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297 Cards in this Set

  • Front
  • Back
What is the space or compartment surrounded by the pelvic girdle?
pelvis
What part of the pelvis protects the inferior abdominal viscera?
greater pelvis
What part of the pelvis follows the curvature of the illiac crest?
greater pelvis
What part of the pelvis contains the skeletal framework for the pelvic cavity and perineum?
lesser pelvis
What is the anterior border of the pelvis?
inferior anterolateral abdominal wall
What is the posterolateral border of the pelvis?
gluteal region of the lower limb
What is the inferior border of the pelvis?
perineum
What is the area of the surface of the trunk between the thighs, from the coccyx to the pubis?
perineum
What is the region of the body that includes all structures of the anal and urogenital triangles, deep and superficial?
perineum
What region of the body extends superiorly to the pelvic diaphragm?
perineum
What bears the weight of the upper body when sitting or standing?
pelvic girdle
What transfers weight from the axial to the lower appendicular skeleton when walking?
pelvic girdle
What is the attachment point for muscles of the upper leg and lower back?
pelvic girdle
What contains and protects the pelvic viscera?
pelvic girdle
What provides support for the abdominopelvic viscera (especially the uterus)?
pelvic girdle
What is the attachment point for erectile tissues of the external genitalia?
pelvic girdle
What is the attachment point for muscles that form the pelvic floor?
pelvic girdle
What bones have 3 portions and are joined at the acetabulum?
coxal bones
What joins the coxal bones in infants and children?
triradiate cartilage
What bones fuse anteriorly at the pubic symphysis?
coxal bones
What bones articulate with the sacrum posteriorly to form the iliosacral joint?
coxal bones
What 3 bones make up the coxal bones?
ilium
ischium
pubis
What is the ala?
wing of the ilium
What coxal bone contains the iliac crest?
ilium
What coxal bone contains the anterior and posterior iliac spines?
ilium
What 2 bones make up the sacropelvic surface?
iliac tuberosity
auricular surface
What coxal bone contains the sacropelvic surface?
ilium
What coxal bone contains the auricular surface?
ilium
What coxal bone contains the iliac tuberosity?
ilium
What coxal bone contains the greater sciatic notch?
ilium
What forms part of the acetabulum?
body of ischium
superior pubic ramus
What coxal bone contains the ramus?
ischium
What coxal bone contains the ischial tuberosity?
ischium
What coxal bone contains the ischial spine?
ischium
What coxal bone contains the lesser sciatic notch?
ischium
What forms part of the obturator foramen?
ischial ramus
inferior pubic ramus
What coxal bone contains the superior pubic ramus?
pubis
What coxal bone contains the inferior pubic ramus?
pubis
What coxal bone contains the pubic crest?
pubis
Where is the pubic crest located?
anterior portion of body of pubis
What coxal bone contains the pubic tubercle?
pubis
What coxal bone contains the pecten pubis?
pubis
What is the pectineal line of the pubis?
pecten pubis
What portions of the coxal bones are in the vertical (frontal) plane?
anterior superior iliac spine
pubic tubercles
What bones of the pelvic girdle are in the same horizontal plane?
coccyx
upper margin of pubic symphysis
What division of the pelvis is known as the false pelvis?
greater pelvis
What division of the pelvis is known as the true pelvis?
lesser pelvis
What part of the pelvis is superior to the pelvic inlet?
greater pelvis
What part of the pelvis is occupied by the abdominal viscera?
greater pelvis
What abdominal viscera does the greater pelvis contain?
ileum
sigmoid colon
What part of the pelvis is between the pelvic inlet and the pelvic outlet?
lesser pelvis
What part of the pelvis is part of the true pelvic cavity and perineum?
lesser pelvis
What part of the pelvis contains the obstetrical and gynecological organs?
lesser pelvis
What outlines the pelvic inlet?
superior pelvic aperature
What divides the greater and lesser pelves?
pelvic inlet
What forms the pubic arch?
ischiopubic rami
What are the ischiopubic rami?
inferior pubic ramus
ischial ramus
What joins the inferior pubic ramus and ischial ramus?
pubic symphysis
What defines the subpubic angle?
inferior borders of pubic arch
What part of the pelvis differentiates males from females?
subpubic angle
What contains the urogenital triangles?
pelvic outlet
What is the pelvic outlet bounded by?
pubic arch
ischial tuberosities
inferior margin of sacrotuberous ligament
tip of coccyx
What is the pelvic outlet closed by?
coccygeous muscles
levator ani muscles

(AKA floor of pelvis)
What muscles form the floor of the pelvis?
coccygeus muscles
levator ani muscles
What is the difference in the male and female lesser pelves?
MALE: narrow and deep, tapering

FEMALE: wide and shallow, cylindrical
What are the 4 joints of the pelvic girdle?
sacroiliac joint
pubic symphysis
lumbosacral joint
sacrococcygeal joint
What type of joint is the sacroiliac joint?
synovial joint
What joint connects the axial skeleton to the inferior appendicular skeleton?
sacroiliac joint
What joint of the pelvic girdle is strong and weight bearing?
sacroiliac joint
What joint connects the auricular surface of the sacrum and ilium?
sacroiliac joint
What covers the sacroiliac joint?
articular cartilage
Is the sacroiliac joint mobile?
yes, it has a limited mobility
What does the limited mobility of the sacroiliac joint allow for?
distribution of weight
How does the sacroiliac joint move?
slight gliding and rotary movements
What 4 ligaments connect the sacrum to the iliac bones?
thin anterior sacroiliac ligaments
interosseus sacroiliac ligaments
posterior sacroiliac ligaments
sacrospinous ligament
What ligaments join with the posterior sacroiliac ligaments?
sacrotuberous ligaments
How do the posterior sacroiliac ligaments fun?
obliquely superiorly and laterally
What ligaments connect the ilium and sacrum/coccyx to the ischial tuberosity?
sacrotuberous ligaments
What ligaments form the greater sciatic foramen?
sacrotuberous ligaments
What ligament runs from the lateral sacrum/coccyx to the ischial spine?
sacrospinous ligament
What ligament subdivides the greater sciateic forament?
sacrospinous ligament
What type of joint is the pubic symphysis?
secondary cartilaginous joint
What is the pubic symphysis?
fibrocartilage interpubic disc
What stabalizes the pubic symphysis?
superior and inferior pubic ligaments
What ligament connects the superior aspects of the pubic bodies to the pubic tubercles?
superior pubic ligament
What ligament connects the inferior aspect of the pubic symphysis to the subpubic angle?
inferior pubic ligament
What stabalizes and strengthens the pubic symphysis?
tendinous attachments
What are the tendinous attachments of the pubic symphysis?
rectus abdominus
external oblique muscles
Where is the lumbosacral joint?
L5-S1 (sacral body)
What forms the lumbosacral joint?
intervertebral disc
zygapophysial joints
Where are the intervertebral discs?
between bodies of vertebrae
Where are the zygapophysial joints?
between articular processes
What strengthens the lumbosacral joint?
iliolumbar ligaments
What is the cartilaginous joint between the coccyx and sacrum?
sacrococcygeal joint
What is the sacrococcygeal joint reinforced by?
anterior sacrococcygeal ligament
posterior sacrococcygeal ligament
lateral sacrococcygeal ligament
What cavities make up the pelvic cavity?
thoracic cavity
abdominopelvic cavity
perineal cavity/perineum
What is the abdominal portion of the abdominopelvic cavity that is part of the pelvic cavity?
inferior border is pelvic inlet
What is the pelvic portion of the abdominopelvic cavity that is part of the pelvic cavity?
inferior boder is pelvic outlet
What organs are located in the pelvic portion of the abdominopelvic cavity?
ureters
urinary bladder
rectum
pelvic genital organs
What is the anteroinferior wall of the pelvic cavity?
formed by bodies and rami of the pubic bones and pubic symphysis
What are the lateral bounderies of the pelvic cavity?
pelvic bones
obturator forament
Waht covers the obturator foramen?
obturator membrane
What muscle does the obturator forament contain?
obturator internus muscle
What is the origin of the obturator internus muscle?
pelvic surfaces of the ilium and ischium
What is the insertion poin of the obturator internus muscle?
greater trochanter of femue
What muscle passes through the lesser sciatic foramen?
obturator internus muscle
What fascia covers the obturator internus muscle?
obturator fascia
What is a tendinous arch that forms the attachment for the pelvic diaphragm?
obturator internus muscle
How do the obturator nerves pass in regards to the obturator internus muscle?
medially
How do branches of the internal iliac vessels pass in regards to the obturator internus muscle?
medially
What are the posterior boundaries of the pelvic cavity?
anterior sacroiliac ligament
sacrospinous ligament
sacrotuberous ligament
What is the origin of the piriformis muscle?
pelvic portion of sacrum
superior margin of greater sciatic notch
sacrotuberous ligament
What is the insertion of the piriformis muscle?
greater trochanter of the femus
What forms the floor of the pelvic cavity?
pelvic floor
What forms the pelvic floor?
pelvic diaphragm
What muscles form the pelvic diaphragm?
coccygeous muscles
levator ani muscles
(fascias)
What separates the pelvic cavity from the perineum?
pelvic diaphragm
What is the origin of the coccygeous muscle?
ischial spine
What is the insertion of the coccygeous muscle?
inferior end of sacrum
What ligament does the coccygeus muscle run deep to?
sacrospinous ligament
What are the 3 levator ani muscles?
puborectalis
pubococcygeus
iliococcygeus
Describe the puborectalis muscle.
thicker, narrow, medial
What muscle forms the puborectalis sling?
puborectalis
What is a perineal flexure that originates at one pubis and ends at the other?
puborectalis sling
What is the function of the puborectalis sling?
contenance
Describe the pubococcygeus muscle.
wider, thinner, intermediate
What is the attachment point of the pubococcygeus muscle?
posterior aspect of the body of pubis
anterior tendinous arch
Where does the pubococcygeus muscle extend in relation to the anococcygeal body (or ligament)?
horizontally
What muscle comprises the posterolateral portion of the levator ani muscles?
iliococcygeus muscle
What is the origin of the iliococcygeus muscle?
posterior tendinous arch
ischial spine
What is the insertion point of the iliococcygeus muscle?
anococcygeal ligament
What 4 muscles of the pelvic floor are located above the perineum?
coccygeus muscle
puborectalis muscle
pubococcygeus muscle
iliococcygeus muscle
What forms a floor for the abdominopelvic viscera?
pelvic floor
What does tonical contraction of the pelvic floor do?
maintains urinary and fecal continence
What actively contracts when the intra-abdominal pressure increases?
pelvic floor
What causes the intra-abdominal pressure to increase?
coughing
sneezing
vomiting
What actively contracts the puborectalis muscle?
pelvic floor
What happens when the puborectalis muscle is actively contracted?
maintains fecal continance during rectal filling and peristalsis
What actively relaxes the levator ani muscles?
pelvic floor
What happens when the levator ani muscles are relaxed?
allows for defecation and urination
What descends along the anterior abdominal wall?
periatal peritoneum
What forms when the periatal peritoneum reflects onto the superior surface of the urinary bladder?
supravesical fossa
What forms when the periatal peritoneum covers the convex (superior) surface of teh bladder and slopes down the sides to ascend the lateral walls of the pelvis?
paravesical fossa
What descends along the posterior surface of the bladder in men?
periatal peritoneum
What forms when the periatal peritoneum reflects from the bladder to the body of the uterus?
vesicouterine pouch
What forms the fold over ureters (ureteric fold), ductus deferens, and superior seminal glands in men?
periatal peritoneum
What covers the body and fundus of the uterus and the posterior fornix of the vagina?
periatal peritoneum
What extends laterally from the uterus, forming a broad ligament that covers uterine tubes, ovaries, and round ligament of the uterus?
periatal peritoneum
What forms when the periatal peritoneum reflects from the bladder and seminal glands onto the rectum in men?
rectovesical pouch
What forms when the periatal peritoneum reflects from the vagina onto the rectum?
rectouterine puch
What forms when the rectovescial pouch/rectouterine pouch extends laterally and posterially?
pararectal fossae
What fills the rectovescial pouch/rectouterine pouch?
peritoneal fluid
What makes the rectovescial pouch/rectouterine pouch prone to infections/cancer?
peritoneal fluid
What are the 2 pelvic fascia?
membranous pelvic fascia
endopelvic fascia
What are the 2 membranous pelvic fascia?
parietal pelvic fascia
visceral pelvic fascia
What fascia lines the inner (deep or pelvic) aspects of the muscles that form the pelvic walls and floor?
parietal pelvic fascia
What fascia is continuous superiorly with the transversalis and iliopsoas fascia?
parietal pelvic fascia
What fascia is the membranous adventitial covering of the abdominopelvic organs?
visceral pelvic fascia
What fascia is continuous with the parietal fascia where the organs penetrate the pelvic floor?
visceral pelvic fascia
What fascia forms the tendinous arch of the pelvic fascia?
visceral pelvic fascia
What is the bilateral band from the pubis to the sacrum?
tendinous arch of pelvic fascia
What ligaments make up the anterior portion of the visceral pelvic fascia?
puboprostatic ligament (men)
pubovescal ligament (women)
What ligament connects the prostate to the pubis in men?
puboprostatic ligament
What ligament connects the fundus of the bladder to the pubis in women?
pubovesical ligament
What ligament forms the posterior portion of the visceral pelvic fascia?
sacrogenital ligaments
What ligament extends around the lateral aspects of the rectum to connect the prostate to the sacrum in men?
sacrogenital ligaments
What ligament extends around the lateral aspects of the rectum to connect the vagina to the sacrum in women?
sacrogenital ligaments
What pelvic fascia is composed of abundant connective tissue between parietal and visceral fascia?
endopelvic fascia
What pelvic fascia forms a connective tissue matrix that keeps pelvic viscera in place?
endopelvic fascia
What pelvic fascia allows expansion of urinary bladder and rectal ampulla?
endopelvic fascia
What are pelvic "ligaments" with a fibrous consistency, and collagen and elastic fibers?
fascial condensations
Which pelvic fascia has fascial condensations?
endopelvic fascia
What comprises the anterior portion of the hypogastric sheath?
lateral ligament of the bladder
What is the function of the lateral ligament of the bladder?
to keep the bladder in place
What ligament contains the superior visical artery and veins?
lateral ligament of the bladder
What comprises the middle portion of the hypogastric sheath?
rectovesical septum (males)
transverse cervical (cardinal) ligament (females)
Where is the rectovesical septum in males?
between the posterior surface of the bladder and prostate
rectum
What is the function of the transverse cervical (cardinal) ligament in females?
provides main support for uterus
What comprises the posterior portion of the hypogastric sheath?
lateral rectal ligaments
What ligaments connect the rectum to the parietal pelvic fascia?
lateral rectal ligaments
What ligaments contain middle rectal arteries and rectal nerve plexi?
lateral rectal ligaments
What are the 2 main types of pelvic nerves?
sacral and coccygeal spinal nerves
sacral plexus
What do the pelvic nerves do?
innervate legs
Where is the sciatic nerve?
L4-S3
What is the largest nerve in the body?
sciatic nerve
What nerve passes through the greater sciatic foramen inferior to the piriformis?
sciatic nerve
What nerve enters the gluteal region and descends posterior to the thigh?
sciatic nerve
What nerve supplies the lower aspect of the lower limbs?
sciatic nerve
Where is the pudendal nerve?
S2-S4
What is the main nerve of the perineum?
pudendal nerve
What is the sensory nerve of the genitalia?
pudendal nerve
What nerve exits the pelvis via the greater sciatic foramen (between piriformis and coccygeus muscles)?
pudendal nerve
What nerve supplies the skin and muscles of perineum?
pudendal nerve
Where is the superior gluteal nerve?
L4-S1
What nerve supplies the gluteus medius, gluteus minimus, and tensor fascia lata?
superior gluteal nerve
Where is the inferior gluteal nerve?
L5-S2
What nerve supplies the gluteus maximus?
inferior gluteal nerve
What 4 nerves make up the sacral plexus?
sciatic nerve
pudendal nerve
superior gluteal nerve
inferior gluteal nerve
Where is the obturator nerve?
L2-L4
Does the obturator nerve supply the pelvic area?
NO
What nerve supplies the medial thigh?
obturator nerve
What nerve runs in the extraperitoneal fat along the lateral wall of the pelvis?
obturator nerve
What nerve passes through the obturator canal?
obturator nerve
Where is the coccygeal plexus?
S4-S5
What are the 2 nerves that make up the coccygeal plexus?
coccygeal nerves
anococcygeal nerves
What nerves supply the coccygeus, levator ani, and sacrococcygeal joint?
coccygeal nerves
What nerves supply a small area of skin between teh coccygeal tip and the anus?
anococcygeal nerves
What are vasomotor nerves responsible for?
blood vessels
What are pilomotor nerves responsible for?
making hair stand up
What are sudomotor nerves responsible for?
sweat
What 4 nerves are pelvic AUTONOMIC nerves?
sacral sympathetic trunks
periarterial plexuses
hypogastric plexuses
pelvic splanchnic nerves
What nerves are the inferior continuation of the lumbar sympathetic trunk?
sacral sympathetic trunks
What nerves are postsynaptic fibers to the sacral plexus?
sacral sympathetic trunks
What nerves are responsible for the vasomotor, pilomotor, and sudomotor innervation of the lower limbs?
sacral sympathetic trunks
What nerves are responsible for vasomotion of the arteries?
periarterial plexus
What 2 nerve plexi make up the hypogastric plexuses?
superior hyporgastric plexus
inferior hypogastric plexus
Why type of nerves comprise the superior hypogastric plexus?
sympathetic
What type of nerves comprise the inferior hypogastric plexus?
mixed sympathetic and parasympathetic
What nerves are a continuation of the inferior mesenteric plexus?
superior hypogastric plexus
What nerves give rise to the right and left hypogastric nerves?
superior hypogastric plexus
What nerves innervate the rectum and bladder?
inferior hypogastric plexus
What nerves innervate the prostate and seminal glands?
inferior hypogastric plexus
What nerves innervate the cervix of the uterus and the vagina?
inferior hypogastric plexus
Where are the pelvic splanchnic nerves?
S2-S4
What nerves inhibit the peristaltic contraction of the rectum?
sympathetic pelvic splanchnic nerves
What nerves stimulate contraction of the internal genital organs (ejaculation)?
sympathetic pelvic splanchnic nerves
What nerves contract the rectum and bladder for defecation and urination?
parasympathetic pelvic splanchnic nerves
What nerves stimulate erection in erectile tissues?
parasympathetic pelvic splanchnic nerves
What type of nerves travel retrograde with sympathetic motor fibers?
visceral afferent nerves
What are the 13 pelvic arteries?
internal iliac artery
umbilical artery
obturator artery
inferior vesical artery
middle rectal artery
vaginal artery
uterine artery
internal pudendal artery
inferior gluteal artery
posterior division of the internal iliac artery
ovarian artery
median sacral artery
superior rectal artery
What is the principal artery supplying the pelvis?
internal iliac artery
What artery is a branch of the common iliac artery?
internal iliac artery
What divisions does the internal iliac artery divide into?
anterior and posterior divisions
What artery supplies the sacrum and the area around the sacrum?
posterior internal iliac artery
What artery supplies the pelvic viscera, primarily the bladder, rectum and reproductive organs?
anterior internal iliac artery
What artery may supply the buttock and thigh?
anterior internal iliac artery
What artery carries nutrient-poor, deoxyginated blood to the placenta?
umbilical artery
What does the distal portion of the umbilical artery become?
medial umbilical ligaments
What does the open patent proximal portion of the umbilical artery give rise to?
superior vescial artery
What artery supplies the fundus of the urinary bladder?
superior vesical artery
What artery supplies the ductus deferens?
superior vesical artery
What arteries are a branch of the internal iliac artery?
obturator artery
uterine artery
What artery gives off muscular branches and a nutrient artery to the ilium?
obturator artery
What artery gives rise to the pubic branch?
obturator artery
What does the pubic branch of the obturator artery anastomose with?
pubic branch of external iliac artery
What artery exits the pelvis via the obturator canal?
obturator artery
What artery supplies the muscle of the medial thigh?
obturator artery
What artery supplies the fundus of the urinary bladder, seminal glands, prostate, fundus of the bladder, and inferior portions of the ureters?
inferior vesical artery
What artery supplies the inferior part of the rectum?
middle rectal artery
What artery anastomoses with the superior and inferior rectal artery?
middle rectal artery
What arteries supply the seminal glands and prostate?
superior and inferior rectal artery
What aretery is a branch of the uterine artery?
vaginal artery
What artery supplies the anterior and posterior surfaces of the vagina, posterior inferior urinary bladder, and pelvic urethra?
vaginal artery
What does the uterine artery divide into?
descending vaginal branch
ascending branch
What artery bifurcates into the ovarian and tubal branches?
ascending branch of uterine artery
In men, what is analogous to the vaginal artery?
inferior vesical artery
In men, was is analogous to the uterine artery?
artery of ductus deferens
What artery gives off muscular branches and a nutrient artery to the ilium?
obturator artery
What artery gives rise to the pubic branch?
obturator artery
What does the pubic branch of the obturator artery anastomose with?
pubic branch of external iliac artery
What artery exits the pelvis via the obturator canal?
obturator artery
What artery supplies the muscle of the medial thigh?
obturator artery
What artery supplies the fundus of the urinary bladder, seminal glands, prostate, fundus of the bladder, and inferior portions of the ureters?
inferior vesical artery
What artery supplies the inferior part of the rectum?
middle rectal artery
What artery anastomoses with the superior and inferior rectal artery?
middle rectal artery
What arteries supply the seminal glands and prostate?
superior and inferior rectal artery
What aretery is a branch of the uterine artery?
vaginal artery
What artery supplies the anterior and posterior surfaces of the vagina, posterior inferior urinary bladder, and pelvic urethra?
vaginal artery
What does the uterine artery divide into?
descending vaginal branch
ascending branch
What artery bifurcates into the ovarian and tubal branches?
ascending branch of uterine artery
In men, what is analogous to the vaginal artery?
inferior vesical artery
In men, was is analogous to the uterine artery?
artery of ductus deferens
What artery passes through the inferior portion of the greater sciatic foramen?
internal pudendal artery
What artery passes around the posterior aspect of the ischeal spine?
internal pudendal artery
What artery enters the ischioanal fossa through the lesser sciatic foramen?
internal pudendal artery
What artery gives rise to the deep and dorsal artery of penis or clitoris?
internal pudendal artery
What artery supplies the muscles and skin of the buttocks and posterior thigh?
inferior gluteal artery
What are the 3 posterior divisions of the internal iliac artery?
superior gluteal artery
iliolumbar artery
lateral sacral artery
What artery runs between the lumbosacral trunk and the first sacral nerve?
superior gluteal artery
What artery exits the pelvis via the greater sciatic foramen (above piriformis)?
superior gluteal artery
What artery supplies the buttocks?
superior gluteal artery
What artery passes medially in front of the sacral plexus?
lateral sacral artery
What artey gives rise to spinal branches?
lateral sacral artery
What artery supplies the spinal meninges and roots of sacral nerves?
lateral sacral artery
What artery supplies the muscles and skin over the sacrum?
lateral sacral artery
What artery runs superolaterally to the iliac fossa?
iliolumbar artery
What does the iliolumbar artery divide into?
iliac branch
lumbar branch
What artery supplies the iliacus muscle and ilium?
iliac branch of iliolumbar artery
What artery supplies the psoas major and quadratus lumborum?
lumbar branch of iliolumbar artery
What artery is a branch of the abdominal aorta that crosses the proximal end of the external iliac artery?
ovarian artery
What artery reaches the ovary via the suspensory ligament of ovary?
ovarian artery
What is an unpaired artery that extendes from the abdominal aorta proximal to bifurcaion?
median sacral artery
What artery supplies the posterior portion of the rectum?
median sacral artery
What artery ends at the coccygeal body?
median sacral artery
What artery is a continuation of the inferior mesenteric artery?
superior rectal artery
What are the 7 pelvic veins?
pelvic venous plexus
internal iliac veins
median sacral vein
superior rectal vein
common iliac veins
iliolumbar veins
superior gluteal veins
How do the pelvic veins run in regards to the pelvic arteries?
pelvic veins parrallel the pelvic arterial supply