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ANA 202 > Inguinal Canal > Flashcards

Inguinal Canal Flashcards

1
Q

Inguinal canal

🙂

It allows structures of spermatic cord to pass to and from the ____ to the _____ in male

•Permits the passage eof ______ from the ____ to the _____ in females Ed w zee see w wearer

A

testis

abdomen

round ligament of uterus

uterus

labium majus

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2
Q

Inguinal canal is an ______ passage through the (upper or lower?) part of the anterior abdominal wall

A

oblique

Lower

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3
Q

Inguinal Canal is Present in both sexes

T/F

A

T

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4
Q

Inguinal canal Transmits ilioinguinal nerve in males only

T/F

A

F

Inguinal canal Transmits ilioinguinal nerve in both sexes

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5
Q

Inguinal canal is about ________ or ___ cm long in the adults

  • Extends from the ____ inguinal ring (upward or downward?) and (medially or laterally ?) to the _______ inguinal ring
  • Lies parallel to and immediately above the ________
A

1 ½ inches

4

deep

Downward

Medially

superficial

inguinal ligament

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6
Q

Deep Inguinal Ring

Is an ____ shaped opening in the ___________

  • Lies about ___ inch (___cm) above the inguinal ligament midway between the _________ and the ________
  • Margins of the ring give attachment to the __________ fascia
A

oval

fascia transversalis

½; 1.3

anterosuperior iliac spine; symphysis pubis

internal spermatic

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7
Q

Superficial Inguinal Ring

_________ in shape

  • Defect in the ________ of the ______ muscle
  • Lies immediately above and medial to the __________
  • Its margins some times called ____(Med & lat ___), give attachment to the _______ fascia
A

Triangular

aponeurosis; external oblique

pubic tubercle

crura; crus

external spermatic

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8
Q

The anterior wall of the inguinal canal is made up of what and what and in what extents

A

External oblique throughout

Internal oblique ; laterally

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9
Q

Transversus abdominis is part of the anterior wall of the inguinal canal

T/F

A

F

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10
Q

The _______ and _______ combine to form the conjoint tendon

A

Transversus abdominis and internal oblique muscle

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11
Q

The posterior wall of the inguinal canal is made up of what and what and in what extents

A

Transversalis fascia; throughout

Conjoint tendon; medially

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12
Q

The floor of the inguinal canal is formed by ———, which is part of the _______ muscle, forming a gutter.

Medially it forms the _____ ligament

A

an incurving of the inguinal ligament

external oblique

lacunar

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13
Q

Roof of the inguinal canal is formed by the ______ and ________ of the _________

A

conjoint tendon

meeting of anterior and posterior walls of the inguinal canal

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14
Q

Inguinal hernias

The presence of inguinal canal in the lower part of the anterior abdominal wall in both sexes constitutes a potential weakness

T/F

A

T

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15
Q

The posterior wall of the canal is particularly weak (Medially or laterally?) because of the deep inguinal ring

The anterior wall opposite the deep ring is reinforced laterally by the _______

A

Laterally

internal oblique m.

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16
Q

Except in the ________, the canal is an oblique passage with the weakest areas, that are superficial and deep inguinal rings

A

newborn infant

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17
Q
  • The hip joints are (flexed or extended?) and the (anterior or posterior?) surfaces of the thighs are brought up against the anterior abdominal wall
  • By this means the lower part of the anterior abdominal wall is protected by the _____
A

Flexed

Anterior

thighs

18
Q

Contents of inguinal canal

___________ & its contents in male
_________ in female

______ branch of _____ nerve

_______ nerve

A

Spermatic cord

Round ligament

Genital; genitofemoral

Ilioinguinal nerve

19
Q

Ilioinguinal nerve: Enter the canal through the _______

A

posterior wall

20
Q

Structures of Spermatic Cord

  1. Vas deferens
  2. Testicular artery and vein
  3. Testicular lymph vessels
  4. Autonomic nerves
  5. Processus vaginalis
  6. Cremastric artery
  7. Artery of the vas deference
  8. Genital branch of genitofemoral nerve
21
Q

Structures passing through the deep and superficial inguinal rings

In male

\_\_\_\_\_\_\_ and its artery
\_\_\_\_\_\_\_\_\_ and the accompanying veins
Obliterated \_\_\_\_\_\_\_\_\_\_
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ nerve
\_\_\_\_\_\_\_\_\_\_ nerves and lymphatics

In female
______________
Obliterated _________
Lymphatics from the _____

A

Ductus deferens

Testicular artery

remains of processus vaginalis

Genital branch of genitofemoral

Autonomic

Round ligament of uterus; remains of processus vaginalis ; uterus

22
Q

Ilioinguinal nerve enters the inguinal canal by ________ and not _______

A

piercing the wall

through the deep inguinal ring.

23
Q

The boundaries of the inguinal canal are:

Anterior wall: It is formed from superficial to deep by:

(a) ____ in the whole extent
(b) ______ in the whole extent.
c) _____________ in the whole extent
(d) _________ fibres, in (medial or lateral?) ___-third.

A

Skin

Superficial fascia

External oblique aponeurosis

Internal oblique muscle; lateral one

24
Q

The boundaries of the inguinal canal are:

Posterior wall: It is formed from deep to superficial by:

a) ____________, in the whole extent
b) ______, in (medial or lateral?) ___-third
c) ____________, in medial-most part.

A

Fascia transversalis

Conjoint tendon; medial ; two

Reflected part of the inguinal ligament

25
Q

The boundaries of the inguinal canal are:

Roof:
It is formed by the lower arched fibres of _________________.

A

internal oblique and transversus abdominis muscles

26
Q

The boundaries of the inguinal canal are:

Floor: It is formed by:

a) Grooved upper surface of the ________ in the whole extent
(b) Abdominal surface of the __________ at the medial end.

A

inguinal ligament

lacunar ligament

27
Q

The spermatic cord consists of the following six groups of structures:

  1. _________, in the posterior part.
  2. Three arteries: (a) _____ artery, from _______. (b) ____ artery, from _____ artery. (c) Artery to _______, from _____ artery.
  3. Veins, the _____ venous plexus.
  4. Lymphatics, especially from testis draining into ____________ nodes, and some from the coverings draining into _______ nodes.
  5. Nerves, ________ nerve and _____ fibres which accompany the arteries.
  6. Remains of _______
A

Ductus deferens

Testicular; abdominal aorta

Cremasteric; inferior epigafstric

ductus deferens; inferior vesical

pampiniform

pre- and para-aortic

external iliac

genital branch of genitofemoral

Sympathetic

processus vaginalis.

28
Q

The spermatic cord is covered by three fascial layers from within outward, these are:

  1. _________ fascia, derived from ______.
  2. ____ fascia . The muscle fibres are derived from ________
  3. _________ fascia, derived from ________
A

Internal spermatic ; fascia transversalis

Cremasteric; internal oblique muscle.

External spermatic ; aponeurosis of external oblique muscle.

29
Q

INGUINAL TRIANGLE (_________ TRIANGLE)

A

HESSELBACH’S

30
Q

Indirect inguinal hernia:

The indirect inguinal hernias occur if the hernial sac enters the inguinal canal through __________, (medial or lateral?) to the inferior epigastric artery.

It is common in ____ and _____.

The predisposing factor for this type of hernia is the ____________________ .

A

the deep inguinal ring

lateral

children

young adults

complete or partial patency of the processus vaginalis

31
Q

The ____ inguinal hernias are more common than the ____ inguinal hernias and occur more often in ___ than ____.

A

indirect

direct

males

Females

32
Q

The indirect inguinal hernia can’t be congenital , only acquired

T/F

A

F

The indirect inguinal hernia may be congenital or acquired.

33
Q

Congenital indirect inguinal hernia: It occurs due to _________, connecting ______ with the _________.

A

patent processus vaginalis

peritoneal cavity

tunica vaginalis

34
Q

Acquired indirect inguinal hernia: It occurs due to __________ as during weight lifting.

A

increased intra-abdominal pressure

35
Q

Direct inguinal hernia.

The direct inguinal hernia occurs if the hernial sac enters the inguinal canal directly by _____________,( medial or lateral?) to inferior epigastric artery through the ______ triangle.

The neck of hernial sac is (wide or narrow?).

A

pushing the posterior wall of the inguinal canal forward

Medial

Hesselbach’s

Wide

36
Q

The direct inguinal hernias are common in _____ due to weak abdominal muscles.

37
Q

The term complete inguinal hernia is used if ________

A

hernial contents reach the tunica vaginalis.

38
Q

Duffertiate between direct and indirect inguinal hernia

In terms of:

Shape of hernia 
Extent
Direction
Reducibility
Age group 
Internal ring occlusion test
A

Globular; pear

Rarely scrotal; generally scrotal

Forward; oblique

Generally always reducible; sometimes irreducible

Old and middle age; young age

Negative; positive

39
Q

All the contents of inguinal canal lie within the spermatic cord except ______?

A

Ilioinguinal nerve

40
Q

Most lumps in the groin move with coughing (a transmitted impulse) except ________ and ______ which ______ with coughing

A

Hernia and vascular tumor,

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ANA 202 (24 decks)

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