Exam 3- Lumbar Plexus Flashcards

1
Q

The lumbar plexus is formed by the anterior primary rami of

A

L1-L3 and part of L4

And sometimes contribution from T12

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2
Q

What do the muscular branches of the anterior rami supply what muscles

A

Quadratus lumborum, psoas major, psoas minor

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3
Q

L1 muscular branch will supply

A

The quadratus lumborum and psoas minor

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4
Q

L2 muscular branch supplies

A

Quadratus lumborum and both psoas muscles

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5
Q

L3 and L4 muscular branches supply

A

Quadratus lumborum and psoas major

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6
Q

What fibers supplies iliohypogastric nerve

A

T12 and L1

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7
Q

What is the path of the iliohypogastric nerve

A

Anterior and inferior between quadratus lumborum and the kidney. Then travels through the transverse abdominal muscle and travels between it and the internal abdominal oblique

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8
Q

THe iliohypogastric nerve gives off a branch named

A

Lateral cutaneous branch

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9
Q

What does the lateral cutaneous branch supply

A

The posterolateral gluteal region

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10
Q

THe lateral cutaneous branch continues as the

A

Anterior cutaneous branch which supplies skin over pubic region

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11
Q

What two muscles are supplied by iliohypogastric nerve

A

Internal abdominal oblique

Transverse abdominal

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12
Q

What fibers make up ilioinguinal nerve

A

T12 and L1

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13
Q

What is the path of the ilioinguinal nerve

A

Transmitted through the inguinal canal. Leaves canal through superficial inguinal ring and travels with the spermatic cord

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14
Q

What sensory info does the ilioinguinal nerve supply

A

Skin of the upper medial thigh, also supplies the base of the penis and anterior scrotum in men. Female supplies mons pubis and labium majus

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15
Q

What two muscles does ilioinguinal nerve supply

A

Internal abdominal oblique

Transverse abdominal

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16
Q

What fibers make up genitofemoral

A

L1 and L2

17
Q

What is the course of the genitofemoral nerve

A

Passes anteriorward through the psoas major muscle and then divides

18
Q

What does the genitofemoral nerve divide into after passing through psoas major

A

Genial branch

Femoral branch

19
Q

The genital branch travels through inguinal canal and provides motor supply to what muscle

A

Cremaster

20
Q

What sensory info does the cremaster supply

A

Skin of superior anterior scrotum in males and skin for females of mons pubis and labium majus

21
Q

What sensory info does the femoral branch supply

A

Passes POSTERIOR to the inguinal ligament and supplies skin of the upper anterior thigh

22
Q

What fibers make up the lateral cutaneous nerve of the thigh

A

L2 and L3

23
Q

True or False

THe lateral cutaneous nerve of the thigh is purely sensory

A

TRUE- supplies skin of the lateral thigh, superior to the knee

24
Q

What is the path of the lateral cutaneous nerve of the thigh

A

Passes UNDER the inguinal ligament and travels ANTERIOR to sartorius and THROUGH fascia lata to reach the skin

25
Q

What is the largest branch of the lumbar plexus

A

Femoral nerve

26
Q

What is the path of the femoral nerve

A

forms POSTERIOR to the psoas major and emerges LATERAL to psoas and anterior illacus. Passes POSTERIOR to the inguinal ligament and enters femoral triangle just lateral to femoral artery. Runs INFERIOR and MEDIALLY through the adductor canal and into the leg, MEDIALLY to the knee

27
Q

Where are the two areas that the femoral nerve only gives off branches

A

Abdomen

Femoral triangle

28
Q

Within the abdomen the femoral nerve gives off muscular branches to

A

Iliacus and pectineus. Also some fibers to femoral artery

29
Q

When does the femoral nerve divide into an anterior and posterior division

A

After it is beyond the inguinal ligament

30
Q

The anterior division of femoral nerve gives off 3 nerves

A

Intermediate cutaneous nerve of the thigh

Medial cutaneous nerve of the thigh

Nerve to the sartorius

31
Q

The intermediate cutaneous nerve of the thigh supplies

A

The skin on the anterior thigh down to the knee. The lateral branch communicates with the femoral branch of genitofemoral nerve

32
Q

The medial cutaneous nerve of the thigh path is

A

Crosses ANTERIOR to the femoral artery and sends branches to the skin of the medial thigh, medial knee, knee across to the lateral side of the patella. Some supply skin of medial leg

33
Q

How does the medial cutaneous nerve of the thigh supplies the skin of the medial leg through communicantions with

A

The saphenous nerve

34
Q

The posterior division of the femoral nerve gives muscular branches that supply __________ and vascular branches _________.

A

Quadriceps, femoral artery

35
Q

The muscular branches of the posterior division of femoral nerve suppluy

A

Sartorius, rectus femoris

Vastus lateralis, medialis, intermedialis