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Registered Nurse (RN)
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NCLEX®
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NCLEX-RN® Test Plan: Client Needs
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System-Specific Assessments

Ace Your NCLEX-RN® Test Plan: Client Needs Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Registered Nurse (RN) Students

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NCLEX-RN® Test Plan: Client Needs | Registered Nurse (RN) School Study Aid

System-Specific Assessments
74 Picmonics to Learn | 2 hrs 39 mins
Neurovascular Assessment 6 P's
Pain
Paresthesia
Pulse
Pallor
Pressure
Paralysis
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1 min
Cognitive Abilities Assessment
Mental Status Examination (MSE)
Collecting/Organizing Objective Information
Cognitive assessment tests
Mini-Mental State Examination (MMSE)
Montreal Cognitive Assessment Test (MoCA)
Mini-Cog
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2 mins
Cerebellar Assessment
Coordination
Observe Rapid Alternating Movements (RAM)
Touch Thumb to Each Finger
Finger-Nose-Finger Test
Heel-to-Shin Test
Observe Gait
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2 mins
Skull, Scalp and Hair Assessment
Skull
Inspect Size, Shape and Contour
Inspect and Palpate Areas for Tenderness or Lesions
Scalp
Inspect for Tenderness, Lesions or Rashes
Inspect for Dandruff
Inspect for Lice or Nits
Hair
Inspect Quality and General Appearance of Hair
Observe Hair Distribution
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2 mins
Head, Face and Neck Assessment
Head
Inspect Size and Shape of Skull
Palpate Temporal Artery
Face
Observe Facial Expression
Inspect Facial Structures and Symmetry
Neck
Look for Symmetry
Check Range of Motion
Inspect Lymph Nodes and Thyroid Gland
Confirm Trachea is Midline
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2 mins
Eye Assessment
Inspect External Structures
Eye and Eyebrow Symmetry
Eyeball Alignment
Inspect Eyeball Structures
Examine Cornea and Lens for Cloudiness
Iris and Pupil Shape and Size
Pupillary Light Reflex and Accommodation
P.E.R.R.L.A
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2 mins
Visual Perceptual Hierarchy
Foundation of Visual Perceptual Hierarchy
Oculomotor Control
Visual Fields
Visual Acuity
Visual Perceptual Hierarchy
Visual Attention
Visual Scanning
Pattern Recognition
Visual Memory
Visual Cognition
Adaptation Through Vision
Mnemonic
A Child Makes Parents See Appropriately
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3 mins
Nose Assessment
External Nose
Inspect for Deformity or Asymmetry
Inspect for Inflammation and Skin Lesions
Nasal Cavity
Check for Nasal Obstruction
Inspect Nasal Mucosa
Note Discharge, Bleeding or Foreign Body
Sinus Area
Palpate the Sinus Areas
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2 mins
Ear Assessment
EXTERNAL EAR
Inspect Position and Symmetry
Inspect for Lesions, Drainage, Nodules or Redness
Inspect Opening of Ear Canal
OTOSCOPIC EXAMINATION
Insert Speculum
Position Scope
View Structures
Light Reflect
HEARING ACUITY TESTS
Whisper Test
Weber’s Test
Rinne Test
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4 mins
Throat and Mouth Assessment
MOUTH
Inspect for Color, Asymmetry and Swelling
Inspect Lips, Teeth, Gums and Oral Mucosa
Assess Tongue
THROAT
Examine Pharynx with Tongue Depressor
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2 mins
Skin Assessment
Inspect the skin
Observe for Abnormal Skin Pigmentation
Inspect for Cyanosis
Observe Skin for Pallor
Observe for Jaundice
Inspect for Erythema
Palpate the Skin
Check the Temperature
Observe the Skin for Moisture
Inspect for Diaphoresis or Dehydration
Check skin for edema
Imprint Thumb Firmly for 3 to 4 Seconds
Look for lesions
Note the Characteristics
Palpate Lesion
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4 mins
Nail Assessment
Observe the Nails
View Index Finger at its Profile
Look at Consistency
Observe Color
Check Capillary Refill
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2 mins
Gastrointestinal System Assessment
Mouth
Inspect Mouth, Jaw, Teeth, Gums and Oral Mucosa
Inspect Tongue
Palpate Areas for Tenderness/Lesions
ABDOMEN
Inspect Abdominal Quadrants
Auscultate
Percuss
Palpate
Light Palpation
Deep Palpation
Check for Rebound Tenderness and Ascites
Rectum and Anus
Inspect Perianal Area
Palpate Rectum with Gloved Index Finger
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6 mins
Abdomen Assessment
Inspect the Abdomen
4 Quadrants
Contour, Shape, Symmetry
Umbilicus
Auscultate
Bowel Stethoscope
Vascular Sounds
Percussion
Percuss 4 Quadrants
Tympany or Dullness
Palpate
Light Palpation
Deep Palpation
Rebound Tenderness
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5 mins
Reflexes Assessment
Grading
Hyperactive
Hypoactive
Deep Tendon Reflexes (DTRs)
Biceps
Triceps
Brachioradialis
Patellar (Quadriceps)
Achilles Tendon
Cutaneous (Superficial) Reflexes
Plantar Reflex (Babinski Sign)
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3 mins
ROM Assessment
Types of ROM
Active ROM (AROM)
Active Assisted ROM (AAROM)
Passive ROM (PROM)
Upper Extremity
Neck Flexion, Extension and Rotation
Shoulder Flexion, Extension and Rotation
Elbow Flexion and Extension
Fingers and Wrist Flexion and Extension
Lower Extremity
Hip and Knee Flexion
Hip Abduction and Rotation
Ankle Rotation
Toe Flexion and Extension
Lumbar Rotation and Spine Inspection
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4 mins
Cardiac and Circulation Assessment
HEART ASSESSMENT
Inspect General Appearance
Inspect Chest
Note Location of Apical Impulse
Percuss Chest Wall
Auscultate Heart Sounds: S1, S2, S3, S4
Auscultate for Pericardial Friction Rub and Murmurs
VASCULAR SYSTEM ASSESSMENT
Assess Skin, Fingernails and Toenails
Check Carotid Artery and Jugular Vein
Palpate Skin for Temperature, Texture, Turgor
Check Capillary Refill Time
Palpate Arterial Pulses Bilaterally
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5 mins
Male Urinary System Assessment
Health History
Past Medical History
Medications
Urination Pattern
Physical Examination
Inspection
Palpation
Auscultation
Percussion
Assessment of Urine
Intake and Output
Characteristic of Urine
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2 mins
Male Reproductive System Assessment
Inspection
Inspect the Penis and Urethral Meatus
Inspect the Scrotum, Testicles and Pubic Hair
Inspect the Inguinal and Femur
Palpation
Palpate the Entire Penile Shaft
Palpate Both Testicles
Palpate Epididymides and Both Spermatic Cords
Palpate for Direct or Indirect Inguinal Hernia and Femoral Hernia
Palpate Prostate Gland
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3 mins
Female Reproductive System Assessment
HEALTH HISTORY
Past Genitourinary and Gynecological History
Current and Past Medication Use
Urine Collection and Characteristics
EXTERNAL GENITALIA EXAM
Inspect External Genitalia
Palpate External Genitalia
INTERNAL GENITALIA EXAM
Inspect Internal Genitalia Using Lubricated Speculum
Examine Vaginal Wall for Color, Texture, and Integrity
Examine Cervix for Color, Position, Size, Shape, Mucosal Integrity and Discharge
Palpate Internal Genitalia
Note Abnormal Findings
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4 mins
Airway and Lungs Assessment
Inspection
Examine Back of Chest
Determine Respiratory Rate for 1 Minute
Assess for Abnormalities with Uneven Movement or Use of Accessory Muscles
Inspect Skin, Nails and Mucous Membrane
Palpation
Palpate for Crepitus, Tenderness, Alignment, Masses or Retraction
Palpate for Tactile Fremitus
Check Chest-Wall Symmetry and Expansion
Note Resonance, Hyperresonance, Dullness and Tympany
AUSCULTATION
Use Diaphragm of Stethoscope to Listen to Full Inspiration and Full Expiration
Ask Patient to Breathe Through Mouth
Normal Breath Sounds
Abnormal Breath Sounds
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5 mins
Strength Assessment
Inspection
Assess Patient Appearance for Abnormalities
Observe ROM of Upper and Lower Extremities
Assess Motor Power
Hand Grips
Dorsiflexion and Plantarflexion
Hip and Knee Flexion Against Resistance
Manual Muscle Test (MMT) Grading System
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2 mins
Female Urinary System Assessment
Health History
Past Medical History
Urination Pattern
Medications
Urine Collection
Assessment
Inspect Areas Over Kidney and Bladder
Percuss Kidneys
Palpate Kidneys and Bladder
Note Abnormal Findings
Assessment of Urine
Intake and Output
Characteristic of Urine
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2 mins
Cranial Nerves I and II Assessments
Cranial Nerve I - Olfactory Nerve
Use Familiar Attainable Smells
Note Any Sense of Smell Asymmetry
Cranial Nerve II - Optic Nerve
Test Visual Fields
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2 mins
Cranial Nerves III, IV and VI Assessments
Cranial Nerve III - Oculomotor Nerve
Cranial Nerve IV - Trochlear Nerve
Cranial Nerve VI - Abducens Nerve
Assess Extraocular Movements, P.E.R.R.L.A
Note Any Nystagmus
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2 mins
Cranial Nerves V and VII Assessments
Cranial Nerve V - Trigeminal Nerve
Assess Temporal and Masseter Muscles
Assess Light Touch Sensation
Cranial Nerve VII - Facial Nerve
Note Mobility and Facial Symmetry
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2 mins
Cranial Nerves VIII, IX and X Assessments
Cranial Nerve VIII - Acoustic (Vestibulocochlear) Nerve
Test Hearing to Normal Conversation
Whisper Test
Cranial Nerve IX - Glossopharyngeal Nerve
Cranial Nerve X - Vegus Nerve
Depress the Tongue and Say “Ahh”
Touch the Posterior Pharyngeal
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2 mins
Cranial Nerves XI and XII Assessments
Cranial Nerves XI - Spinal Accessory Nerve
Examine Sternocleidomastoid Muscles
Examine Trapezius Muscles
Cranial Nerve XII - Hypoglossal Nerve
Inspect the Tongue
Note Lingual Speech
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2 mins
Shoulder Exam
Inspect
Skin
Shape
Palpate
Humeral Head
Acromioclavicular Joint
Rotator Cuff
Clavicle
Spine of Scapula
Range of Motion
Flexion
Extension
Abduction
Adduction
Internal Rotation
External Rotation
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3 mins
Low Back Assessment
Low Back Assessment
Inspection
Functional Exam
Movement
Palpation
Flexion and Extension
Rotation
Hyperextension
Lateral Bend
Special Tests
Straight Leg Raise Test
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4 mins
Knee Assessment
Facts
Inspection
Palpation
Check Range of Motion
Assess Strength
Neurovascular Assessment
Special Tests
Ballottement and Effusion
Ligament Integrity
Meniscal Integrity
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4 mins
Oral Cavity
Characteristics
Mouth
Mechanical Digestion
Salivary Amylase Begins Carbohydrate Breakdown
Lingual Lipase Begins Lipid Breakdown
Esophagus
Bolus
Peristalsis
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1 min
Central Nervous System (CNS)
Characteristics
Frontal Lobe
Parietal Lobe
Temporal Lobe
Occipital Lobe
Medulla Oblongata
Cerebellum
Pons
Spinal Cord
Dorsal Root Ganglia
Grey Matter
White Matter
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2 mins
Eye
Characteristics
Sclera
Cornea
Iris
Lens
Ciliary Muscles
Optic Nerve
Rods
Cones
Retina
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1 min
Autonomic Nervous System
Characteristics
Sympathetic Nervous System
Fight or Flight
All Preganglionic Neurons Release Acetylcholine
Sympathetic Postganglionic Neurons Release Norepinephrine
Antagonistic Effects of Sympathetic and Parasympathetic Nervous Systems
Parasympathetic Nervous System
Rest and Digest
Parasympathetic Postganglionic Neurons Release Acetylcholine
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2 mins
Macroscopic Bone Structure
Characteristics
Compact Bone
Yellow Bone Marrow
Spongy Bone
Red Bone Marrow
Long Bone
Epiphysis
Epiphyseal Plate
Diaphysis
Metaphysis
Periosteum
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2 mins
Middle Cerebral Artery
Contralateral paralysis upper limb and face
Contralateral loss of sensation of upper limb and face
Affects Wernicke's area and Broca's area
Aphasia if Lesion in Dominant (Left) Hemisphere
Hemineglect if lesion in nondominant (right) hemisphere
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1 min
Anterior Cerebral Artery
Contralateral paralysis of lower limb
Contralateral loss of sensation in lower limb
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1 min
Carpal Bones
"Some Lovers Try Positions That They Can't Handle"
Scaphoid
Lunate
Triquetrum
Pisiform
Trapezium
Trapezoid
Capitate
Hamate
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1 min
Foot Bones
Tiger Cubs Need MILC
Talus
Calcaneus
Navicular
Medial Cuneiform
Intermediate Cuneiform
Lateral Cuneiform
Cuboid
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1 min
Cranial Bones
Occipital
Parietal
Frontal
Temporal
Ethmoid
Sphenoid
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52 secs
Facial Bones
Vomer
Conchae
Nasal
Maxilla
Mandible
Palatine
Zygomatic
Lacrimal
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1 min
Pelvic Bones
Ilium
Iliac Crest
ASIS (Anterior Superior Iliac Spine)
AIIS (Anterior Inferior Iliac Spine)
Acetabulum
Pubis
Pubic Symphysis
Obturator Foramen
Ischium
Sacrum
Coccyx
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1 min
Coronary Arteries
Aortic Root
Right Coronary Artery (RCA)
Right (Acute) Marginal Artery
Posterior Descending Artery (PDA)
Left Coronary Artery (LCA)
Left Anterior Descending (LAD) Artery
Circumflex Artery
Left Marginal Artery
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1 min
Anterior Thigh Muscles
Innervation
Femoral Nerve
Muscles
Iliopsoas
Psoas Innervated by L1-3
Sartorius
Pectineus
Quadriceps Femoris
Vastus Lateralis
Vastus Intermedius
Vastus Medialis
Rectus Femoris
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2 mins
Posterior Thigh Muscles
Innervation
Sciatic Nerve
Muscles
Biceps Femoris
Long and Short Head
Flex Knee
Extend Hip
Laterally Rotate Hip
Semitendinosus and Semimembranosus
Flex Knee
Extend Thigh
Medially Rotate Thigh and Leg
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1 min
Medial Thigh Muscles
Action
Adduct the Thigh
Innervation
Obturator Nerve
Muscles
Adductor Magnus
Tibial Nerve
Adductor Longus
Adductor Brevis
Gracilis
Obturator Externus
Laterally Rotates Thigh
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1 min
Dermatomes - Cervical
C2 - Posterior Cap Distribution
C3 - High Turtleneck
C4 - Low Collar Shirt
C5 - Anterolateral Shoulder
C6 - Thumb
C7 - Middle Finger
C8 - Pinky Finger
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1 min
Dermatomes - Thoracic
Characteristics
T1 - Medial Arm
T4 - Nipple
T7 - Xiphoid
T10 - Belly Button
T12 - Pubis
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58 secs
Dermatomes - Lumbosacral
L2 - Medial Thigh
L3 - Medial Knee
L4 - Kneecap, Medial Ankle, and Big Toe
L5 - Dorsum of Foot
S1 - Lateral Foot, Posteriolateral Thigh
S 2, 3, 4, 5 - Perianal and Genitals
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2 mins
Muscles of Mastication
Temporalis
Masseter
Medial Pterygoid
Lateral Pterygoid
Innervation
Mandibular Branch (V3) of Trigeminal Nerve
Embryology
1st Branchial Arch
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1 min
Leg Veins
Inferior Vena Cava
Common Iliac (Ilium)
External Iliac (Ilium)
Great Saphenous
Femoral
Popliteal
Small Saphenous
Anterior Tibial
Posterior Tibial
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1 min
Leg Arteries
Descending Aorta
Iliac (Ilium)
Common Femoral
Deep Femoral
Superficial Femoral
Popliteal
Anterior Tibial
Posterior Tibial
Peroneal
Dorsalis Pedis
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2 mins
Anterior Lower Leg Anatomy
Innervation
Deep Peroneal Nerve
General Action
Dorsiflex Foot
Muscles
Tibialis Anterior
Invert Foot
Extensor Digitorum Longus
Extend 4 Toes
Extensor Hallucis Longus
Extend Great Toe
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1 min
Lateral Lower Leg Anatomy
Innervation
Superficial Peroneal Nerve
Actions
Eversion of Foot
Plantarflexion of Foot
Muscles
Fibularis Brevis
Fibularis Longus
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55 secs
Leg Nerves
Femoral
Saphenous
Posterior Femoral Cutaneous
Sciatic
Tibial
Common Peroneal
Superficial Peroneal
Deep Peroneal
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1 min
Deep Gluteal Muscles
General Action
Lateral Rotation and Abduction
Muscles
Gluteus Minimus
Medially Rotates Leg
Piriformis
Superior Gemellus
Obturator Internus
Inferior Gemellus
Quadratus Femoris
Other Structures
Sacrotuberous Ligament
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1 min
Rotator Cuff
External Rotation
Teres Minor
Infraspinatus
Internal Rotation
Subscapularis
Abduction
Supraspinatus
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1 min
Ejaculation Pathway
SEVEn UP
Seminiferous Tubules
Epididymis
Vas Deferens
Ejaculatory Ducts
Urethra
Penis
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1 min
Hand Muscles
Characteristics
Opponens Pollicis
Abductor Pollicis Brevis
Flexor Pollicis Brevis
Flexor Digiti Minimi Brevis
Abductor Digiti Minimi Brevis
Opponens Digiti Minimi
Lumbricals
Interossei (Palmar and Dorsal)
Palmaris Brevis
Adductor Pollicis
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2 mins
Back Muscles
Superficial
Latissimus Dorsi
External Oblique
Internal Oblique
Gluteus Medius
Gluteus Maximus
Deep
Erector Spinae
Serratus Anterior
Serratus Posterior
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2 mins
Lower Limb Bones - Tibia and Fibula
Characteristics
Tibia
Tibial Plateau
Medial and Lateral Condyles
Tibial Tuberosity
Gerdys Tubercle
Fibular Notch
Medial Malleolus
Fibula
Fibular Head
Lateral Malleolus
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2 mins
Pathways through the Diaphragm
Characteristics
T8 Level (Caval opening)
Inferior Vena Cava
T10 Level (Esophageal Opening)
Esophagus
Vagus Nerve
Esophageal Branches Left Gastric Vessels
T12 Level (Aortic opening)
Aorta
Thoracic Duct
Azygos Vein
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2 mins
Lower Limb Bones - Femur
Femur
Head
Neck
Greater Trochanter
Lesser Trochanter
Gluteal Tuberosity
Pectineal Line
Linea Aspera
Epicondyles
Condyles
Adductor Tubercle
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2 mins
Neck and Shoulder Muscles
Superficial
Splenius Capitis
Trapezius
Rhomboid Minor
Rhomboid Major
Deltoid
Latissimus Dorsi
Levator Scapulae
Deep
Supraspinatus
Infraspinatus
Teres Minor
Teres Major
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2 mins
Upper Limb Bones - Humerus
Characteristics
Greater Tubercle
Lesser Tubercle
Anatomic Neck
Surgical Neck
Deltoid Tuberosity
Epicondyles
Coronoid Fossa
Capitulum
Olecranon Fossa
Trochlea
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3 mins
Upper Limb Bones - Ulna and Radius
Characteristics
Ulna
Olecranon Process
Coronoid Process
Trochlear Notch
Radial Notch
Styloid Process of Ulna
Head of the Ulna
Radius
Radial Head
Neck
Radial Tuberosity
Styloid Process
Ulnar notch
Listers (aka Dorsal) Tubercle
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3 mins
Upper Limb - Arm Muscles
Anterior Superficial Muscles
Biceps Brachii
Anterior Deep Muscles
Coracobrachialis
Brachialis
Posterior Superficial Muscles
Long Head of Triceps Brachii
Lateral Head of Triceps Brachii
Posterior Deep Muscles
Medial Head of Triceps Brachii
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2 mins
Upper Limb - Anterior Forearm Muscles
Superficial Muscles
Pronator Teres
Palmaris Longus
Flexor Carpi Radialis
Flexor Carpi Ulnaris
Intermediate Muscles
Flexor Digitorum Superficialis
Deep Muscles
Flexor Pollicis Longus
Flexor Digitorum Profundus
Pronator Quadratus
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2 mins
Foregut Structures, Blood Supply and Innervation
Structures
Esophagus
Lower Respiratory Tract
Stomach
Proximal Duodenum
Liver
Gallbladder
Pancreas
Spleen
Vascular Supply
Celiac Artery
Innervation
Vagus Nerve
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2 mins
Midgut Structures, Blood Supply and Innervation
Structures
Distal Duodenum
Jejunum
Ileum
Appendix
Ascending Colon
Proximal 2/3 of Transverse Colon
Vascular Supply
Superior Mesenteric Artery
Innervation
Vagus Nerve
Lesser Splanchnic Nerve
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2 mins
Hindgut Structures, Blood Supply and Innervation
Structures
Distal 1/3 of Transverse Colon
Descending Colon
Sigmoid Colon
Rectum
Pectinate (Dentate) Line
Urogenital Sinus
Vascular Supply
Inferior Mesenteric Artery
Innervation
Lumbar Splanchnic Nerves
Pelvic Splanchnic Nerves
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2 mins
Inguinal Canal
2MALT
2 Muscles Form the Roof
Internal Oblique
Transverse Abdominus Muscle
2 Aponeuroses Form the Anterior Wall
External and Internal Abdominal Oblique Aponeuroses
2 Ligaments Form Floor
Lacunar Ligament
Inguinal Ligament
2 T's Form the Posterior Wall
Transversalis Fascia
Conjoint Tendon
Deep Ring is Defect in Transversalis Fascia
Superficial Ring is Formed by Defect in the External Abdominal Oblique Aponeurosis
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2 mins
Biliary Structures
Gallbladder
Cystic Duct
Common Hepatic Duct
Common Bile Duct
Pancreatic Duct
Major Duodenal Papilla
Ampulla Vater
Sphincter of Oddi
Minor Duodenal Papilla
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2 mins

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