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Spinal Anatomy
Emphasis: Muscles of the Spine with its supporting structures
| Question | Answer |
|---|---|
| The 1st cervical nerve is found in the suboccipital triangle. | true |
| Which is not a border of the suboccipital triangle? Inferior Oblique Superior Oblique Rectus Capitis Posterior Major Semispinalis Capitis | semispinalis capitis |
| How many attachment points does the muscle have? | 2 |
| Tendon attaches to the bone. | true |
| Muscle has an insertion and a(n) | origin |
| Origin and insertion is determined by release. | false, contraction |
| When the muscle contracts, the insertion point is brought closer to the origin point. | true |
| Innervation is the | nerve supply |
| Innervation can be described by the name of the nerve by the: | cord level feeding into the muscle |
| Which is not an extrinsic back muscle? Lats Traps Levator scap Splenius capitis none of the above | Splenius capitis |
| Triangles form from muscle borders | true |
| Which is not an origin of the Trapezius? EOP Ligamentum Nuchae Mastoid process SP of C7 SP of T1-T12 | Mastoid Process |
| The supraspinous ligament is found in the | It's found from C7 or T1 transverse process to S1 |
| The middle or medial fibers of the trapezius insert | on the scapula spine, acromion process |
| The trapezius inserts on all of the following except: | SP of C7 |
| Which action of the trapezius is most prominent? | shrugging shoulders |
| WOTF attaches the sacrum to the ischial tuberosity? | Sacrotuberous ligament |
| The 11th cranial nerve is also known as the __. | spinal accessory nerve, C.N. XI |
| The C.N. XI innervates the __ and __. | trapezius, sternocleidomastoid |
| All of the following are true of cranial nerve XI except: #20 | It originates in the pons |
| How many possible nerves go through the jugular foramen? | 4 |
| The portion of the 11th cranial nerve that passes into the jugular process is called the | cranial portion |
| The trapezius has an origin of the spinous process of __ and __. | C7, T1-T12 |
| Lumbar aponeurosis is also known as | lumbodorsal fascia |
| The lumbar aponeurosis is the __ of the __ muscle | origin, latissimus dorsi |
| What is not an origin of the latissimus dorsi? | xx |
| Fascia is not connective tissue | false, it is |
| Sacral tubercles are not proximal attachments for muscles. | true |
| The humerus at the bicipital groove is also known as | intertubercular groove |
| The __ turns the head to the right or left. | SCM |
| The axillary nerve innervates the deltoid. | true |
| What are we referring to when we refer to the transversospinal portion? | muscles of the deep layer of the back |
| The insertion of the longissimus capitis is the | mastoid process of the temporal bone |
| WOTF is innervated by the dorsal scapular nerve? Deltoid Trapezius Splenius capitis Rhomboid major | Rhomboid major |
| What is the insertion point for the latissimus dorsi | humerus at the intertubercular groove |
| What is the action of the latissimus dorsi? | medial rotation of the humerus, adduction of humerus, extension of humerus |
| The triangle of petite is also known as the | lumbar triangle |
| The lateral part of the lumbar triangle is bordered by __. | external oblique |
| What is the innervation of the latissimus dorsi? | by the thoracodorsal nerve fibers C6, C7, and C8 |
| The latissimus dorsi is very active when climbing. | true |
| Triangle of ausculation is the triangle of petite | false |
| The inferior border of the triangle of ausculation os made of the | latissimus dorsi |
| The __ is medial border of the triangle of ausculation. | trapezius |
| WOTF is not a border of the triangle of ausculation? | superior border |
| The correct shape of the triangle of ausculation is an inverted triangle. | false, its not really inverted |
| The superior aspect of the latissimus dorsi is made of the __ of the triangle of ausculation | inferior border |
| The iliac crest makes up the __ of the lumbar triangle. | inferior border |
| The latissimus dorsi is a border of the triangle of ausculation and the lumbar triangle. | true |
| The lateral border of the triangle of petite is the | external abdominal oblique |
| The external abdominal oblique is the lateral border of the triangle of petite. | true |
| How many layers of muscle are there in the back? | 5 |
| Rhomboid major's origin is located at the spinous processes of | T2-T5 |
| The rhomboid minor insertion is inferior to the rhomboid major insertion. | false, superior |
| The rhomboid major and the rhomboid minor have WOTF in common? | same innervation, same action |
| The insertion is the vertebral border of the scapula. What muscles are we referring to? | Rhomboideus major |
| The rhomboid major and minor do not perform which action? | elevate scapula, raise shoulder |
| The action of the rhomboid minor is to | adduct the scapula and bring toward midline |
| The dorsal scapular nerve is the innervation for the | rhomboid major |
| WOTF muscles is not innervated by the dorsal scapular nerve? | Latissimus dorsi |
| WOTF is a deep extrinsic muscle of the back? | Rhomboid major |
| The deepest muscle of the transversospinal group is the __. | semispinalis |
| Spinal nerves have just sensory components. | false, motor also |
| Spinal nerves are mixed nerves. | true |
| The dorsal and ventral root will come out of the cord __ and __. | posteriorly, anteriorly |
| The superficial layer of the intrinsic back muscles consists of all of the following except: | Erector spinae |
| Erector spinae has a significant part in extension of the vertebral column. | true |
| The term "splenius" means literally | bandage |
| What is an origin of the rhomboideus minor muscle? | SP of C7, C1 and Ligamentum Nuchae |
| What is the origin of the Levator Anguli scapularis? | TP of C1-C4 |
| Innervation of the levator scapulae is by the dorsal scapular nerve. | true |
| Which is not true of the levator scapula? | The muscle fibers are almost anatomically horizontal. |
| The internal and external intercostals are innervated by the intercostal nerve. | true |
| Reciprocal origin and insertion means that | both ends move or can move |
| The long thoracic nerve innervates the | serratus anterior |
| The action of the levator scapular includes | elevates scapula, rotation of the scapula |
| The end of the spinal cord is at what vertebral level? | L1-L2 |
| The intermediate layer of the intrinsic back muscles is not composed of WOTF? | Trapezius |
| The origin of the serratus posticus inferior is at the SP's of | T11-L2 |
| Innervation of serratus posterior inferior muscle? | The muscle is innervated by the ventral rami of 9th to 12th thoracic spinal nerves |
| The insertion of the __ scalene is the second rib. | posterior |
| The most lateral muscle group of the erector spinae is the | iliocostalis |
| Which is the origin of the rotatores | Transverse processes of all vertebrae |
| What is the action of the serratus posticus inferior? | draws down lower 4 ribs |
| What is the innervation of the serratus posticus inferior? | ventral rami of spinal nerves T9-T12 |
| The most medial muscle is the | spinalis thoracis |
| What is the insertion of the serratus posticus superior? | superior borders of ribs 2-4 |
| What is the origin of the serratus posticus superior? | SP's of C7-T3 |
| The ligamentum nuchae is part of the origin of the serratus posticus superior muscle. | true |
| What is the innervation of the serratus posticus superior? | Intercostal nerves 2-5 |
| How many pairs of thoracic spinal nerves are there in the body? | 12 |
| Which muscle raises the 1st rib during inspiration? | Middle scalene |
| The mastoid process and the __ are the insertion of the splenius capitis. | occiput |
| What is the action of the splenius capitis bilaterally? | lateral flexion of the neck and rotation of the head |
| The innervation of the splenius capitis is the dorsal rami of the mid-cervical nerves. | true |
| What is the origin of the splenius capitis? | SP's of C7-T4 |
| The scalene medius has an action of __. | lateral cervical flexion, cervical rotation |
| The scalene medius has an origin of | C2-C7 transverse processes |
| WOTF has an origin of the transverse processes in the cervical, thoracic, and lumbar spine? | Multifidus |
| The insertion of the iliocostalis lumborum is the | inferior border of ribs 7-12 |
| Which is an origin of the iliocostalis lumborum? | Iliac crest |
| The Intertransversarii has an origin and insertion of the __ of cervical, thoracic, and lumbar vertebrae. | transverse processes |
| What is an insertion of the iliocostalis dorsi/thoracic? | TP of C7 and superior borders of ribs 1-6 |
| What is the origin of the iliocostalis dorsi/thoracic? | Superior borders of ribs 7-12 |
| The iliocostalis cervicis has an origin at | Superior borders of ribs 1-6 |
| The insertion of the iliocostalis cervicis is the transverse processes of C4-C6 | true |
| The iliocostalis cervicis has its origin at the most superior 6 ribs | true |
| Which muscle is not part of the longissimus column? | iliocostalis dorsi/thoracic |
| What is an action of the 3 muscles of the longissimus column? | All of the above |
| The innervation of the longissimus column is the ventral rami of spinal nerves at their local level. | false, dorsal rami of spinal nerves |
| Which is not a muscle of the erector spinal group? | Splenius capitis |
| What is the action of the spinalis column? | Extends vertebral column |
| The innervation of the spinalis column is the dorsal rami of spinal nerves at their specific vertebral level. | true |
| WOTF is true of the levatores costarum? | Assists in lateral flexion of the spine |
| Which is not a muscle in the spinalis column? | Longissimus cervicis |
| Which muscle is not seperable in its origin and insertion in the deepest layer of the back? | Multifidus |
| The __ is not part of the transversospinal portion. | Splenius cervicis |
| Which muscle of the transversospinal group is a vertebral stabilizer during movement of the vertebral column? | Multifidus |
| The transversospinal innervation will be the | dorsal rami at their local level |
| The __ has the occiput as its insertion | semispinalis capitis |
| What is not an origin of the multifidus | second rib |
| The rectus capitis lateralis has an origin at the transverse process of atlas. | true |
| The __, __, and __ perform head flexion. | longus colli, longus capitis, rectus capitis anterior |
| The action of the rotatores is to assist in the | extension and rotation of the vertebral column |
| The innervation of the multifidus is at the dorsal rami of spinal nerves at their particular vertebral level. | true |
| The longus colli has innervation of which of the following? | ventral rami of C2-C6 spinal nerves |
| Which place will the rotatores not be found? | sacral |
| Paralysis of the spinal accessory nerve would prevent which of the following movements? | shoulder shrug |
| Intertransversarii are in the __ spine. | cervical, lumbar, thoracic |
| What is the insertion of the interspinalis? | the superior portion of the spinous process above from L5-C2 |
| The interspinalis muscle may be __ from T3/T4 to T10/T11. So they may or may not be partially developed. | rudimentary (not fully developed) |
| The intertransversarii are in the cervical spine. | true |
| Origin of the intertransversarii is the | transverse processes of all vertebrae |
| The semispinalis is part of the __ portion of the back. | transversospinal |
| WOTF does not assist in the breathing process? | Rotatores |
| The multifidus and the intertransversarii are known as vertebral stabilizers. | true |
| The levatores costarum has an origin of the transverse processes of T1-T11 | true |
| What is the action of the intertransversarii? | Lateral flexion, stabilization of the vertebral column |
| The innervation of the intertransversarii is the | dorsal and ventral rami of spinal nerves |
| The superior attachment of the rectus capitis lateralis is the | jugular process |
| How many muscles are there in the longissimus group? | 3 |
| Which is not a muscle of the posterior cervicals? | longus colli |
| The inferior oblique rotates wotf vertebrae | C1 |
| How many muscles are there in the erector spinal portion of the back? | 9 |
| WOTF is not a muscle of the transversospinal portion of the back? | splenius cervicis |
| The insertion of the longus colli is the | atlas anterior tubercle |
| The structure that extends most inferiorly is the __ and this is an extension of __. | filum terminale, pia mater |
| How many scalene muscles are there in the body? | 3 |
| Thoracic outlet syndrome is also known as | scalenus anticus syndrome |
| The longus capitis extends the head. | false, flexes the head |
| WOTF is not a muscle of the medial erector spinae group? | semispinalis thoracis |