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Shier, Butler, and Lewis: Hole’s Human Anatomy and Physiology, 13th ed. Chapter 7: Skeletal System Chapter 7: Skeletal System I. Introduction 1. Bones include active, living tissues: _____________________ __________________________________________________________________ 2. Bones: support and protect _________________, provide points of _____________________, house _________________, and store _____________________. 3. The four classes of bone according to shape are _______________________________ _______________________________________________________________________ . 4. Examples of long bones are _______________________________________________ ______________________________________________________________________ . 5. Short bones are shaped like ______________________________________________ . 6. Examples of short bones are _____________________________________________ . 7. Flat bones are ________________________________________________ structures. 8. Examples of flat bones are ______________________________________________ . 9. Irregular bones have a variety of __________________________________________ . 10. Examples of irregular bones are _________________________________________ . 11. Round bones are also called ____________________________________________ . 12. Sesamoid bones are __________ and __________ and embedded within __________________________________________________________________. 13. An example of a sesamoid bone is the ____________________________________ . II. Bone Structure A. Parts of a Long Bone 1. An expanded end of a long bone is called an __________________________ . 2. An epiphysis articulates with_______________________________________ . 3. Articular cartilage is located _______________________________________ . 4. The shaft of a long bone is called a __________________________________ . 5. The _________________________ is the widening part of the bone between the diaphysis and the epiphysis. 6. Periosteum is ___________________________________________________ . 7. Periosteum functions to ___________________________________________ . 7-1 8. Processes provide sites for_________________________________________ . 9. The wall of the diaphysis is composed of _________________________ bone. 10. Compact bone has ______________________________________________ . 11. The epiphyses are largely composed of __________________________ bone. 12. Spongy bone consists of bony plates called __________________________ . 13. A bone usually has _____________________________________________ . 14. A semi-rigid tube with a hollow chamber called____________________runs through the diaphysis. 15. Endosteum lines________________________________________________ . 16. Endosteum contains __________________________________________cells. 17. The tissue that fills the spaces of bone is called _______________________ . 18. The two forms of marrow are _____________________________________ . B. Microscopic Structure 1. Introduction a. Bone cells are called _______________________________________ . b. Lacunae are ______________________________________________ . c. Lacunae form ______________________________________________ around _____________________________________________________ . d. Osteoctyes transport _______________________________________ . e. Cellular processes of osteocytes pass through ____________________ . f. The extracellular matrix of bone is composed of ___________________ __________________________________________________________ . 2. Compact Bones a. An osteon is ______________________________________________ . b. The substance of compact bone is formed from ___________________ __________________________________________________________ . c. Each central canal contains __________________________________ . d. Perforating canals connect ___________________________________ . e. Perforating canals contain ___________________________________ . 3. Spongy Bone a. Spongy bone is also composed of ______________________________ and _______________________________________________________ . b. Unlike compact bone, the bone cells do not ______________________ __________________________________________________________ . 7-2 c. Instead the cells lie within ___________________________________ . d. Osteocytes get nutrients from _________________________________ __________________________________________________________ . III. Bone Development and Growth A. Introduction 1. Parts of the skeleton begin to form __________________________________ . 2. Bony structures continue to grow until _______________________________ . 3. Bones form by replacing __________________________________________ . 4. Intramembranous bones originate within _____________________________ . 5. Endochondral bones originate ______________________________________ . B. Intramembranous Bones 1. Examples of intramembranous bones are _____________________________ . 2. Osteogenesis is _________________________________________________ . 3. During their development, __________________________________________ appear at the sites of their future bones. 4. __________________________________ supply the connective tissue layers. 5. Osteoblasts are __________________________________________________ . 6. Osteoblasts deposit ______________________________________________ . 7. Spongy bone can become _________________________________________ . 8. As development continues, osteoblasts may become surrounded by ______________________________________________________________ . 9. Extracellular matrix enclosing the processes of osteoblasts gives rise to _____ . 10. Once isolated, osteoblasts become _________________________________ . 11. Periosteum comes from __________________________________________ . 12. Compact bone is formed by _______________________________________ . 13. Intramembranous ossification is ___________________________________ . C. Endochondral Bones 1. Most of the bones of the skeleton are ________________________________ . 2. Endochondral bones develop as ____________________________________ . 3. Eventually the cartilage ___________________________________________ . 4. As the cartilage decomposes, ____________________ forms from ____________________________________________________________ . 5. _____________________________________ invade the disintegrating tissue. 6. Some of the cells differentiate into __________________________________ . 7-3 7. Osteoblasts form ________________________________________________ . 8. Endochondral ossification is _______________________________________ . 9. The primary ossification center is ___________________________________ . 10. Secondary ossification centers appear _______________________________ . 11. The epiphyseal plate is __________________________________________ . D. Growth at the Epiphyseal Plate 1. In a long bone, the diaphysis is separated from the epiphysis by ____________ ________________________________________________________________ . 2. The cartilaginous cells form __________________________________ layers. 3. The first layer is composed of ______________________________________ . 4. The first layer anchors ____________________________________________ . 5. The second layer includes _________________________________________ . 6. As new cells appear, the cartilaginous plate ___________________________ . 7. The third layer is formed by _______________________________________ . 8. The cells of the third layer _________________________ the epiphyseal plate. 9. The fourth layer is composed of ____________________________________ . 10. Osteoclasts break down __________________________________________ . 11. Osteoclasts originate from ________________________________________ . 12. Osteoclasts secrete ______________________________________________ . 13. Osteoclasts phagocytize__________________________________________ . 14. After osteoclasts remove the extracellular matrix, _______________________________________________ invade the region and ________________________________________________________________ . 15. A long bone continues to lengthen while ____________________________ . 16. Lengthening of the bone is no longer possible once _____________________ ________________________________________________________________ . 17. The medullary cavity forms when __________________________________ . 18. The bone in the ____________________________________ remains spongy. 19. Hyaline cartilage on the ends persists as _____________________________ . E. Homeostasis of Bone Tissue 1. Throughout life, osteoclasts_________________________________________ and osteoblasts ____________________________________________________ . 2. About _________________________ of bone calcium is exchanged each year. F. Factors Affecting Bone Development, Growth, and Repair 7-4 1. Factors that affect bone development, growth, and repair include ___________ ________________________________________________________________ . 2. Vitamin D is necessary for ________________________________________ . 3. Lack of vitamin D can lead to the diseases ____________________________ . 4. Vitamin A is necessary for ________________________________________ . 5. Vitamin C is required for __________________________________________ . 6. Growth hormone stimulates _______________________________________ . 7. In children, the absence of growth hormone leads to ____________________ . 8. An excess of growth hormone before the epiphyseal plates ossify leads to ____ ________________________________________________________________ . 9. In adults, an excess of growth hormone leads to ________________________ . 10. Thyroxine can halt _______________ by causing ______________________ ________________________________________________________________ . 11. Parathyroid hormone stimulates ___________________________________ . 12. Sex hormones promote __________________________________________ . 13. Sex hormones also stimulate ______________________________________ . 14. Females typically reach their maximum heights earlier than males because __________________________________________________ ________________________________________________________________ . 15. Physical stress stimulates ________________________________________ . IV. Bone Function A. Support and Protection 1. Bones give shape to ______________________________________________ . 2. The bones of ______________________________ support the body’s weight. 3. The bones of the skull protect ______________________________________ . 4. The bones of the ___________________________ protect the heart and lungs. 5. Bones of the pelvic girdle protect ___________________________________ . B. Blood Cell Formation 1. Hematopoiesis is ________________________________________________ . 2. Blood cell formation begins _______________________________________ . 3. Later in development, blood cells are made ____________________________ ________________________________________________________________ . 4. Marrow is ___________________________ within _____________________ 7-5 ________________________________________________________________ . 5. Red marrow functions in __________________________________________ . 6. Red marrow occupies ____________________________________________ . 7. With increasing age, ____________________________ replaces red marrow. 8. Yellow marrow stores ____________________________________________ . 9. In an adult, red marrow is primarily found _____________________________ ________________________________________________________________ . C. Inorganic Salt Storage 1. Extracellular matrix of bone tissue includes ____________________________ ________________________________________________________________ . 2. The salts account for _____________________________________ by weight. 3. Hydroxyapatites are ______________________________________________ . 4. The body requires calcium for _______________________________________ ________________________________________________________________ . 5. When blood calcium is _________, parathyroid hormone stimulates ________ ________________________________________________________________ . 6. Very high blood calcium levels inhibit _______________________________ . 7. Calcitonin stimulates _____________________________________________ . 8. Bone tissue contains lesser amounts of ________________________________ ________________________________________________________________ . V. Skeletal Organization A. Number of Bones 1. The number of bones in a human skeleton is around ____________________ . 2. Flat bones of the skull are tightly joined by ___________________________ . B. Divisions of the Skeleton 1. Two major portions of the skeleton are _______________________________ . 2. The axial skeleton contains ________________________________________ . 3. The skull is composed of __________________________________________ . 4. The hyoid bone supports __________________________________________ . 5. The hyoid bone is located _________________________________________ . 6. The vertebral column consists of ____________________________________ . 7. The distal end of the column is formed by the __________________________ and the __________________________________________________________ . 8. The coccyx is also called the _______________________________________ . 7-6 9. The thoracic cage is composed of ____________________________________ ________________________________________________________________ . 10. The appendicular skeleton consists of ________________________________ ________________________________________________________________ . 11. The pectoral girdle is formed by ___________________________________ . 12. The pectoral girdle connects ______________________________________ . 13. The pectoral girdle aids in ________________________________________ . 14. Each upper limb consists of ________________________________________ ________________________________________________________________ . 15. The humerus, radius, and ulna articulate _____________________________ . 16. The wrist bones are called ________________________________________ . 17. The bones of the palm are called ___________________________________ . 18. Bones in the fingers are called_____________________________________ . 19. The pelvic girdle is formed by_____________________________________ . 20. The pelvic girdle connects ________________________________________ . 21. The pelvic girdle, sacrum, and coccyx form the _______________________ . 22. Each lower limb consists of _______________________________________ . 23. The femur and tibia articulate with each other at ______________________ . 24. The kneecap is called the _________________________________________ . 25. The ankle bones are _____________________________________________ . 26. The bones of the instep of the foot are called _________________________ . 27. Bones of the toes are called _______________________________________ . VI. Skull – XII. Lower Limb A. Introduction 1. A human skull usually consists of ___________________________________ . 2. The moveable bone in the skull is the ________________________________ . 3. Some cranial and skull bones together form the ________________ of the eye. B. Cranium 1. The cranium encloses and protects __________________________________ . 2. The surface of the cranium provides attachments for _____________________ ________________________________________________________________ . 3. Sinuses are _____________________________________________________ . 4. Sinuses reduce ___________________________________________________ and increase ______________________________________________________ . 7-7 5. The eight bones of the cranium are ___________________________________ ________________________________________________________________ . 6. The frontal bone forms ____________________________________________ ________________________________________________________________ . 7. The supraorbital foramen is ________________________________ and allows _________________________________________ to pass to tissues of the head. 8. The sinuses of the frontal bone are called _____________________________ . 9. The two halves of the frontal bone fuse together by ______________________ ________________________________________________________________ . 10. One parietal bone is located ______________________________________ . 11. Together the parietal bones form ___________________________________ . 12. The sagittal suture fuses _________________________________________ . 13. The coronal suture fuses _________________________________________ . 14. The occipital bone joins the parietal bones along the ___________________ . 15. The occipital bone forms the ______________________________________ . 16. The foramen magnum is _________________________________________ . 17. Occipital condyles are located _____________________________________ . 18. Occipital condyles articulate with __________________________________ . 19. A temporal bone on each side of the skull joins the parietal bone along a ____ ________________________________________________________________ . 20. The temporal bones form_________________________________________ . 21. The opening leading inward to parts of the ear is called __________________ ________________________________________________________________ . 22. Mandibular fossae articulate with __________________________________ . 23. The mastoid process is a site of attachment for ________________________ . 24. The styloid process is a site of attachment for _________________________ . 25. The carotid canal is near the _______________________________________ and transmits ______________________________________________________ . 26. The jugular foramen is_________________________ and accommodates the ________________________________________________________________ . 27. The zygomatic process projects_____________________________________ and joins the ______________________________________________________ . 28. The sphenoid bone helps form the___________________________________ ________________________________________________________________ . 7-8 29. The sella turcica is _______________________________________________ and holds the ______________________________________________________ . 30. The sinuses of the sphenoid bone are called __________________________ . 31. The ethmoid bone is located ______________________________________ . 32. It consists of two masses joined by _________________________________ . 33. The cribriform plates form _______________________________________ . 34. ____________________________________ pass through olfactory foramina. 35. Portions of the ethmoid bone also form ______________________________ ________________________________________________________________ . 36. A _____________________________________ projects downward from the ______________________________________ to form most of the nasal septum. 37. Scroll-shaped plates called _____________________ project inward from the lateral portions of the ethmoid bone. 38. The lateral portions of the ethmoid bone contain many small air spaces called . 39. The crista galli is _______________________________________________ . 40. The crista galli is attached to membranes that __________________________ ________________________________________________________________ . C. Facial Skeleton 1. The facial skeleton consists of ____________ immovable bones and a movable ________________________________________________________________ . 2. The facial bones provide sites of attachment for _________________________ ________________________________________________________________ . 3. The ___________________________________________ forms the upper jaw. 4. Portions of the maxillary bones also comprise __________________________ ________________________________________________________________ . 5. The maxillary bones also contain ____________________ for the upper teeth. 6. Inside the maxillae, lateral to the nasal cavity are _______________________ . 7. The maxillary sinuses extend from ___________________________________ to _______________________________________________________________ . 8. During development, portions of the maxillary bones called _______________ _____________________ grow together and form ________________________ . 9. The alveolar arch is ______________________________________________ . 10. _______________________________________ occupy cavities in this arch. 11. The palatine bones are ______________________________________ shaped. 7-9 12. The palatine bones are located ____________________________________ . 13. The horizontal portions of the palatine bones form______________________ ________________________________________________________________ . 14. The perpendicular portions of the palatine bones help form the ____________ ________________________________________________________________ . 15. Zygomatic bones are responsible for ________________________________ . 16. Each zygomatic bone has a ______________________ process which extends posteriorly to join __________________________________________________ . 17. Lacrimal bones are located _______________________________________ . 18. The nasal bones form the bridge of _________________________________ . 19. The nasal bones are attachments for ________________________________ . 20. The vomer is located ____________________________________________ . 21. Posteriorly the vomer joins _______________________________________ . 22. The nasal septum is formed from ___________________________________ ________________________________________________________________ . 23. The inferior nasal conchae are attached to ____________________________ ________________________________________________________________ . 24. Like the ethmoidal conchae, the inferior conchae support ________________ ________________________________________________________________ . 25. The mandible is shaped like ______________________________________ . 26. The flat projections at the ends of a mandible are ______________________ . 27. The rami are divided into _________________________________________ ________________________________________________________________ . 28. The mandibular condyles articulate with ____________________________ . 29. The coronoid processes provide ___________________________________ . 30. The alveolar border is ____________________________________________ and it contains _____________________________________________________ . 31. Mandibular foramens are located __________________________________ . 32. __________________________________ run through mandibular foramens. The mental foramen is ______________________________________________ . D. Infantile Skull 1. At birth, the skull is _____________________ developed with _____________ _________________________________________ connecting the cranial bones. 2. Fontanels are ___________________________________________________ . 7-10 3. Fontanels permit ________________________________________________ . 4. Eventually fontanels _______________ and cranial bones ________________________________________________________________ . E. Vertebral Column 1. The vertebral column extends from _________________________________ to ___________________________ and forms ____________________________ . 2. The vertebral column is composed of ________________ that are separated by ________________________________________________________________ . 3. The vertebral column supports the __________________________________ . 4. The vertebral column protects ______________________________________ . 5. The spinal cord passes through _____________________________________ . 6. An infant has ____________________ separate bones in the vertebral column. 7. The sacrum is formed by __________________________________________ . 8. The coccyx is formed by __________________________________________ . 9. An adult vertebral column has __________________________________bones. 10. The four curvatures of the vertebral column are ________________________ ________________________________________________________________ . 11. The cervical curvature develops when ______________________________ . 12. The lumbar curvature develops when _______________________________ . F. A Typical Vertebra 1. The body of a vertebra forms ______________________________________ . 2. The intervertebral discs are fastened to ________________________________ ________________________________________________________________ . 3. The discs cushion and soften ________________________________________ ________________________________________________________________ . 4. Anterior longitudinal ligaments join _________________________________ . 5. Posterior longitudinal ligaments join_________________________________ . 6. Pedicles are ____________________________________________________ . 7. Laminae are ____________________________________________________ . 8. A vertebral arch formed by ________________________________________ . 9. Spinous processes are ____________________________________________ . 10. A transverse process projects _____________________________________ . 11. Superior and inferior articulating processes project _____________________ and _____________________________________________________________ . 7-11 12. Intervertebral foramina provide passageways for _______________________ ________________________________________________________________ . G. Cervical Vertebra 1. There are ________________________________________ cervical vertebrae. 2. The transverse processes of cervical vertebrae are distinctive because _______ ________________________________________________________________ . 3. The spinous processes of the second through the sixth cervical vertebrae are __ ________________________________________________________________ . 4. The vertebra prominens is _________________________________________ . 5. The atlas is _____________________________________________________ . 6. The atlas supports _______________________________________________ . 7. The facets of the atlas articulate with ________________________________ . 8. The axis is _____________________________________________________ . 9. The dens is a process that projects __________________ and lies in the ring of ________________________________________________________________ . 10. As the head is turned from side to side,___________________ pivots around ________________________________________________________________ . H. Thoracic Vertebra 1. There are ________________________________________ thoracic vertebrae. 2. The facets of thoracic vertebrae articulate with ________________________ . 3. The bodies of thoracic vertebrae are adapted to ________________________ . I. Lumbar Vertebra (Outcome 7.6.9) 1. There are _______ lumbar vertebrae and they are located ___ ________________________________________________________________ . 2. The bodies of lumbar vertebrae are _______ _____ than the superior vertebrae. 3. The transverse processes of lumbar vertebrae project _____________________ and the spinous processes are _________________________________________ . J. Sacrum 1. The sacrum is _____________________________________________ in shape. 2. The median sacral crest is _________________________________________ . 3. Posterior sacral foramina are _______________________________________ . 4. The sacrum is wedged between ______________________________________ and is united to them at its ___________________________________________ . 5. The sacrum forms the ______________________________ wall of the pelvis. 7-12 6. The sacral promontory is __________________________________________ . 7. Anterior sacral foramina provide passageways for ______________________ . K. Coccyx 1. The coccyx is the lowest part of ____________________________________ . 2. Sitting presses on the coccyx, and it moves ___________________________ , acting like a_______________________________________________________ . L. . Thoracic Cage 1. The thoracic cage includes _________________________________________ ________________________________________________________________ . 2. The thoracic cage supports _________________________________________ and protects _______________________________________________________ . M. Ribs 1. The usual number of ribs is ________________________________________ . 2. The true ribs are _________________________________________________ . 3. The false ribs are ________________________________________________ . 4. Floating ribs are _________________________________________________ . 5. A typical rib has a long, slender ____________________________________ . 6. The head of a rib is ______________________________________________ . 7. The head of a rib articulates with ____________________________________ ________________________________________________________________ . 8. A tubercle of a rib articulates with __________________________________ . 9. Costal cartilages are composed of ___________________________________ . 10. Costal cartilages are attached to the ______________________ ends of a rib. N. Sternum 1. The sternum is located ____________________________________________ . 2. The three parts of the sternum are ___________________________________ . 3. The _____________________________________ process projects downward. 4. The manubrium articulates with ____________________________________ . 5. The manubrium and body articulate with _____________________________ . O. Pectoral Girdle 1. The four parts of the pectoral girdle are ______________________________ . 2. The pectoral girdle supports ____________________ and is an attachment for ________________________________________________________________ . P. Clavicles 7-13 1. A clavicle has an ____________________________________________ shape. 2. Clavicles run between ____________________________________________ . 3. The sternal ends of the clavicles articulate with ________________________ . 4. The acromial ends of the clavicles articulate with ______________________ . 5. The clavicles brace _______________________________________________ and are attachment sites for __________________________________________ . Q. Scapulae 1. The scapulae are shaped like _______________________________________ . 2. The spine of a scapula divides ______________________________________ . 3. The acromion process forms _______________________________________ . 4. The acromion process articulates with _______________________________ . 5. The coracoid process curves _______________________________________ . 6. The glenoid cavity is _____________________________________________ . 7. The glenoid cavity articulates with __________________________________ . 8. The three borders of the scapulae are _________________________________ ________________________________________________________________ . R. Upper Limb 1. The bones of the upper limb form ____________________________________ ________________________________________________________________ . 2. The bones of the upper limb are ____________________________________ . S. Humerus 1. The humerus extends from ________________________________________ . 2. The head of the humerus fits into ___________________________________ . 3. Two processes just below the head are ________________________________ ________________________________________________________________ . 4. The intertubercular groove is_______________________________________ . 5. The anatomical neck is ___________________________________________ . 6. The surgical neck is ______________________________________________ . 7. The deltoid tuberosity is __________________________________________ . 8. Two condyles at the lower end of the humerus are _______________________ ________________________________________________________________ . 9. The capitulum is on the ________________________ side and articulates with ________________________________________________________________ . 10. The trochlea is on the ________________________ side and articulates with 7-14 ________________________________________________________________ . 11. Epicondyles are located _________________________________ and provide attachments for ____________________________________________________ . 12. The coronoid fossa is ___________________________________ that receives ______________________________________ when the arm bends at the elbow. 13. The olecranon fossa is ___________________ that receives _________________________________________________________________ when the arm bends at the elbow. T. Radius 1. The radius is located on the _________________________ side of the forearm. 2. The radius extends from _____________________ to ____________________ and crosses over _____________________ when _________________________ . 3. The head of the radius articulates with _______________________________ . 4. The radial tuberosity is an attachment site for__________________________ . 5. The styloid process is located ______________________________________ . U. Ulna 1. The trochlear notch of the ulna is ___________________________________ . 2. The trochlear notch articulates with _________________________________ . 3. The olecranon process is located ____________________________________ . 4. The head of the humerus articulates laterally with _______________________ ________________________________________________________________ . 5. The styloid process of the ulna is located _____________________________ . V. Hand 1. The hand is made of _____________________________________________ . 2. The bones of the wrist are called ____________________________________ . 3. The individual names of the 8 carpals are ______________________________ ________________________________________________________________ . 4. The anterior surface of the wrist is concave to allow for __________________ ________________________________________________________________ . 5. The metacarpals form the framework of ______________________________ . 6. The distal ends of metacarpals form _________________________________ . 7. Proximally, the metacarpals articulate with ___________________________ . 8. Distally, the metacarpals articulate with ______________________________ . 9. The metacarpal of the thumb is numbered ____________________________ . 7-15 10. The finger bones are ____________________________________________ . 11. Each finger has __________ phalanges and the thumb has ______ phalanges. W. Pelvic Girdle 1. The pelvic girdle consists of ________________________________________ ________________________________________________________________ . 2. The pelvis is formed by ___________________________________________ . 3. The pelvic girdle supports _________________________________________ . 4. The pelvic girdle provides attachments for _____________________________ and protects _______________________________________________________ . 5. The body’s weight is transmitted through the pelvic girdle to _________________________________________________________________ and then onto _____________________________________________________ . X. Hip Bones 1. Each coxa develops from the following three parts ______________________ ________________________________________________________________ . 2. The acetabulum is _______________________________________________ . 3. The acetabulum receives __________________________________________ . 4. The ___________________ is the largest and most superior portion of the coxa. 5. The ilium forms the prominence of __________________________________ . 6. The iliac crest is _________________________________________________ . 7. The iliac fossa is ________________________________________________ . 8. Posteriorly the ilium joins the sacrum at ______________________________ . 9. The anterior superior iliac spine can be felt ____________________________ and is an important __________________________________________ landmark. 10. On the posterior border of the ilium is a _____________________________ . 11. Below the posterior superior iliac spine is a deep indentation called _______ . __________________________, through which ___________________________ _____________________________________________________________ pass. 12. The lowest portion of the coxa is __________________________________ . 13. The ischium is ____________________________________________ shaped. 14. The ischial tuberosity points ______________________________________ . 15. The ischial tuberosity supports the body during _______________________ . 16. The ischial spine is _____________________________________________ . 17. The distance between the ischial spines is ____________________________ 7-16 ________________________________________________________________ . 18. The pubis constitutes ____________________________________________ . 19. The symphisis pubis is___________________________________________ . 20. The pubic arch is _______________________________________________ . 21. The obturator foramen is _________________________________________ . Y. True and False Pelves 1. The pelvic brim would be marked if __________________________________ ________________________________________________________________ . 2. The pelvic brim separates __________________________________________ ________________________________________________________________ . 3. The false pelvis is bounded posteriorly by ____________________________ , laterally by _______________________________________________________ , and anteriorly by ___________________________________________________ . 4. The false pelvis supports __________________________________________ . 5. The true pelvis is bounded posteriorly by ______________________________ and laterally and anteriorly by ________________________________________ . Z. Differences Between Male and Female Pelves 1. Usually the female iliac bones are __________________than those of the male. 2. The female hips are usually _______________________than those of the male. 3. The angle of the female pubic arch may be ____________________________ . 4. The female pelvic cavity is usually __________________ than that of the male. 5. The bones of the female pelvis are ___________________________________ and show less evidence of ___________________________________________ . AA. Lower Limb 1. The bones of the lower limb form the framework of _____________________ ________________________________________________________________ . 2. The bones of the lower limb are _____________________________________ ________________________________________________________________ . BB. Femur 1. The femur extends from __________________________________________ . 2. The head of the femur projects _____________________________________ . 3. The fovea capitis is _______________________________________________ and marks the attachment of __________________________________________ . 4. The neck of the femur is __________________________________________ . 7-17 5. Two large processes below the neck of the femur are _____________________ ________________________________________________________________ . 6. The linea aspera is _______________________________________________ . 7. The lateral and medial condyles articulate with _________________________ ________________________________________________________________ . (Outcome 7.6.9) 8. The patella articulates with the femur on its _____________ . 9. The medial and lateral epicondyles provide attachments for _______________ ________________________________________________________________ . CC. Patella 1. The patella is a ____________________ bone located in ________________________________________________________________ . 2. The patella controls ______________________________________________ . DD. Tibia 1. The shinbone is _________________________________________________ . 2. The tibia is located on _________________________________________ side. 3. The medial and lateral condyles of the tibia articulate with ________________ ________________________________________________________________ . 4. The tibial tuberosity is located _____________________________________ . 5. The tibial tuberosity provides an attachment for ________________________ . 6. The anterior crest of the tibia is _____________________________________ . 7. The medial malleolus is ___________________________________________ . 8. On the tibia’s lateral side is a depression that articulates with ______________ ________________________________________________________________ . 9. The inferior surface of the tibia’s distal end articulates with _______________ ________________________________________________________________ . EE. Fibula 1. The fibula is on the __________________________________ side of the tibia. 2. The head of the fibula articulates with _______________________________ . 3. The lateral malleolus articulates with ________________________________ . FF. Foot 1. The foot is made of ______________________________________________ . 2. The ankle or tarsus is composed of __________________________________ . 3. The talus articulates with ___________________________________________ and can move _____________________________________________________ . 7-18 4. The seven tarsal bones are __________________________________________ ________________________________________________________________ . 5. The largest tarsal is the ___________________________________________ . 6. The calcaneus helps support _______________________________________ . 7. The metatarsus consists of _________________________________________ . 8. The heads at the distal ends of the metatarsals form _____________________ . 9. The arch of the foot is formed by ___________________________________ . 10. The bones of the toes are called ___________________________________ . 11. Each toe has _______________phalanges except the great toe because it lacks ________________________________________________________________ . XIII. Life-Span Changes 1. An incremental decrease in height begins at about ______________________ . 2. _______________________ of the vertebrae may contribute to loss of height. 3. As calcium levels fall, bones become _________________________________ and prone to ______________________________________________________ . 4. Gradually, __________________ come to outnumber ___________________ . 5. By age ______________________________ all adults start to lose bone mass. 6. _____________________________________ bone shows signs of aging first. 7. Compact bone loss begins around the age of __________________________ . 8. In the first decade following menopause, ______________________________ of trabecular bone is lost and ______________ of compact bone is lost in women. 9. The most common fractures in the elderly are __________________________ ________________________________________________________________ . 10. To preserve skeletal health ________________________________________ ________________________________________________________________ . 7-19