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Aorta : Its parts: Ascending. Arch: L. Common carotid artery. L.Subclavian artery. Brachiocephalic trunk. Common Crotid artery: External carotid artery. Internal carotid artery. Descending Thoracic Aorta Arteries of Upper limb: Axillaray, Brachial, Radial, Ulnar , Palmar arches. Arteries of Lower limb: Femoral, Popliteal, Anterior & Posterior tibial &Dorsalis pedis. Abdominal aorta: levels of origin & bifurcation: Branches : Anterior Visceral (Celiac trunk, Sup. Mesenteric & Inf. Mesenteric) Lateral Visceral (Renal, Suprarenal, Gonadal) Common Iliac artery : External Iliac (to L.L) Internal Iliac (to pelvis) Arterial Anastomosis: Main sites (upper & lower limbs) Sites of arterial Pulsations. It is the Largest and the Main arterial trunk of the body. It issues from: The Left ventricle of the heart. Different parts of the aorta are named according to: Their location or Shape. ASCENDING ARCH DES. DES. THOR. ABDOM. It arises from: Base of Left Ventricle. At the level of Sernal Angle (2ND costal cartilage): It becomes continuous with Arch of Aorta. At its root: The Right & Left Coronary Arteries arise from the Aortic Sinuses. It lies: Behind the Manubrium. It is to the left of the trachea. It becomes continuous with the Descending Thoracic Aorta (opposite the sternal angle). L.SUB BRACHIOCEPHALIC CLAVIAN L. COMMON CAROTID Right CCA arises from : Brachiocephalic Trunk. Left CCA arises from : Arch of Aorta. The Common Carotid artery terminates (at Upper Border of Thyroid Cartilage) into two arteries: External Carotid. Internal Carotid. SCALP SUPERFICIAL TEMPORAL A FACE FACIAL A MAXILLA MAXILLARY A GLANDS THYROID A. TONGUE LINGUAL A. The ECA terminates behind the Mandible. It divides into Two Terminal branches: Superficial temporal artery. Maxillary artery. It gives off NO branches in the Neck. It enters the Cranial Cavity. NOSE & SCALP BRAIN EYE Right artery arises from : Brachiocephalic Trunk . Left artery arises from Arch of Aorta. Vertebral artery to CNS. Internal thoracic artery to : Mammary gland& & Thoracic wall. It becomes: The Axillary artery at the Lateral Border of the first rib. It is the Source of the arterial supply of the U.L AXILLARY. BRACHIAL. RADIAL. ULNAR. Palmar Arches (Superficial & Deep). It passes through the Axilla. Termination : At the middle of the Humerus : It becomes the Brachial artery. It descends close to the medial border of the Humerus. It passes in front of the elbow (Cubital Fossa). At the level of Neck of Radius: It divides into its two terminal branches : Radial. Ulnar. Ulnar artery : It is the larger terminal branch. Radial artery: The smaller terminal branch. In the hand : They form: Superficial and Deep Palmar Arches. It is the continuation of the Arch of the Aorta. At the level of the 12th thoracic vertebra: It passes through the Diaphragm to be continuous with the Abdominal Aorta. It gives the following arteries : Pericardial. Esophageal. Bronchial. Posterior intercostal. It enters the abdomen through the Aortic opening of the diaphragm. At the level of L4: It divides into two terminal branches : Right & Left Common Iliac arteries. INFERIOR MESENTERIC -CELIAC TRUNK SUPERIOR MESENTERIC LIVER & STOMACH PANCREAS SPLEEN LARGE INTESTINE PANCREAS SMALL INTESTINE ANAL CANAL LARGE INTESTINE RECTUM GONADAL (TESTICULAR OR OVARIAN) SUPRA RENAL RENAL It divides in front of Sacroiliac Joint into two arteries: External iliac (to lower limb). Internal iliac (to pelvis). UTERUS & VAGINA PELVIC RECTUM WALLS & URINARY & ANAL BLADDER PERINEUMCANAL It is the Source of arterial supply to the Lower limb. It passes under the Inguinal Ligament. It becomes Femoral artery. FEMORAL POSTERIOR ANTERIOR POPLIT TIBIAL TIBIAL It lies: In the anterior compartment of the thigh in a Sheath with the Femoral Vein. It ends : At the lower end of the femur by entering the Popliteal space. In the Popliteal Fossa: It is deeply placed. It divides into: Anterior & Posterior Tibial Arteries. It is the smaller terminal branch. It becomes Superficial in its lower part . It continues to the dorsum of foot: As the Dorsalis Pedis artery. It continues to the Sole of the Foot. It is the main source of its arterial supply. Definition: It is the joining of branches of arteries supplying adjacent areas. Anatomic end arteries: Their terminal branches Do Not anastomose with branches of adjacent arteries. In the UPPER LIMB: Scapular Anastomosis Between branches of: Subclavian & Axillary. Around the Elbow: Brachial & Radial and Ulnar. In the LOWER LIMB: Trochanteric . Cruciate . They provide anastomosis between: Internal iliac & Femoral. Superficial Temporal Pulse: In front of the Ear. Facial Pulse: At the Lower border of the Mandible. Carotid Pulse: At the Upper Border of Thyroid Cartilage. Subclavian Pulse: As it crosses the . 1st Rib. Radial Pulse: In front of the Distal End of the Radius. Femoral artery: Midway between ASI spine & Symphysis pubis. Popliteal artery: In the depths of popliteal fossa. Dorsalis pedis artery: In front of ankle (between the two malleoli). 1. Descending thoracic aorta: A. Gives bronchial branches. B. Gives branches to the heart. C. Has no branches. D. Arises from the base of left ventricle. 2. The branches of the arch of aorta are: A. Left subclavian. B. Right subclavian. C. Right coronary. D. Left coronary. 3.Superior mesenteric artery supplies: A. Stomach. B. Jujenum and ileum. C. Rectum. D. Spleen. 4. Reduced blood supply to the muscles of the anterior compartment of the thigh could be due to injury of: A. Femoral artery. B. Popliteal artery. C. Dorsalis pedis artery. D. Anterior tibial artery. 5. Pulsations felt at the lower border of the mandible are in : A. Superficial temporal artery. B. Common carotid artery. C.Maxillary artery. D. Facial artery. 6. The internal iliac artery supplies: A. Uterus. B. Urinary bladder. C. Ovary. D. Anal canal. 7. Branches of the celiac trunk provide blood supply to : A. Liver. B. Spleen. C. Transverse colon. D. Stomach. 8. Left subclavian artery: A. Terminates at the lateral border of the first rib. B. Supplies the scalp. C. Arises from the brachiocephalic trunk. D. Passes through the axilla. 9. During spleenectomy, the splenic artery has to be ligated, it is a branch from: A. Inferior mesenteric artery. B. Celiac trunk. C. Superior mesenteric artery. D. Internal iliac artery. 10. A thrombus in the inferior mesenteric artery would reduce the blood supply to: A. Urinary bladder. B. Rectum. C. Liver. D. Supra renal gland. 11. To feel the carotid pulse we have to put the fingers at: A. Lower border of the mandible. B. Upper border of thyroid cartilage. C. In front of the ear. D. On the first rib. 12. A diabetic patient might complain from loss of vision due to vasoconstriction of the ophthalmic artery which is a branch from: A. External carotid artery. B. Common carotid artery. C. Internal carotid artery. D. Subclavian artery.