Block 1 Structures List 2015 OCS IA

The following structures are likely to appear in any

format of the OCS1 exam (clinical skills practical, donor
lab practical, and written exam). The BOLD terms
represent minimum competency structures for this exam.
In accordance with the manner in which they have been
presented throughout the block, you will be expected to
identify, palpate, or evaluate these structures on a
cadaveric specimen, live person, radiographic image,
and /or slide; describe their function (motions at joints,
actions); their origin and insertion (for muscles); their
location and path (for arteries, veins, and nerves); and
clinical presentation if damaged or injured. In addition,
please pay attention to the arterial perfusion to, and
venous and lymphatic drainage from, the muscle
compartments of the upper extremities.
Remember, a) this list is composed of most (90%) but
not all of the structures that can be tested during Week 7
of Block 1, b) the competency expectancy increases as
the year progresses, so structures that may not be
competency now, may be competency later

Palpable Landmarks
External (posterior) occipital protruberance
Spinous processes of all vertebrae
Vertebra prominens (spine of C7 vertebra)
Spinous process of T1 vertebra
Transverse processes of cervical vertebrae
Iliac crest
Posterior superior iliac spine (PSIS)
Anterior superior iliac spine (ASIS)
Ischial tuberosity
Pubic symphysis
Umbilicus
Greater trochanter
Patella
Tibial tuberosity
Medial malleolus
Lateral malleolus
Gluteal fold
Natal cleft
Achilles (calcaneal) tendon

Clavicle
Acromial end
Sternal end
Groove for subclavius
Conoid tubercle

Sternum
Jugular (suprasternal) notch
Sternal (Louis/sternomanubrial) angle
Second costal cartilage
First intercostal space
Manubrium
Body

1
Xiphisternal junction
Xiphoid process

Ribs
Head
Neck
Tubercle
Angle
Body (shaft)
Costovertebral junction
Costosternal junction
Costochondral junctions
Costal groove
Costal cartilages
Costal margin

Scapula
Acromion
Acromial angle
Spine
Coracoid process
Suprascapular notch (foramen)

Scapula
Supraspinous fossa
Infraspinous fossa
Subscapular fossa
Supraglenoid tubercle
Infraglenoid tubercle
Glenoid cavity
Superior border
Lateral border
Medial border
Superior angle
Inferior angle
Lateral angle
Costal surface
Posterior surface

Humerus
Head
Anatomical neck
Greater tubercle
Lesser tubercle
Intertubercular sulcus/groove
Surgical neck
Deltoid tuberosity
Radial groove
Shaft
Lateral supracondylar ridge
Medial supracondylar ridge
Lateral epicondyle
Medial epicondyle
Radial fossa
Coronoid fossa
Olecranon fossa
Capitulum
Trochlea
Groove for ulnar nerve

Block 1 Structures List 2015 OCS IA

Radius
Head of radius
Neck of radius
Radial tuberosity
Anterior oblique line
Shaft
Anterior border
Interosseous border
Posterior border
Styloid process of radius
Carpal articular surface
Dorsal tubercle

Ulna
Trochlear notch
Coronoid process
Radial notch
Ulnar tuberosity
Shaft
Head of ulna
Styloid process
Olecranon

Carpal bones
Scaphoid
Tubercle of scaphoid
Lunate
Triquetrum
Trapezium
Tubercle of trapezium
Trapezoid
Capitate
Hamate
Hook of hamate
Pisiform

Metacarpals/phalanges
Base
Shaft
Head

General upper limb

Shoulder
Pectoral girdle
Arm (brachium)
Forearm (antebrachium)
Wrist
Hand (manus)
Axilla
Anterior axillary fold
Posterior axillary fold
Axillary sheath
Cubital fossa
Thenar eminence
Hypothenar eminence
Superior transverse scapular ligament

2
Quadrangular space
(Medial/Upper) Triangular space
Triceps hiatus / Triangular interval
Rotator cuff

Other structures
Ligamentum nuchae
Thoracolumbar fascia
Superficial fascia
Deep fascia
Brachial fascia
Antebrachial fascia
Palmar fascia
Dorsal fascia of hand
Axillary fascia
Pectoral fascia
Clavipectoral fascia
Costocoracoid membrane
Dorsal venous arch
Basilic vein
Cephalic vein
Median cubital vein
Perforating veins
Deltopectoral groove
Deltopectoral triangle
Lateral intermuscular septum
Medial intermuscular septum
Interosseous membrane
Anterior (flexor) compartment
Posterior (extensor) compartment

Breast
Areola
Nipple
Suspensory (Coopers) ligaments
Lactiferous ducts
Lactiferous sinuses
Retromammary space

Muscles
For all muscles know proximal/distal attachments
(i.e. origin/insertion), named heads/parts, (e.g.,
long, clavicular, ascending, etc.), innervation, and
action.
Pectoralis major
Pectoralis minor
Subclavius
Serratus anterior
Trapezius
Latissimus dorsi
Levator scapulae
Rhomboid major
Rhomboid minor
Deltoid
Supraspinatus
Infraspinatus
Subscapularis

Block 1 Structures List 2015 OCS IA

Teres major
Teres minor
Biceps brachii
Bicipital aponeurosis
Brachialis
Coracobrachialis
Brachioradialis
Pronator teres
Supinator
Triceps brachii
Anconeus
Flexor digitorum superficialis
Flexor carpi radialis
Flexor carpi ulnaris
Palmaris longus
Flexor digitorum profundus
Flexor pollicis longus
Pronator quadratus
Extensor digitorum
Extensor digiti minimi
Extensor carpi ulnaris
Abductor pollicis longus
Extensor pollicis brevis
Extensor pollicis longus
Extensor indicis
Extensor carpi radialis longus
Extensor carpi radialis brevis
Abductor pollicis brevis
Adductor pollicis
Flexor pollicis brevis
Opponens pollicis
Abductor digit minimi
Flexor digiti minimi
Opponens digiti minimi
Palmaris brevis
Lumbricals
Dorsal interossei mm.
Palmar interossei mm.

Arteries
Subclavian
Thyrocervical trunk
Suprascapular
Transverse cervical
Dorsal scapular
Internal thoracic
Axillary
Superior thoracic
Thoracoacromial
Acromial branch
Clavicular branch
Deltoid branch
Pectoral branch
Lateral thoracic
Subscapular
Thoracodorsal
Circumflex scapular
Anterior circumflex humeral

3
Posterior circumflex humeral

Brachial
Deep brachial (profunda brachii)
Medial collateral
Radial collateral
Humeral nutrient
Superior ulnar collateral
Inferior ulnar collateral
Radial
Radial recurrent
Palmar carpal branch
Superficial palmar branch
Dorsal carpal branch
Dorsal metacarpals
Dorsal digital
Princeps pollicis
Radialis indicis
Deep palmar arch
Palmar metacarpals
Perforating branches
Ulnar
Ulnar recurrent
Common interosseous
Posterior interosseous
Recurrent interosseous
Anterior interosseous
Palmar carpal branch
Dorsal carpal branch
Deep palmar branch
Superficial palmar arch
Common palmar digitals
Proper palmar digital
Deep palmar arch
Palmar metacarpals
Perforating branches

Superficial veins
Cephalic
Basilic
Median cubital
Dorsal venous network of hand
Superficial palmar venous arch
Perforating veins

Deep veins
Subclavian
Axillary
Brachial
Ulnar
Radial

Cutaneous nerves
Supraclavicular nerves
Intercostobrachial nerve
Medial cutaneous of arm

Block 1 Structures List 2015 OCS IA

Medial cutaneous of forearm

Nerves
Spinal accessory nerve (cranial nerve XI)
Brachial plexus
C5 spinal nerve
C6 spinal nerve
C7 spinal nerve
C8 spinal nerve
T1 spinal nerve
Upper trunk
Middle trunk
Lower trunk
Anterior divisions
Posterior divisions
Lateral cord
Medial cord
Posterior cord
Nerve to subclavius
Dorsal scapular
Long thoracic
Suprascapular
Musculocutaneous
Lateral antebrachial cutaneous
Lateral pectoral
Medial pectoral
Median nerve
Recurrent branch
Palmar branch of median
Common and proper palmar digital
Anterior interosseous nerve

Ulnar nerve
Superficial branch
Deep branch
Palmar branch of ulnar
Dorsal branch of ulnar
Dorsal digital
Common and proper palmar digital
Radial nerve
Inferior lateral brachial cutaneous
Posterior brachial cutaneous
Posterior antebrachial cutaneous
Superficial branch of radial
Posterior interosseous
Axillary nerve
Superior lateral brachial cutaneous
Thoracodorsal nerve
Upper subscapular nerve
Lower subscapular nerve

Joints
Sternoclavicular (SC) joint
Clavicular notch of manubrium
Anterior sternoclavicular ligament
Costoclavicular ligament
Interclavicular ligament
Articular disc
Acromioclavicular (AC) joint

4
Coracoclavicular ligament
Conoid ligament
Trapezoid ligament
Glenohumeral (GH) joint
Capsule of glenohumeral joint
Glenoid cavity
Glenoid labrum
Glenohumeral ligaments
Coracoacromial ligament
Transverse humeral ligament
Elbow joint and proximal radioulnar joint
Ulnar collateral ligament
Radial collateral ligament
Anular ligament
Synovial cavity
Radiocarpal ligaments
Articular disc
Radiocarpal (wrist) joint
Metacarpophalangeal joints
Interphalangeal joints

Embryology
Inner cell mass
Trophoblast
Epiblast
Hypoblast
Ectoderm
Mesoderm (paraxial/intermediate/lateral)
Splanchnic mesoderm (splanchnopleure)
Somatic mesoderm (somatopleure)
Intraembryonic coelom
Endoderm
Prechordal plate
Notochord

Block 1 Structures List 2015 OCS IA

Microstructures (i.e. Histology)

Skin and Epithelium

Simple squamous epithelia
Simple cuboidal epithelia
Simple columnar epithelia
Stratified squamous epithelia
(keratinized and non-keratinized)
Stratified cuboidal epithelium
Stratum basale (germinativum)
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Stratum disjunctum
Epidermis
Dermis
Hypodermis
Keratinocyte

Connective Tissue
Dense regular connective tissue
Dense irregular connective tissue
Loose connective tissue
Fibroblast
Macrophage
Mast cell
Plasma cell
Adipocyte
Collagen fiber
Elastic fiber
Reticular fiber

Skeletal Muscle
Skeletal Muscle (including A, H, I, and Z-bands)
Endomysium
Myofibril
Sarcomere
Perimysium
Epimysium

Peripheral Nervous System

Peripheral nerve
Neuron soma
Axon
Dendrite
Myelin sheath
Nissl Substance
Node of Ranvier
Schmidt-Lantermann cleft
Nerve fascicle
Endoneurium
Perineurium
Epineurium
Ganglia
Spinal (dorsal root) ganglion
Autonomic ganglion
Sensory (pseudounipolar) neurons
Autonomic neurons
Satellite cells