Anatomy books

Thursday, October 13, 2016

Respiratory system : brief and easy handout

Respiratory system
          It consists of paired lungs and a series of air passages that lead to and form the lungs.
Function
          Air conduction
          Air filtration
          Gas exchange
          In addition, air passing through the larynx produce speech
          The olfactory mucosa of nasal cavities carries sense of smell
The air passages of respiratory system consists of a conducting portion and a respiratory portion
Extrapulmonary region
          Nasal cavities
          Pharynx
          Larynx
          Trachea
          Bronchi
The intrapulmonary region
          Intrapulmonary bronchi
          Bronchioles
          Terminal bronchioles 
          Respiratory bronchioles
          Alveolar duct
          Alveoli
Olfactory epithelium
The olfactory chemoreceptors are located in the olfactory epithelium, a specialized area of the mucous membrane in the superior conchae, located in the roof of the nasal cavity.
It is a pseodostratified ciliated columnar epithelium composed of three types of cells
          Supporting cell
          Olfactory cell
          Basal cell
Lamina propria  is richly vascularized and possesses Bowman’s glands which produce a watery mucus
The respiratory epithelium

      Most of the conducting portion is lined with ciliated pseudostratified columnar epithelium that contain rich population of goblet cells and is known as respiratory epithelium
Typical respiratory epithelium consists of 5 cell types
Ciliated cells:  Tall columnar cells with cilia that project into the mucus covering the surface of epithelium
Goblet cells : That synthesize and secrete mucus
Brush cells: Bear short, blunt microvilli
 Small granule cells: That resemble basal cells but contain secretory granules
 Basal cells : Stem cells from which the other cell types arise
Trachea
is a short, flexible, air tube about 2.5 cm in diameter and about 10 cm long 
The wall of the trachea consists of four definable layers
Mucosa: Composed of a ciliated pseusostratified epithelium and an elastin, fiber-rich lamina propria
Submucosa : Contains denser conn. tissue than the lamina propria
Cartilaginous layer : Composed the C shaped hyaline cartilages. Fibroelastic tissue & smooth muscle , the trachealis muscle , bridge the gap between the free ends of the C shaped cartilages at the posterior border of the trachea 
Adventitia: Composed of conn. Tissue that binds the trachea to adjacent structures

Bronchus

Bronchus are two type extra pulmonary bronchus and intra pulmonary bronchus
a bronchus is lined by  the respiratory epithelium with goblet cells and columnar ciliated cells.
 lamina propria (connective tissue ) contains serous glands and smooth muscle (SM).
Extra pulmonary Bronchus is surrounded by a continuous plate of cartilage but intra pulmonary bronchus is surrounded by discontinuous cartilaginous plates
Outer most part of bronchus is covered by adventitia a collagen fibres rich connective tissue

Terminal bronchiole
Difference between bronchus and bronchioles are : bronchus is surrounded by cartilage and bronchiole is not surrounded by cartilage
      The smallest conducting bronchioles are referred to as terminal bronchioles
      They are lined with the simple cuboidal epi. Interspersed with clara cells
      No cartilage plates
      No glands
      No goblet cell
      Well developed and continuous  smooth muscle cells layer are  surrounded the thin lamina propria of terminal bronchiole
      Outer most part is surrounded by the adventitia 
Respiratory bronchioles
The difference between terminal and respiratory bronchiole are :
Terminal bronchiole contain continuous layer of smooth muscles cells and respiratory bronchiole contain discontinuous smooth muscle cells layer
      It is lined by simple cudoidal epithelium consisting of some ciliated cells and clara cells
      Clara cells have three functions:
  1. They produce one components of surfactant
  2. They act as a reserve cells
  3. They detoxify the noxious substances 
      Alveolar outpocketing are found in the wall of respi. bronchioles
      A thin, incomplete layer of smooth muscle surrounded the epithelium
      Each res. Bronchioles gives rise to an alveolar ducts into which open numerous alveoli.
Alveoli
      They are the site of gas exchange
      Each alveoli consists of a pocket, open at one side and surrounded by a rich network of pulmonary capillaries
      the wall between adjacent alveoli is called the alveolar septum. It is formed by two layers of alveolar epithelium with their basement membranes and capillaries. The alveolar septa contain small openings  called alvealar pores  which allow equalisation of pressure between  alveali  and provide a collateral air circulation 
Alveoli:
its epithelium is composed of type I & II alveolar cells & occasional brush cells
Type I alveolar cells/ type I pneumocytes are extremely thin squamous cells that line most (95%) of surface of the alveoli. But number of type II alveolar cells are more than the type I alveolar cells
They are not capable of cell division
         Type II pneumocytes or septal cells are secretory cells
         These are cuboidal cells
         The number of the cell is  more than the type I pneumocytes
         They retain capacity for cell division & can differentiate into type I pneumocyte
         They secrete surfactant
Surfactant: A surface-active material which reduces surface tension within the alveoli , preventing  alveolar collapse during expiration
 
         Secretion of surfactant by a type II cell. Surfactant is a protein-lipid complex synthesized in the rough endoplasmic reticulum and Golgi complex and stored in the lamellar bodies. It is continuously secreted by means of exocytosis (arrows)


Monday, October 10, 2016

Pharynx : short viva questions

Pharynx
1.       Define pharynx
2.       Tell the commencement and termination of pharynx
3.       What are the parts of pharynx
5.       Tell the lining epithelium of different parts of pharynx
6.       What are the layers of pharyngeal wall ?
7.       Mention the name of the muscles of pharynx
8.       Tell the sensory and motor nerve supply of pharynx
9.       Tell about the constrictor muscles arrangement and their insertion
10.   Tell the length of pharynx
11.   How pharyngeal plexus is formed ?
12.   Blood supply of pharynx
13.   What is carotid sinus? Tell its functions
15.   What is carotid body? Give its importance.
17.   Tell the extension of the naso pharynx
18.   Tell the features of the lateral wall of the pharynx
19.   What is the boundaries of piriform fossa ?
20.    Tell the boundaries and extension of orapharynx and laryngopharynx
21.   Tell the blood supply of the pharynx
22.   What is dysphagia ?
23.   Where nasolacrimal gland is open?
24.   Tell boundaries of tonsilar fossa
25.   What are the factors keep tonsil in position?
26.   Which structures lies on buccopharyngeal fascia 
Auditory tube : length , Part , extension, functions , lining epithelium and nerve supply( glossopharyngeal nerve)
27.  Soft palate : name of muscles, sensory and motor supply , why nerve supply of tensor tympani is defer from other muscles of soft palate, formation and functions of soft palate            
34.   What is waldeyer’s ring ? how it is formed ?

Tongue : short viva questions

Short viva questions: tongue
  1. 1 IDENTIFY THE IMPORTANT STRUCTURES ON THE DORSUM OF THE TONGUE
              Mention the different parts of tongue 
2.       IDENTIFY THE IMPORTANT STRUCTURES ON THE VENTRAL SURFACE OF THE TONGUE
3.       MENTION THE SENSORY AND MOTOR SUPPLY OF TONGUE
4.       MENTION THE DEVELOPMENT OF MUCOSA AND MUSCULATURE OF THE TONGUE
5.       MENTION THE HISTOLOGY OF TONGUE
6.       WHAT IS PAPILLAE ? MENTION THEIR TYPES AND LOCATION
7.       WHAT IS TASTE BUD? WHICH PAPILLAE IS DEVOID OF TASTE BUD ?
8.       MENTION THE NAME OF EXTRINSIC AND INTRINSIC MUSCLES OF TONGUE
9.       IDENTIFY FORAMEN CAECUM. MENTION ITS IMPORTANCE
10.   TELL THE OTHER SITES OF TASTE BUDS? 
11.   TELL THE FUNCTIONS OF TONGUE
12.   TELL THE FUNCTIONS OF EXTRINSIC AND INSTRICSIC MUSCLES OF TONGUE
13.   WHAT IS LINGUAL TONSIL?
14.   WHAT IS FRENULUM LINGULAE ? MENTION ITS ABNORMALITY ?
15.   WHY FACIAL NERVE IS KNOWN AS PRETREMATIC NERVE ?
16.   EXPLAIN NERVE SUPPLY OF TONGUE ON BASIS OF DEVELOPMENT .
17.   Mention the blood supply and lymphatic drainage of tongue


Sunday, October 9, 2016

Bronchopulmonary segment : easy and brief description


Bronchopulmonary segment
1.       Definition: it  is anatomical , functional and surgical subdivision of lung which is supplied by  tertiary (segmental ) bronchus
2.       Conducting part of bronchopulmonary segment is supplied by bronchial artery (contain O 2 rich blood)
3.       And respiratory part of bronchopulmonary segment is supplied by pulmonary artery  (contain CO2 rich blood )
4.       Shape : roughly pyramidal in shape, 
5.       Apex of pyramid towards the hilum
6.       Base of pyramid towards the surface
7.       Each segment is separated by other by connective tissue , which contain pulmonary vein (O2 rich blood) and lymphatic.
8.       Importance: it is important because a surgeon can remove one segment without seriously disrupting surrounding segment

9.       Number of bronchopulmonary segment  in each lung : 10



Right lung
Upper lobe
1.       Apical
2.       Posterior
3.       Anterior
Middle lobe
4.       Lateral
5.       Medial

Lower  lobe
1.       Apical
2.       Medial basal
3.       Anterior basal
4.       Lateral basal
5.       Posterior basal





Left lung
Upper lobe
1.       Apical
2.       Posterior
3.       Anterior
4.       Superior lingula
5.       Inferior lingula


Lower lobe
6.Apical
7.Medial basal
8.Anterior basal
9.Lateral basal
10.Posterior basal







On both sides the apical segment of lower lobe is supplied by a bronchus which is the highest to arise from the posterior surface of bronchial tree
Material aspirated by a supine, comatose, or anaesthetized patient would tend to gravitate into apical segment of right lower lobe which consequently a common site for aspiration pneumonia and abscess
Formation








Saturday, October 8, 2016

Bronchopulmonary segment of lung: brief and important review

Bronchopulmonary segment
1.       Definition: it  is anatomical , functional and surgical subdivision of lung which is supplied by  tertiary (segmental ) bronchus
2.       Conducting part of bronchopulmonary segment is supplied by bronchial artery (contain O 2 rich blood)
3.       And respiratory part of bronchopulmonary segment is supplied by pulmonary artery  (contain CO2 rich blood )
4.       Shape : roughly pyramidal in shape, 
5.       Apex of pyramid towards the hilum
6.       Base of pyramid towards the surface
7.       Each segment is separated by other by connective tissue , which contain pulmonary vein (O2 rich blood) and lymphatic.
8.       Importance: it is important because a surgeon can remove one segment without seriously disrupting surrounding segment
9.      



 Number of bronchopulmonary segment  in each lung : 10
         Right lung : 
         
Upper lobe
1.       Apical
2.       Posterior
3.       Anterior
Middle lobe
4.       Lateral
5.       Medial



Lower  lobe
1.       Apical
2.       Medial basal
3.       Anterior basal
4.       Lateral basal
5.       Posterior basal

left lung : 
Upper lobe
1.       Apical
2.       Posterior
3.       Anterior
4.       Superior lingula
5.       Inferior lingula

Lower lobe
6.Apical
7.Medial basal
8.Anterior basal
9.Lateral basal
10.Posterior basal



Friday, October 7, 2016

Bony pelvis: short questions for oral examination

Short questions of bony pelvis :
1.     Mention anatomical points of bony pelvis
2.     How bony pelvis is formed?
3.     How many joints are present in bony pelvis? Mention their types
4.     What are the divisions of pelvis? Which plane divide bony pelvis in two parts?
5.     Trace the pelvic inlet in a bony pelvis.
6.     What is linea terminalis ?
7.     Trace the pelvic outlet and mention its boundaries.
8.     Why greater pelvis is known as false pelvis and lesser pelvis is  known as true pelvis?
9.     Which structure cover pelvis outlet anteriorly and posteriorly?
10.                        Mention the formation of  pelvic diaphragm.
11.                        Mention the content of pelvic cavity in male and female.
12.                        What is pelvimetry?
13.                        How anterior- posterior, oblique,transverse diameter of pelvic inlet is measured?
14.                        Which diameter of pelvis inlet is longest in female ?
15.                        How anterior- posterior, oblique,transverse diameter of pelvic outlet is measured?
16.                        Which diameter of pelvis outlet is longest in female?
17.                        Measurement of bony pelvis is always done internally ---true /false
18.                        What is external conjugate, diagonal conjugate, obstetrical conjugate
19.                        Draw different types of pelvis. Which varieties are common in female and in male
20.                        mention the difference between male and female pelvis considering following points ---
·        size and shape
·         bony characters,
·        subpubic angle,
·        sacrum,
·        ischial spine


Lumbar vertebra: short questions for viva

Lumbar vertebra
1.     Features of typical and atypical lumbar vertebra
2.     Contents of 1st and 2nd lumbar vertebral canal
3.     Lower part of 1st lumbar vertebra : important relations
4.     Tell vertebral level of following structures
·        Termination of abdominal aorta
·        Formation of IVC
·        Duodenum
·        Highest points of iliac crest
5.     Attachment of –
·        thoraco-lumbar fascia on lumber vertebra
·        psoas major muscle,
·        rt and lt crus of the diaphragm
6.     Difference between cervical, thoracic and lumbar vertebra considering following topics
7.     Body of verterbra / spinous process/ transverse process/ special point for cervical . thoracic and lumbar vertebra
8.     Parts of intervertebral disc : what types of cartilage it is? What are the parts of it?
9.     Tell the development of vertebra

10.            Tell the development of nucleus pulposus .