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level 3

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Q Where is the origin of the brachialis m. in relation to the deltoid tuberosity? Also, what is the insertion of this m.?   A The brachialis originates just inf/ant to the deltoid tube. on the humerus, and inserts into the CORONOID process/tube of the ulna.  
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Q What m. is the primary flexor of the elbow at any position?   A Brachialis  
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Q What is the innervation of the brachialis m.?   A musculocutaneous (becomes the lat antebrachial cutaneous), and could have some radial as well  
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NOTE the brachialis forms part of the floor of the cubital fossa N431, 447   NOTE the ulnar n. is medial to the ulnar a. N448  
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Q What structure divides the origins of the lat/short heads of the triceps brachii?   A The musculospiral groove of the humerus. The lat head originates sup, and the short is inf N432  
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Q T/F the 3 heads of the triceps m. insert on the olecranon process of the radius.   A F, it's the olecranon process of the ULNA  
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Q There is a septum that divides the ant/pos compartments of the arm. What m. are found on each side of this septum? ***   A He never specified, but he did say this would be on the practical. It looks like the brachialis = ant, and the short & lat heads of the triceps = pos. See N435, middle slice.  
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Q The radial n. passes between which heads of the triceps m.?   A Between the lat/short heads of the triceps m. and into the musculospiral groove of the humerus  
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Q The radial n. passes between the lat/short heads of the triceps m., and into the musculospiral groove of the humerus. What other vessel accompanies it?   A The deep a. of the arm. Note this is a branch off the brachial a. N434  
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Q What is the space called that is found between the lat/long heads of the triceps m., and the teres major?   A The "triangular interval", note that this is where the radial n. and the deep brachial a. pass  
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Q Where is the triangular interval in relation to the quad space? What separates these two areas?   A Inf., separated by the teres major  
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Q What are the prox/distal borders of the brachial a.?   A The teres major = prox, to the cubital fossa = dist  
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Q As the brachial a. travels down the arm, on which side of it is the radial n. found?   A The radial n. travels medially to the brachial a.  
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Q The brachial a. sticks to the med portion of the arm, and gives rise to what 3 branches?   A First, the deep brachial a., then the sup (2nd) and inf (3rd) ulnar collateral aa. N434  
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Q What is the fate of the sup/inf ulnar collateral aa. that branch off the brachial a?   A They become the ant (from inf) and pos (from sup) ulnar recurrent aa. and eventually anastamose w/ the ulnar a. N434  
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Q What is the fate of the deep brachial a. after it branches off the brachial a.? ***   A It becomes the radial collateral a., then the radial recurrent, and then hence the names anastamoses w/ the radial a. ***  
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Q The deep veins of the arm are small and a waste of time. There are two larger superficial veins though of importance. What are they and where do they go. Remember, veins are going back to heart   A The cephalic, which enters the deltopectoral triangle, and the basilic which is more medial. Both enter into the axillary vein.  
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Q At the distal end of the arm, there is a vein that connects the cephalic and basilic vv., what is it? ***   A The median cubital v., found running over the cubital fossa ***  
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Q Trace the lat antebrachial cutaneous n. back to the brachial plexus. It's not as hard as it sounds   A let antebrachial cutaneous n. into the musculocutaneous n. (through coracobrach m.) and then into the lat cord N474  
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Q The notes say that the radial n. gives off the pos. antebrachial cutaneous n. at the level of the lat epicondyle of the humerus. N 477 looks a lot higher. The name is self explanatory. What is the function of this n.?   A sensory to pos forearm  
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Q What are the terminal branches of the radial n.? Where do these branch off?   A The sup terminal branch and the deep terminal branch split off the radial n. after it passes through the lat intermuscular septum. superficial is sensory, and deep is motor  
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Q This n. in the arm is formed by contributions from both lat/med cords and doesn't do much above the elbow.   A Median n.  
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Q What n. innervates the flexors of the forearm, AND pierces the pronator teres m.?   A median n. Remember the difference between pronator teres syndrome and carpal tunnel syndrome N 475  
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Q Of the three major nn. of the arm/forearm, which passes pos to the elbow on it's way down?   A The ulnar, it passes pos to the med epicondyle of the humerus N476  
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Q What m. does the ulnar n. travel below on it's way to the hand?   A The flexor carpi ulnaris m. N476  
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Q The ulnar a. branches off the brachial. a. What n. does this BV travel with in the forearm, and how/where does it enter the hand?   A The ulnar a. travels with the ulnar n. in the forearm, and these enter the hand through a separate (from the carpal tunnel) tunnel made by the hamate/pisiform N448, 476  
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Q What are the lat/med borders of the cubital fossa?   A brachioradialis = lat, and pronator teres = med.  
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Q What part of the cubital fossa does the bicipital aponeurosis of the biceps brachii m. form?   A roof  
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Q What mm. form the floor of the cubital fossa?   A insertion of brachialis m. and supinator  
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Q Superficial to the cubital fossa is a vein. What is it? ***   A median cubital v. ***  
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Q Make sure and find the separation of the radial/ulnar aa. in the arm.   Remember that the ulnar a. gives off ant/pos recurrent aa., and the radial branches off the radial recurrent a., all of which travel back up to the brachial a.  
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Q Aside from the recurrent aa. that branch off the ulnar a., what is an important branch to remember? ***   A The common interosseous a.***  
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Q The common interosseous a. branches off the ulnar a., and then splits. Where do it's branches travel?***   A The ant/pos interosseous aa. travel on both sides of the interosseous membrane in the forearm.***  
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NOTE there will be 1 question on the anatomy of the ulna on the practical pg 14 in notes   NOTE there will also be 1 question on the radius, also pg 14 in notes  
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Q What type of joint is the elbow?   A hinge, diarthrotic, synovial  
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Q What shape are the rad/lat and ulnar/med collateral lig's of the elbow in?   A Well, the notes say the radial is V shaped and the ulnar is a triangle. That equates to the same thing to me. Check out the attachments on pg 15 of the notes. N 438  
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Q What two bursae are associated with the olecranon?   A The subcutaneous olecranon bursa between the skin and olecranon, and the subtendinous olecranon bursa between the olecranon and the tendon of the triceps m. N438  
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Q What are the 3 origins of the supinator m.? ***   A The lat epicondyle of humerus, annular lig of the radius, and supinator fossa of the ulna N 440  
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Q What m. separates the radial n. into deep/sup branches?   A supinator m.  
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Q This m. has two heads. One originates from the medial epicondyle of the humerus, and the other from the med aspect of the coronoid process of the ulna   A The pronator teres m.  
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Q What n. passes through the two heads of the pronator teres m.?   A median n.  
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Q What m. holds the distal ends of the radius and ulna together?   A the pronator quadratus m.  
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Q The mm. of the ant compartment of the forearm/superficial group all attach to what structure?   A Med epicondyle of the humerus  
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Q The flexor carpi radialis m. inserts into the base of which metacarpal?   A 2 N450  
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Q This flexor of the forearm has a small m. mass and a long tendon. It does not insert into a bone in the hand, but passes over the flexor retinaculum, and into the palmar aponeurosis.   A palmaris longus N446  
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Q The palmaris longus is useful for locating which n. at it's distal aspect?   A The median n., where it splits at the retinaculum  
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Q This m. forms most of the med forearm, and innervated by the ulnar n. Note, it is useful to find the ulnar a./n.   A flexor carpi ulnaris m. N446  
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TA-DAAAA!!! FINALLY DONE!   Well, I am at least.  
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This joint allows movement and there are 5 types   Synovial  
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