级七年制英文.doc

《级七年制英文.doc》由会员分享，可在线阅读，更多相关《级七年制英文.doc（8页珍藏版）》请在淘文阁 - 分享文档赚钱的网站上搜索。

1、山东大学医学院(20032004学年第1学期）2000级 临床医学7年制 断层解剖学试题（A卷）题号标本考试总分统分人得分得分评卷人I. Completion of Drawing89107654321 The sagittal section of knee joint16151714131211181920circle of willis30212423222827262529The transverse section through superior border of aortic arch34403132353637383933 The coronal section of han

2、d joints 50424145464748494443The transverse section through seminal vesicle II. Term Explanation1. Reids base line. 2. pterygopalatine space. 3. the carotid sheath 4. sternal angle.5. Second porta heptis 6. urogenital diaphragm. 7. aorticopulmonary window 8. the lumbar nerve root cana 9. rotator cuf

3、f. 10. femoral triangle.III. Question and Answer1. The segmentation, courser，the branches and distributions of middle cerebral artery?2. Tell about the significance of the section of sternal angle?3. The sublobe and MRI appearance of prostate?4. In the sectional image, how to recognize hepatic vein

4、and hepatic artery?5. Which body surface symbols to definite the vertebra planes? Standard AnswerI. Completion of Drawing1. tendon of quadriceps femoris 2. suprapatellar bursa 3. whirbone 4. articular cavity 5. alar fold 6. patellar ligament 7. tibia 8. popliteus 9. posterior cruciate ligament 10. f

5、emur 11. anterior cerebral artery 12. middle cerebral artery 13. anterior choroidal artery 14.postermedial choroidal arteries 15. posterior cerebral artery 16. arteriae inferior posterior cerebelli 17. arteriae inferior anterior cerebelli 18. posterior communicating artery 19. internal carotid arter

6、y 20. anterior communicating artery 21. thymus 22. left brachiocephalic vein 23. left common carotid artery 24. left subclavian artery 25. superior lobe of left lung 26. axillary vein 27. scapula 28. spinal cord 29. body of the 4th thoracic vertebre 30. superior lobe of right lung 31. Second metacar

7、pal bone 32. first metacarpal bone 33. navicular bone of hand 34. radius 35. ulna 36. lunate bone 37. triangular bone 38. pisiform bone 39. hamate bone 40. fifth metacarpal bone 41. bladder 42. superior ramus of pubis 43. obturator nerve 44. corpus ossis femoris 45. gluteus maximus 46. rectum 47. se

8、minal vesicle 48. obturator internus 49. Greater trochanter of femur 50. femoral vein II. Term Explanation1. Reids base line. It is the line between infraorbital margin and the middle point of external acoustic pore, also called anthropological basal line. It is the basal line when making transverse

9、 section of head specimen. Also it is the perpendicular of basal line when making the coronal section of head specimen.2. pterygopalatine space. In the deep layer of maxillofacial region, the pterygopalatine space also called sphenomaxillary fossa has significant clinical sense. It is a long and nar

10、row triangular interspace，locating between the posterior wall of maxillary bone, alisphenoid infratemporal surface and pterygoid process, perpendicular plate of palatine bone. There are maxillary nerve, pterygopalatine ganglion and the 3rd segment and branches of maxillary artery. The pterygopalatin

11、e space has widespread transportation, going anterior to fossa orbitalis through inferior orbital fissure, medially to nasal cavity through sphenopalatine foramen and to infratemporal fossa through pterygomaxillary fissure, inferiorly to oral cavity through greater palatine canal, superiorly and pos

12、teriorly to middle cranial fossa through foramen rotundum. 3. the carotid sheath. All the layers of cervical fascia participate to form the carotid sheath. It encloses the common and internal carotid arteries, the internal jugular vein and the vagus nerve; it extends from the base of the skull to th

13、e root of the neck, and connects with the enveloping fascia and the prevertebral fascia by loose connective tissue.4. sternal angle. The sternal angle is the anterior process of the connection of manubrium and body of sternum. It is an important plane in thoracic part and has notate significance.5.

14、Second porta heptis. The left hepatic vein, right hepatic vein, medial hepatic vein converge into the inferior vena cave form the second porta heptis.6. urogenital diaphragm. urogenital diaphragm is composed of sphincter muscle of membranous urethra，deep transverse muscle of perineum and the coverin

15、g superior fascia of urogenital diaphragm and inferior fascia of urogenital diaphragm.7. Aorticopulmonary window. Aorticopulmonary window which is a low density space in CT imagings is between ascending aorta, thoracic aorta and left border of mediastinum. It scope is a small space 1-2cm between inf

16、erior border of aortic arch and superior border of bifurcation of pulmonary trunk.Its left lateral border is mediastinal pleura, medial border is trachea and ascending aorta is anterior while oesophagus and thoracic aorta are posterior.It contains arterial ligament, lymph node of arterial ligament a

17、nd left laryngeal nerve.8. the lumbar nerve root cana. The area of the lumbar nerve root cana is from penetration point of lumbar nerve root to endostoma of intervertebra canal.The gap is short and there are several stegnosis. the space between intervertebral disk and yellow ligament.the groove medi

18、al to superior articular process.lateral recess. hyposulculus lateral mass of vertebrae.It is between medial inferior pedicle of vertebral arch and intervertebral disc. When the intervertebral disc bulges laterally it becomes more obviously.9. rotator cuff. The rotator cuff lies outside of articular

19、 capsule, composed of supraspinous muscle, infraspinous muscle, teres minor muscle and subscapular muscle surrounding the shoulder joint superiorly,anteriorly and posteriorly, accreting with the articular capsule and makingb the shoulder joint more steadily.10. femoral triangle. In the superior part

20、 of anterior surface of thigh lies the femoral triangle superior to the crural ligament, medial to the medial border of long adductor muscle and lateral to the medial border of sartorius muscle. Its anterior wall is femoral fascia, and bottom is iliopsoas muscle, pectineal muscle and long adductor m

21、uscle. There are femoral nerve, femoral vessels and lymphoid nodes in the femoral triangle.III. Question and Answer1. The segmentation, courser，the branches and distributions of middle cerebral artery.Segment of M1 (the horizontal segment) diverges from internal carotid artery to the crotch of later

22、al cleft artery horizontally and laterally. Segment of M2 (the insular lobe segment) goes from the surface of insular lobe laterally and superiorly to the lateral fissure. Segment of M3 (the lateral cleft segment) is the ascending atery from basilar part of insular lobe to central sulcus. Segment of

23、 M4(the bifurcate segment) is in the place where the posterior parietal artery, artery of angular gyrus and arteriae temporalis posterior diverged from artery of angular gyrus. Segment of M5 is the end of middle cerebral artery-artery of angular gyrus.The branches and distributions of middle cerebra

24、l artery can be divided into two groups. The first group is the lateral lenticulostriate artery supplying blood for most of putamen, the lateral segment of globus pallidus, the anterior limb of internal capsule, the superior 2/3 part of posterior limb of internal capsule and the proximal corona radi

25、ate, the head and body of caudate nucleus. The second group is cortical branch, supplying blood for most of the dorsolateral surface of the cerebral hemisphere and insular lobe. 2. Tell about the significance of the section of sternal angle?It is the dividing section of superior and inferior mediast

26、inums;The superior border of 4th thoracic vertebra is behind it;The origination and end of aortic arch is in this section;Bifurcation of trachea is present in this section;Arch of azygos vein is in this section and moves anteriorly to join superior vena cava;Left principal bronchus intersects with e

27、sophagus in this section;Thoracic duct moves to left from right in this section;The 2nd sternocostal joint sternocostal joint, so it is a marker section to count ribs.3. The sublobe and MRI appearance of prostate?According to Lowsley,the prostate canbe divided into 5 parts:anterior,middle,posterior

28、lobe and left,right lateral lobe.The MRI appearance of prostate zonary:in T1 MRI, The circumscription of prostate can be shown but can not classify its zonary. T2 MRI can discern the zonary. The appearance of anterior 1/3 of prostatic urethra is high signal,and the anterior part of prostate is low r

29、ound signal around.The signal of transition zones and central zone is similar and can be divided according to anatomy. The circumferential is crescent-shaped bisymmetric high signal posterior lateral of prostate. The central zone which is present only in the scanning layer through first half of pros

30、tate is moderate signal intensity between peripheral zone of urinary canal and circumferentia zone. The anterior fiber muscle sarcoplasm area is low signal, which is the foremost part of prostate.Its ultimate part is in the image through superior part of prostate.4. In the sectional image, how to re

31、coganize hepatic vein and hepatic artery?The hepatic vein becomes thicker and thicker as approaching the second porta hepatic, and the sectioned bole is oval-shaped and round. The hepatic portal vein becomes thicker and thicker as approaching the first porta hepatic, and the sectioned bole is macroa

32、xis-shaped. The tubal wall of hepatic portal vein is thick, so in the image of ultrasound the echo of hepatic portal vein is strong and the image is bright .However, the echo of hepatic vein is weak and the thin tubal wall can not be seen.5. which body surface symbols to definite the vertebra planes

33、 ? body of hyoid bone corresponding with the intervertebral discs 2nd cervical vertebrae; superior border of the thyroid cartilage corresponding with superior border of the 4th body of cervical vertebra; inferior margin of cricoid cartilage corresponding with inferior border of the 6th cervical vert

34、ebra body; jugular notch corresponding with the intervertebral discs 2nd thoracic vertebrae, which is low of the female; sternal angle corresponding with the inferior border thoracic vertebre body xiphisternal synchondrosis corresponding with the 9 th body of thoracic vertebre; the lowest point of the costal arch corresponding with intervertebral discs of 2nd lumbar vertebrae umbilicus corresponding with intervertebral discs of the 3rd lumbar vertebrae ; superior border of the pubic symphysis corresponding with Apex of coccyx