anatomy Flashcards

1
Q

anterior sacroiliac joint

A

synovial

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2
Q

posterior sacroiliac joint

A

fibrous

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3
Q

pubic symphysis

A

secondary cartlaginous

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4
Q

most lateral muscle in pelvis

A

obturator internus

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5
Q

bartholins gland

A

in superficial pouch

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6
Q

male xx gland

A

deep pouch

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7
Q

crura is made of what

A

erectile tissue

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8
Q

other muscles in urogenital triangle

A

ischiocavernosus and bulbospongiosus

also superficial transvesre muscle

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9
Q

nerve supply to perineum

A

pudendal

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10
Q

lymph drainage of fallopian tube/ovary/fundus of uterus

A

para aortic L2

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11
Q

body of the uterus lymph drainage

A

external iliac

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12
Q

perineal lymph drainage

A

superficial inguinal

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13
Q

the internal iliac artery becomes what

A

the anterior and posterior branch

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14
Q

inferior cesicle/uterine nerves ar branches of what

A

the anterior branch of the internal iliac artery

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15
Q

testes lymph drainage

A

para aortic

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16
Q

contents of the epidural space

A

fat and veins

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17
Q

external iliac and internal iliac come from what

A

common iliac

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18
Q

which artery lies underneath the inguinal canal

A

femoral

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19
Q

station if negative

A

head is above the ischial spines

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20
Q

AP or transverse bigger or smaller at pelvic outlet

A

AP is bigger - hence rotation to OA

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21
Q

Perineum

A

shallow space between the pelvic diaphragm and skin

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22
Q

levator ani supply

A

S3,4,5 - nerve of levator ani

will be deep if inferior view
wont see a vagina

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23
Q

Perineal body

A

collagenous and elastic where perineal muscles attach

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24
Q

bartholins gland

A

dot at the end of the crura

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25
Q

touching peritoneum supply

A

visceral afferent
sYmpathetic
T11-L2
suprapubic

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26
Q

not touching the peritoneum supply

A

visceral afferent
parasympathetic
S2,3,4

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27
Q

Below levator ani supply

A

S2,3,4
Pudendal nerve
Somatic sensory
pain localised to the perineum

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28
Q

supply to a structure crossing the perineum e.g. urethra or vagina

A

visceral afferent
parasypathetic
S2,3,4

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29
Q

Subarachnoid space ends at

A

L2

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30
Q

spinal anaesthesia/epidural will result in

A

sympathetic blockade below level
vasodilation
postural hypotension

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31
Q

pudenal canal contains

A

pudendal nerve
artery
vein
post re-entry to lesser sciatic foramen (by looping behind the sacrospinous lig)

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32
Q

pelvic diaphragm

A

levator ani and coccygeus

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33
Q

below pelvic diaphragm is

A

deep perineal pouch

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34
Q

deep perineal pouch contains

A

urethra (and vag), bulbourethral glands in males, nevb for penis/clit, an extension of ischioanal fat pads
and
deep transverse perineal muscle, compressor urethrae

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35
Q

superficial to deep perineal pouch

A

perineal membrane

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36
Q

superificial perineal pouch in males contains what

A

bulb - CS, CRURA - CC

associates with bulbospongiosus and ischiocavernosus

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37
Q

suerficial to the prineal membrane

A

the superficial perineal pouch

38
Q

what type of urethra does the superficial pouch contain

A

spongy urethra

39
Q

what other than bulb/crura and urethra does the sp contain

A

superficial transverse perineal muscle and branches of internal pudendal vessels and nerve

40
Q

pelvic floor is made up of

A

pelvic diaphragm
muscles of perineal pouches
perineal membrane

41
Q

anterior gaps of the pelvic diaphragm

A

urogenital hiatus and passage of the urethra and vagina

42
Q

three muscles of the levator ani

A

puborectalis
pubococcygus
illiococcygeus

43
Q

innervation of levator ani

A

pudendal nerve and nerve to levator ani

44
Q

is levator ani relaxed or contracted usually

A

tonically contracted usually

45
Q

pelvic ligaments are

A

fibrous endo-pelvic fascia

46
Q

supports of the pelvis

A

eno-pelvic fascia and pelvic ligaments

47
Q

perineal membrane is made of what

A

it is a tough thin sheet of deep fascia which attaches laterally to the sides of the pubic arch, closing the urogenital triangle

48
Q

passive supports of the pelvic organs

A

perineal body and the perineal membrane

49
Q

superficial transverse perineal muscle

A

will be able to the see the vestibule and the bartholins gland

50
Q

puborectalis

A

tonic contraction ends the anorectum anteriorly

51
Q

Tx for uterine prolapse

A

sacrospinous fixation and incontinence surgery

52
Q

gonadal artery - what spinal level of the AA

A

L2

53
Q

Superior rectal is a continuation of what artery

A

Ima

54
Q

blood supply to the perineum

A

internal pudendal artery

55
Q

median umbilical fold

A

the remnant of the umbilical artery which attaches to the placenta

56
Q

internal pudendal terminates as what in the male

A

dorsal artery and deep artery of the penis

anterior scrotal comes from the external iliac

57
Q

inferior vesicle is replaced by what in females

A

vaginal artery

58
Q

uterine and ovarian artery form an anastomoses t or f

A

t

59
Q

branches of internal pudendal

A

dorsal artery of the clit
inferior rectal
perineal artery
labial artery

60
Q

venous drainage of the pelvis

A

internal iliac

61
Q

external oblique

A

from iliac crest to ribs

62
Q

which muscles form the linea alba

A

external, internal, transversus and rectus

63
Q

subcostal

A

T12

64
Q

iliohypogastric

A

L1

65
Q

ilioinguinal

A

L1

66
Q

where do subcostal, iliohypogastric and ilioinguinal run between

A

run between internal oblique and transversus abdominis

67
Q

continuation of internal thoracic

A

superior epigastric

lies posterior to rectus abdominis

68
Q

branch of external iliac that lies post to rectus abdominis

A

inferior epigastric artery

69
Q

intercostal and subcostal arteries are continuations of what group of arteries

A

posterior intercostal arteries

70
Q

lateral port

A

avoid inferior epi

71
Q

which artery emerges medial to the deep inguinal ring

A

inferior epigastric

72
Q

accessory reproductive organs in males

A

vas def
seminal vesicle
prostate gland
penis

73
Q

spongy urethra in males is contained within

A

cs

74
Q

What - in males - lies inferior to the bladder

A

prostate gland

75
Q

bladder is formed mainly by what muscle

A

detrusor

76
Q

the trigone is what

A

a triangle shape formed by the 2 ureteric orifices and internal urethral orifice

77
Q

internal urethral sphincter (in males obvs) is made from what muscle

A

detrusor

78
Q

the conjoint tendon

A

the medial end of the joined aponeurosis of the abdominal muscles which anchors the muscles inferiorly to the pubic bone

79
Q

hydrocele

A

excess fluid within the tunica vaginalis

80
Q

left testicular vein drains to

A

left renal

81
Q

reight testicular vein drains to

A

IVC

82
Q

seminal gland produces

A

fructose, seminal fluid

83
Q

spb

A

seminal
prostate
bulbourethral

84
Q

bulbourethral contains what and does what to sperm

A

contains spongy urethra and secretes mucus lubricates and neutralises

85
Q

prostate contains what and secretes what

A

contains the prostatic urethra and passes semen into ejactulation

86
Q

ureter above or below the vas

A

above

87
Q

vas first goes into what

A

seminal

88
Q

contained within the CCs

A

arteries of the penis

89
Q

contained within the CS

A

spongy urethra

90
Q

what kind of tissue is the cc and cs

A

erectile tissue

91
Q

lymph drainage from the scrotum and penis

A

superficial inguinal