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II. Osteology
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3a. 3. The Lumbar Vertebræ
(Vertebræ Lumbales).


The lumbar vertebræ (Figs. 92 and 93) are the largest segments of the movable part of the vertebral column, and can be distinguished by the absence of a foramen in the transverse process, and by the absence of facets on the sides of the body.
   1
  The body is large, wider from side to side than from before backward, and a little thicker in front than behind. It is flattened or slightly concave above and below, concave behind, and deeply constricted in front and at the sides. The pedicles are very strong, directed backward from the upper part of the body; consequently, the inferior vertebral notches are of considerable depth. The laminæ are broad, short, and strong; the vertebral foramen is triangular, larger than in the thoracic, but smaller than in the cervical region. The spinous process is thick, broad, and somewhat quadrilateral; it projects backward and ends in a rough, uneven border, thickest below where it is occasionally notched. The superior and inferior articular processes are well-defined, projecting respectively upward and downward from the junctions of pedicles and laminæ. The facets on the superior processes are concave, and look backward and medialward; those on the inferior are convex, and are directed forward and lateralward. The former are wider apart than the latter, since in the articulated column the inferior articular processes are embraced by the superior processes of the subjacent vertebra. The transverse processes are long, slender, and horizontal in the upper three lumbar vertebræ; they incline a little upward in the lower two. In the upper three vertebræ they arise from the junctions of the pedicles and laminæ, but in the lower two they are set farther forward and spring from the pedicles and posterior parts of the bodies. They are situated in front of the articular processes instead of behind them as in the thoracic vertebræ, and are homologous with the ribs. Of the three tubercles noticed in connection with the transverse processes of the lower thoracic vertebræ, the superior one is connected in the lumbar region with the back part of the superior articular process, and is named the mammillary process; the inferior is situated at the back part of the base of the transverse process, and is called the accessory process (Fig. 93).   2


FIG. 93– A lumbar vertebra from above and behind. (See enlarged image)
 


FIG. 94– Fifth lumbar vertebra, from above. (See enlarged image)
 
  The Fifth Lumbar Vertebra (Fig. 94) is characterized by its body being much deeper in front than behind, which accords with the prominence of the sacrovertebral articulation; by the smaller size of its spinous process; by the wide interval between the inferior articular processes; and by the thickness of its transverse processes, which spring from the body as well as from the pedicles.   3


 

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The United States Medical Licensing Examination (USMLE) is a three-step examination for medical licensure in the United States. The Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME) sponsors USMLE.
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Step 2 CS tests your capacity to practice and provide good medical service in real-life situations. It also tests your communication skills.
Step 3 tests your medical knowledge and understanding of biomedical and clinical science essential for the unsupervised practice of medicine. Step 3 provides a final assessment of physicians assuming independent responsibility for delivering general medical care.