Exam 1 Flashcards
What are the boundaries of the pelvic inlet (superior outlet)?
Sacral promontory
Arcuate lines
Iliopectineal line of pubis
What is the pelvic outlet bound by?
Coccyx Sacrotuberous ligaments Ischial tuberosities Ischiopubic rami Pubic symphysis
Another term used for the pelvic inlet is the…
Pelvic brim
This is the expanded area and part of pelvis above the pelvic brim.
False (greater) pelvis
This is the portion of the pelvis below the pelvic brim (pelvic inlet). It is closed below by the pelvic diaphragm.
True (lesser) pelvis
The pelvis is composed of three bones, which are…
Ilium
Ischium
Pubis
On the lateral surface of the pelvis, this is what articulates with the head of the femur and has the lunate surface.
Acetabular fossa
This is the fibrocartilage rim around the edge of the acetabulum.
Acetabular labrum
On the pelvis, this is the passage for the obturator nerve and vessels. It is covered by membrane.
Obturator foramen
This is the attachment for the inguinal ligament on the lateral surface of the pelvis.
Pubic tubercle
On the anterior edge of the pelvis, this is the attachment for the inguinal ligament and proximal attachment for the sartorius muscle.
Anterior superior iliac spine (ASIS)
On the anterior edge of the pelvis, this is the proximal attachment for the straight head of the rectus femoris.
Anterior inferior iliac spine (AIIS)
On the posterior edge of the pelvis, this is converted into superior and inferior parts by the piriformis muscle.
Greater sciatic notch
This is the fibrocartilage rim around the edge of the acetabulum.
Acetabular labrum
On the pelvis, this is the passage for the obturator nerve and vessels. It is covered by membrane.
Obturator foramen
This is the attachment for the inguinal ligament on the lateral surface of the pelvis.
Pubic tubercle
On the anterior edge of the pelvis, this is the attachment for the inguinal ligament and proximal attachment for the sartorius muscle.
Anterior superior iliac spine (ASIS)
On the anterior edge of the pelvis, this is the proximal attachment for the straight head of the rectus femoris.
Anterior inferior iliac spine (AIIS)
On the posterior edge of the pelvis, this is converted into superior and inferior parts by the piriformis muscle.
Greater sciatic notch
On the medial surface of the pelvis, this is the attachment surface for the iliacus muscle.
Iliac fossa
On the medial surface of the pelvis, this articulates with the auricular surface of the sacrum.
Auricular surface
The ______ consists of 5 fused vertebrae.
Sacrum
The sacrum has wing-like processes of each vertebra called ______, these are for attachment to the ilium.
Alae
The lip of the body of the first sacral vertebra is called the…
Sacral promontory
On the medial surface of the pelvis, this is the attachment surface for the iliacus muscle.
Iliac fossa
On the medial surface of the pelvis, this articulates with the auricular surface of the sacrum.
Auricular surface
The ______ consists of 5 fused vertebrae.
Sacrum
The sacrum has wing-like processes of each vertebra called ______, these are for attachment to the ilium.
Alae
The lip of the body of the first sacral vertebra is called the…
Sacral promontory
This sacral posterior crest is made up of fused spinous processes.
Median crest
This sacral posterior crest is made up of fused articular processes.
Medial crest
List the 8 arteries that branch off the anterior division of the internal iliac artery.
Umbilical artery Obturator artery Inferior vesicle artery (male) Uterine arteries (female) Internal pudendal artery Inferior gluteal artery Middle rectal artery Vaginal artery
A (MALE/FEMALE) pelvis is –
- Thicker
- Heavier
- Deeper greater pelvis
- Narrower and deeper lesser pelvis
- Android pelvic inlet (triangular)
- Small pelvic outlet
- Narrow pubic arch
- Round obturator foramen
- Large acetabulum
Male
A (MALE/FEMALE) pelvis is –
- Thinner
- Lighter pelvis
- Shallow greater pelvis
- Wide and shallow lesser pelvis
- Gynecoid pelvic inlet (round)
- Large pelvic outlet
- Wide pubic arch
- Oval-shaped obturator foramen
- Small acetabulum
Female
One of the branches off the anterior division of the internal iliac artery is the obturator artery. It travels (ANTERIORLY/POSTERIORLY) and (SUPERIORLY/INFERIORLY) along the pelvic wall and exits the pelvic cavity through the obturator canal in obturator foramen.
Anteriorly
Inferiorly
The external iliac artery travels (MEDIALLY/LATERALLY) to the superior pubic ramus.
Laterally
The external iliac artery has what two branches coming off of it?
Deep circumflex iliac artery
Inferior epigastric artery
The external iliac artery travels deep the _______ ligament and becomes the _______ artery.
Inguinal
Femoral
What does the uterine artery supply?
Uterus
Vagina
The internal iliac artery travels inferiorly and medially over the ______ ______.
Pelvic brim
The pelvic organs and walls, gluteal muscles, and perineum are supplied by what artery?
Internal iliac artery
The internal iliac artery has two divisions, an ______ and ______ division.
Anterior
Posterior
List the 8 arteries that branch off the anterior division of the internal iliac artery.
Umbilical artery Obturator artery Inferior vesicle artery Uterine arteries Internal pudendal artery Inferior gluteal artery Middle rectal artery Vaginal artery
One of the branches off the anterior division of the internal iliac artery is the umbilical artery. The umbilical artery gives off the ______ _____ arteries which supply the superior aspect of the urinary bladder.
Superior vesicle arteries
The umbilical artery will go on to become either the ______ ______ artery or the _______ _______ ligament.
Obliterated umbilical
Medial umbilical
One of the branches off the anterior division of the internal iliac artery is the obturator artery. It travels anteriorly and inferiorly along the pelvic wall and exits the pelvic cavity through the obturator canal in obturator foramen. It supplies…
Pelvic muscles
Ilium
Femoral head
Muscles of medial thigh
One of the branches off the anterior division of the internal iliac artery is the inferior vesicle artery (male). It travels (ANTERIORLY/POSTERIORLY) and (SUPERIORLY/INFERIORLY) to the urinary bladder. It is analogous to the female uterine artery.
Posteriorly
Inferiorly
What are the two branches off the inferior vesicle artery (male)?
Prostatic branch (supplies prostate gland) Branch to ductus deferens
What artery supplies the following?
- Psoas major muscle
- Iliacus muscle
- Quadratus lumborum muscle
- Cauda equina (in vertebral canal)
Iliolumbar artery
What does the uterine artery supply?
Uterus
Vagina
One of the branches off the anterior division of the internal iliac artery is the internal pudendal artery (male and female). It exits the pelvic cavity through the _______ _______ foramen, loops around the ischial spine, then enters the perineum through the _______ ______ foramen and enters the pudendal canal.
Greater sciatic
Lesser sciatic
The internal pudendal artery (male) branches off into what 5 arteries?
Inferior rectal artery Perineal artery Artery of bulb of penis Deep artery of penis Dorsal artery of penis
The male perineal artery further branches into the posterior ______ artery.
Scrotal
The internal pudendal artery (female) branches off into what 5 arteries?
Inferior rectal artery Perineal artery Artery of vaginal vestibule Deep artery of clitoris Dorsal artery of clitoris
The female perineal artery further branches into the posterior _______ artery.
Labial
One of the branches off the anterior division of the internal iliac artery is the inferior gluteal artery. It exits the pelvic cavity through the greater sciatic foramen and usually passes inferior to the _______ muscle.
Piriformis
What artery supplies the following?
- Coccygeus muscle
- Three elevator ani muscles
- Piriformis and quadratus femoris muscles
- Uppermost posterior thigh muscles
- Gluteus maximus
- Sciatic nerve
Inferior gluteal artery
One of the branches off the anterior division of the internal iliac artery is the middle rectal artery. It travels (SUPERIORLY/INFERIORLY) to the lower rectum and supplies the lower rectum and ______ ______ in males.
Inferiorly
Seminal vesicles
One of the branches off the posterior division of the internal iliac artery is the iliolumbar artery. It travels (ANTERIOR/POSTERIOR) to the sacroiliac joint and (ANTERIOR/POSTERIOR) to the common iliac vessels and psoas major muscle.
Posterior
Posterior
This branch off the abdominal aorta travels in the median plane over L4-5, sacrum, and coccyx.
Median sacral artery
One of the branches off the posterior division of the internal iliac artery is the lateral sacral artery. It travels on the _______ aspect of the psoas major muscle.
Anteromedial
The lateral sacral artery sends branches to the ______ _____ foramina.
Ventral sacral
What artery supplies the following?
- Piriformis muscle
- Sacral canal structures
- Erector spinae muscles
Lateral sacral artery
These are produced by blood clots in the external rectal venous plexus. It is a bulging out of the skin and mucosa from the external rectal venous plexus.
Hemorrhoids
What artery supplies the following?
- Piriformis muscle
- Gluteus medius
- Gluteus minimus
- Tensor fascia latae muscle
Superior gluteal artery
This branch off the abdominal aorta travels through the inguinal canal into the scrotum. It travels inside the spermatic cord and supplies the testes (males only).
Testicular artery
This branch off the abdominal aorta travels inferiorly over the pelvic brim to the ovary through the suspensory ligament (females only).
Ovarian artery
The ______ ______ nerves are sympathetic, come from the sacral plexus, and feed into the sacral sympathetic trunk and then into the inferior hypogastric plexus.
Sacral splanchnic
The superior rectal artery travels over the left _____ ____ vessels into the pelvic cavity. It supplies the superior aspect of rectum.
Common iliac
The superior rectal artery anastomoses with the middle and inferior ______ arteries.
Rectal
This branch off the abdominal aorta travels in the median plane over L4-5, sacrum, and coccyx.
Median sacral artery
This is located inside the spermatic cord and drains the testicular vein.
Pampiniform plexus
This is the superior-most anastomosis of the three rectal veins. Can cause piles, which is a prolapse of the mucosa containing the external rectal venous plexus. This results in pain and impeded blood flow.
Internal rectal venous plexus
This is a wedge-shaped space between the anal canal, obturator internus, pelvic diaphragm, and skin. It is filled with loose connective tissue and fat and allows the expansion of the anal canal during defecation and the vagina during childbirth.
Ischioanal (ischiorectal) fossa
These are produced by blood clots in the external rectal venous plexus. It is a bulging out of the skin and mucosa from the external rectal venous plexus.
Hemorrhoids
The _____ _____ nerves (also called nervi erigentes) are parasympathetic, come from the ventral rami of S2-4 and synapse in the inferior mesenteric ganglion.
Pelvic splanchnic
What innervates the urethra and rectum and forms the uterovaginal plexus (uterus, vagina, ovaries)?
Pelvic splanchnic nerves
S4, S5, coccygeal nerve, and anococcygeal nerve make up what plexus?
Coccygeal plexus
The ______ ______ nerves are sympathetic, come from the sacral plexus, and feed into the sacral sympathetic trunk and then into the inferior hypogastric plexus.
Sacral splanchnic
The ______ ______ nerves are sympathetic and come from the lumbar plexus to the abdominal sympathetic plexus, inferior mesenteric ganglion, and superior hypogastric plexus (to uterine tubes in female).
Lumbar splanchnic
This is a muscular sheet that covers the pelvic outlet. It forms a muscular sling that supports the pelvic organs and its major constituent is the levator ani complex.
Pelvic diaphragm
This is an irregular fibromuscular mass made of collagen and elastic fibers. It lies in the median plane between the anal canal and perineal membrane and is the junction point for the bulbospongiosus muscle, the external anal sphincter, and the superficial/deep transverse perineal muscles.
Perineal body (central tendon)
What makes up the entire pelvic diaphragm?
Levator ani complex
Coccygeus
This is a layer of skeletal muscle between two layers of fascia. It is perpetrated by membranous urethra (male and female) and the vagina.
Urogenital diaphragm
This is a wedge-shaped space between the anal canal, obturator internus, pelvic diaphragm, and skin. It is filled with loose connective tissue and fat and allows the expansion of the anal canal during defecation and the vagina during childbirth.
Ischioanal (ischiorectal) fossa
This is a diamond-shaped area below the pelvic diaphragm.
Perineum
This is between the scrotal raphe and the anus.
Perineal raphe
The perineum is divided into two triangles by an imaginary line connecting the ischial tuberosities. The ______ triangle lies posteriorly, and the ________ triangle/diaphragm lies anteriorly.
Anal
Urogenital
What pierces the urogenital diaphragm in males and females? In females only?
Urethra
Vagina
What muscles are associated with the perineum?
Sphincter urethrae
Superficial and deep perineal muscles
Ischiocavernosus muscle
Bulbospongiosus muscle
What is the blood supply for the perineum?
Internal pudendal artery
What innervates the perineum?
Pudendal nerve
Sacral autonomics
This is an irregular fibromuscular mass made of collagen and elastic fibers. It lies in the median plane between the anal canal and perineal membrane and is the junction point for the bulbospongiosus muscle, the external anal sphincter, and the superficial/deep transverse perineal muscles.
Perineal body (central tendon)
The male external genitalia includes the…
Penis
Scrotum
The male internal reproductive structures includes the…
Spermatic cord Prostate gland Seminal vesicles Bulbourethral glands Ejaculatory ducts
This is the raised ridge between the glans penis and the scrotum. It marks the line of fusion between the two genital folds.
Penile raphe
This is between the penile raphe and the perineal raphe. It marks the line of fusion between two genital swellings.
Scrotal raphe
This is between the scrotal raphe and the anus.
Perineal raphe
The shaft of the penis consists of three columns of erectile tissue. These are…
Corpora cavernosa (paired/2 of them) Corpus spongiosum
This column of erectile tissue is an extension of the crura of the penis. It is dorsal to the third column and surrounds a deep artery.
Paired corpora cavernosa
**Each one surrounds a deep artery
This column of erectile tissue houses the urethra. A conical expansion of it forms the glans penis.
Corpus spongiosum