Anterior Abdominal Wall, Groin Region Flashcards

1
Q

Name the vertical planes which extend inferiorly from the midpoints of the clavicles to the midpoints of lines joining the anterior superior iliac spine to the pubic symphysis

A

Midclavicular plane

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2
Q

Name the horizontal plane joining the lowest point of the costal margin on each side. It lies at the inferior margin of rib 10

A

Subcostal plane

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3
Q

Name the horizontal plane which joins the tubercles of the iliac crests

A

Transtubercular plane

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4
Q

What two regions would you find the liver?

A

right hypochondrium and epigastric region

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5
Q

Which two organs would you find in the left hypochondrium?

A

spleen and the fundus and body of the stomach

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6
Q

What are the two subdivisions of the superficial fascia?

A

Camper’s and Scarpa’s Fascia

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7
Q

Which division of the superficial fascia is a thin fatty layer which is continuous with the superficial fascia of the perineum and thigh?

A

Camper’s fascia (Superficial Layer)

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8
Q

Which division of the superficial fascia is a membranous layer of fascia which is firmly fastened to the fascia lata of the thigh, just below the inguinal ligament?

A

Scarpa’s fascia (Deep Layer)

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9
Q

Why is the extravasation of urine more common in males?

A

Male urethra is longer, more superficial, and more horizontally oriented.

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10
Q

If the spongy urethra ruptures, why can urine not spread inferiorly?

A

Due to the firm attachment of scarpa’s fascia to the fascia lata.

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11
Q

What is a median tendinous raphe which extends from the xiphoid process to the pubic symphysis.

A

Linea Alba

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12
Q

What is the longest raphe in the body?

A

Linea Alba

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13
Q

Look at the muscles of the anterior wall; which ones have different actions and innervations?

A

External Oblique, Internal Oblique, Transversus Abdominis and Rectus Abdominis.

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14
Q

The linea alba lies between what two muscles?

A

The right and left rectus abdominis

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15
Q

What is the name of the curved line along the lateral border of the rectus abdominis muscle?

A

Linea semilunaris

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16
Q

What is the name of the 3 bundles of connective tissue which run transversely across the rectus abdominis muscle and which fuse with the rectus sheath?

A

Tendinous Intersections

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17
Q

What are the six functions of anterior abdominal wall muscles?

A

Coughing, Sneezing, Defecation, Micturition, Vomiting, and Parturition

18
Q

The aponeuroses of which three muscles form an envelope known as the Rectus Sheath?

A

external oblique, internal oblique, and transversus abdominis

19
Q

What is enclosed within the Rectus Sheath?

A

Rectus Abdominis muscle, Pyramidalis muscle, Super Epigastric Artery and Vein, Inferior Epigastric Artery and Vein, Anterior Primary Rami of Lower 6 Thoracic Nerves

20
Q

When above the Arcuate Line, the anterior layer of the rectus sheath is composed of _________ and ________.

A

aponeurosis of the external and internal oblique muscles

21
Q

When above the arcuate line, the posterior layer of the rectus sheath is composed of the aponeurosis of ______ and _______.

A

internal oblique and transversus abdominis muscles

22
Q

Below the arcuate line, the anterior layer of the rectus sheath is composed of the aponeruosis of ____, _____, and ______.

A

external oblique, internal oblique, and transversus abdominis muscles

23
Q

**Below the arcuate line, the posterior layer of the rectus sheath is formed by the _________.

A

transversalis fascia. (Starred this one because its not formed by an aponeruosis nor does it use the same muscles as above. Its unique).

24
Q

Where is the median umbilical fold located and what does it contain?

A

Extends from the apex of the bladder to the umbilicus. Contains the urachus.

25
Where is the medial umbilical fold located and what does it contain?
Extends from the side of the bladder to the umbilicus. Contains the obliterated umbilical artery.
26
Where is the lateral umbilical fold located and what does it contain?
Extends from the deep inguinal ring to the arcuate line. Contains the inferior epigastric vessels.
27
Which folds form the boundary of the supravesical fossa?
median and medial umbilical folds
28
Which folds form the boundary of the medial inguinal fossa?
medial and lateral umbilical folds
29
Which folds form the boundary of the lateral inguinal fossa
lateral to the lateral umbilical fold
30
What lies above the umbilicus and contains the obliterated umbilical vein?
Ligamentum teres
31
What arteries supply the anterior abdominal wall?
Superior Epigastric, Inferior Epigastric, Lumbar and Deep Circumflex Iliac arteries
32
What nerves supply the anterior abdominal wall?
Lower 6 thoracic nerves (located between the internal oblique and transversus abdominis
33
What ligament is formed by the lower edge of the external oblique aponeurosis?
The inguinal ligament
34
Where is the inguinal ligament located?
anterior superior iliac spine to the pubic tubercle
35
What are the most medial fibers of the inguinal ligament called?
Lacunar Ligament
36
What is the lateral extension of the lacunar ligament called?
Pectineal Ligament
37
Match the ligaments to their insertions: 1) Lacunar Ligament 2) Pectineal Ligament A) Pectineal Line B) Superior Pubic Ramus
1) B | 2) A
38
What is the name of the oblique passage through the anterior abdominal wall?
Inguinal Canal
39
What are the three things transported by the inguinal canal?
Spermatic Cord, Round Ligament of the Uterus, and the ilioinguinal nerve
40
What serves to strengthen the posterior wall of the medial half of the inguinal canal?
conjoint tendon