Chapter 5 (The Inguinal Region)

Question 1

(Inguinal Region)

Extends between the ____ ____ ____ ___ (ASIS) of the hip bone an public tubercle

Answer 1

anterior superior iliac spine

Question 2

(Inguinal Region)

Region where the structures exit and enter the _____ ______

Answer 2

Abdominal cavity

Question 3

(Inguinal Region)

These pathways are potential sites for _______

Answer 3

herniation

Question 4

(Inguinal Region)
Contains the ____ ____ and _____ ____ extending from the ASIS to the public tubercle to form the anterior (flexor) retinaculum of the hip joint

Answer 4

inguinal ligament and iliopubic tract

Question 5

(Inguinal Region)
The retinaculum spans the ______ space for passage for the flexors of the hip and neurovascular structures that serve the lower extremity.

Answer 5

subinguinal space

Question 6

(Inguinal Region)

Inguinal ligament

Answer 6

A dense band constituting the inferior-most part of the aponeuosis of the external oblique between the ASIS and public tubercle

Question 7

(Inguinal Region)

Iliopublic tract

Answer 7

Thickened inferior margin of the transversalis fascia within the internal surface of the anterolateral abdominal wall

Question 8

(Inguinal Region)

Myopectineal orifice

Answer 8

The inguinal ligament and iliopublic tract provide central strength to an area of innate weakness

Question 9

(Inguinal Region)

Inguinal canal

Answer 9

Transmits the spermatic cord in males and the round ligament of the uterus in females

Question 10

(Inguinal Region)

Inguinal canal also contains

Answer 10

blood and lymphatic vessels, the ilio-inguinal nerve, and genital branch of the genitofemoral nerve

Question 11

(Inguinal Canal)
An oblique passage directed inferomedially through the abdominal from the ____ ____ ____ to the _____ ____ ____ in teh external oblique aponeurosis, where the spermatic cord or round ligament of uterus and the ilio-inguinal nerve emerge from the canal

Answer 11

deep inguinal ring to the superficial inguinal ring

Question 12

(Inguinal Canal)

Lies superior and parallel to the

Answer 12

medial half of the inguinal ligament

Question 13

(Boundaries of the inguinal canal)

Anterior wall

Answer 13

Formed by external oblique aponeurosis with the lateral part reinforced by the muscle fibers of the internal oblique

Question 14

(Boundaries of the inguinal canal)

Posterior wall

Answer 14

Formed by the transversalis fascia reinforced medially by the conjoint tendon (inguinal falx)

Question 15

(Boundaries of the inguinal canal)

Roof

Answer 15

Formed by the transversalis fascia and arching fibers of the internal oblique and transverse abdominis muscles

Question 16

(Boundaries of the inguinal canal)

Floor

Answer 16

Formed laterally by the iliopubic tract, centrally by the inguinal ligament, and medially by the laculnar ligament

Question 17

Inguinal hernia

Answer 17

Protrusion of the parietal peritoneum and viscera (like the small intestine) from the abdominal cavity through an opening or weak spot in the abdominal wall

Question 18

(Inguinal hernia)

Account for _____ of abdominal hernias

Answer 18

> 75%

Question 19

(Inguinal hernia)

Two types of inguinal hernias

Answer 19

Direct and indirect

Question 20

(Inguinal hernia)

Indirect inguinal hernias are the _____ common type of hernia

Answer 20

Most. More than 2/3 of inguinal hernia

Question 21

(Inguinal hernia)
When a hernia is present, when palpitating the _____ _____ _____, a sudden impulse is felt against the tip of the examining finger when a patient is asked to cough.

Answer 21

superficial inguinal ring

Question 22

(Inguinal hernia)

Detection of an ________________________ ring will suggest an indirect hernia.

Answer 22

impulse at the superficial ring and a mass at the deep inguinal