anatomy Flashcards
1
Q
anterior sacroiliac joint
A
synovial
2
Q
posterior sacroiliac joint
A
fibrous
3
Q
pubic symphysis
A
secondary cartlaginous
4
Q
most lateral muscle in pelvis
A
obturator internus
5
Q
bartholins gland
A
in superficial pouch
6
Q
male xx gland
A
deep pouch
7
Q
crura is made of what
A
erectile tissue
8
Q
other muscles in urogenital triangle
A
ischiocavernosus and bulbospongiosus
also superficial transvesre muscle
9
Q
nerve supply to perineum
A
pudendal
10
Q
lymph drainage of fallopian tube/ovary/fundus of uterus
A
para aortic L2
11
Q
body of the uterus lymph drainage
A
external iliac
12
Q
perineal lymph drainage
A
superficial inguinal
13
Q
the internal iliac artery becomes what
A
the anterior and posterior branch
14
Q
inferior cesicle/uterine nerves ar branches of what
A
the anterior branch of the internal iliac artery
15
Q
testes lymph drainage
A
para aortic
16
Q
contents of the epidural space
A
fat and veins
17
Q
external iliac and internal iliac come from what
A
common iliac
18
Q
which artery lies underneath the inguinal canal
A
femoral
19
Q
station if negative
A
head is above the ischial spines
20
Q
AP or transverse bigger or smaller at pelvic outlet
A
AP is bigger - hence rotation to OA
21
Q
Perineum
A
shallow space between the pelvic diaphragm and skin
22
Q
levator ani supply
A
S3,4,5 - nerve of levator ani
will be deep if inferior view
wont see a vagina
23
Q
Perineal body
A
collagenous and elastic where perineal muscles attach
24
Q
bartholins gland
A
dot at the end of the crura
25
touching peritoneum supply
visceral afferent
sYmpathetic
T11-L2
suprapubic
26
not touching the peritoneum supply
visceral afferent
parasympathetic
S2,3,4
27
Below levator ani supply
S2,3,4
Pudendal nerve
Somatic sensory
pain localised to the perineum
28
supply to a structure crossing the perineum e.g. urethra or vagina
visceral afferent
parasypathetic
S2,3,4
29
Subarachnoid space ends at
L2
30
spinal anaesthesia/epidural will result in
sympathetic blockade below level
vasodilation
postural hypotension
31
pudenal canal contains
pudendal nerve
artery
vein
post re-entry to lesser sciatic foramen (by looping behind the sacrospinous lig)
32
pelvic diaphragm
levator ani and coccygeus
33
below pelvic diaphragm is
deep perineal pouch
34
deep perineal pouch contains
urethra (and vag), bulbourethral glands in males, nevb for penis/clit, an extension of ischioanal fat pads
and
deep transverse perineal muscle, compressor urethrae
35
superficial to deep perineal pouch
perineal membrane
36
superificial perineal pouch in males contains what
bulb - CS, CRURA - CC
| associates with bulbospongiosus and ischiocavernosus
37
suerficial to the prineal membrane
the superficial perineal pouch
38
what type of urethra does the superficial pouch contain
spongy urethra
39
what other than bulb/crura and urethra does the sp contain
superficial transverse perineal muscle and branches of internal pudendal vessels and nerve
40
pelvic floor is made up of
pelvic diaphragm
muscles of perineal pouches
perineal membrane
41
anterior gaps of the pelvic diaphragm
urogenital hiatus and passage of the urethra and vagina
42
three muscles of the levator ani
puborectalis
pubococcygus
illiococcygeus
43
innervation of levator ani
pudendal nerve and nerve to levator ani
44
is levator ani relaxed or contracted usually
tonically contracted usually
45
pelvic ligaments are
fibrous endo-pelvic fascia
46
supports of the pelvis
eno-pelvic fascia and pelvic ligaments
47
perineal membrane is made of what
it is a tough thin sheet of deep fascia which attaches laterally to the sides of the pubic arch, closing the urogenital triangle
48
passive supports of the pelvic organs
perineal body and the perineal membrane
49
superficial transverse perineal muscle
will be able to the see the vestibule and the bartholins gland
50
puborectalis
tonic contraction ends the anorectum anteriorly
51
Tx for uterine prolapse
sacrospinous fixation and incontinence surgery
52
gonadal artery - what spinal level of the AA
L2
53
Superior rectal is a continuation of what artery
Ima
54
blood supply to the perineum
internal pudendal artery
55
median umbilical fold
the remnant of the umbilical artery which attaches to the placenta
56
internal pudendal terminates as what in the male
dorsal artery and deep artery of the penis
| anterior scrotal comes from the external iliac
57
inferior vesicle is replaced by what in females
vaginal artery
58
uterine and ovarian artery form an anastomoses t or f
t
59
branches of internal pudendal
dorsal artery of the clit
inferior rectal
perineal artery
labial artery
60
venous drainage of the pelvis
internal iliac
61
external oblique
from iliac crest to ribs
62
which muscles form the linea alba
external, internal, transversus and rectus
63
subcostal
T12
64
iliohypogastric
L1
65
ilioinguinal
L1
66
where do subcostal, iliohypogastric and ilioinguinal run between
run between internal oblique and transversus abdominis
67
continuation of internal thoracic
superior epigastric
| lies posterior to rectus abdominis
68
branch of external iliac that lies post to rectus abdominis
inferior epigastric artery
69
intercostal and subcostal arteries are continuations of what group of arteries
posterior intercostal arteries
70
lateral port
avoid inferior epi
71
which artery emerges medial to the deep inguinal ring
inferior epigastric
72
accessory reproductive organs in males
vas def
seminal vesicle
prostate gland
penis
73
spongy urethra in males is contained within
cs
74
What - in males - lies inferior to the bladder
prostate gland
75
bladder is formed mainly by what muscle
detrusor
76
the trigone is what
a triangle shape formed by the 2 ureteric orifices and internal urethral orifice
77
internal urethral sphincter (in males obvs) is made from what muscle
detrusor
78
the conjoint tendon
the medial end of the joined aponeurosis of the abdominal muscles which anchors the muscles inferiorly to the pubic bone
79
hydrocele
excess fluid within the tunica vaginalis
80
left testicular vein drains to
left renal
81
reight testicular vein drains to
IVC
82
seminal gland produces
fructose, seminal fluid
83
spb
seminal
prostate
bulbourethral
84
bulbourethral contains what and does what to sperm
contains spongy urethra and secretes mucus lubricates and neutralises
85
prostate contains what and secretes what
contains the prostatic urethra and passes semen into ejactulation
86
ureter above or below the vas
above
87
vas first goes into what
seminal
88
contained within the CCs
arteries of the penis
89
contained within the CS
spongy urethra
90
what kind of tissue is the cc and cs
erectile tissue
91
lymph drainage from the scrotum and penis
superficial inguinal
