Pelvis I and II Flashcards

(50 cards)

1
Q

what two bones make up the obturator foramen

A

the ischium and the pubis

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2
Q

what bones converge to make the acetabulum

A

the ilium, ischium and pubis

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3
Q

what is the arcuate line (of the ilium) continuous with?

A

the pectineal line

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4
Q

what kind of joint is the sacroiliac joint

A

synovial

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5
Q

what makes up the pelvic brim

A

sacral promontory
arcuate line of the ilium
pectineal line of the pubis

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6
Q

greater pelvis vs lesser

A

greater is above arcuate line and is the FALSE pelvis

lesser below and is the true pelvis

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7
Q

what kind of joints are the lumbosacral, sacrococcygeal, and the pubic symphisis?

A

secondary cartilaginous- fibrocartilagenous

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8
Q

What creates the lesser sciatic foramen? superior sciatic foramen?

A

lesser-created by sacrotuberous joint between the sacrum and the ischial
tuberosity
greater- formed by sacrospinous ligament formed by the sacrum and the spinous process

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9
Q
males v/s female structure
sciatic notch- 
pelvic inlet-
pelvic canal- 
ITs-
Pubic arch and subpubic angle-
sacrum-
A

sciatic notch- hugs more in males
pelvic inlet- male is heart-shaped, women are round
pelvic canal- short and round for women, men, elongated and funnel-shaped
ITs-come in on males, spread out in females
Pubic arch and subpubic angle- wider in females (90 degrees) and narrower in males (70)
sacrum- females have short and brad sacrum, males long and narrow

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10
Q

what path does the obturator internus muscle pass thru

A

-obturator inturnus goes thru the lesser sciatic foramen to attach to the greater trochanter

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11
Q

piriformis start and end

A
  • starts attached to the sacrum and passes thru the greater sciatic foramen to go to the greater trochanter
  • bed for sacral nerve plexus
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12
Q

pelvic diaphragm

what does it do

A

-supports abdominal viscera and helps to hold poop and urine

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13
Q

what makes up the pelvic diaphragm?

A
  • the levator ani (pubococcygeous and the illiococcygeous and the puborectalis) and the coccygeous
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14
Q

where does the coccygeous muscle extend from and to?

A

from the ischial spine to the sacrum/coccygeous

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15
Q

where does the iliococcygeous muscle arise from and go to?

A

from the tendinous arch and ischial spine to the coccyx

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16
Q

what’s an important feature of the ureter in females vs males?

A

-ureter will run medial to the uterine artery in the female

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17
Q

what crosses (medially) the ureter on the male?

A

the ductus (vas) defernens

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18
Q

what is the bladder made up of?

A

-apex, body, fundus, neck, trigone

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19
Q

what’s the bladder trigone

A
  • 2 ureteric orifices on either side of the ureteric meatus that pump pee into the bladder
  • the back wall of the bladder is what prevents the urine from being piped back into the ureter
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20
Q

how are the male and female bladders different?

A

the male bladder has an internal urethral sphincter next to the internal uretary meatus (opening)

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21
Q

where is the prostate located

A

right under the bladder of males

22
Q

what are the four urethras in males?

A
preprostatic urethra
(then internal sphincter)
prostatic (prostate) urethra
(external sphincter)
membranous urethra
spongy urethra
23
Q

where is a kidney stone most likely to get stuck in a male urethra?

A

-in the membranous urethra because it’s the most narrow part (prostatic urethra is the widest)

24
Q

what are some components of the prostate?

A
  • urethral crest -bump inside
  • seminal colliculus- bump
  • prostatic ducts- provide nutrients to semen
  • prostatic utricle -remnant
  • ejaculatory ducts x2
25
fxn of bladder
reservoir for pee
26
what is the difference between adult and child bladder
child often rests in abdomen
27
detrusor muscle
bladder muscle that lies at the posterior wall that prevents urine from going back up the ureter
28
what's different between male and female urethral necks?
Female neck muscle is same as the urethral muscle (voluntary) -Male- urethral neck is continuous with prostatic muscle (involuntary) to create internal sphincter to prevent semen from entering bladder
29
urethra vs ureter
ureter- tx pee from kidneys to bladder | urethra- tx urine from bladder to outside
30
how are urethras different between males and females?
females have one and goes anterior to vagina | males have 4- preprostatic, prostatic, membranous and spongy urethra
31
describe preprostatic, prostatic, membranous and spongy urethra and where are the internal and external sphincters
``` preprostatic- before prostate (internal sphincter) prostatic (external sphincter) membranous spongy ```
32
path of an egg
ovary to infundibulum to ovarian tube that goes- ampulla to isthmus to uterine horn to uterus
33
part of uterus
body, fundus, cervix
34
ovarian ligament
ovary to uterus (fallopian tube)
35
round ligament
uterus to labia majora via inguinal canal
36
mesoovarium mesosalpinx mesometrium
mesoovarium- suspends ovary mesosalpinx- suspends uterine tube mesometrium- suspends uterus
37
innervation of vagina
lower 1/4- somatic (deep perineal branch of pudendal) | upper 3/4- autonomic
38
when sperm is made in the testes, it is stored in the epididymis and then exits via the vas deferens. what happens next?
- vas deferens joins with 2 seminal vesicles forming the ejaculatory duct - they then converge on the seminal colliculus which is in the extension of the urethral crest
39
bulbourethral glands what do they do where do they open to
secrete fluid at sexual arousal | open to spongy urethrain BULB of penis
40
semen is a combo of secretions of
tests, seminal vesicles, porstate and bulbourethral glands
41
Benign prostatic hyperplasia (hypertrophy), how it's fixed and complications
- benign prostatic hyperplasia is an increase in size of one part of the prostate that gives extreme urgency to urinate. - TURP- used to fix it via intering electric catheter in and obliterating that section - complications: mess with internal or external sphincter causing dribbling of urine or sperm entering bladder
42
retropubic space
behind pubis- promotes bladder distention
43
retrorectal space
behind rectum and accommodates rectum expansion
44
retrovesicle space
behind bladder/prostate and rectum ONLY IN MALE BECAUSE FEMALE HAS THE UTERUS THERE -allows for expansion of bladder and rectum
45
rectrovesicle pouch
-pouch between the bladder, prostate and rectum in MALES
46
rectouterine pouch | vesouterine pouch
- between uterus and rectum (pouch of douglus- deeper than vesouterine pouch) - between bladder and uterus
47
spinal level of pudendal nerve
s2-4 exits pelvis via greater sciatic foramen, enters perineum via lesser sciatic foramen supplies skin and muscles of perineum and main sensory nerve for external genitalia
48
spinal level of sciatic nerve | what it does
L4-S3 supplies lower limb exits pelvis via greater sciatic foramen
49
superior gluteal
L4-S1 exits pelvis via greater sciatic foramen supplies gluteus medius, tensor facia lata and gluteus minimus
50
inferior gluteal
L5-S2 exits pelvis via greater sciatic foramen supplies gluteus maximus