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80 Cards in this Set
- Front
- Back
what is the false pelvis?
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upper parts of the pelvic bones and lower lumbar vertebrae
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what is the true pelvis?
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coccyx, inferior pelvic bones, sacrum
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the perineum is what? contains?
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inferior floor of pelvic cavity; external genitalia and external openings of GI and GU systems
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rectum joins sigmoid colon at what level?
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S3
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muscles of the pelvic diaphragm? Largest muscles? which are anterior? which are posterior?
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levator ani and coccygeus
levator ani are largest and anterior coccygeus are posterior |
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what muscles make up levator ani?
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iliococcygeus, pubococcygeus, and puborectalis
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urogenital triangle contains what? and where is it located?
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roots of external genetalia and opening of urethra and vagina/erectile tissue at the end of the penis
anteriorly in the perineum |
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anal triangle is located where?
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posteriorly in the perineum
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uterine artery crosses where in relation to the cervix? ductus deferens and where?
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lateral to the cervix and under the ductus deferens just posterior to the bladder
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where is the prostate gland?
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immediately anterior to the rectum just above pelvic floor
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dermatomes of the perineum
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S3-5
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most of the skeletal muscles in the perineum and pelvic floor are innervated by what levels?
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S2-4
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main nerve that innervates skeletal muscles in perineum and pelvic floor?
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pudendal
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pudendal nerve leaves pelvic cavity how/where? travels how?
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through greater sciatic foramen
passes around ischial spine and through lesser sciatic foramen |
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parasympathetic innervation from what levels controls erection?
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S2-4
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muscles and fascia of pelvic floor and perineum intersect where?
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perineal body
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femoral artery is found where?
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midway between ASIS and pubic tubercle, inferior to inguinal ligament
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3 sacro-iliac ligaments
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anterior, interosseous, posterior
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strongest sacro-iliac ligament
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interosseous
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interosseous sacro-iliac ligament is located where?
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attaches ilium and sacrum, filling the gap between the two
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Benign prostatic hypertrophy, resulting in obstruction of the urinary tract, is most often caused by enlargement of what region within the prostate gland?
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central
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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
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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
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sacrospinous ligament attaches where?
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ischial spine and sacrum and coccyx
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greater sciatic foramen is where? lesser?
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superior to sacro-spinous ligament and ischial spine
inferior to ischial spine and sacrospinous ligament between sacrospinous and sacrotuberous ligaments |
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obturator internus origin, insertion, innervation, function
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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 |
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piriformis origin, insertion, innervation, function
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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 |
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what passes through the obturator canal?
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obturator nerve and vessels
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what passes through the greater sciatic foramen above the piriformis? below?
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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 |
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levator ani are innervated by
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anterior S4 and pudendal nerve (S2-4)
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difference between rectum and colon
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lack of taeniae coli
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median umbilical ligament is a remnant of? connects?
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urachus
bladder to anterior abdominal wall |
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what is used to determine position of the prostate gland?
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seminal colliculus
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head of the epididymis is formed by
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efferent ductules
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what covers the testes? what covers that?
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tunica albuginea; tunica vaginalis
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prostate is cradled by
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levator ani
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ovaries are suspended by
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mesovarium from broad ligament
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where does egg fertilization normally occur?
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ampulla of the uterine tube
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cervix lymphatics
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internal and common iliac lymph nodes
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ligament from cervix to: anterior pelvic wall? lateral? posterior?
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pubocervical
transverse cervical/cardinal ligament uterosacral ligament |
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where is the pouch of douglas?
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between uterus and rectum
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the broad ligament runs from where to where?
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lateral pelvic wall and uterus
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the mesovarium is what? and does what?
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posterior extension of the broad ligament; attaches to the ovary
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mesosalpinx is what? does what?
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most superior part of broad ligament; suspends uterine tube
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largest nerve of the body and what levels are involved?
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sciatic nerve - L4-S3
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two divisions of sciatic nerve and which is ventral? dorsal?
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common fibular is dorsal and tibial is ventral
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pudendal nerve innervates
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sphincters
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superior gluteal nerve has what innervations? innervates what muscles?
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L5-S2 (dorsal); gluteus medius, minimus, and tensor fasciae latae
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inferior gluteal nerve has what innervations? what muscles?
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L5-S2 (dorsal) - gluteus maximus
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prevertebral plexus carries what type of fibers? enters the pelvis as what nerves?
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sympathetic, parasympathetic, visceral afferent
hypogastric nerves |
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superior hypogastric plexus is where?
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anterior to L5 between sacrum and bifurcation of aorta
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pelvic plexus is formed by
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hypogastric plus pelvic splanchnic
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major artery for pelvis and perineum
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internal iliac
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common iliac splits at what level?
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intervertebral disc between L5 and S1
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major blood supply to the uterus
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uterine artery
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ovarian arteries travel in what vessel?
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suspensory ligament of the ovary
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vein that drains clitoris or penis
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deep dorsal vein
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urogenital triangle faces which way? anal triangle?
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straight down; posterior-inferior
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roof of the perineum
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levator ani
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lateral wall of the ischio-anal fossae
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obturator internus, ischium, sacrotuberous ligament
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inferior wall of ischio-anal fossae
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deep perineal pouch
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corpora cavernosa form which part of the penis?
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dorsal
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corpus spongiosum is what part of the penis?
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ventral
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urethra is in which part of the penis?
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corpus spngiosum
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penis ligament superiorly
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suspensory ligament of penis
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penis ligament inferiorly
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fundiform ligament of the penis
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glans penis is which part?
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spongiosum
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bulbourethral glands are located where?
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deep perineal pouch
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job of bulbospongiosus muscle in men
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ejaculation
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deep perineal fascia is
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Colles fascia
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Colles fascia attaches to
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perineal membrane (posteriorly) and ischiopubic rami
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colles fascia is a continuation of what abdominal faschia?
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membranous layer
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internal pudendal artery comes from
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anterior internal iliac
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artery of bulb of penis comes from
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internal pudendal artery
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testicular arteries come from? cremasteric arteries?
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abdominal aorta
inferior epigastric branch of external iliac artery |
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deep dorsal vein of penis or clitoris drains? goes to?
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glans and corpora cavernosa; connects with plexus of veins surrounding prostate or bladder
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lymph from deep perineum drains to?
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internal iliac nodes
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superficial penis or lymph drains to?
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superficial inguinal nodes
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the glans, labia minora, and terminal inferior end of the vagina drain into
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deep inguinal and external iliac nodes
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testes drain to
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lateral aortic or lumbar and pre-aortic nodes
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