NEET MDS Lessons
Anatomy
-> This bone forms much of the base and posterior aspect of the skull.
-> It has a large opening called the foramen magnum, through which the cranial cavity communicates with the vertebral canal.
-> It is also where the spinal cord becomes continuous with the medulla (oblongata) of the brain stem.
-> The occipital bone is saucer-shaped and can be divided into four parts: a squamous part (squama), a basilar part (basioccipital part), and two lateral parts (condylar parts).
-> These four parts develop separately around the foramen magnum and unite at about the age of 6 years to form one bone.
-> On the inferior surfaces of the lateral parts of the occipital bone are occipital condyles, where the skull articulates with C1 vertebra (the atlas) at the atlanto-occipital joints.
-> The internal aspect of the squamous part of the occipital bone is divided into four fossae: the superior two for the occipital poles of the cerebral hemispheres, and the inferior two, called cerebellar fossae, for the cerebellar hemispheres.
The Masseter Muscle
- This is a quadrangular muscle that covers the lateral aspect of the ramus and the coronoid process of the mandible.
- Origin: inferior border and medial surface of zygomatic arch.
- Insertion: lateral surface of ramus of mandible and its coronoid process.
- Innervation: mandibular nerve via masseteric nerve that enters its deep surface.
- It elevates and protrudes the mandible, closes the jaws and the deep fibres retrude it.
Classification
Epitheliums can be classified on appearance or on function
Classification based on appearance
- Simple - one layer of cells
- Pseudostratified - looks like more than one layer but is not
- Stratified - more than one layer of cells
Simple epitheliums
Simple squamous epithelium
Cells are flat with bulging or flat nuclei. Lines the insides of lung alveoli and certain ducts in the kidney
Forms serous membranes called mesothelium that line cavities like: pericardial , peritoneal, plural
Lines blood vessels - known as endothelium
Simple cuboidal epithelium
It appears square in cross section, Found in: - Ducts of salivary glands, Follicles of the thyroid gland, Pigment layer in the eye, Collecting ducts of the kidney, In the middle ear is ciliated type.
Simple columnar
- Lines the gastrointestinal tract from the stomach to the anal canal, Some columnar cells have a secretory function – stomach, peg cells in the oviduct, Some columnar cells have microvilli on their free border (striated border) – gall bladder, duodenum
- Microvilli increase the surface area for absorption
- Some columnar cells have cilia – oviduct, smaller bronchi
- Cilia transport particles
Pseudostratified
Appears as stratified epithelium but all cells are in contact with the basement membrane. Has a thick basement membrane. Different cell types make up this epithelium, Cells that can be found in this type of epithelium are:
- Columnar cells with cilia or microvilli.
- Basal cells that do not reach the surface.
- Goblet cells that secrete mucous.
- Found in the trachea, epididymus, ductus deferens and female urethra
Stratified epithelium
Classified according to the shape of the surface cells
Stratified squamous epithelium
Has a basal layer that varies from cuboidal to columnar cells that divide to form new cells. Two types are found:
Keratinized: Mostly forms a dry covering, The middle layers consists of cells that are forming- and filling up with keratin. The superficial cells form a tough non living layer of keratin, Keratin is a type of protein, The skin is of this type has thick skin - found on the hand palms and soles of the feet, thin skin - found on the rest of the body
Non-keratinized: Top layer of cells are living cells with nuclei Forms a wet covering, The middle layers are polyhedral, The surface layer consists of flat squamous cells
- Is found in: mouth, oesophagus, vagina
Stratified cuboidal epithelium
Found: - in the ducts of sweat glands
Stratified columnar epithelium
Found at the back of the eyelid (conjunctiva)
Transitional epithelium
- Sometimes the surface cells are squamous, sometimes cuboidal and sometimes columnar
- The superficial cells are called umbrella cells because they can open and close like umbrellas, when the epithelium stretch and shrink
- Umbrella cells can have 2 nuclei
- Found in the bladder and ureter
Muscles of the larynx
Extrinsic muscles
suprahyoid: raise larynx, depress mandible for swallowing
infrahyoid: lower larynx for swallowing
both stabilize hyoid for tongue movements
Nerves of the Palate
- The sensory nerves of the palate, which are branches of the pterygopalatine ganglion, are the greater and lesser palatine nerves.
- They accompany the arteries through the greater and lesser palatine foramina, respectively.
- The greater palatine nerve supplies the gingivae, mucous membrane, and glands of the hard palate.
- The lesser palatine nerve supplies the soft palate.
- Another branch of the pterygopalatine ganglion, the nasopalatine nerve, emerges from the incisive foramen and supplies the mucous membrane of the anterior part of the hard palate.
Vessels of the Palate
- The palate has a rich blood supply from branches of the maxillary artery.
The Walls of the Orbit
- Each orbit has four walls: superior (roof), medial, inferior (floor) and lateral.
- The medial walls of the orbit are almost parallel with each other and with the superior part of the nasal cavities separating them.
- The lateral walls are approximately at right angles to each other
->The sides and base of the skull are formed partly by these bones.
->Each bone consists of four morphologically distinct parts that fuse during development (squamous, petromastoid, and tympanic parts and the styloid process).
->The flat squamous part is external to the lateral surface of the temporal lobe of the brain.
->The petromastoid part encloses the internal ear and mastoid cells and forms part of the base of the skull.
->The tympanic part contains the bony passage from the auricle (external ear), called the external acoustic meatus. The petromastoid part also forms a portion of the bony wall of the tympanic cavity (middle ear). The meatus and tympanic cavity are concerned with the transmission of sound waves.
->The slender, pointed styloid process of the temporal bone gives attachment to certain ligaments and muscles (e.g., the stylohyoid muscle that elevates the hyoid bone).
->The temporal bone articulates at sutures with the parietal, occipital, sphenoid, and zygomatic bones.
->The zygomatic process of the temporal bone unites with the temporal process of the zygomatic bone to form the zygomatic arch. The zygomatic arches form the widest part of the face.
->The head of the mandible articulates with the mandibular fossa on the inferior surface of the zygomatic process of the temporal bone.
->Anterior to the mandibular fossa is the articular tubercle.
->Because the zygomatic arches are the widest parts of the face and are such prominent facial features, they are commonly fractured and depressed. A fracture of the temporal process of the zygomatic bone would likely involve the lateral wall of the orbit and could injure the eye.