Shared Flashcard Set

Details

LEX
N/A
161
Medical
Professional
09/03/2013

Additional Medical Flashcards

 


 

Cards

Term
Anterior and posterior musculature of the extremity are innervated by nerves arising from what? rami.
Definition
ventral.
Term
The lower extremity girdle is formed by 3 fused bones called the coxal bone.
Definition
pubis, ilium, and ischium.
Term
Palpable and can be used as a landmark to assess pelvic position and limb length. Serves as attachment for the inguinal ligament and sartorius muscle.
Definition
Anterior superior iliac spine.
Term
The what? ligament closes off the greater sciatic foramen. Extends from what? to the lower sacrum and coccyx.
Definition
shorter sacrospinous, ischial spine.
Term
The what? ligament closes off the lesser sciatic foramen. Extends from what? to the lower sacrum and coccyx.
Definition
sacrotuberous, iscial tuberosity.
Term
The what? ligament runs from the ASIS to the pubic tubercle. Structures leaving the trunk and entering the anterior lower extremity are found traversing the region deep to this ligament.
Definition
inguinal.
Term
Structures which pass through both the greater and lesser sciatic foramina. (3)
Definition
pudenal nerve, internal pudenal vessels, nerve to the obturator internus.
Term
Longest bone in the body.
Definition
Femur.
Term
The angle of what? is the angle formed by the long axis of the femoral head and neck and the long axis of the femur. It is about #? degrees in adults.
Definition
inclination, 130.
Term
The angle of what? is the angle formed by the transverse axis of the femoral condyles and the long axis of the head and neck. It normally demonstrates about #? degrees of anteversion in adults.
Definition
declination, 12.
Term
Degree of inclination.
<120
>135
Definition
Cox vara,
Cox valga.
Term
Attachment site for muscles that abduct and laterally rotate the hip.
Definition
Greater trochanter.
Term
Attachment point for a flexor of the thigh - iliopsoas m.
Definition
Lesser trochanter.
Term
The what? connects the trochanters anteriorly.
Definition
intertrochanteric line.
Term
Adductor magnus fiber inserts here.
Definition
adductor tubercle.
Term
The what? connects the trochanters posteriorly.
Definition
intertrochanteric crest.
Term
It has a medial lip and lateral lip, the quadraceps start to originate from here. Adductor muscles of the hip insert here.
Definition
Linea aspera.
Term
The trochanteric crest and line delineate the junction of the femoral what? and what?.
Definition
shaft and neck.
Term
flattened connective tissue balloons that are usually filled with enough fluid to lubricate the inner walls.
Definition
Bursae. (deep vs. superficial)
Term
Is dense vertically oriented bone that originates in posteromedial portion of femoral shaft. It radiates laterally toward the posterior aspect of the trochanter, and REINFORCES the femoral neck posteroinferiorly.
Definition
Calcar Femorale.
Term
Intra-articular aspiration. Ricks include injury to what? artery.
Definition
circumflex femoral.
Term
A seamoid bones that is constantly present in all patients. This bone protects the anterior knee joint and is found within the tendon of the what?
Definition
patella, quadraceps femoris.
Term
This is the attachment point of the iliotibial tract.
Definition
Gerdy's tubercle or anteriolateral tibial tubercle.
Term
Insertion point for the quadraceps.
Definition
Tibial tuberosity.
Term
Posterior Tibia. This line runs from superior lateral to inferior medial towards the medial border.
Definition
Soleal line (popliteal line)
Term
Posterior Tibia. This line separates a portion of the tibialis posterior and flexor digitorum longus muscles.
Definition
Vertical line.
Term
The tendon of flexor hallucis longus (big toe) "grooves" the posterior what? between the medial and lateral posterior processes.
Definition
Talus.
Term
The achilles' tendon attaches in the middle third of the posterior calcaneus.
Definition
Calcaneal tuberosity.
Term
Arches of the foot.
Components of Medial longitudinal arch.
Components of Lateral longitudinal arch.
Components of Traverse arch.
Which arch is higher?
Definition
calcaneus, talus, navicular, cuneiforms, and the medial three metatarsals.
calcaneus, cuboid, and lateral two metatarsals.
navicular, cuneiformis, cuboid and the five metatarsals.
Medial longitudinal arch.
Term
AKA rim of the ilium is located at L4.
Definition
Iliac crest.
Term
If you trace the iliac crest anteriorly and inferiorly, this feature is palpable. Good landmark for measuring limb length.
Definition
ASIS.
Term
5-6 cm posterior to ASIS.
Definition
Iliac Tubercles.
Term
located at the midline and covered with fat. This is the location of the articulation between the right and left what?. The boney angle inferior to this joint is the what? angle.
Definition
Pubic symphysis, ischiopubic rami, sub pubic.
Term
2.5 cm lateral to symphysis. May palpate. This is the lateral end of the relatively short pubic crest, which begins near midline.
Definition
Term
Easy to locate, corresponds to lower back dimples 4cm lateral of midline. Line connecting dimples corresponds to S#?.
Definition
PSIS, S2.
Term
The coccyx and sacral hiatus is located proximal to this cleft.
Definition
Natal or intergluteal cleft.
Term
The inferior part of the buttocks when hip is flexed, it bears weight while sitting and can be a site for difficult decubiti.
Definition
Ischial Tuberosity.
Term
The inferior part of the buttocks when hip is flexed, it bears weight while sitting and can be a site for difficult decubiti.
Definition
Ischial Tuberosity.
Term
Located 10 cm inferior to iliac crest, this boney prominence is easy to palpate.
Definition
Greater trochanter of femur.
Term
Deep inguinal nodes: These lie within the femoral sheath. They usually number 1-3 and are smaller than the what? inguinal lymph nodes. They receive lymph from the what? inguinal nodes, the deeper tissues of the limb, and the what? lymph nodes. They are found medial to the what? vein and one is often in the what? ring.
Definition
superficial, superficial, popiteal, femoral.
Term
Superficial epigastric v. connects with the lateral thoracic v. to form a thoracoepigastric channel. This channel connects the what? v. and what? v.
Definition
femoral and axillary.
Term
Deep inguinal nodes lie within the what? and are smaller than the what? nodes. They are found medial to what? and one is often found in what?
Definition
femoral sheath, superficial inguinal lymph nodes, femoral vein, femoral ring.
Term
Lumbar Plexus. T12 gives rise to the what? nerve. The lateral branches of this nerve serve the skin in the what? thigh, inferior and lateral to the what?.
Definition
subcostal, proximal, ASIS.
Term
L1 gives rise to what? and what?
Definition
iliohypogastric and ilioinguinal n.
Term
The ilioinguinal n. innervates a scant region of skin in the what? region of the thigh.
Definition
superior medial.
Term
L1 & L2 gives rise to the what? n. - this nerve pierces the what? muscle anteriorly. It will split into 2 cutaneous branches, and one will serve the what? region of the thigh centrally.
Definition
genitofemoral, psoas major, anterior proximal.
Term
L2,L3 gives rise to the what? n. This nerve enters the deep to the what? laterally. This cutaneous nerve serves the skin on the what? region of the thigh.
Definition
lateral femoral cutaneous n, inguinal ligament, anterior and lateral.
Term
L2, L3, L4 gives rise what? nerve. this nerve pierces the what? laterally. It produces cutaneous and muscular branches which serve structures in the anterior what? and what? regions.
Definition
femoral, psoas major, hip and thigh.
Term
L2, L3, L4 gives rise to the what? n. this nerve pierces the psoas major what?. It exits the pelvis via the what?. It produces cutaneous and muscular branches which serve structures of what? thigh.
Definition
obturator, medially, pbturator foreman, medial.
Term
L3, L4 gives rise to the what? n.
Definition
accessary obturator.
Term
L4 gives rise to a large flat nerve which descends with fibers of L5 named the what? which contributes to the what? plexus.
Definition
lumbosacral trunk, sacral.
Term
Saphanous nerve is a terminal branch of the what? nerve. It is located in the what? triangle and what canal. It descends in the leg with the what?, supplying the skin of the what? side of the leg and foot.
Definition
femoral, femoral, adductor, great saphenous vein, medial.
Term
The aorta bifurcates into the internal and external iliac arteries. The what? iliac splits into anterior and posterior division. The anterior division gives rise to what?. The posterior division provides for the what and what? arteries.
Definition
internal, obturator artery, superior and inferior gluteal.
Term
The external iliac artery becomes the what? artery inferior to inguinal ligament. It's largest branch is what?.
Definition
femoral, deep femoral (deep artery of the thigh)
Term
The deep artery will give off the what and what?.
Definition
medial and lateral circumflex femoral aa.
Term
The femoral artery turns into the popliteal artery at what?
Definition
adduct hiatus.
Term
The anterior tibial artery originates at the what? border of the popliteus when the popliteal artery bifurcates. It will give off a recurrent fibular branch that anastemoses with the what? vessels. The anterior tibial artery will eventually provide an arch on the dorsum of the foot called what?.
Definition
inferior, genicular, arcuate artery.
Term
What artery gives rise to the medial and lateral plantar aa. The what? artery becomes the plantar arch which anastomoses with the 1st perforating a of the deep Pedis a.
Definition
Posterior Tibial, lateral plantar artery.
Term
What? artery branches supply muscles of the lateral compartment. The named vessel remains in posterior compartment of the leg.
Definition
Peroneal (fibular).
Term
In the thigh the deep fascia is called what?.
In the leg the deep fascia is called what?.
Definition
fascia lata, crural fascia
Term
The anterior compartment of the thigh what? the hip and what? the knee.
Definition
flexes, extends.
Term
The psoas major and iliacus mm. join to form a common tendon of insertion into the what?. Together the mm. are known as what?. This muscle what? the torso and thigh.
Definition
lesser trochanter, iliopsoas m, flexes.
Term
Tap what? for patellar deep tendon reflex.
Definition
Patellar ligament.
Term
The pes anserinus is the insertion of three muscles onto the medial aspect of the body of the tibia inferior to medial tibial condyle.
Definition
Satorius, gracilis, semitendinosis.
Term
Glutius minimus insertion into the what?, making it a what? rotator of the hip.
Posterior insertion of what? muscle making it a what? rotator of the hip.
Definition
greater trochanter anteriorly, medial,
obturator externus, lateral.
Term
What? and what? are also lateral rotators.
Definition
pyriformis and obturator internus.
Term
Muscles of true pelvis (3).
Definition
piriformis, coccygeus, obturator internus.
Term
Femoral Nerve innervates: (8)
Definition
Psoas, Illiacus, Pectineus, Sartorius, Quads.
Term
Femoral nerve is located what? the femoral triangle, what? the femoral sheath, and what? to femoral vessels.
Definition
within, outside, lateral.
Term
Main contributor to the thigh. (blood)
Definition
Deep thigh artery (profundus)
Term
Site of intermuscular injections.
Definition
Vastus lateralis m.
Term
Femoral triangle borders. (lateral, medial, superior, roof, floor)
Definition
medial border sartorius muscle, medial border adductor longus muscle, inguinal ligament, fascia lata, (iliopsoas, pectineus, adductor longus).
Term
femoral sheath contents: (3)
Definition
femoral artery, femoral vein, femoral ring (femoral canal - empty space with lymphatics)
Term
It is potentially weak area of abdominal wall, site of femoral hernia.
Definition
Femoral ring.
Term
The what? hernia emerges above and medial to the pubic tubercle and the what? hernia lies below and lateral to the pubic tubercle.
Definition
inguinal, Femoral.
Term
Intermuscular cleft on the medial aspect of the middle third of the thigh beneath the sartorius muscle inside the adductor magnus muscle.
Definition
adductor canal (hunter's canal).
Term
Adductor canal boundaries. Medial, lateral, anterior.
Contents.
Definition
adductor longus and magnus, vastus medialis, sartorius.
Femoral A&V, Saphenous n., nerve to vastus medialis, lymphatic vessels.
Term
The adductor hiatus is located inside the tenon of the what? which opens in the what? fossa.
Definition
adductor magnus, popiteal.
Term
Structures which enter and exit hiatus.
Definition
femoral A&V, lymphatics.
Term
Femoral sheath is formed by a prolongation of the what? in the thigh.
Definition
transversalis fascia.
Term
Femoral vessels pass through adductor hiatus and then become known as the what? vessels.
Definition
popliteal.
Term
Knee jerk, patellar reflex - occurs when patellar ligament is tapped, resulting in the contraction of the what? muscle.
Definition
quadraceps femoris.
Term
Damage to what? nerve - absent patellar reflex (L2-4).
Definition
femoral
Term
The kicking muscles. (2)
Definition
iliopsoas & rectus femoris.
Term
Damage to what? nerve causes a weakness of adduction and lateral swinging of the limb during walking.
Definition
obturator
Term
Obturator artery from the what? artery
Definition
internal iliac artery
Term
Adductor magnus is innervated by what? (2)
Definition
obturator and sciatic.
Term
Anterior and posterior obturator nerve branches pass on either side of which muscle.
Definition
adductor brevis muscle.
Term
2 joint muscles of anterior and medial thigh.(3)
Definition
Sartorius, rectus femoris, gracilis.
Term
All of the medial compartment of the thigh are supplied by anterior division of obturator nerve except the what and what?
Definition
pectineus and adductor magnus.
Term
Adductor magnus is innervated by: adductor portion and extensor portion.
Definition
posterior division of obturator nerve,
tibial nerve.
Term
The obturator artery.
It exits the what? to supply some of the muscles of the medial compartment.
It gives a branch, the what? branch, to the hip joint.
Definition
obturator foramen, acetabular.
Term
Obturator nerve.
It arises from the what? plexus.
The nerve is located medially to the psoas major m. and it divides into what? and what? branches before it exits the obturator foramen.
Definition
lumbar, anterior and posterior.
Term
The inferior clunial n. arises from the what? nerve.
Definition
post. femoral cutaneous nerve.
Term
The what? gluteal quadrant is a relatively avascular and nerve free area suitable for intramuscular injections.
Definition
superior lateral.
Term
Another region for intramuscular injections is the what? muscle.
Definition
tensor fascia lata m.
Term
Which nerve innervates the gluteus maximus?
Which nerve innervates the gluteus minimus, medius, tensor fascia latae?
Definition
Inferior gluteal n.,
Superior gluteal n.
Term
Action.
G Maximus?
G Medius?
G Minimus?
Definition
extension,
abduction,
internal rotation.
Term
If the abductor you are testing are weak you will note sagging of the boney prominences on the what? side.
Abnormal downward pelvic tilt = what?
Definition
contralateral, Trendelenburg's sign.
Term
Rep carpet muscles. (4) (sciatic runs over them)
Definition
superior gemellus, obturatr internus m. tendon, inferior gemellus, quadratus femoris.
Term
The only lateral rotator innervated by the obturator nerve.
Definition
obturator externus.
Term
2 other lateral rotators of the hip.
Definition
piriformis and obturator internus.
Term
A gluteal maximus gait is seen with lesions to the what? nerve. The result is an what? of the spine in order to shift the center of gravity posteriorly.
Definition
inferior gluteal nerve, extension.
Term
All the muscles of the posterior compartment of the thigh are innervated by the tibial portion of the sciatic nerve except the what? which is innervated by the what?.
Definition
short head f the biceps femoris m., common peroneal nerve.
Term
Hamstring muscles. Action.
what? hip; what? knee.
Definition
extends, flexes.
Term
Sciatic nerve exits the pelvis through the what?
Definition
greater sciatic foramen.
Term
Which plexus is responsible for deep tendon calcaneal reflex/
Definition
Sacral (S1).
Term
Tibialis anterior.
Action. Combination of what?flexion and what? of the ankle.
Definition
dorsi, inversion.
Term
Extensor digitorum longus.
The belly ends in a tendon that divides into #? slips, one for each of the #4 lateral digits.
Definition
4, 4.
Term
Extensor hallucis longus.
The belly of this muscle is almost hidden between what? and what?.
Definition
Tibialis anterior and extensor digitorum longus.
Term
Fibularis tertius. The tendon of this muscle is actually a part of what? tendon.
Definition
extensor digitorum longus.
Term
Superior extensor retinaculum. The what? fascia thickens to form bands called retinacula.
Definition
crural.
Term
Peroneus longus and brevis m.
Action. what? of foot and what?flexion of ankle.
Innervation.
Definition
eversion, plantar,
superficial peroneal n.
Term
Compression of the common peroneal nerve can impair what?flexion of the ankle. This can occur following trauma to the proximal what?
Definition
dorsi, fibula. (foot drop)
Term
Paralysis of this muscle causes foot drop.
Definition
tibialis anterior m.
Term
Superficial peroneal nerve innervates. (2)
Definition
peroneus longus, peroneus brevis.
Term
deep peroneal nerve innervates. (6)
Definition
Tibialis anterior, extensor digitorum longus, extensor hallucis longus, Peroneus tertius, extensor hallucis brevis, extensor digitorum brevis.
Term
A normal achille's reflex or ankle jerk suggests an intact what? and what?.
Definition
S1 (ventral rami) and tibial nerve.
Term
Tom, Dick, And Very Nervous, Harry??
Definition
tibialis posterior, flexor digitorum longus, posterior tibial a&v, tibial n., flexor hallucis longus.
Term
Tibialis posterior inserts on what? (3)
Action. what? of the foot and what?flexion of the ankle.
Definition
Navicular bone, tarsals, and metatarsals.
inversion, plantar.
Term
The tibial nerve innervates all muscles of the what? leg. (7)
Definition
Posterior.
Plantaris, popliteus, gastrocnemius, soleus, flexor digitorum longus, flexor hallucis longus, tibialis posterior.
Term
The tibial nerve is a branch of the what? nerve. It descends through the what? fossa and what? compartment of the leg. It lies superficial to the what? muscle and deep to the what? and what?. It travels behind the what? and covered by the what?
Definition
sciatic, popliteal fossa, posterior, popliteus muscle, gastrocnemius and soleus, medial malleolus, flexor retinaculum.
Term
The anterior tibial artery course with the what? nerve serving the anterior compartment.
Definition
deep peroneal.
Term
At the level of the ankle joint line the anterior artery becomes the what?
Definition
Dorsalis pedis (DP) artery distally.
Term
The popliteal artery began at the what?. This artery bifurcates at the inferior border of the what? m., it divides into the what? and what? aa.
Definition
adductor hiatus, popliteus, posterior tibial and anterior tibial.
Term
The what? tibial artery will send muscular branches to the peroneus longus muscle. The peroneal artery is a branch of the what? tibial artery. The peroneal artery descends in close association with what? m. The peroneal artery will give off muscular branches to the what? and what?.
Definition
anterior, posterior, flexor hallucis longus, peroneus longus and peroneus brevis.
Term
The posterior tibial artery descends accompanied by the what? nerve. At its distal end, the artery lies deep to the what? and abductor hallucis muscle. The artery terminates behind the medial malleolus by dividing into the what? and what? aa.
Definition
tibial, flexor retinaculum, medial and lateral plantar arteries.
Term
Popliteal fossa. Boundaries. (lateral, medial, roof, floor)
Definition
biceps (above) & lateral head of Gastrocnemius (below), Semimembranosus, semitendinosus (above) & medial head of gastrocnemius (below), deep fascia (penetrated by small saphenous vein), Popliteus m. & femur.
Term
Popliteal fossa. Contents. (deep -> superficial)
Definition
Tibial nerve (midline) & Common Peroneal Nerve (lateral), popliteal vein, popliteal artery.
Term
The what? is a triangular thickening of the deep fascia that protects the underlying n. & aa. & vv. of bottom of the foot. Its apex is attached to the medial and lateral tubercles of the what?. Its base divides into five slips that go distally to the what?. Inflammation of this structure is a pianful condition called what?
Definition
plantar aponeurosis, calcaneus, toes, plantar fascitis.
Term
Where is the midline of the foot is located?
Definition
second toe.
Term
The spot where neurovascular structures of the medial ankle enter the foot is called the what?
Definition
porta pedis.
Term
Lumbricals (4) arise from the what? tendons.
Definition
Flexor digitorum longus.
Term
found just deep to plantar fascia.
Definition
flexor digitorum brevis.
Term
Tendons of what? bifurcate to allow for distal passage of the what? tendons (phalanges).
Definition
FDB, FDL.
Term
FDB tendons end up inserting onto the base of the what? phalanx.
Definition
middle
Term
Tendons of FDL ultimately insert into what?
Definition
distal phalanx.
Term
What? is an accessory muscle to the FDL, it straightens out the pull of the obliquely oriented long tendon.
Definition
Quadratus plantae.
Term
The what? interossei abduct their respective toes.
The what? interossei adduct their respective toes.
Definition
dorsal,
plantar.
Term
The dorsal interossei are in the #? layer of the plantar foot. They abduct which toes. How many are there?
Definition
4th, 2,3,4, 4.
Term
The plantar interossei are in the #? layer of the plantar foot. They adduct which toes. How many are there?
Definition
4th, 3,4,5, 3.
Term
Dorsalis Pedis Artery. From what? a. Lateral to it lie the what? nerve and the tendons of the what? and what? muscle. Medially to it lie the what? and what? tendons.
Definition
anterior tibial, deep peroneal, EDL, peroneus tertius, EHL and TA tendons,
Term
The dorsalis pedis comes to an end as the deep plantar artery at the proximal end of the what?, from where it passes to the sole of the foot between the heads of the first interosseous muscle to complete the what?.
Definition
first intermetatarsal space, plantar arch.
Term
The tendons of the deep posterior leg muscles along with the posterior tibial artery and tibial nerve pass posterior to the what?. The arrangement of the structures from anterior to posterioris what? (5)
Definition
medial malleolus, tibialis posterior, flexor digitorum longus, posterior tibial artery, vein, nerve, flexor hallucis longus.
Term
The tendons of the peroneus brevis and longus muscles pass posterior to the what?.
Definition
lateral malleolus.
Term
The what? and what? serve as fulcrum to improve the efficiency of the muscle contraction.
Definition
malleoli and sustentaculum.
Term
Lateral rotator muscles at hip joint (ball-and-socket joint). (5)
Medial rotator muscles at hip joint. (1)
Definition
obturator internus, obturator externus, gemelli, piriormis, quadratus femoris.
gluteus minimus.
Term
Flexion muscles at hip joint. (5)
Extension muscles at hip joint. (2)
Definition
iliopsoas, tensor fasciae latae, rectus femoris, sartorius, pectineus.
hamstrings, gluteus maximus.
Term
Adduction muscles at hip joint. (5)
Abduction muscles at hip joint. (1)
Definition
adductor magnus, adductor longus, adductor brevis, pectineus, gracilis.
gluteus medius.
Term
Flexion muscles at knee joint (hinge joint). (5)
Extension muscles at knee joint. (1)
unlock extended knee. (1)
Definition
hamstrings, gracilis, sartorius, gastrocnemius, popliteus.
quadriceps femoris.
popliteus m.
Term
Dorsal Flexion muscles at ankle joint (hinge joint). (4)
Plantar Flexion muscles at ankle joint. (8)
Definition
anterior tibialis, EDL, EHL, peroneus tertius.
gastrocnemius, soleus, plantaris, posterior tibialis, peroneus longus and brevis, FDL, FHL.
Term
Inversion muscles at intertarsal joint. (2)
Eversion muscles at intertarsal joint. (3)
Definition
tibialis posterior, tibialis anterior.
peroneus longus, peroneus brevis, flexor hallucis longus.
Term
The sacroiliac articulations are found spanning the S#-S#? spinal levels. A strong ligament runs between sacral tuberosity and the ilial tuberosity.
Definition
S1-3, sacroiliac ligament.
Term
Acetabular artery continues with the what? to the femoral head.
Definition
ligamentum teres.
Term
Branches of the what? artery are the major blood supply to the head of the femur.
Definition
medial femoral circumflex.
Term
T or F.
Intertrochanter, extracapsular fracture can be repaired.
Subcapital, intracapsular fracture must be replaced with hip prosthesis.
Definition
True.
Term
Hip joint. The strongest ligament. It resists hyperextension and lateral rotation.
Definition
Iliofemoral ligament.
Term
Hip joint. From the pubic bone, it limits abduction and lateral rotation.
Definition
Pubofemoral ligament.
Term
Hip joint. Most deeply placed, fibers encircle the femoral neck helping hold head in place. Some of the fibers form the zona orbicularis. It limits medial rotation of the hip.
Definition
Ischiofemoral ligament.
Term
Hip joint. Attaches the femoral head to the acetabulum.
Definition
ligamentum teres.
Term
Hip joint arterial supply. (4)
Definition
obturator artery via acetabular branch, inferior gluteal artery, medial and lateral femoral circumflex artery.
Supporting users have an ad free experience!