NEET MDS Lessons
Anatomy
The Auditory Tube
- This is a funnel-shaped tube connecting the nasopharynx to the tympanic cavity.
- Its wide end is towards the nasopharynx, where it opens posterior to the inferior meatus of the nasal cavity.
- The auditory tube is 3.5 to 4 cm long; its posterior 1/3 is bony and the other 2/3 is cartilaginous.
- It bony part lies in a groove on the inferior aspect of the base of the skull, between the petrous part of the temporal bone and the greater wing of the sphenoid bone.
- The function of the auditory tube is to equalise pressure of the middle ear with atmospheric pressure.
Muscles Moving the Auditory Ossicles
The Tensor Tympani Muscle
- This muscle is about 2 cm long.
- Origin: superior surface of the cartilaginous part of the auditory tube, the greater wing of the sphenoid bone, and the petrous part of the temporal bone.
- Insertion: handle of the malleus.
- Innervation: mandibular nerve (CN V3) through the nerve to medial pterygoid.
- The tensor tympani muscle pulls the handle of the malleus medially, tensing the tympanic membrane, and reducing the amplitude of its oscillations.
- This tends to prevent damage to the internal ear when one is exposed to load sounds.
The Stapedius Muscle
- This tiny muscle is in the pyramidal eminence or the pyramid.
- Origin: pyramidal eminence on the posterior wall of the tympanic cavity. Its tendon enters the tympanic cavity by traversing a pinpoint foramen in the apex of the pyramid.
- Insertion: neck of the stapes.
- Innervation: nerve to the stapedius muscle, which arises from the facial nerve (CN VII).
- The stapedius muscle pulls the stapes posteriorly and tilts its base in the fenestra vestibuli or oval window, thereby tightening the anular ligament and reducing the oscillatory range.
- It also prevents excessive movement of the stapes.
The Palate
- The palate forms the arched roof of the mouth and the floor of the nasal cavities.
- The palate consists of two regions: the anterior 2/3 or bony part, called the hard palate, and the mobile posterior 1/3 or fibromuscular part, known as the soft palate.
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Part of the axial skeleton; strong, flexible rod
Supports the head
Gives base to the ribs
Encloses the spinal cord
o Vertebrae
Consists of 34 bones composing the spinal column
• Cervical-7 bones
• Thoracic-12 bones
• Lumbar-5 bones
• Sacral- 5 bones.
• Coccygeal-4 to 5 bonesIn the adult the vertebrae of the sacral and coccygeal regions are united into two bones, the sacrum and me coccyx
o Curvatures-from a lateraI view there are four curves, alternately convex and concave ventrally
Two convex curves are the cervical and lumbar
Two concave curves are the thoracic and sacralo Vertebra morphology
Each vertebra differs in size and shape hut has similar components
Body-central mass of bone
• Weight bearing
• Fonns anterior part of the vertebra
• Encloses the vertebral foramen
Pedicles of the arch-two thick columns that extend backward from the body to meet with the laminae of the neural arch -
Process (7)
• One spinous, two transverse, two superior articular, and two inferior articular
o Spinous process extends backward from the point of the union of thetwo laminae
o Transverse processes project laterally at either side from the junction of the lamina and the pedicle
o Articular processes arise near the junction of the pedicle and the lamina- superior processes project upward:inferior processes project downward
• Surfaces of the processes are smootho Inferior articular processes of the vertebra fit into the superior articular processes below
o Form true joints, but the contacts established serve to restrict movementDistinguishing features
Cervical region- triangular shape
• All have foramina in the transverse process upper six transmit the vertebral artery
• Spinous processes are short
o C3 to C5 are bifurcated
o C7 is long-prominence felt at the back of the neck
• Have small bodies (except for C1 vertebra)
• C1 vertebra (atlas)
o No body
o Anterior and posterior arch and two lateral masses
o Superiorarticular processes articulate with the condyles of the occipital bone
• C2 vertebra (axis)-process on the upper surface of the body (dens) forms a pivot about which the axis rotatesThoracic region
• Presence of facets for articulation with the ribs (distinguishing feature)
• Processes are larger and heavier than those of the cervical region
• Spinous process is directed downward at a sharp angle
• Circular vertebral foramenLumbar region
• Large and heavy bodies
• Four transverse lines separate the bodies of the vertebrae on the pelvic surface
• Triangular shape-fitted between the halves of the pelvis
• Four pairs of dorsal sacral foramina communicate with four pairs of pelvic sacral foraminaSacral vertebrae
• Five (sometimes six) vertebrae are fused in the adult to form the sacrum
• The sacrum articulates above with L5, laterally with the hip bones, and inferiorly with the coccyx.
• It has a roughly triangular appearance with a pelvic and dorsal surface, a lateral mass on each side, and a base and apex.
• An anesthetic for the spinal nerves may be injected extradurally through the sacral hiatus (caudal analgesia)
• The sacral canal (which contains the dura, cauda equina, and filum terminale) extends from the base to the sacral hiatus.
• The apex of the sacrum may be fused with the coccyx.
Coccygeal vertebrae• Four to five modular pieces fused together
• Triangular shape with the base above and the apex belowF Defects
• Lordosis-exaggerated lumbar concavity
• Scoliosis-lateral curvature of any region
• Kyphosis-exaggerated convexity in the thoracic region
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| Motor Innervation | All muscles by hypoglossal nerve (CN XII) except palatoglossus muscle (by the pharyngeal plexus) | ||
| General Sensory Innervation |
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| Special Sensory Innervation |
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Connective Tissue
Functions of Connective tissue:
→ joins together other tissues
→ supporting framework for the body (bone)
→ fat stores energy
→ blood transports substances
Connective tissue is usually characterized by large amounts of extracellular materials that separate cells from each other, whereas epithelial tissue is mostly cells with very little extracellular material. The extracellular substance of connective tissue consists of protein fibers which are embedded in ground substance containing tissue fluid.
Fibers in connective tissue can be divided into three types:
→ Collagen fibers are the most abundant protein fibers in the body.
→ Elastic fibers are made of elastin and have the ability to recoil to original shape.
→ Reticular fibers are very fine collagen fibers that join connective tissues to other tissues.
Connective tissue cells are named according to their functions:
→ Blast cells produce the matrix of connective tissues
→ Cyte cells maintains the matrix of connective tissues
→ Clast cells breaks down the matrix for remodeling (found in bone)
The External Nose
- Noses vary considerably in size and shape, mainly as a result of the differences in the nasal cartilages and the depth of the glabella.
- The inferior surface of the nose is pierced by two apertures, called the anterior nares (L. nostrils).
- These are separated from each other by the nasal septum (septum nasi).
- Each naris is bounded laterally by an ala (L. wing), i.e., the side of the nose.
- The posterior nares apertures or choanae open into the nasopharynx.