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54 Cards in this Set
- Front
- Back
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Name the fascia covering the Pudendal Canal
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Obturator Fascia
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What portion of the male urethra is most prone to injury?
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Membranous urethra
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What route is taken by blood and urine which escapes an an injury to the male urethra?
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1. Scrotum
2. Penis 3. Anterior Abdominal Wall |
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Why doesn't urine escaping from an injured male urethra pass into the thigh?
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Colle's fascia blends with fascia lata enveloping the thigh muscles just distal to the inguinal ligament
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Why doesn't urine escaping from an injured male urethra pass into the gluteal region?
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Colle's fascia is adherent to the Urogenital diaphragm posteriorly
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Name the principal branches of the PUDENDAL N.
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1. INFERIOR RECTAL
2. PERINEAL BRANCH 3. DORSAL N. OF PENIS/CLITORIS 4. POSTERIOR LABIAL/SCROTAL N. |
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What are the most important direct supports of the uterus?
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TRANSVERSE CERVICAL LIGAMENT
PUBOCERVICAL LIGAMENT |
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What are the most important indirect support of the uterus?
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LEVATOR ANI
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Name the muscles forming the Pelvic Diaphragm.
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LEVATOR ANI
COCCYGEUS |
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Name the three parts of the Broad Ligament.
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1. MESOMETRIUM
2. MESOSALPINX 3. MESOVARIUM |
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Define Retroflexion
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Long axis of body of uterus is bent backwards at the level of the internal os
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Define Anteflexion
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Long axis of body of uterus is bend forwards at the level of the internal os
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Trace the lymphatic drainage of the Fundus of uterus
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Follows ovarian vessels to para-aortic nodes
Some follow round ligament to superficial inguinal nodes |
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Trace the lymphatic drainage of the Body of the uterus
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Broad ligament to external iliac nodes
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Trace the lymphatic drainage of the Cervix
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Internal iliac/sacral nodes
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How does the male pelvis differ from the female pelvis?
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1. Stronger/Prominent muscular impressions are distinct
2. Pelvic inlet is elliptical 3. Sacrum is longer, thinner and more curved 4. Pubic arch is narrower and less rounded 5. Ischial spines are more pointed and face medially 6. Inferior aperture is smaller 7. Coccyx is less movable |
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What is the relation of the OVARIAN A. to the URETER at the Pelvic brim?
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OVARIAN A. is lateral to URETER
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What is the relation of the UTERINE A. to the URETER in the base of the BROAD LIGAMENT?
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Artery is anterior/superior (water flows under the bridge)
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Name the usual branches of the posterior division of the INTERNAL ILIAC ARTERY
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1. ILIOLUMBAR
2. LATERAL SACRAL 3. SUPERIOR GLUTEAL |
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Describe the lymphatic drainage of the Prostate
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Internal Iliac and Sacral nodes
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Describe the lymphatic drainage of the Anal Canal
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1. Superior 2/3: Internal Iliac -> Common Iliac -> Paraaortic...
2. Inferior 1/3: Superficial Inguinal Nodes & Sacral Nodes |
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Where are kidney stones most likely to lodge in the ureter?
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1. Junction of Renal Pelvis
2. Crossing Pelvic Brim 3. Junction with Bladder |
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Where does Ureter cross Pelvic brim on X-Ray?
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Sacral Iliac Joint
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What is relationship of the URETER to lumbar vertebrae on X-ray?
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Anterior to their transverse processes
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What are the results of sacral neurectomy?
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Male: Loss of ejaculation
Female: Possible relief of dysmenorrhea |
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What three structures are covered by Gallaudet's fascia?
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ISCHIOVAVERNOSUS
BULOSPONGIOSUS SUPERFICIAL TRANSVERSE PERINEAL MUSCLES |
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What is the embryological origin of the Labia Majora?
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Labial-scrotal swelling
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What is the embryological origin of the Labia Minora?
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Urogenital folds
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What is the difference between Labia Majora & Minor?
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Majora: hair & pigmented skin
Minora: hairless, fat-fee |
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What are the boundaries of the Superficial Perineal Pouch?
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Inf: Colles Fascia
Sup: Perineal Membrane Lat: Pubic Arch Ant: Communication with Anterior Abdominal Wall |
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What are the contents of the Superficial Perineal Pouch?
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Superficial Transverse Perineal M.
Ischiocavernosus M. Bulbospongiosus M. Crura of Clitoris/Penis Bulb of vestibule/Penis Bartholin's glands (female) Perineal VAN |
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What are the boundaries of the Deep Perineal Pouch?
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Sup: Superior Fascia of UG Diaphragm
Inf: Perineal Membrane (Inferior Fascia of UG Diaphragm |
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What is another name for the Perineal Membrane?
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Inferior Fascia of the Urogenital Diaphragm
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What are the Contents of the Deep Perineal Pouch?
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UG Diaphragm
Perineal VAN Dorsal N. of the Clitoris/Penis Membranous Urethra (Male) Cowper's Gland (Male) Parts of Female Urethra & Vagina (Female) |
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What two muscles make up the UG Diaphragm?
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SPHINCTER URETHRAE
DEEP TRANSVERSE PERINEAL M. |
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Where is the location of the False Pelvis?
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AKA Greater Pelvis
Above Pelvic Brim |
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Where is the location of the True Pelvis?
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AKA Lesser Pelvis
Below Pelvic Brim |
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What is the nerve supply to the Levator Ani?
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S4 & Branches of INFERIOR RECTAL N.
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What is another name for the RECTOUTERINE POUCH?
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The Pouch of Douglas
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What are the three sections of the Urethra from bladder to tip?
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Prostatic
Membranous Penile/Spongy |
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Name the Peritoneal Pouches in the Male.
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RectoVesical Pouch
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Name the Peritoneal Pouches in the Female.
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RectoUterine Pouch (of Douglas)
VesicoUterine Pouch |
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What is another name for Denonvillier's Fascia?
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RectoVesicle or RectoProstatic Fascia (Significant for invasion by Prostate tumors)
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What are the three divisions of the Broad Ligament?
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MESOSALPINX (Fallopian Tube)
MESOVARIUM (Ovary) MESOMETRIUM (Body) |
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What are the parts of teh Fallopian Tube from Ovary to Uterus?
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Fimbriae
Infundibulum Ampulla Isthmus Interstitium |
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Where is the External Os?
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Communication between the Vagina and Cervix
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Where is the Internal Os?
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Communication between the Uterus and Cervix
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What is the ovarian blood supply?
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Ovarian A. arising from Abdominal Aorta via Infandibular Ligament
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Where do the Ovarian Veins Drain?
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L: Left Renal V.
R: IVC |
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What are the lobes of the Prostate?
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Ant: Anterior to Urethra
Pos: Posterior to Urethra, inferior to Ejaculatory duct Lat: Either side of Urethra (major part) Median: Between Urethra & Ejaculatory Duct |
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What is the Innervation of the Ovaries?
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Sym: Ovarian Plexus via Ovarian Vessels
Para: S2-S4 Pain: T10-T11 |
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What innervates the Seminal Vesicles?
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Symp: Superior Lumbar & Hypogastric
Para: S2-S4 |
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Where does the Rectum begin?
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S3
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What is the innervation of the Rectum?
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Symp: Lumbar trunk
Para: S2-S4 |
