Ab 4 Flashcards

1
Q

What germ layer are kidneys derived from?

A

mesoderm

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2
Q

At what spinal levels are the kidneys located?

A

T12 - L3

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3
Q

True or False. The kidneys help with production of RBCs

A

True

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4
Q

What’s blood supply and drainage to the kidneys?

A

renal a –> segmental a –> interlobar a –> arcuate a –> renal v

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5
Q

What is pararenal fat and perirenal fat?

A

pararenal - fat that is in its own compartment, before kindeys
perirenal - fat that surrounds the kidneys and fills the hilum as well

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6
Q

What is the sympathetic innervation to the kidneys?

A

T10 - L1

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7
Q

What is the parasympathetic innervation to the kidneys?

A

Vagus and S2 - S4

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8
Q

What’s the function of the cortex of suprarenal glands?

A

produce corticosteroids and androgens

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9
Q

What’s the function of medulla of suprarenal glands?

A

produce norepinephrine and epinephrine (fight or flight)

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10
Q

What is the blood supply to suprarenal glands?

A

1) superior suprarenal a (from inferior phrenic a)
2) middle suprarenal a (from aorta)
3) inferior suprarenal a (from renal a)

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11
Q

Presynaptic sympathetics penetrate directly to medulla of suprarenal glands and synapse on _____

A

chromaffin cells (homologous to sympathetic ganglion cells)

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12
Q

What type of nerve fibers are associated with blood cells that control vasodilation and vasoconstriction in suprarenal glands?

A

cortex

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13
Q

What is the major muscle used in inspiration?

A

diaphragm

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14
Q

What are the three hiatus of diaphragm?

A

1) caval hiatus
2) esophageal hiatus
3) aortic hiatus

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15
Q

What comes out of the caval hiatus?

A

IVC

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16
Q

What comes out of the esophageal hiatus?

A

esophagus and Vagus

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17
Q

What comes out of the aortic hiatus?

A

aorta and thoracic duct

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18
Q

What innervates diaphragm (motor and sensory)?

A

C3, 4, 5 = phrenic n

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19
Q

What innervates the periphery of diaphragm?

A

intercostal nerves (sensory)

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20
Q

What is the blood supply to superior surface of diaphragm?

A

superior phrenic a from thoracic aorta

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21
Q

What is the blood supply to inferior surface of diaphragm?

A

inferior phrenic a from abdominal aorta

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22
Q

What ligament separates the diaphragm from quadratus lumborum?

A

lateral arcuate ligaments (2)

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23
Q

What ligament separates the diaphragm from psoas major?

A

medial arcuate ligaments (2)

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24
Q

What ligament is located underneath the diaphragm and connects left and right crus?

A

median arcuate ligament

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25
Q

What are the four muscles of posterior abdominal wall?

A

1) psoas major
2) psoas minor
3) iliacus
4) quadratus lumborum

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26
Q

Name this muscle:
Origin: transverse processes of lumbar vertebrae; sides of vertebral bodies of T12 - S1
Insertion: lesser trochanter of femur

A

psoas major

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27
Q

What innervates psoas major?

A

lumbar plexus via anterior branches of nerves L2 - L4

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28
Q

Name this muscle:
Origin: superior two-thirds of iliac fossa, ala of sacrum and anterior sacro-iliac ligaments
Insertion: lesser trochanter of femus and shaft inferior to it

A

Iliacus

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29
Q

What innervates iliacus?

A

femoral n (L2 - L4)

30
Q

Name this muscle:
Origin: medial half of inferior border of 12th rib and tips of lumbar transverse processes
Insertion: iliolumbar ligament and internal lip of iliac crest

A

quadratus lumborum

31
Q

What innervates quadratus lumborum?

A

anterior branches of T12 and L1 - L4 nerves

32
Q

What muscle act inferiorly to flex thigh and superiorly to flex vertebral column laterally to balance trunk and when seated act inferiorly to flex trunk?

A

psoas major

33
Q

What muscle act to flex thigh and stabilize hip joint (along with psoas major)?

A

iliacus

34
Q

What muscle act to extend and laterally flex vertebral column and fix 12th rib during inspiration?

A

quadratus lumborum

35
Q

Where do subcostal nerves arise from?

A

ventral rami of T12

36
Q

What do subcostal nerves innervate?

A

external oblique m and skin of anterolateral abdominal wall

37
Q

Where do lumbar spinal nerves arise from?

A

L1 - L5

38
Q

What do the posterior rami of lumbar spinal nerves innervate?

A

deep back muscles and skin of back

39
Q

What do the anterior rami of lumbar spinal nerves innervate?

A

skin and muscles of the most inferior trunk and lower limb

40
Q

What gives rise to the lumbar plexus?

A

L1 - L4

41
Q

What arise from L1 and innervates abdominal muscles and skin of inguinal and pubic regions?

A

ilioinguinal and ilihypogastric nerves

42
Q

Which nerve always come out on top of psoas muscle?

A

genitofemoral n

43
Q

Where do genitogemoral n arise from?

A

L1 - L2

44
Q

What innervates skin below the inguinal ligament?

A

genitofemoral n

45
Q

What does genitofemoral n divide into?

A

1) genital –> scrotum and labia

2) femoral

46
Q

What arise from L2 - L3 and innervates anterolateral skin of thigh?

A

lateral femoral cutaneous n

47
Q

What is the big nerve that arise from L2 - L4 and innervates ilacus, hip flexors and knee extensors?

A

femoral n

48
Q

What nerves arise from L2 - L4 and innverates medial thigh and adductors?

A

obturator n

49
Q

What arise from L3 - L4 and innervates pectineus and hip joint, but sometimes not present?

A

accessory obturator n

50
Q

What arise from L4 -L5, run parallel to obturator n, is the most medial, and does not innervate anything but joins sacral plexus?

A

lumbosacral trunk

51
Q

What do subcostal arteries supply?

A

posterior body wall inferior to 12th rib

52
Q

Where do subcostal arteries come from?

A

thoracic aorta (inferior to 12th rib)

53
Q

Where do inferior phrenic arteries come from?

A

abdominal aorta

54
Q

What do inferior phrenic arteries supply?

A

suprarenal glands and inferior surface of diaphragm

55
Q

Where do suprarenal a come from?

A

abdominal aorta

56
Q

What do suprarenal a supply?

A

suprarenal glands

57
Q

Where do renal a come from?

A

abdominal aorta

58
Q

What do renal a supply?

A

kidneys

59
Q

Where do gonadal a come from?

A

abdominal aorta

60
Q

What do gonadal a supply?

A

testicular –> testes

ovarian –> ovaries

61
Q

Where do lumbar arteries come from?

A

abdominal aorta

62
Q

What do lumbar arteries supply?

A

posterior abdominal wall

63
Q

Where do median sacral come from?

A

abdominal aorta

64
Q

What does median sacral supply?

A

it’s unpaired and goes to sacrum and coccyx (right down the middle)

65
Q

At what level does abdominal aorta split into R and L common iliac a?

A

L4

66
Q

The R and L common iliac a further divides into what?

A

internal and external iliac arteries

67
Q

Where is aortic aneurysm commonly found?

A

abdomen, right before it bifurcates

68
Q

What is the usual cause of aortic aneurysm?

A

atherosclerosis

69
Q

Majority of veins follow the same patterns as arteries, however the gonadal veins are different, how so?

A

L gonadal vein goes through L. renal v while the R gonadal vein goes straight to IVC

70
Q

The main lymphatic ducts of abdomen convert to what?

A

thoracic duct