NEET MDS Lessons
Anatomy
The Auditory Ossicles
The Malleus
- Its superior part, the head, lies in the epitympanic recess.
- The head articulates with the incus.
- The neck, lies against the flaccid part of the tympanic membrane.
- The chorda tympani nerve crosses the medial surface of the neck of the malleus.
- The handle of the malleus (L. hammer) is embedded in the tympanic membrane and moves with it.
- The tendon of the tensor tympani muscle inserts into the handle.
The Incus
- Its large body lies in the epitympanic recess where it articulates with the head of the malleus.
- The long process of the incus (L. an anvil) articulates with the stapes.
- The short process is connected by a ligament to the posterior wall of the tympanic cavity.
The Stapes
- The base (footplate) of the stapes (L. a stirrup), the smallest ossicle, fits into the fenestra vestibuli or oval window on the medial wall of the tympanic cavity.
Functions of the Auditory Ossicles
- The auditory ossicles increase the force but decrease the amplitude of the vibrations transmitted from the tympanic membrane.
CARTILAGE
There are 3 types:
Hyaline cartilage
Elastic cartilage
Fibrocartilage
Matrix is made up by: Hyaluronic acid
Proteoglycans
- In cartilage the protein core of the proteoglycan molecule binds through a linking protein to hyaluronic acid to form a proteoglycan aggregate which binds to the fibres
- In the matrix there are spaces, lacunae in which one to three of the cells of cartilage, chondrocytes, are found
- The matrix around the lacuna is the territorial matrix
- Type II collagen fibrils are embedded in the matrix
- The type of fiber depends on the type of cartilage
- Cartilage is surrounded by perichondrium which is a dense CT
- Apositional growth takes place in the perichondrium
- The fibroblasts of the perichondrium change to elliptic chondroblasts which later change to round chondrocytes
- Interstitial growth takes place around the lacunae
- Nutrients diffuse through the matrix to get to the chondrocytes this limits the thickness of cartilage
Hyaline cartilage
Found: Rib cartilage, articulating surfaces, nose, larynx, trachea, embryonic skeleton, Articulating cartilage has no perichondrium
Bluish-white and translucent
Contains type II collagen that is not visible
Elastic cartilage
Found: external auditory canal, epiglottis
Similar to hyaline except that it contains many elastic fibres ,Yellow in colour, Can be continuous with hyaline
Fibrocartilage
Found: Intervertebral disk, symphysis pubis
Always associated with dense CT, Many collagen fibres in the matrix, No perichondrium
- Chondrocytes tend to lie in rows, Can withstand strong forces
The Cheeks
- The cheeks (L. buccae) form the lateral wall of the vestibule of the oral cavity.
- They have essentially the same structure as the lips with which they are continuous.
- The principal muscular component of the cheeks is the buccinator muscle.
- Superficial to the fascia covering this muscle is the buccal fatpad that gives cheeks their rounded contour, especially in infants.
- The lips and cheeks act as a functional unit (e.g. during sucking, blowing, eating, etc.).
- They act as an oral sphincter in pushing food from the vestibule to the oral cavity proper.
- The tongue and buccinator muscle keep the food between the molar teeth during chewing.
Sensory Nerves of the Cheeks
- These are branches of the maxillary and mandibular nerves.
- They supply the skin of the cheeks and the mucous membrane lining the cheeks.
Muscles Around the Nose
The Nasalis Muscle
- This muscle consists of a transverse (compressor naris) and alar (dilator naris) parts.
- It is supplied by the buccal branch of the facial nerve.
Skeletal Muscle: 1-40 cm long fibres, 10- 60 µm thick, according to myoglobin content there are:
Red fibres: lots of myoglobin, many mitochondriam slow twitching - tire slowly
White fibres: less myoglobin, less mitochondria, fast twitching - tire quickly
Intermediate fibres:
mixture of 2 above
Most muscles have all three - in varying ratios
Structure of skeletal muscle:
Light Microscopy: Many nuclei - 35/mm, Nuclei are oval - situated peripheral, Dark and light bands
Electron Microscopy: Two types of myofilaments
Actin
- 5,6 nm
3 components:
-actin monomers,
-tropomyosin - 7 actin molecules long
- troponin
actin monomers form 2 threats that spiral
- tropomyosin - lie in the groove of the spiral
- troponin - attach every 40 nm
- one end attach to the Z line
- other end goes to the middle of the sarcomere
- Z line consists of á actinin
Myosin:
- 15 nm
- 1,6 µm long
- The molecule has a head and a tail
- tails are parallel
- heads project in a spiral
- in the middle is a thickening
- thin threats bind the myosin at thickening (M line)
Contraction:
A - band stays the same, I - band, H - bands become narrower
Myosin heads ratchet on the actin molecule
Sarcolemma: 9 nm thick, invaginate to form T-tubule,
myofibrils - attach to the sarcolemma
Sarcoplasmic Reticulum:
specialized smooth EPR, Consists of T-tubules, terminal sisternae and sarcotubules
It is speculated that there are gap junctions between the T-tubule and terminal sisterna
An impulse is carried into the fiber by the T-tubule from where it goes to the rest of the sarcoplasmic reticulum
Connective tissue coverings of the muscle
Endomycium around fibres, perimycium around bundles and epimycium around the whole muscle
Blood vessels and nerves in CT
CT goes over into tendon or aponeurosis which attaches to the periosteum
Nerves:
The axon of a motor neuron branches and ends in motor end plates on the fiber
Specialized striated fibres called spindles (stretch receptors) form sensory receptors in muscles telling the brain how far the muscle has stretched
- U-shaped bone
- Body
- Greater horn
- Lesser horn
- Suspended by ligaments from the styloid process
3 basic functions
o protection of respiratory tract during swallowing food/air pathways cross.
epiglottis provides protection
o control intra-thoracic pressure (in coughing) - close off airway to build pressure then rapidly open to release stuff
o production of sound (in speaking, singing, laughing)
Important structures
o hyoid bone
o thyroid cartilage
o arytenoids cartilage: vocal and muscle process
sits on slope on posterior side of cricoid - spin and slide
o cricoid cartilage: signet ring
o thyroepiglottic ligament
Membranes and ligaments
o membrane: general; ligament: thickening of membrane
o folds: free edges of membranes or ligaments
o names: tell you where located
Important membranes:
quandrangular/vestibular membrane—from epiglottis to arytenoids
• inferior edge: false vocal fold
thyrohyoid membrane
conus elasticus = cricothyroid = cricovocal
• superior/medial edge = vocal fold
• vocal ligaments: true folds, top of cricothyroid membrane