Disccector Info Flashcards

1
Q

Where is the apex of the heart located?

A

left 5th intercostal space near the mid-clavicular line

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2
Q

Where is the coronary sulcus located on the heart?

A

in between the right atrium and ventricle

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3
Q

What does the right coronary artery arise from?

A

right aortic sinus (which comes from the ascending aorta)

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4
Q

How is the pulmonary artery related to the bronchi in the hilum of the LEFT lung?

A

it is located superior to the bronchus

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5
Q

How is the pulmonary artery related to the bronchi in the hilum of the RIGHT lung?

A

it is located ventral to the bronchus

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6
Q

Where does the esophagus cross over the descending aorta anteriorly?

A

level of the 8th vertebra

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7
Q

Where does the esophagus enter into the diaphragm?

A

level of the 10th vetrebra

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8
Q

What ribs form the costal margin of the diaphragm?

A

7-10

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9
Q

Where is the transpyloric plane located?

A

It is said to lie roughly a hand’s breadth beneath the xiphoid process of the human sternum. The plane in most cases cuts through the pylorus of the stomach, the tips of the 9th costal cartilages and at the level of the intervertebral disc between L1 and L2

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10
Q

motor and sensory supply to the abdominal wall is provided by what nerves (4 sets)?

A

7th-11th intercostal nerves, subcostal nerves, iliohypogastric, and iliolinguinal nerves

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11
Q

Describe the distribution of the superficial nerves in the abdomen wall.

A

7th intercostal- level of xiphoid process10th intercostal- level of umbilicaliliohypogastric- suprapubiciliolinguinal- exits the superficial ring to enter the scrotum

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12
Q

Do the inferior fibers of the internal oblique abdominis and the transverses abdominis contribute to the rectus sheath?

A

No. they insert on the pubic crest

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13
Q

Are inguinal hernias more common in males or females? Why?

A

males, because the canal and the associated structures are larger and weak following descent of the testis

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14
Q

What occupies the inguinal canal in men and women?

A

men- spermatic cordwomen- round ligament

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15
Q

What nerve exits the inguinal canal?

A

iliolinguinal

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16
Q

Does the iliolinguinal nerve exit the superficial ring of the inguinal canal in men and women?

A

Yes. LATERAL to the spermatic cord/round ligament

17
Q

What does the iliolinguinal nerve continue as in men and women?

A

men- anterior scrotalwomen- labial nerve

18
Q

What is the spermatic cord covered by as it exits the inguinal canal?

A

external spermatic fascia derived from the external abdominal oblique

19
Q

The sides of the superficial ring of the inguinal canal are designated what?

A

lateral and medial crura

20
Q

What is the inguinal ligament formed by?

A

fibers of the external abdominal oblique aponeurosis ONLY.

21
Q

At the pubic tubercle, what does the inguinal ligament become?

A

lacunar ligament

22
Q

What is the floor of the inguinal canal formed primarily by?

A

inguinal ligament (with some lacunae ligament)

23
Q

What is the deep inguinal ring formed by?

A

reflection of the transversals fascia

24
Q

What artery and vein would you see just medial to the deep inguinal ring?

A

inferior epigastric artery and vein

25
Q

What is the roof of the inguinal canal formed by?

A

combined arching fibers of the internal abdominal oblique and the transverses abdominis muscles (these insert on the medial aspect of the pubic crest as the FALX INGUINALIS)

26
Q

What forms the internal spermatic fascia of the spermatic cord

A

reflection of the transversalis fascia at the deep ring

27
Q

What are the cremaster muscle and its fascia derived from?

A

the roof fibers of the internal abdominal oblique in the inguinal canal NOTE: the cremaster fascia forms the middle fascia of the spermatic cord)

28
Q

Where does the posterior wall of the inguinal canal extend from?

A

deep inguinal ring laterally to the falx inguinalis medially (at the medial aspect of the pubic crest)

29
Q

What supports/strengthens the posterior wall of the inguinal canal?

A

medially- falx inguinalis (very strong)laterally- inferior epigastric vessels

30
Q

Where is the weak area of the posterior wall of the inguinal canal?

A

between the inferior epigastric vessels (laterally) and the falx inguinalis (medially)– this is what direct hernias would occur

31
Q

Do direct hernias occur medial or lateral to the inferior epigastric vessels?

A

medial (indirect occur lateral)

32
Q

What is the internal spermatic fascia formed by?

A

trasversali fascia at deep ring

33
Q

What is the cremaster muscle and fascia formed by?

A

internal abdominal oblique aponeurosis in the canal

34
Q

What is the external spermatic fascia formed by?

A

external abdominal oblique aponeurosis in the canal

35
Q

What innervates the cremaster muscle?

A

genitofemoral nerve

36
Q

Are the phrenic nerves medial or lateral to the vagus nerves?

A

lateral

37
Q

What rib attaches to the sternal angle?

A

2nd