CHA101L Quiz 3

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Superficial palmar arterial arch

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Labs 5 and 6

40 Terms

1

Superficial palmar arterial arch

  • Branches from the ulnar artery

  • Anastomoses with the deep palmar arterial arch for collateral circulation

  • Gives rise to the palmar digital arteries

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2

Deep palmar arterial arch

  • Branches from the radial artery

  • Anastomoses with the superficial palmar arterial arch for collateral circulation

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3

Median nerve

  • Deep to flexor retinaculum

  • Cutaneous branches to palmar surface of digits 1-3 and lateral 1/2 of digit 4

  • Recurrent branch to thenar muscles

  • Branches to lumbricals 1 and 2 (on the radial side)

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4

Ulnar nerve

  • Superficial to flexor retinaculum

  • Cutaneous branches to digit 5 and the medial 1/2 of digit 4

  • Motor branches to all other intrinsic hand muscles

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5

Abductor pollicis brevis

  • Origin: flexor retinaculum, scaphoid, and trapezium

  • Insertion: proximal phalanx of thumb

  • Main actions: abducts the thumb, aids in opposition

  • Innervation: median nerve

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6

Flexor pollicis brevis

  • Origin: flexor retinaculum and trapezium

  • Insertion: proximal phalanx of thumb

  • Main actions: flexes thumb, aids in opposition

  • Innervation: median nerve

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7

Opponens pollicis

  • Origin: flexor retinaculum and trapezium

  • Insertion: lateral side of 1st metacarpal

  • Main actions: opposition

  • Innervation: median nerve

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8

Adductor pollicis

  • Origin: 2nd and 3rd metacarpal bones

  • Insertion: medial side of the proximal phalanx of thumb

  • Main actions: adducts thumb, assists opposition

  • Innervation: ulnar nerve

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9

Abductor digiti minimi

  • Origin: pisiform bone

  • Insertion: medial side of proximal phalanx of digit 5

  • Main actions: abducts digit 5

  • Innervation: ulnar nerve

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10

Flexor digiti minimi

  • Origin: hamate bone and flexor retinaculum

  • Insertion: medial side of proximal phalanx of digit 5

  • Main actions: flexes proximal phalanx of digit 5

  • Innervation: ulnar nerve

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11

Opponens digiti minimi

  • Origin: hamate and flexor retinaculum

  • Insertion: medial border 5th metacarpal

  • Main actions: opposes 5th digit to thumb

  • Innervation: ulnar nerve

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12

Lumbricals

  • Origin: tendons of flexor digitorum profundus

  • Insertion: lateral sides of extensor expansion digits 2-5

  • Main actions: flex MCP joints, extend IP joints

  • Innervation: 1 and 2 by median nerve, 3 and 4 by ulnar nerve

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13

Dorsal interossei

  • Origin: adjacent sides of two metacarpal bones

  • Insertion: extensor expansions and base of digits 2-4

  • Main actions: flex MCP joints, extend IP joints, abduct digits 2, 3, 4

  • Innervation: ulnar nerve

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14

Palmar interossei

  • Origin: palmar surface of 2nd, 4th, and 5th metacarpals

  • Insertion: extensor expansions of digits 2, 4, and 5

  • Main actions: flex MCP joint, extend IP joints, adduct digits 2, 4, 5

  • Innervation: ulnar nerve

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15

Palmar aponeurosis

  • Origin: palmaris longus tendon

  • Insertion: digits 2-5

  • Main actions: protects deeper structures

  • Innervation: ulnar nerve

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16

Extensor expansion

  • Attached to dorsum of proximal phalanges 2-5

  • Receives insertion of lumbrical and interosseous muscles

  • Results in the following actions of the lumbricals and interossei

    • flexion of MCP joints

    • extension of IP joints

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17

Passes through the vertebral canal

Spinal cord

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18

Kyphosis vs. Lordosis vs. Scoliosis

  • Excessive curvature posteriorly (hunchback, thoracic region)

  • Excessive lumbar curvature anteriorly

  • Lateral curvature (S-shape)

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19

Primary vs. secondary curvature

  • Thoracic and sacral (present during fetal development)

  • Cervical and lumbar (develops after birth)

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20

What happens when the nucleus pulposus herniates posteriorly or posterolaterally?

  • Posteriorly: spinal cord at risk, compression of spinal cord

  • Posterolaterally: spinal nerves at risk of damage

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21

What structure largely prevents anterior herniation of the intervertebral discs?

  • Anterior longitudinal ligament

  • Prevents excessive movements and hyperextension of the spine

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22

Why is the sternal angle an important landmark?

  • It marks the point at which the costal cartilages of the second rib articulate with the sternum

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23

What are some potential dangers of injury to the floating ribs?

  • Spleen can be damaged (left side)

  • Liver can be damaged (right side)

  • Kidneys can also be damaged on both sides

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24

Diaphragm

  • Large skeletal muscle that attaches to, and for the most part closes off, the thoracic outlet

  • Innervated by the phrenic nerve

  • Upon inhalation, contracts and flattens and the chest cavity enlarges

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25

External intercostal muscles

  • Run in a superolateral to inferomedial direction

  • Most active during inspiration

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26

Internal intercostal muscles

  • Run in a inferolateral to superomedial direction

  • Most active during exhalation

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27

Innermost intercostal muscles

  • Incomplete and primarily represented by the transversus thoracis muscles

    • Radiate out from the sternum

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28

Neurovascular bundle

  • Between the internal and innermost intercostal muscles

  • Consists of the intercostal veins, arteries, and nerves

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29

Costal groove

  • A groove on the inferior surface of each rib that contains the neurovascular bundle

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30

Posterior vs. Anterior intercostal arteries

  • Posterior arise from the descending aorta

  • Anterior arise from the internal thoracic arteries

  • The anastomoses of these arteries are important for providing collateral circulation to the chest and other structures

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31

Intercostal nerves

  • Ventral primary rami of the thoracic spinal nerves

  • Provide motor innervation to the intercostal muscles and sensory innervation to the skin of the thorax

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32

Diaphragmatic hernia

  • Birth defect where there is a hole in the central tendon of the diaphragm

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33

Hiatal hernia

  • Part of the stomach pushes up through the esophageal hiatus of the diaphragm

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34

Accessory muscles of inspiration

  • Pectoralis major

  • Pectoralis minor

  • Serratus anterior

  • Sternocleidomastoid

  • Scalene muscles

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35

Accessory muscles of expiration

  • Rectus abdominis

  • Internal obliques

  • External obliques

  • Quadratus lumborum

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36

Emphysema

  • Air sacs in the lungs (alveoli) are damaged

  • Over time, the inner walls of the alveoli weaken and rupture

  • Causes shortness of breath

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37

Pneumothorax

  • Collapsed lung

  • Air leaks into the space between the lungs and chest wall (pleural cavity)

  • Negative pressure is messed up

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38

Coronary (atrioventricular) sulcus

  • Separates the atria and the ventricles

  • Can see more posteriorly

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39

Interventricular grooves (sulci)

  • A groove that separates the ventricles

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40

Fossa ovalis

  • Remnant of the foramen ovale

  • Tissue that separates the right and left atria

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