• located deep to SCM !
• formed by anterior rami of cervical spinal
nerves 1-4
!
(2009) !
Branches of the cervical plexus that carries sensory !
fibers
• phrenic !
• lesser occipital !
(2010 shifting) !
The cervical plexus:
!
ALL SHIFTING FINAL EXAM QUESTIONS COMPLETE Mare♥MikeNotes 2014
(2001,2005-2009) Except/Both-Neither/AllAbove Multiple Choice Both
!
SECOND SHIFT Vessels @ 1 costal cartilage (2007, 2008)
st
• SVC
Cervical plexus (2009) • R brachiocephalic vein
• Located deep to SCM • Brachiocephalic artery
• Formed by anterior rami of the 1 fourst
Blood supply to intercostal muscles originate from
cervical spinal nerves
• Internal thoracic artery
Circumscapular anastomosis contributed by the ff • Costocervical trunk
arteries • Thoracic (descending) aorta
• Dorsal scapular
• Transverse cervical Intercostal nerves innervate (2006)
• Circumflex scapular • Parietal pleura
• Sympathetic fibers for smooth muscles
Nerve supply of the arm (2006) around blood vessels – supply ant. abdominal
• Musculocutaneous wall
• Radial – dorsum (superficial branch) • Abdominal peritoneum
• Ulnar – dorsum (posterior cutaneous) • Anterior rami of 1st and 11th thoracic spinal
nerves
Radial Nerve course (2006)
• Courses along radial groove of the humerus Passage of needle at midaxillary line will penetrate
(2008, 2007
• Divides at the lateral supracondylar
• External intercostal muscle
Radial Artery commencement (2009) • Inernal intercostal muscle
• Neck of the radius in the cubital fossa • Parietal pleura
(radius) The costophrenic recess is a space (2005)
Radial Artery
• Inside the pleural cavity
• Contributes to formation of deep palmar
arch • Enclosed by the visceral lining of the inferior
border of the lung and diaphragmatic pleura
o Deep palmar arches supplied by
deep radial nerve Larynx
Interossi, 3rd 4th • Elastic cartilage of larynx is epiglottis (09)
lumbricals, adductor • Made up of musculo-membranous cartilage
pollicis(2010)
• Extrinsic muscles of larynx either elevate or
Muscles supplied by deep radial nerve (2010) depress larynx
• Extensor digitorum communis Nerve supply of larynx (2005)
• Extensor pollicis brevis • Recurrent laryngeal –instrinsic (arytenoid)
• Extensor carpi radialis longus
muscles
Structures that pass beneath the extensor retinaculum • External laryngeal- extrinsic muscles
• Extensor carpi ulnaris tendon o Innervates cricothyroid (08)
• Abductor pollicis longus
Abductor of vocal cords
Cephalic Vein (2009) • posterior cricoarytenoid
• Ascends on the lateral side of arm
Trachea (2008) (p.161)
Profunda brachii (2009) • Anterior to esophagus in superior
• Branch of brachial artery mediastinum
• Accompanies radial nerve along • The arch of the aorta lies on its anterior and
• Terminal branches anastomose with recurrent left sides in the superior mediastinum
branches of radial and ulnar arteries • Wedged in b/w the brachiocephalic artery
and L common carotid
Palpable @ elbow (2007) • Commencement: below cricoid at level of 6th
• Medial epicondyle CV
• Lateral epicondyle • Terminates at carina
• Olecranon process of ulna • Blood supply: inferior thyroid & bronchial
arteries
ALL SHIFTING FINAL EXAM QUESTIONS COMPLETE Mare♥MikeNotes 2014
(2001,2005-2009) Except/Both-Neither/AllAbove Multiple Choice Both
!
Bifurcation of the trachea (2009) • shorter, wider, more vertical
• At the level of TV 6-7 below sternal angle
of louis Structures in the L lung (2006, 2005)
• Marked by carina externally • Oblique fissure (divides L lung into 2 lobes)
• Apex
Nerve supply of diaphragm (2006) • Cardiac notch
• Phrenic o Found at left lung at level of 4 th
12 TVth
!
Anterior Mediastinum Contents !
• thyroid gland
!
Found in the auricle (2008) !
• Musculi pectinati
• Endocardium
!
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Paranasal sinus that drains into middle meatus !
(2009, 2008, 2006, 2001)
• Frontal sinus
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• Anterior and middle Ethomoidal sinus !
• Maxillary sinus !
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ALL SHIFTING FINAL EXAM QUESTIONS COMPLETE Mare♥MikeNotes 2014
(2001,2005-2009) Except/Both-Neither/AllAbove Multiple Choice Both
!
THIRD SHIFT Beneath the left lobe of the liver are the impressions
of the
• Stomach (larger impression)
Retroperitoneal structures • Esophagus (at upper part – smaller
impression)
• Duodenum** (Question they can ask – correlated to the one above)
• Esophagus* Liver – blood supply
• Kidneys** • Hepatic artery (30%)
• Ascending coon • Portal vein (70%)
• Descending colon (2009)
NOT TRANSVERSE COLON!
• Urinary system Falciform ligament
• Pancreas** • Encloses Ligamentum teres hepatis
• Rectum (middle 1/3) (embryonic ligament(09,08)
• Adrenal glands • Remnant of umbilical vein (09)
• Proximal ureters
• Inferior vena cava Hepatoduodenal ligament encloses what structures?
• Aorta • Hepatic artery
(2006, 2005) • Portal vein (hepatic portal vein)
• Common bile duct
Intraperitonial organs (2005)
• Stomach
• pancreas Division of liver determined by the line passing thru
• Liver • Fossa of gallbladder
• Spleen (2005) • Fossa of inferior vena cava
• Suprarenal glands (2005)
(2008, 2005, 2001)
Fundus of Gall Bladder location
Perineum • Tip of 9 costal cartilage
th
Fossa ovicara located in depression of the endopelvic Nerves that are purely senrsory in the leg
fascia • Sural
• Between external and internal iliac vessels • Saphenous
(01) • Superifical peroneal
(2006)
Vagina
• Inferior end opens into vestibule Median nerve origin
• Superior end encloses lower cervix • Lateral cord
• Anterior wall is closely related to urinary • Medial cord
bladder (2006)
(2008)
Extensors of leg
Vaginal constrictors • Located on the anterior thigh
• Levator ani • Supplied by femoral nerve
• Bulbocavernosus (2006)
• Superficial and transverse perineal
(2006) Triceps surae muscles
• Form achilles tendon
Division of two folds of labia minora in region of • Superficial posterior muscles (GSP)
clitoris form o Gastrocnemius*
• Frenulum of clitoris o Plantaris*
• Prepuce of clitoris o Soleus*
(2009) (2009*, 2006)
Enclosed by ovarian vessels Great saphenous vein
• True ligament of ovary • Accompanied by saphenous nerve at the
(2001) medial side of the leg
• Continuation of the medial end of the dorsal
Origin of blood supply of female reproductive organs venous arch of the foot
• Abdominal aorta • Drains into femoral vein
(2001) (2009)
ALL SHIFTING FINAL EXAM QUESTIONS COMPLETE Mare♥MikeNotes 2014
(2001,2005-2009) Except/Both-Neither/AllAbove Multiple Choice Both
!
Bones articulating at knee joint
• Femur
• Tibia
• Patella
(2009)
Attached to patella
• Ligamentum patella
• Quadiriceps femoris tendon
!