Pelvis I and II Flashcards

1
Q

what two bones make up the obturator foramen

A

the ischium and the pubis

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2
Q

what bones converge to make the acetabulum

A

the ilium, ischium and pubis

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3
Q

what is the arcuate line (of the ilium) continuous with?

A

the pectineal line

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4
Q

what kind of joint is the sacroiliac joint

A

synovial

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5
Q

what makes up the pelvic brim

A

sacral promontory
arcuate line of the ilium
pectineal line of the pubis

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6
Q

greater pelvis vs lesser

A

greater is above arcuate line and is the FALSE pelvis

lesser below and is the true pelvis

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7
Q

what kind of joints are the lumbosacral, sacrococcygeal, and the pubic symphisis?

A

secondary cartilaginous- fibrocartilagenous

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8
Q

What creates the lesser sciatic foramen? superior sciatic foramen?

A

lesser-created by sacrotuberous joint between the sacrum and the ischial
tuberosity
greater- formed by sacrospinous ligament formed by the sacrum and the spinous process

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9
Q
males v/s female structure
sciatic notch- 
pelvic inlet-
pelvic canal- 
ITs-
Pubic arch and subpubic angle-
sacrum-
A

sciatic notch- hugs more in males
pelvic inlet- male is heart-shaped, women are round
pelvic canal- short and round for women, men, elongated and funnel-shaped
ITs-come in on males, spread out in females
Pubic arch and subpubic angle- wider in females (90 degrees) and narrower in males (70)
sacrum- females have short and brad sacrum, males long and narrow

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10
Q

what path does the obturator internus muscle pass thru

A

-obturator inturnus goes thru the lesser sciatic foramen to attach to the greater trochanter

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11
Q

piriformis start and end

A
  • starts attached to the sacrum and passes thru the greater sciatic foramen to go to the greater trochanter
  • bed for sacral nerve plexus
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12
Q

pelvic diaphragm

what does it do

A

-supports abdominal viscera and helps to hold poop and urine

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13
Q

what makes up the pelvic diaphragm?

A
  • the levator ani (pubococcygeous and the illiococcygeous and the puborectalis) and the coccygeous
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14
Q

where does the coccygeous muscle extend from and to?

A

from the ischial spine to the sacrum/coccygeous

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15
Q

where does the iliococcygeous muscle arise from and go to?

A

from the tendinous arch and ischial spine to the coccyx

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16
Q

what’s an important feature of the ureter in females vs males?

A

-ureter will run medial to the uterine artery in the female

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17
Q

what crosses (medially) the ureter on the male?

A

the ductus (vas) defernens

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18
Q

what is the bladder made up of?

A

-apex, body, fundus, neck, trigone

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19
Q

what’s the bladder trigone

A
  • 2 ureteric orifices on either side of the ureteric meatus that pump pee into the bladder
  • the back wall of the bladder is what prevents the urine from being piped back into the ureter
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20
Q

how are the male and female bladders different?

A

the male bladder has an internal urethral sphincter next to the internal uretary meatus (opening)

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21
Q

where is the prostate located

A

right under the bladder of males

22
Q

what are the four urethras in males?

A
preprostatic urethra
(then internal sphincter)
prostatic (prostate) urethra
(external sphincter)
membranous urethra
spongy urethra
23
Q

where is a kidney stone most likely to get stuck in a male urethra?

A

-in the membranous urethra because it’s the most narrow part (prostatic urethra is the widest)

24
Q

what are some components of the prostate?

A
  • urethral crest -bump inside
  • seminal colliculus- bump
  • prostatic ducts- provide nutrients to semen
  • prostatic utricle -remnant
  • ejaculatory ducts x2
25
Q

fxn of bladder

A

reservoir for pee

26
Q

what is the difference between adult and child bladder

A

child often rests in abdomen

27
Q

detrusor muscle

A

bladder muscle that lies at the posterior wall that prevents urine from going back up the ureter

28
Q

what’s different between male and female urethral necks?

A

Female neck muscle is same as the urethral muscle (voluntary)
-Male- urethral neck is continuous with prostatic muscle (involuntary) to create internal sphincter to prevent semen from entering bladder

29
Q

urethra vs ureter

A

ureter- tx pee from kidneys to bladder

urethra- tx urine from bladder to outside

30
Q

how are urethras different between males and females?

A

females have one and goes anterior to vagina

males have 4- preprostatic, prostatic, membranous and spongy urethra

31
Q

describe preprostatic, prostatic, membranous and spongy urethra and where are the internal and external sphincters

A
preprostatic- before prostate 
(internal sphincter)
prostatic
(external sphincter)
membranous
spongy
32
Q

path of an egg

A

ovary to infundibulum to ovarian tube that goes- ampulla to isthmus to uterine horn to uterus

33
Q

part of uterus

A

body, fundus, cervix

34
Q

ovarian ligament

A

ovary to uterus (fallopian tube)

35
Q

round ligament

A

uterus to labia majora via inguinal canal

36
Q

mesoovarium
mesosalpinx
mesometrium

A

mesoovarium- suspends ovary
mesosalpinx- suspends uterine tube
mesometrium- suspends uterus

37
Q

innervation of vagina

A

lower 1/4- somatic (deep perineal branch of pudendal)

upper 3/4- autonomic

38
Q

when sperm is made in the testes, it is stored in the epididymis and then exits via the vas deferens. what happens next?

A
  • vas deferens joins with 2 seminal vesicles forming the ejaculatory duct
  • they then converge on the seminal colliculus which is in the extension of the urethral crest
39
Q

bulbourethral glands
what do they do
where do they open to

A

secrete fluid at sexual arousal

open to spongy urethrain BULB of penis

40
Q

semen is a combo of secretions of

A

tests, seminal vesicles, porstate and bulbourethral glands

41
Q

Benign prostatic hyperplasia (hypertrophy), how it’s fixed and complications

A
  • benign prostatic hyperplasia is an increase in size of one part of the prostate that gives extreme urgency to urinate.
  • TURP- used to fix it via intering electric catheter in and obliterating that section
  • complications: mess with internal or external sphincter causing dribbling of urine or sperm entering bladder
42
Q

retropubic space

A

behind pubis- promotes bladder distention

43
Q

retrorectal space

A

behind rectum and accommodates rectum expansion

44
Q

retrovesicle space

A

behind bladder/prostate and rectum
ONLY IN MALE BECAUSE FEMALE HAS THE UTERUS THERE
-allows for expansion of bladder and rectum

45
Q

rectrovesicle pouch

A

-pouch between the bladder, prostate and rectum in MALES

46
Q

rectouterine pouch

vesouterine pouch

A
  • between uterus and rectum (pouch of douglus- deeper than vesouterine pouch)
  • between bladder and uterus
47
Q

spinal level of pudendal nerve

A

s2-4
exits pelvis via greater sciatic foramen, enters perineum via lesser sciatic foramen
supplies skin and muscles of perineum and main sensory nerve for external genitalia

48
Q

spinal level of sciatic nerve

what it does

A

L4-S3
supplies lower limb
exits pelvis via greater sciatic foramen

49
Q

superior gluteal

A

L4-S1
exits pelvis via greater sciatic foramen
supplies gluteus medius, tensor facia lata and gluteus minimus

50
Q

inferior gluteal

A

L5-S2
exits pelvis via greater sciatic foramen
supplies gluteus maximus