ANATOMY Flashcards

1
Q

boundaries of pelvic inlet

A

sacrum
ilium
superior pubic ramus
pubic symphysis

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2
Q

pelvic outlet boundaryes

A
pubic symphysis 
ischiopubic ramus
ischial tuberosities 
sarcrotuberous ligaments 
coccyx
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3
Q

how are the ischial tuberosities palpated

A

vaginal exam at 4 and 8 oclock positions

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4
Q

where is inguinal ligament

A

between ASIS and pubic symphysis

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5
Q

what is located along inguinal ligament

A

inguinal lymph nodes

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6
Q

ligament between sacrum and ischial spine

A

sacrospinal ligament

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7
Q

ligament between sacrum and ichial tuberosities

A

sacrotuberous ligament

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8
Q

what ligament is bigger and more posterior - sacrospinous or sacrotuberous

A

sacrotubrous

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9
Q

what foramen dosacrotuberous and sacrospinous ligaments form

A

greater and lesser sciatic foramen

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10
Q

where is obturator membrane and what runs through it

A

between superior pubic ramus and ischopubic ramus

obturator nerve and vessels go through here in obturator canal

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11
Q

3 sutures of skull

A

coronal
sagittal
lamboid

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12
Q

what are the 2 areas between the sutures called

A

anterior and posterior fontanelles

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13
Q

what is moulding

A

movement of one bone over another allowing foetus to pass through pelvis

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14
Q

what is the vertex

A

diamond shaped area between anterior and posterior fontanelles and left and right parietal eminences

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15
Q

how should baby be lying when in pelvic cavity

A

facing right or left with head flexed

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16
Q

how should baby be lying in after pelvic cavity

A

occipitoposterior with extended head

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17
Q

what is the station

A

distance of foetal head from ischial spines

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18
Q

organs in pelvic cavity

A
bladder 
uterus 
fallopian tubes and ovaries 
rectum 
superior vagina
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19
Q

organs of perineum

A

inferior vagina
Bartholin’s glands
clitoris
labia

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20
Q

main muscle making up pelvic diaphragm

A

levator ani

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21
Q

pouches in female pelvis

A

rectouterine (pouch of douglas)

vesicouterine

22
Q

how can fluid from pouch of douglas be drained

A

through posterior fornix of vagina

23
Q

where does broad ligament attach

A

uterus to lateral walls and floor of pelvis

24
Q

where does round ligament attach

A

proximally involved in broad ligament

lateral uterus to superficial female perineum (via deep inguinal ring)

25
Q

what is round ligament

A

embryological remnant

26
Q

where is uterosacral ligaments

A

superiorly and posteriorly from sides of cervix to middle of sacrum

27
Q

when are uterosacral ligaments palpable

A

rectal exam

28
Q

most common uterus position

A

anteverted and anteflexed

29
Q

normal variation of uterus position

A

retroverted and retroflexed

30
Q

areas of fallopian tubes

A

fimbrae
infundibulum
ampulla
isthmus

31
Q

where do ovaries develop

A
posterior abdo wall 
move laterally (round ligament)
32
Q

what is centre point of perineum

A

imaginary line between left and right ischial tuberosities

33
Q

boundaries of urogenital triangle

A
pubic symphysis
ischial tiberosities (centre point)
34
Q

boundaries of anal triangle

A
ischial tuberosities (centre point)
coccyx
35
Q

what nerve supplies levator ani

A

nerve to levator ani (S3-S5)

36
Q

what are muscles of perineum supplied by

A

pudendal nerve (S2-S4)

37
Q

what is perineal body

A

bundles of cartilaginous and elastic tissue where perineal muscles attach to

38
Q

where is perineal body

A

between vagina and anus

39
Q

what is bartholins gland

A

on labia and may become enlarged in infection (Bartholin’s cyst)

40
Q

what is mons pubis

A

anterior to pubic bone

covered in pubic

41
Q

what ribs do breasts originate from

A

2-6

42
Q

what muscles do breasts lie over

A

pec major and serratus anterior

43
Q

what is the space called between deep fascia and breast tissue

A

retromammary space

44
Q

where does majority of breast tissue drain to

A

ipsilateral axillary lymph nodes

these drain to supraclavicular nodes

45
Q

where can inner quadrants drain to

A

parasternal nodes

46
Q

where can lower inner quadrant drain to

A

abdominal

47
Q

what else drains to axillary lymph nodes

A

arm - be careful with removal of lymph nodes, may cause lymphedema

48
Q

what are the levels of node clearance explained in relevance to

A

pectoralis minor

49
Q

level 1 lymph clearance

A

inferior and lateral to pec minor

50
Q

level 2 lymph clearance

A

deep to pec minor

51
Q

level 3 lymph clearance

A

media and superior to pec minor