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Anatomy

Sternum

o    Forms the medial part of the anterior chest wall
o    Manubrium (upper part)-clavicle and first rib articulate with the manubrium .
o    Body (middle blade)-second and tenth ribs articulate with the body via the costal cartilages
o    Xiphoid (blunt cartilaginous tip)

Ribs (12 pairs)

o    Each rib articulates with both the body and the transverse process of its corresponding
o    thoracic vertebra
o    The second to ninth ribs articulate with the body of the vertebra above'
o    Ribs curve outward, forward, and then downward
o    Anteriorly, each of the first seven ribs joins a costal cartilage that attaches to the sternum
o    Next three ribs (eighth to tenth) join the cartilage of the rib above
o    Eleventh and twelfth ribs do not attach to the sternum; are called "floating ribs"

 

Classification

Epitheliums can be classified on appearance or on function

Classification based on appearance

- Simple - one layer of cells

- Pseudostratified - looks like more than one layer but is not

- Stratified - more than one layer of cells

Simple epitheliums

Simple squamous epithelium

 Cells are flat with bulging or flat nuclei.  Lines the insides of lung alveoli and certain ducts in the kidney

 Forms serous membranes called mesothelium that line cavities like: pericardial ,  peritoneal,  plural

 Lines blood vessels - known as endothelium

Simple cuboidal epithelium

It appears square in cross section,  Found in: - Ducts of salivary glands,  Follicles of the thyroid gland,  Pigment layer in the eye,  Collecting ducts of the kidney, In the middle ear is ciliated type.

Simple columnar

  • Lines the gastrointestinal tract from the stomach to the anal canal,  Some columnar cells have a  secretory function – stomach, peg cells in the oviduct,  Some columnar cells have microvilli on their free border (striated border) – gall bladder, duodenum
  • Microvilli increase the surface area for absorption
  • Some columnar cells have cilia – oviduct, smaller bronchi
  • Cilia transport particles

Pseudostratified

Appears as stratified epithelium but all cells are in contact with the basement membrane.  Has a thick basement membrane. Different cell types make up this epithelium,  Cells that can be found in this type of epithelium are:

  • Columnar cells with cilia or microvilli.
  • Basal cells that do not reach the surface.
  • Goblet cells that secrete mucous.
  • Found in the trachea, epididymus, ductus deferens and female urethra

Stratified epithelium

Classified according to the shape of the surface cells

Stratified squamous epithelium

Has a basal layer that varies from cuboidal to columnar cells that divide to form new cells. Two types are found:

Keratinized:  Mostly forms a dry covering, The middle layers consists of cells that are forming- and filling up with keratin. The superficial cells form a tough non living layer of keratin,  Keratin is a type of protein,  The skin is of this type has  thick skin - found on the hand palms and soles of the feet,  thin skin - found on the rest of the body

Non-keratinized:  Top layer of cells are living cells with nuclei  Forms a wet covering,  The middle layers are polyhedral,  The surface layer consists of flat squamous cells

  • Is found in:  mouth,  oesophagus,  vagina

Stratified cuboidal epithelium

Found: - in the ducts of sweat glands

Stratified columnar epithelium

Found at the back of the eyelid (conjunctiva)

Transitional epithelium

- Sometimes the surface cells are squamous, sometimes cuboidal and sometimes columnar

- The superficial cells are called umbrella cells because they can open and close like umbrellas, when the epithelium stretch and shrink

- Umbrella cells can have 2 nuclei

- Found in the bladder and ureter

  • BONES OF THE CRANIUM

     

    Occipital (1)

    Frontal    (1)

    Sphenoid (1)

    Ethmoid  (1)

    Parietal    (2)

    Temporal  (2)

     

    BONES OF THE FACE

     

    Mandible (1)

    Vomer     (1)

    Maxillae  (2)

    Zygomae  (2)

    Lacrimal   (2)

    Nasal        (2)

    Inferior nasal conchae (2)

    Palatine     (2)

     

     

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

 

Geniohyoid Muscle

  • Origin: Inferior genial tubercles of the mandible.
  • Insertion: Anterior surface of the body of the hyoid bone.
  • Nerve Supply: Branch of C1 through the hypoglossal nerve (CN XII).
  • Arterial Supply: Sublingual branch of the lingual artery.
  • Action: Elevates the hyoid bone and depresses the mandible.

Gross Features of the Tongue

  • The dorsum of the tongue is divided by a V-shaped sulcus terminalis into anterior oral (presulcal) and posterior pharyngeal (postsulcal) parts.
  • The apex of the V is posterior and the two limbs diverge anteriorly.
  • The oral part forms about 2/3 of the tongue and the pharyngeal part forms about 1/3.

 

Oral Part of the Tongue

  • This part is freely movable, but it is loosely attached to the floor of the mouth by the lingual frenulum.
  • On each side of the frenulum is a deep lingual vein, visible as a blue line.
  • It begins at the tip of the tongue and runs posteriorly.
  • All the veins on one side of the tongue unite at the posterior border of the hyoglossus muscle to form the lingual vein, which joins the facial vein or the internal jugular vein.
  • On the dorsum of the oral part of the tongue is a median groove.
  • This groove represents the site of fusion of the distal tongue buds during embryonic development.

 

The Lingual Papillae and Taste Buds

  • The filiform papillae (L. filum, thread) are numerous, rough, and thread-like.
  • They are arranged in rows parallel to the sulcus terminalis.
  • The fungiform papillae are small and mushroom-shaped.
  • They usually appear are pink or red spots.
  • The vallate (circumvallate) papillae are surrounded by a deep, circular trench (trough), the walls of which are studded with taste buds.
  • The foliate papillae are small lateral folds of lingual mucosa that are poorly formed in humans.
  • The vallate, foliate and most of the fungiform papillae contain taste receptors, which are located in the taste buds.

 

The Pharyngeal Part of the Tongue

  • This part lies posterior to the sulcus terminalis and palatoglossal arches.
  • Its mucous membrane has no papillae.
  • The underlying nodules of lymphoid tissue give this part of the tongue a cobblestone appearance.
  • The lymphoid nodules (lingual follicles) are collectively known as the lingual tonsil.

The Ear

  • The ear contains the vestibulocochlear organ and consists of three main parts: external, middle, and internal.
  • It has two functions, balance and hearing.
  • The tympanic membrane (eardrum) separates the external ear from the middle ear.
  • The auditory tube joins the middle ear or tympanic cavity to the nasopharynx.

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