ANATOMY: pelvis innervation Flashcards

1
Q

The vast majority of innervation of the pelvic cavity, perineum, reproductive systems, and the lower limb originates in the ?

A

Sacral and coccygeal plexuses

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2
Q

The vast majority of innervation of the pelvic cavity, perineum, reproductive systems, and the lower limb are formed from the?

A

Ventral rami of L4-Coccyx

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3
Q

Which nerves enter the pelvic cavity from the abdomen, anterior to the sacro-iliac joint?

A

L4-L5

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4
Q

Which nerves enter from the sacral foramina, moving laterally and inferiorly on the pelvic wall?

A

S1 -S4

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5
Q

Which nerves run anterior to piriformis muscle?

A

L4-S3/4

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6
Q

Which nerves emerge below the pelvic floor?

A

S5 & Coccyx

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7
Q

All sacral plexus have ventral divisions except for?

A

L4-S3 = have dorsal divisions

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8
Q

What is the largest and thickets nerve in the body?

A

The sciatic nerve

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9
Q

Sciatic nerve divides into?

A

Tibial part

Common fibular part

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10
Q

Ventral division of tibial part

A

L4-S3

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11
Q

Dorsal division of Common fibular part

A

L4-S2

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12
Q

Which nerve has the motor function of integrating selected muscles in the thigh,leg and foot

A

Tibial part of sciatic nerve

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13
Q

Which nerve has the motor function of innervation of short head of biceps, all muscles in ant. and lat. compartments of leg, selected muscles of the foot ?

A

Common fibular part of sciatic nerve

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14
Q

What is the sensory function of the tibial part of the sciatic nerve?

A

Contributes to skin on foot

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15
Q

What is the sensory function of the common fibular part of the sciatic nerve?

A

Contributes to skin on the leg and foot

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16
Q

Anococcygeal nerves

A

Ventral S4 - Coccyx

Sensory: perianal skin

17
Q

Sympathetic fibres derive from

A

Hypogastric nerves and sacral splanchich nerves

18
Q

Which nerves:

  • Innervate blood vessels
  • Contraction of smooth muscle in internal urethral sphincter
  • Contraction of internal anal sphincters
  • Smooth muscle contraction of reproductive tract and accessory glands.
  • Aid movement of secretions from epididymis and glands into the urethra to form semen.
A

Sympathetic fibres

19
Q

Parasympathetic fibres arise from?

A

Pelvic splanchich nerves: S2-S4

20
Q

Which nerves:

  • Generally vasodilatory.
  • Stimulate bladder contraction.
  • Stimulate erection.
  • Modulate mobility in the GI tract distal to the splenic flexure.
A

Parasympathetic fibres

21
Q

Inferior rectal nerve, perineal nerve and dorsal nerve of the penis/clitoris and branches of the?

A

Pudendal nerve

22
Q

Which nerve:

Penetrates through the fascia of the pudendal canal, coursing medially across the ischio-anal fossa
•Motor: external anal sphincter and levator ani muscle.
•Sensory: Skin of anal triangle
•Works with the Nerve to levator ani, coccygeus, and external anal sphincter from the sacral plexus.

A

Inferior rectal nerve

23
Q

Which nerve:

Passes through the pudendal canal into the urogenital triangle and branches.
•Motor: Muscles in the superficial and deep perineal pouches.
•Sensory:
•Males – Posterior 2/3rds of scrotum via posterior scrotal nerve.
•Females – Posterior labial nerve

A

Perineal nerve

24
Q

Which nerve:

Terminal branch of the pudendal nerve.
•Enters the deep perineal pouch, passing along the lateral margin and then exiting the perineal membrane inferior to the pubic symphysis to the body of the penis/clitoris.
•Sensory: Body of penis/clitoris, especially glans.

A

Dorsal nerve of the penis/clitoris

25
Q

Parasympathetic (excitatory) input to the penis comes from the?

A

S1-S4 via the pelvic splanchich nerves

26
Q

Parasympathetic (excitatory) input to the penis produces

A

Vasodilation and erection

27
Q

Sympathetic (inhibitory) input to the penis comes from the?

A

T11-L1 via the sympathetic trunk

28
Q

Sympathetic (inhibitory) input to the penis produces?

A

Vasoconstriction
Contraction of seminal glands and prostate
Seminal fluid emission

29
Q

The major artery associated with the pelvis, perineum and reproductive systems is the ?

A

Internal iliac artery

30
Q

Lymphatics from pelvic viscera drain towards lymph nodes distributed along the internal and external iliac arteries and their associated branches.
These go onto the common iliac arteries, aortic and lumbar nodes, and then drain into the lumbar trunks which continue to become the origin of the thoracic duct at?

A

T12

31
Q

Hat is the main muscle located in the anal triangle?

A

External anal sphincter

32
Q

Strong connective tissue structure that serves as an attachment point for muscles of the pelvic floor and perineum.

A

Perineal body

33
Q

Episiotomy

A

Incision in the perineal body to facilitate passage of the head of the foetus

34
Q

Contains the roots of the external genitalia and the urogenital hiatus.

Has strong support from deep perineal pouch and perineal membrane

Superficial perineal pouch contains the roots of external genitalia.

A

Urogenital triangle