Topics from UMichigan Flashcards

1
Q

occlusion of the urethra would occur in which part of the prostate?

A

the periurethral zone - hyperplasia there would occlude the prostatic urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the structure in females that is anterior to the rectum and firm, protruding into the vagina?

A

cervix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

the most inferior extent of the peritoneal cavity?

A

rectouterine pouch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

when the ductus deferens is ligated, what would remain in the ejaculate?

A

seminal fluid and prostatic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

ovarian artery

A

has branches that also supply the uterus (anastamose with uterine artery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

inferior vesical artery

A

supplies the inferior bladder (in males only); anastamoses with the middle rectal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

internal pudendal artery

A

supplies the perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ovarian ligament

A

tethers the ovaries to the uterus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is homologous to the male scrotum in females?

A

labia majora

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

pelvic splanchnic nerves

A

preganglionic, parasympathetic fibers from the lateral horn of S2-4 –> go to the inferior hypogastric plexus (along with the lumbar and sacral splanchnics) to provide parasympathetic innervation to pelvic viscera and GI tract distal to left colic flexure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

parasympathetic innervation to the gut (up until the left colic flexure)

A

posterior vagus nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Boundaries of the perineum:

A

anterior: pubic symphysis
anterolateral: ischiopubic rami
lateral: ischial tuberosities
posterolateral: sacrotuberous ligaments
posterior: coccyx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

perineal body

A

(only in females) irregular fibromuscular mass at the center of the body of the perineal membrane
**site of meet up of the external anal sphincter, bulbospongiosus, and superficial and deep transverse perineus muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

where do the bulbs of the vestibule/ bulb of the corpus spongiosum attach?

A

perineal membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

ejaculatory duct

A

courses through the prostate gland and contains only semen which is

  • sperm from ductus deferens
  • seminal fluid from seminal vesicles
  • prostatic fluid from prostate gland
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are the erectile bodies in men?

A

2 corpora cavernosa

1 corpus spongiosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are the erectile bodies in women?

A

2 crura of the clitoris

2 vertibular bulbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the four portal-caval anastamoses

A
  1. superior rectal –> inferior rectal
  2. esophageal (L. gastric) –> esophageal (azygous)
  3. paraumbilical –> veins of the anterior abdominal wall
  4. colic –> retroperitoneal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

posterior recess of the ischioanal fossa

A

extends deep to the sacrotuberous ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

when doing a pudendal nerve block, what bony landmark should be palpated?

A

ischial spines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what nerve mediates erection?

A

pelvic splanchnics (parasympathetic). in males, contribue to prostatic plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

where does the inferior rectal vein drain into?

A

the internal pudundal vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what lymphatic node drains the perineum and external genitalia (labia majora and scrotum)

A

superficial inguinal lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

where do the testes and ovaries drain?

A

lumbar nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

where are the lymphatic vessels that drain the testes contained?

A

in the spermatic cord

26
Q

what does the epigastric region contain?

A

duodenum, part of stomach, part of liver, pancreas

27
Q

c-sections happen below the arcuate line. what would the surgeon not cut thru?

A

posterior rectus sheath (ends at arcuate line)

28
Q

linea alba goes from ____ to _____

A

xiphoid process –> pubic symphysis

29
Q

superior epigastric arteries communicates with ______

A

inferior epigastric artery (comes off of external iliac)

30
Q

medial umbilical fold

A

made by medial umbilical ligament

31
Q

lateral umbilical forld

A

fold of peritoneum over the inferior epigastric vessels

32
Q

median umbilical fold

A

made by median umbilical ligament (obliterated urachus)

33
Q

urachus is now the

A

median umbilical fold

34
Q

medial inguinal fossa

A

space on the inner abdominal wall between the medial umbilical fold and lateral umbilical fold

35
Q

round ligament of the uterus passes through the ______

A

inguinal ring

36
Q

SI is distinct from LI because it has _______-

A

circular folds

37
Q

tenia coli

A

longitudinal muscle in LI (there are 3 of them)

38
Q

middle colic artery

A

branch of the SMA, supplies transverse colon; serves the most distal part of the colon before IMA takes over

39
Q

sensation around the umbilicus receives innervation from

A

T10

40
Q

immediately inferior to the spleen is the ________

A

Left colic flexure

41
Q

marginal artery

A

anastamotic artery running along the border of the LI. contains branches of the ileocolic, right coloc, middle colic, left colic and sigmoidal arteries

42
Q

anastamosis between SMA and IMA

A

middle and left colic arteries

43
Q

SMA supplies the

A

midgut

44
Q

what nerve carries pain sensation from the cheek area?

A

buccal (V.3)

45
Q

muscle that retracts the mandible

A

temporalis

46
Q

actions of the lateral pterygoid muscle

A

protraction/protrusion of mandible, contralateral deviation, opening the jaw

47
Q

action of masseter

A

elevates the mandible

48
Q

actions of the mylohyoid

A

elevates the hyoid and tongue, depresses the mandible

49
Q

inferior alveolar nerve

A

supplies sensory innervation to the mandible/mandibular teeth

50
Q

muscles that elevate the mandible

A

masseter, temporalis, medial pterygoid (all innervated by V.3)

51
Q

otic ganglion path

A

lesser petrosal nerve (branch of CN IX) –> OG –> auriculotemporal n. –> parotid gland

52
Q

geniculate ganglion path

A

sensory cell bodies for the facial n (anterior 2/3 tongue taste)

53
Q

submandibular ganglion

A

recieves from chorda tympani –> salivary glands

54
Q

ciliary ganglion

A

receives from CN III –> CG –> short ciliary n. –> sphincter pupilae and ciliary muscle (accomodation)

55
Q

mylohyoid innervation

A

nerve to the mylohyoid (branch of the inferior alveolar n.)

56
Q

2 nerves come between the heads of the lateral pterygoid:

A
  1. anterior deep temporal n.

2. buccal n.

57
Q

chorda tympani exits the skull through the

A

petratympanic fissure

58
Q

V.3 innervates:

A
  • muscles of mastication
  • tensor tympani
  • mylohyoid
59
Q

buccinator m. is innervated by th

A

facial nerve

60
Q

mental nerve

A

sensory innervation to the chin