Human Anatomy and Physiology : Human Anatomy and Physiology

Study concepts, example questions & explanations for Human Anatomy and Physiology

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Example Questions

Example Question #35 : Injuries And Disorders

List the order of spinal ligaments that a needle would penetrate in order to administer an epidural injection.

Possible Answers:

Interspinous ligament, anterior longitudinal ligament, posterior longitudinal ligament

Posterior longitudinal ligament, anterior longitudinal ligament, ligamentum flavum

Supraspinous ligament, interspinous ligament, ligamentum flavum 

Supraspinous ligament, posterior longitudinal ligament, ligamentum flavum

Interspinous ligament, posterior longitudinal ligament, ligamentum flavum

Correct answer:

Supraspinous ligament, interspinous ligament, ligamentum flavum 

Explanation:

When giving an epidural injection the order of structures the needle passes through goes as follows: skin, fascia and subcutaneous fat, supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space 

Example Question #1411 : Human Anatomy And Physiology

List the order of structures that a needle would penetrate in order to administer an lumbar puncture.

Possible Answers:

Supraspinous ligament, interspinous ligament, ligamentum flavum, pia mater, subarachnoid space, dura mater

Supraspinous ligament, interspinous ligament, ligamentum flavum, dura mater, subarachnoid space

Interspinous ligament, posterior longitudinal ligament, anterior longitudinal ligament, dura mater, subarachnoid space

Interspinous ligament, anterior longitudinal ligament, posterior longitudinal ligament, subarachnoid space, dura mater

Supraspinous ligament, posterior longitudinal ligament, ligamentum flavum, pia mater

Correct answer:

Supraspinous ligament, interspinous ligament, ligamentum flavum, dura mater, subarachnoid space

Explanation:

When giving an lumbar puncture the order of structures the needle passes through goes as follows: skin, fascia and subcutaneous fat, supraspinous ligament, interspinous ligament, ligamentum flavum, epidural space, dura mater, arachnoid mater, subarachnoid space. Note that the pia mater is not pierced during a lumbar puncture. 

Example Question #37 : Injuries And Disorders

A patient presenting with "Saturday night" palsy would have which of the following deficits?

Possible Answers:

Inability to flex the wrist

Inability to flex the elbow

Inability to abduct the shoulder

Inability to supinate the forearm

Inability to extend the wrist

Correct answer:

Inability to extend the wrist

Explanation:

"Saturday night" palsy is a nickname for radial nerve paralysis. Because the wrist extensors are innervated by the radial nerve, this type of paralysis would prevent a person from being able to perform wrist extension. While the supinator is innervated by the radial nerve, the biceps brachii is also a supinator, so although supination may be weaker with radial nerve paralysis, it would not be absent. 

Example Question #34 : Injuries And Disorders

What is the "soup" method of neurotransmitter and receptor analysis in the CNS? What is its usefulness?

Possible Answers:

A tissue sample is sliced into pieces of tissue that are homogenous and can be analyzed. This is useful for quantifying binding or molecule levels.

There is no such thing as the "soup" method of neurotransmitter and receptor analysis in the CNS.

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels.

A tissue sample is isolated and ground to form a heterogeneous mixture which can be analyzed. This is useful for quantifying binding or molecule levels.

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for macroelectrode application to see what action potentials in specific brain regions do functionally.

Correct answer:

A tissue sample is isolated and ground to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels.

Explanation:

The "soup" method involves collecting a tissue sample from the specific CNS are that one is interested in, isolating it and grinding it to form a homogenate which can be analyzed. This is useful for quantifying binding or molecule levels, through the application of radiolabels to specific neurotransmitters and receptors of interest. The radiolabels let you see how much those neurotransmitters and receptors interact, and what their relative levels are.

Example Question #1412 : Human Anatomy And Physiology

Multiple sclerosis is a progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord. The cerebrospinal fluid (CSF) of someone who is suspected to be affected by this disease is extracted by a routine spinal tap. 

List the correct order of structures the needle would pass in order to do such.

Possible Answers:

Muscle, ligamentum flavum, epidermis, arachnoid mater, dura -mater, epidural space, subarachnoid space

Muscle, epidermis, ligamentum flavum, subarachnoid space, arachnoid space, subdural space, dura-mater

Epidermis, muscle, ligamentum flavum, subdural space, dura-mater, subarachnoid space, arachnoid space

Epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space 

Correct answer:

Epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space 

Explanation:

When performing a spinal tap the layers that the needle passes through (from superficial to deep)are as follows: epidermis, muscle, ligamentum flavum, epidural space, dura-mater, arachnoid mater, subarachnoid space. The CSF, which you collect in a spinal tap, is located in the subarachnoid space. 

Example Question #31 : Help With Evaluation Methods For The Nervous System

At which vertebrae would you enter to remove cerebrospinal fluid (CSF) from the back?

Possible Answers:

L2

L4/L5

Posterior sacral foramina

T3/T4

Correct answer:

L4/L5

Explanation:

When performing a spinal tap you enter the intervertebral space at the L3/L4 or L4/L5 level. This is because the spinal cord ends around L1/L2. Nerves continue past this point as part of the cauda equina, however they are not in danger of being pierced as they move out of the way of the needle. The needle will pass through various layers until the subarachnoid space where CSF is located.

Example Question #1417 : Human Anatomy And Physiology

At what level does one perform a lumbar puncture?

Possible Answers:

L1/L2 or L2/L3

Only L1/L2

L4/L5 or L3/L4

Only L3/L4

Correct answer:

L4/L5 or L3/L4

Explanation:

In human adults the spinal cord (caudal tip) usually ends at the level of L1/L2. Thus lumbar punctures are performed between the L3 and L4 vertebrae or between L4 and L5, so there is no risk of damage to the spinal cord. 

Example Question #32 : Help With Evaluation Methods For The Nervous System

You suspect that a patient may have an injury to her dorsal scapular nerve. What abnormal movement pattern would make you suspect this?

Possible Answers:

Excess scapular internal rotation ("winging")

Excess scapular elevation

Excess scapular downward rotation

Excess scapular upward rotation

Correct answer:

Excess scapular upward rotation

Explanation:

Although electrodiagnostic testing would be needed to definitively diagnose a dorsal scapular nerve pathology, excess scapular upward rotation could suggest dysfunction of this nerve. Because the dorsal scapular nerve innervates the rhomboid major and minor, which are downward scapular rotators (as well as scapular elevators, and adductors) injury to this nerve would decrease eccentric control of upward rotation, causing excessive movement in that direction. Excess scapular internal rotation is associated with injury to the long thoracic nerve, not the dorsal scapular nerve.

Example Question #1 : Musculoskeletal System

An 8-year old boy has difficulty walking, and you notice that although he has really thin thighs, his calves appear to be very well developed. When you ask him to stand up and walk for you, you notice that he leans forward and pushes on his thighs to stand. A mutation affecting which protein causes this condition?

Possible Answers:

Troponin

Frataxin

Huntingtin

Actin

Dystrophin

Correct answer:

Dystrophin

Explanation:

The boy is suffering from Duchenne Muscular Dystrophy (DMD). This condition is a genetic disorder caused by a mutation resulting in absence of the dystrophin protein.

DMD is an X-linked recessive disease that caused muscle wasting and death. Mutations in the dystrophin gene on the X-chromosome cause absence of the protein dystrophin and instability in muscle cell membranes. Proximal muscles are affected first with noticeable atrophy of the legs and pelvis. This spreads to the arms, neck, and other parts of the body. Patients have pseudohypertrophy of the calves and deltoids and have poor endurance. Patients often show Gower’s sign, pushing on their thighs with their arms to help them stand up. A diagnosis is made with DNA testing or muscle biopsy showing absence of dystrophin. Becker’s muscular dystrophy is a less severe form of DMD in which mutated dystrophin is produced. Signs and symptoms are similar, but less severe.

Frataxin is a mitochondrial protein that is deficient in patients with Freidrich's ataxia, an autosomal recessive trinucleotide repeat disorder. It is the most common hereditary ataxia involving the posterior column, lateral corticospinal tracts, and spinocerebellar tracts of the spinal cord. This is a result of progressive atrophy and sclerosis of the dorsal root ganglia and dorsal roots. This condition is characterized by staggering gait, frequent falling, nystagmus, pes cavus, kyphoscoliosis, and hypertrophic cardiomyopathy.

Actin is a protein found in eukaryotes with multiple functions, including muscle contraction, vesicle and organelle transport, and cell signaling.

Troponin is a regulatory protein in muscle contraction. In skeletal muscle, troponin is bound to tropomyosin, a protein that covers actin binding sites, prohibiting muscle contraction. Binding of calcium to troponin causes a conformational change in troponin, which shifts tropomyosin to expose actin binding sites.

Huntingtin is a protein that, when mutated, causes Huntington's disease, a genetic disorder that progressively damages brain cells to result in chorea (jerky, uncontrollable movements) as well as changes in personality and dementia.

Example Question #2 : Musculoskeletal System

Your dad comes home from the doctor's office with a diagnosis of "golfer's elbow." Which of the following structures is involved in this injury?

Possible Answers:

Median nerve

Annular ligament

Lateral epicondyle

Biceps brachii muscle

Medial epicondyle

Correct answer:

Medial epicondyle

Explanation:

Golfer's elbow, or medial epicondylitis, is due to inflammation of the medial epicondyle of the elbow. The tendons of several muscles involved in flexing the forearm, wrist, and fingers originate at the medial epicondyle of the humerus at the elbow and this insertion point can become inflamed in response to injury.

Lateral epicondylitis is sometimes associated with tennis elbow.

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