Kaplan Anatomy Coloring Book

Kaplan Anatomy Coloring Book - Chapter One Introduction...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Chapter One: Introduction ANATOMICAL POSITION AND TERMS OF DIRECTION When studying the human body it is important to place the body in anatomical position. Anatomical position is described as the body facing you, feet placed together and flat on the floor. The head is held erect, arms straight by the side with palms facing forward. All references to the body are made as if the body is in this position so when you describe something as being above something else it is always with respect to the body being in anatomical position. The relative position of the parts of the human body has specific terms. Superior means above while inferior means below. Medial refers to being close to the midline while lateral means to the side. Anterior or ventral is to the front while posterior or dorsal is to the back. Superficial is near the surface while deep means to the core of the body. When working with the limbs, proximal means closer to the trunk while distal is to the ends of the extremities. Write the directional terms in the spaces provided and color in the arrows in reference to these terms. Note that these terms are somewhat different for four legged animals. a. _ a. _ e. _ ) h.___ ). ....lII('---:-----':----;-~. k . - - ( I, \ 1. _ 1) I V e _ f. _ _ b. _ _ g._----- b. _ _ h._ _ .. ~V? 1 I l=~ . \! )~ I. Answer Key: a. Superior, b. Inferior, c. Lateral, d. Medial, e. Proximal, f. Distal, g. Anatomical position, h Posterior, i. Anterior, j. Dorsal, k. Ventral Chapter One Introduction I mKAPeLAN(I -Ical 3 ANATOMICAL PLANES OF THE BODY Many specimens in anatomy are sectioned so that the interior of the organ or region can be examined. It is important that the direction of the cut is known so that the proper orientation of the specimen is known. A heart looks very different if it is cut along its length as opposed to horizontally. A horizontal cut is known as a transverse section or a cross section. A cut that divides the body or an organ into anterior and posterior parts is a coronal section or frontal section. One that divides the structure into left and right parts is a sagittal section. If the body is divided directly down the middle the section is known as a midsagittal section. A midsagittal section is usually reserved for dividing the body into to equal left and right parts. If an organ (such as the eye) is sectioned into two equal parts such that there is a left and right half then this is known as a median section. Label the illustrations and color in the appropriate planes. c. _ a. _ Answer Key: a. Frontal (coronal) plane, b. Transverse (cross-section) plane, c. Median (midsagittal) plane b. c. Chapter One Introduction I KAPLA~. meulCa I 5 HIERARCHY OF THE BODY The human body can be studied at different levels. Organs such as the stomach can be grouped into organ systems (digestive system) or can be studied on a smaller scale like the cellular level. The ranking of these levels is called a hierarchy. The smallest organizational unit is the atom. Individual atoms are grouped into larger structures called molecules. These in turn make up organelles, which are part of a larger, more complicated systems called cells. Cells are the structural and functional units of life. Cells are clustered into tissues. Organs are discreet units made up of two or more tissues and organs are grouped into organ systems that compose the organism. Label the levels of the hierarchy and color each item a different color. ~a. b. _ o g.----- c. - - - - - d. _ Answer Key: a. Organism (human), b. Organ system (respiratory system) c. Organ (lung), d. Tissue (epithelium), e. Organelle (cilia), f. Molecule, g.Atom, h. cells Chapter One Introduction I me dlea I KAPLAlf 7 REGIONS OF THE ABDOMEN In anatomy the abdomen is divided into nine regions. Write the names of the regions in the spaces indicated. Color both the left and right hypochondriac regions in light blue. Hypochondriac means "below the cartilage." The common use of the word (someone who thinks they are sick all the time) reflects the Greek origin of the word as the ancient Greeks considered the region to be the center of sadness. Inferior to the hypochondriac regions are the lumbar or lateral abdominal regions. These are commonly known as the "love handles." Use yellow for these regions. Below the lumbar regions are the inguinal or iliac regions. You should color in these regions with the same shade of green. In the middle of the abdomen is the umbilical region. Color this region in red. Above this is the epigastric region (epi = above and gastric = stomach). Color this region in purple. Below the umbilical region is the hypogastric region (hypo = below). Color this region in a darker blue. a. b. c. g.----- d. In clinical settings a quadrant approach is used. Write the names of the regions (right upper quadrant, left upper quadrant, right lower quadrant, left lower quadrant) in the spaces provided. Color each quadrant a different color. Answer Key: a Right hypochondriac, b. Right lumbar (lateral abdominal), c. Umbilical, d. Right Inguinal or iliac, e. Epigastric, f. Left hypochondriac, g. Left lumbar (lateral abdominal), h. Left inguinal or iliac, i. Hypogastric, ) Left upper quadrant, k. Right upper quadrant, I. Left lower quadrant, m. Right lower quadrant Chapter One I Introduction I IAPLAN me dlea 9 ORGAN SYSTEMS The human body is either studied by regions or by organs systems. This book uses the organ system approach in which individual organs (such as bones) are grouped into the larger organ system (for example, the skeletal system). Typically eleven organ systems are described. The skeletal system consists of all of the bones of the body. Examples are the femur and the humerus. The nervous system consists of the nerves, spinal cord, and brain while the lymphatic system consists of lymph glands, conducting tubes called lymphatics, and organs such as the spleen. The term immune system is more of a functional classification and will not be treated as a separate system here. The muscular system consists of individual skeletal muscles as organs such as the pectoralis major and deltoid. Label the organ systems underneath each illustration and label the selected organs by using the terms available. When you finish, select different colors for each organ system and color them in. Organ System Skeletal system Nervous system Lymphatic system Muscular system Organ Femur Nerves Lymph glands Pectoralis major Organ Humerus Spinal cord Spleen Deltoid Organ Brain d.- _ a.---- b.--- c. _ g.-------- 1.----- 1. _ Answer Key: J. - - - - - - - - - ffi .. _ a. Humerus, b. Femur, c. Skeletal, d. Brain, e. Spinal cord, f. Nerves, g. Nervous, h. Spleen, i. Lymph nodes, j. Lymphatic, k. Deltoid, I Pectoralis major, m. Muscular Chapter One Introduction I mKAPeLANd' -Ical 11 ORGAN SYSTEMS (CONTINUED) The skin and other structures are in the integumentary system and the digestive system involves the breakdown and absorption of food with organs such as the esophagus and stomach. The endocrine system is made of the glands that secrete hormones such as the thyroid gland and the adrenal glands. The respiratory system involves the transfer of oxygen and carbon dioxide between the air and the blood. The respiratory system consists of organs such as the trachea and lungs. Label the organ systems underneath each illustration and label the selected organs by using the terms available. When you finish, select different colors for each organ system and color them in. Organ System Integumentary system Digestive system Endocrine system Respiratory system Organ Skin Esophagus Thyroid gland Trachea Organ Stomach Adrenal glands Lungs a.-------- J "', ~~. \ \~\ ~, ,-,.,"1 I( _ e. _ b.- )._---~~\ /, ~'.~~ ---)fjp I\ I 'I' -. Q , / \ / \ \ / h.------ k. _ Answer Key: a. Skin, b. Integumentary, c. Esophagus, d. Stomach, e. Digestive, f. Thyroid gland, g. Adrenal gland, h. Endocrine, i, Trachea, j. Lung, k. Respiratory Chapter One Introduction I lA A m PeL N ' d -.eal 13 ORGAN SYSTEMS (COI\ITINUED) The heart and associated blood vessels compose the cardiovascular system which circulates blood throughout the body. The urinary system filters, stores, and conducts some wastes from the body. The bladder and urethra are part of the urinary system. The testes and ovaries are part of the reproductive system and this system perpetuates the species. The differentiation of male and female systems makes this organ system unique among the other systems. These eleven organs systems can be remembered by the memory clue LN Cries Drum. Each letter represents the first letter of a name of an organ system. Label the organ systems underneath each illustration and label the selected organs by using the terms available. When you finish, select different colors for each organ system and color them in. Organ System Cardiovascular system Urinary system Reproductive system Organ Heart Bladder Testes Organ Blood vessels Urethra Ovaries a. -_ b.---- \:: J C -J c. _ h. _ Answer Key: a. Heart, b. Blood vessels, c. Cardiovascular, d. Bladder, e. Urethra, f. Urinary, g. Ovary, h. Testis, I. Reproductive 1. _ Chapter One Introduction I KAPLA~. meulCa I 15 BODY REGIONS (AI\ITERIOR) There are specific anatomical terms for regions of the body. These areas or regions frequently have Greek or Latin names because early western studies in anatomy occurred in Greece and Rome. During the Renaissance, European scholars studied anatomy and applied the ancient names to the structures. Label the various regions of the body and fill in their names. You can use a standard anatomy text or follow the key at the bottom of the page. A list of terms and their common names follows for the anterior side of the body. Color in the regions of the body. cranial (head) facial (face) cervical (neck) deltoid (shoulder) pectoral (chest) sternal (center of chest) brachial (arm) antebrachial (forearm) manual (hand) digital (fingers) abdominal (belly) inguinal (groin) coxal (hip) femoral (thigh) genicular (knee) crural (leg) pedal (foot) digital (toes) \ ~:~lf.e-;;) .: qr-~) a. - - - - - - - - - ~b_' ..~ )1) _ ~ .....::::.>::-..__ : r" - . . ~ \. y~ . .. : ./.....V...............) . 0 . . .(.... '] ( -.'>..! "',""--:' :::::;::::.~ d. - - - - - '\ e. (..f\/t ......./ 1\L\.. ~- f.---- g. _ _ 1 . - .......\. \ \J 1. m. ~ ... " ~ _ _ n. O. _ ~ -/~~ ......J ... Tp Answer Key: a. Cranial (head), b. Facial (face), c. Cervical (neck), d. Deltoid (shoulder), e. Sternal (center of chest), f Pedoral (chest), g. Brachial (arm), h. Abdominal (belly), i. Antebrachial (forearm), j. Coxal (hip), k. Manual (hand), I. Digital (fingers), m. Inguinal, n. Femoral (thigh), o. Genicular (knee), p. Crural (leg), q. Pedal (foot), r. Digital (toes) }~ ~;{---j r'' L \ ..~~ q r. - - - - - - - Chapter One Introduction I me lea lAP LANd' I 17 BODY REGIONS (POSTERIOR) For the posterior view of the body fill in the terms and color the regions of the body. The anatomical names are given first with the common names in parentheses. cephalic (head) nuchal (neck) scapular (shoulder blade) vertebral (backbone) lumbar (love handles) brachial (arm) olecranon (elbow) antebrachial (forearm) gluteal (buttocks) femoral (thigh) popliteal (back of knee) sural (calf) calcaneal (heel) ----i--- J. - - - - - - - - - - .' /--11...... Answer Key: a.Cephalic (head), b. Nuchal (neck), c. Scapular (shoulder blade), d. Brachial (arm), e. Vertebral (backbone), f. Olecranon (elbow), g. Lumbar(love handles), h. Antebrachial (forearm), i. Gluteal (buttocks), j. Femoral (thigh), k. Popliteal (back of knee), I. Sural (calf), m. Calcaneal (heel) } \ ~ m. - - - - - - - - - - Chapter One Introduction I KAPLAIf I me d lea 19 BODY CAVITIES The organs of the body are frequently found in body cavities. The body is divided into two main cavities, the dorsal body cavity and the ventral body cavity. The dorsal body cavity consists of the cranial cavity, which houses the brain and the spinal canal, which surrounds the spinal cord. The ventral body cavity contains the upper thoracic cavity, which is subdivided into the pleural cavities, housing the lungs, and the mediastinum. The mediastinum contains the heart in the pericardial cavity, the major vessels near the heart, nerves, and the esophagus. Below the thoracic cavity is the abdominopelvic cavity, which contains the upper abdominal cavity, housing the digestive organs, and the inferior pelvic cavity, which holds the uterus and rectum in females or just the rectum in males. Label the specific and major cavities of the body and color them with different colors. b.------c. - - - - - - - - - Answer Key: a. Dorsal body cavity, b. Cranial cavity, c. Spinalcanal, d. Ventral body cavity, e. Thoracic cavity, f. Mediastinum, g Pericardial cavity, h. Pleural cavity, I. Abdominopelvic cavity, j. Abdominal cavity, k. Pelvic cavity Chapter Two: Cells, Tissues, and Integument OVERVIEW OF CELL AND CELL MEMBRANE Cells consist of an enclosing plasma membrane, an inner cytoplasm with numerous organelles, and other cellular structures. The fluid portion of the cell is called the cytosol. Color the cytosol in last after you color the rest of the cellular structures. One of the major structures in the cell is the nucleus. It is the genetic center of the cell and consists of tluid karyoplasm, chromatin (containing DNA), and the nucleolus. Color these features and label them on the illustration. The cytoskeleton consists of microtubules, intermediate filaments and microfilaments. It is involved in maintaining cell shape, fixing organelles, and directing some cellular activity. Label the organelles of the cell and use a different color for each one. The mitochondria are the energy-producing structures of the cell while the 21 Golgi apparatus assembles complex biomolecules and transports them out of the cell. Proteins are made in the cell by ribosomes. If the ribosomes are found by themselves in the cytoplasm, they are called free ribosomes. If they are attached to the rough endoplasmic reticulum, they are called bound ribosomes. The smooth endoplasmic reticulum manufactures lipids and helps in breaking down toxic materials in the cell. Other structures in the cell are vesicles (sacs that hold liquids). Phagocytic vesicles ingest material into the cell. Lysosomes contain digestive enzymes while peroxisomes degrade hydrogen peroxide in the cell. After you label and color the organelles make sure to go back and shade in the cytosol. Centrioles are microtubules grouped together and are involved in cell division. a. p. o. ll. m. 1. _ _ The plasma membrane is composed of a phospholipid bilayer. Color the phosphate molecules on the outside and inside of the membrane one color and the lipid layer another color. Cholesterol molecules occur in the membrane and, depending on their concentration, can make the membrane stiff or more fluid. Proteins that are found on the outside of the membrane are called peripheral proteins while proteins that pass through the membrane are called integral proteins. Frequently these make up gates or channels that allow material to pass through the membrane. Attached to proteins on the cell membrane are carbohydrate chains. These provide cellular identity. Label and color the cell membrane structures. r. q.------ v. _ Answer Key: a. Golgi apparatus, b. Lysosome, c. Peroxisome, d. Phagocytic vesicle, e. Nucleus, f. Nucleolus, g. Chromatin, h. Karyoplasm, '1. Cytoskeleton, J. Centrioles, k. Plasma membrane, I. Cytoplasm, m. Rough endoplasmic reticulum, n. Smooth endoplasmic reticulum, o. Mitochondrion, p. Free ribosomes, q. Phospholipid bilayer, r.Integral protem, s.Carbohydrate chain, t. Peripheral protein, u. Phosphate molecule, v. lipid layer, w. Cholesterol molecule Chapter Two Cells, Tissues, and Integument I me lea UPLANd I 23 SIMPLE EPITHELIA There are four types of tissues in humans and these make up all of the organs and binding material in the body. Epithelial tissue makes up linings of the body. In many cases, where there is exposure (outside, such as the skin, or inside, such as in blood vessels), epithelium is the tissue found. It is named according to its layers (typically simple or stratified) and the shape of cells (such as cuboidal). Simple squamous epithelium is a single layer of flattened cells. Simple cuboidal epithelium is also a single layer of cells but the cells are in the shape of cubes. Simple columnar epithelium is a single layer of long columnar cells. Label and color these epithelial types and pay attention to the basement membrane, the noncellular layer that attaches the epithelium to lower layers. It should be colored red. Color the nuclei in purple, the cytoplasm blue, and label the cells. Pseudostratified ciliated columnar epithelium is in a single layer of cells hut it looks stratified on first appearance. Not all of the cells reach the surface of the tissue. All of the cells reach the basement membrane. Label and color the nuclei, basement membrane, cell membrane and the cilia in this tissue. Top view Side view a. b. c. d. - - - - - - - - - Answer Key: a. Simple squamous epithelium, b. Simple cuboidal epithelium, c. Simple columnar epithelium, d.Cilia, e. Cell membrane, t. Nuclei, g. Basement membrane, h. Pseudostratlfled ciliated columnar epithelium g. h. Chapter Two Cells, Tissues, and Integument I me lea KAPLAdlf. I 25 STRATIFIED EPITHELIA There are two common epithelial tissues that are many-layered. Stratified squamous epithelium is many layers of flattened cells. Label and color the basement membrane red, color the cytoplasm blue, and the nuclei purple. There are two major types of stratified squamous epithelium. Keratinized epithelium is found on the skin and is toughened by the protein keratin. Non-keratinized stratified squamous epithelium is found in the oral cavity and vagina and is a mucous membrane. Another main type of layered epithelial tissue is transitional epithelium. This is tissue that lines part of the urinary tract including the bladder. When the bladder is empty, the cells bunch up on one another and the tissue is thick. When the bladder is full, the cells stretch out into a few layers. Label the cell types for each picture and color the structures in the same way as in previous illustrations. a. _ Stretched Relaxed b. - - - - - - - - - - - Answer Key: a. Stratified squamous epithelium, b. Transitional epithelium Chapter Two Cells, Tissues, and Integument I meulCa KAPLA!._ I 27 GLANDS There are several types of glands in the human body. Some of these glands secrete their products into tubes or ducts. These are known as exocrine glands. Other glands secrete their products into the spaces between cells where they are picked up by the blood or lymph system. These are the endocrine glands. Endocrine glands secrete hormones that have an impact on target tissues of the body. Glands can be unicellular or multicellular. Glands that consist of just one cell are called goblet cells. They secrete mucus, which is a lubricant. There are many types of multicellular glands. They are classified by how they secrete their products. Some glands secrete products from vesicles pinched off from the cell. These are called merocine glands. In these glands no cellular material is lost in the secretion of material. An example of a merocrine gland is a sweat gland. Some cells squeeze parts of the cell off to secrete cellular products. These are known as apocrine glands. The lactiferous glands that produce milk are apocrine glands. Some secretions occur by the entire cell rupturing. These are called holocrine glands. Oil glands of the skin are holocrine glands. Label the glands and color them in on the figure. a. b. c. e.----- Answer Key: a. Exocrine gland, b Endocrine gland, c. Goblet cell, d. Merocrineglands, e. Vesicles, f. Apocrine glands, g. Holocrine glands d. _ f. g._------ Chapter Two Cells, Tissues, and Integument I me lea lAP LANd' I 29 COI\II\IECTIVE TISSUE Connective tissue is a varied group of associated tissues, all of which are derived from an embryonic tissue known as mesenchyme. Connective tissue not only has cells, as do all of the other tissues, but it also has fibers and a large amount of background substance called matrix. There are many specific tissues that belong to connective tissue. Loose connective tissue is found wrapping around organs or under the epidermis and it is composed of collagenous, elastic, and reticular fibers, a liquid matrix and numerous cells, many of which have an immune function. Dense regular connective tissue has a few cells called fibrocytes and a small amount of matrix with most of the tissue composed of a regular arrangement of collagenous fibers. This specific tissue makes up tendons and ligaments. If the fibers are not in an orderly arrangement, then the tissue is called dense irregular connective tissue. This tissue is found in places like the white of the eye. a. b. c. d. e. c. f. c. \ '------J .'~ ~~ ~ ~ ~C~~ .. I < ,,~,-, : Answer Key: a. Matrix, b. I"ibrocyte, c. Collagenous fiber, d. Elastic fiber, e. Loose connective tissue, f. Dense regular connective tissue, g. Dense 'Irregular connectivetissue ~/ ~~ ~ ~ . ) ~ . g. Chapter Two Cells, Tissues, and Integument I IAPLAlf I me dlea 31 CONNECTIVE TISSUE (CONTINUED) Elastic connective tissue contains elastic fibers and is found in areas that recoil when stretched such as in the walls of arteries. Reticular connective tissue consists of reticular fibers that form an internal support in soft organs such as the liver and spleen. Adipose tissue consists of specialized fat-storing cells called adipocytes. Label and color the components of these connective tissues. c. d. _ e. _ Answer Key: a. Collagenous fibers, b. Elastic fibers, c. Elastic connective tissue, d. Reticular fibers, e. Reticular connective tissue, f. Adipose tissue f. Chapter Two Cells, Tissues, and Integument I me lea KAPLAll"d- I :n CARTILAGE There are three types of cartilage in connective tissue. The most common kind of cartilage is hyaline cartilage. It contains a semisolid matrix, collagenous fibers, and chondrocytes (cartilage cells). The end of the nose is pliable due to hyaline cartilage. Fibrocartilage is like hyaline cartilage, having the same components, but there are more collagenous fibers in fibrocartilage. It is found in areas where there is more stress, such as the joint between the bones of the thigh and leg. Elastic cartilage has a matrix, chondrocvtes, and elastic fibers. These fibers make the cartilage more bendable than hyaline cartilage. Label and color the cells and fibers of cartilage and use a light color to shade the matrix such as a pale pink or blue. a. - - - - - - - - - - c. e. Answer Key: a. Matrix, b. Chondrocytes, c. Hyalinecartilage, d. Collagenous fibers, e Fibrocartilage, f. Elastic fibers, g. ElastiC cartilage f.------- g. Chapter Two Cells, Tissues, and Integument I KAPLAIf I me d lea 35 BONE AND BLOOD Bone is a connective tissue. The cells are the osteocytes and the fibers are collagenous fibers enclosed in a hard matrix of bone salts. You will not see the fibers in the illustration because they are covered by the dense matrix. Label and color the osteocytes and matrix of bone. Blood is another kind of connective tissue. The matrix in blood is the plasma and the cells are erythrocytes (red blood cells) and leukocytes (white blood cells). Platelets are small flat disks in the blood that aid in clotting. a. b. I , ~. c. - - - - - - - - - - - - - - - - - - - - - - - - d. _ e. _ o 0 Go ~oO \V. o Do !I00 ~O 00 oCb'(JOc; OO\JOC]J cP \\)OOC6 o f. g. - - - - - - - - - h. Answer Key: a. MatriX, b. Osteocyte. c. Bone, d. Erythrocyte, e. Platelet, f. Leukocytes, g. Plasma, h. Blood Chapter Two Cells, Tissues, and Integument I r me C lea KAPLA I 37 MUSCLE AND NERVOUS TISSUE Muscular tissue is composed of specialized cells involved in contraction. Skeletal muscle makes up body muscles and represents around 40 percent of the body mass. Skeletal muscle is striated and the fusion of individual cells produces longer, mature cells that are multinucleate. These nuclei are found on the edges of the cells. Skeletal muscle can be consciously controlled and is called voluntary muscle. Label and color the striations of the skeletal muscle cells, the nuclei, and individual cells. Cardiac muscle is also striated but the striations are not as obvious as in skeletal muscle. This muscle is found in the heart and is involuntary. It does not involve conscious control. Cardiac muscle typically has only one centrally located nucleus per cell, and the cells themselves are branched. They attach to other cells by intercalated discs, which allow communication between cells for the conduction of impulses during the cardiac cycle. Label and color these features on the illustration. Smooth muscle is not striated and it is involuntary. The cells are slender and have one nucleus located in the center of the cell. It is widely distributed in the body, making up, among other things, part of the digestive system, reproductive system, and integumentary system. Smooth muscle is found in glands and other areas not under conscious control. Label and color the nucleus and cell of smooth muscle. Nervous tissue consists of the neuron and associated glial cells. Neurons have numerous branched extensions called dendrites, a central nerve cell body (soma) that houses the nucleus, and a long extension called an axon. The glial cells, also known as neuroglia, have many functions. Some of these are supportive of the neuron and some may involve processing of neural information. Label and color the parts of the neuron and the glial cells. a. b. _ ~'\\~~~}~~/ ;:CF-;C C~ :=':':C~':~ ... b. _ e. -- - - - -- c. d. _ f. b. c. _ 1. g. h. _ Answer Key: a. Striations, b. Nuclei, c. Cell, d. Skeletal muscle, e. Intercalated disc, f. Cardiacmuscle, g. Smooth muscle, h. Nervous tissue, i. Nerve cell body, j. Glial cells (Neuroglia), k. Dendrites, I. Nucleus, m. Axon Chapter Two Cells, Tissues, and Integument I KAPLAlfdme leaI 39 INTEGUMENTARY SYSTEM The most superficial layer of the skin is the epidermis. Color the five layers of the epidermis. The deepest layer is the stratum basale and there are specific cells called melanocytes that secrete the brown pigment melanin. Color the majority of the stratum basale pink but color the melanocytes brown. Color the stratum spinosum a light blue. The stratum granulosum has purple granules in it so color that layer using purple dots. The stratum lucidum (found only in thick skin) is a thin, light colored layer so yellow or white are good colors for this tissue. Color the superficial stratum corneum orange. The overview of the skin contains many layers. Color the epidermis a red-orange. The dermis consists of two layers, an upper papillary layer, which should be colored in a light pink, and a deeper reticular layer, which should be colored a darker pink. There are sweat glands that are found in the dermis that can be colored purple. You should color the hypodermis (not a part of the integument) yellow because of the amount of fat found there. Two types of touch receptors can easily be seen in microscopic sections. These are the Meissner corpuscles and the Pacinian corpuscles. f.------ 1. _ Fl , _ 1----- g.---- 1. -).--- Answer Key: a. Stratum corneum, b. Stratum IUCIdum, c. Stratum granulosum, d. Stratum spinosum, e. Stratum basale, f. Melanocyte, g. Epidermis, h. Papillary layer, I. Reticular layer, J. Dermis, k. Hypodermis, L Sweat gland, m. Pacinian corpuscle, n. Meissnercorpuscle m.-------- Chapter Two Cells, Tissues, and Integument I meulca KAPLA~. I 41 HAIR AND NAILS Hair consists of several parts. The hair originates from the dermal papilla and the deepest part of the hair is known as the hair bulb. The hair is pushed superficially and forms the hair root (the part of the hair enclosed in the skin). Once the hair erupts from the skin it is known as the hair shaft. Color the three sections of hair different shades of blue. The hair is enclosed by the hair follicle, which should be colored purple. Associated with the hair are the arrector pili muscle, which is made of smooth muscle and is colored pink, and an oil-secreting gland known as the sebaceous gland, which should be colored yellow. Fingernails and toenails are considered accessory structures of the integument. Color the diagram labeling the nail plate, the free edge, the nail fold, the lunula, eponychium (cuticle), nail root, hyponychium and the nail bed. a. 1. k. J. 1. - - - - - - - - - h. _ m. n. o. Answer Key: a. Bulb, b. Follicle, c. Root, d. Shaft,e. Sebaceous gland, f. Arrector pili. g. Pacinian corpuscle, h. Nail plate, i. Nail fold, J. Lunula, k. Eponychium, I. Nail root, m. Free edge, n. Hyponychium, o. Nail matrix (Nail bed) Chapter Three: Skeletal System FRONTAL ASPECT OF THE SKULL The skull is a complex structure. There are 8 cranial bones and 14 facial bones in the skull. From the anterior view most of the facial bones can be seen and some of the cranial bones are visible too. The bone that makes up the forehead and extends beyond the eyebrows is the frontal bone. This bone forms the upper rim of the orbit, which is a socket that encloses the eye. In the back of the orbit is the sphenoid bone and the lateral walls of the orbit are composed of the zygomatic bones. The bridge of the nose consists of the paired nasal bones and just lateral to 43 them are the two maxillae. These bones hold the upper teeth. The lower teeth are held by the mandible. Inside the nasal cavity two projections can be seen. These are the inferior nasal conchae. The wall that divides the nasal cavity is the nasal septum and it consists of two bones, the ethmoid bone and the vomer. Along the side of the skull are the temporal bones, located posterior to the zygomatic bones. Label the major bones of the skull and color them in. As you color in the skull try to use the same color for the same bone on different pages. This will help you associate the same bone with various views from which it can be seen. a. _ d.~------ e. - - - - - - - - _ f. g.------- h. Answer Key: a. Orbit, b. Frontal bone, c. Temporal bone, d. Sphenoid bone, e. Nasal bone, f. Zygomatic bone, g. Nasal septum, h. Maxilla, i. Mandible Chapter Three Skeletal System I UPLANd' me leaI 45 LATERAL VIEW OF THE SKULL Many bones seen from the anterior view can also be seen from the lateral view. The frontal bone is joined to the parietal bones by the coronal suture. The parietal bones span much of the cranium and articulate with the occipital bone at the lambdoid suture. There is a posterior extension of the occipital bone known as the external occipital protuberance. The exterior aspect of the temporal bone is seen from the lateral view and many of the significant features such as the mastoid process, external acoustic meatus, and styloid process are visible. On the side is the elongated zygomatic process. The temporal bone articulates with other cranial bones by the squamous suture. The bone anterior to the temporal bone is the sphenoid bone. It is a bone that is found in the middle of the skull. The nasal bone is visible from the lateral view and its relationship with the maxilla can be seen here. Behind the maxilla is the lacrimal bone which houses the nasolacrimal canal, a duct that drains tears from the eye into the nose. The mandible articulates with the rest of the skull at the mandibular condyle. A depression in front of the condyle is the mandibular notch and the anterior section of bone in front of the notch is the coronoid process. Label the major features of the skull seen in lateral view and color each bone a different color. Details of the mandible can be seen in the isolated bone. In addition to the features of the mandible listed above, find the mandibular foramen and the mental foramen of the mandible. These are holes for the passage of nerves and blood vessels. The main portion of the mandible is the body and the upright part is the ramus. The angle is the posterior junction of these two parts. The teeth are located in alveoli and the small segments of bone between the teeth are the alveolar processes. Label the features of the mandible. a. _ r. _ q._----- p._----- e. f. _ _ 0. _ Tl, _ ffi. _ 1. _ k. _ s. z. 1. Answer Key: a. Coronal suture, b. Parietal bones, c. Zygomatic process, d. Temporal bone, e. Squamous suture, f. Lambdoid suture, g. External occipital protuberance, h. Occipital bone, i. Mastoid process, j. External acoustic meatus, k. Styloid process, I. Mandible, ill. Maxilla, n. Zygomatic bone, o. Nasal bone, p. Lacrimal bone, q. Sphenoid bone, r. Frontal bone, s. Coronoid process, t. Mandibular foramen, u. Mandibular notch, v. Mandibular condyle, w. Ramus, x. Angle, y. Body, z. Mental foramen Chapter Three Skeletal System I KAPLA~. meulca I 47 SKULL-TOP AI\ID BOnOM VIEWS The superior aspect of the skull consists of few bones and few sutures. The frontal bone is the most anterior bone with the parietal bones directly posterior to it. The coronal suture separates the two and the sagittal suture separates the parietal bones. The lambdoid suture separates the parietal bone from the occipital bone. Label the bones and sutures and color the bones in the illustrations. The inferior aspect of the skull is more complex than the superior view. In the inferior view the mandible has been removed so some of the underlying structures can be seen. The large opening in the occipital bone is the foramen magnum. The two bumps lateral to the foramen magnum are the occipital condyles and the raised bump at the posterior part of the skull is the external occipital protuberance. The more anterior and lateral bone to the occipital bone is the temporal bone. The jugular foramen is located between the occipital and temporal bone. Another opening nearby is the carotid canal. Lateral to this is the styloid process, an attachment point for muscles. Lateral to this is a depression called the mandibular fossa. it is here that the mandible articulates with the temporal bone. The sphenoid bone spans the skull and the major features seen from the inferior view are the greater wing, and the lateral and medial pterygoid plates. The hard palate is made of the palatine process of the maxilla and the palatine bones. The bone that opens into the nasal cavity is the vomer. Label and color these features of the skull. Anterior Anterior g. h. 1. _ Sphenoid bone: J. k. 1. q._-----Answer Key: a. Frontal bone, b. Coronal suture, c. Parietal bones, d. Sagittal suture,e. Lambdoid suture, f. Occipital bone, g. Palatine process of the maxilla, h. Palatine bone, i. Vomer, j. Greaterwing, k. Lateral pterygoid plate, I. Medial pterygoidplate, m. Mandibularfossa, n. Styloidprocess, o. Carotid canal, p. Jugularforamen, q. Occipital condyles, r. Foramen magnum, s. External occipital protuberance r. Posterior ChapterThree Skeletal System I me lea UPLANd' I 49 MIDSAGITIAL SECTION OF THE SKULL Several features of the skull can be seen when it is sectioned in the midsagittal plane. Locate the major bones of the skull and the features seen in this section. The nasal septum consists of two bony structures, the perpendicular plate of the ethmoid bone and the vomer. The crista galli extends superiorly from the cribriform plate of the ethmoid bone. The junction of the maxilla and the palatine bone that make up the hard palate can be seen from this view as well. The frontal sinus and the sphenoid sinus are two cavities seen here. Label the bones and the major features of the midsagittal section of the skull using the terms provided. Color the bones different colors and shade the sinuses in a darker shade of the color used for the specific bones that hold the sinuses. Frontal bone Temporal bone Maxilla Styloid process Nasal bone Vomer Sphenoid sinus Parietal bone Sphenoid bone Mandible Sella turcica Palatine bone Crista galli Occipital bone Ethmoid bone Internal acoustic meatus Cribriform plate of the ethmoid Perpendicular plate of the ethmoid Frontal sinus a. _ b. c. d. m. e. f. n. h. 1. g. J. k. r. _ Answer Key: a. Frontal bone, b. Frontal sinus, c. Nasal bone, d. Ethmoid bone, e. Crista galli, f. Cribriform plate of the ethmoid, g. Perpendicularplate of the ethmoid, h. Vomer, i. Maxilla, j. Palatine bone, k. Mandible, I. Parietal bone, m. Temporal bone, n. Sella turcica, o. Occipital bone, p. Internal acoustic meatus, q. Sphenoid bone, r. Sphenoid sinus Chapter Three Skeletal System I me lea lAP LANd' I 51 SPHENOID, TEMPORAL, Af\ID ETHMOID BONES A few bones of the skull are frequently studied as separate bones. The sphenoid bone has a superficial resemblance to a bat or butterfly. There are the lesser wings, the greater wings, and the pterygoid plates, all of which resemble wings. The dorsum sellae is the posterior part of the sella turcica (a depression that holds the pituitary gland). Locate the foramen rotundum and the foramen ovale on the sphenoid bone. These holes enclose parts of the trigeminal nerve. The temporal bone has a flat squamous portion and a denser petrous portion. The section of the temporal bone that connects to the zygomatic bone is the zygomatic process. There are two significant canals or meatuses for hearing. These are the external acoustic meatus and the internal acoustic meatus. The mastoid process is a large bump that can be palpated directly posterior to the ear. The styloid process anchors a number of small muscles. The ethmoid bone is located just posterior to the nose and is best seen isolated from the rest of the skull bones. The cribriform plate that has small holes called olfactory foramina in it. Locate the crista galli and the perpendicular plate. The ethmoid has four curved structures lateral to the perpendicular plate. These are the two superior nasal conchae and the two middle nasal conchae. The ethmoid sinuses are numerous small holes in the bone. Locate the structures of these skull bones. Label the illustration and color in the features of the bones. c. _ d. _ e. _ Answer Key: (Sphenoid features), a. Sella turcica b. Lesserwing,c. Foramen rotundum, d. Foramen ovaIe,e. Dorsum sellae, f. Greater wing (Temporal features), g. Squamous portion, h. Zygomatic process, i. External acoustic meatus, J. Styloid process, k. Mastoid process (Ethmoidfeatures), I. Crista galli, m. Middle nasal concha, 0. _ n. Perpendicularplate, o. Superior nasal concha Chapter Three Skeletal System I mIAPeLA'!a-.cal U 53 VERTEBRAL COLUMN We are unique as animals because of our upright posture. The vertical position of the spine is reflected in the increase in size of the vertebra from superior to inferior. The vertebral column is divided into five major regions. There are 7 cervical vertebrae that occur in the neck while the 12 thoracic vertebrae have ribs attached to them. The 5 lumbar vertebrae are found in the lower back and the sacrum consists of 5 fused sacral vertebrae. The coccyx is the terminal portion of the vertebral column consisting of 4 coccygeal vertebrae. The vertebral column in the adult has curves. The uppermost is the cervical curvature and the lower ones are the thoracic, lumbar, and pelvic curvatures. Label the illustration with the regions and the curvatures and color in the regions with different colors. Color in the curved arrows for the curvatures. , \../""/ I~ a. _ b. _ \ c. _ vi Answer Key: a. Cervical vertebrae (cervical curvature), b. Thoracic vertebrae (thoraciccurvature), c. Lumbarvertebrae (lumbar curvature), d. Sacrum (pelvic curvature), e. Coccyx I , d. _ Skeletal System Chapter Three I KAPLA~. meulca I 55 ATLAS The atlas is the first cervical vertebra. It is unique among the vertebrae because it has no body. Label the vertebral foramen, superior articular facet, the transverse foramen, and the lateral masses. e. AXIS The axis is the second cervical vertebra and it has a body with a projection that arises from the body known as the odontoid process or dens. Label the axis including the superior articular facets, the transverse foramen, the spinous process, and the vertebral foramen. Color these features in. _ ATLAS AND AXIS Here are the atlas and axis together. Color the two bones separate colors. HYOID The hyoid bone is a floating bone, which means that it has no hard attachments to other bones. The main part of the hyoid is the body and the two horns that arise from the hyoid are the greater cornua and the lesser cornua. Label these parts of the bone and color them in separate colors. Answer Key: a. Vertebral foramen, b. Lateral masses, c. Transverse foramen, d. Superiorarticular facet, e. Spinous process, f. Body, g. Odontoid process (dens), h. Axis, i.Atlas, j. Lesser cornua, k. Greater cornua, I. Body h Chapter Tree Skeletal System KAPeLA~lcal 1m u 57 THORACIC, CERVICAL, R VERTEBRAE AND LUMBA mmon to vertebrae Features co the spinal cord . gwhere . The operun the vertebra IS passes through t bral foramen. known as the ver ertebra is the Th e body of the ve f the vertebra t . part 0 weight-bearing proce ss is the par . al an d the spinous . Iy. This process d ostenor that exten ~ p from the vertebr is an extension from the body arch that curves tebral foramen. enclosing the ver sed of the two This arch is compo laminae. The edicles and. the tworocess and the facet (the flat superior artIcu~~cess) are the parts surface on ~he the vertebra above. that join with . ular process and The infe~ior ar1~~ar facet are t?e the infenor art b that join with parts 0 f the verte ra the vertebra below. . Cervica1Vertebra d. __ e. ~uperior art~cular j. 1. a. Thoracic Vertebra . . al cervlcal vertebrae . TYPIc. nd lateral view superior a distinct from . I rtebrae are . Cervica ve b having two II other vertebra~ y These house f mma. , . a transverse ora her characteristic blo od vessels.Anot brae i s that several . I rte rae of the cervica ve spinous process of them have a b ifid cic vertebrae Typical thora lateral view superior and b e typically have . erte ra The thoracic v ocesses than l onger spinous pr d many of them rior direction. Th e cervical ver t.ebrae an int in an infe thoracic vertebrae, . pOl in . body is larger I bones with n d they are the on y ttachment a that are a costal facets h ads of ribs. The Points for the e ses can be seen transverse proces sverse cos tal along WIith the tran facets. lumbar verteb!ae d lateral view superior an brae have larger The lumbar v:r~~ey support ~ore bodies becaus . s process IS The spinou I' weight. re horizonta III . shorter and mo han in thoracic I mbar vertebrae t costal facets u There are no bel vertebrae. foramina. La and no transverse brae illustrated . the par ts of the verte and color them Ill. , . a Bifid spinous process, c Vertebral Answer Key.. ' s process" , I b. Spinou d Lamina, e' Pedic e, , foramen, ' , lar process, f. Superior articu ess h. Body, g 'ssJ', ' Transverse procproce , Transverse , lar i Inferior artrcu , r costal facet, ' k Superio foramen" f et I. Inferior costal ac Lum ba r Vertebra b. _ c. TYPlc~1 . d. e. __ ", / '~~T*P ~.:~ ., . (t " ~!I\C' '" ~ :tI:~ 1. b. ChapterThree Skeletal System I med leaI IAPLAN 59 SACRUM AND COCCYX Sacrum and coccyx, anterior view The terminal portion of the vertebral column consists of two structures that are fused bones. The sacrum is 5 fused vertebrae and the coccyx is 3-5 fused vertebrae. The top rim of the sacrum is the sacral promontory and the wing-like expansion where the ilium attaches is the ala. The area where the vertebrae join are the transverse lines. The holes running down each side are the anterior sacral foramina. At the top of the sacrum are the superior articular processes and they attach to the lumbar vertebra. Label and color the parts of the sacrum and the coccyx. c. _ d. _ e. _ -f. _ Sacrum and coccyx, posterior view From the posterior view the median sacral crest is the fused remains of the spinous processes of the vertebrae. The posterior sacral foramina are on each side of the crest and the lateral sacral crests are lateral to the foramina. The superior articular processes can be seen from this view and also the auricular surface which forms part of the sacroiliac joint. Label the features of the sacrum and the coccyx and color them in. 1. _ Answer Key: a. Superior articular process, b. Ala, c. Sacral promontory, d. Transverse lines, e. Anterior sacral foramina, f. Coccyx, g. AUricular surface, h. Lateral sacral crest, i. Median sacral crest, j. Posterior sacral foramina ChapterThree Skeletal System I I KAPLAlf medlea 61 STERNUM / RIBS / HYOID The sternum is commonly known as the breastbone and is divided into three areas, the upper manubrium with the suprasternal notch and the clavicular notches, the body with the costal notches (where the ribs attach), and the xiphoid process. Between the manubrium and the body is the sternal angle. Label these features on the illustration and color the three major areas of the sternum different colors. If you select a rib as a representative bone for all of the ribs, you will find the terminal portion of the rib is expanded in a head. The constricted region below that is the neck. The tubercle of the rib is a bump that attaches to the transverse process of the vertebra. The bend in the rib is known as the angle and the depressed area of the rib where nerves and blood vessels are found is the costal groove. Color in the individual parts of a rib after you label the figure and color the rib as it joins with a vertebra. a. - - - - - - - - b. _ c. _ d. _ e.------- f. _ g._----- 1. _ 1. _ Answer Key: a. Suprasternal notch, b. Clavicular notch, c. Manubrium, d. Sternal angle, e. Costal notches, f. Body, g.Xiphoid process, h. Head, i. Tubercle, j. Neck, k. Angle of rib, I. Costa I groove . . 1. _ Skeletal System ChapterThree I me lea UPLANd' I 63 APPEf\I DICULAR SKELETON-PECTORAL GIRDLE AND UPPER EXTREMITY The pectoral girdle is made of the clavicles and the scapulae. The upper extremity consists of the humerus of the arm, the radius and ulna of the forearm, and the carpals, metacarpals, and phalanges of the hand. Locate these major regions of the upper extremity and label them on the diagram. Color these areas in different colors on the illustration. a. _ ,(, II , / / I , II 1 c.---------- d. _ f. Answer Key: a. Clavicle, b. Humerus, c. Scapula, d. Radius, e. Ulna, f. Carpals, g. Metacarpals, h. Phalanges Chapter Three Skeletal System I me lea UPLANd' I 65 SCAPULA The pectoral girdle consists of the scapulae and the clavicles. Each scapula is a triangular bone and the three edges are known as the superior border, the lateral border, and the medial border. The scapular spine is on the posterior surface and it expands into a terminal process known as the acromion process. Above the spine is the supraspinous fossa. Below the spine is the infraspinous fossa and on the anterior side of the scapula is the subscapular fossa and the coracoid process. The inferior angle of the scapula is at the junction of the medial and lateral borders. Inferior to the acromion process is the glenoid fossa. This is a depression where the head of the humerus articulates with the scapula. Label the various features of the scapula and color in the regions of the bone with different colors. Locate as many of the features from the various angles presented. c. _ d. _ e. - - - - - - - --4~it7;:~ f. _ g._----h. _ d. _ a. _ c.---------- d. _ f. Answer Key: a. Acromion process, b. Superior border, c. Coracoid process, d. Glenoid fossa, e. Subscapular fossa, f. Lateral border, g. Medial border, h. Inferior angle, i, Supraspinous fossa, j. Scapular spine, k. Infraspinous fossa _ h. _ Chapter Three Skeletal System I meulCa lAPLA~. I 67 CLAVICLE The clavicle is a thin bone that stabilizes the shoulder joint in a lateral position. It has a blunt end that articulates with the sternum (the sternal end) and a flattened end that joins with the acromion process of the scapula. This is called the acromial end. A small bump on the inferior part of the clavicle has a ligament that attaches to the coracoid process of the scapula. This bump is called the conoid tubercle. Label the clavicle and color the ends and the conoid tubercle. ................ ". ' . .; ............... . ". '" ". Superior view Sternum Inferior view c. _ Answer Key: a, Sternal end, b. Acromial end, c. Conoid tubercle Chapter Three Skeletal System I meulCa KAPLA~. I 69 HUMERUS The humerus has a proximal head that fits into the glenoid fossa of the scapula. Just at the edge of the head is a rim known as the anatomical neck. Below this neck are the greater and lesser tubercle and the depression between the two is the intertubercular groove. Below these is the surgical neck of the humerus. The deltoid muscle attaches to the humerus at the deltoid tuberosity and the two expanded wing-like processes at the distal end of the humerus are the supracondylar ridges. Inferior to these are the medial and lateral epicondyles and at the articulating ends of the humerus are the lateral capitulum and the medial trochlea. The depression on the anterior surface of the humerus into which the ulna fits is called the coronoid fossa and the posterior depression where the elbow locks into the humerus is called the olecranon fossa. Label the figure and color in the specific parts of the illustration. ~f. \~ ,. __ L r g._------- h. 1. _ _ J.------ ~----:i_=~~~L----- m. _ Anterior View Answer Key: a. Greatertubercle, b. Head, c. Anatomical neck,d. Lesser tubercle, e. Intertuberculargroove, f. Surgical neck, g. Deltoid tuberosity, h. Supracondylar ridges, i. Lateral epicondyle, j. Coronoid fossa, k. Olecranon fossa, I. Medial epicondyle, m. Capitulum, n. Trochlea Posterior View Chapter Three Skeletal System I me UPLANd' lea I 71 FOREARM BONES The radius has a circular head, a radial tuberosity on the shaft (where the biceps brachii muscle attaches), and a distal styloid process. At the distal end of the radius is a depression where the ulna joins with the radius. This is known as the ulnar notch of the radius. The ulna has a proximal olecranon process, a coronoid process, and the trochlear notch between the two. Just distal to the coronoid process of the ulna is the tuberosity ofthe ulna, a projection where muscles attach. The head of the ulna is distal and it also has a styloid process. At the proximal portion of the ulna is a depression where the head of the radius articulates with the ulna. This depression is known as the radial notch of the ulna. When the two bones are joined you can see where each fits into the other. On the edge of each bone is the interosseus margin. This is a ridge where the interosseus membrane connects the bones. g.----- h. _ 1.------ J.------ Answer Key: a. Olecranon process, b. Trochlear notch, c. Coronoid process, d. Radial notch,e. Tuberosity of the ulna, f. Head, g. Radial tuberosity, h. Interosseus margin,i. Ulnar notch, j. Styloid process Skeletal System ChapterThree I ImAPelA~ICal U n HAND BONES The hand consists of 27 bones divided into three groups: the carpals, the metacarpals, and the phalanges. The thumb is known as the pollex and is listed as the first digit of the hand. The index finger is the second digit and the fingers are listed sequentially with the little finger being the fifth digit. The bones of the fingers are known as phalanges and they are named according to what digit they belong and as being proximal, middle or distal. Therefore the bone of tip of the little finger is the distal phalanx of the fifth digit while the bone in the place where you would normally wear a wedding ring is the proximal phalanx of the fourth digit. Each phalanx has a proximal base, a shaft, and a distal head. The metacarpals are the bones of the palm of the hand. Each metacarpal also has a proximal base, a shaft, and a distal head. There are five metacarpals and they are named for the phalanges that extend from them. The first metacarpal articulates with the thumb. The carpals are the bones of the wrist. There are eight carpal bones in two rows. The bone under the thumb is the trapezium. The one medial to it is the trapezoid. The capitate is found under the third metacarpal and the hamate finishes that row. Proximal to the trapezium is the scaphoid, which joins with the radius. The next bone in line is the lunate, followed by the triquetrum, and finally the little pisiform bone. If you memorize the bones in this sequence you can use a mnemonic device to remember them. This mnemonic is The Tom Cat Has Shaken Loose To Prowl. The first letter of the mnemonic represents the first letter of the carpal bone. Label the illustration and color all of the phalanges one color. Color the metacarpals another color and color the carpal bones individual colors. As you color the various illustrations of the hand use the same color scheme for the bones. Right Hand, Posterior View a. _ 1. _ J.----k. _ 1. _ a. _ Right Hand, Anterior View e. m. h. _ _ _ f. _ ~ e. j. _ -rS? m. Answer Key: a. Phalanges, b. Head, c. Shaft, d. Base, e. Hamate, f. Capitate, g. Triquetrum, h. Lunate, i. Metacarpal, j. Trapezoid, k. Trapezium, I. Scaphoid, m. Pisiform A(~~} ~~.~~r . . . l~' 1. _ ~YI\0f:(~A.' "\J5 .......;:}(JJ!> Right Hand, Anterior View, Carpals g._---- h. _ Skeletal System a._-:-- Chapter Three I med- I lea KAPLAlf 75 HIP The hip bones are known as the os coxae. Each os coxa is a result of the fusion of three bones, the ilium, the ischium, and the pubis. Label and color in these three fused bones using a different color for each area. The two os coxae, when joined together by the pubic symphysis, form the pelvis and it can be divided into an upper false pelvis and a lower true pelvis separated by the pelvic brim. The anterior superior iliac spine and the anterior inferior iliac spine can be seen from the front. The top ridge of the pelvis is the iliac crest. The large, inferior hole is the obturator foramen and the depression superior to it is the acetabulum. Note the junction of the sacrum and the ilium that forms the sacroiliac joint. Label the features of the anterior view and color them in. 1. _ _ c. _ J.----- Answer Key: a. Iliac crest, b. Sacroiliac joint, c. Greatersciaticnotch, d. Anterior superior iliac spine, e. Anterior inferior iliacspine, f. Acetabulum, g. Obturator foramen, h. Pubicsymphysis, i. False pelvis, j. True pelvis, k. Ilium, I. Ischium, m. Pubis p~",- m. _ 1.- _ Chapter Three Skeletal System I KAPLAlf I medlea 77 HIP (CONTINUED) Lateral View When seen from a lateral view, several features are apparent in the os coxa. Locate the posterior superior iliac spine and the posterior inferior iliac spine along with the greater sciatic notch, the spine of the ischium, and the lesser sciatic notch. The ischial tuberosity is at the posterior, inferior edge of the ischium. Just anterior to the tuberosity is a strip of bone called the ischial ramus that attaches to the inferior pubic ramus. The body of the pubis is the most anterior part of the pubis and the superior pubic ramus is the portion that forms part of the acetabulum. Label and color these features on the illustration. 1. _ J.------k. _ 1. ffi. _ _ ll.------ 0. _ MALE AND FEMALE PELVIS Differences can be seen between the male and female pelvis. The subpubic angle in males is less than 90 degrees and the female angle is greater than 90 degrees. The ilium in males is more vertical than in a pelvis of a woman who has had children. A further distinction is seen in the side view of a pelvis in which the sciatic notch in the female pelvis has a much wider angle than in males. Color in the upper portion of the ilium. q.------Answer Key: a. Iliac crest, b. Posterior superior iliac spine, c. Posterior inferior iliac spine, d. Greatersciaticnotch, e. Spine of the ischium,f. Lesser sciatic notch, g. Ischial tuberosity, h. Ischial ramus, i. Anterior superior iliac spine, j. Anterior inferior iliac spine, k. Superior pubic ramus, I. Inferior pubic ramus, m. Obturatorforamen, n. Acetabulum, o. Iliacblade, p. Subpubicangle, q. Male (lessthan ninety degrees), r. Female (more than ninety degrees) r.---- _ Chapter Three Skeletal System I ImAPeLA~lcal U 79 LOWER EXTREMITYFEMUR/PATELLA The lower extremity consists of the femur of the thigh, the tibia and fibula of the leg, and the tarsals, metatarsals, and phalanges of the foot. Locate these major regions of the lower extremity and label them on the diagram. Color these areas in different colors on the illustration. The femur seen from the anterior view shows a proximal head and a constricted neck. Two large processes are distal to the neck. These are the greater trochanter and the lesser trochanter. There is a raised section of bone between them called the intertrochanteric line. The main part of the bone is the shaft and the lateral epicondyle and medial epicondyle are the distal expansions of the bone. The posterior view of the femur has additional features such as the intertrochanteric ridge, the linea aspera, and the lateral condyle and the medial condyle. The femur is bowed and this can be seen from a lateral view as well as the placement of the patella. The base of the patella is superior and the apex is inferior. Label the features of the femur and patella and color in the various parts. h. _ n. _ p._---- r. s. _ _ Answer Key: a. Femur, b. Patella, e. Tibia, d. Fibula, e. Tarsals, f. Metatarsals, g. Phalanges, h. Greater trochanter, i. Head, j. Neck, k. Intertrochanteric line, \. Intertrochantericridge, m. Lesser trochanter, n. Linea aspera , o. Lateral epicondyle, p. Lateral condyle, q. Medial epicondyle, r. Medial condyle, s. Base of patella, t. Apex of patella Anterior Posterior Chapter Three I Skeletal System KAPLAN d'. I me lea 81 TIBIA / FIBULA The tibia supports the weight of the body and is the bone that articulates with the femur. The fibula is more slender and is a bone to which muscles attach. The top of the tibia is expanded into a triangular shape with the medial tibial condyle and lateral tibial condyle articulating with the condyles of the femur. The quadriceps femoris muscles attach to the tibial tuberosity on the anterior surface of the tibia just below the condyles. The anterior tibial crest is a large ridge that runs the length of the bone. At the terminal portion of the tibia is the medial malleolus. This process, along with the lateral malleolus of the fibula, join with the talus of the foot. The head of the fibula is proximal. It is a triangular region with a pointed apex. Label the tibia and fibula illustrations and color in the various regions of the bones. d. e. _ _ I I I I I I I I Answer Key: a. Lateral tibial condyle, b. Medial tibial condyle, c. Tibial tuberosity, d. Apex, e. Head of fibula, f. Anteriortibial crest, g. Shaft of tibia, h. Shaftof fibula, i. Medial malleolus, j. Lateral malleolus Anterior Posterior ChapterThree I Skeletal System me lea UPLANd I 83 LEFT FOOT Color in the seven tarsal bones using different colors for each bone. The calcaneus is the heel bone and takes the major weight of the body during walking. The talus connects the foot to the tibia and fibula forming the ankle joint. The cuneiforms are so called because they are wedgeshaped bones and they form a natural arch of bone in the foot. Note that each of the metatarsals and each of the phalanges has a distal head, a shaft, and a proximal base. Color all of the five metatarsals the same color. The first metatarsal is under the big toe and the fifth is under the smallest toe. Color all of the fourteen phalanges another color. All of the proximal phalanges are given the same letter in the illustration as are the middle and distal phalanges. Write proximal, middle, or distal in the appropriate space next to the toes. The big toe (hallux) has two phalanges while the other toes have three. a. 1. _ _ b.-----c.--------~.lL-~'o-d. _ 2. _ 3. _ a. _ b. _ c. _ 1. Answer Key: _ h . - - - - - -__ 1. Phalanges 2. Metatarsals 3. Tarsals a. Distal phalanges, b. Middle phalanges, c. Proximal phalanges, d. Head,e. Shaft, f. Base, g. First (medial) cuneiform, h. Second (intermediate) cuneiform, i. Third (lateral) cuneiform, j. Cuboid, k. Navicular, I. Talus, m. Calcaneus g._------ Tarsals J.---- m. _ Chapter Four: Articulations CLASSIFICATIONS OF ARTICULATIOI\IS Articulations are the joints that occur between bones.' They can be classified either according to movement or by structure. Joints can be immovable (synarthroses), semimovable (amphiarthroses), or freely movable (diarthroses). The composition of joints can be fibrous, cartilaginous, or synovial. 85 a. _ FIBROUS JOINTS Fibrous joints are held together by collagenous fibers, the same fibers that make up tendons and ligaments. These joints do not have a joint cavity. Sutures are immovable fibrous joints of the skull. Color in the suture illustrated on the page. A gomphosis is a fibrous joint in which a round peg is held into a socket. Gomphoses are represented by the teeth held into the maxilla or the mandible. Another fibrous joint is the syndesmosis. This joint is found between the distal radius and ulna (or tibia and fibula) and is semimovable. Color in the various fibrous joints. g._----- h. _ 1. _ J. Answer Key: a. Gomphosis (peg suture), b. Tooth, c. Alveolar socket, d. Gingiva, e. Alveolar ridge, f. Periodontal ligaments,g. Suture, h. Sagittal suture, i. Syndesmosis, J. Tibia, k. Fibula, 1. Interosseous membrane, m. Posterior tibiofibular ligament, n. Transverse tibiofibular ligament Chapter Four Articulations I mKAPeLANd -Ical 87 CARTILAGINOUS JOINTS Cartilaginous joints are bones held together by cartilage and do not have a joint cavity. If the joint is held together by hyaline cartilage it is known as a synchondrosis. If the cartilage is short then the joint is immovable. An example of this kind of joint is an epiphyseal plate. If the cartilage is a little longer then the joint is a semimovable joint. This is represented by the sternal-rib junction. A cartilaginous joint that is composed of fibrocartilage is known as a symphysis (symphyses plural). These are semimovable joints. Examples of symphyses are the pubic symphysis and intervertebral discs. Color the cartilaginous joints. Use different colors for the hyaline cartilage from the fibrocartilage. d. b.---c. _ _ a. _ f. _ g._---- 1. _ Answer Key: a. Synchondrosis, b. Sternum, c. Costal cartilage, d. Ribs, e. Femur, f. Epiphyseal plate, g Symphysis, h. lntervertebrai disc, i. Lumbar vertebra, j. Sacrum J.----- Articulations Chapter Four I mKAPeLA~lcal U 89 SYNOVIAL JOINTS, BURSA, AND TENDON SHEATH Synovial joints are complex joints that are all freely movable. There are variations with the joints but all synovial joints con~ist of two bones enclosed by a joint capsule, articular cartilages, synovial membranes that secrete synovial fluid in the synovial cavity. Some synovial joints have fibrocartilage pads in the cavity called menisci (meniscus singular). Color the synovial joint and pay attention to the general structure of the joint. Color each part of the joint a different color. a. _ b. _ c.-------- d. e. _ - g.------- MODIFIED SYNOVIAL STRUCTURES-BURSAE AI\ID TEI\IDON SHEATHS There are structures in the body that consist of svnovial membranes and fibrous capsules, These are not synovial joints but are associated with joints. A bursa is one such structure. It is a fluid-filled sac with an internal synovial membrane that cushions tendons as they pass over bones. The bursa occurs between the tendon and the bone. Another structure is a tendon sheath. It also is composed of a synovial membrane and fibrous sheath and it encloses tendons. The sheaths can provide lubrication to the tendon so it does not become irritated as it passes over bones or next to other tendons. Color in the layers of the bursa and the tendon sheaths. h.- _ Answer Key: ao Bone, b. Joint capsule, c. Synovial cavity (synovial fluid), d. Meruscus, e. Articular cartilage, f. Synovial membrane, g. Tendon sheath, h. Achilles tendon, i. Bursa, j. Calcaneus Chapter Four Articulations I KmAP~~ICal ItnI 91 SPECIFIC SYNOVIAL JOINTS Synovial joints are classified by what kind of motion they have. Gliding joints move in one plane like two sheets of glass sliding across one another. Hinge joints have angular movement like a door hinge. Rotating (pivot) joints move like a wheel of a car around an axle. Condyloid (ellipsoidal) joints move like hinges in two directions. In these joints there is a convex surface and a concave surface. Saddle joints have two concave surfaces. They allow for greater movement than condyloid joints. Ball and socket joints allow for the greatest range of movement and are found in the shoulder and hip. Color the illustrations of these joints. a. _ c.----------d. _ g._-------------- ~h_ 1. _ Answer Key: a. Superiorarticular process, b. Vertebrae, c. Inferior articular process, d. Gliding (plane), e. Humerus, f Ulna, g. Hinge, h. Ulna, i. Radius, j, Rotating J. 11 .r' _ ,/ ArticulatIons Chapter .Four ! medicaI KAPLAN". 93 NOVIAl SPECIFIC ~NTINUED) JOINTS (C a. c. d. e. g. soc e ,c. . f Trapezium, e. Condyloid,. \ h Saddle g. First metacarpa, . Answer e d Carpals, k t Ra d" . . IUS, K y"a Femur, b . Ball-and- h. Chapter Four Articulations I KA PLA N e d' m .cal 95 SPECIFIC JOINTS a. TEMPOROMANDIBULAR JOINT Som.ejoints of the body warrant special attention. The !e~P?romandibular joint or jaw joint IS both a gliding joint and a hinge joint. The condyle of the mandible articulates with the mandibular !ossa of the temporal bone. An articular disc is found in the joint that decreases the stress on the joint. Ligaments (dense connective tissue that joins bone to bone) connect the mandible to the temporal bone. _ b. _ Jaws closed e. _ c) / / ~--='--d. //; . ~V . ,r -------- h.----- Jaws opened widely Actions: 1.------- Answer Key: a.Temporal bone b. Coronoid process, c. Condyl~ld process (CUI), d. Angle of mandible e. Mandibl,. f. Articular disc, g Capsule, h. Hinge, I. Hinge and glide Articulations Chapter Four I IlAPLAlf I me dlea 97 HUMEROSCAPULAR AND ACETABULOFEMORAL JOINTS The humeroscapular joint or shoulder joint is a ball-and-socket joint that connects the humerus to the glenoid fossa of the scapula. The joint is deepened by the glenoid labrum which is a fibrocartilage ring. There are numerous ligaments that connect the scapula to the humerus. Another ball and socket joint is the acetabulofemoral joint. It also has an acetabular labrum and numerous ligaments that joint the femur to the hip. a. c. _ _ d. e. _ g._----- h. _ 1. _ Answer Key: a. Articular cartilage, b. Glenoid labrum, c. Capsule, d. Glenoid fossa, e. Humerus, f. Scapula, g. Shoulder joint, h. Femur, i. Acetabular labrum, j.Hip joint Chapter Four Articulations I IAPLAN I medlea 99 TIBIOFEMORAL JOINT The tibiofemoral joint is special in humans because it is the largest joint in the body and because it is particularly vulnerable to injury. The joint is stabilized by the patellar tendon, the medial and lateral collateral ligaments, the anterior and posterior cruciate ligaments and the medial and lateral menisci. Label the structures in the anterior view,with the patella in place and with it reflected, and color them in. b. _ g. h. _ Answer Key: a. Femur, b. Patella, c. Fibular collateral ligament, d. Patellar tendon, e. Tibial collateral ligament, f. Fibula, g. Tibia, h. Posterior cruciate ligament, i. Anterior cruciate ligament, j. Lateral meniscus, k. Medial meniscus k. -T+H-T++------fc7*--+--_+_ b. _ Chapter Four Articulations I me d'. I lea KAPLAN 101 MOVEMENT AT JOINTS There is a broad range of motion that occurs at joints. These motions should be referenced with the body in anatomical position. Flexion of a joint is a decrease in the joint angle from the body in anatomic position. When the elbow is bent the forearm is flexed. Most flexion takes place in a forward direction. The exception to this is the leg where flexion of the leg results in the bending of the knee. Extension of the joint is when the joint is returned to anatomic position. Hyperextension is a condition where the joint is extended beyond anatomic position. Looking up at the ceiling is hyperextension of the head. Abduction occurs when the extremities or head are moved in the coronal plane, laterally from the body. Adduction is the return of the limbs to the body. Rotation is the movernen t of part of the body in a circular pattern. Lateral rotation is the movement of the body in a lateral direction and medial rotation is in the opposite direction. a. - - - - - - - - - )dJ ~'-~'\~'-~ d. I~(I~ ~--------------- \ _ \ ~"'---~ 1\ b.---e. c. _ x; -) ( I I l sv i J ( f. ~ g. J f// Answer Key: a. Hyperextension of the head, b. Flexion of the forearm, c. Extension of the forearm, d. Abduction of the arm, e. Adduction of the arm, f. Medial rotation of the thigh, g. Lateral rotation of the thigh Chapter Five: Nervous System OVERVIEW OF THE NERVOUS SYSTEM The body must react to the external environment and the internal environment and communicate information between regions of the body. This job is primarily the task of the nervous system. Proper response to the external environment is critical for thermal regulation, response to threats, taking advantage of opportunities such as food availability, and a host of other stimuli. Response to the internal environment is important for sensing muscle tension, digestive processes, maintenance of blood pressure, and other functions. Communication is important for coordination of activities such as walking, digestion, and maintenance of blood pressure. The nervous system also integrates information from the environment, relates past information to the present and interprets new experiences. The brain and the spinal cord make up the central nervous system. The nerves of the body make up the peripheral nervous system. The peripheral nervous system is divided into the somatic nervous system which consists of spinal nerves and peripheral nerves that innervate the outer regions of the body. It also consists of the autonomic nervous system. Label the parts of the nervous system and color them in. 103 d. _ Answer Key: a. Central nervous system, b. Brain, c. Spinal cord, d. Peripheral nervous system, e. Spinal nerves, f. Peripheral nerve \ \ Chapter Five Nervous System I KmAPeLAN '.cal d 105 NEURON The nerve cell or neuron is the functional cell in the nervous system. Most electrical conduction in the body is due to the transmission of impulses by the neuron. The neuron consists of branched structures called dendrites. The main portion of the nerve cell is called the soma or nerve cell body, and the elongated part of the neuron is the axon. Two neurons are connected by gaps called synapses. The nerve cell body is the metabolic center of the cell consisting of a nucleus, an endoplasmic reticulum called the Nissl bodies, and a region where the axon attaches called the axon hillock. Color in the parts of the neuron and label the parts. b. e. f. _ Answer Key: a. Dendrites, b. Nerve cell body (soma), c. Nissl bodies, d. Axon hillock,e. Axon, f. Synapses Chapter Five Nervous System I meulCa UPLA~. I 107 NEUROGLIA Neuroglia or glial cells have many specialized functions in the nervous system. The neurolemmocyte or Schwann cell is found in the peripheral nervous system. These cells make up the myelin sheath that wraps around axons. The other neuroglia are located in the central nervous system. Astrocytes are glial cells that, along with the brain capillaries, are found in the blood-brain barrier. They also have a role in transferring nutrients from the capillaries to the deeper regions of the brain. Another glial cell that functions as a barrier is the ependymal cell. These cells are located between the CNS and cavities filled with cerebrospinal fluid. Microglia are also found in the CNS and their function is one of protection. Microglia respond to invasions of the nervous system and they destroy microbes. Oligodendrocytes are neuroglia that produce myelination in the CNS. Myelinated nerve fibers comprise white matter. Myelinated fibers conduct impulses faster than unmyelinated fibers. White matter is mostly associated with transmission of neural impulses from one area to another. Color each glial cell a different color and write the name of each cell in the space provided. Capillary Neurons b.------- g.-d. _ Answer Key: a. Astrocyte, b. Ependymal cell, c. Microglial cell, d. Oligodendrocyte, e. Neurolemmocytes (Schwann cells), f. Myelin sheath, g. Axon Chapter Five Nervous System I me UPLANd' lea I 109 NEURON SHAPES/SYNAPSE Neurons come in a few basic shapes. The most common neuron in the eNS is the multipolar neuron. It consists of many dendrites and a single axon. Bipolar neurons are not very common. They are found in the eye, in the nose, and in the ear and consist of a singular dendrite and an axon. Pseudo unipolar neurons make up the sensory nerves of the body. They consist of a cluster of dendrites at one end, a long axon leading to the nerve cell body, and another axon leaving the nerve cell body at the same area. Neurons connect to each other by synapses. The neuron first carrying the information is called the presynaptic neuron. This neuron has synaptic vesicles that release neurotransmitters. The synaptic cleft is the space between the neurons and the postsynaptic neuron is the receiving neuron. Label the various neurons and their parts as well as the synapse between the neurons. a. _ d. _ e. _ f._ _~ _ Answer Key: a. Dendrites, b. Nerve cell body, c. Axon, d. Multipolar neuron, e. Bipolar neuron, f. Pseudounipolar neuron, g. Presynaptic neuron, h. Postsynaptic neuron, i. Synaptic vesicles, j. Synaptic cleft, k. Neurotransmitter k. _ .1.-------- Chapter Five Nervous System I me lea _ UPLANd' I 111 NEURAL DEVELOPMENT The nervous system develops early as a neural groove. This groove folds in on itself to become a neural tube as early as four weeks after conception. At about six weeks of age the beginning cerebral hemispheres can be seen as lateral enclosures from the neural tube along with the developing eye just posterior to the hemispheres. This embryonic brain is divided into three regions, the prosencephalon or forebrain, the mesencephalon or midbrain, and the rhombencephalon or hindbrain. Label the parts of the embryonic brain and the adult derivatives of that brain and color in the regions. e. ~'ta, I \ (\ . I I'. \..tr~\... b.. Q[f _ ~)\ , ~ ;1 \ \ ... .;/ / ~ rt[ c. \.... f., -.- r - - - , ,' \ . d. \r.j /i Frontal section 4-week embryo 1,.;1 1[1 Frontal section 6-week embryo Lateral view 4-week embryo Lateral view 6-week embryo g._---- 1. _ Answer Key: a. Prosencephalon, b. Mesencephalon, c. Rhombencephalon, d. Spinal cord, e. Cerebral hemisphere, f. Developing eye, g. Forebrain, h. Midbrain, i. Hindbrain Chapter Five Nervous System I me"dCa KAPLA~. I 113 LATERAL ASPECT OF THE BRAIN The most obvious features of a lateral view of the brain are the lobes of the cerebrum and the cerebellum. The most anterior lobe is the frontal lobe, which is responsible for intellect and abstract reasoning, among other things. The division between the frontal lobe and the parietal lobe is the central sulcus. Just anterior to the central sulcus is the precentral gyrus, an area that sends motor impulses to muscles of the body. Just posterior to the central sulcus is the postcentral gyrus. The postcentral gyrus receives sensory information from the body. On the lateral aspect of the brain is the lateral fissure and inferior to this is the temporal lobe of the brain. Hearing, taste, smell, and the formation of memories all have centers here. The most posterior part of the cerebrum is the occipital lobe, which has visual interpretation areas. Label the regions seen in a lateral view of the brain and the spinal cord. Color the precentral and postcentral gyri and then color the lobes of the brain. Shade in the cerebellum as well. e. _ d. _ c.-- _ b. _ a. _ Answer Key: a. Temporal lobe, b. Lateral fissure, c. Frontal lobe, d. Precentral gyrus, e. Central sulcus, f. Postcentral gyrus, g. Parietal lobe, h. Occipital lobe, I. Cerebellum Chapter Five Nervous System I meulCa KAPLA~. I 115 SUPERIOR ASPECT OF THE BRAIN From the superior aspect, the two cerebral hemispheres are divided by the longitudinal fissure. The frontal lobes are separated from the parietal lobe by the central sulcus. The precentral gyrus (primary motor cortex) and the postcentral gyrus (primary somatosensory cortex) are on either side of the central sulcus. The gyri are the raised areas of the cerebral cortex and the sulci are the shallow depressions of the cerebral cortex. Together, these compose the convolutions of the brain. Label and color the regions of the superior aspect of the brain. a. _ b. c. - - - - - - - - - - d. ----'----'- e. _ f. _ g.-----1. - - - - -_ _ h. Answer Key: a. Frontal lobe, b. Longitudinal fissure, c. Precentral gyrus, d. Central sulcus, e. Postcentral gyrus, f. Parietal lobe, g. Gyri, h. Occipital lobe, i. Sulci Chapter Five Nervous System I KAPLAN d'. I me lea 117 INFERIOR ASPECT OF THE BRAIN When seen from an inferior view, many different features can be seen on the brain. The frontallobe is anterior and the temporallobe and cerebellum are visible as well. The cerebellum has small folds called folia. The medulla oblongata is attached to the spinal cord and the pons is anterior to the medulla oblongata. Anterior to the pons are the mammillary bodies which are responsible for the olfactory (smell) reflex. The pituitary gland is next to the mammillary bodies. Anterior to the pituitary is the optic chiasma, an x-shaped structure that has the optic nerves anteriorly and the optic tracts posteriorly. The olfactory tracts are seen in this view of the brain as two parallel structures on either side of the longitudinal fissure. The blood vessels of the brain are not visible in this illustration because they obstruct some of the neural structures. They are covered in the cardiovascular section. The cranial nerves will be covered in subsequent pages. Label the structures seen in an inferior view and color them in. g.------- Answer Key: a. Frontal/obe, b. Cranial nerves, c. Optic chiasma, d. Pituitary, e. Temporal lobe, f. Mammillary body, g. Pons, h. Medulla oblongata, i. Cerebellum Chapter Five Nervous System I meulcaI KAPLA!._ 119 MIDSAGITIAL SECTION OF THE BRAIN When the brain is sectioned in the midsagittal plane, many internal features are visible. One of the most obvious features is the crescentshaped corpus callosum. Superficial to this is the cerebral hemisphere with the frontal lobe, parietal lobe, and occipital lobe. Locate the thalamus, hypothalamus, and mammillary body along with the optic chiasma and the pituitary gland. The pineal gland is a small structure at the posterior aspect of the thalamus. These structures are all part of the forebrain. The midbrain is a small section with the cerebral peduncles forming the inferior aspect of the midbrain and the cerebral aqueduct as a narrow tube between the peduncles and the corpora quadrigemina. The corpora consist of the superior colliculi which are responsible for visual reflexes and the inferior colliculi which are responsible for auditory reflexes. Posterior and inferior to the midbrain is the hindbrain. It consists of the pons, the cerebellum and the medulla oblongata. The pons is a large, oval-shaped structure. The cerebellum is visible with the arbor vitae (white matter of the cerebellum) and a triangular space known as the fourth ventricle. The medulla oblongata is the terminal part of the hindbrain. Label the features of the midsagittal section of the brain and color them in. f. g. _ d. c. _ J.----b. --',-_--'k. _ a. _ f. _ q._------- p._--o. Answer Key: a. Optic chiasma, b. Mammillary body, c. Hypothalamus, d. Frontal lobe, e. Thalamus, f. Corpus callosum, g. Pineal gland, h. Parietal lobe, i. Superior colliculus, J. Cerebral aqueduct, k. Occipital lobe, I. Inferior colliculus, m. Cerebellum, n. Fourthventricle, o. Medulla oblongata, p. Pons, q. Cerebral peduncle, r. Pituitary Chapter Five Nervous System I IAPLAN I me dlea 121 CORONAL SECTION OF THE BRAIN When the brain is sectioned in the coronal plane, the convolutions are obvious. The gray matter is on the external aspect of the brain and the white matter is internal. There are deep sections of gray matter in the brain and these are known as basal nuclei. The external gray matter is known as the cerebral cortex and is divided into the gyri (raised areas) and sulci (depressed areas). The longitudinal fissure is the deep cleft that separates the cerebral hemispheres. The cerebral hemispheres are connected by the corpus callosum. Deep in the hemispheres are spaces known as the lateral ventricles and the third ventricle is a space in the middle part of the brain. On the sides of the third ventricle is the thalamus and the floor of the third ventricle is the hypothalamus. The pituitary is suspended from the hypothalamus by the infundibulum. ~b , )~"" c. ":2X 7~\ d ,',/ )' e " . _ (g._-I h.---- Answer Key: a. Longitudinal fissure, b. Cerebral cortex (gray matter), c. Corpus callosum, d. Lateral ventricle, e. White matter, f. Thalamus, g. Third ventricle, h. Basal nuclei Chapter Five Nervous System I KAPLAN d'. I me lea 123 LIMBIC SYSTEM The limbic system is deep in the cerebrum and performs numerous functions. The system has an important role in memory and in emotions (both positive and negative). The sense of smell enters the limbic system and has interpretive centers there. The cingulate gyrus is a curved part of the system and coordinates sensory input with emotions. The hippocampus and amygdala are also parts of the limbic system. The amygdala plays a role in both arousal and aversion and the hippocampus is involved in memory formation. The hippocampal gyrus is part of the temporal lobe and takes sensory information to the hippocampus. Memory apparently enters the limbic system as damage to the limbic system impairs memory formation. The storage of memory occurs in other parts of the brain. The mammillary body receives olfactory inputs and the fornix connects the mammillary body to the hippocampus. Label and color the parts of the limbic system. a. _ 1.-- _ h. _ g. - - - - - - - - f. e. Answer Key: a. Cingulate gyrus, b. Fornix, c. Thalamus, d. Hippocampal gyrus, e. Hippocampus, f. Amygdala, g. Mammillary body, h. Olfactory bulb, I. Hypothalamus Chapter Five Nervous System I KmAPeLAN(I' -.eal 125 FUNCTIONAL AREAS OF THE CEREBRUM The cerebrum can be described not only physically but also in terms of the functional areas. The functions of language are many and have different areas of specialization. The motor speech area (Broca's area) is typically on the left side of the frontal lobe and it involves the formation of words. Coordination of the tongue and other parts of the vocal apparatus occur here. Wernicke's area is located in the parieto-temporal region and is involved in the syntax of speech. Wernicke's area allows for the formation of sentence structure while Broca's area is involved in the articulation of speech. The primary motor cortex is located in the precentral gyrus and it determines what body muscles to move. The motor association area is just anterior to the primary motor cortex. The primary somatosensory cortex receives sensory information from the body and has a sensory association area just posterior to it. On the inferior part of the postcentral gyrus is the primary gustatory cortex. Here is where the sense of taste is interpreted. The posterior part of the brain includes the visual association area. If this area is damaged, then sight can be impaired or lost completely. The angular gyrus is one of the areas associated with reading. The temporal lobe includes the primary auditory cortex and the auditory association area. Label these functional areas of the brain and color each one in a different color. You may want to use different shades of colors for related areas. For example, you may want to color the primary motor cortex with one shade of green and the related motor association area with another shade of green. a. _ b. _ f. _ h. _ Answer Key: a. Motor association area, b. Primary motor cortex, c. Primary somatosensory cortex, d. Wernicke's area, e. Angular (reading) gyrus, f. Visual area, g. Visual association, h. Auditory cortex, i. Motor speech Chapter Five Nervous System I me UPLANd' lea I 127 VENTRICLES The brain has hollow cavities enclosed in nervous tissue called ventricles. Each cerebral hemisphere has a lateral ventricle and these lead into a central third ventricle via the interventricular foramina. Cerebrospinal fluid (CSF) is produced from blood capillaries called choroid plexuses in the ventricles and this fluid flows slowly through the ventricles. There are choroid plexuses in all of the ventricles of the brain. The CSF from the lateral ventricles flows into the third ventricle. From the third ventricle the CSF flows into the cerebral aqueduct to the fourth ventricle which is located anterior to the cerebellum. From the fourth ventricle, CSF exits to the space between the brain and the skull. CSF cushions the brain from mechanical damage and 'floats' the brain in a fluid medium. The CSF is returned to the cardiovascular system by venous sinuses. Label the ventricles, foramina, and the mesencephalic aqueduct. Color in the spaces after you have labeled them. ....... ~.. a. ........ ",,:,': , .... ~~~~.. b. .. ..' . .... ',' . .... ". '.~'" _ ........ :;.::. _ : :::: r. .. .... . ..' d. e. _ .....::::::.:.:.., Answer Key: a. Lateral ventricle, b. Third ventricle, c. Cerebral aqueduct, d. Interventncular foramen, e. Fourth ventricle Chapter Five Nervous System I I IAPLAN medlea 129 CEREBROSPII\JAL FLUID PATHWAY Both the brain and spinal cord have layers that cover the nervous tissue. These are known as the meninges. The cerebrospinal fluid (CSF) is produced in the choroid plexuses and then exits to the outside of the brain where it is absorbed in the venous sinus. Label and color the structures and trace the flow of cerebrospinal fluid in the schematic from its source to its reabsorption in the cardiovascular system. a. - - _ d.- _ a. - - _ Answer Key: a. Cerebrospinal fluid, b. Choroid plexus, c. Venous sinus, d. Interventricular foramen, e. Third ventricle, f. Cerebral aqueduct, g. Fourth ventricle Chapter Five Nervous System I 1APeLAN(I'-Ical m 131 SPINAL CORD The spinal cord is attached to the brain at the foramen magnum. It expands just below this junction as the cervical enlargement. This enlargement is due to the increased neural connections with the upper extremities. Another increase in the diameter of the cord is the lumbar enlargement and it is due to the neural connections with the lower extremities. The end of the cord is the conus medullaris and this is found at the region of the first or second lumbar vertebra. The shortness of the spinal cord occurs because it matures early and the vertebral column continues to grow. The neural fibers continue in the vertebral canal as the cauda equina, a structure that resembles a horse's tail. The cord is attached to the coccyx by an extension of the pia mater called the filum terminale. c. _~~~~~~~~_ Answer Key: a. Dura mater, b. Cervical enlargement, c. Spinal nerves, d. Lumbar enlargement, e. Conusmedullaris, f. Cauda equina, g. Filum terminale, h. Coccygeal ligament Chapter Five Nervous System I KAPLAlf I medlea 133 CRANIAL NERVES The cranial nerves are those nerves that attach to the brain. They are paired and are numbered (typically by Roman numerals) from anterior to posterior. The olfactory nerve is a sensory nerve that receives the sense of smell from the nose and transmits it to the brain. The optic nerve takes visual impulses from the eye while the oculomotor nerve mostly takes motor impulses to several muscles that move the eye. The trochlear nerve takes motor impulses to the superior oblique muscle. The trochlear nerve is so named because it innervates a muscle that passes through a loop called the trochlea. The trigeminal nerve is a large nerve located laterally in the pons. It is a mixed nerve (having both sensory and motor functions) that has three branches. The ophthalmic branch innervates the upper head while the maxillary branch innervates the region around the maxilla. The mandibular branch innervates the jaw. The abducens nerve is posterior to the trigeminal and is located exiting the brain between the pons and the medulla oblongata. It is a motor nerve to the lateral rectus muscle of the eye. On the anterior portion of the medulla oblongata is the facial nerve, which is both a sensory and motor nerve to the face and the tongue. The vestibulocochlear nerve is a sensory nerve that receives impulses from the ear. It picks up auditory stimuli as well as information about equilibrium. The glossopharyngeal nerve is a nerve that carries both sensory and motor impulses. It innervates the tongue and throat. A large nerve on the side of the medulla oblongata is the vagus nerve. It is also a mixed nerve carrying both sensory and motor impulses. The vagus nerve innervates organs in the thoracic and abdominal regions. The accessory nerve is inferior to the vagus nerve and is a motor nerve to the neck muscles. The hypoglossal nerve is a motor nerve to the tongue. Label the cranial nerves and color each pair a different color. b.c.-- _ _ d.--- _ f. _ h. 1. _ 1. _ Answer Key: a. Olfactory, b. Optic, c. Oculomotor, d. Trochlear, e. Tngeminal, f. Abducens, g. Facial, h. Vestibulocochlear, i. Glossopharyngeal, J. Vagus, k. Accessory, I. Hypoglossal Chapter Five Nervous System KAPLA~. I I meulCa 135 SPINAL CORD AND SPINAL NERVES When seen in cross section, the spinal cord is composed of an internal arrangement of gray matter resembling a butterfly and an external white matter. The two thin strips of gray matter are the posterior gray horns and the more rounded sections are the anterior gray horns. The lateral gray horns are found in the thoracic and lumbar regions. The hole in the middle of the spinal cord is the central canal and the gray matter that surrounds the central canal is the gray commissure. The spinal cord has two main depressions in it, the posterior median sulcus and the anterior median fissure. Label the parts of the spinal cord and color in the regions. Attached to the spinal cord are the spinal nerves that take impulses from the spinal cord to the peripheral nerves and impulses to the spinal cord. The spinal nerves are mixed nerves that pass through the intervertebral foramina of the vertebral column. The spinal nerve splits into a dorsal root and a ventral root. The dorsal root ganglion is a swelling of the dorsal root within its intervertebral foramen. The dorsal root ganglion contains the nerve cell bodies of the sensory neurons corning from the body. The ganglion leads to the dorsal root which branches into the rootlets. These branches carry sensory information to the posterior gray horn of the spinal cord. The ventral root carries motor information from the anterior gray horn and innervates muscles. Both the brain and spinal cord have layers that cover the nervous tissue. These are known as the meninges and there are three layers. The outermost layer is the dura mater and it is a tough connective tissue layer. Underneath this layer is the arachnoid mater, which is so named because it looks like a spider web. At a deeper layer is the subarachnoid space, which is filled with cerebrospinal fluid. The deepest of the layers is the pia mater and it is located on the surface of the nervous tissue. Label the meninges and the structures associated with the spinal cord in both the horizontal view and the lateral view and color them in. a. fM<~Vb. '. ;~ d . - - - - - - - - e. _ ~c. f.------- g.----- .~~ ~\ ~ ... ~; -~~ ~ h.------ -~ ------- ==:::::::. -~ 1. - - - - - - - - - 1. a. _ J.-----b. _ g._---- d. _ c. _ k. _ e. _ Answer Key:a. Pia mater, b.Ventral root, c. Dorsal root,d. Dorsal root ganglion, e. Posterior mediansulcus, f. Arachnoid, g. Spinal nerve, h. Dura mater, i. Anterior grayhorn, j. Lateral gray horn,k. Central canal, I.Anterior medianfissure, m. Posterior grayhorn Chapter Five Nervous System I meulCa KAPLA~. I 137 PLEXUSES AND THORACIC NERVES There are 31 pairs of spinal nerves grouped by region of the vertebral column. The cervical nerves are the most superior and there are eight pairs of them. The first cervical nerves arise superior to the first cervical vertebra. The thoracic nerves arise as twelve pairs. They lead to nerves that innervate the muscles between the ribs and associated skin. There are five pairs of lumbar nerves and five pairs of sacral nerves. The last pair of spinal nerves is the coccygeal nerves. A plexus is a web-like arrangement of nerves that is near the spinal cord and gives rise to the terminal nerves. The most superior plexus is the cervical plexus which arises from the first five cervical spinal nerves. The brachial plexus receives input from the fifth through eighth cervical nerves and the first pair of thoracic nerves. The lumbar plexus arises from the first four pairs of lumbar nerves and the sacral plexus is associated with the last two pairs of lumbar nerves and the first four pairs of sacral nerves. Sometimes the lumbar and sacral plexuses are grouped together as the lumbosacral plexus. Use one color to color in the short segments of the spinal nerves and label the plexuses. Color each plexus a different color. a. _ e. _ b. _ f. _ g.-----c. ---;------;----+--.,-' \ h. d. ----+-----.!!-~_v_ ~~~~~=~===I__l.-------- Answer Key: a. Cervical plexus, b. Brachial plexus, c. Lumbar plexus, d. Sacral plexus, e. Cervical nerves, f. Thoracic nerves, g. Lumbar nerves, h. Sacral nerves, i. Coccygeal nerves Chapter Five Nervous System I me UPLANd' I lea 139 1\1 ERVES OF CERVICAL PLEXUS The cervical plexus is a complex interweaving of branches from the first five pairs of cervical nerves. The hypoglossal nerve enters this plexus from the head. The ansa cervicalis is an arched structure (ansa is Latin for loop) that has many nerves innervating the anterior throat muscles. The major nerves of the cervical plexus are the two phrenic nerves that descend to the diaphragm and stimulate the diaphragm to contract. Label the major features of the cervical plexus and color the hypoglossal nerve, the ansa cervicalis, and the phrenic nerve. Contributions to the accessory nerve leave the cervical plexus from C2, 3, and 4. f. _ g.----- h. / _ Answer Key: a. C 1, b. C2, c. C3, d. C4, e. C5, f. Hypoglossal nerve, g. Ansa cervicalis, h. Phrenic nerve Chapter Five Nervous System KAPLAlfdI I me lea 141 NERVES OF BRACHIAL PLEXUS The brachial plexus is associated with spinal nerves C4-8 and Tl. It leads to major nerves of the shoulder and arm. The axillary nerve arises from the brachial plexus and innervates the deltoid and the teres minor muscles. It also receives stimulation from the skin of the shoulder and lateral upper limb. The radial nerve innervates the triceps brachii muscle and the extensors of the forearm and hand. The musculocutaneous nerve innervates the anterior muscles of the arm (biceps brachii, brachialis, and coracobrachialis) and the skin on the lateral side of the forearm. The median nerve runs the length of the arm and forearm and innervates the anterior muscles of the forearm and the muscles associated with the thumb. The ulnar nerve passes along the posterior side of the medial epicondyle of the humerus and gives that tingling sensation of the "funny bone" when hit. It innervates the muscles of the medial side of the anterior hand. Label these nerves and related structures and color them in. Select a different color for each nerve. 1. _ Scalene muscle g._---h. _ 1. / / First rib J.----------- / k. _ Axillary artery Answer Key: a. C4, b. C5, c. C6, d. C7, e. C8, f. T1, g. Axillary nerve, h. Musculocutaneous nerve, i. Radial nerve, J. Median nerve, k. Ulnar nerve, I. Vertebra C4 Chapter Five Nervous System I med'.leaI KAPLAN 143 NERVES OF LUMBAR PLEXUS The lumbar plexus leads to nerves on the anterior and the medial aspect of the thigh. A large femoral nerve arises from the lumbar plexus and innervates the four muscles of the quadriceps femoris group on the anterior thigh. The obturator nerve innervates the adductor muscles of the medial thigh and the genitofemoral nerve is a sensory nerve that receives impulses from the male scrotal sac and the labia majora in females. The iliohypogastric nerve innervates the muscles of the abdomen and the skin of the belly. The ilioinguinal nerve innervates the same muscles as does the iliohypogastric nerve and it receivessensory information from the base of the penis and the scrotum in males, and from the labia majora in females. The lateral femoral cutaneous nerve receivessensory information from the skin of the lateral thigh. Label these nerves in the illustration and color them in with a different color. Nerve roots: Psoas major muscle g._------ h. 1. _ _ J.------- ,I Answer Key: a. T 12, b. L1, c. L2., d. L3. e. L4, f. L5, g. iliohypogastric nerve, h. ilioinguinal nerve, i. Lateral femoral cutaneous nerve, j. Femoral nerve, k. Genitofemoral nerve, I. Obturator nerve Chapter Five Nervous System I meulCaI KAPlA'!._ 145 NERVES OF SACRAL PLEXUS The sacral plexus has nerves that provide genital innervation and also has motor nerves to the posterior hip, thigh, and anterior and posterior leg. The pudendal nerve innervates the penis and scrotum in males, the clitoris, labia, and distal vagina in females, and the muscles of the pelvic floor in both sexes. The sacral plexus also has the superior and inferior gluteal nerves that innervate the gluteal muscles and the tibial nerve and the common fibular nerve. These last two nerves are grouped together as the sciatic nerve, a large nerve of the posterior thigh. The tibial nerve innervates the hamstring muscles, the muscles of the calf, and the muscles originating on the foot. The common fibular nerve innervates the short head of the biceps femoris muscle, the muscles on the lateral side of the leg and the anterior surface of the leg. Cutaneous branches innervate the skin and muscular branches take motor information to the muscles. Label these nerves and color them in. Nerve roots: a. ~ b. ____ c. _---- d. e. ______ ____ p.------o. _ n . - - - - - -_ _ Answer Key: a. L4, b. L5, c. S1, d. S2, e. 53, f. S4, g. S5, h. Coccygeal nerve, i, Superior gluteal nerve, j. Inferior gluteal nerve, k. Pudendal nerve, I. Common fibular nerve, m. Tibial nerve, n. Sciatic nerve, o. Cutaneous branches, p. Muscular branches Chapter Five Nervous System I KAPLAN'dI me lea 147 DERMATOMES Dermatomes are regions of the skin innervated by nerves. The nerves receive sensory inputs from the skin and take that information back to the spinal cord. The clinical importance of dermatomes is the role they play in assessing spinal cord damage. If there is a significant spinal cord injury, then the regions below the level of the injury may not transmit sensory signals to the brain. Lack of sensation in specific areas of the skin provides a base of understanding of where the trauma may be located. Color in the regions that are innervated by the cervical nerves with one color and choose separate colors for the thoracic, lumbar, and sacral innervation. Label the innervations of the dermatomes. Answer Key: a. C2, b. C5, c. C6, d. C7, e. T1, f. T4, g. TlO, h. T12, I. C7, j. S5, k. L1, L S1, m. L5 Chapter Five Nervous System I me UPLANd' lea I 149 AUTONOMIC NERVOUS SYSTEM-SYMPATH ETIC DIVISION The autonomic nervous system (ANS) regulates automatic functions of the human body. Changes in heart rate, pupil dilation, digestive functions, and blood flow to the kidney are all controlled by the ANS. There is some possibility of conscious regulation of parts of the ANS, but, for the most part, it functions without conscious control. There are two divisions of the autonomic nervous system. The resting state of the body is controlled by the parasympathetic division. Digestion, kidney filtration, erection of the clitoris, erection of the penis, and pupil constriction are some of the functions of the parasympathetic division. This division is also known as the craniosacral division because the nerves exit the central nervous system (CNS) in these locations. The cranial segments go to the eye, salivary glands, heart, lung, digestive system, and kidneys. The sacral segments go to the lower digestive tract, bladder, and reproductive organs. The sympathetic division controls the "fight or flight" response of the body, shutting down the digestive functions, inhibiting erections, shunting blood away from the kidneys, and dilating the pupils. The sympathetic division increases heart rate, dilates capillaries in the lungs, brain and muscle tissue, and stimulates the adrenal glands. This division is also known as the thoracolumbar division because the nerves exit the CNS in the thoracic and lumbar regions of the spinal cord. There are ganglia associated with the sympathetic division and these are located on either side of the ventral portion of the vertebral column. They are called the sympathetic chain ganglia and the neurons from the thoracolumbar division synapse with nerve cells in these ganglia. a. _ ........... b . _ c. __-,-_ ,:::.. K~. !: "\fbjj) " .. ...... .1.....)1 ~ J ::::: ~ \ ' <C' / y.::...._. :/.... :;: .::' :" .... " 1 ... d.- - - - - - - - - - - e. __ --_ ~ I .. . . . O:P?'::::~ ......... " ...;.::::.:: ;::,...,.,... j~ : . :</::.: /. . :.:.:.:.: .... .... ::::.:.~" ::' ..~ .",',' .,' " 0': . ','" ." c. _ Answer Key: a. Preganglionic, b. Postganglionic, c. Ganglia, d. Sympathetic trunk, e. T1, f. L2 Chapter Five Nervous System I UPLAlf I medlea 151 AUTONOMIC NERVOUS SYSTEMPARASYM PATH ETIC DIVISION The parasympathetic and sympathetic divisions are antagonistic to one another and organs under the influence of the ANS have dual innervation. Typically,one division either inhibits the organ from functioning or causes an increase in activity in the organ. This occurs due to the difference in neurotransmitters secreted by the separate divisions. At the terminal end of the parasympathetic division, the neurotransmitter is acetylcholine. At the terminal end of the sympathetic division, the neurotransmitter is mostly norepinephrine. The neurons leaving the eNS are called preganglionic neurons. In the case of the parasympathetic division, the preganglionic neurons secrete acetylcholine as neurotransmitters. The ganglia of the parasympathetic division are next to, or in, the organ they innervate. The postganglionic neurons secrete acetylcholine as well. In the sympathetic division, the preganglionic neurons secrete acetylcholine in the sympathetic chain ganglia. The postganglionic neurons mostly secrete norepinephrine to stimulate or inhibit the organs they innervate. a. ........... b. _ _ c. _ d. e~ _ _ f. _ g._-- I ~ c. _ \) II Answer Key: a. Preganglionic, b. Postganglionic, c. Ganglia, d. Oculomotor Ill, e. FaCial VII, f. Glossopharyngeal IX, g. Vagus X, h. 52, i. 54 Chapter Six: Sense Organs SKIN RECEPTORS There are several sense receptors in the skin. Some of these are involved in determining mechanical vibration, some sense temperature, and some sense pain. The receptors for mechanical vibration pick up light touch or are involved in perception of pressure. There are hair receptors that wrap around the hair follicles, and as the hair moves it stimulates the neurons. Light touch is perceived by both Meissner's corpuscles and 153 Merkel's disks. These receptors are found in the superficial layers of the skin (epidermis and upper dermis). In the deeper layers are the Pacinian or Iamellated corpusdes that pick up pressure. Pain receptors are located throughout the skin and pick up variable stimuli including extreme temperatures, acids, strong mechanical vibration, etc. Other receptors in the skin are thermo receptors that pick up the sensation of smaller changes in temperature. Label these structures and color them on the figure. a. _ b. _ c. _ d. ""'~-_++JA_~_t~'1/ e. _ Answer Key: a. Meissner's corpuscles, b. Merkel's disks, c. Pain receptor, d. Hair receptors, e. Pacinian (Iamellated) corpuscle, f. Epidermis, g. Dermis Chapter Six Sense Organs I lAPLA~. I meulca 155 TONGUE The tongue is the region where taste is perceived. The tongue has regions that are sensitive to different tastes and these vary from person to person. Not only do people taste material in different places on the tongue, but the sensitivity to taste is different in individuals. Taste buds are located on the sides of papillae of the tongue. The lingual tonsils are found on the posterior tongue and the palatine tonsils are on the sides of the oral cavity. Posterior and inferior to the tongue is the epiglottis. The papillae of the tongue come in a few shapes. Vallate papillae are shaped like mesas. They have a flat top. Filiform papillae are line-shaped while fungiform papillae are shaped like ill ushrooms. Label and color the papillae. a. _ b. _ c. _ d. _ e.----------- f. _ Color in the taste buds in the illustration. They consist of epithelial cells and nerve cells. Taste is sensed if the material to be tasted is in solution and comes into contact with the taste pore. The taste buds have taste hairs that extend into the taste pore and connect with taste cells that in turn synapse with sensory nerve fibers that take the sense of taste to the brain. Label the figure and color in the various structures. g._---d. _ e. _ 1. - - - - - - - - - f. Answer Key:a. Epiglottis, b. Palatine tonsil, c. Lingual tonsil, d. Vallate papilla, e. Fungiform papilla, f. Filiform papillae, g.Taste bud, h. Taste pore, i. Sensory nerve fibers _ g._---- Chapter Six IIAPLA~. I Sense Organs meulca 157 NOSE The sense of smell is more complex than the sense of taste. There are only five primary tastes but many different kinds of smells. The region that is sensitive to smell is the olfactory epithelium which is located in the superior portion of the nasal cavity. The olfactory epithelium consists of elongated epithelial cells that are supporting cells with neurons called olfactory cells. These olfactory cells have olfactory hairs on their surface. Chemicals that are inhaled come into contact with a mucous sheet and are picked up by the olfactory cells. The sensation of smell is transmitted by the olfactory nerves through the cribriform plate of the ethmoid bone and they synapse in the olfactory bulb at the base of the frontal lobe of the brain. a. ----',--',.!(L~ b. c. _ _ d. --~~'-------- g._--~~-- ---b. ~ c. o Answer Key: a. Olfactorybulb, 0 0 _ b.Olfactory filaments, c. Olfactoryepithelium d. Nasal cavity, e. Olfactorycells, f. Supportingcells, g. Cribriform plate, h. Olfactoryhairs e. _ ""h. f._ _ Chapter Six Sense Organs I meulCaI KAPLA~. 159 ANTERIOR SURFACE OF THE EYE AND LACRIMAL APPARATUS The eye is located in the orbit of the skull and has several external features. Above the eye is the eyebrow. The corners of the eye have either a lateral commissure or a medial commissure. Next to the medial commissure is the caruncle, a small thickened tissue in the medial corner of the eye. The outer surface of the eye is protected by the upper and lower eyelids. The blink reflex rapidly closes the eyelids to keep dust from hitting the outer surface of the eye. Label and color the sclera (the white of the eye), iris (the colored part of the eye), pupil (the opening that lets light into the back of the eye), and the eyelids. There is a transparent extension of the sclera called the cornea and it covers the iris and pupil. The eyes are kept moist and are subject to potential bacterial infection. Tears have antimicrobial properties and are formed by the lacrimal gland. They contain digestive enzymes and wash microbes from the surface of the eye. Tears drain from the eye into the lacrimal canals. These canals lead into the nasolacrimal duct and then into the nasal cavity. b. a. - - - - - - - - - _ _ c.- _ d. - _ e. - - - - - - - - - - - - - g.------h. 1.-- _ f. _ J.-------k. _ 1. _ Answer Key: a. Lacrimal gland, b. Upper eyelid, c. Sclera, d. Lacrimal canal, e. Medial commissure f. Nasal cavity, g. Lateral commissure, h. Pupil, i. Iris, j. Lower eyelid, k. Caruncle, I. Nasolacrimal duct Chapter Six Sense Organs I medleaI KAPLAlf 161 MUSCLES OF THE EYE The lateral and superior views of the eye show the major muscles controlling the eye. The lateral rectus is the muscle that lets you see towards the side. The medial rectus turns the eye toward the midline. The superior rectus makes you look up while the inferior rectus makes you look down. The superior oblique turns the eye inferiorly and laterally while the inferior oblique makes the eye turn superiorly and laterally. The levator palpebrae superioris elevates the eyelid. Label and color the muscles of the eye and the optic nerve where it exits the tendinous ring. d.-----c. b.-----a. - - - - - - - - - g.------- f. e.-------- e. - - - - - - - a. - - - - - - - g.-----Answer Key: a. Lateral rectus, b. Superior rectus, c. Levator palpebrae superioris, d. Superior oblique, e. Inferioroblique, f. Inferiorrectus, g. Optic nerve, h. Medial rectus Chapter Six Sense Organs I KAPLAlf I medlea 163 MEDIAN SECTION OF THE EYE The cornea is the outermost part of the eye and it is responsible for most of the light refraction in the eye (the bending oflight rays). On the periphery of the cornea is the sclera which helps maintain eye shape. The space behind the cornea is the anterior cavity which is found in front of the lens. It is composed of two smaller chambers, the anterior chamber and the posterior chamber. The anterior chamber is between the cornea and the iris, the part that determines eye color. The posterior chamber is between the iris and the lens. The lens is made of protein and is held to the wall of the eye by the suspensory ligaments. These ligaments are pulled by the ciliary muscle on the wall of the eye. When the ligaments tighten, the lens flattens and the eye focuses on distant objects. The fluid in the anterior cavity is known as aqueous humor and it is released by the ciliary body and reabsorbed in the scleral venous sinus. Behind the lens is the posterior cavity. This cavity is filled with a jellylike material called vitreous humor. Light travels through this medium to the back of the eye where it strikes the retina. The retina is the region of the eye where light waves are converted to nerve impulses. The fovea is a small area of the retina where there is a high concentration of cones (cells that determine color and visual acuity.) Behind the retina is the choroid, a darkened layer that absorbs light, making vision sharp during the daytime. Behind this layer is the sclera, the white of the eye, where muscles attach. At the posterior of the eye you can see the optic disk. This is where the optic nerve takes visual impulses from the eye to the brain. Color the median section of the eye after you have filled in the appropriate labels. a.------b._ n. _ d. _ m. _ 1._--- ) k. _ j._---- L- _ o. - - _ p._------ Answer Key: a. Scleral venous sinus, b. Ciliary muscle, c. Retina, d. Choroid,e. Fovea, f. Optic nerve, g. Optic disk, h. Sclera, I. Posteriorchamber, j. Anterior chamber, k. Cornea, I. Lens, m. Iris, n. Suspensory ligament, o. Anterior cavity, p. Posteriorcavity, q. Vitreous humor Chapter Six Sense Organs I med leaI IAPLAN 165 POSTERIOR VIEW OF THE EYE In the posterior view of the eye you can see the blood vessels in the choroid that bring nutrients to the back of the eye. Color these vessels. They enter the eye at a region known as the optic disk, which is the same place where the optic nerve exits the eye. This is the blind spot of the eye. You should also label and color the fovea centralis of the eye and the macula lutea. The macula lutea means "yellow body" while the fovea central is is the region of the eye with a great number of photosensitive cells. a. _ ...:'. " Retina The retina is the tunic or layer of the eye that converts light energy into nerve impulses. There are two main types of photosensitive cells in the retina. Rods are more numerous and they determine motion and night vision. There are many rods in the eye but they are not very sensitive in determining visual detail. This is because many rods connect to one neuron fiber. The other photosensitive cells are cones. There are fewer cones per neuron so they produce a sharper visual image. There are three types of cones that have sensitivities to different wavelengths oflight. Label and color the rods and cones in the retina. The retina consists of three layers. The photoreceptor layer contains the rods and cones. This is at the posterior layer of the retina. In front of this is the bipolar layer that has neurons that synapse with the rods and cones. The layer closest to the posterior cavity is the ganglionic layer. The axons of the ganglion cells conduct impulses from the ganglionic layer along the span of the eye and form the optic nerve. Label these layers and color them in. b. _ Light path e.------f. g._----- h.------ Answer Key: a. Macula lutea, b. Fovea centralis, c. Blood vessels, d. Optic disk e. Optic nerve, f. Ganglionic layer, g. Bipolar layer, h. Photoreceptor layer, I. Cone, j. Rod 1. _ J.----- Chapter Six Sense Organs I medleaI KAPLAlf 167 OVERVIEW OF EAR The ear consists of three major regions, the outer ear, the middle ear and the inner ear. The outer ear consists mainly of two parts, the auricle (pinna), including the ear lobe and the external auditory canal. The middle ear begins at the tympanic membrane (ear drum). Inside the tympanic membrane is the tympanic cavity, another part of the middle ear. Here you should label the ear ossicles and the auditory tube (Eustachian tube). The inner ear consists of three major regions, the cochlea, the vestibule, and the semicircular ducts. Use a different color for each major region of the ear. b. - - - - - - - - - al~ d. _ f. e. -x. h. \,,\ '" g. 11. I~ Answer Key: a. Auricle (pinna), b. External auditory canal, c. Ossicles, d. Inner ear, e. Earlobe, f. Tympanic membrane, g. Auditory tube, h. External ear, i. Middle ear Chapter Six Sense Organs I IAPLAll I me dlea 169 MIDDLE EAR The middle ear consists of the tympanic cavity and structures in that cavity. It is connected to the nasopharynx by the auditory tube. This tube allows for equalization of pressure from the middle ear and the external environment. The three ear ossicles transfer sound from the tympanic membrane to the oval window of the inner ear. Label the three ear ossicles, the malleus, incus, and stapes, and color each one a different color. Color the oval window where the stapes connects and use lighter colors for the auditory tube and the tympanic cavity. b.---a. _ 11\1 I'J ER EAR The inner ear consists of the cochlea, the vestibule, and the semicircular ducts. In Latin, the name cochlea means snail shell and it spirals like a snail. Its function is to translate the mechanical vibrations of sound into nerve impulses. The cochlea has an oval window that attaches to the stapes and a round window that allows for changes in pressure to occur in the inner ear. Label the cochlea and color it in. The vestibule has two parts, the utricle and the saccule. These are involved in equilibrium. They determine static equilibrium whereby a person can determine the position of the body at rest. They also register acceleration. Color each of these parts of the vestibule a different color. The semicircular ducts respond to angular acceleration. There are three semicircular ducts, the posterior, the anterior, and the lateral semicircular ducts. Color each of the semicircular ducts a different color. g._----e. _ f. h. 1. J. k. 1. d. _ c.----Answer Key: a. Malleus, b. Incus, e. Stapes, d. Oval window, e. Tympanic membrane, f. Tympanic cavity, 0.-------- p.---- g. Auditory (Eustachian) tube, h. Semicircular ducts, i. Anterior duct, J. Posterior duct, k. Lateral duct, I. Vestibule, m. Utricle, n. Saccule, o. Round window, p. Cochlea Chapter Six Sense Organs I mellical 171 LABYRINTHS OF THE II\II\IER EAR The outer part of the inner ear consists of the bony labyrinth, an outer encasement of bone. Inside of this is a fluid called perilymph. Inside of this is the membranous labyrinth. It is filled with a fluid called endolymph. Label these structures and fluids. a. b. _ _ c. _ f. ~~~""-'"" g._---- h.1. _ _ J. k. _ Cross Section of a Semicircular Canal Look at the cross section of a semicircular duct. The outer part of the canal is the bony labyrinth. Perilymph is the fluid between the bony labyrinth and the membranous labyrinth. Inside the membranous labyrinth is a fluid called endolymph. Label these structures and fluids. b.------- Answer Key: a. Membranous labyrinth, b. Semicircular ducts, c. Utricle, d. Saccule, e. Cochlear duct, f. Perilymph, g. Endolymph, h. Bony labyrinth, i. Semicircular canals, J. Vestibule, k. Cochlea, I. Vestibulocochlear nerve Sense Organs Chapter Six I KAPLA~. meulCa I 173 CROSS SECTION OF COCHLEA Look at the cross section of cochlea. Each coil of the cochlea has three chambers and three membranes. The upper chamber in the illustration is the scala vestibuli. It is connected to the oval window. The vestibular membrane is the tissue that forms the bottom of the scala vestibuli. Below this is the scala media that houses the spiral organ (or the organ of Corti). The bottom chamber is the scala tympani. Between the scala tympani and the scala media is the basilar membrane. Label these features and color each space (scala) a different color. Vestibulocochlear nerve b. _ Spiral Organ The scala media is the region of the cochlea involved in hearing. It is bounded by the vestibular membrane on top and the basilar membrane on the bottom. Attached to the basilar membrane are the hair cells. These cells are attached to the tectorial membrane which vibrates when sound impulses enter the cochlea. The tectorial membrane tugs on the hair cells which converts the sound impulse to a neural impulse which travels by the cochlear nerve to the brain where hearing is interpreted. Label these structures and color them in, each with a different color. e. _ Answer Key: a. Scala vestibuli, b. Vestibular membrane, c. Scala media, d. Scala tympani, e. Basilar membrane, f. Haircell, g. Tectorial membrane Chapter Seven: Endocrine System OVERVIEW OF THE ENDOCRINE SYSTEM The endocrine system is a collection of glands and organs that secrete hormones. This system is grouped according to the function that the individual organs have. Some of these organs have two roles and are called mixed organs. They secrete hormones and also perform other functions such as digestion or secretion. The pancreas is a good example of this. It secretes hormones (an endocrine function) that regulate blood 175 sugar levels and also secretes enzymes (exocrine secretions) that break down material in the digestive tract. Hormones are released from endocrine glands and typically travel through the body in blood vessels and reach target areas that have cells receptive to the hormones. Locate and label the pineal gland, pituitary gland, thyroid gland, pancreas, adrenal glands, testes, and ovaries. Color the organs in with different colors for each organ. d. ~ .~e._-/ J \ \i / I v f. _ g._--- U y., Answer Key: a. Pineal gland, b. Pituitary gland, c. Thyroid gland, d. Adrenal glands, e. Pancreas, f. Ovary, g. Testis Chapter Seven Endocrine System I mKA AN(I' PeL -Ical 171 ORGANS OF THE HEAD The pineal gland is a small gland located posterior to the corpus callosum in the brain. It has the shape of a pine nut but is a little bit smaller. It secretes the hormone melatonin; melatonin levels increase during the night and decrease during the day. The pituitary gland, or hypophysis, is suspended from the brain by a stalk called the infundibulum. The pituitary sits in the hypophyseal fossa which is a depression in the sphenoid bone. The pituitary is a complicated gland that has numerous functions. The adenohypophysis or anterior pituitary originates from the oral cavity during development and consists of epithelium. It produces several hormones which will be discussed later. The anterior pituitary has cells that pick up histological stain differently. These are acidophilic cells and basophilic cells. The neurohypophysis or posterior pituitary is derived from the brain during development and does not make its own hormones but stores hormones produced in the hypothalamus. Label the pineal gland, the corpus callosum, and the pituitary gland and color them in. Label the parts of the pituitary and use different colors for each part. c. ~-\ .~--------------~. <_ . . . g. h. _ d. _ e. f. _ ~~ .. \ : X::; Answer Key:a Pituitary gland (hypophysis), b. Pineal gland, c. Corpus callosum, d. Hypophyseal fossa, e. Adenohypophysis (anteriorpituitary), f. Sphenoid bone, g. Infundibulum, h. Neurohypophysis (posterior pituitary), i. Basophilic cell j. Acidophilic cell e. _ Chapter Seven Endocrine System KAPLA~. I I meulCa 179 HORMONES SECRETED BY THE PITUITARY AND THEIR TARGET ORGANS The adenohypophysis produces and secretes many hormones that have diverse target areas. Growth hormone (GH) is released by the pituitary and causes growth and division of cells throughout the body. Prolactin is more specific in its function. Prolactin stimulates the mammary glands to become functional in milk production. Follicle stimulating hormone (FSH) and luteinizing hormone (LH) are gonadotropins that cause the ovaries and testes to release hormones. Thyroid stimulating hormone (TSH) causes the thyroid gland to secrete hormones and adrenocorticotropic hormone (ACTH) has an influence on the adrenal cortex. The posterior pituitary, or neurohypophysis, stores and secretes a hormone called oxytocin. This hormone has many functions. It causes milk letdown during nursing and has multiple functions as a neurotransmitter in the brain. It is secreted during orgasm in the female and is also released when the infant is nursing. Oxytocin also has an effect on kidney water balance. The other hormone stored in the neurohypophysis is antidiuretic hormone or ADH. It is also known as vasopressin. It causes absorption of water from the collecting tubules of the kidney decreasing the volume of water in urine. h. _ J.----- e. _ Answer Key: a. Adenohypophysis, b. Thyroid stimulating hormone, c. Prolactin, d. Growth hormone, e. Adrenocorticotropic hormone, f. Luteinizing hormone, g. Follicle stimulating hormone, h. Neurohypophysis, i. Oxytocin, J. Antidiuretic hormone (vasopressin) e. f. _ _ g._------- Chapter Seven Endocrine System I KAPLA!I_ I meulCa 181 THYROID GLAND The thyroid gland is just inferior to the thyroid cartilage of the larynx. It has two main lobes and a small connection between them called the isthmus. The histology of the thyroid is very distinctive. There are cells called follicular cells forming a sphere and these make up the follicle. Inside the follicle is the colloid where thyroid hormones are stored. The parafollicular cells are between the follicles. Label the main parts of the thyroid gland, the follicular cells, the parafollicular cells and the colloid and color them in. _ _.,,-- Hyoid bone IS.!..fh+- Thyroid cartilage c. a _ d. _ b. _ Trachea e. _ g._------- Answer Key: a. Thyroid gland, b. Right lobe, c Isthmus, d. Left lobe, e. Colloid, f. Follicular cells, g. Parafollicular cells Chapter Seven Endocrine System I meulCa I KAPLA~. 183 PARATHYROID GLANDS There are typically four glands on the posterior of the thyroid gland and these are known as the parathyroid glands. They secrete a hormone called parathormone which regulates calcium balance in the blood. Parathormone increases blood calcium levels by causing more absorption of calcium from the digestive tract, increased osteoclast activity in the bones, and reabsorption of calcium from the kidney. The principal or chief cells secrete parathyroid hormone. The oxyphilic cells are less common and their function is poorly understood. Label the parathyroids on the posterior thyroid gland and color them in. 0--,---- Hyoid bone / .~~ ~ Inferior constrictor muscle Esophagus Answer Key: a. Thyroid gland, b. Parathyroid glands, c. Principal (chief) cells, d. Oxyphilic cells Endocrine System Chapter Seven I mKAPeLANd' -Ical 185 PANCREAS The pancreas is inferior to the stomach and has several digestive functions. These exocrine secretions are initiated by the acinar cells. The endocrine function of the pancreas consists of the secretion of insulin, glucagon, and somatostatin from the pancreatic islets. These islets are microscopic collections of cells that have specialized cells for the secretion of hormones. Insulin lowers blood glucose levels while glucagon does the reverse. Somatostatin moderates some of the pancreatic cells that have a role in digestion. Label and color in the pancreas and make the pancreatic islets lighter than the acinar cells of the pancreas. b. _ c. _ Answer Key: a. Pancreas, b. Pancreatic islets, c. Acinar cells (exocrine) Chapter Seven Endocrine System I UPLANd' me leaI 187 ADRENAL GLANDS The adrenal glands are positioned superior to the kidneys and are divided into the adrenal cortex and the medulla. The cortex has three layers. The most su perficiallayer is the zona glornerulosa, which is deep to the adrenal capsule and responsible for the secretion of mineralocorticoid hormones. The next layer is the zona fasciculata which mainly secretes glucocorticoids, hormones responsible for the breakdown of proteins and lipids and the synthesis of glucose. The zona reticularis is the deepest layer of the cortex and it secretes androgens (male sex hormones) and small amounts of estrogens (female sex hormones) in both sexes. The most prevalent male hormone is DHEA (dehydroepiandrosterone) which is responsible for the development of the sex drive, pubic hair, and axillary hair. The effects of DHEA are minimized in males as the testes secrete greater amounts of testosterone. The adrenal medulla is the deepest part of the adrenal gland and it secretes epinephrine and norepinephrine. Label and color the adrenal glands and use a different color for each layer of the cortex and another for the medulla. 1 ~. ... ~ -------- ~ c. _ -------------- d. e. _ _ f. ----rc-~~? i Answer Key: a. Adrenal glands, b. Cortex, c. Medulla,d. Capsule, e. Zona glomerulosa, f. Zona fasciculata, g. Zona reticularis, h. Medulla h. _ Chapter Seven Endocrine System I meilical 189 GONADS The ovaries are a mixed gland because they produce the oocytes (egg cells) and also have an endocrine function by producing estrogens. Estrogens are a class of female sex hormones that include estradiol and progesterone. Estradiol is produced in the granulosa cells of the ovarian follicles. These follicles surround the oocytes. Progesterone is produced by the corpus luteum after the oocyte has been ovulated. The testes are also mixed glands. As exocrine glands they produce sperm cells and as endocrine glands the interstitial cells prod uce testosterone. Label and color the interstitial cells and seminiferous tubules in the microscopic view of the testes. b~ _ d. _ e. _ f. _ Answer Key: a Ovary, b. Granulosa cells, c. Ovarian follicles, d. Ova, e. Corpus luteum, f. Interstitial cells, g. Testis, h. Seminiferous tubules h. _ Chapter Eight: Cardiovascular System OVERVIEW OF THE CARDIOVASCULAR SYSTEM The cardiovascular system consists of the heart as a pump, blood vessels that take blood away from the heart (arteries), and blood vessels that take blood back to the heart (veins). Locate the heart on the illustration and color it in purple. Label the common carotid artery and color it in red. Arteries are typically colored in red and veins are colored blue. Label and color in the internal jugular vein too. The internal jugular vein takes blood to the superior vena cava which takes blood to the heart. Label and color the aortic arch red and find the continuation of the aorta that travels down the left side of the body, splits and takes blood to the femoral artery. The vessel parallel to the femoral artery is the femoral vein and it should be colored blue. The femoral vein takes blood to the inferior vena cava befo re it goes to the heart. Blood travels to the arm by the brachial artery and deoxygenated (color it blue) blood travels to the lungs in the pulmonary trunk. 191 a. _ b. _ c. _ d. _ e.------- Answer Key: a. Internal jugularvein, b. Cornman carotid artery, c. Superior vena cava, d. Brachial artery, e. Infenor vena cava, f. Aortic arch, g. Pulmonary trunk, h. Heart, i. Aorta, j. Femoral artery, k. Femoral vem. \ p/Cr ' H Chapter Eight Cardiovascular System I meulca KAPLA~. I 193 CIRCULATION The heart has four chambers including the superior atria and the inferior ventricles. There is a typical coloring pattern for the cardiovascular system. Vessels or chambers that carry deoxygenated blood are colored in blue while vessels that carry oxygenated blood are colored red. Label and color the right atrium (blue), right ventricle (blue), left atrium (red) and left ventricle (red). Remember the heart is in anatomical position so the right atrium is on the left in the illustration. There are two major circulations in the body. One goes to the lungs and this is called the pulmonary circulation. Deoxygenated blood leaves the right ventricle of the heart and travels through the pulmonary artery (blue) to the lungs where the blood is oxygenated. Blood returns from the lungs to the left atrium of the heart by the pulmonary veins (red). The other main circulation in the body is called the systemic circulation where blood travels from the left ventricle of the heart and goes to the other regions of the body. Arteries are vascular tubes that take blood away from the heart while veins are vessels that return blood to the heart. Most arteries carry oxygenated blood and most veins carry deoxygenated blood but there are a few exceptions. The first vessel that leaves the heart is the aorta which is part of the arterial system. Color it red. Arteries receive blood from the aorta and take blood throughout the body. They branch and become smaller until they become arterioles. The arterioles are the structures that control blood pressure in the body. As they get smaller they become capillaries. The capillaries are the site of exchange with the cells of the body. Label and then color the capillaries purple. Purple is a good choice because the capillaries are the interchange between the arteries (red) and the veins (blue). On the return flow the capillaries enlarge and turn into venules, which take blood to the veins. Color the venules and remaining veins of the body blue. Blood from the inferior portion of the heart returns to the heart by the inferior vena cava. f. - - - - - - - circulation: head and arms <===- oxygen-rich blood ~ D D oxygen-poor blood oxygen-poor blood oxygen-rich blood 1. _ a. _ d. J. _ k. _ 1. _ m. f. circulation: internal organs and legs Answer Key: a. Right atrium, b. Aorta, c. Left atrium, d. Rightventricle, e. Left ventricle, f. Systemic, g. Pulmonary, h. Pulmonaryartery, i. Pulmonaryvein, j. Infenor vena cava, k. Vein, I. Venule, m. Capillary, n. Arteriole, o. Artery Chapter Eight Cardiovascular System I meclical 195 BLOOD Blood consists of plasma and formed elements. The plasma is the tluid portion of the blood and consists of water, proteins, and dissolved materials such as oxygen, carbon dioxide, electrolytes (ionic particles) and other materials. Plasma makes up about 55% of the blood volume. Formed elements make up about 45% of the blood volume and consist of erythrocytes (red blood cells), leukocytes (white blood cells) and thrombocytes (platelets). Label and color in the red blood cells with a light red color. Label the white blood cells and color in the nucleus with purple and the cytoplasm a light blue. Label and color the thrombocvtes purple. There are about 200,00-450,00 thrornbocytes per cubic millimeter of blood. They assist the body in clotting to prevent blood from tlowing out of small ruptures in blood vessels. There are about 5 million erythrocytes per cubic millimeter of blood. The erythrocytes do not have a nucleus and they appear like a donut with a thin spot instead of the donut hole. About a third of the weight of a red blood cell is due to hemoglobin which makes the cells red. Color in the surface view and cross section of the red blood cell. Note also the size of the thrombocyte. There are about 7 thousand leukocytes per cubic millimeter of blood. There are two main types of leukocytes; granular leukocytes and agranular leukocytes. The granular leukocytes have cytoplasmic granules that either stain pink, dark purple or do not stain much at all. The granular leukocytes that do not stain much at all are called neutrophils because the granules are neutral to the stains. They are the most numerous of the leukocytes making up 6070% of the leukocytes. Neutrophils have a three to five lobed nucleus. Color in the cells by shading the cytoplasm light bl ue and coloring in the nucleus purple. The eosinophils are granular leukocytes that have pink or orange staining granules. The nucleus is generally two-lobed. Color in the eosinophil by first coloring in the purple nucleus and then adding orange to the cytoplasm. Eosinophils make up about 3 percent of the white blood cells. Basophils are a rare granular leukocyte in that they make up less than one percent of the white blood cells. The nucleus is Sshaped but it is frequently difficult to see because it is obscured by the dark staining cytoplasmic granules. Label the basophil and color in the granules a dark purple. The two kinds of agranular leukocytes are the lymphocytes and the monocytes. The lymphocytes can be large or small and they make up 20-30% of the leukocytes. The cytoplasm is light blue and the nucleus is purple. The nucleus of the lymphocyte is dented or flattened. Lymphocytes come in two kinds. B cells secrete antibodies (antibody-mediated immunity) and T cells which are involved in cell-mediated immunity. Label and color the lymphocytes. The monocytes are large cells (about 3 times the size of a red blood cell) and they have a strongly lobed nucleus. Some people say this looks like a kidney bean or a horseshoe. They represent only about 5% of the leukocvtes. Color in the nucleus with a purple and 'the cytoplasm a light blue. @ , :: ".: f -, ',. a. b. c. Granular Agranular d. g, e. h. Answer Key: a. Erythrocyte, b. thrombocyte, c. leukocytes, d. basophil, e. eosinophil, f. neutrophil, g. lymphocyte, h. monocyte f. Chapter Eight I Cardiovascular System me lea UPLANd' I 197 ANTERIOR SURFACE VIEW OF HEART The apex of the heart is inferior and the base is superior. Label each chamber of the heart and color them each a different color. Locate the coronary arteries and their branches and color them in red. The right coronary artery leads to the right marginal artery. The left coronary artery takes blood to the anterior interventricular branch and the circumflex branch. The cardiac veins can also be seen on the anterior side. The great cardiac vein runs in the interventricular sulcus on the anterior side. Label all of the major vessels entering and exiting the heart. q. c. _ p. o. n. _ 1. m. - - - - - - - - - 1. Answer Key: a. Aortic arch, b. Pulmonary trunk, c. Base of heart, d. Left atrium, e. Circumflex branch, f. Anterior interventricular branch, g. Left coronary artery, h. Great cardiac vein, I. Left ventricle, j. Apex of heart, k. Descending aorta, I. Inferior vena cava, rn. Rightventricle, n. Right marginal artery, o. Rightatrium, p. Rightcoronary artery, q. Superior vena cava Chapter Eight Cardiovascular System I me lea UPLANd' I 199 POSTERIOR SURFACE OF HEART On the posterior side of the heart are additional arteries and veins. The posterior interventricular artery occurs between the ventricles on the posterior surface. It receives blood from the right coronary artery. The middle cardiac vein runs the opposite direction and takes blood into the coronary sinus. The small cardiac vein is also found on the posterior surface of the heart and enters the coronary sinus from the opposite direction. Label the posterior features of the heart and color the arteries in red (except for the pulmonary arteries that carry deoxygenated blood-they should be colored in blue). Color the veins in blue (except for the pulmonary veins which should be colored in red). a. - - - - - - - _ J. - - - - - - - - - 1. :e.-1. e. h. - _ Tb.~----g. - - - - - - - - - c. Answer Key: a. Aortic arch, b. Inferior vena cava, c. Right ventricle, d. Right atrium, e. Right coronary artery, f. Superior vena cava, g. Posterior interventricular artery, h. Middle cardiac vein, i. Coronary sinus, J. Pulmonary veins, k. Pulmonary arteries, I. Small cardiac vein Chapter Eight Cardiovascular System I KAPLAN '. d I me lea 201 CORONAL SECTION OF HEART The heart is located in a tough, fibrous sac known as the parietal pericardium which has an outer fibrous layer and an inner serous layer. If this sac is opened you can see a space called the pericardial cavity. The heart is in this cavity. The outer surface of the heart is called the visceral pericardium or the epicardium. Inside of this is the main portion of the heart wall called the myocardium (made of cardiac muscle) and the innermost layer of the heart is the endocardium. Deoxygenated blood enters the right atrium of the heart by three vessels: the superior vena cava, the inferior vena cava and the coronary sinus. The walls of the right atrium are thin-walled as they only have to pump blood to the right ventricle. The blood in the right atrium is in contact with the fossa ovalis which is a thin spot in the interatrial septum. This thin spot is a remnant of a hole in the fetal heart know as the foramen ovale. Blood in the right atrium flows through the cusps of the tricuspid or right atrioventricular valve into the right ventricle. The tricuspid valve is made of the three cusps, the chordae tendineae and the papillary muscles that hold the chordae tendineac to the ventricle wall. The ventricle wall is lined with trabeculae carneae that act as struts along the edge of the wall. The wall between the ventricles is known as the interventricular septum. From the right ventricle, blood passes through the pulmonary semilunar valve and into the pulmonary trunk where the blood goes to the lungs. In the lungs the blood is oxygenated. From the lungs the blood returns to the left atrium of the heart. Blood in the left atrium moves to the left ventricle through the left atrioventricular valve or the biscuspid valve. This valve has two cusps, chordae tendineae and papillary muscles. When the left ventricle contracts, the blood moves through the aortic semilunar valve and into the ascending aorta. j y._-------x. /1 White arrows = oxygen-rich blood Black arrows = oygen-poor blood ~ D = veins D = arteries To lungs To lungs From lungs c. - - - - - - - - - e. - - - - - - - - - From lungs w. v. u. t. 1. s. J. r. q. k.-------1. p. n. o. _ m. Answer Key: a. Pulmonarytrunk, b. Pulmonary semilunar valve, c. Left atrium, e. Left atrioventricular valve, f. Aortric semilunar valve, g. Left ventricle, h. Endocardium, i. Epicardium, j. Myocardium, k. Parietal pericardium, I. Fibrous layer, m. Serous layer, n. Interventricular septum, o. Trabeculaecarneae, p. Inferior vena cava, q. Papillary muscle, r. Right ventricle, s. Chordae tendineae, t. Right atrioventricular valve, u. Opening of coronarysinus, v. Fossa ovalis, w. Right atrium, x. Superior vena cava, y. Aorta Chapter Eight Cardiovascular System I IAPLAN I medlea 203 SUPERIOR ASPECT OF THE HEART This view of the heart is seen as if the atria and the major vessels have been removed. You should be able to see all of the major valves of the heart. The most anterior valve is the pulmonary semilunar valve that occurs between the right ventricle and the pulmonary trunk. Label and color this valve blue. Posterior to this is the aortic semilunar valve. It occurs between the left ventricle and the aorta. Label this valve and color it in red. Both of these valves prevent blood from returning to the ventricles once they have finished contracting. On the right side of the illustration (and on the right side of the heart) is the right atrioventricular (or tricuspid) valve, so named because it has three flaps or cusps. This valve occurs hetween the right atrium and the right ventricle. It prevents the blood from returning to the right atrium during ventricular contraction. Label this valve and color it blue. On the left side of the heart is the left atrioventricular (bicuspid) valve. It prevents blood from moving back to the left atrium when the left ventricle contracts. a. _ c. _ d. _ ECG-CONDUCTION PATHWAY The heart has specialized cells that initiate an electrical impulse that radiates throughout the heart. The cells are clustered in a particular area known as the sinoatrial node or the pacemaker. These cells produce a depolarization that travels across the atria which depolarize and then contract. Depolarization is an electrical event while contraction is a mechanical event. Between the wall of the right atrium and the right ventricle is a lump of tissue known as the atrioventricular (AV)node. Once the impulse reaches this area the AV node pauses a moment before sending the impulse to the atrioventricular bundle. This bundle divides into the bundle branches and then the impulse travels to the conduction (Purkinje) fibers. These fibers reach the muscle of the ventricles and stimulate them to contract. Color each of the components of the conduction pathway a different color. e. h. _ 1.--- _ g. Answer Key: a. Pulmonary semilunar valve, b. Aortic semilunar valve, c. Left atrioventricular valve, d. Right atrioventricular valve, e. Sinoatrial node, f. Atrioventricular bundle, g. Atrioventricular node, h. Bundle branches, I. Purkinje fibers Chapter Eight I Cardiovascular System IAPLAN I me dlea 205 VESSELS OVERVI EW The blood vessels have different thickness due to the differences in pressure that occur in them or their function with respect to exchanging nutrients with the cells. Arteries have thick walls due to the higher pressure found in them. Just as high pressure hoses have thick walls so do arteries. The outer layer of the artery is the tunica extcrna (tunica adventitia). You should locate the tunica externa and color it in. The middle layer of the artery, the tunica media is the thickest layer and it is made of smooth muscle and elastic fibers. Color the tunica media red. The innermost layer of the artery is the tunica intima (tunica interna) and it has a special elastic layer called the lamina elastic interna. Color this layer. The area in the artery where the blood flows is called the lumen. Veins are thinner walled than arteries and they do not have the same elastic fibers in the tunica media as arteries. Color the tunica media of the veins red and select the same colors as you did for the arteries for the tunica externa and the tunica interna. The tunica interna of veins is folded into valves that allow for a one-way flow of blood through veins. Capillaries are different from both arteries and veins in that they are composed of only simple squamous epithelium (called endothelium). The thin nature of capillaries allows them to exchange nutrients, water, carbon dioxide and oxygen with the cells. Color in the endothelium of the capillary with the same color that you selected for the tunica interna. a.-~c. \C~:-\ ..... f. _ m. Open Answer Key: a. Vein, b. Artery, c. Lumen, d. Tunica intima, e. Tunica media, f. Tunica externa, g. Lamina elastica mterna, h. Laminaelastica externa, i. Smooth muscle, J. Venule, k. Endothelium, I. Arteriole, m. Capillary, n. Venous valve Closed n. _ Chapter Eight Cardiovascular System I KAPLAN . d I me lea 207 ARTERY OVERVI EW One of the ways to study arteries is to draw them as if you were making a street map. Begin with the heart and draw the blood vessels that occur as you take blood to the fingers, toes or to a particular organ of the body. Arteries are typically colored red and you should select that color for this illustration. Use the following artery list and label the appropriate arteries and color them in red. The abbreviation for artery is a. b. 1. _ Ascending aorta Aortic arch Thoracic aorta Abdominal aorta Brachiocephalic trunk Common carotid artery Subclavian artery Axillary artery Brachial artery Radial artery Ulnar artery Common iliac artery Femoral artery Anterior tibial artery Fibular artery e. f. _ _ _ f-+--- o. _ Answer Key: a. Common carotid a., b. Brachiocephalic trunk, c. Ascending aorta, d. Brachial a., e. Ulnar a, f. Radial a., g. Subclavian a.,h. Aortic arch, i. Axillary a, J Thoracic aorta, k. Abdominal aorta, I. Common iliac a., m. Femoral a., n. Anterior tibial a., o. Fibular a. Chapter Eight Cardiovascular System I me lea UPLANd' I 209 HEAD AND AORTIC ARTERIES Blood from the heart exits the brachiocephalic artery and takes two main pathways to the right side of the head. One of these is the right common carotid artery which exits the brachiocephalic artery and then splits into the external carotid artery and the internal carotid artery. The external carotid artery has several branches, among them the facial artery, the superficial temporal artery, the maxillary artery, and the occipital artery. The internal carotid artery takes blood through the carotid canal of the skull and into the brain. The other main pathway of blood to the right side of the head is the vertebral artery which arises from the subclavian artery. The left side of the head has a similar pathway except that the left common carotid artery and the left subclavian artery arise from the aortic arch and not from the brachiocephalic artery. Label these vesselsand color them in red. a.------ c . - - - - -_ _ d. _ e. _ f. g.------ / k.------d.------e. _ f 1. _ m. _ Answer Key: a. Superficial temporal a., b. Occipital a., c. Internal carotid a., d.Vertebral a., e.Subclavian a., f. Brachiocephalic a., g. Thoracic aorta, h. Facial a., i. Maxillary a., j. External carotid a., k. Common carotid a., I. Aortic arch, m. Ascendingaorta Chapter Eight Cardiovascular System I UPLANd' I me lea 211 BRAIN ARTERIES The brain is nourished by two main arterial conduits. The first of these is the flow from the internal carotid arteries. Blood from the internal carotid arteries comes from the neck and enters a circular pathway known as the arterial circle (circle of Willis). The other conduit comes from the vertebra and these are the vertebral arteries. These arteries connect at a vessel called the basilar artery and it leads to the arterial circle. The arterial circle consists of the anterior communicating arteries and the posterior communicating arteries. From this circle blood then moves into one of many arteries that feed the brain. The cerebrum is fed by the anterior, middle and posterior cerebral arteries. The cerebellum is fed by the cerebellar arteries. If there is a blockage in any of these vessels then blood does not reach the affected part of the brain and this produces a stroke. Color the arteries red and label the illustration. Arteries are abbreviated aa. Anterior !\:{:-'::\.i:l .. :.:::.: a. _ :. = Cranial nerves b. f.-- _ c. ~----,,;'=:::O=~l.---------- d.--- _ e. - - - - - - - - - - Posterior d. _ b. Answer Key: a. Anterior cerebral a., b. Middle cerebral a., c. Internal carotid a., d. Posterior cerebral a., e. Basilar a., f. Anterior communicating a., g. Arterial circle, h. Posterior communicating a., i. Cerebellar aa., J. Vertebral a. Cardiovascular System Chapter Eight I mKAPeLA(lN' ."cal 213 UPPER LIMB ARTERIES The arteries of the upper limb receive blood from the subclavian artery which takes blood to the axillary artery. Blood in the axillary artery travels to the anterior scapula by the subscapular artery. to the external chest wall by the lateral thoracic artery, to the upper humeral region by the posterior circumflex humeral artery, and to the distal regions of the arm by the brachial artery. The brachial artery is the major artery of the arm and it divides distally to form the radial and ulnar arteries. The radial artery is frequently palpated at the wrist to determine the pulse rate. The radial and ulnar arteries rejoin (called collateral circulation) in the hand as the superficial and deep palmar arch arteries. These arteries take blood to the lingers as digital arteries. Label these blood vessels and color them red. a. b. _ _ c. - - - - - - - - - - Teres major muscle d. _ g.------- e. _ 1. _ Answer Key: a. Subclavian a.,b. Axillary a., c. Posterior circumflexhumeral a., d. Brachial a., e. Radial a, f. Lateral thoracica, g Subscapular a. , h. Ulnar a., i. Deep palmar arch, j. Superficial palmar arch, k. Digital a Chapter Eight Cardiovascular System I me UPLANd' lea I 215 LOWER LI M B ARTERI ES Blood in the lower limb comes from the branches of the iliac arteries. Blood in the common iliac artery flows into the internal iliac artery and into the external iliac artery. Once it passes by the inguinal ligament (a connective tissue band that stretches from the ilium to the pubis) the external iliac artery becomes the femoral artery. The femoral artery takes blood down the anterior thigh but there is a branch called the deep femoral artery that takes blood closer to the bone. The femoral artery moves posteriorly to become the popliteal artery and branches of the popliteal artery become the anterior and posterior tibial arteries and the peroneal (fibular) artery. The tibial arteries take blood to the dorsal arcuate artery, the dorsalis pedis artery, and the dorsal metatarsal arteries which take blood to the digital arteries. Label the lower limb arteries and color them in red. a. - - - - - - - - - b. ~ c.--- _ d.-------- e. - - - - - - - - - - f. _ g.------- h.-------- 1.- _ J.-------Answer Key: a. Common iliac a., b. Internal iliac a., c. External iliac a., d. Femoral a., e. Deep femoral a., I. Popliteal a., g. Anterior tibial a., h. Posteriortibial a, i Peroneal a., J. Dorsalis pedis a., k. Arcuatea., I. Dorsal metatarsal a. k. _ 1.- _ Chapter Eight Cardiovascular System I medlea KAPLAlf - I 217 ABDOMINAL/THORACIC ARTERIES The aorta starts at the ascending aorta and curves via the aortic arch. The thoracic aorta is a portion of the descending aorta. It has several branches that take blood to most of the ribs and intercostal muscles. These are the posterior intercostal arteries. Below the diaphragm the descending aorta is known as the abdominal aorta and it has several branches. The first of these is the celiac trunk and it branches to take blood to the stomach, spleen and liver. The next branch is the superior mesenteric artery. Below this are the renal arteries that take blood to the kidneys. The gonadal arteries are found inferior to the renal arteries and they take blood to the testes in males or the ovaries in females. A single inferior mesenteric artery is found below the gonadal arteries. The aorta terminates as it divides into the common iliac arteries. Label these vessels and color them in red. a. - - - - - - - - - - b. c. _ _ d. ,----,-:'""--:-""'-'='-7-c--=~~,__+_----- Vena caval foramen Esophageal hiatus UL<f;;:)~-=:~~~:+f-~----Aortic hiatus e. f. g. h. 1. J. k. Answer Key: a. Aortic arch, b. Ascendingaorta, c. Thoracicaorta, d. Posteriorintercostal arteries, e. Celiac trunk,f. Superior mesenteric artery, g. Renal artery, h. Abdominal aorta, I. Gonadal artery, J Inferior mesenteric artery, k. Common iliac artery Chapter Eight Cardiovascular System I KAPLAN '. d I me lea 219 ARTERIES OF DIGESTIVE SYSTEM The celiac trunk splits into three branches, the common hepatic artery, the left gastric artery and the splenic artery. There are other branches to the stomach which have collateral circulation (two or more arteries taking blood to one area). One of these is the right gastroepiploic artery and another is the left gastroepiploic artery. Below the celiac trunk is the superior mesenteric artery which takes blood to the small intestine and to several of the colic arteries that supply blood to the proximal portion of the large intestine. These are the middle colic artery, the intestinal branches, the right colic artery and the ileocolic artery. The inferior mesenteric artery takes blood to the distal portion of the large intestine via the left colic artery, sigmoid artery and the rectal artery. a. - - - - - - - - - b. c.--------- .v ',' " Gall bladder " Spleen Stomach e.-------- g.------Branches of g: h.------L 1.------J. k. Branches of 1: m.-------- n. Rectum o. Answer Key: a. Celiac trunk, b. Common hepatic a., c. Leftgastric a., d. Splenic a, e. Right gastroepiploic a., f. Left gastroepiploic a., g. Superior mesenteric a, h. Middle colica., i. Intestinal branches, j. Right colic a., k. Ileocolic a, LInferior mesenteric a., m. Left cohc a, n. Sigmoid a., o. Superior rectal a. Chapter Eight Cardiovascular System I meulCa KAPLA~. I 221 MALE AND FEMALE PELVIC ARTERI ES The common iliac artery takes blood to the external iliac artery and the internal iliac artery that takes blood to the pelvis. In females, branches of the internal iliac artery take blood to the inner pelvis. The vesical arteries takes blood to the bladder, the uterine arteries take blood to the uterus, the vaginal arteries feed the vagina, the rectal arteries feed the rectum, and the sacral arteries go to the sacrum. The pudendal artery takes blood to the external regions where it supplies blood to the pelvic floor, the labia majora and minora and the clitoris. In males the internal iliac artery takes blood to the bladder, rectum, sacrum, the prostate, and seminal vesicles on the inside. The pudendal artery takes blood to the scrotum, penis and external pelvic floor. In both sexes the obturator artery takes blood from the internal iliac artery to the medial thigh while the gluteal arteries take blood to the muscles posterior to the pelvic cavity. a.+- _ b. -~k___--c. ~~--- d. e. _ _ Uterus (dotted) Female g._------h. _ a. ------1------ b. - - - - - - + - - C. -------+---- Answer Key:a. Common iliac a., b. Internal iliac a., c. External iliac a., d. Obturator a., e. Superior vesical aa., f. Lateral sacral a., g. Gluteal aa., h. Superior gluteal a., i. Inferior gluteal a., j. Uterine a., k. Pudendal a., I. Middle rectal a., rn. Vaginal a, n. Inferior vesical a. Urinary bladder (dotted) Male Chapter Eight Cardiovascular System I IAPLAN I me dlea 223 VEINS Veins are blood vessels that return blood to the heart. They are characteristically colored in blue on illustrations. The deep veins typically take the name of the artery next to them or the name of the organ that provides them with blood. Therefore the femoral vein runs next to the femoral artery and the splenic vein receives blood from the spleen. Some veins have names unique to them and these are typically the superficial veins. Use the following list and label the major veins of the body and color them blue. Cephalic vein Basilic vein Radial veins Ulnar veins Brachial vein Axillary vein Subclavian vein Brachiocephalic vein Superior vena cava Vertebral vein Internal jugular vein External jugular vein Femoral vein Great saphenous vein Small saphenous vein External iliac vein Internal iliac vein Common iliac vein Inferior vena cava Renal veins Gonadal veins a. b.---c. Superficial veins: n.------- 1. m.------- Deep veins: 0.------ d.----e. f. g. h.--- 1. Superficial veins: Answer Key: a. Internal jugular vein, b. Brachiocephalic vein, c. Superior vena cava, d. Brachial veins, e. Ulnar veins, f. Radial veins, g. Internal iliac vein, h. External iliac vein, i. Femoral vein, J. Vertebral vein, k. External jugular vein, I. Subclavian vein, m. Axillary vein, '&;~ / ) n.Cephalic vein, o. Basilic vein, p. Inferior vena cava, q. Renal vein, r. Gonadal vein, s. Common iliac vein, 1. Great saphenous vein, u. Small saphenousvein Chapter Eight I Cardiovascular System me lea UPLANd' I 225 HEAD/NECK VEINS Superior Vena Cava Veins The drainage of the head occurs by the jugular veins or the vertebral veins. Some of the blood coming from the brain travels down the superior sagittal sinus and through the large internal jugular veins. These veins take blood down both sides of the neck and enter the brachiocephalic veins. The external portion of the head is drained by several veins. The facial vein and the maxillary vein take blood to the internal jugular vein while the superficial temporal vein and the posterior auricular vein take blood to the external jugular vein which then flows into the subclavian vein before reaching the brachiocephalic vein. a. - - - - - - - - - - b. - - - - - - - - - c. _ d.---e. - - _ _ f. _ Answer Key:a. Sagittal sinus, b. Superficial temporal V., c. Posterior auricular V., d. External jugular v., e. Vertebral v. (plexus), f. Subclavian v, g. Maxillary v., h. Facial v., i. InternalJugularv., j. Brachiocephalicv., k. Superior vena cava Chapter Eight I Cardiovascular System IAPLAlf I medlea 227 UPPER LIMB VEINS The veins of the upper limb are somewhat variable and have many cross connections between them but they can be divided into the deep veins and the superficial veins. The deep veins of the upper limb frequently form a meshwork around the arteries (venae comitantes) which allows for a great amount of heat transfer. Cool blood from the extremities is warmed by the arterial blood flowing in a counter current. Blood in the fingers returns to the forearm by the digital veins and then the superficial and deep palmar arch veins. The deep veins of the upper limb are the radial veins, the ulnar veins, and the brachial veins. The brachial veins lead to the axillary vein which takes blood to the subclavian vein. The superficial veins of the upper limb are the basilic vein, found on the medial aspect of the forearm and arm, the median antebrachial vein, on the anterior aspect of the forearm, the cephalic vein, found on the lateral aspect of the forearm and arm and a small vein that connects the basilic vein with the cephalic vein called the median cubital vein. This vein is used frequently to withdraw blood. Label the veins of the upper limb and color them in blue. a. _ b. _ c. _ d. e. _ _ :,::::::::: Superficial veins cr::::::= Deep veins 1. Answer Key: a. Subclavian v., b. Cephalic v, c. Axillary v., d. Radial vv., e. Medianantebrachial v., f. Deep palmararch, g. Digital vv., h. BasillC v., i. Brachial vv., j. Median cubital v., k. Ulnarvv., I. Superficial palmararch v. _ g._---- Chapter Eight Cardiovascular System I meulCa IAPLA~. I 229 LOWER LIMB VEINS Blood in the toes returns by the digital veins. These veins take blood to the dorsal metatarsal veins and the dorsal venous arch veins. On the underside of the foot are the plantar veins. Blood moves up the leg by the posterior and anterior tibial veins and the great and small saphenous veins. The anterior and posterior tibial veins join together to form the popliteal vein posterior to the knee. The small saphenous vein joins the popliteal vein taking blood to the femoral vein. The great saphenous vein begins around the medial malleolus and runs the entire length of the medial lower limb when it enters into the femoral veins. Once the femoral vein crosses the inguinal ligament it becomes the external iliac vein. a. _ b. c. Anterior 1. - - - - - J.---- d.-------- Posterior e. Answer Key: a. External iliac v., b. Femoral v., c. Deep femoral v., d. Anterior tibial v., e. Dorsal venous arch, f. Dorsal metatarsal v., g. Digital v., h. Great saphenous v., i. Popliteal v., j Small saphenous v., k. Posterior tibial v., I. Plantarv. f---~I~\J g. - - - - ~';J 1. JllfJJ Chapter Eight Cardiovascular System I KAPLAlf I me dlea 231 HEPATIC PORTAL VEINS, TRUNK VEINS Most of the blood of the body returns to the heart by capillaries flowing into venules and finally into veins before reaching the heart. In a portal system blood moves from one capillary system to another capillary system before reaching the heart. The hepatic portal system takes blood from the capillary beds of many of the abdominal organs and carries it to the liver where metabolic processing takes place. The hepatic portal vein receives blood from various veins including the splenic vein, the gastroepiploic vein, the left gastric vein and the colic veins which take blood to the superior mesenteric and inferior mesenteric veins. Once the blood is processed in the liver it enters the systemic circulation by the hepatic veins. The return of blood from other parts of the pelvic and abdominal cavities does not go through the hepatic portal system but enters the inferior vena cava. The renal veins take blood from the kidneys to the inferior vena cava. The gonadal veins take blood from the testes or the ovaries. The left gonadal vein enters the left renal vein while the right gonadal vein enters the inferior vena cava. The intercostal veins take blood to the hemiazygos and the azygos veins. a.-------b. _ c. _ d. c. h.------ 1. _ J. Answer Key: a. Azygos V., b. Inferior vena cava, c. Hepaticvv, d. Renal v., e. Posterior intercostal vv., f. Hemiazygos v., g. Gonadal v., h. Hepatic portalv., i. Superior mesenteric v., J. Right colicv., k. Gastric v., I. Splenic v., m. Gastroepiploic v., n. Inferior mesenteric v. Cardiovascular System Chapter Eight I KmPeu~lcal U 233 FETAL CIRCULATION The significant difference in fetal circulation from adult circulation lies in the fact that the lungs are non-functional in the fetus. The source of oxygen for the fetus is the placenta where maternal blood carries oxygen and nutrients to the fetus. Blood from the placenta travels to the fetus by the umbilical vein. It is called a vein because it carries blood to the fetal heart. The blood flowing in the umbilical vein is oxygenated blood which is not typical of most blood that occurs in veins. From the umbilical vein the blood passes through a small shunt vessel known as the ductus venosus and enters the inferior vena cava where it mixes with blood returning from the lower extremities. The fetus receives a mixture of oxygenated and deoxygenated blood. This mixed blood reaches the fetal heart and begins the first of two bypass routes. Since the lungs do not oxygenate blood in the fetus they do not require the entire blood volume to pass through them. The first bypass route is through the foramen ovale, a hole between the right and left atria of the heart. Another bypass route occurs as the blood enters the pulmonary trunk. Blood moves from the pulmonary trunk through the ductus arteriosus and into the aortic arch. Blood traveling back to the fetus is not fully deoxygenated but is a mixture of oxygenated and deoxygenated blood. This blood flows from the internal iliac arteries of the fetus and into the umbilical arteries. From the umbilical arteries the blood flows into the placenta. a. b. f.------- 1.---------J.-------- d. 1. Answer Key: a. Superiorvena cava, b. Rightatrium, c. Foramen ovale, d. Placenta, e. Ductus arteriosus, f. Rightventricle, g. Ductus venosus, h. Inferior vena cava, i. Umbilical v., J. Abdominal aorta, k. Internal iliac a., I. Umbilical aa. Chapter Nine: The Lymph System OVERVIEW OF THE LYMPH SYSTEM The lymph system is composed of lymphatics or lymph vessels and glands and is a system with many functions. Fluid that bathes the cells (interstitial fluid) is returned to the cardiovascular system, in part, by the lymph system. This fluid, called lymph, passes through lymph nodes where impurities and foreign microbes are removed. Other parts of the lymph system include lymph organs such as the spleen. These organs produce cells that protect the body from foreign compounds, and have other immune functions such as cleansing the body of cellular debris and removing old blood cells from circulation. The main exchange of fluid from the cardiovascular system occurs at the capillary level. Arterioles carry blood to the capillary bed and the venules return blood from the capillaries. About ninety percent of the fluid that flows from the blood capillaries to the interstices around the cells is reabsorbed by the capillaries. The remaining ten percent of the interstitial fluid enters the lymph system by lymph capillaries and travels through lymphatics. These lymph capillaries have one-way valves that allow the fluid to enter the lymphatics and not return to the cells. Once the fluid enters the lymphatic system it is called lymph. The lymph travels through the lymphatics and some of these merge into a large vessel in the abdomen called the cisterna chyli. This vessel, in turn, takes lymph to the thoracic duct that returns the lymph to the cardiovascular system. Label the structures of the lymph system and color them in. 235 c. d. e. _ g._--- Answer Key: a.Thoracic duct, b. Spleen, c. Cisterna chili, d. Lymphatics, e. Lymph nodes, f. Venule, g. Arteriole, h. Lymph capillaries h. _ Lymph System Chapter l\Jine I KAPLAlf I me dlea 237 RETURN DRAINAGE One of the functions of the lymph system is to return tissue fluid to the cardiovascular system. The right lymphatic duct returns blood to the right internal jugular vein. This occurs at the junction where the right subclavian vein and the right internal jugular vein reach the right brachiocephalic vein. The thoracic duct enters the cardiovascular system at the point where the left internal jugular vein and the left subclavian vein enter the left brachiocephalic vein. Lymph nodes occur along the path and cleanse the lymph. The thymus is a lymph organ that occurs near these drainage areas. The thoracic duct receives lymph from most of the body while the right lymphatic duct receives lymph from the right side of the head, the right pectoral region, shoulder and right upper extremity. Label and color in the veins of the neck and upper thorax and label the lymphatic vessels that return fluid to the cardiovascular system. a. _ b. c. _ _ 1. _ ~j.------- ," ;' '.' ," Answer Key: a. Rightinternal jugular vein, b. Right lymphatic duct, c. Right subclavian vein, d. Lymph nodes,e. Left internaljugular vein, f. Thoracic duct, g. Left subclavian vein, h. Thymus, i. Right drainage area, j. Left drainage area Lymph System Chapter Nine I 1 APeLA m !I-.cal U 239 TONSILS The tonsils are lymph organs that provide protection against microbes entering the mouth and nose. Tonsils are regions of mucous membrane with lymph tissue. The pharyngeal tonsils are located in the nasopharynx (a region posterior to the nasal cavity and superior to the oral cavity) and they provide some protection from inhaled material. The lingual tonsils are on the posterior part of the tongue and, along with the palatine tonsils on the side of the oral cavity, they provide protection from material that enters the body by mouth. These tonsils cluster to form a tonsillar (Waldeyer's) ring that protects the body from microbial invasion. Label the tonsils and associated structures and color them in. c. _ d. _ (behind soft palate) Uvula c. _ e. _ Answer Key: a. Pharyngeal tonsil, b. Tongue, c. Palatine tonsil, d. Lingual tonsil, e. Tonsillar (Waldeyer's) ring Chapter Nine Lymph System I KAPLAlf " I medlea 241 SPLEEN The spleen is on the left side of the body and is close to the pancreas. The splenic artery takes blood to the spleen and the splenic vein takes blood from the spleen. The spleen is important in removing aging red blood cells from circulation and recycling them. The spleen has both red pulp and white pulp. The red pulp is involved in red blood cell removal and the white pulp produces lymphocytes. The spleen has splenic cords that have lymphocytes along their length. Label the parts of the spleen and associated structures and color them in. Select red for the red pulp and leave the white pulp white. Ninth rib ~ ~. ~ a. _ b. c. _ _ d. _ e. _ g._---Answer Key: a, Spleen, b. Splenic artery, c. Splenicvein, d. Red pulp, e. Arteriole, f. Sinuses, g. White pulp f. _ (filled with red blood cells) Lymph System Chapter Nine I me lea UPLANd' I 243 LYMPH NODES Lymph nodes are found typically in clusters along the route that lymphatics take as lymph is returned to the cardiovascular system. Afferent lymphatics bring lymph to the node and efferent lymphatics receive lymph from the node. Lymph nodes consist of an outer cortex and an inner medulla. The cortex produces lymphocytes and the medulla has medullary cords that have clusters oflymph cellsthat cleanse the lymph passing through the nodes. Label the lymphatics and parts of the lymph node and color them in. f. a. b. c. d. ./ /J? e. Answer Key: a. Efferentlymphatics, b. Capsule, c. Cortex, d. Medulla with medullary cords. e. Afferent lymphatics, f. Blood vessels Chapter Nine Lymph System I meulca UPLA~. I 245 LACTEALS The lymph system has a special function in digestion. Not only are there lymph nodes along parts of the digestive tract that protect the body from possible invasion from ingested microbes, but fatty acids from digestion are absorbed by special vessels called lacteals. Lacteals are found in the small intestine in finger-like structures called villi. These villi also contain capillaries which absorb sugars and amino acids. The lacteals absorb the fatty acids, products from the digestion of lipids in the diet. They travel through the lymphatic vessels to the cardiovascular system. Label the villi, capillaries, and lacteals and color them in. .. 0) ..........._~~_//\ . . I a. _ Answer Key: a. Small intestine, b. Lymphaticvessel, c. Villi, d. Capillaries, e. Lacteal Lymph System TWO TYPES OF IMMUNITY The body can control against foreign particles either by cell-mediated immunity or antibody mediated immunity. In antibody mediated immunity, foreign particles called antigens (typically proteins or carbohydrates on the surface of invading cells) stimulate B cells to become plasma cells and memory B cells. The plasma cells produce antibodies and these react with the antigens stimulating their destruction. Chapter Nine I I KAPLAlf medlea 247 In cell-mediated immunity, the reacting cells are called helperTcells and they cause the activation of and the differentiation of other T cells into memory T cells and effector or cytotoxic T cells. The cytotoxic T cells can recognize foreign cells and destroy them. The steps in immune reactions are much more complex than this but this description provides a general understanding of the process. Fill in the illustration using the terms provided. Color the different cells and antibodies using one type of color (various types of orange for B cells) and another for T cells. Antibody-mediated immunity Cell-mediated immunity ~ ... b. a.--_ / c. _ ~ Activates g._--- 1. e I _ h - - ~)( ~ Antigen-bearing cell Destroyed cell Answer Key: a. Antigens, b. B cell, c. Memory B cell, d. Antibodies, e. Plasma cell, f. Helper T cell, g. Activated T cell, h. Effector (CytotOXIC) T cell, i. Memory T cell Chapter Ten: Respiratory System OVERVIEW OF THE RESPIRATORY SYSTEM The respiratory system consists of the nose, nasal cavity, pharynx, larynx, trachea, lungs, the linings of the lungs (pleura) and the respiratory muscles, such as the diaphragm and intercostal muscles. Label the respiratory figure and color in the major parts of the system. I 249 a.-- b.----- c.----- d.---- Answer Key: a. Pharynx, b. Trachea, e. Rightlung, d. Pleura, e. Nasal cavity, f. Larynx, g. Left lung, h. Diaphragm Chapter Ten Respiratory System I meulca IAPLA~. I 251 LARYNX, TRACHEA, AND LUNGS OVERVIEW Two main cartilages of the larynx can be seen from an anterior view. The thyroid cartilage is superior to the cricoid cartilage. Below the larynx is the trachea which divides into the right and left primary bronchi. The right primary bronchus leads to the right lung and the left primary bronchus leads to the left lung. Label the parts of the respiratory system illustrated. Color the two visible cartilages of the larynx different colors and the trachea another color. Color the bronchi in first with a darker color and then color the lungs in with a lighter color. b. _ c. - - - - _ g._------ Answer Key: a. Trachea, b. Right primary bronchus, c. Right lung, d. Thyroid cartilage, e. Cricoid cartilage, f. Left primarybronchus, g. Left lung Chapter Ten Respiratory System I meulca IlAPLA~. I 2 5:5 NOSE AND NASAL SEPTUM The nose consists of the nasal bones, the frontal process of the maxilla at the root of the nose, and a number of cartilages. These nasal cartilages are made of hyaline cartilage. These are the lateral nasal cartilages, the greater alar cartilages, and the lesser alar cartilages. The septal cartilage also forms part of these cartilages. The openings of the nose (nostrils) are the external nares (external naris singular). a. - - - - - - - - - b. _ g.-------- The nasal cavity has a wall that runs down the middle of it called the nasal septum. The septum consists of three parts, the perpendicular plate of the ethmoid bone (a continuation of the crista galli) , the vomer and the septal cartilage. At the end of the nasal septum are two holes that separate the nasal cavity from the nasopharynx. These are the choanae or internal nares. The floor of the nasal cavity is bordered by the hard palate and the soft palate. At the junction of the crista galli and the perpendicular plate of the ethmoid is the cribriform plate of the ethmoid. Label the various structures of the nose such as the bones and color in the cartilages of the nose. h. 1. _ _ a. _ J.---------k. c.--f. _ _ _ 1. _ Answer Key: a. Nasal bone, b. Frontal processof maxilla, c. Septal cartilage, d. Lateral nasal cartilage, e. Lesser alar cartilages, f. Greateralar cartilage, g. External naris, h. Crista galli of ethmoid bone, i. Cnbnform plate, J. Perpendicular plate of ethmoid bone, k. Vomer, I. Hard palate, m. Soft palate, n. Choanae (internal nares) ll.----- Chapter Ten Respiratory System I KAPLAlf I me dlea 255 LATERAL WALL OF NASAL CAVITY AND RESPIRATORY EPITHELIUM When looking at the nasal cavity, if the septal cartilage is removed you can see the nasal conchae. These structures force the inhaled air to come into contact with the wall of the nasal cavity where the air is warmed and moistened. There are three nasal conchae, the superior nasal concha, the middle nasal concha, and the inferior nasal concha. Note the position of the conchae with the nasal bone, the hard palate and the soft palate. Label the nasal cavity and the structures that are associated with the cavity. a.-------- b. c. _ d. e. _ _ f.----- The nasal cavity is lined with respiratory epithelium which is pseudostratified ciliated columnar epithelium with goblet cells. Respiratory epithelium is found in the nasal cavity, the lower larynx, trachea, and bronchi. The goblet cells secrete mucus which forms a film over the epithelial surface. Dust and other particulate matter sticks to the mucous sheet which is moved by the cilia. This provides a protective function, removing particulate matter from entering the lungs where it might do damage. Label the various parts of respiratory epithelium such as the nucleus, cilia, mucous sheet, goblet cells, and basement membrane. Answer Key: a. Nasal bone, b. Superior nasal concha, c. Middle nasal concha, d. Infenor nasal concha, e. Hard palate, f. Soft palate, g. Mucous sheet, h. Cilia, i Goblet cells, j Nuclei, k. Basement membrane ChapterTen Respiratory System I KAPLAlf " I medlea 257 CORONAL VIEW OF THE NASAL CONCHAE AND LARYNX The nasal cavity is more than a hole behind the nose. Inhaled air swirls around the conchae and is warmed and moistened in the process. Label and color the septal cartilage in a coronal section of the nose. Label and color each of the conchae. The superior nasal concha, middle nasal concha, and the inferior nasal concha should each have a different color. The frontal and ethmoid sinuses can also be seen in this illustration. They give resonance to the voice. Note the location of the hard palate and the external naris in this coronal section. The larynx is also sectioned in this plane and the position of the thyroid cartilage, the vocal fold, the cricoid cartilage, and the trachea are seen in this view. Label and color the rest of the structures in this illustration. a. _ - c. _ d. e. _ _ f. _ 1. _ If//lli, g.------- \ \\ ~(~h. D~~~ ~[Q::= 010 ;:- IV 0 k. ------ Answer Key: a. Sinuses, b. Superiornasal concha, c. Middle nasalconcha, d. Septal cartilage, e. Inferior nasal concha, f. Hard palate, g. External naris, h. Thyroid cartilage, i. Vocal fold, J. Cricoid cartilage, k. Trachea Chapter Ten Respiratory System IAPLA~. I I meulC8 259 LARYNX AND TRACH EA The larynx is the "voice box" and it not only produces sound for speech but also separates the flow of air to the lungs from the flow of foods and liquids that go down the esophagus. The thyroid cartilage is the largest cartilage of the larynx and it is easily seen from the anterior aspect. The thyroid cartilage is inferior to the hyoid bone. Behind the thyroid cartilage is the epiglottis which is the only laryngeal structure made of elastic cartilage. Inferior to the thyroid cartilage is the cricoid cartilage and it is the inferior border of the larynx. The cricothyroid ligament joins these anterior structures together. Above the cricoid cartilage are the paired arytenoid cartilages. These attach to the vocal folds and tighten them, causing the voice to increase in pitch. Superior to the arytenoid cartilages are the corniculate cartilages that are shaped like small horns. The glottis is the opening into the larynx and the epiglottis is the flap that folds over the glottis during swallowing. In the midsagittal section of the larynx you can see that the cricoid cartilage is larger on the posterior aspect. The thyroid cartilage is prominent on the anterior side, the arytenoid and corniculate cartilages are prominent on the posterior side, along with the cricoid cartilage, the epiglottis, and the vocal folds. The vestibular fold (false vocal cord) is superior and is found on the lateral wall of the larynx. Below this is the vocal cord (vocal fold) that produces sound. The conus elasticus consists of elastic tissue and connects the vocal folds to the cartilages. Below the larynx is the trachea which leads from the larynx to the lungs. Label and color the structures of the larynx and label and color in the trachea. Answer Key: a. Epiglottis, b. Hyoid bone, c. Thyroid cartilage, d. Corniculate cartilage, e. Vestibular fold, f. Vocal fold, g. Arytenoid cartilage, h. Conus elasticus, i. Cricothyroid ligament, j. Cricoid cartilage, k. Trachea, I. Glottis Chapter Ten I Respiratory System me lea UPLANd I 261 THE TRACH EA AND BRONCHIAL TREE The trachea connects to the larynx superiorly and ends inferiorly in a keel-shaped structure called the carina. The trachea is composed of the tracheal rings which are hyaline cartilage. The posterior surface of the trachea has smooth muscle called the trachealis muscle that allows for the food in the esophagus to bulge into the trachea. The trachea branches into the right primary bronchus and the left primary bronchus which form part of the lungs. b. _ Answer Key: a. Trachea, b. Right primary bronchus, c. Tracheal ring, d. Left primary bronchus, e. Carina, f. Trachealis muscle Respiratory System Chapter Ten I 1 APe -Ical mLANd' 263 LUNGS AND MEMBRANES The lungs are in the thoracic cavity on either side of the mediastinum. The membrane that occurs on the inside of the ribs and on the superior aspect of the diaphragm is known as the parietal pleura. The space inside of this is the pleural cavity and the lungs occupy the pleural cavities. The innermost membrane is the visceral pleura and it is attached to the surface of the lung. The right lung has three lobes: a superior lobe, a middle lobe, and an inferior lobe. The left lung has two lobes: a superior lobe and an inferior lobe. The left lung also has an indentation where the heart protrudes into the left lung and this is the cardiac notch. Label the membranes and the parts of the lungs and color them in. b _ c. _ d _ e _ \;C~! ~' h. ~( r. (~\ L\ \ \\-b '\"!:, g. Answer Key: a. Parietal pleura, b. Visceral pleura, c. Superior lobe, d. Middle lobe, e Inferior lobe, f. Cardiac notch, g. Pleural cavity, h. Trachea "'=~~~:::::::::::J Chapter Ten Respiratory System I UPLA~. memea I 265 THE PATHWAY OF AIR The lungs are like large sponges filled with microscopic spaces. Air travels to these spaces by the bronchial tree. The trachea splits at the level of the lungs into two primary bronchi. Each lung has a primary bronchus that divides to secondary bronchi. These divide further to tertiary bronchi which divide into smaller branches. Finally bronchi become bronchioles and these lead to smaller sacs where the exchange of oxygen and carbon dioxide occurs between the lungs and blood. Shade the major segments of the bronchial tree. The air from the bronchioles moves into the alveolar ducts which are part of the clusters called alveolar sacs. The air flows into the alveolar duct which is a conduit to the individual alveoli (alveolus singular) and these are the areas where there is an exchange of oxygen and carbon dioxide between the air and blood. Capillaries are situated next to the alveoli and there are two thin set of membranes-one of the alveolus and one of the capillarythat allow the exchange of oxygen and carbon dioxide. Additionally there are type II alveolar cells (septal cells) that secrete a material called surfactant. This substance reduces the surface tension of the lungs, allowing them to expand more easily.Color in the structures of the alveolar sacs and the associated structures. a. _ d.---c. _ g._---- rc~ 1. ~h'\1\ . I.. k. e.------ .. J.------ m. _ Answer Key: a. Cartilage, b. Secondary bronchus, c. Tertiary bronchus, d. Bronchi, e. Bronchioles, f. Alveoli, g. Capillaries, h. Type II alveolarcell (septal cell), i. Surfactant, j. Red blood cell, k. Alveolus, I. Pulmonaryartery, m. Alveolar ducts, n. Pulmonaryvein, o. Alveolar sac f. _ Chapter Eleven: Digestive System OVERVIEW OF THE DIGESTIVE SYSTEM The digestive system is composed of a long tube called the alimentary canal and the accessory organs including the liver, pancreas, and gall bladder. The alimentary canal starts at the mouth, includes the esophagus, stomach, intestines, and rectum and terminates at the anus. It can be defined as the tube through which ingested products move. The accessory organs have digestive functions but they do not come into contact with material passing through the digestive tract. The alimentary canal consists of numerous organs including the mouth which is the opening to the system and is directly anterior to the oral cavity. The terminal aspect of the oral cavity is defined by the small mass of fleshy tissue called the uvula. Posterior to the oral cavity is the oropharynx. This chamber receives food and liquid from the mouth and air from 267 both the mouth and nasal cavity. The oropharynx leads to the esophagus which is a muscular tube that takes ingested material to the stomach. The stomach is a storage organ leading to the small intestine where material is digested and absorbed. The large intestine receives material from the small intestine, removes a significant amount of water, and stores the fecal material prior to defecation. The salivary glands are the most superior accessory glands. They lubricate food and add digestive enzymes to material that is swallowed. The liver, pancreas and gall bladder all add secretions to the ingested material and aid in the digestive process. Label the parts of the digestive system, including the alimentary canal and the accessory organs, and color the individual digestive organs a different color. a. _ b. _ h. _ c. _ 1. d. _ e.------- J. f. _ 1. _ m.-------- Answer Key: a. Alimentary canal. b. Mouth, c. Esophagus, d. Stomach, e. Small Intestine, f. Large intestine, g. Accessory organs, h. Salivary glands, i. Liver, J. Pancreas, k. Gall bladder, I. Rectum, m. Anus Chapter Eleven \ Digestive System IAPLAlf I meil lea 269 MOUTH AND ORAL CAVITY The mouth is the entrance to the digestive system. It is bordered by the two labia or lips. Each labium has a labial frenulum (superior and inferior) that holds the lip to the gingiva. The gingiva (gums) have a surface tissue of stratified squamous epithelium which is the cell type that lines the entire oral cavity. The oral cavity encloses the teeth, and the tongue. It is bordered by the hard palate, the soft palate, the uvula, the cheek walls, the muscles and associated tissue that spans across the bodies of the mandible. The oral cavity leads to the oropharynx, which in turn leads to the esophagus. The tongue is a large muscle in the oral cavity that pushes food to the posterior part of the oral cavity for swallowing and helps form speech. It is held to the floor of the oral cavity by the lingual frenulum. ';7;-;77777777c-''-=-::+~-- C. _ d. _ g._---h. _ g._---Answer Key: a. Superior labial frenulum, b. Gingiva, c. Hard palate, d. Softpalate, e. Uvula, f. Oropharynx, g.Tongue, h. Inferior labial frenulum, i. Esophagus Chapter Eleven Digestive System I IlAPLAlI"d- me lea I 271 SALIVARY GLANDS The three pair of salivary glands secrete saliva inside the oral cavity. The largest pair consists of the parotid glands and they are located just anterior to the ears. The parotid duct leads from the gland to posterior to the upper second molar. The submandibular glands are located inferior to the mandible and they take secretions to either side of the lingual frenulum. The sublingual glands are inferior to the tongue and have many tubes that lead to the lower oral cavity. Label the salivary glands and the parotid duct. Color each gland a different color. Tongue Buccinator muscle c. - - - - _ Mandible Mylohyoid muscle a. - - - - - - - - - - - Answer Key: a. Sublingual gland, b. Submandibulargland, c. Parotid gland, d. Parotid dud Chapter Eleven Digestive System I mettical 273 TEETH The tooth has three general regions: the crown, the neck, and the root. The crown is the part of the tooth that erupts from the gums into the oral cavity. The neck is normally at the levelof the gingiva and the root is imbedded into the bone. The tooth fits into the alveolar socket of the maxilla or the mandible and is held there by the periodontal ligaments. The internal anatomy of the tooth reveals the hard enamel which is an extremely dense material that resists wear and abrasion. Deep to this is the dentin, a material similar to bone that provides the major structure of the tooth. In the root, the dentin is coated with cementum that helps fix the tooth in the alveolar socket. Inside of the dentin is the pulp cavity that houses nerves and blood vessels. These structures enter the tooth by the apical foramen and make their way to the pulp cavity by the root canal. Humans have two series of teeth. Early in development come the deciduous (milk) teeth. The permanent teeth emerge as the skull is increasing in size. In deciduous teeth there are incisors, cuspids (canines), and molar teeth but there are no premolars. In adults there are the incisor teeth, the cuspids, premolars (bicuspids), and molar teeth. Label the parts of the tooth and then color in the regions of the tooth on one side of the illustration and the enamel, dentin, and other features on the other part of the illustration. For the deciduous and permanent teeth, use the same color for the incisors on both illustrations. Use another color for the cuspids and another for the premolars, and so on for the rest of the teeth. a.---- l\ . . : . . b.~-- i d~: ~. .:J~ .. ,':" '0 ('~ c. _ h. _ k. -~~. ------\I~ Permanent maxillary teeth ~CJ"-/ ~U Deciduous .: m::;~~'Y Answer Key: a. Crown, b. Neck, c. Root, d. Enamel, e. Dentin, f. Pulp cavity, g. Periodontal ligament, h. Root canal, i. Cementum, J. Apical foramen, k. Blood vessels and nerves, I. Incisors, m. Cuspids (canines), n. Premolars (bic.ispids), o. Molars Chapter Eleven Digestive System I KAPLAlf I me dlea 275 ESOPHAGUS Food moves from the oral cavity to the oropharynx by action of the tongue. The uvula flips upward keeping the food from entering the nasal cavity. Food passes from the oropharynx into the laryngopharynx before moving to the esophagus. The food enters the esophagus as a lump or bolus and passes through the esophageal sphincter to the stomach. Once it enters the stomach the bolus mixes with stomach fluid and becomes a liquid called chyme. Label and color the structures leading to the esophagus and the esophagus itself including the esophageal sphincter. ~. ~~:'Uc<imtoc muscle a. _ \ . ~ t~.::\ 1/1 \'-..... ~e----'''c-~-7/ \ . - - - '\\f---~ I I Cricoid cartilage \\ c . - -_ _ f. _ Open Closed Answer Key: a.Oropharynx, b. Laryngopharynx, c. Esophagus, d. Uvula, e. Oral caVity, f. Stomach, g. Esophageal sphincter g._------- Chapter Eleven Digestive System I meclical 277 STOMACH The stomach is located on the left side of the body, just inferior to the diaphragm. It is the part of the alimentary canal located between the esophagus and the small intestine. The stomach has an upper cardia and a small domed portion called the fundus. The stomach contents are restricted from flowing back into the esophagus by the esophageal sphincter. If stomach fluid refluxes into the esophagus, it is felt as "heartburn." The main portion of the stomach is the body and the narrow region, leading to the duodenum is the antrum or pyloric region. This leads to the pyloric canal which is controlled by the pyloric sphincter. The greater curvature is located on the left edge of the stomach and the lesser curvature is on the right side. The stomach has inner ridges called rugae which allow for expansion of the stomach. The stomach has many layers. The inner layer is called the mucosa which is rich in glands that secrete acids and inactive enzymes such as pepsinogen into the stomach cavity. Pepsinogen is activated by hydrochloric acid. The mucosa has gastric pits with parietal cells and chief cells emptying into the pits. The parietal cells secrete hydrochloric acid and the chief cells secrete pepsinogen. External to the mucosa is the submucosa and this layer has many blood vessels imbedded in connective tissue. Beyond this is the muscularis. In the stomach there are three layers of the muscularis. These are the oblique layer, circular layer, and longitudinal layer. The most external layer is the serosa (also known as the visceral peritoneum) and this is next to the abdominal cavity. Label the parts of the stomach and color them in. Color the layers of the muscularis using different colors of red or pink for each layer. Color the general regions of the stomach different colors along with the separate sphincters. a. _ b.-----_ Muscularis layers: c.-------- 1. _ m. _ p._--q.---- f. Muscularis e. layers { d. r. _ ~-==;::=:======S~~::'~-';c= _ -t . -t n. _ 0.--- _ Answer Key: a. Fundus, b. Cardia, c. Lesser curvature, d. Longitudinal layer (of muscularis), e. Circular layer (of muscularis), f. Oblique layer (of muscularis), g. Body, h. Rugae, i. Greatercurvature, J. Pyloriccanal, k. Pyloricsphincter, I. Antrum, m. Gastricpit, n. Chief cell, o. Parietal cell, p. Mucosa, q. Submucosa, r. Serosa Chapter Eleven Digestive System I meilical 279 SMALL INTESTI NE The small intestine receives the contents of the stomach, continues the process of digestion and absorbs nutrients. The first part of the small intestine is the duodenum, a short tube of about twelve inches in length, that receives material from the stomach, enzymes and buffers from the pancreas, and bile from the gall bladder. The duodenum has circular folds in the wall that increase the surface area. The jejunum is the next section of the small intestine and it makes up about forty percent of the small intestine. There are circular folds in the jejunum as well. The ileum is the terminal portion of the small intestine and represents about sixty percent of the small intestine. The small intestine is small in diameter and that is how it gets its name. The small intestine is distinguished from the rest of the alimentary canal by the presence of villi. These'small structures in the mucosa increase the surface area of the small intestine and house blood capillaries and lacteals for the absorption of nutrients. The small intestine has the four layers typical of the other organs of the gastrointestinal tract: the mucosa, submucosa, muscularis. and serosa. Label the parts of the small intestine and color in the various regions and layers of the small intestine. a. b. _ c. _ c. _ e.----(Lower tnree-nttns) f. _ ....... ~ . ,. .',. "~--h. g.----_ Answer Key: a, Gall bladder, b. Pancreas, c. Duodenum, d Jejunum, e. Ileum, f. Circular fold, g, Villi, h. Submucosa, i Muscularis d. _ e.----- Chapter Eleven Digestive System I KAPLAlf I medlea 281 LARGE INTESTINE The large intestine is shorter than the small intestine but has greater width. The large intestine begins in the lower right quadrant of the abdomen with a sac-like structure called the cecum. The ileocecal valve is a muscular sphincter that prevents the fecal material in the cecum from flowing back into the ileum. At this junction is the vermiform appendix. Material in the large intestine moves from the cecum to the ascending colon and then makes a sharp turn at the hepatic flexure. Once this turn is accomplished, the material is in the transverse colon. From here there is a sharp downward angle called the splenic flexure and the material enters the descending colon. From the descending colon, the material enters an S-shaped tube called the sigmoid colon and then enters the rectum. The rectum is the end of the large intestine. The rectum leads to the anal canal which is a short tube leading to the anus. There are several anatomical features that separate the large intestine from the small intestine. The large intestine has long strips of smooth muscle that run the length of the large intestine. These are called the teniae coli. These muscles pull the intestine into small compartments called haustra. Another distinguishing feature of the large intestine is the presence of small fat globules called epiploic appendages. Label the parts of the large intestine and color in each region with a different color. Color the haustra light red and the tenia coli pink. Color the epiploic appendages yellow. b. _ a. _ c. _ 1.-- _ k. _ f. _ J.----- g._---- ~0 1. - - - - - - - - - e. - - - - - - - - - - - Answer Key: a. Hepatic flexure, b. Splenicflexure, c. Transverse colon, d. Descendingcolon, e. Epiploic n. _ appendages, f. Sigmoid colon, g. Redum, h. Anal canal, i, Anus. j. Vermiform appendix, k. Cecum, I. Ascending colon, m. Tenia coli, n. Haustra Digestive System Chapter Eleven I mKAPeLANd' -Ical 281 LIVER The liver is the largest internal organ of the body. It is on the right side of the body and plays a major metabolic function in digestion and also in processing material from the blood. The liver has four lobes in humans and is held to the diaphragm by the falciform ligament. The right lobe is the largest of the lobes. The left lobe is also reasonably large. The quadrate lobe is anterior and is rectangular in shape when seen from the inferior view. The caudate lobe is a posterior lobe of the liver. The blood flows into the liver from two sources. The hepatic portal vein takes blood to the liver from the digestive tract and some abdominal organs. The hepatic artery brings oxygenated blood to the liver. The liver is composed of microscopic sections called liver lobules. These are typically hexagonal columns that have a central vein that takes blood back to the heart via the hepatic vein. Blood travels to the central vein by sinusoids, canals that are lined by hepatocytes (liver cells). Hepatocytes clean the blood or process material in the blood. Old blood pigments are recycled by the liver and are converted to bile. The bile moves through bile canaliculi and eventually is stored in the gall bladder. The branches of the hepatic artery, portal vein, and bile duct are clustered together and form the portal triad. Label the liver structures on the illustrations. Color in the lobes of the liver using different colors for each lobe. Color the hepatic portal vein blue, the hepatic artery red, and the bile ducts green. a. _ d. ----'.- e. _ b. C. _ ~\ g. _ Liver Lobule ~~~( h. _ : c::::::"~ ........."' : .... ' ~Q ~: ..~[ -: 1. _ ~ ..... .. Answer Key: a. Right lobe, b. Left lobe, c. Falciform ligament, d. Portal vein, e. Hepatic artery f. Caudate lobe, g. Quadrate lobe, h. Portal triad, i. Centralvein, j. Bile duct, k. Hepatic artery branch, I. Bile canaliculus, m. Portal vein branch, n. Hepatocytes, o. Sinusoids J.------ I~\ k. 1. _ _ \ Chapter Eleven Digestive System I KmAPeLAN ' d-Ical 285 PANCREAS/ GALL BLADDER The pancreas is a complex organ that has both a digestive function and an endocrine function. The digestive function of the pancreas consists of producing enzymes for the digestion of materials in the small intestine and the secretion of buffers to increase the pH of the fluid secreted from the stomach. The pancreas has a head, next to the duodenum, a main body and a tail near the spleen. The enzymes and buffers secreted into the small intestine flow into the pancreatic duct before entering the small intestine. The gall bladder receives bile from the liver, storing and condensing it prior to secreting it into the small intestine. Bile is an emulsifier of fats, making them disperse in the liquid chyme of the digestive tract. Bile flows from the left and right hepatic ducts, into the common hepatic duct, into the cystic duct then entering the gall bladder. When the gall bladder contracts, bile moves back out the cystic duct and into the common bile duct before entering the small intestine. Usually the common bile duct and the pancreatic duct join before they enter the small intestine. In this case the tube is called the hepatopancreatic ampulla and it leads to the duodenal papilla. Label the parts of the pancreas, gall bladder and ducts and color them in. a. _ b _ c. _ d. _ g._----h. _ J.------ 1. Answer Key: a. Gall bladder, _ b. Pancreas, c. Duodenum, d. Head, e. Body, f. Tail, g Right hepatic duct, h Cystic duct, i. Duodenal papilla, j. Left hepatic duct, k. Common hepatic duct, I. Common bile duct, m. Pancreatic duct Chapter Twelve: Urinary System OVERVI EW OF THE URINARY SYSTEM The urinary system consists of two kidneys, two ureters, a urinary bladder, and a urethra. The right kidney is a little more inferior than the left kidney due to the presence of the liver on the right side of the body. The kidneys are located near the twelfth vertebra and extend to the third lumbar vertebra. They receive blood from the renal artery. The kidneys are retroperitoneal, meaning that they are posterior to the parietal peritoneum. The ureters are also retroperitoneal and take urine to the bladder. Since the urinary bladder is located anterior to the parietal peritoneum it is called anteperitoneal. Label the organs of the urinary system and use separate colors for the kidneys, ureters, urinary bladder, and urethra. 287 k ~ _~ (.~\ \.. ' I.. ~ ) ! d . . \ \ a. _ --'..;---- Psoas major muscle b. _ c. _ Answer Key: a. Kidney, b. Ureter, c. Urinary bladder, d. Urethra, e. Renal artery Chapter Twelve Urinary System UPLANd' I I me lea 289 KIDNEY The kidney is a bean-shaped organ. The outer surface of the kidney is covered by the renal capsule. The depression on the medial side is the hilum where the renal artery enters the kidney and the renal vein and the ureter exit. The kidney is sectioned in the coronal plane to study the internal anatomy. The renal capsule is a thin membrane on the exterior of the kidney. Deep to the capsule is the renal cortex where filtration takes place in the kidney. The renal medulla is deep to the cortex and it is divided into renal columns and renal pyramids. Each pyramid ends in a papilla and this drips urine into smalJ funnel-shaped structures called the minor calyces (calyx singular). The minor calyces join to form the major calyces and these, in turn, take urine to the renal pelvis. The renal pelvis occupies most of the renal sinus, a space in the kidney. The renal pelvis takes urine to the ureter on the medial side of the kidney. Blood travels to the kidney by the renal artery. From there the blood moves into segmental arteries and then interlobar arteries. From the interlobar arteries the blood travels to the arcuate arteries. These arteries are the dividing structures between the renal cortex and the renal medulla. From the arcuate arteries blood flows into the interlobular arteries. Label the parts of the kidney and associated structures. Use one color for the cortex and different shades of another color for the renal pyramids and columns. Color the renal artery red and the renal vein blue. Use yellow for the pelvis and ureter. a. _ b. c. _ --~~...c__I d. e. _ _ f. _ g._----h. _ d. _ e. _ n. _ p._----- a. Answer Key: a. Renal artery, b. Hilum, c. Renal vein, d. Renal pelvis,e. Ureter, f. Renal capsule, g. Major calyces, h. Renal sinus, I. Renal cortex, J. Renal pyramid (in renal medulla), k. Papilla, I. Renal column, m. Minor calyces, n. Segmental arteries, o. Interlobar artery, p. Interlobularartery, q. Arcuate arteries _ n. _ q._----- Chapter Twelve I Urinary System meClical 291 URINARY BLADDER The urinary bladder is a storage organ for holding urine. The ureters enter the bladder at the ureteral orifices and the urethra exits the bladder inferiorly. These three openings make a triangular region known as the trigone at the posterior wall of the bladder. The urethra is the external tube that takes urine voided from the urinary bladder to outside the body. The urethra in the female is much shorter than in the male, which makes females more susceptible to bladder infections. The wall of the bladder consists of smooth muscle called the detrusor muscle and an inner lining of transitional epithelium. Label the features of the bladder, urethra, and associated structures and color them in. Peritoneum Urethral sphincter muscle Female Urinary System g.------- a. b.-- _ Prostate gland --------"-,--;- f. Answer Key: a. Ureter, b. Urinary bladder, c. Detrusor muscle, d. Ureteral orifice,e. Trigone, f. Urethra, g. Right kidney Male Urinary System Chapter Twelve Urinary System I mKAPeLANd' -Ical 293 THE NEPHROI\J The functional unit of the kidney is the nephron. It is here that material is filtered from the blood; some material is lost in the urine while other material is reabsorbed back into the cardiovascular system. The renal corpuscle of the nephron includes the glomerulus and the glomerular (Bowman's) capsule. The lining of the capsule wraps around the glomerulus and filtered material enters the nephron at this point. The glomerular capsule leads to the proximal convoluted tubule. This tubule has a brush border consisting of many microvilli and it provides for a great surface area for reabsorption of materials. Most of the reabsorption of material in the nephron occurs here. The peri tubular capillaries wrap around the kidney tubules and reabsorb the filtered material. From the proximal convoluted tubule, the fluid flows into the nephron loop (loop of Henle). The nephron loop takes fluid to the distal convoluted tubule. From here the filtrate flows into a collecting duct. Collecting ducts receive fluid from many nephrons. Label the parts of the nephron and associated structures and color them in. Each part of the nephron should be colored a different color. b.-a. _ _ a. _ d.--- rT f._ 1.,----- g.---- e.----- ~ ~. h._ J.------ h.-----_ k. _ To minor calyx b. Answer Key: a. Glomerulus, b. Distal convoluted tubule, c. Proximal convoluted tubule, d. Cortex, e. Medulla, f. Arcuate vein, g. Arcuate artery, h. Nephron loop (loop of Henle), I. Nephron, J. Collecting duct, k. Afferent arteriole, I. Efferent arteriole, m. Glomerular (Bowman's) capsule _ 1. _ Chapter Thirteen: Male Reproductive System OVERVIEW OF THE MALE REPRODUCTIVE SYSTEM The male reproductive system consists of the two testes, the epididymis, the ductus deferens enclosed in the spermatic cord, the seminal vesicles, the prostate gland, the bulbourethral glands, and the penis. The testes are the glands that produce testosterone and sperm cells. Sperm cells travel from the testes to the epididymis where they are stored and mature. From the epididymis sperm cells move into the ductus deferens, which enters the body and travels to the posterior bladder. 295 From here the ductus deferens turns into the ejaculatory duct, which receives fluid from the sernimal vesicles. The ejaculatory duct leads to the urethra where secretions from the prostate and bulbourethral glands are added. Finally the sperm cells and seminal fluid (together these make semen) are ejaculated from the penis. Label the parts of the male reproductive system and color the various structures in the illustration. \ 1. _ Kidneys ~ .. J g._------- <, <,; .~ ~ h. _ Answer Key: a. Dudus deferens, b. Seminal vesicle, c. Prostate, d. Bulbourethral gland, e. Epididymis, f Testis, g. Uncircumcised penis, h. Circumcised perns,i. Urethra Chapter Thirteen Male Reproductive System IAPLAN I I medlea 297 ORGANS OF THE MALE REPRODUCTIVE SYSTEM The testes are enclosed in the scrotal sac which is lined with a smooth muscle layer called the dartos muscle. This muscle contracts when the temperatures drop near the testes, causing them to withdraw closer to the body where it is warmer. Another muscle of the region is the cremaster muscle. It also contracts when it is cold but it is made of skeletal muscle. The epididymis sits on top of the testis like a small cap and is a place where sperm cells mature. The spermatic cord consists of the cremaster muscle, the ductus deferens, the testicular artery, and a complex meshwork of veins called the pampiniform plexus. This plexus cools arterial blood flowing to the testes maintaining the testes at about 35 degrees C which is important for proper sperm maturation. The sperm are produced in the seminiferous tubules of the testis. This occurs in lobules of the testis before they move to the epididymis. The epididymis has a series of long coiled tubules called the ductus epididymis and the sperm cells slowly pass through this ductwork. After the sperm cells mature in the epididymis they then travel to the ductus deferens which loops around the ureters before reaching the seminal vesicles located on the posterior surface of the urinary bladder. The seminal vesicles add a fluid that has buffers and that provides fructose to the sperm cells. From the seminal vesicles the fluid passes through the ejaculatory duct to the prostate. The prostate adds further fluid that is rich in buffers. This fluid passes into the urethra. The bulbourethral glands add a protein lubricant to the fluid. Label the organs and their features in the illustration and color them in different colors. f. _ g.------- Answer Key: a. Ductus deferens, b. Pampiniform plexus, c. Testicular artery, d. Epididymis, e. Testis, f. Cremaster muscle and fascia, g. Scrotal skin and dartos muscle, h. Ureter, i, Urinarybladder, j. Seminal vesicle. k. Ejaculatory duct, I. Prostate, m. Bulbourethral gland, n. Urethra, o. Ductus epididymis, p. Lobules of testis p.------- Chapter Thirteen Male Reproductive System I meCtical 299 MIDSAGITTAL SECTION OF PELVIS/CROSS SECTION OF PEI\IIS AND SEMINIFEROUS TUBULES When seen in a midsagittal section, the relationship of the glands that produce seminal fluid can easily be seen. The prostate is approximately the size of a golf ball and is located inferior to the urinary bladder. The prostatic urethra is the portion of the urethra that is enclosed in the prostate. The bulbourethral glands are located in the wall of the pelvic floor and the seminal vesicles are posterior to the urinary bladder. Exterior to the body wall are the testes and these are enclosed in the scrotal sac. The epididymis receives sperm from the testis and has three parts, a head, a body, and a tail. The symphysis pubis is an important reference point in the midsagittal section. In males there is a flap of tissue encircling the glans penis. This is the prepuce (foreskin) and it is sometimes removed at birth in a procedure called a circumcision. The corpus cavernosum can be seen in this section along with the corpus spongiosum and the spongy urethra. The cross section of the penis illustrates the relative position of the erectile tissue in the male. On the dorsal aspect of the penis are the paired corpora cavernosa (corpus cavernosum singular). These cylinders fill with blood and produce an increase in length and diameter of the penis. These, along with the corpus spongiosum, are involved in making the penis erect. The corpus spongiosum contains the spongy urethra. The deep dorsal vein of the penis is also seen in cross section. Label the structures seen in a cross section of the penis and color in the erectile tissue and the spongy urethra. The formation of sperm is known as spermatogenesis and occurs from spermatogonia on the superficial wall of the seminiferous tubules. These produce cells called primary spermatocytes which in turn mature into secondary spermatocytes. Spermatids derive from secondary spermatocytes and they, in turn, become spermatozoa (sperm cells). Sertoli cells assist in the process. Label the cells and color each one in a separate color. a. b. '-!'::e-~M, c.-------- d.-----e. _ f. _ g.----- d. _ k.------ p.------- u. _ s. t. _ _ Answer Key: a. Urinarybladder, b. Symphysis pubis, c. Corpus cavernosum, d. Corpus spongiosum, e. Glans penis, f. Prepuce, g. Testis, h. Tail of epididymis, i. Body of epididymis, j. Head of epididymis, k. Spongy urethra, I. Bulbourethral gland, m. Prostate, n. Seminal vesicle, o. Deep dorsal vein, p. Spermatozoa, q. Sperrnatids, r. Secondary spermatocytes, s. Primaryspermatocytes, 1. Sertoli cell, u. Spermatogonia Chapter Fourteen: Female Reproductive System OVERVI EW OF THE FEMALE REPRODUCTIVE SYSTEM The female reproductive system consists of the two ovaries, the uterine tubes, a single uterus, vagina, and the vaginal orifice. The uterus is held to the anterior body by the round ligaments and held to the pelvic wall by the suspensory ligaments. Blood flows to the ovaries by the gonadal arteries. The breasts are integumentary structures and each one has mammary glands, the areola, and the nipple. Label the structures of the female reproductive system and color each of them in a different color. 301 , \ \d_ ~e. f. - - - - - c~r--m .1\ Aorta-----'.---!lJreter -------~ ~~g f ,L;' I ~~ . 1. Ir !), .r) h. _ _ _ Answer Key: a. Areola, b. Nipple, c. Mammaryglands, d. Ovary, e. Uterine tube, f. Round ligament, g. Uterus, h. Vagina, I. Labium minus, j. Ovarian vessels Chapter Fourteen Female Reproductive System I me dlea I KAPLAlf 303 MIDSAGITIAL The ovaries produce the oocytes that are released into the pelvic cavity. Locate the suspensory ligaments that attach the ovaries to the pelvic wall. The round ligament attaches the uterus anteriorly. The oocytes travel into the uterine tubes and then pass into the uterus. The uterus has a domed fundus near the entrance of the uterine tubes and a cervix that inserts into the vagina. The depression between the uterus and the rectum is the rectouterine pouch. The vagina is inferior to the uterus and terminates with the vaginal orifice. Anterior to the vaginal orifice is the urethral orifice, the external opening of the urethra. In this section you can see the fornix of the vagina, a pocket that surrounds the cervix of the uterus. You can also see the relationship of the labium minus and the labium majus in this section. The labia minora are the inner vaginal lips and the labia majora are the outer vaginal lips. These are part of the vulva or external genitalia. Another part of the vulva is the clitoris which consists of the external glans and the body of the clitoris. The body of the clitoris is imbedded in the body tissue. The glans is covered with a prepuce. Anterior to the clitoris is the mons pubis, a fatty pad of tissue overlying the symphysis pubis. Label the organs and other structures in the midsagittal section of the female pelvis and color the structures in using different colors for each structure or space. Sacral promonory a. _ 1. _ b. c. _ _ d. _ e. _ f. _ g.----- Symphysis pubis h. 1. _ _ k. _ J.------- Answer Key: a. Suspensory ligaments, b. Ovary, c. Uterine tube, d. Round ligament, e. Uterus, f. Fundus, g. Cervix, h. Clitoris, i. Labium majus, J. Labium minus, k Vagina, I. Rectouterine pouch Chapter Fourteen Female Reproductive System KAPLAN d'. I I me lea 305 OVARY The ovary is the gonad of the female reproductive system. The background tissue of the ovary is called the stroma. It produces oocytes in a process known as oogenesis and when they are mature they are released from the ovary by ovulation. The ovary has primordial follicles that contain primary oocytes. When the primary oocytes get a little larger they are located in primary follicles. As the ovulatory cycle progresses some of these primary oocytes develop into secondary oocytes. These are enclosed in secondary follicles. Usually only one of these oocytes enlarges and is ovulated. There are two cycles that occur in the female reproductive system and they are interrelated. The ovarian cycle involves the maturation of the oocytes, ovulation, and the development of the corpus luteum. This cycle can be divided into the preovulatory phase, ovulation, and the postovulatory phase. The menstrual cycle involves the changes in the endometrium. The endometrium has a basallayer that stays the same thickness during the menstrual cycle and a functional layer that grows larger in the early part of the menstrual cycle, becomes rich in glycogen during the middle of a woman's cycle, and then is shed during menstruation. a. b.------- d.------e.---------- f. _ 1. -,--_ @@ ~ 0 Endometrium , J-k.-Proliferative Secretory Menstrual Stages fenstrua~ Answer Key: a. Primary oocytes, b. Secondary follicles, c. Primary follicle, d. Secondary oocytes, e. Primordial follicles, f. Corpus luteum, g. Preovulatory phase, h. Ovulation, i. Postovulatory phase, j. Functional iaver, k. Basa/layer Chapter Fourteen Female Reproductive System IAPLAN I I medlea 307 SECTION OF UTERUS AND VAGII\IA The oocyte is ovulated from the ovary and moves into the uterine tube. The uterine tube is fringed by small cylindrical structures called fimbriae. The uterus is a small, flask-shaped organ. The uterus has a domed fundus, a main body, a narrowed isthmus, and an inferior cervix. The uterosacral ligament attaches the uterus to the sacrum. Most of the uterine wall is made of the myometrium which is a thick layer of smooth muscle. The vagina is approximately ten centimeters in length and is lined with stratified squamous epithelium and smooth muscle. A small ring of mucous membrane called the hymen is present in the vagina and is frequently torn during first intercourse. The hymen can rupture prior to intercourse and is not a good indicator of virginity. The vagina has rugae which are folds in the vaginal wall. These stimulate the penis and also allow for expansion of the vagina during delivery. Label the suspensory ligament and ovarian ligament as well as the structures of the uterus, ovary, and vagina. Color the regions of the uterus, ovary, vagina, and associated structures. 1.------- b. _ J.------ c.---_ _ d. _ e.-----f.---- g.----- h. _ Answer Key: a. Utennetube, b. Oocyte, c. Uterus, d. Fundus, e. Body, f. Isthmus, g. Cervix, h. Vagina, m. Uterosacral ligament. n. Rugae, o. Hymen I. Suspensory ligament, j. Fimbriae, k. Ovary, I. Ovarian ligament, Chapter Fourteen Female Reproductive System KAPLAlfdI I me lea 309 FEMALE BREAST AI\ID EXTERNAL GEI\IITALIA The mammary glands are located in the breast. They produce milk when a woman is lactating and lead to lactiferous ducts. These ducts take milk to the lactiferous sinuses which drain into the nipple. Because breast cancer is a significant cause of mortality in women, the lymph drainage of the breast is important. Primary tumors may originate in the breast tissue and then migrate by lymphatic vessels to the axillary lymph nodes. This is one of the main ways that breast cancer spreads. There is a small series of parasternal lymph nodes that takes a small portion of the lymph back to the cardiovascular system. The floor of the pelvis is known as the perineum and can be divided into a urogenital triangle and an anal triangle. The anal triangle contains the anus and the urogenital triangle houses the vaginal orifice, the urethral orifice, and the clitoris. The mons pubis is the most anterior part of the external genitalia and posterior to that is the prepuce. This structure envelops the clitoris. The labia majora and the labia minora encircle the vaginal orifice. The vagina is lubricated internally by some glands during arousal and intercourse as well as from the greater vestibular glands located laterally and posteriorly to the vaginal orifice. Label the structures of the female breast and the external genitalia and color them in. a. _ b. _ Pubic symphysis ~--~~~ ....... ...... t/ ;~ . . i~i ~ \. // h.-------- j f. _ Ischial tuberosity 7~00? coccyx? m.--------- n. - - - - - - - - o. g.-------- p.------- Answer Key: a. Axillary lymph nodes, b. Lymphatic vessels, c. Parasternal lymph nodes,d. Lactiferous sinuses, e. Lactiferous ducts, f. Urogenital triangle, g. Analtriangle, h. Mons pubis, i. Prepuce, j. Clitoris, k. Labia minora, I. Labia majora, m. Urethral orifice, n. Vaginal orifice, o. Greater vestibular gland,p. Anus Chapter Fifteen: Development PREEMBRYONIC STAGE The process of development begins with the union of the sperm and oocyte. After ovulation, the secondary oocyte moves down the uterine tube and, if fertilization occurs by sperm, it usually happens in the uterine tube. Once fertilization occurs, the oocyte and the sperm unite to become a zygote. The zygote divides during this preembryonic stage and forms a two-celled stage. These cells go through numerous divisions and are called blastomeres. The two blastomeres divide and become four cells and this process continues until a cluster of cells 311 (16 to 32 of them) is formed called a morula. As division continues this cluster becomes a hollow ball of cells called a blastocyst. The hollow cavity of the blastocyst is called the blastocele and most of the wall of the blastocyst consists of a layer of simple squamous epithelia called the trophoblast. One part of the wall consists of an inner cell mass known as the embryoblast. Some of these cells will develop into the embryo. Label the structures in the preembryonic stage of development. Color in the various stages in different colors and use one color for the trophoblast and another for the embryoblast. b.~~~~~~ c. ~ d.~~~~~~ f.~~~_ a. _ h. _ 1 . - - - - - -_ _ J.~~~~~~- e.-------- Answer Key: a. Ovulation, b. Fertilization, c. Two-cell stage, d. Morula, e. Blastocyst, f. Zygote, g. Blastomere, h. Trophoblast, i. Embryoblast, J. Blastocele Chapter Fifteen Development I me lea UPLANd' I 313 EMBRYONIC STAGE The blastocyst is the stage of development in which implantation in the uterus occurs. Implantation is the imbedding of the blastocyst in the endometrium of the mother. Once this occurs, a hollow space develops in the embryoblast and this is called the amniotic cavity. At this time, the embryoblast is divided into a bilaminar germ disk with two primitive tissues called the epiblast and the hypoblast. The primitive streak forms along the anterior/posterior axis of the embryo and it becomes a region of growth in the early stage of development. From the epiblast the embryoblast begins to form three primary germ layers. These are the endoderm, ectoderm, and mesoderm. The structure is now referred to as a trilaminar germ disk (meaning a developmental structure with three layers). The development of the notochord begins and this structure will make up the center part (nucleosus pulposus) of the intervertebral disks in the adult. The yolk sac also forms during this period. Once the germ layers are formed, the preembryonic stage ends and the developing tissue is known as an embryo. The embryonic stage begins about day 16 after fertilization and lasts until about the eighth week of pregnancy. During the embryonic stage, the major organs of the body are initiated in a process called organogenesis. During the first part of the embryonic phase, the ectoderm begins to fold in on itself and becomes a neural groove. This will develop into the nervous system of the body. Other derivatives of the ectoderm are the epidermis and some of the facial bones and muscles. The mesoderm gives rise to most of the bones and muscles of the body, the dermis, and the circulatory system. The endodermis gives rise to the linings of the gastrointestinal tract and respiratory system, and some glands. As development continues, the neural groove folds in on itself and becomes a neural tube and the formation of the gut takes place. Label the structures in the embryonic phase and use blue colors for the ectoderm and derivatives of the ectoderm such as the neural tissue. Use red for the mesoderm and color the endoderm in yellow. f. _ g._---- h. _ 1. _ c.------ J.----- k. _ d.---- n. _ e. _ Answer Key: a. Epiblast, b. Hypoblast, c. Ectoderm, d. Mesoderm, e. Endoderm, f. Amniotic j. Trilaminar germ disk, k. Neural groove, I. Yolk sac, m. Neural tube, n. Gut cavity, g. Bilaminar germ disk, h. Primitive streak, i. Notochord, Chapter Fifteen Development I me lea UPLANd' I 315 FETAL STAGE At the eighth week after fertilization the organs are formed and the embryo has now become a fetus. Prior to the fetal stage the outer wall of the embryo develops into a membrane called the chorion and some of this membrane is joined with the maternal vasculature and forming the placenta. Between the chorion and the embryo is the chorionic cavity. This cavity disappears by the eighth week. A membrane called the amnion folds around the embryo forming the amniotic cavity and this cavity is filled with amnitoic fluid. The stages of development can be divided into the pre-embryo (from fertilization to two weeks), the embryo (up to eight weeks after fertilization) and the final stage, the fetus (after eight weeks). The conceptus is the term used for the developing cells and tissues from the pre-embryo through the fetus. Before delivery of the fetus, the amniotic sac ruptures releasing amniotic fluid, the uterus contracts expelling the fetus from the uterus, and the final stage occurs when the placenta is released. (~o Uterine epithelium f.------- Answer Key: a. Amniotic cavity, b. Embryo, c. Chorion, d. Chorionic cavity, e. Placenta, f. Fetus, g. Amnion Index A abdominal aorta, 207 abdominal arteries, 217 abdominal cavity, 19 abdominal region, 7, 15 abdominopelvic cavity, 19 abducens nerve, 133 abduction, 101 accessory nerve, 133 accessory organs, 267 acetabular labrum, 97 acetabulofemoral joint, 97 acetabulum, 75 acidophilic cells, 177 acinar cells, 185 acoustic meatus, 45, 49, 51 acromion process, 65 ACTH (adrenocorticotrophic hormone),179 adduction, 101 adenohypophysis, 177, 179 ADH (antidiuretic hormone), 179 adipose tiss ue, 31 adrenal glands, 11, 175, 187 adrenocorticotrophic hormone (ACTH),179 afferent lymphatics, 243 agranular leukocytes, 195 air, pathway of, 265 alar cartilages, 253 alimentary canal, 267 alveolar ducts, 265 alveolar sacs, 265 alveoli,265 amnion, 315 amniotic cavity, 313 amphiarthroses, 85 amygdala, 123 anal canal, 281 anal triangle, 309 anatomical position, 1 angular gyrus, 125 ansa cervicalis, 139 antebrachial region, 15, 17 antebrachial vein, 227 anterior (position), 1, 15, 163 antibodies, 247 antidiuretic hormone (ADH), 179 antigens, 247 antrum (pyloric region), 277 anus, 267, 281,309 aortic arch, 191,207, 217 ao rta, 191, 193 aortic arteries, 209 aortic semilunar valve, 201,203 apical foramen, 273 apocrine glands, 27 appendicular skeleton, 63 arachnoid mater, 135 areola, 301 arrector pili muscle, 41 arterial circle (circle of Willis), 21 1 arterioles, 193,235 artery(ies), 191, 193,205,207 abdominal, 217 arcuate, 289 articulate, 215 axillary, 207, 213 basilar, 211 brain,211 carotid, 191 cerebellar, 211 cerebral,211 circumflex humeral, 213 colic, 219 communicating, 211 coronary, 197, 199 facial,209 femoral, 191,207,215 fibular, 207 gastric, 219 gonadal, 217 head,209 hepatic, 219 ileocolic, 219 iliac, 207 intercostal, 217 interlobular, 289 interventricular, 199 lower limb, 215 marginal, 197 maxillary, 209 mesenteric, 217, 219 metatarsal,215 obturator, 221 occipital, 209 palmar arch, 213 pelvic, 221 pulmonary, 193, 199 pudendal, 221 radial, 207, 213 rectal, 219, 221 renal, 217, 287, 289 segmental, 289 sigmoid, 219 splenic, 219, 241 subclavian, 207, 209, 213 subscapular, 213 temporal,209 testicular, 297 thoracic, 213, 217 tibial, 207, 215 ulnar, 207,213 upper limb, 213 uterine, 221 vaginal, 221 vertebral,211 317 318 IAPLAN medical I Index articular cartilages, 89 articular disc, 95 articular facet, 55, 57 articular process, 57, 59 articulate artery, 215 articulations, 85-101 arytenoid cartilages, 259 astrocytes, 107 atlas, 55 atom,S atrioventricular bundle, 203 atrioventricular node, 203 atrium, 193,201 auditory association area, 125 auditory canal, 167 auditory cortex, 125 auditory tube (Eustachian tube), 167,169 auricle (pinna), 167 auricular surface, 59 auricular vein, 225 autonomic nervous system, 103, 149,151 axillary artery, 207, 213 axillary lymph nodes, 309 axillary nerve, 141 axillary vein, 223, 227 axis, 55 axon hillcock, 105 axons,37, 105, 107 azygos veins, 231 basilar membrane, 173 basilic vein, 223, 227 basophilic cells, 177 basophils, 195 bicuspid valve, 201, 203 bicuspids (premolars), 273 bifid spinous process, 57 bilaminar germ disk, 313 bile canaliculi, 283 bile duct, 283, 285 bipolar layer, 165 bipolar neurons, 109 bladder, 13 gall,267,279,285 urinary, 287, 291, 297 blastocele, 311 blastocyst, 311 blastomeres, 311 blood, 35, 195 blood vessels, 13, 165,205,273 body cavities, 19 body regions, 15, 17 bolus, 275 bone(s),35 forearm, 71 frontal, 43, 45, 47 hand, 73 hyoid,259 lacrimal, 45 nasal, 43, 45, 253, 255 occipital, 45, 47 palatine, 47, 49 border, medial, 65 bound ribosomes, 21 Bowman's capsule, 293 brachial artery, 191,207,213 brachial plexus, 137, 141 brachial region, 15, 17 brachial veins, 223, 227 brachiocephalic artery, 209 brachiocephalic trunk, 207 brachiocephalic veins, 223, 225 brain, 9,103,113, lIS, 117, 119, 121 brain arteries, 211 breast, female, 309 Broca's area, 125 bronchi, 251, 265 bronchial tree, 261, 265 bronchioles, 265 bronchus, 261 bulbourethral glands, 295, 299 bundle branches, 203 bursa, 89 c calcaneal region, 17 calcaneus, 83 calyces, 289 capillaries, 193,205,235,245,265 capitate, 73 capitulum, 69 carbohydrate chains, 21 cardia, 277 cardiac muscle, 37 cardiac notch, 263 cardiac vein, 197, 199 cardiovascular system, 13, 191-234 carina, 261 carnucle, 159 carotid artery, 191,207,209,211 B B cells, 195,247 ball and socket joints, 91 basal layer, 305 basal nuclei, 121 basement membrane, 23, 255 basilar artery, 211 parietal, 45, 47 pisiform, 73 sphenoid, 43, 45, 47, 51, 177 tarsal,83 temporal, 43, 45, 51 zygomatic, 43 bony labryinth, 171 Index I medical KAPLAN. 319 carotid canal, 47 carpals, 63, 73 cartilage, 33, 87 alar, 253 articular, 89 arytenoid,259 corniculate, 259 cricoid, 257, 259 elastic, 33 hyaline, 33 nasal, 253 septal, 253, 257 thyroid,251,257,259 cartilaginous joints, 85, 87 cauda equina, 131 caudate lobe, 283 cavity(ies) abdominal, 19 abdominopelvic, 19 amniotic, 313 anterior, 163 body, 19 chorionic, 315 cranial, 19 eye, 163 nasal, 157, 159,249,255 oral, 269, 275 pelvic, 19 pericardial, 19 pleural, 19 pulp, 273 sinus, 49 synovial, 89 thoracic, 19,263 tympanic, 169 ventral, 19 cecum, 281 celiac trunk, 217, 219 cell membrane, 21, 23 cell(s), 5, 21-42, 37 acidophilic, 177 acinar, 185 B,195,247 basophilic, 177 chief, 277 effector (cytotoxic) T,247 ependymal, 107 follicular, 181 glial (neuroglia), 37, 107 goblet, 255 granulosa, 189 hair, 173 hepatocytes (liver), 283 interstitial, 189 olfactory, 157 oxyphilic, 183 parafollicular, 181 parietal,277 plasma, 247 principal (chief cells), 183 Schwann, 107 sertoli, 299 spermatozoa (sperm), 299 supporting, 157 T,247 type II alveolar (septal cells), 265 cell-mediated immunity, 247 cementum, 273 central canal, 135 central nervous system, 103 central sulcus, 113, 115 central vein, 283 centrioles, 21 cephalic region, 17 cephalic vein, 223, 227 cerebellar arteries, 211 cerebellum, 113, 117, 119 cerebral aqueduct, 119, 127 cerebral arteries, 211 cerebral cortex, 121 cerebral hemispheres, 121 cerebral peduncles, 119 cerebrospinal fluid (CSF), 127, 129 cerebrum, 125 cervical curvature, 53 cervical enlargement, 131 cervical nerve, 137 cervical plexus, 137, 139 cervical region, 15 cervical vertebrae, 53, 57 cervix, 303, 307 chief cells, 277 choanae, 253 cholesterol molecules, 21 chondrocytes, 33 chordae tendineae, 201 chorion, 315 chorionic cavity, 315 choroid,163 chromatin, 21 cilia, 23, 255 cingulate gyrus, 123 circular folds, 279 circular layer, 277 circulation, 193,233 circumflex branch, 197 circumflex humeral artery, 213 cisterna chyli, 235 clavicle, 63, 67 clavicular notches, 61 clitoris, 303, 309 coccygeal nerves, 137 coccygeal vertebrae, 53 coccyx, 53, 59 cochlea, 169, 173 cochlear nerve, 173 colic artery, 219 320 KAPLAN" medical I Index colic veins, 231 collagenous fibers, 29, 33 collateral ligament, 99 collecting duct, 293 colliculli, 119 colloid, 181 colon, 281 columnar epithelium, 23 commissure, 159 communicating arteries, 211 conduction fibers, 203 condyle(s),45,47, 79, 81, 95 condyloid (ellipsoidal) joints, 91 cones, 165 connective tissue, 29, 31 conoid tubercle, 67 conus elasticus, 259 conus medullaris, 131 convoluted tubule, 293 convolutions, 115, 121 coracoid process, 65 cornea, 163 corniculate cartilages, 259 cornua, 55 coronal section, 3 coronal suture, 45, 47 coronary artery( ies), 197, 199 coronary sinus, 199,201 coronoid fossa, 69 coronoid process, 45, 71 corpora quadrigemina, 119 corporea cavernosa, 299 corpus callosum, 119, 121, 177 corpus cavernosum, 299 corpusluteum,189,305 corpus spongiosum, 299 corpuscle(s), 39,153 cortex, 115, 121, 125, 187,243,289 costal groove, 61 costal notches, 61 coxal region, 15 cranial cavity, 19 cranial nerves, 133 cranial region, 15 cranioscaral division, 149 cremaster muscle, 297 cribriform plate, 49,157,253 cricoid cartilage, 257, 259 cricothyroid ligament, 259 crista galli, 49, 51,253 cross section, 3 crown (tooth), 273 cruciate ligaments, 99 crural region, 15 cubital vein, 227 cuboidal epithelium, 23 cuneiforrns, 83 cuspids, 273 cutaneous branches, 145 cutaneous nerve, femoral, 143 cuticle (eponychium), 41 cystic duct, 285 cytoplasm, 21, 23 cytoskeleton, 21 cytosol,21 developing eye, III diaphragm, 249 diathroses, 85 digestive system, 11, 219, 267 digital arteries, 213, 215 digital region, 15 digital veins, 227, 229 distal (position), 1 dorsal, 1, 19 dorsal vein, 299 dorsalis pedis arteries, 215 dorsum sellae, 51 duct(s) bile, 283, 285 collecting, 293 cystic, 285 ejaculatory, 297 hepatic, 285 lactiferous, 309 lymphatic, 237 nasolacrimal, 159 pancreatic, 285 parotid, 271 semicircular, 169, 171 thoracic, 235, 237 ductus arteriosus, 233 ductus deferens, 295, 297 D dartos muscle, 297 deciduous (milk) teeth, 273 deltoid, 9, 15 deltoid tuberosity, 69 dendrites, 37,105 dentin, 273 dermatomes, 147 dermis, 39 descending colon, 281 detrusor muscle, 291 ductus epididymis, 297 ductus venosus, 233 duodenal papilla, 285 duodenum, 277, 279 dura mater, 135 E ear, 167, 169, 171 ECG-conduction pathway, 203 ectoderm, 313 effector (cytotoxic) T cells, 247 Index KAPLAN". I medical 321 efferent lymphatics, 243 ejaculatory duct, 297 elastic cartilage, 33 elastic fibers, 29, 31, 33, 205 ellipsoidal (condyloid) joints, 91 embryoblast, 311 embryonic stage, 313 enamel,273 endocardium, 201 endocrine glands, 27 endocrine system, 11, 175 endoderm, 313 endolymph, 171 endoplasmic reticulum, 21 endothelium, 205 eosinophils, 195 ependymal cell, 107 epicondyles, 69, 79 epidermis, 39,153 epididymis, 295, 297, 299 epigastric region, 7 epiglottis, 155,259 epiphyseal plate, 87 epiploic appendages, 281 epithelium, 23, 25,157,255 eponychium (cuticle), 41 erythrocytes, 35, 195 esophagus, 11,267,269,275 esophageal sphincter, 275 ethmoid bone, 49, 51 exocrine glands, 27 extension (joint), 101 external nares, 253, 257 external occipital protuberance, 45,47 eye, 111,159,161,163,165 eyebrow, 159 eyelids, 159 F facial artery, 209 facial nerve, 133 facial region, 15 facial vein, 225 falciform ligament, 283 false pelvis, 75 female breast, 309 female external genitalia, 309 female pelvic arteries, 221 female pelvis, 77 female reproductive system, 301-310 femoral artery, 191,207,215 femoral cutaneous nerve, 143 femoral nerve, 143 femoral region, 15, 17 femoral vein, 191,223,229 femur, 9, 79 fertilization, 311 fetal circulation, 233 fetal stage, 315 fetus, 315 fibrious joints, 85 fibrocartilage, 33, 87, 97 fibrocytes,29 fibrous joints, 85 fibrous layer, 201 fibula, 79, 81 fibular artery, 207 fibular nerve, 145 filiform papillae, 155 filum terminale, 131 fimbriae, 307 fissure, 113, 115, 121, 135 flexion, 101 follicle stimulating hormone (FSH), 179 follicle (s) hair, 41 ovarian, 189 primordial, 305 follicular cells, 181 foot, 83 foranlen,45,47,55,57,75 foramen magnum, 47 foramen ovale, 51, 201, 233 foramen rotundum, 51 foramina, 59,127 forearm bones, 71 formed elements, 195 fornix, 123 fossa coronoid,69 glenoid, 65, 97 hypophyseal, 177 infraspinous, 65 mandibular, 47, 95 olecranon, 69 subscapular, 65 supraspinous, 65 fossa oval is, 201 fourth ventricle, 119, 127 fovea, 163 fovea centralis, 165 free edge, 41 free ribosomes, 21 frontal bone, 43, 45, 47 frontal lobe, 113, 115, 117, 119 frontal process of the maxilla, 253 frontal section, 3 frontal sinus, 49 FSH (follicle stimulating hormone), 179 functional layer, 305 fundus, 277, 303, 307 fungiform papillae, 155 322 KAPLAN" medical I Index G gall bladder, 267, 279, 285 ganglia, 151 ganglionic layer, 165 gastric artery, 219 gastric pits, 277 gastric vein, 231 gastroepiploic artery, 219 gastroepiploic vein, 231 genicular region, 15 genitalia, female external, 309 genitofemoral nerve, 143 GH (growth hormone), 179 gingiva, 269 gland(s), 27, 39 adrenal, 11 apocrine, 27 bulbourethral, 295 endocrine, 27 holocrine, 27 lacrimal, 159 lymph,9 mammary, 301, 309 merocine,27 parathyroid,183 parotid,271 pineal, 119, 175, 177 pituitary, 117, 119, 175, 177 salivary, 267, 271 sebaceous, 41 sublingual, 271 submandibular, 271 glans penis, 299 glenoid fossa, 65, 97 glenoid labrum, 97 glial cells (neuroglia), 37,107 gliding joints, 91 glomerular capsule, 293 glomerulus, 293 glossopharyngeal nerve, 133 glottis, 259 gluteal arteries, 221 gluteal nerve, 145 gluteal region, 17 goblet cells, 255 Golgi apparatus, 21 gomphosis, 85 gonadal arteries, 217 gonadal veins, 223, 231 gonads, 189 granular leukocytes, 195 granulosa cells, 189 gray horns, 135 gray matter, 121 growth hormone (GH), 179 gustatory cortex, 125 gut, 313 hepatocytes (liver cells), 283 hierarchy, of the body,S hilium,289 hinge joints, 91,95 hip, 75, 77 hippocampal gyrus, 123 hippocampus, 123 holocrine glands, 27 hormone(s),179 adrenocorticotrophic (ACTH), 179 antidiuretic (ADH), 179 follicle stimulating (FSH), 179 growth (GH), 179 luteinizing (LH), 179 thyroid stimulating, 179 humeroscapular joint, 97 humerus, 9, 63, 69, 97 hyaline cartilage, 33 hymen, 307 H hair, 41 hair cells, 173 hair receptors, 153 hamate, 73 hand bones, 73 hard palate, 253, 255, 257, 269 haustra, 281 head arteries, 209 head veins, 225 heart,13,191, 197, 199,201,203 helper T cells, 247 hemiazygos veins, 231 hemoglobin, 195 hepatic artery, 219, 283 hepatic duct, 285 hepatic flexure, 281 hepatic portal system, 231 hepatic portal veins, 231, 283 hyoid, 55, 61 hyoid bone, 259 hyperextension, 101 hypochondriac regions, 7 hypodermis, 39 hypogastric region, 7 hypoglossal nerve, 133, 139 hyponychium, 41 hypophyseal fossa, 177 hypophysis, 177 hypothalamus, 119 I ileocolic artery, 219 ileum, 279 iliac artery, 207, 215, 217, 221, 233 iliac crest, 75 iliac region, 7 iliac spine, 75, 77 Index I medical KAPLAN". 323 iliac vein, 223, 229 iliohypogastric nerve, 143 ilioinguinal nerve, 143 ilium, 75 immunity, 247 incisors, 273 incus, 169 inferior (position), 1 inferior lobe, 263 inferior oblique, 161 inferior vena cava, 191, 193,201, 223, 231,233 infraspinous fossa, 65 infudibulum, 177 inguinal region, 7,15 inner ear, 167, 169,171 integral proteins, 21 integument, 21-42 integumentary system, 11, 39 intercalated discs, 37 intercostal arteries, 217 intercostal veins, 231 interlobular arteries, 289 interosseus margin, 71 interstitial cells, 189 intertrochanteric line, 79 intertrochanteric ridge, 79 intertubercular groove, 69 interventricular artery, 199 interventricular branch, 197 interventricular foramina, 127 interventricular septum, 201 intestinal branches, 219 intestine large, 267, 281 small, 245, 267, 279 iris, 159 ischial ramus, 77 ischial tuberosity, 77 ischium, 75 isthmus, 181 lacrimal bone, 45 lacrimal canals, 159 lacrimal gland, 159 J jaw joint, 95 jejunum, 279 joint capsule, 89 joint(s), 91, 95, 97, 99,101 acetabulofemoral,97 ball and socket, 91 condyloid, 91 extension, 101 fibrio us, 85 gliding, 91 hinge, 91, 95 humeroscapular,97 jaw, 95 rotating/rotation, 91, 101 sacroiliac, 75 saddle, 91 synovial, 85, 89, 91, 93 temporomandibular, 95 tibofemoral,99 jugular foramen, 47 jugular veins, 191,223,225, 237 lacteals, 245 lactiferous ducts, 309 lactiferous sinuses, 309 lambdoid suture, 45, 47 lameJlated corpuscles, 153 lamina elastic interna, 205 laminae, 57 large intestine, 267, 281 larynx, 249, 251,257,259 lateral (position), 1 lens, 163 leukocytes, 35, 195 levator palpebrae superioris, 161 LH (luteinizing hormone), 179 ligament(s) collateral, 99 cricothyroid,259 cruciate, 99 falciform, 283 medial collateral, 99 ovarian, 307 peridontal,273 round, 301, 303 suspensory, 163,303,307 K karyoplasm, 21 kidneys, 287, 289 uterosacral, 307 limbic system, 123 linea aspera, 79 lingual tonsils, 155,239 L labia, 269, 309 labia minora, 303 labial frenulum, 269 labrum, glenoid, 97 labryinths of the inner ear, 171 lacrimal apparatus, 159 lipid layer, 21 liver, 267, 283, 285 liver cells (hepatocytes), 283 liver lobules, 283 LN Cries Drum, 13 longitudinal fissure, 115, 121 longitudinal layer, 277 lower extremity, 79 324 KAPLAN medical I Index lower limb veins, 229 lumbar curvature, 53 lumbar enlargement, 131 lumbar nerves, 137 lumbar plexus, 137, 143 lumbar region, 7, 17 lumbosacral plexus, 137 lumen, 205 lunate, 73 lungs, 11,249,251,263 lunula,41 luteinizing hormone (LH), 179 lymph,235 lymph capillaries, 235 lymph glands, 9 lymph nodes, 235, 237, 243, 309 lymphatic system, 235 lymphatic duct, 237 lymphatic system, 9 lymphatic vessels, 245, 309 lymphatics (lymph vessels), 9, 235,243 lymphocytes, 195 lysosomes,21 mandibular notch, 45 manual region, 15 manubrium, 61 marginal artery, 197 masses, 55 mastoid process, 45, 51 matrix, 29, 33 maxiallary vein, 225 maxilla, 43, 45, 47, 49, 253 maxillary artery, 209 maxillary vein, 225 meatus, internal acoustic, 49 medial (position), 1 median section, 3 mediastinum, 19 medulla, 187,243,289 medulla oblongata, 117, 119 medullary cords, 243 Meissner corpuscles, 39 melanin, 39 melanocytes, 39 membrane(s),263 basement, 23, 255 basilar, 173 cell, 21, 23 Mesinner's corpuscles, 153 mesoderm, 313 metacarpals, 63, 73 metatarsal arteries, 215 metatarsal veins, 229 metatarsals, 79, 83 microglia, 107 middle ear, 167, 169 middle lobe, 263 midsagittal section, 3, 49, 303 milk (deciduous) teeth, 273 mitochondria, 21 molar teeth, 273 molecules, 5,21 monocytes, 195 mons pubis, 309 morula, 311 motor association area, 125 motor cortex, 125 motor speech area, 125 mouth, 267, 269 mucous sheet, 255 mucus, 255 multipolar neuron, 109 muscle tissue, 37 muscle(s) arrector pili, 41 cardiac, 37 cremaster, 297 dartos, 297 detrusor, 291 papillary, 201 skeletal, 37 smooth,37,205,291 trachealis, 261 muscular branches, 145 muscular system, 9 muscular tissue, 37 muscularis, 277, 279 M macula lutea, 165 male pelvic arteries, 221 male pelvis, 77 male reproductive system, 295-300, 297 malleolus, 81 malleus, 169 mammary glands, 301, 309 mammillary bodies, 117, 119, 123 mandible, 43, 45 mandibular condyle, 45 mandibular foramen, 45 mandibular fossa, 47, 95 plasma, 21 synovial, 89 tympanic (ear drum), 167 membranous labyrinth, 171 memory B cells, 247 memory T cells, 247 meninges, 135 menisci, 89, 99 menstrual cycle, 305 mental foramen, 45 Merkel's disks, 153 merocine glands, 27 mesenteric artery, 217,219 mesenteric veins, 231 I d n ex I KAPLAN" medical 325 musculocutaneous nerve, 141 myelin sheath, 107 myocardium, 201 optic, 133, 161, 163, 165 peripheral, 103 phrenic, 139 pudendal,145 obturator foramen, 75 obturator nerve, 143 occipital artery, 209 occipital bone, 45, 47 occipital lobe, 113, 119 occipital protuberance, external 45,47 ' occiptal condyles, 47 oculomotor nerve, 133 olecranon fossa, 69 olecranon process, 71 olecranon region, 17 olfactory bulb, 157 olfactory cells, 157 olfactory epithelium, 157 olfactory nerve, 133 oligodendrocytes, 107 oocytes, 305, 307 optic chiasma, 117, 119 optic disk, 163, 165 optic nerve, 133, 161, 163,165 oral cavity, 269, 275 orbit (of skull), 43 organ systems,S, 9-13 organelles, 5,21 organism,S organs,S of the head, 177 sense, 153-174 oropharynx, 269, 275 ossicles, 167 osteocytes, 35 outer ear, 167 oval window, 169 ovarian cycle, 305 N nails, 41 radial, 141 sacral, 137 sciatic, 145 nares, 253 nasal bones, 43, 45, 253, 255 nasal cartilages, 253 nasal cavity, 157, 159,249,255 nasal conchae, 51,255,257 spinal, 103, 135 terminal, 137 thoracic, 137 ulnar, 141 vagus, 133 nasal septum, 43, 253 vestibulocochlear, 133 nasolacrimal duct, 159 nasopharynx, 253 nervous tissue, 37 neck veins, 225 neural development, III nephron loop (loop of Henle), 293 neural groove, 313 nerve cell body (soma), 37,105 nerve fibers, sensory, 155 neuroglia (glial cells), 37, 107 nervets), 9, 273 neurohypophysis, 177, 179 abducens, 133 neurolemmocyte,107 accessory, 133 neuron shapes, 109 axillary, 141 neuron(s),37, 105, 109, 151 cervical, 137 neurotransmitters, 109 coccygeal, 137 neutrophils, 195 cochlear, 173 nipple, 301 cranial, 133 Nissl bodies, 105 facial, 133 femoral cutaneous, 143 nostrils, 253, 257 fibular, 145 n otocho rd, 313 genitofemoral, 143 nuchal region, 17 glossopharyngeal, 133 iliohypogastric, 143 ilioinguinal, 143 nucleus, 21,255 lumbar, 137 musculocutaneous, 141 obuturator, 143 oculomotor, 133 olfactory, 133 nuclei, 23, 37 nucleolus, 21 nose, 157,249,253 neural tube, 313 nervous system, 9, 103-152 o oblique layer, 277 obturator artery, 221 ovarian follicles, 189 ovarian ligament, 307 ovaries, 13, 175, 189, 301,303 ovary, 305, 307 326 KAPLAN" medical I Index ovulation, 305, 311 oxyphilic cells, 183 oxytocin, 179 pelvis, 75, 77, 289 penis, 295, 299 pericardial cavity, 19 pericardium, 201 pollex, 73 pons, 117, 119 popliteal artery, 215 popliteal region, 17 popliteal vein, 229 portal system, 231 po rtal system, hepatic, 231 portal triad, 283 portal veins, hepatic, 231, 283 postcentral gyrus, 113, 115, 125 posterior (position), 1 postganglionic neurons, 151 postovulatory phase, 305 precentral gyrus, 113, 115, 125 preembryonic stage, 311 premolars (bicuspids), 273 preovulatory phase, 305 prepuce, 299, 309 presynaptic neuron, 109 primitive streak, 313 primordial follicles, 305 principal cells (chief cells), 183 process( es) acromion, 65 articular,S 7, 59 bifid spinous, 57 coracoid, 65 coronoid, 45,71 mastoid, 45, 51 of the maxilla, 47, 253 olecranon, 71 spinous, 55, 57 styloid, 45, 47, 51, 71 transverse, 57 zygomatic, 45,51 prolactin, 179 prosencephalon, III prostate, 295, 297, 299 p Pacinian corpuscles, 39,153 pain receptors, 153 palate, soft and hard, 253, 255, 257, 269 palatine bones, 47, 49 palatine process of the maxilla, 47 palmar arch arteries, 213 palmar arch veins, 227 pampiniform plexus, 297 pancreas, 175, 185,267,279,285 pancreatic islets, 185 papillary layer, 39 parasympathetic division, 149, 151 parathyroid glands, 183 parietal bones, 45, 47 parietal lobe, 113, 115, 119 parietal pericardium, 201 parietal pleura, 263 parotid ducts, 271 parotid glands, 271 patella, 79 patellar tendon, 99 pathway(s) peridontal ligaments, 273 perilymph, 171 peripheral nerves, 103 peripheral nervous system, 103 peripheral proteins, 21 permanent teeth, 273 peroxisomes,21 perpendicular plate, 49, 51, 253 phagocytic vesicles, 21 phalanges, 63, 73, 79, 83 pharyngeal tonsils, 239 pharynx, 249 phosphate molecules, 21 phospholipid bilayer, 21 photoreceptor layer, 165 phrenic nerves, 139 pia mater, 135 pineal gland, 119, 175, 177 pituitary gland, 117, 119, 175, 177, 179 placenta, 233, 315 plantar veins, 229 plasma, 35,195 plasma cells, 247 plasma membrane, 21 ECG-conduction,203 of air, 265 platelets, 35 platelets (thrornbocytes), 195 pleura, 249 pleural cavity(ies), 19,263 plexus cervical, 137, 139 lumbar, 137, 143 lumbosacral, 137 pampiniform,297 sacral, 137, 145 pectoral girdle, 63 pectoral region, 15 pectoralis major, 9 pedal region, 15 pedicles,57 peduncles, cerebral, 119 pelvic arteries, 221 pelvic cavity, 19 pelvic curvature, 53 proteins, 21 Index I medical KAPLAN". 327 proximal (position), 1 pseudostratified ciliated columnar epithelium, 23, 255 pseudounipolar neurons, 109 pterygoid plate(s), 47, 51 pubic ramus, 77 pubic symphysis, 75 pubis, 75 pudendal artery, 221 pudendal nerve, 145 pulmonary artery, 193, 199 pulmonary circulation, 193 pulmonary semilunar valve, 201, 203 pulmonary trunk, 191,201,233 pulmonary veins, 193, 199 pulp cavity, 273 pupil, 159 Purkinje fibers, 203 pyloric canal, 277 pyloric region, 277 pyloric sphincter, 277 rectus, 161 red blood cells (erythrocytes), 35,195 red pulp, 241 region(s), 7,15,17 renal arteries, 217, 287, 289 renal veins, 223, 231 renal capsule, 289 renal columns, 289 renal corpuscle, 293 renal medulla, 289 renal pelvis, 289 renal pyramids, 289 reproductive system, 13,295-300, 297,301-310 respiratory system, 11,249-266 reticular connective tissue, 31 reticular fibers, 29, 31 reticular layer, 39 retina, 163, 165 return drainage, 237 rhombencephalon, III ribosomes, 21 sacroiliac joint, 75 sacrum, 53, 59 saddle joints, 91 sagittal section, 3 sagittal sinus, 225 sagittal suture, 47 salivary glands, 267, 271 saphenous vein, 223, 229 scala media, 173 scala tympani, 173 scala vestibuli, 173 scaphoid, 73 scapula, 65 scapulae, 63 scapular region, 17 scapular spine, 65 Schwarm cell, 107 sciatic nerve, 145 sciatic notch, 77 sclera, 159, 163 scleral venous sinus, 163 scrotal sac, 297, 299 sebaceous gland, 41 sections, body, 3 segmental arteries, 289 sella turcica, 49, 51 semicircular canal, 171 semicircular ducts, 169, 171 seminal vesicles, 295, 297, 299 seminiferous tubules, 189,299 sense organs, 153-174 Q quadrants (of regions), 7 quadrate lobe (liver), 283 ribs, 61 rods, 165 root canal, 273 rootlets, 135 rotation (joint), 91,101 R radial artery, 207, 213 radial nerve, 141 radial notch, 71 radial tuberosity, 71 radial veins, 223, 227 radius, 63 ramus, 45, 77 receptors, pain, 153 rectal arteries, 219, 221 rectouterine pouch, 303 rectum, 281 round ligaments, 301, 303 round window, 169 rugae, 277, 307 s saccule, 169 sacral crest, 59 sacral foramina, 59 sacral nerves, 137 sacral plexus, 137, 145 sacral promontory, 59 sacral vertebrae, 53 sensory nerve fibers, 155 septal cartilage, 253, 257 serosa, 277 serous layer, 201 sertoli cells, 299 shaft, hair, 41 sigmoid artery, 219 sigmoid colon, 281 328 meclical sinus( es) I Index sinoatrial node, 203 splenic cords, 241 splenic flexure, 281 splenic vein, 231, 241 spongy urethra, 299 squamous epithelium, 23, 25 squamous portion, 51 squamous suture, 45 stapes, 169 sternal region, 15 sternal-rib junction, 87 sternum, 61 stomach, 11,267,277 stratified epithelia, 25 stratified squamous epithelium, 25 stratum basale, 39 stratum corneum, 39 stratum granulosum, 39 stratum lucidum, 39 stratum spinosum, 39 striations, 37 styloid process, 45, 47, 51, 71 subclavian artery, 207, 209, 213 subclavian vein, 223, 227, 237 sublingual glands, 271 submandibular glands, 271 submucosa, 277, 279 subpubic angle, 77 subscapular artery, 213 subscapular fossa, 65 sulcus(i), 113,115,121,135 superior (position), 1 superior border, 65 superior oblique, 161 supporting cells, 157 supracondylar ridges, 69 supraspinous fossa, 65 suprasternal notch, 61 sural region, 17 surfactant, 265 surgical neck, 69 suspensory ligaments, 163,303,307 suturets), 45, 47,85 sweat glands, 39 sympathetic chain ganglia, 149 sympathetic division, 149 symphysis, 87 symphysis pubis, 299 synapses, 105, 109 synaptic neuron, 109 synaptic vesicles, 109 synarthroses, 85 synchondrosis, 87 syndesmosis, 85 synovial cavity, 89 synovial fluid, 89 synovial joints, 85, 89, 91,93 synovial membranes, 89 system(s) autonomic nervous, 103, 149, 151 cardiovascular, 13, 191-234 central nervous, 103 digestive, 11, 219, 267 endocrine, 11, 175 female reproductive, 301-310 hepatic portal, 231 integumentary, 11, 39 limbic, 123 lymphatic, 9, 235 male reproductive, 295-300, 297 muscular, 9 organ, 5,9-13 peripheral nervous, 103 portal,231 respiratory, 11,249-266 skeletal, 9, 43-84 somatic nervous, 103 urinary, 13,287 systemic circulation, 193 cavity, 49 coronary, 199,201 frontal, 49 lactiferous, 309 sagittal, 225 scleral venous, 163 sphenoid, 49 sinusoids,283 skeletal muscle, 37 skeletal system, 9, 43-84 skeleton, appendicular, 63 skin, 11 skin receptors, 153 skull, 43, 45, 47,49 small intestine, 245, 267, 279 smooth muscle, 37, 205, 291 soft palate, 253, 255, 269 soma, 105 somatic nervous system, 103 somatosensory cortex, lIS, 125 speech area, motor, 125 spermatic cord, 297 spermatids,299 spermatocytes,299 spermatogonia, 299 spermatozoa (sperm cells), 299 sphenoid bone, 43, 45, 47, 51, 177 sphenoid sinus, 49 sphincter, pyloric, 277 spinal canal, 19 spinal cord, 9, 103, 131, 135 spinal nerve(s), 103, 135 spine, 65, 75, 77 spinous process, 55, 57 spiral organ (organ of Corti), 173 spleen, 9, 235, 241 splenic artery, 219, 241 Index I medical KAPLAff. 329 T T cells, 195,247 talus, 83 tarsal bones, 83 tarsals, 79 taste buds, 155 taste pore, 155 teeth,273 temporal vein, 225 temporomandibular joint, 95 tendon sheath, 89 tendon, patellar, 99 teniae coli, 281 terminal nerves, 137 testes, 13, 175, 189,295,297 testicular artery, 297 thalamus, 119, 121 third ventricle, 121, 127 thoracic aorta, 207,217 thoracic nerves, 137 thoracolumbar division, 149 thrombocytes (platelets), 195 thymus, 237 thyroid cartilage, 251, 257, 259 thyroid gland, 11, 175, 181 thyroid stimulating hormone, 179 tibia, 79, 81 tibial artery, 207,215 tibial condyle, 81 tibial crest, 81 tibial tuberosity, 81 tibial veins, 229 tibofemoral joint, 99 tissue(s), 5, 21-42 tongue, 155,239,269 tonsillar (Waldeyer's) ring, 239 tonsils, 155,239 trabeculae carneae, 201 trachea, 11,249,251,257,259,261 tracheal rings, 261 trachealis muscle, 261 transitional epithelium, 25 transverse processes, 57 trapezium, 73 trapezoid,73 tricuspid valve, 201,203 trigeminal nerve, 133 trigone, 291 trilaminar germ disk, 313 triquetrum, 73 trochanter, 79 trochlea, 69 trochlear nerve, 133 trochlear notch, 71 trophoblast,311 true pelvis, 75 trunk veins, 231 tuberosity, 71, 77 tubule(s), 189,293,299 tunica externa (tunica adventitia), 205 tunica intima (tunica interna), 205 tunica media, 205 two-celled stage, 311 tympanic cavity, 169 tympanic membrane (ear drum), 167 type 11 alveolar cells, 265 upper extremity, 63 upper limb arteries, 213 upper limb veins, 227 ureteral orifices, 291 ureters, 287, 289, 291,297 urethral orifice, 309 urethra, 13,287,291 urinary bladder, 287, 291, 297 urinary system, 13,287 urogenital triangle, 309 uterine arteries, 221 uterine tubes, 301,303,307 uterosacral ligament, 307 uterus, 301, 303, 307 utricle, 169 uvula, 269 v vagina, 301,303,307 vaginal arteries, 221 vaginal orifice, 309 vagus nerve, 133 vallate papillae, 155 valve(s), 201,203 vasopressin, 179 vein( s) antebrachial,227 axillary, 223, 227 u ulna, 63 ulnar artery, 207, 213 azygos, 231 basilic, 223, 227 brachiocephalic, 223, 225 cardiac, 197, 199 ulnar nerve, 141 central,283 ulnar notch, 71 cephalic, 223, 227 ulnar veins, 223, 227 colic, 231 umbilical arteries, 233 cubital,227 umbilical region, 7 digital, 227, 229 umbilical vein, 233 dorsal,299 upper dermis, 153 330 ",~&ical I Index facial, 225 femoral, 191,223,229 gastric, 231 gastroepiploic, 231 gonadal, 223, 231 head, 225 hemiazygos, 231 hepatic portal, 231,283 iliac, 223, 229 intercostal, 231 jugular, 191,223,225,237 lower limb, 229 maxillary, 225 mesenteric, 231 metatarsal, 229 neck, 225 palmar arch, 227 plantar, 229 popliteal, 229 pulmonary, 193, 199 radial, 223, 227 renal, 223, 231 saphenous, 223, 229 splenic, 231, 241 subclavian, 223, 227, 237 temporal, 225 tibial, 229 ulnar, 223, 227 umbilical, 233 upper limb, 227 vena cava, 191, 193,201,223,225, 231,233 vertebral, 223, 225 vena cava veins, 191, 193,201,223, 225,231,233 ventral cavity, 19 ventral root, 135 ventricle(s), 119,121, 127, 193,201 venules, 193, 235 vermiform appendix, 281 vertebrae, 53, 57 vertebral arch, 57 vertebral arteries, 211 vertebral column, 53 vertebral foramen, 55, 57 vertebral region, 17 vertebral vein, 223, 225 vesical arteries, 221 vesicles, 21, 27,109,295,297,299 vessels, 205, 245, 309 vestibular fold, 259 vestibular membrane, 173 vestibule, 169 vestibulocochlear nerve, 133 vetebral foramen, 55 villi, 245, 279 visceral pericardium, 201 visceral pleura, 263 visual association area, 125 vitreous humor, 163 vocal cord, 259 vocal fold, 257 vomer, 47, 49, 253 white matter, 121 white pulp, 241 wings, 47, 51 x xiphoid process, 61 y yolk sac, 313 z zona fasciculata, 187 zona glomerulosa, 187 zona reticularis, 187 zygomatic bones, 43 zygomatic process, 45, 51 zygote, 311 w Waldeyer's (tonsillar) ring, 239 Wernicke's area, 125 white blood cells, 35, 195 Special Flashcard Section: Muscles of the Human Body INTRODUCTION Muscles can be grouped into anatomical regions such as muscles of the head, arm or torso. Muscles can also be functionally related, for example, muscles that act on the thigh or muscles that flex the hand. Origin, Insertion, Action 331 The origin of the muscle is the stable part of the muscle. The majority of muscles have origins that are superior, proximal, or medial to the insertion. There are only a few exceptions to this rule. The insertion of the muscle is the part of the muscle that has the greatest motion when the muscle contracts. In some cases a muscle can move either the origin or the insertion and you should learn the origins and insertions as presented. The action of a muscle is what the muscle does. Some muscles are flexors and decrease joint angles. Some are extensors, adductors, abductors, rotators, etc. The action of the muscle is every movement the muscle does. When you study muscles, it helps to take two or three at a time and learn just the origins of the muscles. When you know those, then study the insertions, and finally, the actions. After you know the muscles well, then take another group of muscles and add them to the list. If you try to learn twenty muscles at a time, the task will be frustrating, so it is best to take them in small groups. Muscle Names The muscles are named by different criteria and understanding how they are named can help you to remember the muscle. Muscles can be named for their shape. The trapezius is a trapezoid-like muscle. The rhomboideus muscles are shaped like a rhombus. Muscles can be named by the number of heads they have. The triceps brachii has three heads. Muscles can be named by location.The rectus abdominis literally means "the straight muscle of the abdomen." The tibialis anterior is the front muscle on the tibia. Muscles can be named according to size. The teres major is the large muscle and the teres minor is the small muscle. Teres means "round." Some muscles are superficial while others are deep. The flexor digitorum superficialis is superficial to the flexor digitorum profundus. Muscles can also be named for their action. There are the adductors, the flexors and extensor muscles, etc. Muscles that cross joints of the body move those joints. The main muscle that causes the joint to move is called the prime mover or agonist. A muscle that helps the prime mover is called a synergist. A muscle that opposes the prime mover is called an antagonist. If both the prime mover and the antagonist contract, then the joint is fixed, Muscle Groups There are groups of muscles that act together. The rotator cuff (musculotendinous cuff) muscles stabilize the shoulder joint. These are the supraspinatus, the infraspinatus the teres minor and the subscapularis. The abdominal muscles are the rectus abdominis, the external oblique, the internal oblique, and the transversus abdominis. The quadriceps femoris group are the muscles of the anterior thigh. These are the rectus femoris, the vastus lateralis, the vastus medialis, and the vastus intermedius. The hamstrings are muscles on the posterior thigh and they consist of the biceps femoris, the semitendinosus, and the semimembranosus. There are many more functional groups of muscles but these are a few of the major ones. The muscles of the body are numerous and flash cards are a great tool to learn muscles. Cut out the cards along the lines. As we said before, it is best to take a few cards at a time and learn them well. You should color each muscle on the front side of the card and put a small '0' where the origin of the muscle is and a small 'I" where the insertion of the muscle is. Each muscle is illustrated isolated from other muscles so that the origin and the insertion are plainly visible. The name of the muscle is on the back of the illustration. The origin (0), insertion (I), and action (A) are listed for each muscle on the back of the card. Special Muscle Flashcard Section Muscles of the Human Body I I KAPLAlf me dlea 333 MUSCLES, ANTERIOR VIEW Answer Key: a. Sternocleidomastoid, b. Pectoralis major, c. Deltoid, d. Bicepsbrachii, e. Rectus abdominis, f. External oblique, g. Sartorius, h. Quadriceps femoris, i. Tibialisanterior Special Muscle Flashcard Section Muscles of the Human Body I meulCa KAPLA~. I 335 MUSCLES, POSTERIOR VIEW b. _ J.----- AnswerKey: a. Trapezius, b. Deltoid, c.Triceps brachii, d. Latissimus dorsi, e. Extensor digitorum, f. Gluteus maximus, g. Adductor magnus, h. Iliotibial tract, i. Bicepsfemoris, j. Gastrocnemius OCCIPITALIS 0: Occipital bone and temporal bone I: Galea aponeurotica A: Pulls scalp posteriorly FRONTALIS 0: Galea aponeurotica I: Skin near eyebrows A: Raises eyebrows, pulls scalp anteriorly MASSETER 0: Zygomatic arch I: TEMPORALIS 0: Temporal fossa I: Ramus of mandible Coronoid process and ramus of the mandible A: Closes mandible A: Closes mandible ORBICULARIS OCULI 0: Frontal bone and maxilla on medial orbit I: Eyelid A: Closes eye MEDIAL AND LATERAL PTERYGOIDS 0: Pterygoid processes of sphenoid bone I: Ramus and condylar process of mandible on medial side A: Lateral movement of mandible MENTALIS 0: Anterior, medial mandible I: Skin of chin A: Elevates lower lip ORBICULARIS ORIS 0: Muscles encircling mouth I: Skin of lips A: Closes mouth ZYGOMATICUS 0: Zygomatic bone I: Angle of mouth A: Elevates corners of mouth (in a smile or laugh) BUCCII\JATOR 0: Mandible and maxilla I: Orbicularis oris A: Tightens cheek DEPRESSOR LABII INFERIORIS 0: Inferior border of mandible I: Skin of inferior lip, and orbicularis oris muscle A: Depresses lower lip SCALENUS 0: Transverse process of C 2-6 I: Ribs] and 2 A: Flexes and rotates neck, elevates first and second ribs , i , I I~ j/ I I LEVATOR SCAPULAE 0: Transverse processes of Cl-4 I: Superior angle of scapula A: Elevates scapula, rotates and abducts neck STERNOCLEIDOMASTOID 0: Sternum and clavicle I: Mastoid process A: One: rotates and extends head, both: flexes neck STERNOHYOID 0: Manubrium of sternum I: Hyoid bone A: Depresses hyoid bone STERNOTHYROI D 0: Manubrium of sternum I: Thyroid cartilage of larynx A: Depresses thyroid cartilage OMOHYOID 0: Superior border of scapula I: Hyoid bone A: Depresses hyoid PLATYSMA 0: Fascia over pectoralis major and deltoid muscles I: Mandible and skin inferior to lower lip A: Depresses lower lip \ I \l~!I'I/4) Iii DIGASTRIC 0: Anterior, inferior mandible, mastoid notch of MYLOHYOID 0: Inner margin of mandible I: Hyoid bone A: Elevates floor of oral cavity temporal bone I: Hyoid bone A: Protracts, retracts, and elevates hyoid, opens mandible TRAPEZIUS 0: Occipital protuberance, ligamentum nuchae, SPLENIUS 0: Ligamentum nuchae, C7-T6 C7-Tl2 I: Clavicle, acromion, and spine of scapula A: Abducts and extends head, rotates and adducts scapula I: C2-4, occipital bone, temporal bone A: Extends and rotates head LATISSIMUS DORSI 0: T7-TI2, Ll-LS, sacrum, iliac crest, ribs 10-12 SEMISPINALIS 0: C4-T12 I: Occipital bone, TI-4 A: Extends head, rotates vertebral column I: Intertubercular groove of humerus A: Adducts, extends, and medially rotates arm, pulls shoulder inferiorly / j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j ! j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j j DELTOID 0: Clavicle, acromion, and spine of scapula I: Deltoid tuberosity A: Abducts, flexes, extends medially, and laterally rotates arm SUPRASPI NATUS 0: Supraspinous fossa I: Greater tubercle of humerus A: Abducts arm, stabilizes shoulder INFRASPINATUS 0: Infraspinous fossa I: Greater tubercle of humerus A: Extends, laterally rotates arm, stabilizes shoulder TERES MINOR 0: Axillary border of scapula I: Greater tubercle of humerus A: Extends, laterally rotates, ad ducts arm, stabilizes shoulder SUBSCAPU LARIS 0: Subscapular fossa I: Lesser tubercle of humerus A: Extends, medially rotates arm, stabilizes shoulder RHOMBOIDEUS MAJOR 0: Tl-T4 I: Inferior, medial border of scapula A: Adducts scapula ! )) / / TERES MAJOR 0: Axillary border of scapula I: Crest of lesser tubercle of humerus A: Extends, adducts, medially rotates arm RHOMBOIDEUS MINOR 0: Ligamentum nuchae, C6-C7 I: Superior, medial border of scapula A: Adducts scapula ERECTOR SPINAE: (SPINALIS, LONGISSIMUS, ILIOCOSTALIS) AND MULTIFIDUS 0: Vertebral column, ilium, sacrum, ribs I: Ribs, vertebral column, occipital bone, temporal bone A: Rotates and extends vertebral column and head PECTORALIS MAJOR 0: Clavicle, sternum, and ribs 1-7 I: Crest of greater tubercle of humerus A: Adducts, flexes, and rotates arm medially QUADRATUS LUMBORUM 0: Iliac crest, lower lumbar vertebrae I: T12,Ll-L4,rib 12 A: Abd ucts vertebral column, depresses rib 12 SERRATUS ANTERIOR 0: Ribs 1-8 or 9 I: Vertebral border of scapula A: Abducts scapula PECTORALIS MINOR 0: Ribs 3-5 I: INTERNAL INTERCOSTALIS 0: Inferior margin of ribs I-II I: Superior margin of ribs 2-12 A: Depresses ribs (decreases thoracic volume) Coracoid process of scapula A: Depresses scapula, elevates ribs 3-5 EXTERNAL INTERCOSTALIS 0: Inferior margin of ribs 1-11 I: Superior margin of ribs 2-12 A: Elevates ribs (increases thoracic volume) RECTUS ABDOMINIS 0: Symphysis pubis and pubic crest 1: Cartilages of ribs 5-7 and xiphoid process A: flexes lumbar vertebrae, compresses abdomen DIAPHRAGM 0: Xiphoid process, ribs 10-12, lumbar vertebrae I: Central tendon A: Inspiration INTERNAL OBLIQUE 0: Inguinal ligament, iliac crest I: Linea alba, inferior 4 ribs A: Compresses abdomen, laterally rotates trunk \C~~0~~7/)i ~ ~ \' . fj;,il \~~.. . ~,~ ~"q0j)~{ ~'" '" ~~~ ~ I -. ~~\~"'~"~\'"~&. " ': ,~J//,',',",~,% , // / . ", ., / (~.) ~ J \'V ( _~-----..-_~ <~"',"'.,, ,~" , ' .:'~~,-=", ~~,,~,,' ".~,,\ ~.".'::~",'",'.,',- - - --,,::::~. ---~",'--"=',' - " - , =~ '~.:::" -~~?1 I ,,' " "~ ," -= ' _ , ," /.,.',, ~~ \ ~ \',' ~, ~ _ / /J ~- : ("-(~~" ', 6\~\, (~?) ~ ..... . flJ -.~ , ,,-- -, ", ,1:). ';.\/',/ "':/ :.-- - , , ' ~' /. 1\\ \ I' '. \ EXTERNAL OBLIQUE 0: Ribs 5-12 BICEPS BRACHII 0: Supraglenoid tubercle, coracoid process I: Iliac crest, inguinal ligament, linea alba A: Compresses abdomen, laterally rotates trunk I: Radial tuberosity A: Flexes arm, flexes and laterally rotates forearm (supinates hand) TRANSVERSUS ABDOMINIS 0: Iliac crest, inguinal ligament, ribs 7-12 CORACOBRACHIALIS 0: Coracoid process I: Linea alba, pubis A: Compresses abdomen, laterally rotates trunk I: Medial shaft of humerus A: Adducts and flexes arm TRICEPS BRACHII 0: Infraglenoid tuberosity of scapula, posterior surface of humerus BRACHIORADIALIS 0: Lateral supracondylar ridge of humerus I: I: Olecranon process A: Adducts arm, extends arm and forearm Styloid process of radius A: Flexes forearm .~) -, BRACHIALIS 0: Anterior, distal humerus I: Coronoid process of ulna A: Flexes forearm PRONATOR TERES 0: Medial epicondyle of humerus, coronoid process of ulna I: Lateral radius A: Flexes and medially rotates forearm (pronates hand) SUPINATOR 0: Lateral epicondyle of humerus, proximal ulna I: Proximal shaft of radius A: Supinates hand PALMARIS LONGUS 0: Medial epicondyle of humerus I: Palmar aponeurosis A: Flexes hand PRONATOR QUADRATUS 0: Anterior, distal ulna I: Anterior, distal radius A: Medially rotates forearm (pronates hand) FLEXOR CARPI ULNARIS 0: Medial epicondyle of humerus olecranon and proximal ulna I: Pisiform, hamate, metacarpalS A: Flexes and adducts hand FLEXOR CARPI RADIALIS 0: Medial epicondyle of humerus I: Metacarpals 2 and 3 A: Flexes and abducts hand FLEXOR DIGITORUM PROFUNDUS 0: Proximal ulna, interosseus membrane I: Anterior distal phalanges of digits 2-5 A: Flexes phalanges 2-5, flexes hand FLEXOR DIGITORUM SUPERFICIALIS 0: Medial epicondyle of humerus, coronoid process of ulna, proximal shaft of radius I: Middle phalanges of digits 2-5 A: Flexes proximal and middle phalanges of digits 2-5, flexes hand FLEXOR POLLICIS LONGUS 0: Anterior aspect of radius and interosseus membrane I: Distal phalanx of thumb (pollex) A: Flexes thumb EXTENSOR CARPI ULNARIS 0: Lateral epicondyle of humerus, posterior ulna I: Metacarpal 5 A: Extends and adducts hand EXTENSOR CARPI RADIALIS LONGUS 0: Lateral supracondylar ridge of humerus I: Metacarpal 2 A: Extends and abducts hand / ABDUCTOR POLLICIS LONGUS 0: Posterior radial and ulnar surface, interosseus membrane 1: Metacarpal I A: Abducts and extends thumb EXTENSOR CARPI RADIALIS BREVIS 0: Lateral epicondyle of humerus 1: Metacarpal 3 A: Extends and abducts hand EXTENSOR POLLICIS BREVIS 0: Posterior radius, interosseus membrane 1: Proximal phalanx of thumb (pollex) A: Extends thumb EXTENSOR DIGITORUM 0: Lateral epicondyle of humerus 1: Middle and distal phalanges of digits 2-5 A: Extends all phalanges of digits 2-5, extends hand PSOAS MAJOR 0: TI2, Ll-5 EXTENSOR POLLICIS LONGUS 0: Posterior ulna, interosseus membrane 1: Distal phalanx of thumb (pollex) A: Extends thumb 1: Lesser trochanter of femur A: Flexes thigh and lumbar vertebrae ILIACUS 0: Iliac fossa, sacrum I: Lesser trochanter of femur A: Flex thigh SARTORIUS 0: Anterior superior iliac spine 1: Medial side of tibial tuberosity A: Flexes and laterally rotates thigh, flexes leg TENSOR FASCIAE LATAE 0: Anterior superior iliac spine I: Lateral condyle of tibia by the iliotibial band A: Flexes, medially rotates, and abducts thigh PECTINEUS 0: Pubis 1: Proximal, posterior femur A: Adducts and laterally rotates thigh GRACILIS 0: Pubis I: Proximal portion of medial tibia A: Adducts thigh, flexes leg ADDUCTOR LONGUS 0: Pubis J: Middle linea aspera of femur A: Adducts and laterally rotates thigh / ' ADDUCTOR BREVIS 0: Pubis I: Proximal linea aspera of femur A: Adducts and laterally rotates thigh RECTUS FEMORIS 0: Anterior inferior iliac spine 1: Tibial tuberosity A: Flexes thigh, extends leg ADDUCTOR MAGNUS 0: Ischium and pubis 1: Linea aspera and adductor tubercle of femur A: Adducts, flexes, extends, and laterally rotates thigh VASTUS INTERMEDIUS 0: Anterior and lateral part of femur 1: Tibial tuberosity A: Extends leg VASTUS LATERALIS 0: Greater trochanter and linea aspera of femur 1: Tibial tuberosity A: Extends leg GLUTEUS MAXIMUS 0: Lateral surface of ilium, sacrum, coccyx I: Lateral condyle of tibia by lateral fascia, gluteal tuberosity of femur A: Extends, abducts, and laterally rotates thigh VASTUS MEDIALIS 0: Linea aspera of femur I: Tibial tuberosity A: Extends leg GLUTEUS MINIMUS 0: Outer ilium I: Greater trochanter of femur A: Medially rotates and abducts thigh GLUTEUS MEDIUS 0: Outer ilium I: Greater trochanter of femur A: Medially rotates and abducts thigh SEMITENDINOSUS 0: Ischial tuberosity I: Medial tibia near tibial tuberosity A: Extends thigh, flexes and medially rotates leg BICEPS FEMORIS 0: Ischial tuberosity, distal linea aspera of femur I: Head of fibula, lateral tibia A: Extends thigh, flexes and laterally rotates leg TIBIALIS ANTERIOR 0: Lateral tibia I: First metatarsal and medial cuneiform A: Dorsiflexes and inverts foot SEMIMEMBRANOSUS 0: Ischial tuberosity EXTENSOR HALLUCIS LONGUS 0: Medial shaft of fibula, interosseous membrane I: Distal phalanx of hallux (first digit) A: Extends hallux, dorsiflexes foot and inverts foot I: Medial tibial condyle A: Extends thigh, flexes and medially rotates leg EXTENSOR DIGITORUM LONGUS 0: Lateral tibial condyle, shaft of fibula FIBULARIS BREVIS 0: Fibula I: Middle and distal phalanges of digits 2-5 A: Extends digits 2-5, dorsi flexes and everts foot I: Metatarsal 5 A: Plantar flexes and everts foot GASTROCNEMIUS FIBULARIS LONGUS 0: Proximal fibula, lateral condyle of tibia 0: Lateral and medial condyles of femur I: Calcaneus I: First metatarsal, medial cuneiform A: Plantar flexes and everts foot A: Flexes leg, plantar flexes foot FIBULARIS TERTIUS 0: Distal fibula, interosseous membrane I: Superior aspect of metatarsal 5 A: Dorsiflexes and everts foot POPLITEUS 0: Lateral condyle of femur I: Proximal tibia A: Flexes and medially rotates leg SOLEUS 0: Posterior tibia and fibula I: Calcaneus A: Plantar flexes foot FLEXOR DIGITORUM LONGUS 0: Posterior tibia I: Distal phalanges of digits 2-5 A: Flexes toes, plantar flexes and inverts foot TIBIALIS POSTERIOR 0: Posterior tibia and fibula I: Metatarsals 2-4, navicular, cuneiforms and cuboid A: Plantar flexes and inverts foot FLEXOR HALLUCIS LONGUS 0: Middle fibula I: Distal phalanx of hallux A: Flexes hallux, plantar flexes and inverts foot ...
View Full Document

This note was uploaded on 08/22/2008 for the course ANA 5744 taught by Professor Steele during the Fall '08 term at Nova Southeastern University.

Page1 / 207

Kaplan Anatomy Coloring Book - Chapter One Introduction...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online