Anatomy Part 2 Flashcards

1
Q

Bones of the pelvis

A

Ilium
Ischium
Pubis

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2
Q

Name x3 coccygeus muscles from ant to post + 1 other

A

Pubococcygeus - levator ani
Ileococcygeus - levator ani
Ischiococcygeus
Piriformis

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3
Q

Median and medial umbilical ligaments: position and remnant of?

A

Median in the middle, remnant of urachus
Medial is Lateral, occluded umbiLical artery

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4
Q

3 muscles of anterior urogenital triangle (superficial)

A

Ischiocavernosus
Bulbospongiosus
Superficial Transverse perineal

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5
Q

3 muscles of deep perineal space

A

Compressor urethrae
Sphincter urethrovaginalis
(These 2 combined = external urethral sphincter)
Deep transverse perineal space

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6
Q

3 Posterior branches of internal iliac

A

Ileolumbar artery
Lateral sacral artery
Superior gluteal artery

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7
Q

3 anterior branches of internal iliac related to the bladder

A

Umbilical artery
Superior vesicle artery
Inferior vesicle artery

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8
Q

3 anterior branches of internal iliac related to the visceral structures

A

Uterine artery
Vaginal artery
Middle rectal artery

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9
Q

3 anterior branches of internal iliac related to the body wall

A

Obturator artery
Inferior gluteal artery
Internal pudendal artery ->

gives inferior rectal branch

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10
Q

Internal pudendal artery 2 key branches
1 further sub branch

A

Internal pudendal artery
- inferior rectal branch
- Perineal branch -> labial branch

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11
Q

Innervation of perineum
4 key nerves
3 sub branches of the first nerve

A

Perineal nerve
- inferior rectal branch
- labial branch
- clitoral branch
Pudendal nerve (s234)
Ilioinguinal nerve
Genital branch of genitofemoral nerve

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12
Q

Aponeuroses above the arcuate line
Relative to rectus abdominis

A

External oblique - anterior
Internal oblique - anterior and posterior
Transversus abdominis - posterior

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13
Q

Aponeuroses below the arcuate line
Relative to rectus abdominis

A

External oblique, internal oblique and transversus all pass anterior to rectus abdominis

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14
Q

Origin of external oblique

A

Digitisations of lower 8 ribs

From higher up goes down

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15
Q

Origins of internus oblique

A

Thoraco-lumbar fascia
Lateral inguinal ligament
Medial half iliac crest

From bottom goes up

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16
Q

Inner stain of anterior abdominal wall
Ext oblique
Int oblique / transversus
Obstetric surgery area of innervation

A

Ext oblique - T7 - T12
Int oblique / transversus - T7 - T12 + L1
Obstetric surgery area of innervation - T11, T12, L1

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17
Q

Vasculature of abdo wall
X2 key vessels

A

External iliac -> *inferior epigastric artery

Internal thoracic artery -> *superior epigastric artery

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18
Q

Posterior abdo wall
3 key muscles

A

Psoas major
Erector spinae
Quadratus lumborum

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19
Q

Lymph drainage of ovarian and Fallopian tube

A

Para aortic

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20
Q

Lymph drainage of fundus of uterus

A

Para aortic / lumbar / superficial inguinal

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21
Q

Lymph drainage of body of uterus

A

Internal iliac

22
Q

Lymph drainage of cervix

A

External iliac

23
Q

Lymph drainage of upper vagina

A

Internal and external iliac

24
Q

Lymph drainage of lower vagina

A

Inguinal

25
Q

Lymph drainage of bladder

A

External, internal and common iliac lymph nodes

26
Q

Inguinal canal borders

A

Posterior: conjoint tendon, transversalis fascia
Superior: internal oblique, transversus abdominis
Anterior: external oblique Aponeuroses, internal oblique muscle
Floor: inguinal ligament

27
Q

Femoral triangle contents

A

NAV(node) Y fronts
Fermoral nerve,
Femoral Artery
Femoral Vein
Deep inguinal nodes

28
Q

Femoral triangle boundaries

A

SAiL
Lateral medial superior:
Sartorius
Adductor Longus
Inguinal ligament

29
Q

Femoral RING boundaries

A

NAV(ring) Y fronts
Lateral: vein
Posterior: pectineus, pectineal ligament, Astley cooper ligament
Medial: lacunar ligament
Anterior: inguinal ligament

30
Q

What is inside the femoral RING or CANAL

A

Fat
Cloquet’s node

31
Q

What is inside femoral SHEATH

A

Artery
Vein
Canal/ring

32
Q

Lumbar Plexus
T12 - L4
(5 nerve roots)
Come in pairs of roots or less

A

T12, L1 Iliohypograstric nerve
L1 Ilioinguinal nerve
L1, L2 Genitofemoral nerve
L2, L3 Lateral femoral cutaneous nerve
L2, L4 Femoral nerve
L2, L4 Obturator nerve

33
Q

Sacral Plexus
L4 - S4
(6 nerve roots)
Come in triplets of roots or more

A

L4, L5, S1 Superior gluteal nerve
L5, S1, S2 Inferior gluteal nerve
L4, L5, S1, S2, S3 Sciatic nerve
S1, S2, S3 Posterior femoral cutaneous
S2, S3, S4 Pudendal nerve

34
Q

Path of ureters

A

Infero-medically along psoas
Posterior pelvic brim
Anterior to bifurcation of common iliac vessels
Crossed by the uterine arteries
Pierce the cardinal and broad ligament

35
Q

Boundaries of ovarian fossa

A

Superior - external iliac vessel
Posterior - internal iliac vessels and ureters
Floor - Obturator nerv
Anterior - obliterated umbilical artery

36
Q

Boundaries of greater sciatic foramen

A

Superior - sacroiliac ligament
Medial - sacrotuberous ligament
Inferior - sacrospinous ligament
Lateral - greater sciatic notch

37
Q

Boundaries of lesser sciatic foramen

A

Anterior (/inferior) - ischial tuberosity
Lateral - lesser sciatic notch
Superior - sacrospinous ligament
POSTERIOmedial - sacrotuberous ligament

38
Q

Contents of greater sciatic foramen
1 muscle, 3 vessels

A

Piriformis

Superior gluteal A&V
Inferior gluteal A&V
Internal Pudendal A&V

39
Q

Contents of greater sciatic foramen
7 Nerves

A

Sciatic
—> (superior gluteal, inferior gluteal, pudendal)
Posterior femoral cutaneous nerve
Nerve to quadratus femoris
Nerve to obturator internus

40
Q

Contents of lesser sciatic foramen

A

Internal pudendal artery and vein
Pudendal nerve (re entering)
Nerve to obturator internus
Obturator internus tendon

41
Q

Where does the ovarian vein return to on the right and left respectively?

A

Right –> inferior vena cava
Left –> left renal vein

42
Q

What arteries supply the:
foregut
midgut (ascending colon to proximal 2/3 transverse colon)
hindgut

A

foregut - coeliac artery
midgut - superior mesenteric artery
hindgut - inferior mesenteric artery

43
Q

Branches of coeliac trunk

A

Left gastric artery
Splenic artery
Common hepatic artery (on the right)

44
Q

Branches of SMA - superior mesenteric artery

A

middle colic
right colic
ileocolic

45
Q

Branches of IMA - inferior mesenteric artery

A

left colic
sigmoid branches
superior rectal artery

46
Q

Rectum lower 1/3
Anal canal

A

Rectum lower 1/3 - internal iliac (middle rectal)

Anal canal - Internal pudendal (inferior rectal) artery)

47
Q

Generally veins follow arteries in GI system except 2 key exceptions

A

mid/hind gut –> hepatic portal vein

inferior mesenteric vein –> splenic vein

48
Q

Which nerve plexus carries mixed autonomic signals to pelvis

A

Inferior hypogastric plexus

49
Q

Which nerve plexus / nerve carries sympathetic autonomic signals to pelvis

A

thoracolumbar splanchnic nerves –> superior hypogastric plexus

Sacral splanchnic nerve

50
Q

Which nerve plexus / nerve carries parasympathetic autonomic signals to pelvis

A

Pelvic splanchnic nerves