Rnwk2- 4-18 Anatomy Perineal Angiology, Pelvic

Front 1

Common iliac artery divides into _____ and _____ arteries at which vertebral level?

Back 1

1. L5-S1

Front 2

First branch of the posterior internal iliac artery?
Three branches of the posterior internal iliac artery?

Back 2

iliolumbar artery
1. iliolumbar
2. Lateral sacral
3. Superior gluteal

Front 3

Explain how the superior gluteal artery leaves the pelvis

What does the umbilical artery become and what does it produce?

Back 3

through greater sciatic foramen superior to piriformis M

- becomes medial umbilical Ligament
- produces superior vesical artery

Front 4

Name the 8 branches of the anterior internal iliac artery

Back 4

1. umbilical
2. superior vesical arteries
3. uterine artery (women) ductus deferens (men)
4. vaginal artery (women) inferior vesical (men)
5. Middle Rectal
6. Obturator artery
7. Internal pudendal artery
8. Inferior gluteal artery

Front 5

Where does the obturator artery leave the pelvis?

What is it called when obturator artery is coming off external iliac artery?

Back 5

through the obturator Canal running with obturator nerve

- corona mortis

Front 6

Where does the superior vesical artery originate from and where does it go?

Back 6

From umbilical artery supplies superior aspect of urinary bladder

Front 7

How does the inferior gluteal artery leave the pelvis?

Back 7

Inferior part of the great sciatic foramen

Front 8

Name the five branches of the internal pudendal artery...
What are the two terminal branches of the pudendal artery?

Back 8

1. Inferior rectal a
2. perineal artery
3. superficial perineal artery
4. artery of bulb of penis or vestibule of vagina
5. deep artery of the penis or clitoris (terminal branch)
6. dorsal artery of the penis or clitoris (terminal branch)

Front 9

What are the branches off of the perineal artery?
Where does the perineal artery exit and enter?

Back 9

a. posterior labial and scrotal arteries
Perineal A. exits pudendal canal enters superficial perineal space

Front 10

Why would you ever want to occlude (embolize) the iliac arteries?

Back 10

pt with pelvic fractures may present with life threatening bleeding, occluding iliac arteries may be the only hope

Front 11

Where do the testicular/ovarian arteries arise from?

Back 11

anteriorly from the abdominal aorta, just inferior to renal arteries

Front 12

Left common iliac vein is crossed over
by what major artery?

Name a small unpaired branch that courses inferiorly along the sacrum after arising from the aorta near the aortic bifurcation...

Back 12

right common iliac artery...
-

- median sacral artery

Front 13

Explain the relationship between the ureter and the (ovarian/testicular) vessels...

Back 13

Gonadal vessels originate medial to ureter and ureter passes under them and runs medial to vessel

Front 14

Describe which lymph nodes are checked in the pelvic region to judge the spread of prostate or uteral cancers

Back 14

superficial and deep inguinal nodes

Front 15

Where do the lymphatic vessels from the ovary ascend to and what do they ascend with?
What areas in the pelvis will drain into the superficial inguinal nodes?

Back 15

from Ovary lymp goes with ovarian vessels in the supsensory ligament and terminate in the lumbar (aortic nodes)

- Perineum, external genitalia, and lower part of the anterior abdominal wall, and anal canal drain into the superior inguinal nodes (cancer check)

Front 16

which of the following arteries remains in the true pelvis?
a. iliolumbar
b. obturator
c. uterine
d. internal pudendal
e. inferior gluteal

Back 16

uterine

Front 17

Boy's penis bit by his dog (he deserved it)... dorsal vein was injured... where does dorsal vein of the penis drain to?

Back 17

prostatic venous plexus

Front 18

Boy gets kicked in the balls by his ex-girlfriend after she caught him smitten for some floozy. Doctor notices tenderness and swelling in left testicle which may indicate thrombosis of what vein?

Back 18

Most likely Left renal vein becaseu the left testicular vein drains in to it.