REPRO Flashcards

1
Q

which muscle forms most of the pelvic diaphragm and which nerve innervates it?

A

Levator ani

innervated by pudendal nerve and nerve to levator ani

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2
Q

describe how faecal continence is maintained

A

tonic contraction of puborectalis bends the anorectic anteriorly

active contraction maintains continence after rectal filling

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3
Q

which 2 muscle groups make up the pelvic diaphragm?

A

Levator ani
Coccygeus

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4
Q

where do nerves that innervate organs that are above levator ani enter the spinal cord?

A

between levels T11/L2

(uterine tubes, ovaries, uterus)

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5
Q

where do nerves that innervate organs that are below levator ani enter the spinal cord?

A

S2, 3 and 4

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6
Q

at which level does the spinal cord become the cauda equina?

A

L2

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7
Q

at which spinal level is an epidural inserted into?

A

L3-L4 region

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8
Q

which structures does an epidural needle pass through?

A

supraspinous ligament

interspinous ligament

ligamentum flavum

epidural space

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9
Q

which structures does the needle pass through in a spinal anaesthetic?

A

supraspinous ligament

interspinous ligament

ligamentum flavum

epidural space

dura mater

arachnoid mater

subarachnoid space - contains CSF

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10
Q

where does the pudendal nerve exit the pelvis?

A

via the greater sciatic foramen

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11
Q

where does the pudendal nerve re-enter the pelvis?

A

via the lesser sciatic foramen

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12
Q

what does the broad ligament contain within it?

A

the uterine tubes and the round ligament

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13
Q

what is the most common uterine position?

A

anteverted and anteflexed

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14
Q

where does normal fertilisation occur?

A

the ampulla

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15
Q

What guides the descent of the testes?

A

Gubernaculum

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16
Q

which structure is used as a landmark for pudendal nerve block?

A

ischial spine

17
Q

damage to which muscle causes faecal incontinence?

A

puborectalis

18
Q

which muscle does not make up part of levator ani?

A

coccygeus

19
Q

at which level do the ovarian arteries arise from?

A

arise from the abdominal aorta around L2