Pelvis and Practical #2 Review Flashcards

1
Q

Urinary bladder

A
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2
Q

Broad ligament

A
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3
Q

Divisions of the internal iliac artery

A
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4
Q

Posterior division of the internal iliac artery

A
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5
Q

Iliolumbar artery

A
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6
Q

Superior gluteal artery

A
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7
Q

Lateral sacaral artery

A
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8
Q

Anterior division of the internal iliac artery

A
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9
Q

Umbilical artery

A
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10
Q

Obturator artery

A

Exits pelvic cavity to supply lower extrimity (through obturator canal)

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11
Q
A
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12
Q

Uterine and vaginal arteries

A

Uterine artery is larger

Inferior vesicle artery comes off of vaginal artery in females

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12
Q

inferior and superior vesicle arteries

A
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13
Q

Middle rectal artery

A
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14
Q

Obturator internus

A

i. Attaches to bone around the obturator foramen and distally to the greater trochanter of the femur
ii. Innervation is the nerve to obturator internus (L5, S1, S2) from sacral plexus

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15
Q

Piriformis muscle

A

i. attaches along the anterolateral edge of the sacrum and the greater trochanter of the femur
ii. innervation—ventral rami from S1, S2 or nerve to piriformis

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16
Q

Levator ani muscles – form the pelvic floor attach

A

Puborectalis
Pubococcygeus
Iliococcygeus
Coccygeus muscle

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17
Q

Iliococcygeus

A
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18
Q

Muscles of the pelvic diaphragm

A

Innervated by anterior rami of S3 and S4 spinal segments

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19
Q

Quadratus Lumborum

A

Flexes laterally (trunk) when unilaterally activated

Innervated by T12 (subcostal n) and L1-4 anterior rami

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20
Q

Psoas major

A

Attaches to the transverse processes (superior attachement) of the lumbar spine and less trochanter of the femus (distal attachement)

Innervated by L2-4 (penetrates muscle before L2-4 forms the femoral nerve)

Major hip flexor

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21
Q

Psoas minor

A

Flexes the L-spine (attaches distally to pelvis)

Innervated by L2-4 (penetrates muscle before L2-4 forms the femoral nerve)

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22
Q

Iliacus

A

Innervated by the femoral nerve (L2-4)

Joins the psoas major in attaching to the trochanter of the femur to aid in hip flexion

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23
Q

What drains the superficial surface of the anterior abdominal wall and thorax

A

Thoracoepigastric veins

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24
Q

Layers of IAO in regard to arcuate line

A

Above arcuate line - layers are split, internal layer is behind rectis abdominis, and external is in front

Below arcuate line - both layers are behind the rectis abdominis

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25
Q

What forms the deep ring

A

Transversalis fascia

Also forms internal spermatic fascia

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26
Q

Inferior epigastric vessel location in respect to deep and superifical rings

A

Inferior epigastric artery is medial to deep ring and external to superficial ring

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27
Q

Fiber types of nerves innervating the flat muscles of the abdomen

A

Somatic motor and sensory
Sympathetic motor and sensory

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28
Q

Important dermatomes

A
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29
Q

What layer of the flat muscle aponeuroses does not contribute to the coverings of the spermatic cord?

A

The transversus abdominis

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30
Q

Coverings of the spermatic cord and their origins

A

Cremaster muscle is specifically supplied by the genital n branching from the genitofemoral nerve

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31
Q

Arteries of the male urogenital system

A
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32
Q

Nerves of the male urogenital system

A

Pudendal n (S2-4) innervates the posterior scrotum or process vaginalis

Autonomics (sacral outflow) supply this area

33
Q

Veins of testis

A

The pampiniform plexus of veins

Radiator - cools the testicle - leads to the testicular vein

Left testicular vein - drains into the left renal vein
Right testicular vein - drains into the IVC

34
Q

Infection of testis can lead to swelling of which lymph nodes?

A

The para-aortic nodes and lumbar nodes

35
Q

Coverings of the testis

A

Dartos (smooth muscle) just deep to epidermis

Cremaster m - protection
Dartos m - temperature regulation

36
Q

Where does the testicular artery originate?

A

Level LV-1/2 off of the abdominal aorta

37
Q

Dorsal vs. ventral mesentery

A

If it connects to the liver it is ventral mesentery

I.e. the greater omentum is derived from dorsal mesentery

38
Q

Most posterior structure of the hepatoduodenal ligament

A

The portal vein (anterior to the epiploic foramen)

39
Q

Peptic ulcers of the first part of the duodenum

A

Problems for structures in the epiploic foramen:

Portal vein
IVC
Proper hepatic artery
Common bile duct

40
Q

Spleen is attached to posterior body wall by ______

A

The splenorenal ligament (dorsal mesentery that contains blood vessels)

Spleen is intraperitoneal

41
Q

What vessels travel through the splenogastric ligament?

A

Splenic a. branches to and from the stomach

42
Q

End of the foregut

A

Second part of the duodenum

Derived foregut structure - esophagus, stomach, and duodenum
Foregut outpocketings - Liver, pancreas, and gallbladder

43
Q

Three types of abdominal arteries off of the aorta

A

Ventral splanchnics - Celiac/SMA/IMA
Lateral Splanchnics - Renal/Gonadal
Lateral segmental - Arteries that supply the body wall

44
Q

Celiac trunk

Level and general destination

A

Off abdominal aorta at TV12 supplying foregut

45
Q

Superior mesenteric artery

Level and general destination

A

Off abdominal aorta at LV1 supplying midgut

46
Q

Inferior mesenteric artery

Level and general destination

A

Off abdominal aorta at LV3 supplying hindgut

47
Q

Superior mesenteric artery syndrome

A

Nutcracker

Left renal vein becomes compressed - Left testicular a./Left suprarenal a./Left renal a cannot drain

In males - their are no anastomotic connections with the testicle, there are for the ovary

Extreme weight loss causes mesentery to pull down on intestines

48
Q

Left gastric a.

A
49
Q

Splenic a.

A
50
Q

Gastroduodenal a.

A

Branches from the common hepatic, which branches from the celiac trunk

51
Q

Branches of the common hepatic a.

A
52
Q

What lobes are part of the “functional left side” of the liver?

A

The quadrate/caudate/ and left lobes

53
Q

Where is the bare area of the liver?

A

The posterior aspect of the right lobe

54
Q

The paraumbilical vein is part of what structure?

A

The falciform ligament (not the round ligament)

55
Q

Impressions of the liver

A

Right renal/right colic (ascending) and gastric impression (on the posterior aspect of the left lobe)

56
Q

What does a tumor of the head of the pancreas compress?

A

The common bile duct

57
Q

Ducts you need to know

A

Ampulla of vater (main pacreactic duct) at second portion of duodenum - even small gallstones can become stuck here

58
Q

Tumor in the tail of the pancrease can compress what vessels?

A

Vessels of the stomach and spleen

Tail of pancrease lives right inside splenorenal ligament

59
Q

Anterior edge of spleen

A

Weird edges

60
Q

What surrounds the head of the pancreas?

A

The first, second, and third portions of the duodenum

61
Q

Characeristics of the ileum

A

Peyer’s patches (visible to the naked eye)
Absence on interintestinal folds
Lots of fat in mesentery surrounding vasarecta/arcardes
Shorter vasa recta than the jejunum

62
Q

Characteristics of the large intestines

A

Epiploic appendages
Huastra (sacculations)
Tinea coli

63
Q

What portion(s) of the large intestines have an anterior mesentery?

A

The transverse and sigmoid colons

64
Q

What forms the interconnections between all of the atrial branches of the large intestines?

A
65
Q

What organ that drains into the portal system is not gut-derived?

A

The spleen (derived from mesoderm)

66
Q

What abdominal organs do not drain into the portal system?

A

The kidneys/adrenals/gonads

67
Q

How does the stomach drain into the portal system?

A

The L/R gastric veins drain directly into the portal vein

68
Q

Portal system anastomoses

A

Retrograde venous blood flow tracing:

Left portal vein -> paraumbilical veins -> thoracoepigastric veins -> L axilla or L femoral -> caval system

Superior rectal v -> Middle/inferior rectal veins -> internal iliac vv. -> IVC

Esophageal vv below diaphragm -> esophageal veins above diaphragm -> azygos v. -> vena cava

69
Q

Parasympathetic innervation of abdomen

A

Foregut - Vagus (CN X)
Midgut - Vagus (CN X)
Hindgut - S2-4 (pelvic splanchnic)

70
Q

Sympathetic innervation of abdomen

A

Foregut - greater splanchnic (T5-9) synapses at celiac ganglia
Midgut - lesser splanchnic (T10-11) synapses at superior mesenteric ganglia

Kidney and adrenals - sympathetic innervation by least splanchnic (T12)

Hindgut - lumbar splanchnic (L1-4) synapse on inferior mesenteric ganglia

Hindgut - also pelvic splanchnic (S2-4)

71
Q

Location of adrenal gland if Pt has pevlic kidney

A

Adrenal glands develop separately from kidney and will be where they normally are

72
Q

Renal structures that arise from the metanephric blastema

A
73
Q

Ligaments and foramina of the pelvis

A
74
Q

The pelvic diaphragm

A
75
Q

The broad ligament

A
76
Q

Anastomoses of the urterovaginal canal

A
77
Q

At the height of pregnancy, ~40% of all maternal cardiac output goes through ________ artery

A

The uterine artery

78
Q

The urogenital triangle

A

The ischiocavernosus and bulbospongious muscles rhythmically contract during the orgasmic platform

Innervated by the perineal branch of the pudendal nerve (S2-4 somatic)

79
Q

ian

Anatomy of the penis

A

Supplied by the dorsal branch of the pudendal nerve (purely sensory fibers)

80
Q

Pudendal nerve

A

Somatic nerve S2-3 - supplies the structures of the perineum, and sensory to the posterior scrotum.

81
Q

What supplies sensory innervation to the posterior aspect of the scrotum

A

Branch of the pudendal nerfve