Axillary tail of spence
Skin /sebaceous gland
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Blood supply-
? 1- Brs. Of axillary artery
? 2- 2nd, 3rd, 4th perforating Brs of internal
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thoracic artery? 3- lateral brs of 2nd , 3rd and 4th intercostal
arteries
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Lymphatic drainage- axillary group,
parasternal,posterior intercostal nodes
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Clinical anatomy
? Skin incisions over breast
? Retraction of skin and nipple
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? Congenital anomalies- `'thelia'' and `'mastia''? Lymphadenopathy
? Krukenberg's tumour
? Breast examination
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MCQ -1? 1-which of the following statement is correct
regarding Clavivle bone?
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? A- ossifies in membrane
? B- it is pierced by supraclavicular nerves
? C- it has 2 primary centres and 1 secondary
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centre? D- secondary centre of ossification appears
always for acromial end of clavicle
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2
? What is correct regarding scapula?
? A- supraglenoid tubercle is having attachment
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of long head of triceps
? B-inferior belly of omohoid is attached near
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root of acromian processs? C-suprascapular vessels passes through
suprascapular foramen
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? D-spinoglenoid notch contains suprascapular
vessels and nerve
3
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? The correct statement regarding Humerus is?
? A- supraspinatus is attached at lesser tubercle
? B-surgical neck of humerus represents
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epiphyseal line? C- Intertubercular sulcus contains long head of
triceps and ascending branch of posterior
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circumflex humeral artery
? D-radial nerve lies between lateral and medial
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head of triceps4
? The correct statement about cutaneous veins of
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upper limb is ?
? A- cephalic vein pierce clavipectoral fascia to
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merge with subclavian vein? B- Intravenous cannulation for cardiac
catheterisation is preferred though cephalic vein
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? C-cephalic vein is connected to basilic vein
through median vein of forearm
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? D- cephalic vein runs in deltopectoral groove5-
? A 40 years female presents with pain along the
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medial side of arm. On examination- she haspalpable lump in upper outer quadrant of breast
and enlarged axillary lymphnodes. This referred
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pain is due to enlarged lymph nodes compressing
-
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? A- long thoracic nerve? B- Intercostobrachial nerve
? C- lateral pectoral nerve
? D- medial cutaneous nerve of arm
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6? Which of the following is correct about lymphatic
drainage of mammary gland?
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? A- pectoral group of lymph nodes lie along lower
border of pectoralis major
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? B-medial group of axillary lymph nodes draininner quadrants
? C- 75% of lymphatics from mammary glands
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drained by Internal mammary nodes
? D- lymphatics from breast can transmit to ovarian
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surface7
Which of the following statement is correct
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about clavipectoral fascia?A- it is pierced by long thoracic artery
B- basilic vein pierce it to form axillary vein
C- it extends as prevertebral layer of deep
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cervical fascia in neckD- it blends with coraco-clavicular ligament
8-
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? Which is correct about serratus anterior?? A- lower 4 digitations attached at lateral
border of scapula
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? B- it is supplied by nerve of bell(C5,6,7)? C- it retracts scapula
? D- it cause abduction of arm from 15 degree
to 90 degree
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9-? The correct statement about axillary artery is?
? A- it extend from first rib to lower border of
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subscapularis? B- medial cord lies posterior to its first part
? C- axillary vein lies lateral to it
? D- pectoralis minor comes in anterior relation
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to its first part
10
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? Which of the following statements is correctregarding axilla?
? A- anterior wall is formed by subscapularis
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? B- cervico- axillary canal is canal between 1stcervical vertebra and base of axilla
? C- root of brachial plexus is one of its content
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? D- Axillary vein lies medial to axillary artery inaxilla