Unit 5TIPS (thanks to Feinberg Footnotes) Keep up in lab, and again, learn as you go. You'll be overwhelmed by a couple lectures. No worries, a week later, you'll know info that you thought you'd be swimming in forever. The exam is fair. Look online at other med school's websites for practice q's. They are really helpful to test yourself on the info. I got absolutely destroyed on the anatomy practical in this unit because I thought I'd be able to review and cram everything the night after the written. Bad idea. Insane number of terms to learn so keep up with the anatomy throughout the unit. I highly recommend Netter's Anatomy flashcards and Rohen's. This unit was quite overwhelming for me just because of the sheer number of details that had to be learned. There was so much to memorize and not much framework to make it easier to remember. Do NOT get behind in this unit! The difficult thing about the unit for some is the amount of memorization. Another difficult thing about the unit is that limbs are pretty much done in the first two to three weeks of the course, so the info is a bit stale by the time the test comes around. Don't forget that the limb material is HALF of the test!! The Netter flash cards really helped me for this unit. Start doing them early coinciding with the dissections. Don't neglect your Rohen either for nailing the practical down. Study first, then ask Dr. Shea to help clarify. He is awesome. You'll get the most out of talking with him if you already know some stuff before you try asking him anything. I didn't buy the Rohen atlas, but I made it a point to look at it as often as possible when I was with my lab-mates and in the library. It was a really invaluable tool, especially for the people who don't love being in front of the cadaver. The photos in the Rohen atlas are amazing. Do not discount Rohen pictures on the practical exam! And be prepared for unusual views of cranial nerves and vessels. TRICKS (thanks to MedicalMnemonics.com and elsewhere) · Since there's two T's in carpal bone mnemonic sentences, need to know which T is where:
TrapeziUM is by the thUMB, TrapeziOID is inSIDE.
· Alternatively, TrapeziUM is by the thUMB, TrapezOID is by its SIDE.
Medial malleolus: order of tendons, artery, nerve behind it
"Tom, Dick, ANd Harry":
· From anterior to posterior:
Tibialis
Digitorum
Artery
Nerve
Hallicus
· Full names for these are: Tibialis Posterior, Flexor Digitorum Longus, Posterior Tibial Artery, Posterior Tibial Nerve, Flexor Hallicus Longus.
Cranial bones
"PEST OF 6":
Parietal
Ethmoid
Sphenoid
Temporal
Occipital
Frontal
Carpal bones
"Some Lovers Try Positions That They Can't Handle":
· Proximal row then distal row, both lateral-to-medial:
Scaphoid
Lunate
Triquetrium
Pisiform
Trapezium
Trapezoid
Capate
Hamate
Alternatively, "So Long The Pinky, Here Comes The Thumb", lateral-to-medial, then medial-to-lateral Facial bones
"Virgil Can Not Make My Pet Zebra Laugh!":
Vomer
Conchae
Nasal
Maxilla
Mandible
Palatine
Zygomatic
Lacrimal Foramen ovale contents
MALE:
Mandibular nerve
Accessory meningeal artery
Lesser petrosal nerve
Emissary veins Orbit: bones of medial wall
"My Little Eye Sits in the orbit":
Maxilla (frontal process)
Lacrimal
Ethmoid
Sphenoid (body) Cartilage derivatives of 1st pharyngeal arch (mandibular)
"I'M A Super Sexy Guy" (or Girl):
Incus
Malleus
Anterior ligament of malleus
Spine of sphenoid
Sphenomandibular ligament
Genial tubercle of mandible Superior orbital fissure: structures passing through
"Live Free To See Absolutely No Insult":
Lacrimal nerve
Frontal nerve
Trochlear nerve
Superior branch of oculomotor nerve
Abducent nerve
Nasociliary nerve
Inferior branch of oculomotor nerve Tarsal bones
"Tall Californian Navy Medcial Interns Lay Cuties":
· In order (right foot, superior to inferior, medial to lateral):
Talus
Calcanous
Navicular
Medial cuneiform
Intermediate cuneiform
Lateral cuneifrom
Cuboid Cruciate ligaments: insertions
PAMS APPLES:
Posterior [passes] Anterior [inserts] Medially.
Anterior [passes] Posteriorly [inserts] Laterally. Tibia: muscles of pes anserinus (the muscles attached to tibia's medial side)
"A Girl between Two Sargeants":
Gracilus is between
Sartorius and
Semitendonosus Genu valgum vs. genu vargum
Genu valGUM (knock-knee): knees are GUMmed together.
· Varum (bowleg) is the other by default, or Far rhymes with Var, so knees are far apart. Elbow joint: radius vs. ulna ends
CRAzy TULips:
Capitalum = RAdius
Trochlear = ULnar Elbow: which side has common flexor origin
FM (as in FM Radio):
Flexor Medial, so Common Flexor Origin is on the medial side. Popliteal fossa: muscles arrangement
The two Semi's go together, Semimembranosus and Semitendinosus.
The Membranosus is Medial and since the two semis go together, Semitendinosus is also medial.
Therefore, Biceps Femoris has to be lateral.
Of the semi's, to remember which one is superficial: the Tendinosus is on Top. Serratus anterior: innervation and action
"C5-6-7 raise your wings up to heaven":
C567 injury causes inability to raise arm past 90 degrees up to heaven, and results in a winging of the scapula.
· Long thoracic nerve roots (567) innervate Serratus anterior. Rotator cuff muscles
"The SITS muscles":
· Clockwise from top:
Supraspinatus
Infraspinatus
Teres minor
Subscapularis Pterygoid muscles: function of lateral vs. medial
"Look at how your jaw ends up when saying first syllable of 'Lateral' or 'Medial' ":
"La": your jaw is now open, so Lateral opens mouth.
"Me": your jaw is still closed, so medial closes the mandible. Brachioradialis: function, innervation, one relation, one attachment
BrachioRadialis:
Function: Its the Beer Raising muscle, flexes elbow, strongest when wrist is oriented like holding a beer.
Innervation: Breaks Rule: it's a flexor muscle, But Radial. (Radial nerve usually is for extensors: Recall BEST rule: B was for brachioradialis).
Important relation: Behind it is the Radial nerve in the cubital fossa.
Attachment: Attaches to Bottom of Radius. Elbow: muscles that flex it
Three B's Bend the elBow:
Brachialis
Biceps
Brachioradialis Soleus vs. gastrocnemius muscle function
"Stand on your Soles. Explosive gas":
You stand on soles of your shoes, so Soleus is for posture.
Gasoline is explosive, so Gastrocnemius is for explosive movement. Inversion vs. eversion muscles in leg
Second letter rule for inversion/eversion:
· Eversion muscles:
pErineus longus
pErineus brevis
pErineus terius
· Inversion muscles:
tIbialis anterior
tIbialis posterior Adductor magnus innervation
"AM SO!":
Adductor Magnus innervated by Sciatic and Obturator. Interossei muscles: actions of dorsal vs. palmar in hand
"PAd and DAb":
The Palmar Adduct and the Dorsal Abduct.
· Use your hand to dab with a pad. Extrinsic muscles of tongue [for pro soccer fans]
"Paris St. Germain's Hour":
Palatoglossus
Styloglossus
Genioglossus
Hyoglossus
· PSG is a French soccer team (foreign), hence extrinsic comes to mind. Intrinsic muscles of hand (palmar surface)
"A OF A OF A":
· Thenar, lateral to medial:
Abductor pollicis longus
Opponens pollicis
Flexor pollicis brevis
Adductor pollicis.
· Hypothenar, lateral to medial:
Opponens digiti minimi
Flexor digiti minimi
Abductor digiti minimi Hip: lateral rotators
"Piece Goods Often Go On Quilts":
Piriformis
Gemellus superior
Obturator internus
Gemellus inferior
Obturator externus
Quadratus femoris Leg: anterior muscles of leg
"The Hospitals Are Not Dirty Places":
T: Tibialis anterior
H: extensor Hallucis longus
A: anterior tibial Artery
N: deep fibular Nerve
D: extensor Digitorum longus
P: Peronius tertius [aka fibularis tertius] Supination vs. pronation
"SOUPination": Supination is to turn your arm palm up, as if you are holding a bowl of soup.
"POUR-nation": Pronation is to turn your arm with the palm down, as if you are pouring out whatever is your bowl. Popliteal fossa: medial to lateral arrangment
"Serve And Volley Next Ball":
Semimembranosus/ Semitendonosus
Artery
Vein
Nerve
Biceps femoris
· Lateral and medial heads of Gastrocnemius are inferior borders. Brachial plexus subunits
"Randy Travis Drinks Cold Beer":
Roots
Trunks
Divisions
Cords
Branches
· Alternatively: "Read The Damn Cadaver Book!" Median nerve: hand muscles innervated
"The LOAF muscles":
Lumbricals 1 and 2
Opponens pollicis
Abductor pollicis brevis
Flexor pollicis brevis
· Alternatively: LLOAF, with 2 L's, to recall there's 2 lumbricals.
· To remember that these are the Median nerve muscles, think "Meat LOAF". Trigeminal nerve: where branches exit skull
"Standing Room Only":
Superior orbital fissure is V1
foramen Rotundum is V2
foramen Ovale is V3 Facial nerve branches
"Two Zebras Bit My Camel":
· From superior to inferior:
Temporal branch
Zygomatic branch
Buccal branch
Mandibular branch
Cervical branch Thigh: innervation by compartment
"MAP OF Sciatic":
Medial compartment: Obturator
Anterior compartment: Femoral
Posterior compartment: Sciatic
· So all the thigh muscles in that compartment get innervated by that nerve. Musculocutaneous nerve: muscles supplied
BBC:
Biceps brachii
Brachialis
Coracobrachialis Axillary artery branches
Screw The Lawyer, Save A Patient:
Superior thoracic
Thoraco-acromial
Lateral thoracic
Subscapular
Anterior cirucmflex humeral
Posterior circumflex humeral < Back SITES Dr. Cochard and Dr. Goohartz Imaging Website
http://imaging.northwestern.edu/m1m2/ I found a 3D Anatomy Program that helps me visualize structures. It has most of the arteries, veins, nerves, muscles, and bones of the body. It allows you to manipulate the structures in 3D and add/ take out structures. It takes some getting use to at first, but Its free (you just have to sign up) -Member of Class of '12
http://www.visiblebody.com/start This website isn't perfect, but for self-quizzing, it's pretty good :-) -Member of Class of '12
http://www.gwc.maricopa.edu/class/bio201/skull/skulltt.htm I found this study guide an M1 student at Johns Hopkins made. It lists the muscles and the corresponding attachments, functions, and innervations. I think its helpful, but I would double check to make sure everything on it is right. -Member of Class of '12
http://www.raymondcheong.com/Year1/anatomy/KM%2001%20-%20Muscle%20chart.pdf Hey guys, found a nice animated website to review anatomy and is especially helpful in getting the spatial relationships down. -Member of Class of '12
http://www.getbodysmart.com Indiana University animation of Facial Development
http://www.indiana.edu/~anat550/hnanim/face/face.swf < Back | 
