3.6.2013(anatomy) 26 Flashcards

(138 cards)

0
Q

Deep fascia of perineum

A

Gallaudet fascia

Invests bulbospongiosis
Ischiocavernosus
Superficial transverse perinei

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1
Q

Thoracoepigastric vein connects

A

Axillary vein

Saphenous vein

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2
Q

Axillary sheath is derived from

A

Prevertebral fascia

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3
Q

Axillary sheath does not contain

A

Subclavian and axillary vein

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4
Q

Carotid sheath contains

A
Common carotid artery
Internal carotid artery
Internal jugular vein
Vagus
Last 4 cranial nerves
Peri arterial sympathetic plexus
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5
Q

Pretracheal fascia continues posteriorly and superiorly with

A

Buccopharyngeal fascia

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6
Q

Fascia that divides the retropharyngeal space

A

Alar fascia

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7
Q

Pulley of digastric muscle is formed by

A

Pretracheal fascia

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8
Q

Perirenal fascia

A

Anterior: gerota
Posterior: zuckerkandl
Lateral: conal fascia

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9
Q

Campers fascia continues as

A

Dartos fascia in penis and scrotum

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10
Q

Illiotibial tract is formed by

A

Gluteus maximus and tensor fascia lata

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11
Q

Puboprostatic ligament is a part of

A

Arcus Tendinous fascia pelvis

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12
Q

Hypogastric sheath separates

A

Retropubic and presacral spaces

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13
Q

Parts Hypogastric sheath

A

Anterior- lateral ligament of bladder
Posterior- lateral ligament of rectum
Middle-recto vesical septum(fascia of denonvillers)(male),cardinal ligament(female),

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14
Q

Hypogastric sheath is a condensation of

A

Endopelvic fascia

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15
Q

Parotid fascia consists of

A

Superficial parotidomasseteric fascia

Deep stylomandibular ligamnet

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16
Q

Deep ring is above

A

Mid inguinal point

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17
Q

Cremastric fascia is a continuation of

A

Internal oblique

Transverse abdominus

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18
Q

Cremastric artery is a branch of

A

Inferior epigastric artery

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19
Q

Artery to Vas is a branch of

A

Superior vesical artery

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20
Q

Tendinous insertions of rectus

A

3

At level of umbilicus ,xiphisternum,btw these two

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21
Q

Lower 1/4th of anterior abdominal wall

A

Linea alba and external oblique poorly formed

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22
Q

Posterior wall of rectal sheath is deficient

A

Above costal margin

Below arcuate/semicircular line of Douglas

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23
Q

Arcuate line level

A

Btw pubic symphysis

Umbilicus

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24
Ameloblasts give rise to
Enamel Dentine arises from odontoblasts
25
Triangle of doom
Lateral: gonadal vessels Medial: vas deferens Base:peritoneal reflection Apex: deep ring
26
Content of triangle of doom
External iliac vessels
27
Triangle of pain boundaries
Medial: gonadal vessels Lateral: illiopubic tract Base: skin incision
28
Contents of triangle of pain
Femoral branch of genitofemoral n Lat.femoral cutaneous Ant.femoral cutaneous
29
Corona Mortis
``` Common iliac External iliac Internal iliac Obturator artery Aberrant Obturator Inferior epigastric ```
30
Branches of internal iliac (anterior division)
``` Superior and inferior vesical arteries Obturator Middle rectal Internal pudendal Inferior gluteal ``` SIV OBTained Marks IN PG
31
Branches of posterior division of internal iliac
Iliolumbar Lateral sacral Superior gluteal
32
Branches of internal pudendal A
``` Inferior rectal Urethral Perineal artery Artery to penis /clitoris Dorsal artery of penis Deep artery of penis Artery to bulb of penis ```
33
Pentalogy of Cantrell
``` Omphalocele Anterior diaphragmatic hernia Sternal cleft Ectopic cardis Intracardiac defect ```
34
Left hepatic duct divides into
Medial and lateral segments Medial supplies-IV A and IV B
35
Right hepatic duct divides into
Anterior and posterior segments
36
Caudate lobe drains via(venous and biliary)
Drain directly into IVC Drain into both rt and lt hepatic duct
37
Main scissura contains
Middle hepatic vein
38
Umbilical fissure separates
Segment 3 and 4
39
Umbilical fissure contains
Left portal pedicle
40
Venous fissure
Is continuation of umbilical fissure | Contains ligamentum venosum
41
Right scissura contains
Right hepatic vein
42
Fissure of gans
Contains right portal pedicle to right posterior sector
43
Caudate lobe is anterior to
Inferior phrenic artery | Superior recess of lesser sac
44
Boundaries of caudate lobe
Rt: IVC Lt: fissure for ligamentum venosum Inferior : porta hepatis
45
CBD opens
8-10 cm from the pylorus
46
Downward displacement of spleen is prevented by
Phrenicocolic ligament | Splenic flexure
47
Contents of linorenal ligament
Tail of pancreas Splenic vessels Pancreaticosplenic lymph nodes
48
Accessory spleen
``` Hilum of spleen(most common site) Tail of pancreas Derivatives of dorsal mesogastrium: greater Omentum Gastrosplenic Linorenal Gastrophrenic Broad ligament of uterus(left) Left spermatic cord ```
49
Kidney transplantation
Renal vein is anastamosed to external iliac vein Renal artery to external iliac artery (end to side) End to end if internal iliac
50
Segmental arteries of kidney are
End arteries
51
Sites of ureteric constriction
``` Pelviureteric jn Brim of pelvis/crossing of iliac artery Vas deferens or broad ligament Ureteric orifice Ureterovesicle jn ```
52
Subcostal vessels enter abdomen via
Lateral arcuate ligament
53
Renal circulation
Segmental arteries - lobar arteries(pyramid)-interlobar-arcuate-interlobular-Afferent glomerular
54
Stellar vein drains
More superficial veins of cortex
55
Ovarian fossa formed by
Ureter
56
Vas deferens communicates with seminal vesicle by
Hooking above the ureter
57
Arteries of ureter
Upper third: renal,gonadal,colic Middle third: aorta,gonadal,iliac Lower third: superior and inferior vesical,uterine and middle rectal
58
Vessels anterior to ureter
Colic Gonadal Iliocolic
59
Rt suprarenal vein drains into
IVC
60
Length of root of mesentery
6inches Intestinal border: 6 metres
61
Root of mesentery extent
Left of L2 to rt sacroiliac jt
62
Anterior boundary of lesser sac
Caudate lobe Stomach Lesser Omentum Greater Omentum
63
Stomach bed structures
``` Diaphragm Lt kidney and supra renal gland Pancreas Transverse mesocolon Splenic flexure Splenic artery Spleen(sometimes) separated by greater sac ```
64
Left border of lesser sac
Gastrophrenic Gastrosplenic Linorenal And left free margin of greater Omentum Spleen DOESNOT form a border
65
Parts of lesser sac
Superior recess Inferior recess Splenic recess
66
Structure separating lesser sac into recess
Hepatic artery- rt gastro pancreatic fold | Left gastric artery- lt gastro pancreatic fold
67
Content of rt free margin of lesser Omentum
``` Hepatic A Portal vein Bile duct Lymph nodes Hepatic plexus of nerves ```
68
Epiploic foramen lies at the level of
T12 vertebra
69
Lymphatic patch of illeum is found in
Anti mesenteric border
70
Superior mesenteric vessels lie in
Mesenterico parietal fossa of waldeyer
71
Ileocolic artery lies in
Superior ileoceacal recess
72
Intersigmoid recess contains
Lt ureter
73
Largest recesss
Lesser sac
74
Largest duodenal recess
Retroduodenal recess
75
Most common duodenal recess
Inferior duodenal
76
Least common duodenal recess
Mesenterico parietal recess
77
Types of duodenal recess
``` Superior Inferior Retro Mesenterico parietal Duodenojejunal(mesocolic) Paraduodenal ```
78
Plica Circularis are absent in
First part of duodenum | Distal ileum
79
Valve of kerkring
Plica Circularis
80
Magenstrauss
Situated along lesser curvature | Allows fast passage of food and liquid
81
Illeum opening
Posteromedial aspect of ceacum
82
Wall and lumen of jejunum
Wall- thick and more vascular | Lumen-wider
83
Mesentery of jejunum
Window present Vasa recta longer and fewer Arterial arcade 1-2(ileum 3-6)
84
Mucosal fold diff btw jejunum and illeum
``` Jejunum Large,more closely set Leaf like Illeum Finger like ```
85
Pelvic appendix
4 o clock | 6 O clock : subcecal
86
Inferior ileoceacal recess
Btw mesoappendix and bloodless fold of treves
87
Tenia coli
``` Tenia libra(anterior) Tenia mesocolica(Posteromedial) Tenia omentalis(Posterolateral) ```
88
Anal glands open into
Anal sinus formed by anal columns of morgagni
89
Maintenance of continence
The internal sphincter is in a state of tonic contraction
90
Intersphincteric groove is found at level of
White line of Hilton
91
Anorectal ring formed by
Internal sphincter Deep part of external sphincter Puborectalis
92
Superficial part of external sphincter is attached to
Perineal body | Anococcygeal ligament
93
Branches of pudendal nerve
Dorsal nerve of penis or clitoris Inferior rectal nerve Perineal nerve
94
Structures palpated by PR
``` Anterior Terminal phalanx Seminal vesicles Bladder Vas deferens Middle phalanx Prostate Retroprostatic fascia Proximal phalanx Perineal body Urogenital diaphragm Bulb of penis Posterior Sacrum Coccyx Anococcygeal body Lateral Ischial spine Ischial tuberosity Ischiorectal fossa Internal iliac nodes when enlarged ```
95
Appendicular artery arises from
Posterior Cecal
96
Blood supply of oesophagus
Upper third: inferior thyroid artery Middle third: aorta Lower third: left gastric Also bronchial arteries and left inferior phrenic
97
Anterior and posterior boundary of ischiorectal fossa
Anterior: posterior border of perineal membrane Posterior: gluteus maximus,sacrotuberous ligament
98
Structures passing through lesser sciatic foramen
PIN Tendon of Obturator internus PINTO
99
Relation of femoral branch of genitofemoral n to inguinal ligament
Passes posteriorly
100
Structures forming perineal body
``` Superficial and deep transverse perinei External anal sphincter Sphincter urethrae Pubococygeus Iliococcygeus Bulbospongiosis ```
101
Pathway for sperms from testis
Straight tubules-rete testis-efferent tubules
102
Vas crosses ureter at
Ischial spine
103
Relation of vas to base of bladder
Not separated by peritoneum
104
Shape of prostatic urethra
Semilunar
105
Prostatic urethra is concave
Anteriorly
106
Pain of ovarian pathology referred to
Medial thigh | Umbilicus
107
Location of Gardner cyst
Anterolateral vaginal wall
108
Remnants of mesonephric duct
Paroophoron | Epoophoron
109
Paroopheran is equivalent to
Paradidymis
110
Epoophoron synonyms
Gartner duct | Organ of rosenmuller
111
Epoophoran is equivalent to
Ductus deferens in males
112
Infantile hydrocele
Sac ends at deep inguinal ring
113
Hydrocele type in which sac communicates with peritoneum
Congenital
114
Inferior vesical artery replaced by
Vaginal artery in females
115
Extra branch of internal iliac artery in females
Uterine
116
Paramesonephric duct remnant in males
Prostatic utricle | Appendix of testis
117
Shape of membranous urethra
Stellate shape
118
Fossae in spongy urethra
Navicular or terminal fossa at glans | Intra bulbar fossa at commencement
119
Opening of bulbourethral glands
Lacunae of morgagni
120
Largest lacunae in roof of navicular fossa
Lacuna magna | Sinus of gurein
121
Lymphatic drainage of anterior urethra
Deep inguinal lymphnodes | Bulbar and spongy
122
Lymphatic drainage of tongue
Tip- sub mental Ant 2/3- sub mandibular Post 1/3- juguloomohyoid
123
Other name for median lobe
Prespermatic lobe
124
BPH affects
Transitional zone Carcinoma affects peripheral zone
125
Verumontanum
Seminal colliculus found at the middle of urethral crest It contains prostatic utricle
126
Internal urethral sphincter in males innervated by
L1 sympathetic fibres
127
Anatomical position of penis
Erect
128
Vaginal sphincter
Bulbospongiosus Sphincter urethrovaginalis Sphincter urethrae Pubovaginalis
129
Urinary continence in female is maintained by
Compressor urethrae Sphincter urethrae Sphincter urethrovaginalis Pubourethralis
130
Afferents of bladder are carried by
Pelvic splanchnic nerves(predominantly) | Also by lumbar splanchnic nerves
131
Anterior horn cells preserved in ALS
Onuf nucleus
132
Pontine micturition center
Barrington center
133
Neurogenic bladder
Bladder dysfunction caused by diseases of CNS
134
Medial arcuate ligament hooks over
Illiohypogastric Illioinguinal nerves Para vertebral sympathetic ganglia
135
Paradidymis is also known as
Organ of giraldes
136
Medial arcuate ligament hooks over
Illiohypogastric Illioinguinal nerves Para vertebral sympathetic ganglia
137
Paradidymis is also known as
Organ of giraldes