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80 Cards in this Set

  • Front
  • Back
what is the false pelvis?
upper parts of the pelvic bones and lower lumbar vertebrae
what is the true pelvis?
coccyx, inferior pelvic bones, sacrum
the perineum is what? contains?
inferior floor of pelvic cavity; external genitalia and external openings of GI and GU systems
rectum joins sigmoid colon at what level?
S3
muscles of the pelvic diaphragm? Largest muscles? which are anterior? which are posterior?
levator ani and coccygeus

levator ani are largest and anterior

coccygeus are posterior
what muscles make up levator ani?
iliococcygeus, pubococcygeus, and puborectalis
urogenital triangle contains what? and where is it located?
roots of external genetalia and opening of urethra and vagina/erectile tissue at the end of the penis

anteriorly in the perineum
anal triangle is located where?
posteriorly in the perineum
uterine artery crosses where in relation to the cervix? ductus deferens and where?
lateral to the cervix and under the ductus deferens just posterior to the bladder
where is the prostate gland?
immediately anterior to the rectum just above pelvic floor
dermatomes of the perineum
S3-5
most of the skeletal muscles in the perineum and pelvic floor are innervated by what levels?
S2-4
main nerve that innervates skeletal muscles in perineum and pelvic floor?
pudendal
pudendal nerve leaves pelvic cavity how/where? travels how?
through greater sciatic foramen

passes around ischial spine and through lesser sciatic foramen
parasympathetic innervation from what levels controls erection?
S2-4
muscles and fascia of pelvic floor and perineum intersect where?
perineal body
femoral artery is found where?
midway between ASIS and pubic tubercle, inferior to inguinal ligament
3 sacro-iliac ligaments
anterior, interosseous, posterior
strongest sacro-iliac ligament
interosseous
interosseous sacro-iliac ligament is located where?
attaches ilium and sacrum, filling the gap between the two
Benign prostatic hypertrophy, resulting in obstruction of the urinary tract, is most often caused by enlargement of what region within the prostate gland?
central
55. Which of the following contains the neurovascular bundle to the ovaries?

A. broad ligament
B. mesosalpinx
C. mesovarium
D. suspensory ligament
E. transverse cervical ligament
suspensory ligament
56. Which of the following empties into the penile urethra?

A. ampulla of the vas deferens
B. bulbourethral gland
C. prostate gland
D. seminal vesicle
bulbourethral gland
sacrospinous ligament attaches where?
ischial spine and sacrum and coccyx
greater sciatic foramen is where? lesser?
superior to sacro-spinous ligament and ischial spine

inferior to ischial spine and sacrospinous ligament between sacrospinous and sacrotuberous ligaments
obturator internus origin, insertion, innervation, function
anterolateral wall of true pelvis

medial surface of greater trochanter

nerve to obturator internus (L5, S1)

lateral rotation of extended hip and abduction of flexed hip
piriformis origin, insertion, innervation, function
anterior surface of sacrum

medial side of superior border of greater trochanter

branches from L5, S1, S2

lateral rotation of extended hip and abduction of flexed hip
what passes through the obturator canal?
obturator nerve and vessels
what passes through the greater sciatic foramen above the piriformis? below?
inferior gluteal nerves and vessels

inferior gluteal nerves and vessels, sciatic nerve, pudendal nerve, internal pudendal vessels, posterior femoral cutaneous nerves, nerves to obturator internus and quadratus femoris
levator ani are innervated by
anterior S4 and pudendal nerve (S2-4)
difference between rectum and colon
lack of taeniae coli
median umbilical ligament is a remnant of? connects?
urachus

bladder to anterior abdominal wall
what is used to determine position of the prostate gland?
seminal colliculus
head of the epididymis is formed by
efferent ductules
what covers the testes? what covers that?
tunica albuginea; tunica vaginalis
prostate is cradled by
levator ani
ovaries are suspended by
mesovarium from broad ligament
where does egg fertilization normally occur?
ampulla of the uterine tube
cervix lymphatics
internal and common iliac lymph nodes
ligament from cervix to: anterior pelvic wall? lateral? posterior?
pubocervical

transverse cervical/cardinal ligament

uterosacral ligament
where is the pouch of douglas?
between uterus and rectum
the broad ligament runs from where to where?
lateral pelvic wall and uterus
the mesovarium is what? and does what?
posterior extension of the broad ligament; attaches to the ovary
mesosalpinx is what? does what?
most superior part of broad ligament; suspends uterine tube
largest nerve of the body and what levels are involved?
sciatic nerve - L4-S3
two divisions of sciatic nerve and which is ventral? dorsal?
common fibular is dorsal and tibial is ventral
pudendal nerve innervates
sphincters
superior gluteal nerve has what innervations? innervates what muscles?
L5-S2 (dorsal); gluteus medius, minimus, and tensor fasciae latae
inferior gluteal nerve has what innervations? what muscles?
L5-S2 (dorsal) - gluteus maximus
prevertebral plexus carries what type of fibers? enters the pelvis as what nerves?
sympathetic, parasympathetic, visceral afferent

hypogastric nerves
superior hypogastric plexus is where?
anterior to L5 between sacrum and bifurcation of aorta
pelvic plexus is formed by
hypogastric plus pelvic splanchnic
major artery for pelvis and perineum
internal iliac
common iliac splits at what level?
intervertebral disc between L5 and S1
major blood supply to the uterus
uterine artery
ovarian arteries travel in what vessel?
suspensory ligament of the ovary
vein that drains clitoris or penis
deep dorsal vein
urogenital triangle faces which way? anal triangle?
straight down; posterior-inferior
roof of the perineum
levator ani
lateral wall of the ischio-anal fossae
obturator internus, ischium, sacrotuberous ligament
inferior wall of ischio-anal fossae
deep perineal pouch
corpora cavernosa form which part of the penis?
dorsal
corpus spongiosum is what part of the penis?
ventral
urethra is in which part of the penis?
corpus spngiosum
penis ligament superiorly
suspensory ligament of penis
penis ligament inferiorly
fundiform ligament of the penis
glans penis is which part?
spongiosum
bulbourethral glands are located where?
deep perineal pouch
job of bulbospongiosus muscle in men
ejaculation
deep perineal fascia is
Colles fascia
Colles fascia attaches to
perineal membrane (posteriorly) and ischiopubic rami
colles fascia is a continuation of what abdominal faschia?
membranous layer
internal pudendal artery comes from
anterior internal iliac
artery of bulb of penis comes from
internal pudendal artery
testicular arteries come from? cremasteric arteries?
abdominal aorta

inferior epigastric branch of external iliac artery
deep dorsal vein of penis or clitoris drains? goes to?
glans and corpora cavernosa; connects with plexus of veins surrounding prostate or bladder
lymph from deep perineum drains to?
internal iliac nodes
superficial penis or lymph drains to?
superficial inguinal nodes
the glans, labia minora, and terminal inferior end of the vagina drain into
deep inguinal and external iliac nodes
testes drain to
lateral aortic or lumbar and pre-aortic nodes