NEET MDS Lessons
Anatomy
The Auditory Tube
- This is a funnel-shaped tube connecting the nasopharynx to the tympanic cavity.
- Its wide end is towards the nasopharynx, where it opens posterior to the inferior meatus of the nasal cavity.
- The auditory tube is 3.5 to 4 cm long; its posterior 1/3 is bony and the other 2/3 is cartilaginous.
- It bony part lies in a groove on the inferior aspect of the base of the skull, between the petrous part of the temporal bone and the greater wing of the sphenoid bone.
- The function of the auditory tube is to equalise pressure of the middle ear with atmospheric pressure.
Genioglossus Muscle
- Origin: Mental spine of the mandible.
- Insertion: Dorsum of the tongue and hyoid bone.
- Nerve Supply: Hypoglossal nerve (CN XII).
- Arterial Supply: Sublingual and submental arteries.
- Action: Depresses and protrudes the tongue.
Cardiac Muscle
Fibres anastomose through cross bridges
Fibres are short, connected end to end at intercalated discs, also striated, contract automatically
Light microscopic Structure:
Short fibres connected at intercalated disks, 85 - 100 µm long, 15 µm
same bands as in skeletal muscle, 1 or 2 nuclei - oval and central, in perinuclear area is a sarcoplasmic reticulum, intercalated discs lie at the Z line
Electron microscopic structure:
Between myofibrils lie the mitochondria, 2,5 µm long mitochondria, dense cristae
and are as long as the sarcomere, fibres have more glycogen than skeletal muscle fibres
myofilaments, actin and myosin are the same as in skeletal muscle, the sarcoplasmic reticulum differs in that there is no terminal sisterna. The sarcotubules end in little feet that
sit on the T-tubule
Intercalated Disc:
on Z lines, fibres interdigitate,
3 types of junctions in the disc
Transverse Part:
zonula adherens
desmosomes
Lateral Part:
Gap junctions (nexus) - for impulse transfer
Mechanism of Contraction:
slide - ratchet like in skeletal muscle, certain fibres are modified for conduction, Impulses spread from cell to cell through gap junctions, Purkinje cells are found in the AV bundle
they have less myofibrils, lots of glycogen and intercalated discs
Connective tissue coverings:
Only endomycium in cardiac muscle, Blood vessels, lymph vessels and nerves lie in the endomycium
Nerve Supply of the Muscles of the Orbit (pp. 715-6)
- Three cranial nerves supply the muscles of the eyeball; the oculomotor (CN III), trochlear (CN IV) and abducent (CN IV) nerves.
- All three enter the orbit via the superior orbital fissure.
- The trochlear nerve supplies the superior oblique muscle.
- The abducent nerve supplies the lateral rectus muscle.
- The oculomotor nerve supplies everything else.
- A mnemonic that is used is this formula for this strange sulfate: SO4(LR6)3
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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)
-> This is a wedge-shaped bone (G. sphen, wedge) is located anteriorly to the temporal bones.
-> It is a key bone in the cranium because it articulates with eight bones (frontal, parietal, temporal, occipital, vomer, zygomatic, palatine, and ethmoid).
-> It main parts are the body and the greater and lesser wings, which spread laterally from the body.
-> The superior surface of its body is shaped like a Turkish saddle (L. sella, a saddle); hence its name sella turcica.
-> It forms the hypophyseal fossa which contains the hypophysis cerebri or pituitary gland.
-> The sella turcica is bounded posteriorly by the dorsum sellae, a square plate of bone that projects superiorly and has a posterior clinoid process on each side.
-> Inside the body of the sphenoid bone, there are right and left sphenoid sinuses. The floor of the sella turcica forms the roof of these paranasal sinuses.
-> Studies of the sella turcica and hypophyseal fossa in radiographs or by other imaging techniques are important because they may reflect pathological changes such as a pituitary tumour or an aneurysm of the internal carotid artery. Decalcification of the dorsum sellae is one of the signs of a generalised increase in intracranial pressure.
->The two parietal bones (L. paries, wall) form large parts of the walls of the calvaria.
->On the outside of these smooth convex bones, there are slight elevations near the centre called parietal eminences.
->The middle of the lateral surfaces of the parietal bones is crossed by two curved lines, the superior and inferior temporal lines.
->The superior temporal line indicates an attachment of the temporal fascia; the inferior temporal line marks the superior limit of the temporalis muscle.
->The parietal bones articulate with each other in the median plane at the sagittal suture. The medial plane of the body passes through the sagittal suture.
->The inverted V-shaped suture between the parietal bones and the occipital bones is called the lambdoid suture because of its resemblance to the letter lambda in the Greek alphabet.
->The point where the parietal and occipital bones join is a useful reference point called the lambda. It can be felt as a depression in some people.
->In addition to articulation with each other and the frontal and occipital bones, the parietal bones articulate with the temporal bones and the greater wings of the sphenoid bone.
->In foetal and infant skulls, the bones of the calvaria are separated by dense connective tissue membranes at sutures.
->The large fibrous area where several sutures meet are called fonticuli or fontanelles.
->The softness of these bones and looseness of their connections at these sutures enable the calvaria to undergo changes of shape during birth called molding. Within a day or so after birth, the shape of the infant’s calvaria returns to normal.
->The loose construction of the new-born calvaria also allows the skull to enlarge and undergo remodelling during infancy and childhood.
->Relationships between the various bones are constantly changing during the active growth period.
->The increase in the size of the cranium is greatest during the first 2 years, the period of most rapid postnatal growth of the brain.
->The cranium normally increases in capacity until about 15 or 16 years of age; thereafter the cranium usually increases only slightly in size as its bones thicken for 3 to 4 years.