Lumbar Plexus Flashcards

0
Q

What nerve contains fibers from T12 and L1

A

Iliohypogastric nerve

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1
Q

What is the lumbar plexus formed by

A

anterior primary rami of L1-L3 and part of L4

the lumbar plexus will also receive contribution from T12 via the L1 nerve

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2
Q

The iliohypogastric nerve gives off what branch after traveling anterior and inferiorly

A

lateral cutaneous branch

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3
Q

After giving off the lateral cutaneous branch, the iliohypogastric nerve continues as what

A

anterior cutaneous branch

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4
Q

The ilioinguinal nerve contains fibers from where

A

T12 and L1

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5
Q

What does the ilioinguinal nerve enter and transmit through

A

inguinal canal

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6
Q

How does the ilioinguinal nerve leave the inguinal canal

A

through the superficial inguinal ring

and travels with the spermatic cord

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7
Q

If female, what does the ilioninguinal nerve travel with after it leaves teh inguinal canal

A

round ligament

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8
Q

The ilioinguinal nerve supplies what type of innervation to the private parts of men and women

A

sensory

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9
Q

The genitofemoral nerve contains fibers from where

A

L1 and L2

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10
Q

The genitofemoral nerve passes anterior through what muscle before dividing into a genital branch and a femoral branch

A

psoas major muscle

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11
Q

The genital branch of the genitofemoral nerve enters and travels through what

A

inguinal canal

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12
Q

The genital branch supplies what innervation

A

sensory (to scrotum in males)

motor (to cremaster muscle)

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13
Q

What reflex does the genital branch supply

A

cremasteric reflex

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14
Q

The femoral branch passes into what, posterior to the inguinal ligament

A

into the thigh

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15
Q

The lateral cutaneous nerve of the thigh contains fibers from where

A

L2 and L3

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16
Q

The lateral cutaneous nerve is purely what type of innervation

A

sensory

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17
Q

The lateral cutaneous nerve leaves what cavity by passing under the inguinal ligament

A

abdominal cavity

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18
Q

The lateral cutaneous nerve travels anterior to the sartorius and through what before reaching the skin

A

fascia lata

19
Q

What is the largest branch of the lumbar plexus

A

femoral nerve

20
Q

Femoral nerve contains fibers from where

A

L2, L3, L4

21
Q

The femoral nerve passes posterior to the inguinal ligament and enters what, just lateral to the femoral artery

A

femoral triangle

22
Q

The femoral nerve gives off branches where

A

abdomen

femoral triangle

23
Q

Within the abdomen, the femoral nerve gives off muscular branches to what muscles

A

iliacus
pectineus
(also sends some fibers to the femoral artery)

24
Q

Once the femoral nerve is beyond the inguinal ligament, the nerve divides into what divisions

A

anterior and posterior division

25
Q

The anterior division of the femoral nerve gives rise to what 3 nerves

A

Intermediate cutaneous nerve of the thigh
medial cutaneous nerve of the thigh
nerve to the sartorius

26
Q

The lateral branch of the intermediate cutaneous nerve of the thigh will communicate with what

A

the femoral branch of the genitofemoral nerve

27
Q

Some branches of the medial cutaneous nerve of the thigh will supply the sin of the medial leg through communications with what nerve

A

saphenous nerve

28
Q

The posterior division continues into the leg as what

A

saphenous nerve

29
Q

The saphenous nerve is transmitted through what structure

A

adductor canal

30
Q

The saphenous nerve exits the adductor canal after doing what

A

crosses the femoral artery to the nerve, and lies medial to the artery

31
Q

In the leg the saphenous nerve travels with what

A

saphenous vein

32
Q

clinical considerations of the femoral nerve

A

patellar reflex

sensory deficits

33
Q

The obturator nerve contains fibers from what

A

L2, L3, L4

34
Q

Which nerve is the principle contributor to the obturator nerve

A

L3 nerve

35
Q

Which nerve is the minimal contributor to the obturator nerve

A

L2 nerve

36
Q

What does the obturator nerve travel on

A

obturator internus

37
Q

The obturator nerve leaves the pelvis through what

A

obturator foramen

38
Q

After leaving the obturator foramen, the obturator nerve divides into what

A

anterior and posterior branches

39
Q

The anterior and posterior branches of the obturator nerve are initially separated by what structure? Then by what

A

obturator externus
then
adductor brevis

40
Q

The anterior branch of the obturator nerve will send some branches to communicate with branches of the femoral nerve forming what

A

subsartorial plexus

41
Q

The termination of the anterior branch of the obturator nerve supplies what

A

femoral artery

42
Q

The anterior branch of the obturator nerve may send fibers to connect with what

A

accessory obturator nerve

43
Q

The anterior branch may send fibers to communicate with what

A

medial cutaneous nerve of the thigh

saphenous nerve

44
Q

The posterior branch of the obturator nerve sends what type of fibers to the knee joint

A

articular fibers

45
Q

Clinical considerations of the lumbar plexus

A

muscular weakness

sensory deficits