Semester 2 Flashcards
What are the pouches in the female pelvis?
vesicouterine pouch
rectouterine pouch
What pouches are in the male pelvis?
vesicorectal pouch
What sort of tissue lines the bladder?
transitional cell epithelium
What name is given to the folds on the inside of the bladder?
rugae
What name is given to the apex of the bladder posterior to pubic symphysis?
urachus
What name is given to the triangular area of smooth mucous membrane at the base of the bladder?
trigone
where do the ureters enter and urethra exit the bladder?
trigone
What name is given to the smooth muscle coat that lines the trigone?
Detrusor
What structure holds the neck of the bladder in place?
male- puboprostatic ligament
female- pubovesical ligament
Describe the arterial supply to the bladder?
two superior vesical arteries
and inferior vesical artery from internal iliacs
Which veins drain the bladder?
vesical plexus
what veins does the vesical plexus drain into?
internal iliac
what nerves supply the bladder?
ANS inferior hypogastric plexus
Which lymph nodes drain the ureters?
lumbar
common iliac
external iliac
internal nodes
as they descend
What lymph nodes drain the bladder?
internal iliac
What is the main lymphatic drainage of the urethra?
internal iliac
which lymph nodes drain the spongy urethra in the penis?
deep inguinal nodes
at what vertebral level is the rectum?
3rd sacral vertebra to the tip of the coccyx
which part of the rectum is covered by visceral peritoneum?
upper 1/3
which part of the rectum is covered by peritoneum on the anterior surface?
middle 1/3
Which part of the rectum is infraperitoneal?
lower 1/3
Which muscle forms a sling around the rectum?
puborectalis
which artery supplying the rectum is a branch of the inferior mesenteric artery?
superior rectal artery
which artery supplying the rectum is a branch of the internal iliac artery?
middle rectal artery
which artery supplying the rectum is a branch of the internal pudendal artery?
inferior rectal artery
which lymph nodes drain the rectum?
pararectal
Which nerves supply the rectum?
inferior hypogastric plexus
Name the three parts of the broad ligament
mesosalpinx
mesovarium
mesometrium
which ligament contains the ovaries?
broad ligament
which ligament suspends the uterus in the pelvis?
round ligament
which ligaments attach the cervix offering support to the uterus?
transverse cervical
uterosacral
pubocervical
describe anteversion
long axis of uterus bent forward on long axis of vagina
describe anteflexion
long axis of uterus bent forward at internal os with long axis of vagina
Which ligament contains the suspensory ligament of the ovary?
broad ligament
How long is the seminal vesicle?
5cm
Which arteries supply the vas?
inferior vesical artery
prostatic artery
what substances are secreted by the prostate?
proteolytic enzymes and acid phosphatase
Which arteries supply the prostate?
internal pudendal
middle rectal
inferior vesical arteries
Which vein drains the prostate?
deep dorsal vein of the penis
Which structures support the prostate?
pubo-prostatic ligament
levatore prostatae
Which lymph nodes drain the prostate?
internal iliac
What structures are contained in the ischioanal fossa?
branches pudendal nerve, artery and vein
adipose tissue
what structures form the walls of the ischioanal fossa?
ischial tuberosity
rectum/anal canal
What structure forms the roof of the ischioanal fossa?
levator ani
what structure forms the floor of the ischioanal fossa?
skin
Is inferior rectal nerve motor or sensory?
motor
Is pudendal nerve motor or sensory?
both
When does the rectum become the anal canal?
when is pierces the pelvic floor
What structures are contained within the anal columns?
terminal radicle of the superior rectal vessels
What name is given to the line that demarcates the transition from anal canal to skin?
anocutaneous line
What name is given to scarpas fascia once it is covering the reproductive organs?
Colles’ fascia
Which structure replaces Campers fascia in the male scrotum?
dartos muscle
how many layers make up the urogenital diaphragm?
3
Which muscles make up the muscular layer of the urogenital diaphragm?
sphincter urethrae
deep transverse perineal muscles
which structures are contained in the deep perineal pouch in both males and females?
urethra, spincter urethrae, deep transverse perineal muscles, internal pudendal vessels, pudendal nerve
which structures are contained in the deep perineal pouch in females?
vagina
dorsal nerves of the clitoris
Which structures are contained in the deep perineal pouch in males?
membranous urethra, dorsal nerves of the penis
bulbourethral glands
penile arteries
Where is the superficial perineal pouch?
between the perineal membrane and the skin
which muscles are contained in the superficial perineal pouch?
ischiocavernosus
bulbospongiosus
superficial transverse perineal muscles
Which nerve roots contribute to the sciatic nerve?
L4-S3
Which nerve roots contribute to the superior gluteal nerve?
L4-S1
Which nerve roots contribute to the inferior gluteal nerve?
L5-S2
Which muscle lies between the gluteal nerves?
piriformis
Which nerve roots contribute to nerve to obturator internus?
L5-S1
Which pelvic foramen does the nerve to obturator internus pass through?
lesser sciatic foramen
Which nerve roots contribute to nerve to piriformis?
S1-S2
Which nerve roots contribute to the pudendal nerve?
S2-S4
Which muscles are supplied by the pudendal nerve?
levator ani external anal sphincter external urethral sphincter bulbospongiosus ischiocavernosus
Are the pelvic splanchnic nerves sympathetic or parasympathetic?
parasympathetic
what nerve roots contribute to the pelvic splanchnic nerves?
S2-S4
Name the branches of the anterior division of the internal iliac artery?
umbilical obturator inferior vesical/uterine inferior gluteal middle rectal internal pudendal
Name the branches of the posterior division of the internal iliac artery?
iliolumbar
lateral sacral
superior gluteal
Which pelvic ligaments form the greater and lesser sciatic foramen?
sacrotuberous and sacrospinous ligaments
What two types of joint contribute to the sacroiliac joints?
fibrous
synovial
which nerve roots supply psoas?
L2-L4 anterior rami
Which 2 muscles contribute to the pelvic floor?
levator ani
coccygeus
which nerve roots supply coccygeus?
S4-S5
What are the 2 parts of levator ani?
pubococcygeus
iliococcygeus
What name is given to the area of attachment of iliococcygeus to the fascia of obturator internus?
tendinous arch of levator ani
What nerve is formed from the posterior divisions of L2, 3 and 4?
femoral
What nerve is formed by the anterior divisions of L2, 3 and 4?
obturator
which side of the lower limb does the great saphenous vein run up?
medial
Does the short saphenous vein run up the anterior or posterior aspect of the leg?
posterior
What 2 groups make up the superficial inguinal lymph nodes?
horizontal
vertical
what structures are drained by the horizontal inguinal lymph nodes?
anterior abdominal wall
lower half of the anal canal
posterior abdominal wall
What structures are drained by the vertical group of superficial inguinal lymph nodes?
superficial lower limb
what name is given to the thick fascia covering the anterior thigh?
fascia latae
what name is given to the lateral thickening of fascial latae?
iliotibial tract
in what layer of fascia is the saphenous hiatus found?
cribiform fascia
What tissue layers form the roof of the femoral triangle?
fascia latae
cribiform fascia
subcutaneous fat
skin
Which ligament forms the superior border of the femoral triangle (base)?
inguinal ligament
which muscle forms the lateral border of the femoral triangle?
sartorius
Which muscle forms the medial border of the femoral triangle?
adductor longus
what 2 muscles form the floor of the femoral triangle?
iliopsoas
pectineus
What are the contents of the femoral triangle from lateral to medial?
nerve
artery
vein
lymphatics
which structure found within the femoral triangle is not contained within the femoral sheath?
femoral nerve
What is contained within the femoral canal?
fat and lymphatics
What hip flexors are contained within the anterior compartment of the thigh?
iliacus
psoas major
pectineus
sartorius
What knee extensors are contained within the anterior compartment of the thigh?
Quadriceps group: rectus femoris vastus medialis vastus lateralis vastus intermedius
Which nerve supplies the anterior compartment of the thigh?
femoral
Which part of quadriceps also acts as a hip flexor?
rectus femoris
Which part of the lower limb does the femoral nerve offer cutaneous supply to?
anteromedial thigh
What action is performed by muscles in the medial thigh?
hip adduction
Which muscles are contained within the medial thigh?
gracilis adductor longus adductor brevis adductor magnus obturator externus
which nerve supplies the muscles of the medial thigh?
obturator except hamstring part of adductor magnus
which nerve supplies the hamstring part of adductor magnus?
tibial nerve
which muscle contained within the medial thigh does not adduct the hip?
obturator externus
what movement is caused by obturator externus?
lateral rotation of the thigh (same as obturator internus)
the anterior and posterior divisions of the obturator nerve are names with regards to which muscle of the medial thigh?
adductor brevis
Which muscles form the boundaries of the adductor canal?
sartorius
vastus medialis
adductor longus
what structures pass through the adductor canal?
femoral vessels
saphenous nerve
What name is given to the angle of the head and neck of the femur that brings the knees closer to the midline?
Angle of inclination
Which of the gluteal muscles are lateral rotators of the hip?
gluteus maximus piriformis obturator internus gemelli quadratus femoris
Which of the gluteal muscles are medial rotators and abductors of the hip?
gluteus medius and minimus
what is the main function of gluteus maximus?
hip extension
which nerve supplies glut maximus?
inferior gluteal nerve (L5-S2)
Which nerve supplies tensor fasciae latae?
superior gluteal nerve (L4-S1)
Which foramen does piriformis pass through?
greater sciatic foramen
which nerve supplies piriformis?
anterior rami of S1 and 2
Which foramen does obturator internus pass through?
lesser sciatic foramen
NOT OBTURATOR FORAMEN
Which nerve supplies obturator internus?
nerve to obturator internus (L5-S1)
Which muscle runs in between the superior and inferior gemelli?
obturator internus
what is the origin of superior gemellus?
ischial spine
What is the origin of inferior gemellus?
ischial tuberosity
what nerve supplies superior gemellus?
nerve to obturator internus
What nerve supplies inferior gemellus?
nerve to quadratus femoris
What foramen do the gemelli pass through?
lesser sciatic foramen
What is he function of obturator externus?
laterally rotates the hip
Which nerve supplies obturator externus?
obturator nerve ( L3-4)
which nerve emerges below piriformis?
sciatic
The superior and inferior gluteal vessels and nerves are named in relation to which structure?
piriformis
Which branches are given off by the posterior cutaneous nerve of the thigh to supply the skin of the inferior half of the buttock?
inferior clunial nerves
Which vessel runs in the ligament of head of femur?
artery to head of femur
What movements are limited by the iliofemoral ligament?
extension
lateral rotation
adduction
abduction
what movements are limited by the pubofemoral ligament?
extension
lateral rotation abduction
What movements are limited by the ischiofemoral ligament?
extension
medial rotation
adduction
what is the only ligament contributing to the posterior aspect of the acetabulum?
ischiofemoral ligament
Which arteries supply the hip joint?
artery to head of femur
medial circumflex femoral artery
lateral circumflex femoral artery
Which muscles make up the posterior compartment of the thigh?
semitendinosus
semimembranosus
biceps femoris
What are the rules for a true hamstring?
originate from ischial tuberosity
act at both the hip and the knee
supplied by tibial division of the sciatic nerve
Which hamstrings lie on the medial side of the posterior thigh?
semitendinosus and semimembranosus
Which part of biceps femoris isn’t a true hamstring?
short head
Which nerve supplies the short head of biceps femoris?
common peroneal nerve
Which muscle rotates the knee laterally when flexed?
biceps femoris
Which muscles rotate the knee medially when flexed?
semimembranosus
semitendinosus
gracilis
sartorius
Which nerve runs deep to the long head of biceps femoris?
sciatic nerve
What two structures pierce the roof of the popliteal fossa?
sural nerve
short saphenous nerve
The tendons of which muscles form the superior border of the popliteal fossa?
biceps femoris
semimembranosus
semitendinosus
Which muscle forms the inferior border of the popliteal fossa?
gastrocnemius
what structures are contained within the popliteal fossa?
popliteal artery
popliteal vein
tibial nerve
common peroneal nerve
which muscle forms the floor of the popliteal fossa?
popliteus
what name is given to the expansion of semimembranosus that reinforces the knee joint capsule?
oblique popliteal ligament
how many genicular branches does the popliteal artery have?
5
when does the femoral artery become the popliteal artery?
adductor hiatus
what are the terminal branches of the popliteal artery?
anterior and posterior tibial arteries
How many articulations make up the knee joint?
3
what names are given to the articulations of the knee joint?
femoropatellar
femorotibial
Does the fibula articulate at the knee joint?
no
What structure holds the bursae of the knee joint in place?
articularis genu
which bursa of the knee runs behind the quads?
suprapatellar
which bursa of the knee lubricates the movements of gracilis, sartorius and semitendinosus?
anserine bursa
What are the extracapsular ligaments of the knee?
oblique popliteal
arcuate popliteal
medial and lateral collateral
what are the intracapsular ligaments of the knee?
anterior and posterior cruciate ligaments
The medial meniscus is attached to the deep fibres of which ligament?
medial collateral
what is the function of PCL?
prevents femur sliding anteriorly on the tibia
what is the function of ACL?
prevents femur sliding posteriorly on the tibia
the cruciate ligaments limit rotation of the tibia in which direction?
medial
which movement is limited by the anteromedial band of ACL?
flexion
which movement is limited by the posterolateral band of ACL?
extension
Which movement is limited by the anterolateral band of PCL?
flexion
which movement is limited by posteromedial band of PCL?
extension
What tissue are the menisci composed of?
fibrocartilage
what are the functions of the menisci?
deepens articular surface
shock absorption
which meniscus is C shaped and firmly attached to the tibial collateral ligament?
medial meniscus
which meniscus is circular and freely moveable?
lateral meniscus
What direction do the fibres of the interosseous membrane pass from tibia to fibula?
inferolaterally
What type of joint is the superior tibiofibular joint?
plane synovial
which four muscles are contained in the anterior compartment of the leg?
tibialis anterior
extensor digitorum longus
peroneus tertius
extensor hallucis
What is the function of the anterior compartment of the leg?
extension of the ankle and digits
which nerve supplies the anterior compartment of the leg?
deep peroneal nerve
besides dorsiflexion, what other movement is mediated by tibialis anterior?
inversion of the foot
Besides dorsiflexion, what other movement is mediated by peroneus tertius?
eversion of the foot
what shape is the inferior extensor retinaculum?
Y-shaped
where does the superior extensor of retinaculum span?
anterior border of tibia to lower end of fibula
what muscles are contained in the dorsum of the foot?
extensor hallucis brevis
extensor digitorum brevis
which nerve supplies the muscles of the dorsum of the foot?
deep peroneal nerve
what muscles are contained in the lateral compartment of the leg?
peroneus longus
peroneus brevis
what nerve supplies the lateral compartment of the leg?
superficial peroneal nerve
what is the function of the muscles of the lateral compartment of the leg?
eversion of the foot
where do the tendons of the lateral compartment pass in relation to the lateral malleolus
posteriorly
what parts of the skin of the leg get cutaneous supply from the superficial peroneal nerve?
distal anterior surface of the leg
dorsum of the foot
which nerve runs alongside the anterior tibial artery?
deep peroneal nerve
which nerve gives cutaneous innervation to the skin of the first web space?
deep peroneal nerve
which artery gives rise to the fibular artery that supplies the lateral compartment?
posterior tibial artery
where does the popliteal artery branch into anterior and posterior tibial arteries?
inferior border of popliteus
Dorsalis pedis is a branch of which artery?
anterior tibial artery
What are the branches of dorsalis pedis?
lateral tarsal artery
deep plantar artery
arcuate artery
What are the three superficial muscles of the posterior compartment of the leg?
gastrocnemius
plantaris
soleus
What common tendon unites the superficial muscles of the posterior leg?
tendocalcaneous
what are the four deep muscles of the posterior compartment of the leg?
flexor digitorum longus
tibialis posterior
flexor hallucis longus
popliteus
which superficial muscle of the posterior leg aids in flexion of the knee?
gastrocnemius
which nerve supplies the muscles of the posterior compartment of the leg?
tibial nerve
what is the main function of the superficial muscles of the posterior compartment of the leg?
plantarflexion
what is the function of popliteus?
unlocks the knee joint by laterally rotating the femur on fixed tibia allowing full extension
In what order do structures pass behind the medial malleolus?
tibialis posterior flexor digitorum longus posterior tibial artery posterior tibial vein tibial nerve flexor hallucis longus
what are the terminal branches of posterior tibial artery?
medial and lateral plantar arteries
what are the terminal branches of the tibial nerve?
medial and lateral plantar nerves
what kind of joint is the inferior tibiofibular joint?
syndesmosis
what name is given to the arch formed by the distal tibia and fibula that articulates with the trochlea of the talus?
malleolar mortise
why is there a greater ROM for plantarflexion than dorsiflexion?
the talus is wider posteriorly
which three ligaments make up the lateral collateral ligaments of the ankle?
anterior talofibular
posterior talofibular
calcaneofibular
What are the four parts of the deltoid ligament?
anterior tibiotalar
tibionavicular
tibiocalcaneal
posterior tibiotalar
what are the names of the bones of the foot?
phalanges metatarsals medial, intermediate and lateral cuneiforms navicular cuboid calcaneus talus
Is the navicular bone medial or lateral?
medial
Is the cuboid bone medial or lateral?
lateral
What are the muscle compartments of the foot?
dorsum interossei medial central lateral
what muscles are contained in the dorsum of the foot?
extensor digitorum brevis
extensor hallucis brevis
what muscles are contained in the medial compartment of the foot?
abductor hallucis
flexor hallucis brevis
what muscles are contained in the central compartment of the foot?
flexor digitorum brevis
lumbricals
quadratus plantae
aductor hallucis