(BQ) Based on the phenomenal artwork found in the 3rd edition of Gray''s Anatomy for Students, this set of 350 flashcards is the perfect review companion to help you test your anatomical knowledge for course exams or the USMLE Step 1! It''s portable, it''s concise, it''s simply the best way to study anatomy… in a flash
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Trang 3Copyright 2015, Elsevier Inc All rights reserved.
Trang 4GRAY’S
ANATOMY
FOR STUDENTS FLASH CARDS
Trang 5Copyright 2015, Elsevier Inc All rights reserved.
Trang 6Cleveland, Ohio, USA
A Wayne Vogl, PhD, FAAA
Professor of Anatomy and Cell Biology
Department of Cellular and Physiological SciencesFaculty of Medicine
University of British Columbia
Vancouver, British Columbia, Canada
Adam W M Mitchell, MB BS, FRCS, FRCR
Consultant Radiologist
Chelsea and Westminster Hospital
Honorary Senior Lecturer
Imperial College
London, UK
ILLUSTRATORS:
Richard M Tibbitts and
Paul E Richardson, Antbits Illustrations
Trang 7Copyright 2015, Elsevier Inc All rights reserved.
All rights reserved No part of this publication may be reproduced or transmitted in any form
or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher Permissions may be sought directly from Elsevier’s Rights Department: phone: (+1) 215 239
3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: healthpermissions@ elsevier.com You may also complete your request on-line via the Elsevier website at
http://www.elsevier.com/permissions
Notice
Knowledge and best practice in this field are constantly changing As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications It is the responsibility of the
practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions To the fullest extent of the law, neither the Publisher nor the Editors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.
The Publisher
Previous editions copyrighted 2010, 2005
VP Global Medical Education Content: Madelene Hyde
Senior Manager, Content Development: Rebecca Gruliow
Publishing Services Manager: Patricia Tannian
Senior Project Manager: John Casey
Design and Art Direction: Lou Forgione
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Trang 9Copyright 2015, Elsevier Inc All rights reserved.
Trang 10Gray’s Anatomy for Students Flash Cards have proven to be a valuable learning aid for students
hoping to enhance their understanding of human anatomy, and the 3rd edition continues this tradition The question-and-answer format stimulates learning, and pertinent clinical informa- tion on most cards provides relevance Each collection contains:
• Introductory overview cards with information about the skeletal, muscular, and
cardiovascular systems in general, and surface features of the body
• Regionally organized cards demonstrating basic anatomy
• Surface anatomy cards showing important anatomical landmarks related to surface structures and clinical points
• Nervous system cards containing information about specific parts of the nervous system
• **New to this edition**—Imaging cards with common CT and MRI views of the body
In addition, a number of illustrations throughout the regional cards have been revised to
cor-relate with changes made in the 3rd edition of Gray’s Anatomy for Students.
It is our hope that the 3rd edition of the Gray’s Anatomy for Students Flash Cards will make your
learning more efficient and productive.
Trang 11Copyright 2015, Elsevier Inc All rights reserved.
Trang 13
Trang 14MALEANTERIORVIEW
Identify the indicated structures.
1234
56
789
1011
Trang 15SURFACEANATOMY: MALEANTERIORVIEW
Trang 16123
4
5
67
Trang 17SURFACEANATOMY: FEMALEPOSTERIORVIEW
1. Vertebraprominens(spinousprocessof CVII) 2. Spinousprocessof TI
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 5.
Trang 18SKELETON:ANTERIORVIEW 3
Identify the indicated structures.
123
789111213
15161410
4 5 6
17
192021
2425
2223
Trang 1931. Metacarpals 32. Carpalbones 33. Ulna 34. Radius 35. Capitulum 36. Trochlea 37. Humerus 38. Scapula 39. Manubriumof sternum 40. Clavicle
41. RibI 42. CVII 43. Zygomaticbone 44. Frontalbone 45. Pubicsymphysis 46. Ischium 47. Lessertrochanter 48. Coccyx
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 6.
Trang 20SKELETON:POSTERIORVIEW 4
123
789
111213
15
16
1410
4 56
17
19202124
25
2223
1826
Trang 2129. Coccyx 30. Sacrum 31. Posteriorsuperioriliacspine 32. Iliaccrest
33. Elbowjoint 34. Lateralepicondyle (of humerus) 35. Medialepicondyle (of humerus) 36. Humerus 37. Scapula 38. Greatertubercle 39. Acromion 40. Spineof scapula 41. CII(axis) 42. Mastoidprocess 43. Occipitalbone 44. Parietalbone 45. Lessertrochanter 46. Ischialspine 47. Ischialtuberosity
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 7.
Trang 22MUSCLES:ANTERIORVIEW 5
Identify the indicated structures.
1
23
8
12
131516171820
1410
4576
27
2931
32
30
2833
Trang 2357. Orbicularisoculi 58. Temporalis
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 8.
Trang 24MUSCLES:POSTERIORVIEW 6
Identify the indicated structures.
12345
891011121314151620212223
171819
2425262728293031
3637
32333435
Trang 2533. Plantaris(cut) 34. Popliteus 35. Soleus(cut) 36. Flexordigitorumlongus 37. Flexorhallucislongus 38. Fibularisbrevis(tendon) 39. Calcanealtendon 40. Soleus
41. Fibularislongus 42. Gastrocnemius 43. Plantaris 44. Gracilis 45. Semimembranosus 46. Semitendinosus 47. Longheadof bicepsfemoris 48. Iliotibialtract
49. Gluteusmaximus 50. Extensordigitorum 51. Flexorcarpiulnaris 52. Extensorcarpiradialislongus 53. Externaloblique
54. Tricepsbrachii 55. Latissimusdorsi 56. Infraspinatus 57. Deltoid 58. Trapezius 59. Sternocleidomastoid 60. Occipitalis
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 9.
Trang 26VASCULARSYSTEM:ARTERIES 7
123
5
78910111213
14
64
Trang 2725. Radialartery 26. Brachialartery 27. Profundabrachiiartery 28. Ascendingaorta 29. Internalthoracicartery 30. Axillaryartery 31. Brachiocephalictrunk 32. Rightsubclavianartery 33. Vertebralartery 34. Facialartery 35. Superficialtemporalartery
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 10.
Trang 28VASCULARSYSTEM:VEINS 8
Identify the indicated veins.
12345
9101112
14
15
161718
13
678
Trang 2938. Rightsubclavianvein 39. Anteriorjugularvein 40. Facialvein
41. Superficialtemporalvein
Trang 31
Trang 32Identify the indicated vertebral regions
How many vertebrae are in each region?
1
2
3
45
Trang 346
Trang 35SKELETALFRAMEWORK:
TYPICALVERTEBRA
IN THE CLINIC:
access the vertebral canal.
Trang 364
Superior view
Anterior view
Trang 37transversarium and can be damaged in this location.
Trang 381617
18
67
Trang 39SKELETALFRAMEWORK: ATLAS,AXIS,ANDLIGAMENTS
17. Transverseligamentof atlas
18. Inferiorlongitudinalbandof cruciformligament
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 537.
Trang 4045
32
Lateral view
From which region of the vertebral column is this vertebra? Identify the indicated structures.
Trang 42From which region of the vertebral column is this vertebra? Identify the indicated structures.
Trang 43SKELETALFRAMEWORK: VERTEBRA3
This vertebra is from the lumbar region.
Trang 45SKELETALFRAMEWORK: SACRUMANDCOCCYX
Trang 47SKELETALFRAMEWORK:
VERTEBRARADIOGRAPHI
These radiographs show the cervical region.
Figure from Gray’s Anatomy for Students, 3rd edition, p 65.
1. Spinousprocesses
Trang 50Superior viewAnterior-posterior view
Trang 51Figure from Gray’s Anatomy for Students, 3rd edition, pp 67-68.
These radiographs show the lumbar region.
Trang 53SKELETALFRAMEWORK: INTERVERTEBRALJOINTS
Trang 55through the foramen is a spinal nerve and vessels Any pathology in structures forming the boundaries of the foramen can affect the spinal nerve.
Trang 56Identify the indicated structures.
Trang 57SKELETALFRAMEWORK:
VERTEBRALLIGAMENTS
IN THE CLINIC:
through the supraspinous and interspinous ligaments into the vertebral canal.
that reduces the dimensions of the foramen can compress the nerve, causing motor and sensory deficits and pain.
Trang 58INTERVERTEBRALDISCPROTRUSION 22
1
32
Trang 59SKELETALFRAMEWORK:
INTERVERTEBRALDISCPROTRUSION
IN THE CLINIC:
fibrosus can impinge on the spinal cord or spinal nerve.
Figure from Gray’s Atlas of Anatomy, 2nd edition, p 33.
A. Intervertebraldiscprotrusioninlowerlumbarregionof vertebral column
1. Vertebralcanalcontainingcerebrospinalfluid(CSF)andcauda equina
Trang 60MUSCLES:SUPERFICIALGROUP 23
5
4
12
3
Identify the indicated muscles.
Trang 61minor muscles can be used to assess the status of the anterior rami
of spinal nerves C3-C5 (levator scapulae, C3-C5; rhomboids, C4-C5).
Trang 62Identify the indicated structures.
13
2
Trang 63elevate the shoulder against resistance.
Trang 66MUSCLES:ERECTORSPINAE 26
Identify the indicated muscles.
1
234
Trang 67MUSCLES:ERECTORSPINAE
IN THE CLINIC:
posterior rami of spinal nerves Pathology of function can lead to back pain and abnormal posture.
Trang 68421
9
Identify the indicated muscles.
Trang 69MUSCLES:TRANSVERSOSPINALIS ANDSEGMENTALS
Trang 706
Trang 71MUSCLES:SUBOCCIPITALREGION
IN THE CLINIC:
suboccipital triangle formed by the obliquus capitis superior muscle, rectus capitis posterior major muscle, and obliquus capitis inferior muscle The suboccipital triangle can be used to access the vertebral artery.
Trang 72C2 C3 C4 C5 C6 C7 C8 T1 T2 T3 T4 T5 T6 T7 T8 T9 T10 T11 T12 L1 L2 L3 L4 L5 S1 S2 S3 S5 Co
12
34
67
895
Identify the indicated structures.
Trang 73the end of the spinal cord This is normally done in the lower lumbar region.
Trang 74SPINALCORDDETAILS 30
23
5
46
321
Identify the indicated structures or regions.
Trang 75SPINALCORDDETAILS
IN THE CLINIC:
result in neurological deficits.
Trang 766
Trang 77sensory input to that spinal level from the spinal nerve A lesion in the anterior root of a spinal nerve results in loss of all motor output from the spinal cord in that spinal nerve.
the spinal cord anteriorly.
nerves.
Trang 78SPINALCORDARTERIES 32
Identify the indicated arteries.
1
6789
1211
13
5432
10
1514
Trang 7912. Posteriorintercostalartery
13. Arteryof Adamkiewicz(branchfromsegmentalspinalartery) 14. Segmentalspinalartery
15. Lateralsacralartery
Arteries that supply the spinal cord (anterior view).
IN THE CLINIC:
function of the inferior aspect of the spinal cord.
Trang 80SPINALCORDARTERIESDETAIL 33
Identify the indicated arteries.
13
3
2
244
8
Trang 82SPINALCORDMENINGES 34
1
5
42
3
Identify the indicated structures.
Trang 86THORACICSKELETON 35
Identify the types of ribs.
31
2
Trang 87THORACICSKELETON
IN THE CLINIC:
cartilages articulate directly with the sternum The remaining ribs are false ribs because they either articulate anteriorly with the costal cartilages of the ribs above, or do not articulate anteriorly at all The latter two pairs of false ribs (ribs XI and XII) are often called floating ribs.
Figure from Gray’s Anatomy for Students, 3rd edition, p 145.
1. TrueribsItoVII
2. FalseribsVIIItoXII
3. FloatingribsXIandXII
Trang 881
Trang 89TYPICALRIB
IN THE CLINIC:
air to enter the pleural cavity, causing a pneumothorax When this occurs, the lung collapses as a result of its own elastic recoil.
Trang 902
Trang 918. Areaforattachmentof middlescalene
9. Headwitharticularfacet
Trang 93manubrium normally angles posteriorly on the body of the sternum, forming a raised feature, the sternal angle This elevation marks the articulation of rib II with the sternum This is used as a reference point for counting ribs.
Trang 94VERTEBRA,RIBS,ANDSTERNUM 39
Identify the indicated structures.
6
25
10
91
4
378
Trang 95and sternum, elevation and depression of the ribs changes the anteroposterior and lateral dimensions of the thorax The anterior ends of the ribs are inferior to the posterior ends When the ribs are elevated, they move the sternum upward and forward When the ribs are depressed, the sternum moves downward and backward This pump-handle type of movement changes the anteroposterior dimensions of the thorax Because the midshaft of each rib tends to
be lower than the two ends, when the shafts are elevated the middle portion moves laterally This bucket-handle movement changes the lateral dimensions of the thorax.
Trang 96Identify the indicated structures in
an intercostal space.
Trang 97sternum, changing the thoracic volume during breathing They also provide structural support to the thoracic wall during breathing.
Trang 99THORACICCAVITY
IN THE CLINIC:
each surrounding a lung, and the mediastinum Therefore, problems
in one pleural cavity do not necessarily affect the other cavity Also, the mediastinum can be entered surgically without opening the pleural cavities.
Figure from Gray’s Anatomy for Students, 3rd edition, p 152.
Trang 101tube is inserted over the superior aspect of the rib because insertion
at the inferior border of the rib could injure the intercostal vein, artery, and nerve lying in the costal groove.
Trang 1021
7
Trang 103PLEURALCAVITY
Figure from Gray’s Anatomy for Students, 3rd edition, p 123.
IN THE CLINIC:
Trauma or injury to the root of the neck can involve the superior extension of the pleura Conversely, pathologic processes in the superior extension of the pleura can involve the root of the neck.
Trang 104PLEURA 44
54
6
123
Identify the indicated structures.
Trang 105and parietal pleurae They normally contain only a very thin layer of serous fluid (approximately 15 mL) The surface of the lung is covered
by visceral pleura, which directly opposes and freely slides over the parietal pleura attached to the thoracic wall.
Trang 107PARIETALPLEURA
IN THE CLINIC:
fibers and is very sensitive to painful stimuli, such as the insertion of
a chest tube The visceral pleura is innervated by general visceral afferent (GVA) fibers and is relatively insensitive to painful stimuli.