Gross Anatomy Week 3 Flashcards

1
Q

Where does the external iliac become the femoral artery

A

inguinal ligament

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2
Q

SRY Gene

A

Causes maleness

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3
Q

Where do uterine fibroids come from

A

Myometrium

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4
Q

Femal reproductive structures that are intraperitoneal

A

Uterus
fallopian tube
dome of bladder
ovary

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5
Q

Order of cancer prevalence

A

cervical
uterine
vaginal
rectal

Related to HPV

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6
Q

What do we all start ou as

A

female

XX chromosome

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7
Q

Hydrocele

A

fluid in between the visercal and parietal layer of tunica vaginalis

all around the testicle

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8
Q

6 P’s of compartment syndrome

A
Pain
Poikilothermia
Paresthesia
Paralysis
Pulselessness
Pallor
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9
Q

What makes up the pes anserine tendon

A

Sartorius
Gracilis
semitendonosis (Hamstring muscle)

Attahces at the medial tibia

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10
Q

what artery feeds the head of the femur

A

the circumflex

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11
Q

What ligament supports the body of the uterus

A

Round ligament

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12
Q

Genital part of the geital femoral nerve

A

goes through the deep inguinal ring

and

the superficial inguinal ring

genital nerve trauma (kicked in groin sensation)

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13
Q

tunica albuginea

A

surrounds corpus cavernosa

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14
Q

deep inguinal ring

A

internal entrance to the inguinal canal

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15
Q

AMH

A

Anti mullerian hormone

Inhibits the mullerian ducts from differnetiaiting.

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16
Q

Sciatic nerve and the piriformis

A

The sciatic nerve can either come out inferior to the pisiform muscle
or can pierce through the pisiform muscle

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17
Q

What is first thing that happens in defecation

A

Stretch receptor signals

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18
Q

What nerve blocks the perineum

A

pudental nerve

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19
Q

Inguinal canal

A

walls :
anterior wall = aponeurosis of externla oblique
posterior wall = transversalis fascia

Roof:
fibers of internal oblique and transverse abdominal

Floor:
superior surface of inguinal ligament

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20
Q

Where does the femoral artery become the popliteal artery

A

adductor hiatus

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21
Q

Direct Hernia

A

wall defect

lift something get a defect in wall

deep or inguinal canal

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22
Q

Best way to view retroutrine pouch

A

Transvaginal

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23
Q

Fossa navicularis

A

opening of the urethra at the glans

where you swab for STD’s
where the bacteria live

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24
Q

Which hernia goes through the deep inguinal ring and the superficial inguinal ring

A

indirect hernia

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25
Q

AMH

A

Anti mullerian hormone

Inhibits the mullerian ducts from differnetiaiting.

causes them to die away

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26
Q

Trace sperm

A
testes
epididymis
ductus deferens
seminal vesicle
ejaculatory duct
prostatic urethra
Penis
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27
Q

Pelvic (femoral) Triangle

A
Sartorious (Lateral Border)
Inguinal ligament (Superior Border)
Adducter longus (medial border)
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28
Q

Penile cancer travels to

A

deep inguinal
then to illiac from there
then to caval and aortic nodes

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29
Q

Compartments of leg

A

Anterior
Lateral
Posterior
Deep Posterior

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30
Q

I T band attachment

A

Gerties tubercule

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31
Q

Where is the femoral artery felt

A

distal to the inguinal ligament, midway between the anterior superior iliac spine and the pubic tubercle.

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32
Q

Grest masquerader in knee

A

Lateral meniscus

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33
Q

Layer sloughed off in menses

A

endometrium

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34
Q

where do papsmear samples come from

A

cervix

endometrial ostium (past cervix)

2 differnet cell types

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35
Q

what suplies blood to pelvis

A

internal illiac

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36
Q

what becomes the tnica vaginalis

A

process vaginalis

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37
Q

leydig cells

A

Make testosterone

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38
Q

Trigone of bladder

A

Bladder neck

Right and left ureter orifice

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39
Q

Why dont we give females unopposed estrogen

A

the endometrium will just build and not be sloughed off and can become cancerous

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40
Q

Where does cancer of the testis and scrotum go

A

cancer of the testis metastasizes initially to the lumbar lymph nodes

and

cancer of the scrotum metastasizes initially to the superficial inguinal lymph nodes.

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41
Q

Sciatic nerve is made of what two nerves

A

Tibial

Common fibular

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42
Q

most superficial fascia in penis

A

Colles fascia

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43
Q

What is special about sartorius

A

it is a two joint muscle

flexes the hip but also flexes the knee

44
Q

Femoral hernias

A

more common in women

below inguinal ligament

femoral canal

45
Q

what is differnet about the hallux

A

the big toe only has 2 instead of 3 bones

46
Q

hesselbachs triangle

A

inferior epigastric vessels
rectus abdominus
inguinal ligament

47
Q

superfiscial inguinal ring

A

exit from inguinal canal

48
Q

Where does the pudental nerve go

A

Penis and scrotum

comes of S2-S4

becomes dorsal nerve
and posterior scrotal nerves
perineal nerve
inferior anal nerve
external sphincter 
urethra
49
Q

medial menisicus tear

A

knee mechanical problems

50
Q

Sertoli Cells

A

Makes sperm
semineferous tubules
help with spermatogenesis
FSH

51
Q

dartos fascia

A

includes penis and scrotum

becomes colles fascia

becomes scarpas fascia Anteriorly

52
Q

Where dos the popliteal artery end

A

The popliteal artery ends at

the inferior border of the popliteus muscle

it bifurcates into the anterior and posterior tibial arteries.

53
Q

Bones of the foot

A

1st cuniform
2nd cuniform
3rd cuniform
associate with corresponding toes

cuboid associates with 4th, 5th toes

Navicular is between the talus and the 1st cuniform

calcaneous is lateral to talus attaches to cuboid

54
Q

Corpus cavernosa

A

2 compartments

55
Q

Corpus spongiosum

A

Surrounds the urethra

Glans of penis is extension of corpus spongiosum and therefore doesn’t get hard

56
Q

What makes up the pes anserine tendon

A

Sartorius
Gracilis
semitendonosis (Hamstring muscle)

Attahces at the medial tibia

57
Q

Nerves of lower leg

A
Tibial (posterior)
Superficial peroneal (lateral)
Deep peroneal (Anterior)
58
Q

Subcutaneous tissue in penis is

A

colles fascia

59
Q

Direct vs indirect palpation

A

Indirect tip of finger

Direct side of finger

60
Q

Jones fracture

A

5th metatarsal fracture at the head

61
Q

3 layers of uterus

A

perimetrium
myometrium
endometrium

62
Q

soleus relation to gastroc

A

Soleus is deeper

63
Q

Bucks fascia

A

surrounds entire penis

64
Q

Bladder msucle that squeezes

A

Detrusor

65
Q

Injury at what level can impair bowel and bladder function

A

T12
L1
L2

66
Q

Hydrocele

A

Fluid between the visceral and parietal tunica vaginalis.

67
Q

Flomax and alpha blocker side effects

A

retrograde ejaculation

causes the internal sphincter not to close

68
Q

Hamstring muscles

A
Semitendonosis (medial)
semimembranosis (medial)
biceps femoris (lateral)
69
Q

O.R. time greater than 2 hours in surgery in lithotomy (candy canes)

A

Can affect either or both

femoral nervelateral cutaneous nerve

common fibular (can have motor "foot drop")
(most common)

(better to flex hip less than 90 degrees)

70
Q

Urethral tract

A
Fossa navicularis
pendulus urethra
bulbar urethra (where it makes turn)
membranous urethra
Prostatic urethra (the ejaculatory duct goes in here)
Bladder neck
71
Q

Urogenital triangle

A

pubic symphysis to the two ischial tuberosities

72
Q

What nerves go to the detrusor bladder

A

Pelvic splanchnic nerves

73
Q

where does the nerve artery vein orientation not line up

A

Popliteal fossa

Nerve
Vein and then
artery

74
Q

Wolffian ducts

A

Stimualted by testosterone

75
Q

Chinese lantern sign

A

hydrocele

76
Q

What does great saphenous vein dump into

A

Great saphenous vein dumps into femoral

77
Q

umbilical ligament

A

remnant from umbilical cord

uracous

78
Q

Where does a block on the penis go

A

Dorsal block
base of the penis
ring block

79
Q

Broad ligament

A

Helps hold up the

fallopian tube, ovary adn uterus

80
Q

Most common lowere motor neuron disease

A

L5 - S1 Disc

81
Q

Anal triangle

A

Coccyx to the two ischial tuberosities

Bony landmarks
not muscle

82
Q

which 3 bones make the acetabulum

A

Pubis
Illium
Isium

83
Q

Sertoli Cells

A

Makes sperm

84
Q

Difference between mullarin and wolfian

A

Mullarian is female
wolffian is male

we would all be female if we did not have anti mullarian hormone

Mullarian duct diffeentiate into fmeal anatomy organs
wolfian become male anatomy

85
Q

what can happen if you give IM injection into the fat

A

Fat necrosis

86
Q

Ilioinguinal nerve exits where

A

Superficial inguinal canal

87
Q

Compartments of thigh

A

Anterior
posterior
medial

88
Q

Pelvic Pain line

A

Cervix and vagina

Pelvic splanchnic nerves
Hypogastric plexus

89
Q

Colles fascia

A

originates from dartos fascia

is perineal

90
Q

what is violated in penile fracture

A

Violation in Bucks fascia

Tear in tunica albuginea

91
Q

What gives the penis its rigidity

A

tunica albiginea

92
Q

Micturition process

A
Stretch (sensory somatic afferent)
External sphincter relaxes
Signal goes to the cord
then to the pontine micturition center
then sends a signal to the detrusor muscle to squeeze
and to relax the internal sphincter
voiding
93
Q

Pelvic block issues

A

If we block at the spinal block
at vertebral level L3, L4
patient wont be able to walk

if we go caudal or pudental patient can still walk

Pudental block does not block pain from the superior birth canal (uterine cervix and superior vagina), so the mother is able to feel uterine contractions.

94
Q

bifurcation of common illiac occurs at

A

Top rim of the illium

95
Q

Indirect hernias

A

most common

mostly in men

congenital

transversalis fascia

96
Q

What is black on CT

A

air

97
Q

post menopausal difference in endometrium

A

endometrium is different thickness

98
Q

What is the nerve in the anterior compartment of the leg

A

Deep Fibular

99
Q

TDF

A

Testis discrimination factor

SRY

100
Q

Gubernaculum

A

pulls down the teste (helps them descend)

can also cause testicular torsion

remnant is on bottom of testicle which holds teste in place and stops from twisting

101
Q

Is peristalysis sympathetic or parasympathetic

A

parasympathetic

Feed and breed / rest digest

102
Q

Fourniers gangrene

A

Scrotal necrosis

Usually stops at inguinal ligament

goes up scarpas fascia

high mortality rate

older, diabetic, immuncompromised, steroids, poor health

103
Q

Communicating vs non communicating Hydrocele

A

If you squeeze the hydrocele and the fluid doesn’t go anywhere then it is

noncommunicating

Communicating = no fusion; Non-communicating = fusion.

No fusion in female then there is an abnormal Canal of Nuck communicating to the labia majora

in a male, communicating is a hernia

104
Q

What color is stool on x ray

A

White (fluffy)

105
Q

where does deep fascia go

A

Around entire penis

also known as bucks fascia

stops at base of penis

106
Q

Layer of uterus that causes cancer

A

endometrium

107
Q

What color is air on an x ray

A

Black