all Flashcards

(94 cards)

1
Q

Levator prostatae and sphincter vaginae are formed from

A

ANTERIOR fibers levator ani

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2
Q

Puborectalis forms a U-shaped sling around

A

anorectal junction.

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3
Q

Levator ani is innervated by

A

superior part S4
Inferior part inferior rectal

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4
Q

Posterior border of levator ani is related to

A

coggyeus

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5
Q

Relations ischiorectal fossa: (medial and lateral wall)

A

Medial wall = levator ani & external anal sphincter
LateraL = pudendaL n.&vessels & obturator fascia

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6
Q

Name of the internal iliac artery branches posterior trunk

A

Iliolumbar
Two lateral sacral arteries
Superior gluteal artery

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7
Q

Name of the anterior trunk of internal iliac artery

A

Parietal:

obturator artery
Inferior gluteal
Internal pudendal

Visceral branches:

Middle rectal A Prostate and vagina and Urinary
Inferior Vesical A Prostate and Urinary
Superior Vesical A Prostrate and Vas deferens and Urinary
Umbilical A Urinary and seminal
Uterine A Everything female

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8
Q

The ureter is crossed by?

A

uterine artery

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9
Q

During surgical removal of uterus and uterine artery
the surgeon must be careful not to injure:

A

Ureter

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10
Q

Ureter is innervated by

A

inferior vesical and gonadal

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11
Q

Urinary bladder relations? (post surface/base)

A

seminal vesical

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12
Q

Which is related to neck of the bladder?

A

Prostate

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13
Q

Apex of the bladder is continuous with

A

median umbilical ligament

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14
Q

Urinary bladder is ENDODERM in origin EXCEPT

A

Trigone is mesodermal

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15
Q

INTERURETERIC CREST connects/ extends between

A

ureteric orifices

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16
Q

Urinary bladder IS COVERED BY

A

PERITONEUM.

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17
Q

Which structure is present at female urethera? How long is it?

A

→Sphincter uretherae
4cm

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18
Q

The male urethera is ____ in lenght. Its parts are_______(4)

A

18-20 cm,
Preprostatic, prostatic, membranous and penile

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19
Q

The preprostatic part prevents?

A

retrograde ejaculate flow into urethra

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20
Q

WIDEST, MOST DILATABLE PART in male
urethera

A

PROSTATIC

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21
Q

NARROWEST, LEAST DILATABLE PART→

A

MEMBRANOUS

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22
Q

which part of urethra : pierces urogenital diaphragm

A

Membranous

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23
Q

Which structures open at prostatic urethera?

A

2 Ejaculatory ducts & prostatic utricle

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24
Q

Prostatic urethera Length:

A

3-4 cm

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25
Penile urethera shows 2 dilatations:
navicular fossa & intra-bulbar fossa.
26
Narrowest part of whole urethera:
external uretheral meatus.
27
Structures within/ open at prostate?
Prostatic urethera, 2 ejaculatory ducts, prostatic utricle ( open at POSTERIOR wall)
28
PROSTATIC VENOUS PLEXUS Recieves : Drains:
DEEP dorsal vein of penis + internal iliac veins.
29
which structure joins VAS to form ejaculatory duct
seminal vesicles
30
Penis attachment
Ischiocavernosus muscle attached to public arches Bulbospongiosus muscle attached to perineal membrane
31
The rectum begins at level ____ and its posterior relation is_____
S3 Sacral plexus
32
Structures found in pre-rectal examinations in males (6)
-External anal sphincter -Penis bulb, prostate, seminal vesicles, vas -urinary bladder BASE
33
Structures palpated in female in pre rectal exam (3)
External anal sphincter, cervix, BACK of vagina.
34
The anal valves lies at level to
pectinate line
35
Columns of morgagni is a feature of
anal canal
36
The upper part of the anal canal is ______ and ______to pain The lower part below pectinate line is ________and _________to pain
Endodermal, insensitive Ectodermal, sensitive
37
External piles? hemorrhoids are drained by
internal illiac lymph nodes Superifical inguinal LN
38
The deep part of the anal canal as reinforced by
puborectalis or levator ani
39
What are the branches of internal pudnedal artery
Inferior rectal Perineal Artery of bulb Urethral artery dorsal penis Deep penis
40
Pars distalis is covered in _________. Has ________capillaries. They have 2 groups
reticular CT. fenestrated Chromophobes (52) and chromophils (48)
41
Chromophils are classified into
Acidophils Basophils
42
what are the two types of Acidiophils
Somatotrophs and mamotrophs
43
Somatotrophs secrete_______. They are __________ in shape and have a ______ (shape) nucleus. They have positive reaction to _________.
GH Spherical central rounded Orange G
44
Mammotrophs secrete_______. They are __________ in shape and have a ______ (shape) nucleus. They have positive reaction to _________.
Prolactin Oval oval nuclei carmine
45
Thyrotrophs release__________. They have ________ nucleus
TSH rounded
46
Corticotrophs release__________(4). They have ________ nucleus
ACTH MSH (meloncyte stimulation) Endorphin Lipotropic factor oval
47
Gonadotrophs are _________ in shape
rounded
48
Castration causes _________to increase in number. They squish together forming a _______ appearance
Gonadotrophs signet ring
49
Infundibulum is a
collection of nerve fibers connecting hypothalamus to parsa nervosa
50
Pitiucytes are
Branched supporting neuroglial
51
Herring bodies are acidiophilic, they contain (2)
oxytocin and vasopressin
52
Funtion of pars nervosa
store oxytocin and ADH
53
Parsa intermedia is supplied by _____while pars nervos is supplied by _____
superior hypophyseal inferior hypophyseal
54
Parsa intermedia is supplied by _____while pars nervos is supplied by _____
superior hypophyseal inferior hypophyseal
55
Zona Glomerulus is _______in shape. It is the ________ zone. Rich in mitochonria, G.A, sER and ____ fat cells. They secrete ______
columnar and basal rounded nuclei narrowest FEW mineralocorticoids
56
Zona Fasciculata is ________ in shape separated by ________ capillaries. It is the _______ zone. They are called __________ and have central rounded nuclei. They secrete ____
Polyhedral fenestrated capillaries widest glucocorticoids They have many fats
57
Zona reticularis is ________ in shape separated by ________ capillaries. It is the _______ zone. have central rounded nuclei. They secrete ____
Polyhedral blood sinusoids Deepest Secrete androgen
58
The medulla is _______ in origin while Cortex is _______ in origin. The medulla has two cells _____ and is _________essential to life. They secrete______ and have a ______ reaction to chromaffin.
Ectodermal Mesodermal Chromaffin and nerve cells Less Adrenaline noradrenaline and enkephalins positive
59
Paraganglia are masses of ______cells, They secrete______
Chromaffin cells adrenaline and noeradrenaline
60
Thyroid follicles are ______ in shape surrounded by fesentrated blood vessels. They are lined by ________and surrounded by lumen. It has 2 types: _____
rounded simple cuboidal epithelium Follicular (98%) and Parafollicular (2%)
61
Follicular cells release _______. They have _________and _______junctions. Becomes _______ in hyperthyroidism and becomes _______in hypothyroidism
T3 and T4 short microvilli tight junctions Columnar Flat squamous
62
Parafollicular cells (2%) it has _______ cytoplasm and it is stained by ____. They are also known as ______and secrete______
paler Ag C-cells calcitonin
63
Iodinated thyroglobulin are stored as
Thyroid colloid
64
Chief (principal) cells of the parathyroid gland are _______cells with _______nucleus. Have ________cytoplasm, Secrete _______. Funtion is _______
Polygonal central rounded basophilic secretory granules Secrete parathyroid hormone
65
Oxyphils of parathyroid increase with ______. They are _______in shape. have _____cytoplasm. Function is
Age Oval acidophilic not yet known
66
Pinealocytes (in pineal body) are ________cells. They have _______ nucleus. They have _____ and are innervated by _____nerve fibers. They secrete ______(2)
Large branched cells large pale basophilic Unmyelinated Serotonin and melatonin
67
The most susceptible acini for prostate cancer is
peripheral zone
68
The cremastic muscle is (muscle types)
Longitudinal striated
69
Hormones secreted by anterior pituitary 7
Adrenocorticotrophic hormone (ACTH) Thyroid-stimulating hormone (TSH) Luteinising hormone (LH) Follicle-stimulating hormone (FSH) Prolactin (PRL) Growth hormone (GH) Melanocyte-stimulating hormone (MSH)
70
What are the steroid hormones? (6)
Androgens Estrogens Testosterone progesterone Mineralocorticoids cortisol
71
Cortisol actions 7
Increase blood glucose Increase GFR Increase RBC Increase WBC Catabolic (less protein synthesis) increase gluconeogenesis has anti insulin action, so gives brain more blood
72
Cushing syndrome is______. They have 3 main physical features which are:
Hypercortisolism Moon face and hirsutism and trunkal obesity
73
What are the pharmacological actions of cortisol?
Reduces collagen I synthesis Antagonizes growth of bone and CT Blocks EARLY stages of inflammation prevents histamine release.
74
Osteoclast funtion
degrade bone to remodel
75
Addison's disease mean
no cortisol no aldostrone low blood pressure hypoglycemia
76
Conns syndrome is_______ its manifestations are
hyper aldostronemia Tingling, cramps, hypertension, thirst and frequent urination
77
Corpus luteum release 2 hormones which do what
Estrogen/Progestrone They repair endometrium so prostaglandins don't cause necrosis
78
Progestrone decreases ___and______. It also increases __________ and ___________.
LH and Ovulation Sodium and water retention and temperature for women
79
lateral relations of ureter are
External iliac and obturator A+V+N
80
The 3 parts of the levator ani are
Anterior: levator prostate or sphincter vaginae Puborectalis Anocossygeus
81
All bladder is _________ in origin except the trigone which is __________in origin.
ENDODERMAL MESODERMAL
82
Relations of prostate: Inferior, Anterior, Posterior
Inferior Levator ani Anterior Venous plexus and Puboprostatic ligaments Posterior Ejaculatory duct, capsule and denevur fascia
83
Content of ishiorectal fossa
Inferior vessels Perineal Nerve Posterior scrotal A
84
Ejaculatory duct is made up of two things
Seminal vesical and vasa different
85
Internal pudendal N branches
Dorsal N Inferior rectal N Perineal N
86
Deep perineal pouch contents 6
Membranous urethra Bulbourethral Vagina Deep perineal muscles Sphincter urethra Dorsal nerve of penis
87
The sphincter has the same nerve supply as
Levator ani S4 and inferior rectal
88
The rectum is ________ covered in peritonum
partially covered in peritoneum. Only lower part has no peritoneum
89
The upper part of the anal canal is _________ while lower part is __________
Endo Ecto
90
The vas diff is ______ in length
45cm
91
Pituitary relations superior, inferior, anterior, back
Superior: hypothalmus Inferior: Sphenoid sinus Anterior: Optic chiasm Behind: midbrain
92
Thyroid relations: Superior, inferior, posterior, lateral and superficial.
Superior: Superior thyroid A Inferior: Inferior thyroid vein lateral: all sterno muscles Superficial anterior jugular and sternohyoid
93
Superior thyroid A is for _________. It is accompanied by ______ nerve
Upper part of thyroid, External laryngeal N
94
Inferior thyroid A is for _________. It is accompanied by _______nerve
Inferior part of thyroid, recurrent laryngeal N