Exam

Thursday, 3
rd
Jan 2008
9AM start (come in by tables [1-!"
Anatomy #oom
#e$ision % &ed 2
nd
Jan (9-2" % 'ut u' notice on this day to see (hen to come in on 3
rd

based on tables
- Ma)e a note o* (hat (ant to loo) at o$er +-Mas brea)
Will be based on modules (b/c anatomy lends itself to modules)
Table 1 % Abdomen
Table 2 % ,imbs, -el$is
.ach 'erson (ill be e/amined by 0 e/aminers % or t(o 'airs o* them (i1e1 Mr1 2ro(n,
-ro*1 3ee, Mr1 ,an4, Ms1 5olland"1 6o to *irst table (ith *irst 'air, then shout indicates
s(itch tables to other 'air1 5o'es to ha$e 0 tables (2 du'licates"1
Practical Exam
7ur*ace Anatomy89linical
o &here are )idneys: A''endi/: (2e able to -;<=T as them on s'ecimen"
o >undamental 'art o* e/am
o 2e able to *eel thin4s li)e acromium1
2ones8Joints
o &hat?s here, (hat do < )no( about it, can < dra( it out and thin4s that
attach to it, and a *e( clinical 'oints (i1e1 cla$icle"1
o Mi4ht hand you a bone (more li)ely to be bi4 bone, i1e1 more li)ely to as)
about *emur than *ibula, 2@T tend to as) about car'al bones (hich are
easily dama4ed and im'ortant *or hand *unction"
o Joints % should ha$e hi' and 'oints, and then )nee and 'oints (so i* says
tell me about the )nee, then stu** should be *lyin4 out o* you"1
7'ecimens
o &hat?s that there:A common bile duct1 &hat lies in *ree ed4e, (hat does it
do: Much more e**icient (or)in4 in 'airs1 -erson 'oints to thin4s and
says (hat?s that, tell me about that1
+ #ays
o 7aysA that?s a cross section there, tell me about it (say see aorta, etc1" % (ill
be normal + #ays, (on?t be anythin4 *ancy1 &on?t be any *racture (unless
$ery e/ce'tionally i* doin4 (ell may sho( you a 9olles *racture or
somethin4 li)e that b8c one o* Anat 'ro*s made it"
Written
7hort =otesA
M9BA
Only way to get good at these is to practice them not done by reading books. Books are
tools extract information from (dont want to extract info already ha!e or dont need). "o
what need to do is get pile of blank pages and say# suppose ask me about kidney# what are
$% points can write about kidney. Better to do earlier so can rectify situation. Only point
of reading a book is when ha!e specific &uestion want to answer. 'll you can do for
()*s is practice them.
Tools
6reenboo) % 4ood 4uide *or (hat you need to )no( *or e/am (it?s a summary o*
(hat Mr1 >arrell )no(s" % e/tremely unli)ely (ill be as)ed anythin4 beyond
(hat?s in 4reenboo) (i* can ans(er all Cuestions and do sur*ace anatomy, then you
are so 4ood"1
-ractice 7ur*ace Anatomy
-ractice Tal)i4
-ractice 7hort =otes and M9Bs
Better in pairs+
Model AnswerA maybe a little bit more elaborate than (ould ha$e time *or on an e/am
this model one is *or to' mar)s ans(er1 <m'ortant thin4 is that you )no( in*ormation,
but should 'ut in essay and 'ro'er sentences1
0 is e/ce'tional, 3 is $ery 4ood, 2 not so 4ood, 1 is 'oor
5i' Joint
7yno$ial
2all and soc)et
Articular sur*aces % hyaline cartila4e (e/ce'tionsA tem'eromandibular Doint,
sternocla$icular and EE"
o 5ead o* *emur
o Acetabulum % 9 sha'ed area
Acetabular labrum
9a'sule % *ibrous tissue
o -ro/imally % acetabular labrum
o Fistally % anteriorly to intertrochanteric line1 'ost to nec) 1cm 'ro/ial to
intertrochateric crest1
o #ectinacular *ibres re*lected bac) alon4 nec) o* *emur
,i4aments % limit e/tension
o <lio*emoral
o <schio*emoral
o -ubor*emora
o ,i4ament o* head o* *emur (attaches acetabular labrum, notch in mar4in o*
acetabulum (hich is brid4ed o$er by labrum, and brid4ed o$er 'art is
trans$erse acetabular li4ament % (ouldn?t ha$e time o* this, so say ha$e
li4ament attachin4 acetabulum to *emur"
Mo$ements (don?t ha$e time *or detail, so re*er to maDor ones"
o ./tension % 4luteus ma/imus and hamstrin4s
o >le/ion % ilio'soas (main im'ortant one, don?t (orry about 'ectineus ri4ht
a(ay i* come into hos'ital (ith 'roblem (ith *le/ion o* hi'"
o Abduction % 4luteus medius and minimus
o Adduction % medial com'artment o* thi4h % ads lon4us8bre$is8ma4nus,
4racilis
7tability % $ery stable Doint, 4ood ran4e o* mo$ement (not as much as shoulder" %
(hy is that: 7e$eral *actors
o Fee' acetabulum, li4aments, stron4 ca'sule, short muscles (obt e/ternus,
4emeruli % ha$en?t 4one into much b8c not as much im'ortance"
2lood su''ly
o Anastomoses b8n 4luteal $essels and circum*le/ *emoral arteries (don?t
need to say or )no( more than this, unless ortho'aedic sur4eon"
branches to head o* *emur % bound to nec) by retinacula (ones that run
throu4h nec), most im'ortant thin4"
o 2lood throu4h bone ca$ity
o 7mall artery (ith li4ament o* head o* *emur % im'ortant in baby (to
e'i'hysis b8c o* nutrient artery:", inadeCuate in adult
=er$es % *emora, obturator, sciatic
o =er$e that su''lies Doint su''ly muscles that mo$e the Doint (they come
*rom the muscles that cross the Doint"A i1e1 in hi' Doint, all o* abo$e
9linical
o 7table Joint % dislocation uncommon, e/ce't in babies and trauma (cuG
Doints not *ormed totally in babies, so e/tremely unli)ely unless in car
crash to dislocate"
o >racture o* nec) o* *emur % intraca'sular necrosis o* head (inter*eres (ith
retinacular arteries"
o 7ciatic ner$e lies 'ost % inDured in trauma1 At ris) in 'osterior dislocation1
o &ei4ht bearin4 Doint % 'rone to arthritis