MSS Lecture 1 - full set

1. sensory receptor2. afferent sensory (often pseudounipolar) neuron3. integrating centre in CNS4. Efferent motor neuron5. Effector (muscle or gland)

List the components of a reflex arc

In ganglia in the PNS

Where are the cell bodies of sensory neurons found?

In the CNS, in the spinal cord or brain

Where are the cell bodies of motor neurons found?

gyri, sulci

What are the folds of the brain and the gaps between them called respectively (plural)?

cerebrum, diencephalon, brainstem, cerebellum

Name A to D - the four general main regions of the brain

frontal, temporal, parietal, occipital, insula

Name 1 to 5 (lobes)

precentral gyrus, central sulcus, postcentral gyrus

Name 1 to 3

The primary motor cortex, controls much of the somatic motor function

Function of precentral gyrus

The somatosensory cortex, receives much of the somatic sensory information

Function of postcentral gyrus

the corpus callosum

What connects the right and left hemispheres of the brain?

at the brainstem

Where do axons cross over between the spinal cord and the brain

longitudinal fissure

What is a name for the gap between the right and left hemispheres of the brain?

Motor control, receiving proprioceptive information to maintain balance and posture, storage of repeated and learned movement

What are some of the chief functions of the cerebellum?

L1-L2. It is the terminal of the true spinal cord, after which the spinal cord branches out

Where is the conus medullaris found? What is it?

groups of axons inferior to the conus medullaris, a continuation of the spinal cord

What is the cauda equina?

It is part of the pia mater, one of the meninges. It continues on past the cauda equina and anchors the spinal cord to the coccyx

What is the filum terminale?

31

How many pairs of spinal nerves are there in total?

8

How many pairs of spinal nerves are there in the cervical region?

12

How many pairs of spinal nerves are there in the thoracic region?

5

How many pairs of spinal nerves are there in the lumbar region

5

How many pairs of spinal nerves are there in the sacral region?

1

How many pairs of spinal nerves are there in the coccygeal region?

Above and including C7, spinal nerves are named after the vertebra ABOVE which they exit;Below and including C8, spinal nerves are named after the vertebra BELOW which they exit

How are the spinal nerves named?

This is where many nerves that supply the upper limb exit and enter

Why is there an enlargement of the spinal cord around vertebra C6?

cell bodies, unmyelinated axons, dendrites, glial cells

Name the contents of grey matter

myelinated axons

Name the contents of white matter

posterior/dorsal horn,sensory infomation,grey matter,white matter,central canal,lateral horn (only in T1-L2 region)anterior/ventral horn,gray commissure (corpus callosum of spinal cord)

Name 1 to 8

contains somatic sensory axons and interneuron cell bodies - input for sensory information;also input for visceral sensory information

functions of dorsal horn

somatic motor neuron cell bodies

functions of ventral horn

dorsal root, dorsal rootlets (sensory neuron axons), dorsal root ganglion (sensory cell bodies), ventral root, ventral rootlets (motor neuron axons), spinal nerve

fill the blanks

Both afferent and efferent - they are mixed nerves

Which way do spinal nerves transmit information?

satellite cells

What is the name of the glial cells which wrap around and support the sensory neural cell bodies in ganglia?

intervertebral foramen

spinal nerves exit through the _______ (fill the blank)

axon,myelin sheath,endoneurium (around axon),perineurium (around fascicle),epineurium (around nerve)

Do the thing

posterior ramus (pl. rami),anterior ramus,rami communicans,sympathetic trunk ganglion

Fill the blanks 1 to 4

a network of condensed interweaving anterior rami of spinal nerves

Define nervous plexus

cervical plexus, brachial plexus, lumbar plexus, sacral pexus

Name the principal plexuses

musculocutaneous,axillary,radial,median,ulnar

0

olfactory,optic,occulumotor,trochlear,trigeminal,abducens,facial,vestibulocochlear,glossopharyngeal,vagus,accessory,hypoglossal

Name the cranial nerves

3-8 weeks after conception

During what time of gestation is the embryonic period?

ectoderm, mesoderm, endoderm

What are the layers of the embryonic disc?

epidermis, external structures of the skin, nervous system

Broadly, what arises from the ectoderm?

The GI tract, respiratory tract, endocrine system, urinary system

Broadly, what arises from the endoderm?

notochord, paraxial mesoderm (somites) which develop into dermis, muscle and bones, head mesenchyme which develops into muscles and connective tissue of the face

Broadly, what arises from the mesoderm?

somite,neural tube,myotome,sclerotome,dermatome

Fill the blanks

The spinal cord

What does the neural tube become?

Myotomes during embryonic development are part of nodules called somites which run in pairs along the neural tube in the midline of the embryo. They develop into muscle. Each myotome is innervated by the same single spinal nerve.

What is a myotome?

C5

Which spinal nerve generally innervates arm abducters?

C8

Which spinal nerve generally innervates finger flexors?

T1

Which spinal nerve generally innervates finger adductors and abductors?

C(5)6

Which spinal nerve generally innervates elbow flexors?

C(6)7(8)

Which spinal nerve generally innervates elbow extensors?

During embryonic development, dermatomes are part of somites. They become regions of skin innervated by a single spinal nerve

What is a dermatome?

regions that are, most of the time, innervated by a single spinal nerve only with no crossover

What are the autonomous zones of the skin?

The regimental badge region - just below the deltoid on the lateral side of the arm

What is the autonomous zone for C5

the thumb

What is the autonomous zone for C6

tip of the index finger

What is the autonomous zone for C7

tip of the little finger

What is the autonomous zone for C8

anterior/medial elbow

What is the autonomous zone for T1

Upper limbs

Which limb buds emerge first?

laterally

Which way do the upper limbs rotate during embryonic development?

This is due to the torsion of the limb during development

Why don't the dermatomes of the limbs develop in a linear pattern, like the trunk of the body?

medially

Which way do the lower limbs rotate during embryonic development?

from ventral and dorsal muscle masses

From what do the individual muscles of the limbs form?

muscle spindle,golgi tendon organ

Name 2 proprioceptors

These have modified nerve endings that detect stretch in muscles and send signals to the brain

How do muscle spindles work

These are protective to the tendon. They have modified nerve endings and detect tendon stretch. They send signals to the brain about the level of stretch. If stretch is too great, their signals are interpreted in the brain and trigger inhibition of further muscle contraction

How do golgi tendon organs work?

Pectoralis major.These muscles have many fibres which all come together and connect onto a single tendon

Name 1 example of a convergent muscle and describe the main features of this muscle type

biceps brachii.The muscle has a fusiform shape. Tendons sit at either end and fibres run in parallel the entire length. Sometimes lumped together with parallel

Name 1 example of a fusiform muscle and describe the main features of this muscle type

Deltoid m.May look similar to convergent, but has tendons throughout and fibres coming in at an angle. Generates power and is considered the strongest type

Name 1 example of a multipennate muscle and describe the main features of this muscle type

Sartorius.This type of muscle has the greatest range of motion, but produces less power. muscle fibres run along entire length

Name 1 example of a parallel muscle and describe the main features of this muscle type

Rectus femoris.The tendon runs through the whole muscle. Fibres come in at an angle. This type of muscle has more muscle cells than a fusiform muscle and therefore produces more power, but has a smaller range of motion

Name 1 example of a bipennate muscle and describe the main features of this muscle type

1) produces movement2) maintains posture and body position3) maintains body temperature4) protects and supports soft tissue5) forms valves at the openings of the body

What are the functions of muscle?

sarcolemma,sarcoplasmic reticulum (SR),terminal cisternae of SR,Triad,Transverse (T) tubule,Mitochondria

Fill the blanks

tail,head,two heavy chains,light chain

Fill the blanks

Titin extends from the M line to the Zline, through the core of the thickfilament. It is an elastic fibre whichstabilises the sarcomere and provideselastic recoil following muscle stretch

What is titin and where does it sit in the sarcomere

sarcomere,M-line,H-zone,Z-line/disc,myofibril,Titin,thick filament,myosin molecule,myosin tail,myosin head

Fill the blanks

troponin complex,tropomyosin,actin

Fill the blanks

Covers the active sites on actin; stabilises and strengthens the thinfilament

What is the function of tropomyosin in skeletal muscle?

troponin I (TnI) binds actintroponin T (TnT) binds tropomyosintroponin (TnC) C binds Ca2+

Name the components of the troponin complex and their function

Dystropin links thin filamentsto integral proteins ofsarcolemma, through acomplex structure called acostamere

What is dystrophin and its function?

Nebulin anchors and stabilises thethin filament, while titin anchorsand stabilises the thick filament

What is the function of nebulin?

anchor for thin filamentsand boundary between sarcomeres

describe the z-disc

center of sarcomere, anchoringthe thick filaments

describe the M-line

thin filaments only (bright band)

describe the I band

thick filaments (dark band)

describe the A band

area at center of sarcomerewhere the thick and thin filaments donot overlap (thick filaments only)

describe the H-zone

the neuromuscular junction (NMJ)

What is the site of communication between nerve and muscle?

IN response to an action potential,acetylecholine (ACh) isreleased from the motor neuron's presynaptic terminal. This binds to cholinergic receptors (ligand-gated Na channel) and provokes an action potential in the motor end plate.The action potential travels over sarcolemma, depolarising the T tubules

Provide a brief description

They are present in the T-tubule. They are L-type voltage-gated Calcium channels which open in response to action potentials from motor neurons.

What are Dihydropyridine (DHP) receptors?

These are present on the terminal cisternae of the SR. They are Calcium-activated calcium channels, which open either as a direct result of DHP activation, because of physical coupling to DHP receptors (DHP acts like a cork for RYR, which is removed upon DHP activation) or because of the calcium influx caused by DHP activation calcium influx (CICR - calcium induced calcium release). This happens simultaneously in skeletal muscle, as some RYR are coupled DHP and some aren't. The result is a rapid elevation of calcium in the sarcoplasm.

What are Ryanodine (RYR) receptors? How do they work to quickly elevate intracellular calcium levels?

In skeletal muscle only

Where are DHP and RYR physically coupled?

Ca2+ binds to troponin (at TnC), on the thin filamentTroponin-Ca2+ complex changes position, pullingtropomyosin (at TnT) away from the active sites on actin (TnI unbinds from actin).Cross bridges then form between actin and myosin

Describe how high intracellular [Ca2+] leads to cross-bridge formation with a focus on the troponin complex

-myosin binds ATP and hydrolyses it via ATPase into ADP+Pi. Myosin stores the energy from this reaction and is now activated-Myosin, in its high-energy state binds to actin-The power stroke occurs, where myosin 'pulls' the actin strand-following the powerstroke the Pi and then the ADP detach, but myosin remains attached to actin-a new ATP attaches to myosin, causing it to unbind from actin-myosin, again, hydrolyses ATP to ADP + Pi and stores the energy for the next attachment-myosin either reattaches, or remains in the high energy state until the binding site on actin is exposed again

Describe one full cross-bridge cycle starting from the activation of myosin

1) Cross bridge formation2) Power (working) stroke3) Cross bridge detachment4) Myosin heads reset

The cross bridge cycle may also be described by the 'sliding filament theory'. What are its steps?

Stimulation at the NMJ endsACh is rapidly degraded by acetylcholinesterase(AChE) and recycledThe nerve terminal may also re-uptake AChCa2+ is re-sequestered in the SR via thesarco/endoplasmic reticulum Ca2+ ATPase, "SERCA"Troponin-tropomyosin cover the active site on actinCross bridges can no longer form

After excitation seizes, describe what happens in the muscle during relaxation (from NMJ to filaments)

Calcium leaks into sarcoplasm from SRCross-bridge formation occursabsence of ATP prevents detachment of myosin from actin and also reuptake of calcium into SR by sarco/endoplasmic reticulum Ca2+ ATPase (SERCA)

What happens in rigor mortis?

dense bodie (focal density/dense plaque),intermediate filament (desmin),single nucleus,thick filament,thin filament

Fill the blanks

motor neuron signal causes a depolarisation in smooth muscle sarcolemmaVGLTCa2+ channels openClacium influx from ECFCalcium binds to calmodulin and activates itcalmodulin activates myosin light-chain kinasemyosin light-chain kinase catalyses phosphorylation of myosin headconformational change in the myosin head allow it to undergo cross-bridge cyclingmyosin head is in high energy statemyosin attaches to already exposed actin binding sitepowerstroke occurs and thin filaments pull dense bodies together to contract the muscle cell

Describe the steps of smooth muscle contraction from the motor neuron signal

voltage-gated L-type Calcium channel,Inositol triphosphate (IP3) receptor,calmodulin,myosin light-chain kinase,

Fill the blanks

-intracellular calcium drops due to loss of signal-calcium is mostly moved out of the cell into ECF (by ATPase), Some is sequestered in SR.-Calcium dissociated from calmodulin and calmodulin becomes inactive.-Myosin light chain phosphatase dephosphorylates myosin.-Myosin detaches from actin, breaking the cross-bride. -Muscle relaxes

Describe the relaxation of a smooth muscle cell

Multi-unit: -individually innervated and can act independently,-no direct communication between neighbouring cells- fine control scuh as in ciliary muscle (adjusts the shape of the lens in the eye)Single unit:-one nerve innervates multiple cells-cells are joined by gap junctions and desmosomes and act uniformaly as there is electrical communication-found in more grossly moving anatomy such as viscera

What are the main structural differences between single-unit smooth muscle and multi unit smooth muscle?

• Hundred of fibres act as one unit• Fibres arranged in sheets/bundles• Gap junctions allow transmission ofions and action potentials• May lack connection with a motorneuron• May show rhythmic cycles of activitycontrolled by pacemaker cells• Examples:•Walls of most viscera (gut, bileducts, ureters, uterus, walls ofblood vessels)

Name some more features of single-unit smooth muscle including examples

Discrete fibres operatingindependently• Innervated by motor neurons(often single nerve)• Slow contraction• Examples:• Ciliary and Iris muscles of eye• Large airways and largearteries• Piloerector muscle

Name some more features of multi-unit smooth muscle including examples

Strength of stimulus,frequency of stimulus,muscle length relative to resting length,size of muscle fibre

Name 4 factors contributing to muscle tension

Due to level of overlap of actin and myosin and subsequent ability to form cross-bridges and due to the amount of shortening possible

Why is length of the resting sarcomere important to muscle power?

80-120% of resting length

What is the optimal muscle length for tension?

slightly stretched

Which muscle is more powerful: slightly stretched or slightly contracted?

1 alpha motor neuron and all the muscle fibres which it innervates

Define "motor unit

Depending on the muscle between 2 (very fine control - larynx) and ~3000 (very strong muscle - gastrocnemius)

How many fibres/myocytes does 1 motor unit innervate?

In a single motor unit every single muscle cell will contract when the motor neuron is excited

What determines how many fibres in a motor unit contract?

Contraction of a single motor unit due to a single AP

What is a "muscle twitch

latent period,contraction period,relaxation period

Fill the blanks

Neural stimulation ends and calcium is re-sequestered into SR

What triggers the switch from the contraction to the relaxation period?

A phenomenon observed in muscles which have been at rest for a long period. Contraction force increases for stimuli of the same strength with successive twitches

What is the Treppe/staircase effect?

Resting calcium levels in sarcoplasm increase after every twitch,twitches create heat which provides optimal temperature for Myosin ATPase

Why does the staircase effect occur?

increase frequency of stimulation to motor unit, increase strength of stimulus to muscle

What are the two ways to increase muscle contraction (at a given length)

single twitch,unfused tetanus,fused tetanus

What are the stages of wave summation with increasing frequency?

twitch,wave summation,unfused/incomplete tetanus,fused/complete tetanus

Name the steps

The stronger the stimulus, the more motor units engage

How does increasing the NERVE stimulus increase contraction?

small

Which size motor units are recruited first?

threshold

What is the minimal stimulus for motor unit engagement called?

axon diameter (bigger = high threshold)

What determines threshold level for a motor neuron?

An increase in tension with a constant fibre length (iso = same; metric = length)

What is an isometric contraction?

A change in length with a constant tension (iso = same' tonic = tone/tension)

What is an isotonic contraction?

Cable pulls

Think of an isotonic exercise

plank and add weight to back

Think of an isometric exercise

Muscle shortens while doing work

What is a concentric contraction?

Muscle lengthens while doing work

What is an eccentric contraction?

eccentric contraction

What kind of isotonic contraction damages muscles the most

speed and distance of movement declines

What happens to a concentric contraction with the same force as load is added?

Stored ATP:Hydrolised ATP stored in myosin heads,ATP in sarcoplasm,Synthesised ATP:Creatine phosphate,Glycolysis,Aerobic respiration

List the sources for ATP

Creatine phosphate is dephosphorylated to phosphorylate ADP to ATP. This happens at a 1:1 ratio

How does creatine phosphate replenish ATP?

-15s-30-60s-Hours

What is duration of energy provided respectively by:creatine phosphate, glycolysis, cellular respiration?

-energy from stored ATP in muscles-ATP from CP(creatine phosphate)-glycolysis (anaerobic)-cellular respiration

Fill the blanks

No oxygen required

What is the advantage of the initial energy sources?

Type I - slow oxidativeType IIB - fast glycolyticType IIA - fast oxidative glycolytic

Fill the blanks

slow,slow,aerobic,high,low,first,slow (fatigue-resistant),endurance (running long distance, maintaining posture),red,small (faster O2 diffusion),many,many

Fill the blanks

fast,fast,aerobic (some anaerobic glycolysis),high,intermediate,second,intermediate,sprinting and walking,red to pink,intermediate,many,many

Fill the blanks

fast,fast,anaerobic,low,high,third,fast,short-term powerful movements,white,large,few (anaerobic so less need),few (anaerobic so less need)

Fill the blanks

A protein which delivers oxygen in muscle and gives muscle its red colour

What is myoglobin?

physiological inability to contract even though themuscle is still being stimulated

What is peripheral muscle fatigue?

ATP depletion,lactic acid build-up from anaerobic glycolysis,damage to SR,buildup of K+ in T-tubules,microscopic damage

What are some of the factors thought to be causes for peripheral muscle fatigue (this is not completely understood)?

This is the sustained elevation in heart rate and respiration to replenish depleted oxygen stores and oxygen required to replenish: ATP, creatine phosphate, glycogen, pyruvate from lactate (cori cycle)

What is the oxygen debt?

Lactic acid in blood filtered in liver -> gluconeogenesis converts lactate into glucose (using energy from beta-oxidation) -> glucose is stored as glycogen or/and then used in anaerobic glycolysis in muscle and yields lactate -> repeat

Very briefly describe the Cori cycle

Following high intesity exercise, muscles increase in size due to cells size increase (not number)

Briefly describe muscular hypertrophy

Muscle repair after injury uses satellite cells which differentiate into new muscle cells

How is hypertrophy different from muscle replacement after injury?

Reduction in size and number of myocytes

What happens in muscle atrophy?

Generalised muscle wasting associated with diseases

What is cachexia?

Muscle wasting due to aging

What is sarcopenia?

-Support-Protection-Movement-Mineral&storage release-Blood cell production-Hormone production-Triglyceride storage

Name some functions of bone

-Cancellous-Compact bone

What are the main 2 types of mature bone

compact bone,cancellous bone,trabecula

Fill the blanks

35%, 65%

What is the percentage of organic and inorganic substance in bone respectively?

The inorganic material lends rigidity and compression strength to bone, the organic component is necessary to maintain and remodel bone and also provide minor flexibility and tensile strength which stops bone from breaking when under force

Explain why the inorganic/organic composition is conducive to bone function

-cells-collagen fibres-ground substance

What are some of organic components of bone

bone salts: hydroxyapatite - calcium phosphate and hydroxide

What are some of the inorganic components of bone?

osteoclast,osteoprogenitor,osteoblast,osteocyte

Name the 4 main types of bone cells

These are mesenchymal stem cells found in the periosteum and endosteum which mitotically sustain their own numbers and can make osteoblasts

What is the main function of osteoprogenitor cells?

To produce bone ECM

What is the main function of osteoblasts?

These form lacunae in bone and help maintain the surrounding bone in which they become entrapped

What is the main function of osteocytes?

These are large multinucleate cells which can break down bone and release its materials. This is essential for bone remodelling and repair

What is the main function of osteoclasts?

osteocyte,osteoblast,osteoclast

Fill the blanks

-Haversian/central canal-lamellae-osteocyte-lacuna-canaliculi

Fill the blanks

To provide nervous and blood supply to the bone

What is the function of the Haversian canal?

Similar to Haversian canal, but they also connect different Haversian canals

What is the function of Lateral/perforation/Volkmanns canals?

concentric,circumferential,interstitial

Fill the blanks

The spaces between trabeculae are filled with bone marrow and the canaliculi of the osteocytes within the trabeculae extend out into the bone marrow. This allows for nutrients to be supplied to them.

Cancellous bone is arranged in trabeculae rather than osteons, which means there is no central thread of blood and nerve supply. How then do they access nutrients?

-trabeculae-canaliculi opening at surface-canaliculi-osteocyte in lacuna-osteoclast-lamella-osteoblast

Fill the blanks

-epiphysis-metaphysis-diaphysis-medullary (marrow) cavity-marrow-endosteum-periosteum-fibrous-cellular

Fill the blanks

Yellow (fatty) Bone Marrow

What is the predominant marrow type in longs bones in adults?

Red marrow. This is to sustain the rapid growth of children

What is the predominant marrow type in longs bones in children? Why is this different to adults?

There are often distinctly large nutrient foramina in the diaphysis of long bones; the epiphyses where the joints and a lot of stress are, often have fine but higher blood supply to keep up with higher bone turnover

Describe a couple of major blood supply structures of long bone

intramembranous ossification, endochondral ossification

Name the 2 types of bone formation

Ossification where the template is a fibrous membrane - mostly flat bones of the skull, face and some of the clavicle

Briefly define intramembranous ossification and some of the bones where it happens

This type of ossification arises from a hyaline cartilagenous template - it is the dominant type of ossification and necessary to keep up with fast growth

Briefly define endochondral ossification

By week 8 of embryo development

When does osteogenesis start?

It is the constant adaptation of bone caused by bone deposition of osteoblasts and bone resorption of osteoclasts

What is bone remodelling?

cancellous (3-4 years)compact (~10 years)

Which type of mature bone turns over faster?

-hematoma formation-fibrocartilagenous callous formation-bony callus formation-bone remodelling

What are the 4 stages of bone fracture repair?

The skull, vertebral column, the ribs, and the sacrum

What are the parts of the axial skeleton?

bones of the limbs and girdles (pelvic and pectoral)

What are the parts of the appendicular skeleton?

flat,short,irregular,long

Name the type of bone for each

fossa,condyle,epicondyle,head,tuberosity

Fill the blanks

- Fibrous (held together by collagen fibres)- Cartilaginous (held together by cartilage)- Synovial (bones separated by fluid)

What are the structural joint classes?

- Synarthrosis (immobile)- Amphiarthroses (slightly movable)- Diarthrosis (movable)

What are the functional joint classes?

- sutures (thin layer of CT between bones - synarthrotic)- syndesmosis (band of connective tissue - amphiarthrotic)- interosseus membrane (sheet of connective tissue - amphiarthrotic)

What are the types of fibrous joints?

between bones of the skull

Name an example of a suture

distal tibiofibular joint

Name an example of a syndesmosis

between tibia and fibula

Name an example of a interosseus membrane

- synchondrosis: bones joined by hyaline cartilage (usually synarthrotic)- symphysis: bones joined by pad of fibrocartilage (usually amphiarthrotic)

Name 2 types of cartilagenous joints

costochondral joints (between ribs and sternal cartilage), epiphyseal plate

Name an example of a synchondrosis

pubic symphysis, intervertebral discs

Name an example of a symphysis

- Articular capsule- Outer fibrous membrane- Inner synovial membrane- Synovial capsule- Synovial fluid- Articular cartilage- Ligaments

Fill the blanks

- lubricates and nourishes articular cartilage- absorbs shock

What is the purpose of synovial fluid?

Nutrients enter cartilage through the synovial fluid when it is compressed and relaxes, synovial fluid also removes waste (and from subchondral bone)

Why is movement necessary for articular cartilage

- chondrocytes- collagen (fine type)- Glycosaminoglycans

What are the constituents of articular cartilage?

ligaments connect bones to bonestendons connect bones to muscle

What is the main difference between ligaments and tendons

sacs outside of synovial joints where ligaments, tendons, or bones rub

What is a bursa?

elongated bursae around tendons, particularly in confined areas such as in the wrist and ankle.

What are tendinous sheaths?

Occurs in plane joints, ie between carpals

What is "gliding" movement in synovial joints

flexion in the coronal plane of the neck and back

What is lateral flexion?

flexion, extension

Name the movements

flexion, extension, hyperextension

Name the movements

abduction, adduction

Name the movements

circumduction

Name the movements

rotation

Name the movements

lateral rotation, medial rotation

Name the movements

pronation, supination

Name the movements

dorsiflexion, plantar flexion

Name the movements

inversion, eversion

Name the movements

uniaxial - move in one plane (elbow), biaxial - move in 2 planes (wrist), multiaxial - moves in 3 planes (shoulder)

What are the functional classifications of synovial joints based on planes of movement?

plane,hinge,pivot,condylar,saddle,ball-and-socket

What are the types of synovial joints by shape of articulating surface?

carpals of the wrist,elbow,atlantoaxial joint (between C1 and C2),knee,metacarpophalangeal joint of the thumb,shoulder (glenohumeral)

Name an example for each joint type:plane,hinge,pivot,condylar,saddle,ball-and-socket

The more mobile a joint is, generally, the more unstable. Eg: the shoulder is less stable than the hip joint, but more mobile (which makes sense for their function)

What is the relationship between mobility and stability in joints? Compare 2 joints to explain

cranial bonesfacial bonesPterionparietaloccipitaltemporalmastoid processzygomaticvomermandiblefrontalsphenoidethmoidnasallacrimalmaxilla

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frontalsphenoidethmoidnasalzygomaticmaxillaparietaltemporallacrimalvomermandiblemental protuberance

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hard palatemaxillapalatine bonevomersphenoidstyloid processtemporalforamen magnumzygomaticmandibular fossamastoid processoccipital condyleexternal occipital protuberance

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coronalsquamoussagittallambdoidscalpdiploeduraexternal tableinternal table

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orbicularis oculipalpebralorbital

Fill the blanks

palpebral muscle closes the eye gently, while the orbital muscle produces a stronger closure

What is the differnce in function between the palpebral and orbital muscle?

procerusnasalistransverse partalar part

Fill the blanks

To draw the eyebrows together

What is the function of the procerus?

To open (alar) and constrict (transverse) the nostrils

What is the function of the nasalis?

orbicularis oris,close mouth and pucker lips

Fill the blanks

Buccinator

Fill the blank

One of the chewing muscles, expulsion of air (Well-developed in trumpet players)

What is the function of the buccinator

Smilingzygomaticus majorzygomaticus minorrisoriusunilateralbilateral

Fill the blanks

pulling up the corners of the mouth

What is the function of the zygomaticus muscles

pulling apart the corners of the mouth laterally

What is the function of the risorius

frowning, drinkingdepressor anguli orismentalis

Fill the blanks

pulling down corners of mouth

What is the function of the depressor anguli oris

pulling down bottom lip (drinking)

What is the function of the mentalis

zygomaticus minorzygomaticus majororbicularis orisbuccinatordepressor anguli oris

Fill the blanks

orbicularis oris + buccinator

What is/are the muscles used here?

zygomaticus major + minor

What is/are the muscles used here?

risorius

What is/are the muscles used here?

orbicularis oris

What is/are the muscles used here?

depressor anguli oris

What is/are the muscles used here?

mentalis

What is/are the muscles used here?

platysma

What is/are the muscles used here?

occipitofrontalisfrontal bellyoccipital bellyaponeurosis

Fill the blanks

wrinkle forehead, raise eyebrows

What is the function of the occipitofrontalis

Platysma

0

Facial nerve (CNVII) and its branches

What is motor nervous supply for the facial muscles?

Trigeminal nerve (CN V)Opthalmic nerve (V1)Maxillary nerve (V2)Mandibular nerve (V3)VertexPosterior RamiAnterior RamiC2C3C4

Fill the blanks

hyoidbodygreater hornlesser horn9

Fill the blanks

Suprahyoid neck muscles

Name the muscle group being pointed to by the arrows

Infrahyoid muscles (strap muscles)

Name the muscle group being pointed to by the arrows

These can lift the hyoid, or If the hyoid is stabilised by the infrahyoids, The suprahyoids will depress the mandible

What is the function of the suprahyoid muscles

From sternum, clavicle, scapula

Where do the infrahyoid muscles originate?

suprahyoid musclesinfrahyoid muscleshyoid

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Facial Nerve (VII)Trigeminal nerve (Mandibular Branch - CNV3)Anterior ramus of C1

What is the innervation for the suprahyoids?

anterior rami of C1-3 through ansa cervicalis

What is the innervation for infrahyoids?

ansa cervicalis

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Splenius capitis & cervicis

Name 1

Semispinalis capitis & longissimus capitis

Name 2

Sternocleidomastoid (SCM)

Name 3

Sternocleidomastoid (SCM) + Scalenes

Name 4

Splenius capitis and cervicis

Name 5 (same side)

SCM, scalenes

Name 6 (opposite side)

Sternocleidomastoid (SCM)

Name the muscle

Scalenesposteriormiddleanterior

Fill the blanks

anterior triangleposterior triangle

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internal jugular veinfacial arteryexternal carotid arteryinternal carotid arterycarotid sinuscommon carotid arteryscalenes

Fill the blanks

facial veinVagus nerve (CNX)internal jugular veinPhrenic nerve (C3-C5)Brachial plexus

Fill the blanks

Accessory nerve (CNXI)Trapezius

Fill the blanks