CIRCULATION REVIEW ANATOMY II

1. Which artery is associated with the sternocleidomastoid muscle?

2. In deep venous return of the upper extremity, the vein returning blood on the lateral side of the forearm is

3. The medial boundary of the femoral triangle is formed by the

4. The artery that passes through the inguinal ligament is

5. Which vessel is a continuation of the anterior tibial artery?

6. Which cavity does the hypogastric artery supply?

7. The first branch of the arch of the aorta is

8. The ophthalmic artery is a branch of the

9. The femoral artery, while in the femoral triangle, is bounded laterally by the

10. Vessels that carry blood toward the heart are called

11. The cystic artery supplies blood to the

12. Hunter’s Canal is also called

13. The brachial artery is a continuation of the

14. The vessel that supplies the tongue is called the

15. Where does the left common carotid artery originate (not looking for a vessel)

16. Which vein collects blood from the deep structures of the brain?

17. In which heart chamber does pulmonary circulation begin?

18. Which artery passes through Hunter’s Canal?

19. Which artery begins at the opening of the adductor magnus muscle?

20. How many left bronchial arteries are there?

21. Which vessel supplies the distal 1/2 of the large intestines?

22. Which vessels supply the superior aspect of the diaphragm?

23. The external iliac vein arises as a continuation of the

24. The maxillary artery is a branch of the

25. Which vessels supply the glands that are situated on top of the kidneys?

26. The second branch of the aortic arch is

27. The vessel that supplies the sacrum and coccyx is called

28. In relation to the internal jugular vein, the common carotid artery lies (give 2 answers)

29. Which artery begins at the inferior border of the teres major muscle?

30. The posterior facial vein and the posterior auricle vein unite and form the

31. Which vessels extend to the level of the superior border of the thyroid cartilage?

32. The external iliac artery continues as the

33. Where does the portal system terminate?

34. Which artery terminates at the opening of the adductor magnus muscle?

35. Which vessel supplies the liver?

36. In superficial venous return of the upper extremity, the vein on the medial side of the forearm is

37. The vertebral arteries arise from the

38. The internal carotid artery is the main blood supply to the

39. The artery that supplies the anterior portion of the heart

40. Which artery begins at a point behind the center of the inguinal ligament?

41. The right common carotid artery branches from the

42. The small saphenous vein is a tributary to the

43. The left ovarian vein is a tributary to the

44. The superficial vein of the medial side of the lower extremity is called

45. The external jugular vein terminates by emptying into the

46. The basilar artery bifurcates into the

47. The internal iliac artery supplies the organs of this cavity

48. The lateral boundary of the anterior cervical is formed by the

49. The hepatic vein is a tributary to the

50. What type of blood do the pulmonary arteries carry?

51. Which vessel is formed by the union of the internal jugular vein and subclavian vein?

52. The cephalic vein is a tributary to the

53. The terminal branches of the abdominal aorta are

54. Which artery begins at the lateral border of the first rib?

55.Which artery terminates at the inferior border of the popliteus muscle?

56.> Name the branches of the posterior tibial artery

57.>

58. >

59. > Name the 3 branches of the celiac artery

60. >

61. Which vessels deliver nourishment to the lungs?

62. Which vessel terminates at the lateral border of the first rib?

63. This anatomical landmark starts at the apex of Scarpa’s triangle

64. These vessels supply the outer layer of the heart

65. Which artery terminates at the inferior border of the teres major muscle?

66. When the basilic vein meets the brachial vein they form the?

67.> The terminal branches of the common carotid arteries are the

68.>

69. In relation to the trachea, the aortic arch lies

70. Which vessels supply the posterior portion of the scalp?

71. This vessel is located just behind the medial border of the coracobrachialis muscle (you may not know this, it’s and anatomical guide you can get the answer from the Embalming Text)

72. Which vessel supplies the inferior portion of the thyroid gland?

73. Which vessel connects the right and left anterior cerebral arteries?

74. The superior mesenteric vein and the splenic vein form the

75. Which vessel is a continuation of the femoral artery?

76. The right common carotid artery originates from (not looking for a vessel)

77. If you make an incision along the inferior border of the mandible, which vessels would you raise (you can get this answer from the Embalming Text)

78. Which vessel terminates at a point over the pisiform bone?

79. The vertebral arteries unite to form the

80. What is the venae comite to the brachial artery? (you can get this from the Embalming Text)

81. The anatomical guide for this vessel is along the medial border of the psoas major muscle (you can get this from the Embalming text)

82. In relation to the femoral artery, the femoral vein lies (give 2 answers)

83. The gastroduodenal vein is a tributary to

84.>

85.> Name the three unpaired visceral branches of the abdominal aorta

86.>

87. Which vessel terminates at a point over the base of the thumb?

88. Of the three branches of the aortic arch, which supplies blood to the right upper extremity?

89. Where does the aortic arch begin?

90. What nerves are located in the axilla?

91. Where does the abdominal aorta bifurcate?

92. Where does the popliteal artery terminate____________________________________________________?

93. Where does the axillary artery become the brachial artery_______________________________________?

94. Where does the left common carotid artery begin?__________________________________________?

95. Where does the posterior tibial artery terminate________________________________________________?

96. Where does the brachial artery begin________________________________________________________?

97. What is the longest vein in the body________________________________________________________?

98. Where does the femoral artery terminate____________________________________________________?

99. Where does the subclavian artery terminate__________________________________________________?

100. Where does the aortic arch begin__________________________________________________________?

101. Where does the radial artery terminate_____________________________________________________?

102. Where does the posterior tibial artery begin_________________________________________________?

103. Where does the internal carotid artery begin_________________________________________________?

104. Where does the axillary artery begin______________________________________________________?

105. Where does the ascending aorta begin______________________________________________________?

106. Where does the ulnar artery terminate_____________________________________________________?

107. Where does the right common carotid artery begin____________________________________________?

108. The thoracic aorta extends from _______________________ t o _________________________.

109. Where does the radial artery begin_________________________________________________________?

110. Where does the popliteal artery begin_______________________________________________________?

111. Where does the femoral artery begin_______________________________________________________?

112. What is the widest vein in the body________________________________________________________?

113. The common iliac vein is formed by the_____________________________ & ______________________

114. The IVC is located to the_______________ of the __________________________________________

115. Where does the external iliac artery terminate_______________________________________________?

116. Vessels that carry blood away from the heart are called

117. The anterior tibial artery continues as the

118. What is the third branch of the aortic arch.?

119. This anatomical landmark begins at the apex of the femoral triangle and runs through the adductor magnus muscle

120. In superficial venous return of the lower extremity, what is the vein on the lateral side?

121. How does the internal carotid artery gain access into the skull?

122. Name the openings and the number of each through which the vertebral arteries pass

123. The femoral vein continues as the

The aortic arch starts at 124._________and runs 125._____to the 126.______, swings posteriorly and to the 127.______, behind the 128._____________ and becomes the descending aorta at 129.__________. The descending aorta passes through the 130.____________in the diaphragm and terminates at 131.______.

132. The brachiocephalic vein is formed by the

133. Which two veins form the portal vein?

134. Which two veins form the axillary vein?

135. Name the three divisions of the aorta

136. The great saphenous vein is a tributary to

Try these blood tracings It’s easier if you do flow charts!!!!

137. Describe arterial flow to the right upper extremity — see if you can include anatomical limits as well )

138. Describe arterial flow to the left superficial side of the head neck, etc. and its venous return.

139. Describe pulmonary circulation from the time it leaves the heart to its return

140. Describe the arterial flow to the lower extremity (right or left)

141. Describe superficial venous return of the upper extremity

142. Describe coronary circulation

143. Describe deep venous return of the lower extremity

145. Describe deep venous return of the upper extremity.

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Instructions:

This section of your final exam provides you with an opportunity to  apply all of the information you have learned throughout the course to  the work that you will be doing as a certified professional.

You will be presented with two client profiles, and will be asked to  design a 12-week periodized program for each client. In addition to  describing the logistics of the program, you will also be asked to  explain why you have designed the program the way that you have.

Approach these clients as you would approach a real-life situation.  Your client should be able to take your program and put it into practice  without having to contact you for explanation of what to do or why to  do it.

Before you finalize your submission, make sure your program passes the following tests:

1. Is the training program that you are designing appropriate, safe,  and effective for the client, given the client’s physical abilities and  primary goals?

2. Could you defend your program from a legal standpoint? Who would  be held liable if your client was injured during training because of  either lifting too much weight or exceeding a certain heart rate?

3. Is your program justifiable from a business standpoint? Are you  professional with your current clients? Would they refer their friends,  family, or colleagues to you based on the guidance that you provide in  your program design?

4. Imagine that YOU are the paying client. Would you feel that your  money was well spent if you were handed the training program/dietary  recommendations?

Case Study 1

Calculations: Calculate the client’s target heart rate using the Karvonen formula.

Training Program: Design a full 12-week periodized training program  for the client described in the Client Profile. Be very specific as you  design the training program. This is an opportunity for you to  demonstrate your full comprehension of the information and concepts  discussed throughout the course. List the types of exercise, duration,  sets, reps, rest intervals, and so on.

Include the following in your case study submission:

• A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)
• Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the client’s needs
• Specific conditions that you have identified in the client profile
• A fully detailed 12-week comprehensive and periodized training  program including specific exercises, sets, repetitions, suggested rest  times, etc. Use an integrated approach in your program recommendations.
• Specific and detailed nutritional strategies and an explanation as  to how the strategies will assist the client in meeting energy needs
• Explanation for your chosen assessment, programming, and nutritional  recommendations. (Be sure to reference course concepts when  discussing rationale for your recommendations.

Keep in mind that a client should be able to take your program and  put it into practice without having to contact you to clarify what you  intended by your recommendations or to explain parts of your program.

Don’t forget your explanation for WHY you listed and recommended what  you did. Reference the concepts and theories covered in the course. Be  sure to address why the program and exercises recommended are  appropriate for the specific client given the client’s history, current  abilities, and intended goal(s). For example: if you are developing a  program for a beginner client without any resistance training  experience, explain how your program addresses the lack of experience,  initial need for foundational development, process by which you would  safely progress the client, etc. Tying your program to course concepts  is a critical component of your case study.

Review the Client Profile below.

Client Profile: Selina Kyle

Age: 31

Gender: Female

Resting Heart Rate: 70 bpm

Height: 5’7″

Weight: 159 lb

Body Fat Percentage: 33%

Background and Goals: Selina just had her first baby a couple months  ago and is determined to shed excess pregnancy pounds before summer.  Selina has very limited exercise experience. She did not play high  school or college sports. Prior to having her first child, she did like  to hike, go out dancing, and take the occasional yoga class. She is  eager to start a program to lose the baby weight. She can dedicate 3 or 4  days per week to exercise and is willing to sign on for 12 weeks to  start.

Case Study 2

Calculations: Calculate the client’s target heart rate using the Karvonen formula.

Training Program: Design a full 12-week periodized training program  for the client described in the Client Profile. Be very specific as you  design the training program. This is an opportunity for you to  demonstrate your full comprehension of the information and concepts  discussed throughout the course. List the types of exercise, duration,  sets, reps, rest intervals, and so on.

Include the following in your case study submission:

• A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)
• Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the client’s needs
• Specific conditions that you have identified in the client profile
• A fully detailed 12-week comprehensive and periodized training  program including specific exercises, sets, repetitions, suggested rest  times, etc. Use an integrated approach in your program recommendations.
• Specific and detailed nutritional strategies and an explanation as  to how the strategies will assist the client in meeting energy needs
• Explanation for your chosen assessment, programming, and nutritional  recommendations. (Be sure to reference course concepts when  discussing rationale for your recommendations.

Keep in mind that a client should be able to take your program and  put it into practice without having to contact you to clarify what you  intended by your recommendations or to explain parts of your program.

Don’t forget your explanation for WHY you listed and recommended what  you did. Reference the concepts and theories covered in the course. Be  sure to address why the program and exercises recommended are  appropriate for the specific client given the client’s history, current  abilities, and intended goal(s). For example: if you are developing a  program for a beginner client without any resistance training  experience, explain how your program addresses the lack of experience,  initial need for foundational development, process by which you would  safely progress the client, etc. Tying your program to course concepts  is a critical component of your case study.

Review the Client Profile below.

Client Profile: Clark Kent

Age: 17

Gender: Male

Resting Heart Rate: 55 bpm

Height: 5’11”

Weight: 165 lb

Body Fat Percentage: 15%

Background and Goals: Clark is a junior in high school and is eager  to gain some muscle mass and strength before his final football season  next year. He knows very little about nutrition and his diet consists  primarily of processed foods (i.e., fast food, cafeteria food, etc.). He  eats two or three meals per day on average. Clark’s training regimen  has been sporadic and inconsistent recently, so he is coming to you for  help. He is anxious to be at his best by the start of his senior season,  which is three months away.

BELOW IS A SAMPLE ANSWER, PLEASE MAKE IT CLOSE TO THIS:

Sample Case Study

Jocko Johnson

Age  Gender  Height  Weight  Body Fat %    30  Male  73 inches  200  18

Jocko was an athlete in high school playing a variety of sports  including football, track (100- 400 meter events) and baseball. He has  come to you because he has recently had his 30 th birthday and wants to  get back in shape. While he is in decent shape already, Jocko wishes to  get in excellent shape with an eye on perhaps competing in a local  bodybuilding show in the future.

CLIENT  CALCULATIONS

Use the information above to calculate the following. Only the final  answer is required. You do not need to show full calculations.

1. What is the client’s  BMI?
2. What is the client’s  BMR?
3. Using the Karvonen formula, what is the client’s target heart rate at 60%  and 80%?

ASSESSMENT, TRAINING, AND NUTRITIONAL  STRATEGY

Using the information above, address points a-c.

1. Discuss fitness tests or methods of evaluation that should be used  to assess the client, providing rationale for your recommendations. Be  sure to address the specific conditions presented by your client.
2. Provide a detailed, comprehensive, 12-week periodized training  pro- gram, including specific sets, repetitions and exercises, utilizing  an integrated approach.
3. Discuss nutritional strategies and supplement recommendations with a rationale for your choices.

Sample Case Study Response

The case study provides an opportunity for you to put your fitness  knowledge into practice and design a program for a sample client. Think  of the case study as your first paying client. Give as much detail as  someone new to fitness would need. In addition, provide the rationale  for each of your decisions as if you were discussing the program with  educated fitness professionals.

The following provides a formatting approach that you can use when  structuring your answer. Please note, however, the content serves as a  minimal representation of what is expected. To prove your competency in  program design, you will need to provide greater detail, as well as  rationale for your program decisions. If you have any questions about  comprehensive program design, feel free to contact Educational Support.

A. While Jocko may appear to be a dream client on the surface, I  realize that his athletic background and mid- life crisis that brought  him here will probably lead to more than a little impatience on his  part. At my initial consultation I would explain to him that I would  need at least a three-month commitment from him to ensure his getting  started on the right foot. In my experience most clients need about this  long to really get in the swing of things and start seeing some  results. At this time I would establish my fees, get him signed up and  give him a health history questionnaire to fill out for our next  meeting.

After this I would set up our first appointment. I would plan on  having enough time in the first session to have him complete a release  of liability form and go over his health history questionnaire. If he  had any red flags or other concerns we would hold off on training until I  had spoken to his doctor and he had gotten a doctor’s release.  Otherwise we would get started on the enclosed program. Before starting I  would do circumference, bodyweight and bodyfat percentage measurements  so we can track his progress.

B. I would follow the enclosed program (see program on the following  page) for a few reasons. First, the first mesocycle is a low volume, low  intensity one that is designed mainly to increase tendon and ligament  strength and allow him to get back in the groove of working out without  asking too much of him and discouraging him. After a foundation has been  set I would want to increase the intensity and volume levels resulting  in a routine geared towards muscle growth. Next I would work on limit  strength by introducing a mesocycle that had very high intensity levels  and moderate volume. We would then reassess his goals and see where to  go from there.

C. My nutritional strategy for this client would consist of 5 high  calorie days and 2 low calorie days. I would suggest he follow a 1-2-3  or 1-2-4 macronutrient ratio depending on his metabolism and mesocycle.  The higher intensity mesocycles would warrant more carbs, while the  lower intensity one’s would not need as much fuel. I would suggest he  get around 160 grams of protein a day and get his fat from “healthy”  fats such as olive oil and hemp seed oil. The easiest way to estimate  his daily caloric requirements is to have him keep a food log for a few  days and see where he is at now. It will be much easier to make  adjustments to his diet if I have a reference point.

Sample Case Study Workout Program (Sample Case Study Response Continued)

Weeks 1 – 3: STRENGTH TRAINING

The following exercises are to be performed in a circuit fashion on Monday, Wednesday, and Friday.

Squat/Leg Press: 1-2 Sets, 10-15 Repetitions Incline Bench Press: 1-2  Sets, 10-15 Repetitions Leg Curl: 1-2 Sets, 10-15  Repetitions

T-Bar Row: 1-2 Sets, 10-15  Repetitions

Standing Calf Raises: 1-2 Sets, 10-15 Repetitions DB Shoulder Press:  1-2 Sets, 10-15 Repetitions Crunches: 1-2 Sets, 20 Repetitions

Seated DB Curl: 1-2 Sets, 10-15 Repetitions

Back Extensions: 1-2 Sets, 15  Repetitions

Cable Pushdowns: 1-2 Sets, 10-15 Repetitions

AEROBICS

Tuesday/Thursday: 20- to 45-minute run

Saturday: 30-second jog/30-second sprint for 5 minutes total

Weeks 4 – 9: STRENGTH TRAINING

For this mesocycle we will use the following split and corresponding exercises.

MESOCYCLE SPLIT

Monday: Quads, Hamstrings, Calves Wednesday: Pecs, Biceps, Abs/Lower Back Friday: Back, Triceps, Shoulders

EXERCISES, REPS AND SETS

Squat: 4 Sets, 8-10 Repetitions

Stiff Leg Deadlift: 4 Sets, 8-10 Repetitions Leg Extension a1: 2  Sets, 12 Repetitions Leg Curls a2: 2 Sets, 12 Repetitions Seated Calf  Raises: 2 Sets, 10  Repetitions

Standing Calf Raises: 2 Sets, 12 Repetitions

Wednesday: Incline Bench Press: 4 Sets, 8-10 Repetitions

Peck Deck: 2 Sets, 12  Repetitions

Preacher Curls: 2 Sets, 10-12 Repetitions

Russian Twist: 3 Sets, 8  Repetitions

Back Extensions: 3 Sets, 10  Repetitions

Friday: Pull-Up: 4 Sets, 8-10 Repetitions

Cable Rows: 3 Sets, 8-10 Repetitions

Lying Tri Extensions: 3 Sets, 8-10 Repetitions DB Shoulder Press: 2  Sets, 8-10 Repetitions Lateral Raises: 2 Sets, 8-10  Repetitions

AEROBICS

Tuesday: 30-second jog/30-second sprint, start 5 minutes and add 1 minute each week

Thursday: 30- to 45-minute run

Saturday: 30-second jog/30-second sprint, start 5 minutes and add 1 minute each week

Note: a1 and a2 designate two exercises that are to be done in a  superset fashion. Do one set of the a1 exercises and while you are  resting perform one set of the a2 exercise. Repeat until you have  completed all prescribed sets for those exercises before moving on to  the next exercise(s).

Weeks 10 – 12: STRENGTH TRAINING

For this mesocycle we will use the following split and corresponding exercises

MESOCYCLE SPLIT

Monday: Quads, Hamstrings, Calves Wednesday: Pecs, Back, Abs/Lower Back Friday: Biceps, Triceps, Shoulders

EXERCISES, REPS AND SETS

Monday:   Deadlift: 6 Sets, 8 Repetitions

Stiff Leg Deadlift: 4 Sets, 8  Repetitions

Seated Calf Raises: 5 Sets, 8  Repetitions

Wednesday: Bench Press a1: 6 Sets, 8 Repetitions

Pull-Up a2: 6 Sets, 8 Repetitions

Russian Twist: 3 Sets, 8  Repetitions

Back Extensions: 3 Sets, 8  Repetitions

Friday:    Barbell Curl a1: 5 Sets,  10 Repetitions Close Grip Bench  a1: 5 Sets, 10 Repetitions Military Press: 5 Sets, 10  Repetitions

Note: a1 and a2 designate two exercises that are to be done in a  superset fashion. Do one set of the a1 exercises and while you are  resting perform one set of the a2 exercise. Repeat until you have  completed all prescribed sets for those exercises before moving on to  the next exercise(s).

AEROBICS

Thursday: 30-minute run

Saturday: 30-second jog/30-second sprint, start 10 minutes and add 1 minute each week

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