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NEET MDS Lessons
Anatomy

A. Anatomic position-erect body position with the arms at the sides and the palms  upward

B. Plane or section

1. Definition-imaginary flat surface formed by an extension through an axis

2. Median plane-a vertical plane. that divides a body into right and left halves

3. Sagittal plane

  • Any plane parallel to the median plane
  • Divides the body into right and left portions

 

4. Frontal plane

  • Vertical plane that forms at right angles to the sagittal plane
  • Divides the body into anterior and posterior sections
  • Synonymous with the term coronal plane

 

5. Transverse plane

  • Horizontal plane that forms at right angles to the sagittal and frontal planes
  • Divides the body into upper and lower portions
  • Synonymous with the term horizontal plane

 

 

C. Relative positions

1. Anterior

  • Nearest the abdominal surface and the front of the body
  • Synonymous with the term ventral
  • In referring to hands and forearms, the terms palmar and Volar are used

2. Posterior

  • Back of the body
  • Synonymous with the term dorsal

3. Superior

  • Upper or higher
  • Synonymous with the term cranial (head)

4. Inferior

  • Below or lower
  • Synonymous with the term caudal (tail)
  • In referring to the top of the foot and the sole of the foot. the terms dorsal and plantar are used respectively

 

5. Medial-near to the median plane

6. Lateral-farther away from the median plane

7. Proximal-near the source or attachment

8. Distal-away from the source or. attachment

9. Superficial-near the surface

10. Deep-away from the surface

11. Afferent-conducting toward a structure

12. Efferent-conducting away from a structure

  • Bones begin to form during the eighth week of embryomic life in the fibrous membranes (intramembranous ossification) and hyaline cartilage (endochondral ossification)

The Nasopharynx

  • The nasal part of the pharynx has a respiratory function.
  • It lies superior to the soft palate and is a posterior extension of the nasal cavity.
  • The nose opens into the nasopharynx via to large posterior apertures called choanae.
  • The roof and posterior wall of the nasopharynx form a continuous surface that lies inferior to the body of the sphenoid bone and the basilar part of the occipital bone.
  • In the mucous membrane of the roof of the posterior wall of the nasopharynx is a collection of lymphoid tissue, known as the pharyngeal tonsil (commonly known as the adenoids).
  • The pharyngeal orifice of the auditory tube is on the lateral wall of the nasopharynx, 1 to 1.5 cm posterior to the inferior concha, and level with the superior border of the palate.
  • The orifice is directed inferiorly and has a hood-like tubal elevation over it called the torus of the auditory tube or the torus tubarius (L. torus, swelling).
  • Extending inferiorly from the torus is a vertical fold of mucous membrane, known as the salpingopharyngeal fold.
  • The collection of lymphoid tissue in the submucosa of the pharynx, posterior to the orifice of the auditory tube, is known as the tubal tonsil.
  • Posterior to the torus and the salpingopharyngeal fold, there is a slit-like lateral projection of the pharynx called the pharyngeal recess.
  • It extends laterally and posteriorly.

Intramembranous ossification

  • Flat bones develop in this way (bones of the skull)
  • This type of bone development takes place in mesenchymal tissue
  • Mesenchymal cells condense to form a primary ossification centre (blastema)
  • Some of the condensed mesenchymal cells change to osteoprogenitor cells
  • Osteoprogenitor cells change into osteoblasts which start to deposit bone
  • As the osteoblasts deposit bone some of them become trapped in lacunae in the bone and then change into osteocytes
  • Osteoblasts lie on the surface of the newly formed bone
  • As more and more bone is deposited more and more osteocytes are formed from mesenchymal cells
  • The bone that is formed is called a spicule
  • This process takes place in many places simultaneously
  • The spicules fuse to form trabeculae
  • Blood vessels grow into the spaces between the trabeculae
  • Mesenchymal cells in the spaces give rise to hemopoetic tissue
  • This type of bone development forms the first phase in endochondral development
  • It is also responsible for the growth of short bones and the thickening of long bones

Muscles Around the Mouth

  • The sphincter of the mouth is orbicularis oris and the dilator muscles radiate outward from the lips like the spokes of a wheel.

Orbicularis Oris Muscle

  • This muscle encircles the mouth and is the sphincter of the oral aperture
  • This muscle (1) closes the lips, (2) protrudes them and (3) compresses them against the teeth.
  • It plays an important role in articulation and mastication. Together with the buccinator muscle, it helps to hold the food between the teeth during mastication.

Zygomaticus Major Muscle

  • It extends from the zygomatic bone to the angle of the mouth.
  • It draws the corner of the moth superolaterally during smiling and laughing.

Zygomaticus Minor Muscle

  • This is a narrow slip of muscle, and passes obliquely from the zygomatic bone to the orbicularis oris.
  • It helps raise the upper lip when showing contempt or to deepen the nasolabial sulcus when showing sadness.

 

The Buccinator Muscle

  • This is a thin, flat, rectangular muscle.
  • It is attached laterally to the alveolar processes of the maxilla and mandible, opposite the molar teeth and the pterygomandibular raphe.
  • Medially, its fibres mingle with those of orbicularis oris.Innervation: the buccal branch of facial.
  • It aids mastication and swallowing by pushing the cheeks against the molar teeth during chewing.

The Layers of the Pharyngeal Wall

  • The pharyngeal wall is composed of 5 layers. From internal to external, they are as follows.
  • Mucous membrane: this lines the pharynx and is continuous with all chambers with which it communicates.
  • Submucosa
  • Pharyngobasilar fascia: this is a fibrous layer that is attached to the skull.
  • Muscular layer: this is composed of inner longitudinal and outer circular parts.
  • Buccopharyngeal fascia: this is a loose connective tissue layer.
  • This fascia is continuous with the fascia covering the buccinator and pharyngeal muscle.
  • It contains the pharyngeal plexus of nerves and veins.

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.

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