Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RRPA Anatomy II > GUT Women's Health Anatomy & Radiology Part 1 (& Commentary) > Flashcards

GUT Women's Health Anatomy & Radiology Part 1 (& Commentary) Flashcards

1
Q

Normally the pelvic inlet is tilted 50-60 degress ___ and the Ischiopubic arch is ___

A

Normally the pelvic inlet is tilted 50-60 degress forward and the Ischiopubic arch is horizontal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the dermatomes of the sacral segments of the pelvis?

A

S3-S5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Dermatomes of skeletal mm in Perineum and Pelvic Floor including urethral and anal sphincters?

A

S2-S4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Much of the somatic motor and sensory innervation of the Perineum and Pelvic Floor is via what nerve?

A

Pudendal Nerve (S2-S4)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the major nerve of the Perineum?

A

Pudendal N

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where do you place the Pudendal nerve block?

A

Aims to block the nerve as it enters the lesser sciatic foramen, 1 cm inside (inferior and medial) relative to the ischial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The arterial supply to the pelvis is basically from the ___ ___, anterior and posterior branches

A

Internal Iliac A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Extending across the Ischiopubic arch is a thick triangular fascial structure that has transverse muscles within and is called?

A

The Urogenital Diaphragm/Perineal Membrane & Deep Perineal Pouch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The Perineum includes what structure anteriorly and what structure posteriorly?

A
  • Urogenital triangle (anterior)
  • Anal triangle (posterior)
  • Note its diamond shape & the anterior triangle is perforated anteriorly by a gap transmitting the dorsal vein of the penis & clitoris
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The Urogenital Diaphragm/Perineal Membrane & Deep Perineal Pouch is innervated by? Arterial supply?

A
  • Innervation via Pudendal N
  • Internal Pudendal A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What membrane is a thick fibrous sheet with a free posterior border?

A

perineal membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The Deep Perineal pouch contains muscles and ___ structures

A

neurovascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The Pelvic Diaphragm is composed of?

A

-Levator Ani

  • Iliococcygeus
  • Pubococcygeus
  • Puborectalis

-Coccygeus m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The ___ ___ arises from the walls of the true pelvis, from the posterior pubic bone, from a ligament on the Obturator internus muscle, from the Ischial tuberosity

A

Levator Ani (Levator Sling)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What muscle arises from the ischial spine and Sacrospinous ligament and inserts on the sacrum & coccyx?

A

Coccygeus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The Levator Ani is comprised of what 3 muscles?

A
  1. Iliococcygeus
  2. Pubococcygeus
  3. Puborectalis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What muscle of the Levator Ani pulls the anorectal junction forward to help keep the GI system closed at the rectal area, helping the anal sphincters?

A

Puborectalis muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What muscle of the Levator Ani arises from the ilium and the tendonous arch on the obturator internus muscle?

A

Iliococcygeus muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the space between the muscles of the Levator Ani that allows the Urethra and Vagina to pass through the Pelvic Diaphragm/Sling?

A

Urogenital Hiatus (anteriorly) - look at bottom of photo

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The Ischiorectal (ischioanal) fossa is also called?

A

The Deep Perineal Space (abscesses can form here)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The Levator Ani and Perineal Membrane come together at what structure?

A

Perineal Body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The Inferior Hypogastric Plexus is what type of plexus?

A

Visceral (PSNS, SNS, and visceral afferents)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The Internal Anal Sphincter is smooth muscle and therefore controlled by what nervous system?

A

Autonomic (PSNS)

24
Q

The External Anal Sphincter is skeletal muscle and has what 3 components?

A
  1. deep
  2. superficial
  3. subcutaneous
25
Q

What is the External Anal Sphincter innervated by?

A

Inferior rectal branches of the Pudendal nerve (Somatic nerve)

26
Q

In the perianal area there is a transition zone between rectal mucosa and nonkeratinized squamous epithelium called the?

A

Anal Pecten

*After the Anal Pecten = the Anocutaneous Line (true skin = keratinized squamous epithelium)

27
Q

Hemorrhoidal Veins: the Superior rectal veins enter the ___ system

A

Portal

28
Q

Hemorrhoaidal Veins: The Middle and Inferior rectal vein enter the ___ system

A

Caval

29
Q

What ligamentous structures of the Uterus play a substantial role in supporting the uterus?

A
  • Pelvic Diaphragm (Levator Ani, Coccygeus, & assoc. fascia)
  • Urogenital Diaphragm/Perineal membrane
  • Uterosacral ligaments
  • Cardinal (Transverse servical, Mackenrodt)
  • Anterior Pubocervical ligament

*UCA are the main ones

30
Q

Which major ligament of the uterus is a fibromuscular fascia that goes from either side of the cervix to the pelvic walls?

A

Cardinal (Transverse cervical, Mackenrodt)

31
Q

What major ligament of the uterus goes from the posterior cervix to the sacrum?

A

Uterosacral ligaments

32
Q

What major ligament of the uterus is comprised of the Recto-uterine folds - comprised of fibrous tissue & muscular fibers attached to the front of the sacrum?

A

Uterosacral ligaments

33
Q

What major ligament of the uterus goes from the uterus to the pubic symphysis?

A

Anterior Pubocervical ligament

34
Q

What ligaments are associated with the uterus but are not considered to be true uterine support structures?

A
  • Broad Ligament
  • Round Ligament
  • Suspensory ligment of the ovary
  • Peritoneal folds
35
Q

What structures are associated with the uterus, broad ligament, mesovarium, mesosalpinx and are not supportive?

A

Peritoneal folds

36
Q

The Cardinal Ligament = what ligament?

A

Transverse Cervical Ligament

37
Q

The ureters are very close to what female structure?

A

Uterine cervix

38
Q

The Broad ligament has what artery within it?

A

Ovarian

39
Q

The Ovarian artery within the Broad ligament originates in the Aorta and thus creates what type of pressure system?

A

High pressure - a problem with hemorrhage 2/2 to Ectopic pregnancy

40
Q

The Uterine artery arises from?

A

Internal Iliac artery

41
Q

What other peritoneal folds are in the Pelvis that form pouches?

A
  • Vesicouterine Pouch
  • Rectouterine Pouch (Pouch of Douglas) - deep pouch posterior to uterus and anterior to rectum where blood, fluid, pus, & tumors can lodge
42
Q

T/F: You can actually palpate tumor or fluid collections in the Pouch of Douglas and drain the space with a needle via the rectum

A

True

43
Q

The Urachus and Umbilical Folds are associated with what structure?

A

The bladder

44
Q

What are the “supporting” structures (not true support) of the ovary?

A
  • Mesocarium
  • Suspensory Ligament of Ovary
  • Ligament of Ovary
45
Q

What is the Mesovarium?

A

A fold of peritoneum off of the Broad Ligament

46
Q

What “supporting” ligament of the ovary is a fold of peritoneum from the superiolateral pelvis wall and contains arteries, veins, & lymphatics?

A

Superior Ligament of Ovary

47
Q

What “supporting” ligament of the ovary is continuous with the Round LIgament of the Uterus and is attached to the lower pole?

A

Ligament of Ovary

48
Q

The Deep Pelvic Structures drain into what part of the lymphatic system?

A

Internal and External Iliac chains

49
Q

Lymph: The Deep Perineal structures drain into the?

A

Internal Iliac chain

50
Q

Lymph: Some Superificial Perineal structures (Penis & Scrotum, Clitoris and Labia majora) drain into the?

A

Superficial Inguinal nodes

51
Q

Lymph: Other Superficial Perineal structures (Glans penis, Glans clitoris, Labia minora, and inferior end of vagina) drain into the?

A

Deep Inguinal nodes & External Iliac chain

52
Q

Lymph: The Ovaries, related Uterine structures, and the Testes drain into the?

A

Lateral and Pre-Aortic nodes

53
Q

A key takeaway of the lymph system is that the deep parts of the Perineum are drained by the?

A

Internal Pudendal Chain > Internal Iliac nodes > Aortic nodes

54
Q

Another key takeaway of the lymphatic system is that the superficial Perineum & external genetalia are drained by the?

A

Superficial Inguinal Nodes, Deep Inguinal nodes, & External Iliac nodes

55
Q

What are important considerations when catheterizing the bladder?

A

Orientation/angulation of the urethra and relation/location of the bladder

RRPA Anatomy II (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions