This document contains 10 multiple choice questions about bones and structures in the foot. It provides the answers and explanations for each question, covering topics like:
- Identifying bones like the talus, calcaneus, and navicular
- Muscles and ligaments that attach to specific bones
- Articulating surfaces and relationships between bones
- Functions of muscles in inverting and everting the foot
Exam Questions Forearm Superficial Flexors
The Funky Professor videos can be viewed at;
http://publishing.rcseng.ac.uk/journal/video?videoTaxonomy=FUNK
Exam Questions Posterior Arm
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Rotator Cuff
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Scapula
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Forearm Superficial Flexors
The Funky Professor videos can be viewed at;
http://publishing.rcseng.ac.uk/journal/video?videoTaxonomy=FUNK
Exam Questions Posterior Arm
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Rotator Cuff
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Scapula
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Shoulder Regiuon - Anterior
The funky professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Ulna
The funky professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Exam Questions Shoulder Joint
The Funky Professor videos can be viewed here;
http://publishing.rcseng.ac.uk/journal/video?doi=10.1308%2Fvideo.2016.1.1&videoTaxonomy=FUNK
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. The highlighted bone is called the
1 Navicular
2 Calcaneus
3 Talus
4 Cuboid
5 Lateral cuneiform
Question 1 – foot bones
3. The highlighted bone is called the
1 Navicular F
2 Calcaneus F
3 Talus F
4 Cuboid T
5 Lateral cuneiform F
This is the cuboid
Question 1 – foot bones
4. Inversion of the foot is effected by:
1 Tibialis anterior
2 Peroneus tertius
3 Tibialis posterior
4 Gastrocnemius
5 Peroneus longus
Question 2 - foot bones
5. Inversion of the foot is effected by:
1 Tibialis anterior T
2 Peroneus tertius F
3 Tibialis posterior T
4 Gastrocnemius F
5 Peroneus longus F
Peroneus tertius, longus and brevis are all evertors of the foot.
Gastrocnemius can neither invert nor evert the foot.
Question 2 - foot bones
6. The following structures attach to the highlighted
bone
1 Long plantar ligament
2 Flexor digitorum brevis
3 Plantaris
4 Peroneus brevis
5 Flexor hallucis longus
Question 3 - foot bones
7. The following structures attach to the highlighted
bone
1 Long plantar ligament T
2 Flexor digitorum brevis T
3 Plantaris T
4 Peroneus brevis F
5 Flexor hallucis longus F
This is the calcaneus.
The long plantar ligament is a long flat band that extends from the plantar
surface of the calcaneus and attaches to the cuboid and bases of metatarsals
2-5. The ligament stabilises the tarsal bones and maintains the longitudinal
arch of the foot.
Question 3 - foot bones
8. In the foot, the navicular articulates with:
1 talus
2 calcaneus
3 cuboid
4 the base of the first metatarsal
5 lateral cuneiform
Question 4 - foot bones
9. In the foot, the navicular articulates with:
1 talus T
2 calcaneus F
3 cuboid T
4 the base of the first metatarsal F
5 lateral cuneiform T
Question 4 - foot bones
10. Concerning the talus
1 it is the largest bone in the tarsus
2 it has no muscles or tendons inserted to it
3 it articulates with the navicular
4 it forms the roof of the sinus tarsi
5 it is the tarsal bone that most commonly
undergoes avascular necrosis
Question 5 - foot bones
11. Concerning the talus
1 it is the largest bone in the tarsus F
2 it has no muscles or tendons inserted to it T
3 it articulates with the navicular T
4 it forms the roof of the sinus tarsi T
5 it is the tarsal bone that most commonly
undergoes avascular necrosis
T
The calcaneus is the largest bone in the tarsus.
The sinus tarsi is a bony tunnel between the neck of the talus and the upper
surface of the calcaneus.
The lack of tendinous/muscular attachments is believed to be an important
factor in the talus’s particular susceptibility to avascular necrosis.
Question 5 - foot bones
12. With regard to the navicular
1 It articulates with the lateral cuneiform
2 It articulates with the medial cuneiform
3 Tibialis anterior is attached to it
4 Peroneus longus is attached to it
5 Tibialis posterior is attached to it
Question 6 - foot bones
13. With regard to the navicular
1 It articulates with the lateral cuneiform T
2 It articulates with the medial cuneiform T
3 Tibialis anterior is attached to it F
4 Peroneus longus is attached to it F
5 Tibialis posterior is attached to it T
Tibialis anterior and peroneus longus attach to the medial
cuneiform and the base of 1st
metatarsal.
Question 6 - foot bones
14. Concerning the metatarsal bones
1 the 2nd
metatarsal is normally the longest of the
metatarsals
2 the peroneus longus tendon is attached to the
base of the 5th
metatarsal
3 the tibialis anterior is attached to the 1st
metatarsal base
4 the 4th
and 5th
metatarsals contribute to the
lateral longitudinal plantar arch
5 the navicular articulates with the base of the 1st
metatarsal
Question 7 - foot bones
15. Concerning the metatarsal bones
1 the 2nd
metatarsal is normally the longest of the
metatarsals
T
2 the peroneus longus tendon is attached to the
base of the 5th
metatarsal
F
3 the tibialis anterior is attached to the 1st
metatarsal base
T
4 the 4th
and 5th
metatarsals contribute to the
lateral longitudinal plantar arch
T
5 the navicular articulates with the base of the 1st
metatarsal
F
Peroneus brevis, not longus, is attached to the base of the 5th
metatarsal.
The navicular is separated from the metatarsal bases by the three cuneiform
bones.
Question 7 - foot bones
16. Concerning the bones of the foot
1 the cuboid articulates with the bases of the 2nd
and 3rd
metatarsals
2 the calcaneus is common both to the medial and
lateral longitudinal plantar arches
3 the talus articulates with the calcaneus, navicular
and lateral cuneiform
4 the sustentaculum tali is a bony projection which
articulates with the talus
5 the undersurface of the cuboid is grooved by the
peroneus longus tendon
Question 8 - foot bones
17. Concerning the bones of the foot
1 the cuboid articulates with the bases of the 2nd
and 3rd
metatarsals
F
2 the calcaneus is common both to the medial and
lateral longitudinal plantar arches
T
3 the talus articulates with the calcaneus, navicular
and lateral cuneiform
F
4 the sustentaculum tali is a bony projection which
articulates with the talus
T
5 the undersurface of the cuboid is grooved by the
peroneus longus tendon
T
The cuboid articulates with the bases of the 4th
and 5th
metatarsals.
The talus articulates with the navicular and calcaneus but not with the lateral
cuneiform.
Question 8 - foot bones
18. Structures attached to the highlighted bone
include
1 plantar aponeurosis
2 tendo calcaneus
3 medial collateral ligament of ankle joint
4 lateral collateral ligament of ankle joint
5 peroneus brevis
Question 9 - foot bones
19. Structures attached to the highlighted bone
include
1 plantar aponeurosis T
2 tendo calcaneus T
3 medial collateral ligament of ankle joint T
4 lateral collateral ligament of ankle joint T
5 peroneus brevis F
This is the calcaneus viewed from the medial aspect.
The calcaneo-fibular band of the lateral collateral ligament is attached to the
lateral surface of the calcaneus.
Peroneus brevis is attached to the styloid process on the base of the 5th
metatarsal, not to the calcaneus.
Question 9 - foot bones
20. Concerning movements of the ankle and foot
1 tibialis anterior is a dorsiflexor of the ankle joint and invertor of the
foot
2 peroneus brevis is a plantar flexor of the ankle joint and invertor of
the foot
3 peroneus tertius is a dorsiflexor of the ankle joint and evertor of the
foot
4 tibialis posterior is a plantarflexor of the ankle joint and invertor of
the foot
5 soleus is a plantarflexor of the ankle joint and invertor of the foot
Question 10 - foot bones
21. Concerning movements of the ankle and foot
1 tibialis anterior is a dorsiflexor of the ankle joint and invertor of the
foot
T
2 peroneus brevis is a plantar flexor of the ankle joint and invertor of
the foot
F
3 peroneus tertius is a dorsiflexor of the ankle joint and evertor of the
foot
T
4 tibialis posterior is a plantarflexor of the ankle joint and invertor of
the foot
T
5 soleus is a plantarflexor of the ankle joint and invertor of the foot F
Peroneus brevis is indeed a weak plantarflexor of the ankle but it is an
evertor of the foot.
Soleus is a plantar flexor of the ankle joint; however it can neither evert nor
invert the foot.
Question 10 - foot bones