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37 Cards in this Set

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In terms of their functional components, (ie, somatic motor, somatic sensory, preganglionic visceral motor, postganglionic visceral motor, visceral sensory) how does the ventral ramus of a typical spinal nerve differ from its dorsal ramus?
it doesn't, or in early part of its course, ventral ramus has pregangl. visc. motor
state effect of symp. activity and where preganglionic cell bodies lie
a)bronchiolar diameter
increases= dilates, T1-T5(intermediolateral column)
state effect of symp. activity and where preganglionic cell bodies lie
b)heart rate
increases, T1-T5
state effect of symp. activity and where preganglionic cell bodies lie
c)peristalsis of jejunum
decreases, T9-T10
state effect of symp. activity and where preganglionic cell bodies lie
d)internal urethral sphincter
contraction L1-L2
state effect of symp. activity and where preganglionic cell bodies lie:
e)external anal sphincter
none,------
name and describe the normal curvature, and state when it first arises during development
Lordosis: is a posterior concavity. First arises as child starts to sit, more prominent when walking starts.
Where does needle go for spinal tap (in what space)
subarachnoid
spinal cord segments that receive pain from:
inflamation of gall bladder
T7-T9
spinal cord segments that receive pain from:
pneumonia of lower lobe of left lung
no pain
spinal cord segments that receive pain from:
the heart wall when partially penetrated by a bullet
no pain
spinal cord segments that receive pain from:
the uterus during the first stage of labor
T10-L1
spinal cord segments that receive pain from:
stretching of perineal tissures during delivery
S2-S4
largest nerve that carries somatic motor axons innervating the muscle and spinal cord segments in which cell bodies reside:
abdominal diaphragm
phrenic, C3-C5
largest nerve that carries somatic motor axons innervating the muscle and spinal cord segments in which cell bodies reside:

rectus abdominis
6th-11th intercostal and subcostal nn., T6-T12
largest nerve that carries somatic motor axons innervating the muscle and spinal cord segments in which cell bodies reside:
cremaster
genitofemoral n. L1-L2
largest nerve that carries somatic motor axons innervating the muscle and spinal cord segments in which cell bodies reside:
bulbospongiosus
pudendal n., S2-S4
for each region of skin name the largest nerve that carries sensory axons and name spinal cord segments at which these axon enter the CNS.

a)immediately inferior to sternal angle
b)over the xiphoid process
c)around umbilicus
d)mons pubis
a)2nd intercostal n, T2

b)7th intercostal n., T7

c)10th intercostal n. T10

d)ilioinguinal or genitofemoral n, L1
where would you place a stethescope to hear the apical segment of the left upper lobe?
medially in left supraclavicular fossa( or just above medial 1/3 of left clavicle)
What structures run in the ilienorenal ligament?
tail of pancreas, splenic artery, splenic vein.
left parasternal pericardiocentesis- where to insert needle?
put needle immediately adjacent to left sternal edge in 5th IC space. You place it here because it is medial to internal thoracic vessels in region of cardiac notch of left lung and may miss left pleura if it has big cardiac notch
right lung in midaxillary line- which lobe are you hearing?
you could count the ribs and if you are superior to the 5th, you hear upper lobe, inferior to 5th rib= lower lobe. To hear apical segment of upper lobe = medially in left supraclavicular fossa (or just above medial 1/3 of left clavicle)
trace blood from aorta to IV septum is right coronary dominant heart
aorta-->left coronary-->LAD---> septum

or aorta-->right coronary a-->PDA
spleen injury - most likely when injuring which ribs?
patient complains of pain in the left shoulder- what is irritated by blood leaking from the spleen?
left 9-11 ribs on posterior aspect of chest.

left hemidiaphragm
vessels and their relative contributions by which the liver receives oxygen
proper hepatic a. and portal v (50% each)
during surgery to repair a lacerated liver, what is the best way to occlude the blood supply to the liver?
place a clamp across hepatoduodenal ligament
Try to pass catheter but give up, two days later you notice his scrotum and penis is swollen with fluid. What is the fluid? What caused it to be in the scrotum and penis?
will it spread into the thigh?
will it spread anywhere else?
urine, entered perineal cleft which is continuous with a)space between tunica dartos of scrotum and ext. spermatic fascia and b)space between superficial fascia of penis and Buck's fascia. Won't spread into thigh because Colles fascia is attached to ischiopubic ramus and posterior edge of perineal membrane, and because scarpa's fascia is attached to fascia lata below inguinal ligament. It will spread into anterior wall because space between scarpa's fascia and fascia of EAO is continuous with spaces mentioned above
gonorrhea- has greater risk of infection spreading to peritoneal cavity in men or women?
women because of direct connection between peritoneal cavity and uretovaginal lumen through uterine tube
breast surgery: to find out if cancer spread to lymphatic system, take radioactive tracer and blue dye int breast- describe where you should make your incision in order to search for most likely sentinel node?
in midaxillary line opposite 2-6 ic spaces (or in armpit)
first group of lymph to which the following structures normally drain:
a) left lung
b)transverse colon
c)right testes
d)left ovary
e)skin of glans penis
a)peribronchial or hilar (synonyms)
b)superior mesenteric, preaortic, or middle colic
c)paraaortic
d)paraaortic
e)superficial inguinal
Name the structure with the following relationships:
a)anterior to 1st cm of the left recurrent laryngeal nerve
b)immediately medial to deep inguinal ring
c)in the free (right) edge of the hepatoduodenal ligament
d)contacting the inferior pole of the spleen (peritoneum intervening)
e)contacting the anterior surface of the inferior pole of the right kidney
f)contacting the posterior surface of the superior half of the left kidney
g)in the male, anterior to the rectum on fingerslength superior to the anus
i)passing from back to front below the uterine artery one fingersbreadth from the uterine cervix
k)on the posterior surface of the sacrospinous ligament
i)
k)
a)ligamentum arteriosum
b)inferior epigastric vessels
c)common bile duct
d)splenic flexure of colon
e)hepatic flexure of colon
f)diaphragm
g)prostate gland
i)ureter
k)pudendal n
e)hepatic flexure of colon
anatomists consider the quadrate and caudate lobes part of the right lobe of the liver, why do surgeons consider them part of the left lobe?
because they receive portal venous blood and arterial blood from left branches of respective vessels. They also drain bile to left hepatic duct
Which two segments of the lung are likely to be repositories of foreign matter inhaled by supine subject?
posterior segment of right upper lobe, superior segment of right lower lobe
in severe pelvic trauma, pubic symphysis and sacroiliac joints may be disrupted. if the os coxae is shifted laterally away from the sacrum, which branch of the internal iliac artery is most likely to be torn?
lateral sacral
What nerve(s) lie in closest proximity to the prostate gland?

what is the consequence of its injury?
pelvic plexus
impotence
In removing internal iliac nodes during surgery for uterine cancer, what nerve is in greatest danger and what is the ob/gyn name for the space in which it lies?
obturator, space is called paravesical
Where are Bartholin's glands and where do they empty?
located at posterior end of bulbs of vestibule. Open into vestibule of vagina at 5&7 o'clock positions relative to vaginal orifice