NEET MDS Lessons
Anatomy
Nerves of the Palate
- The sensory nerves of the palate, which are branches of the pterygopalatine ganglion, are the greater and lesser palatine nerves.
- They accompany the arteries through the greater and lesser palatine foramina, respectively.
- The greater palatine nerve supplies the gingivae, mucous membrane, and glands of the hard palate.
- The lesser palatine nerve supplies the soft palate.
- Another branch of the pterygopalatine ganglion, the nasopalatine nerve, emerges from the incisive foramen and supplies the mucous membrane of the anterior part of the hard palate.
Vessels of the Palate
- The palate has a rich blood supply from branches of the maxillary artery.
-> This bone forms much of the base and posterior aspect of the skull.
-> It has a large opening called the foramen magnum, through which the cranial cavity communicates with the vertebral canal.
-> It is also where the spinal cord becomes continuous with the medulla (oblongata) of the brain stem.
-> The occipital bone is saucer-shaped and can be divided into four parts: a squamous part (squama), a basilar part (basioccipital part), and two lateral parts (condylar parts).
-> These four parts develop separately around the foramen magnum and unite at about the age of 6 years to form one bone.
-> On the inferior surfaces of the lateral parts of the occipital bone are occipital condyles, where the skull articulates with C1 vertebra (the atlas) at the atlanto-occipital joints.
-> The internal aspect of the squamous part of the occipital bone is divided into four fossae: the superior two for the occipital poles of the cerebral hemispheres, and the inferior two, called cerebellar fossae, for the cerebellar hemispheres.
Stylohyoid Muscle
- Origin: Posterior border of the styloid process of the temporal bone.
- Insertion: Body of the hyoid bone at the junction with the greater horn.
- Nerve Supply: Facial nerve (CN VII).
- Arterial Supply: Muscular branches of the facial artery and muscular branches of the occipital artery.
- Action: Elevates the hyoid bone and base of the tongue.
Appendicular Skeleton
Upper extremity
• Shoulder-clavicle and scapula
Clavicle
Articulates with the manubrium at the sternal end
Articulates with the scapula at the lateral end
Slender S-shaped bone that extends horizontally across the upper part of the thorax
Scapula
Triangular bone with the base upward and the apex downward
Lateral aspect contains the glenoid cavity that articulates with the head of the humerus
Spine extends across the upper part of the posterior surface; expands laterally and
forms the acromion (forms point of shoulder)
Coracoid process projects anteriorly from the upper part of the neck of the scapula
Arm (humerus)
Consists of a shaft (diaphysis) and two ends (epiphyses)
Proximal end has a head that articulates with the glenoid fossa of the scapula
Greater and lesser tubercles lie below the head
Intertubercular groove is located between them; long tendon of the biceps attaches here
Surgical neck is located below the tubercles
o Radial groove runs obliquely on the posterior surface; radial nerve is located here
o Deltoid muscles attaches in a V-shaped area in the middle of the shaft. called the deltoid tuberosity
Distal end has two projections. the medial and lateral epicondyles
Capitulum-articulates with the radius
Trochlea-articulates with the ulqa
Forearm
Radius
Lateral bone of the forearm
Radial tuberosity is located below the head on the medial side
Distal end is broad for articulation with the wrist: has a styloid process on its lateral side
Ulna
Medial side of the forearm
Conspicuous part of the elbow joint (olecranon)
Curved surface that articulates with the trochlea of the humerus is the trochlearnotch
Lateral ide is concave (radial notch); articulates with the head of the radius Distal end contains the styloid process
Distal end contains the styloid process
Hand
Carpal bones (8)
Aranged in two rows of four
Scaphoid. lunate. triquetral. and pisiform proximal row); trapezium. trapezoid.
capitate. and hamate (distal row)
Metacarpal bones (5)
Framework of the hand
Numbered 1 to 5 beginning on the lateral side
Phalanges (14)
Fingers
Three phalanges in each finger; two phalanges in the thumb
Histology
Histology is the study of tissues.
A tissue is a group of cells with similar structure and function plus the extracellular substances located between the cells.
There are four basic types of tissues:
- Epitheliums
- Connective tissue
- Muscle tissue
- Nervous tissue
Internal Ear
- Osseous labyrinth: a complex system of cavities in the substance of the petrous bone.
- Membranous labyrinth: filled with endolymph, bathed in perilymph.
Eye
At week 4, two depressions are evident on each of the forebrain hemispheres. As the anterior neural fold closes, the optic pits elongate to form the optic vesicles. The optic vesicles remain connected to the forebrain by optic stalks.
The invagination of the optic vesicles forms a bilayered optic cup. The bilayered cup becomes the dual layered retina (neural and pigmented layer)
Surface ectoderm forms the lens placode, which invaginates with the optic cup.
The optic stalk is deficient ventrally to contain choroids fissure to allow blood vessels into the eye (hyaloid artery). The artery feeds the growing lens, but will its distal portion will eventually degenerate such that the adult lens receives no hyaloid vasculature.
At the 7th week, the choroids fissure closes and walls fuse as the retinal nerve get bigger.
The anterior rim of the optic vesicles forms the retina and iris. The iris is an outgrowth of the distal edge of the retina.
Optic vesicles induces/maintains the development of the lens vesicle, which forms the definitive lens. Following separation of the lens vesicle from the surface ectoderm, the cornea develops in the anterior 1/5th of the eye.
The lens and retina are surrounded by mesenchyme which forms a tough connective tissue, the sclera, that is continuous with the dura mater around the optic nerve.
Iridopupillary membrane forms to separate the anterior and posterior chambers of the eye. The membrane breaks down to allow for the pupil
Mesenchyme surrounding the forming eye forms musculature (ciliary muscles and pupillary muscles – from somitomeres 1 and 2; innervated by CN III), supportive connective tissue elements and vasculature.
Eyelids
Formed by an outgrowth of ectoderm that is fused at its midline in the 2nd trimester, but later reopen.