Anatomy Flashcards

1
Q

Blood supply of bladder

A

umbilical artery (superior vesical artery)
inferior vesical artery (vaginal artery in females

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2
Q

Nerve supply of bladder

A

Inferior hypogastric (pelvic) plexus
sympathetic: T11, T12, L1, L2
Parasympathetic: S2 to S4

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3
Q

lymphatic drainage of urinary bladder

A

External and internal iliac lymph nodes

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4
Q

venous drainage of bladder

A

plexus to internal iliac vein

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5
Q

muscles related to inferolateral surface of bladder

A

Levator ani (pelvic diaphragm)
obturator internus muscle

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6
Q

superior surface of bladder

A

female: uterus and cervix and uterovesical pouch
male: sigmoid and terminal ileum and rectovesical pouch

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7
Q

ligaments arround neck of bladder

A

male: puboprostatic ligaments
female: pubovesical ligaments

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8
Q

Arterial supply of Prostate

A

Inferior vesical artery
Middle rectal artery

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9
Q

Nerve supply of scrotum

A

Anterior: ilioinguinal nerves
genital branch of genitofemoral nerve
Posterior: scrotal branch of perineal (pudendal) nerves
scrotal branch of posterior cutaneous of thigh

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10
Q

Blood supply of ovary

A

Ovarian artery L2
Right ovarian to IVC
Left Ovarian To left renal vein

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11
Q

lymphatic drainage of ovary

A

Para aortic at L1

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12
Q

Nerve supply of the ovary

A

From the aortic plexus

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13
Q

Course of the blood supply and lymphatic drainage of ovary

A

pass over the pelvic inlet»cross the external iliac artery»suspensory ligament»enter hilum through mesovarium

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14
Q

What is the parts of the uterine tube

A

Infundibulum
Ampulla
Isthmus
Intramural

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15
Q

the widest part of the uterine tube

A

ampulla

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16
Q

the narrowest part of the uterine tube

A

the isthmus

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17
Q

Blood supply of uterine tube

A

uterine artery: branch of internal iliac
ovarian artery: branch of aorta

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18
Q

Venous drainage of uterine tube

A

uterine vein to the internal iliac vein
ovarian vein: left to left renal
right to IVC

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19
Q

lymphatic drainage of uterine tube

A

Para-aortic lymph nodes
internal iliac lymph nodes

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20
Q

Nerve supply of uterine tube

A

inferior hypogastric plexus
aortic plexus

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21
Q

shape of cervix in nullipara and parous woman

A

nullipara: External os is cervical
Parous woman: external os is opened transversely having anterior and posterior lips

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22
Q

anterior to uterus

A

Body of the uterus: 1) uterovesical pouch
2) superior surface of the bladder
supravaginal cervix: superior surface of the bladder
Vaginal cervix: anterior fornix of the vagina

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23
Q

posterior to uterus

A

Rectouterine pouch (douglas)
coils of ileum
sigmoid

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24
Q

Lateral of the uterus

A

Body: broad ligament, uterine artery and vein
supravaginal cervix: ureter
vaginal cervix: lateral fornix of the vagina

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25
Q

Blood supply of uterus

A

uterine artery and uterine vein to internal iliac artery and vein

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26
Q

lymph D of uterus

A

Fundus: Para aortic
Body and cervix: internal and external iliac
round ligament: superficial inguinal lymph nodes

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27
Q

Nerve S of uterus

A

Inferior hypogastric plexus

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28
Q

anterior to the vagina

A

Bladder above
urethra below

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29
Q

posterior to vagina

A

uppe third: rectouterine
middle third: ampulla of rectum
lower third: perineal boda and anal canal

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30
Q

lateral to vagina

A

upper: ureter
middle: anterior fibers of levator ani
lower: Urogenital diaphragm, bulb of vestibule

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31
Q

Blood S of the vagina

A

vaginal artery
uterine A
internal pudendal artery

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32
Q

Venous D of vagina

A

plexus drains to internal iliac vein

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33
Q

Lymph D of vagina

A

upper: External and internal iliac lymph nodes
middle: internal iliac lymph nodes
lower: superficial inguinal

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34
Q

Blood S and venous drainage of F urethra

A

internal pudendal,
vaginal ,
inferior vesical

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35
Q

innervation of psoas major

A

L1-L3

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36
Q

innervation of iliacus

A

L2-L4

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37
Q

origin of psoas major

A

lateral surface of bodies T12&L1-L5
intervertebral discs between these vertebra
transverse processes of these vertebra

38
Q

origin of iliacus

A

upper 2/3 of the iliac fossa

39
Q

origin of psoas minor

A

lateral surface of T12 and L1 and the intervening intervertebral discs

40
Q

insertion of psoas minor

A

pectineal line of pelvic brim and iliopubic eminence

41
Q

innervation of psoas minor

A

L1

42
Q

origin of quadratus lumborum

A

transverse process of L5
iliolumbar ligament and the adjoining part of iliac crest

43
Q

nerve anterior to the psoas major

A

Genitofemoral nerve

44
Q

nerve medial to psoas major

A

Obturator

45
Q

nerve lateral to psoas major

A

iliohypgastric
ilioinguinal
femoral
Lateral cutanoeus of the thigh

46
Q

lymphatic drainage of bladder

A

External iliac lymph nodes
Internal iliac lymph nodes

47
Q

the sympathatic innervation of bladder

A

T11, T12, L1, L2 inferior hypogastric plexus
cause relaxation of bladder and contraction of internal sphincter

48
Q

The ligaments of the neck of the bladder

A

Puboprostatic in male
Pubovesical in female

49
Q

the pouches above the superior surface of the bladder

A

Rectovesical in male
uterovesical in female

50
Q

Para sympathetic of the bladder

A

Pelvic splanchnic nerve
S2-S4
cause contraction of bladder and relaxation of internal sphincter

51
Q

innervation of Quadratus lumborum

A

T12 & L1-L4

52
Q

the lumbar plexus is formed from

A

L1-L4 & T12 (subcostal)

53
Q

accessory obturator nerve takes origin from

A

L3 & L4

54
Q

which considered as extraperitoneal fats

A

Perirenal fats (perinephric)

55
Q

the level of the hilum and the level of renal arteries

A

hilum L1
Renal arteries origin at L2

56
Q

Where the internal iliac divide into anterior and posterior branch?

A

at the upper margin of the greater sciatic foramen

57
Q

which artery gives off artery to the vas deferens

A

Inferior vesical artery

58
Q

what is the internal pudendal artery supply?

A

supplies the musculature of the anal canal and skin muscles of the perineum

59
Q

the ureter is crossed by in male and in female?

A

in male: vas deferens
in female: Uterine artery

60
Q

what gives Gray rami commincates

A

Pelvic part of sympathetic chain

61
Q

which branch the uterine artery gives off?

A

Vaginal artery

62
Q

course of the uterine artery

A

1) branch of anterior division of the Internal iliac
2) cross the ureter superiorly
3) passes above the lateral fornix of the vagina
4) ascends between layers of broad ligament along lateral margin of uterus

63
Q

supplies the mucous membrane of the rectum and anal canal

A

superior rectal artery

64
Q

relarion of external iliac vein to external iliac artery

A

vein run medial to artery

65
Q

supplies skin of the lower medial part of buttock

A

perforating cutaneous nerve

66
Q

origin of posterior and perforating cutaneous of the thigh

A

Posterior C N: S-123
Perforating C N: S-23

67
Q

which nerve supply parietal peritoneum on lateral pelvic part?

A

branch from the obturator nerve

68
Q

Beginning of the pelvic part of sympathetic trunk

A
  1. continuation of the abdominal part
  2. behind the common iliac vessels
69
Q

End of the pelvic part of S. chain

A

the 2 trunks unite in front of coccyx to give ganglion impar

70
Q

relations of the Pelvic part pf S. chain

A

Anterior: rectum
posterior: sacrum
laterally : anterior sacral foramina

71
Q

Branches of the pelvic part of S.chain

A

4-5 segmentally arranged ganglia
gray rami commincantes to sacral and coccygeal
fibers that join hypogastric plexus

72
Q

origin of pelvic splanchnic nerve

A

S-234

73
Q

course of pelvic splanchnic nerves

A
  1. synapse with inferior hypogastric plexus
  2. send fibers to aortic plexus to inferior mesenteric plexus
74
Q

End of pelvic splanchnic nerve

A

distributed along branches of inferior mesenteric

75
Q

site of the superior hypogastric plexus

A

situated in front of promontory of sacrum

76
Q

origin of superior hypogastric plexus

A

aortic plexus
branches of 3rd and 4th lumbar sympathetic ganglia

77
Q

Contents of superior hypogastric plexus

A

sympathetic and parasympathetic nerves

78
Q

End of the superior hypogastric plexus

A

Right and left hypogastric nerve

79
Q

origin of each of inferior hypogastric plexus

A
  1. hypogastric nerves of sup. hypogastric plexus
  2. Pelvic splanchnic nerves
80
Q

Contents of each inferior hypogastric plexus

A
  1. postganglionic sympathetic fibers
  2. preganglionic parasympathetic
  3. postganglionic parasympathetic
81
Q

contents of superficial perineal pouch in female

A
  1. Bulb of vestibule
  2. curura of clitoris
  3. bulbospongiosus ms
  4. ischiocavernosus ms
  5. superficial tansverse perineal ms
  6. greater vestibular glands or bartholin glands
  7. perineal branch of pudendal nerve
82
Q

contents of superficial perineal pounch in male

A
  1. root of penis ( bulb and two curura)
  2. bulbospongiosus
  3. 2 ischiocavernosus
  4. superficial transverse perineal ms
  5. perineal branch of pedendal nerve
83
Q

the level of the nipple

A

at the 4 intercostal space

84
Q

circular pigmented area of skin around the nipple

A

areola

85
Q

breast bed

A
  1. retro mammary space: formed of loose areolar connective tissus and makes the breast movable over pectoralis ms
  2. pectoralis fascia (deep fascia)
  3. pectoralis major: supero lateral 2/3 of breast
  4. serratis anterior: inferolateral
  5. External oblique aponeurosis 1/3 of breast
86
Q

arterial supply of breast

A
  1. internal thoracic (mammary artery) through its perforating 2-6
  2. Superior
  3. Acromio
  4. Lateral
  5. posterior intercostal arteries

Internal SAL posterior intercostal

87
Q

Venous drainage of breast

A

axillary vein
internal thoracic
intercostal veins

88
Q

superficial lymphatics of the breast

A

lateral: anterior or pectoral axillary LN
Medial: ipsilateral and contralateral parasternal LN
superior: deep cervical LN
inferior: sub-diaphragmatic and retroperitoneal
nipple and areola: sub areolar lymphatic plexus

89
Q

branches of external iliac artery

A

Inferior epigastric artery
deep circumflex artery

90
Q

the internal iliac artery divides at

A

upper margin of greater sciatic foramen

91
Q

send fibers to inferior mesenteric plexus

A

pelvic splanchic nerves

92
Q

paired branches of abdominal aorta

A

From front:
inferior phrenic L1
middle suprarenal L1
renal L2
Gonadal L2
From back:
four lumbar L1-4
from terminal:
common iliac arteries