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NWHSU GA 2 Exam #3

In a SURFACE PROJECTION, where are the following specifically located? Do NOT give an abdominal region as your answer. a) gall bladder b) right colic flexure c) base of appendix (McBurney’s point) d) transpyloric plane (NOT vertebral level) a) costal cartilage of rib 9 b) costal margin at costal cart. 10 c) junction of distal and middle thirds of line connecting right ASIS and umbilicus d) line halfway btw suprasternal notch and the pubis
Besides stomach and splenic vessels, give 2 viscera (give specific part when needed) immediately related to the spleen. Pancreas (tail) Left kidney
In a SURFACE PROJECTION, where are the following specifically located? Do NOT give an abdominal region as your answer. a) left colic flexure b) transverse colon a) deep to costal cartilage 8 b) at level of umbilicus, concavely
Besides the thyroid and cricoid cartilages, name the other cartilages of the larynx Arytenoid, Epiglottic, Corniculate, Cuneiform
Describe the MOTOR innervation (include components innervated) to the larynx Recurrent laryngeal branch of vagus to intrinsic muscles External branch of the superior laryngeal nerve of vagus to cricothyroid
Slit-like opening between the FALSE vocal cords Rima vestibule
Fissure separating upper and middle lobes of the right lung Horizontal
A sharp mucosal covered ridge of the middle meatus Uncinate process
Name given to parietal pleura over apex of lung Cupula
Meatus into which the nasolacrimal duct drains Inferior meatus
HYPERTROPHIED lymphatic components on the roof of the nasopharynx Adenoids
Internally corresponds to alae of the nose; has sweat glands AND hairs Vestibule
Swelling in the middle meatus, marks position of ethmoid air cell Ethmoid bulla
Besides the aorta, list 2 other structures which can pass through the aortic hiatus Thoracic duct, azygos v.
Tubular structure present at the junction of ONLY the inferolateral and superior surfaces of bladder Median umbilical ligament
Specific cup-like structures which surround the apices of the renal papillae (apices of the renal pyramids) ONLY Minor calyces
Component immediately internal to pararenal fat renal fascia
Pouch immediately posterior to the FEMALE bladder Vesicouterine pouch
Name 2 nerves that are posteriorly related to the kidneys Iliohypogastric, ilioinguinal
What structure (mentioned in class) is related to the following surfaces of the prostate gland: a) posterior b) base a) rectum b) bladder
Homologue of the female vagina (vagina masculine), formerly thought to be homologue of uterus Prostatic utricle
Approx. length of ductus epididymis 20-23 ft.
Draw a simple picture of the colliculus seminalis and label correctly the position of components present on it See lecture notes
Specific named part of broad ligament that forms its inferior aspect Mesometrium
Part of the levator ani that prevents anal incontinence Puborectalis
Component which FORMS the arcus tendineus Thickened fascia of obturator internus
LANDMARK through which the tendon of the obturator internus exits the pelvis Lesser sciatic foramen
From what components do the following arise? a) suspensory ligament of the clitoris b) prepuce of clitoris a) deep fascia of lower abdomen b) lateral folds of the labia minora meeting over the glans of the clitoris
Scarpa’s fascia of the abdomen continues into the perineum as the _______ layer of the __________ perineal fascia, formerly known as ________ fascia. Anteromedially, this fascia is continuous with the ________ Deep, superficial, Colles, dartos
List 2 different mm. occupying the SUPERFICIAL perineal space. Superficial transverse perineal mm. Bulbospongiosus m. Ischiocavernosus m.
List 3 differently named structures located in the DEEP perineal space of the MALE Deep transverse perineal mm. External urethral sphincter Bulbourethral glands
Female homologue of proximal part of the corpus spongiosum Vestibular bulb
A patient presents a ruptured bulbular penile urethra (ouch!). The deep fascia of the perineum is NOT damaged. In which area(s) would you expect urine to collect during micturition. Circle the ONE correct answer. a. scrotum, b. penis, Look Below
c. scrotum AND penis, d. scrotum, penis, and abdominal wall, e. deep perineal space B
Define the: a) Pudendal cleft b) crura of the perineum a) cleft btw labia majora b) corpus cavernosum attached to UG diaphragm and pubic bone
Fold of skin formed by labia minora; forms a hood over most of the clitoris Prepuce
The anterior recesses of the ischiorectal fossa are located between (superiorly and inferiorly) what two structures? Superior - levator ani m. Inferior - deep perineal space
In a surface projection, the lower border of the liver extends along a line from the R _______ rib to the L _______ rib. 10th ; 5th
_______ structure over which the mucosa of the larynx is reflected to form the vestibular fold. Quadrangular membrane
_______ slit-like opening between the true vocal cords. Rima glottidis
Give the following vertebral levels: a. tracheal bifurcation (cadaver) b. hiatus of the inferior vena cava a. T4/T5 b. T8
Define a bronchopulmonary segment. Area of the lung supplied with air from the tertiary bronchus and its subsequent brs.
_______ left lung homologue of middle lobe of R lung. Lingula
_______ opening of ethmoidal infundibulum into the meatus Semilunar hiatus
_______ specific structure responsible for forming the limen nasi. Lateral nasal cartilages
_______ a structure which drains into the inferior meatus Nasolacrimal duct
Give 2 landmarks present on the medial surface of the right lung, but NOT the left. Sup vena cava, azygos v, inf vena cava, R subclavian a, R brachiocephalic v
_______ part of the levator ani that arises from the arcus tendineus Iliococcygeus
_______ SPECIFIC part of broad ligament surrounding the uterine (fallopian) tube. Mesosalpinx
Give ALL structural components forming the broad ligament. Do NOT give its 3 named parts. Anterior and posterior sheets of peritoneum
Give the composition of the HEAD of the epididymis. Efferent ducts & proximal ductus epididymis
Define location of posterior lobe of the prostate. Be compete! In midline posterior to urethra and below the ejaculatory ducts
_______ counting the outer skin of the ANTERIOR scrotum as the 1st layer, give the 4th layer through which a penetrating item would pass Internal spermatic fascia
_______ component applied to most of the external surface of the tunica albuginea of testis. Visceral layer of tunica vaginalis
_______ homologue of the female vagina (vagina masculine) (formerly through to e homologue of uterus) Prostatic utricle
Using VERTEBRAL LEVELS (be exact), where do the kidneys lie when in the supine position? Do they move when in the erect position? If so, how far? Supine, T12 to L2-3 May move CAUDALLY up to 1” in erect position
Discuss the derivation of the trigone muscle. Longitudinal smooth muscle of the ureters
_______ component immediately internal to pararenal fat. Renal fascia
Name 4 muscles related posteriorly to the kidneys. Psoas major, quadratus lumborum, transversus abdominis, respiratory diaphragm
______ structure forming the posterolateral border of the anal triangle. Sacrotuberous ligaments
Besides the pudendal n., give the sources of innervation to the anal triangle. Perineal br. of S4, perineal br. of posterior femoral cutaneous
Besides the pylorus, give 2 specific PARTS of viscera through which the transpyloric plane passes (from handout only). Neck of pancreas, duodenojejunal junction, hila of kidneys
Give the following vertebral levels: a) subcostal plane b) transpyloric plane a) L3 b)L1
the mucosal reflection over the upper edge of the quadrangular membrane of the larynx aryepiglottic fold
This structure passes upward from the arch of the cricoid cartilage, on its upper edge it is thickened to from the vocal ligaments Conus elasticus
Define the root of the lung Collectively, the structures which pass through the hilus
Name given to the upper part of the dorsum nasi supported by nasal bones Bridge
Name bony components forming the roof of the nasal CAVITY. BE SPECIFIC! Nasal bones, frontal bone, cribiform plate of ethmoid, body of sphenoid
SPECIFIC structure that supports the tracheal bifurcation Carina
Name given to the majority of smooth muscle forming the wall of the urinary bladder Detrusor
Specific bladder SURFACES which meet at its NECK Inferolateral, Inferoposterior
Besides the suprarenal gland superiorly, give 2 structures ANTERIORLY related to the RIGHT kidney (of those mentioned in class). Be sure to give specific PARTS of organs when necessary. Right colic flexure, second part of duodenum
Structure located WITHIN the lateral umbilical folds Inferior epigastric vessels
Besides lymphatics and nerves, give 3 specific structures located WITHIN the spermatic cord. Now give the name of their immediate covering. Vas deferens and its artery, testicular a., pampiniform plexus of veins, covered by internal spermatic fascia
Define location of median lobe of the prostate. Be Complete! Behind the prostatic urethra, ABOVE the ejaculatory ducts
Specific part of prostate against the neck of the bladder Base
Name the normal positions of the uterus & also DEFINE each. BE SPECIFIC! Anteverted - positioned forward in such that its axis is NOT parallel with vagina. Anteflexed - body is flexed in a way that the concavity faces anterior and inferior.
What lies immediately medial to the ANTERIOR half of the uterosacral ligament? Rectouterine pouch
SPECIFIC named part of broad ligament that forms inf. aspect. Mesometrium
Forms superior boundary (roof) of the perineum Pelvic diaphragm.
Give the following boundaries of the superficial perineal space: a) superior b) inferior c) lateral d) give a muscle of the space a) Perineal membrane b) deep perineal fascia c) ischiopubic rami d) ischiocavernosus, bulbospongiosus, superficial transverse perineal mm
The internal pudendal artery TERMINATES as: Deep and dorsal arteries of clitoris/penis
Concerning faschial layers: BE SPECIFIC AND COMPLETE! a) name given to abdominal Scarpa’s fascia in the perineal region b) the _________ fascia of the perineum is NOT continuous with the dartos of the scrotum a) deep layer of superficial perineal fascia b) deep perineal
Forms the upper limit (roof) of the deep perineal space. Superior fascia of UG diaphragm.
Besides skin and fascia, name two structures located within the labia majora Vestibular bulbs & termination of round ligament of uterus
Discuss IN DETAIL the COURSE taken by the internal pudendal artery and pudendal nerve as they exit the pelvis and pass through the anal triangle. Leave through greater sciatic notch→ cross over ischial spine→ through lesser sciatic notch→ in pudendal canal high on lateral wall of anal triangle to UG diaphragm
Component IMMEDIATELY external to renal fascia Pararenal fat
Potential space anterior to bladder Retropubic space
Pouch immediately posterior to the MALE Bladder Rectovesical pouch
Part of pelvic diaphragm which originates off the ischial spine and sacrotuberous ligament Coccygeus muscle
What structure mentioned in class is related to the following surfaces of the prostate gland: a) apex b) inferolateral a) superior fascia of UG diaphragm b) levator ani
Part of male duct system which passes through the prostate and into the urethra Ejaculatory duct
Give 2 components mentioned in lecture which form the lateral wall of the NASOPHARYNX. Ostia of auditory tubes, pharyngeal muscles
List the vertebral level of: a) aortic hiatus b) esophageal hiatus a) T12 b) T10
Name two structures (as mentioned in lecture) related to the left side of the THORACIC part of the trachea L recurrent laryngeal nerve Arch of aorta
Internally corresponds to alae of the nose; has sweat glands and nasal bones Vestibule
Give the following vertebral levels: a) aortic bifurcation b) the umbilicus (thin subject) a) L4 b) L3/4
In a SURFACE PROJECTION, where is the spleen SPECIFICALLY located. Do NOT give an abdominal region as your answer. Deep to left 9th, 10th, & 11th ribs; just posterior to left mid axillary line
What muscle of the larynx: 1. lengthens and tightens the vocal cord, thus increasing pitch. 2. inserts on the muscular process of the arytenoid and rotates the cartilage medially, but does NOT pull the cartilage anteriorly? 1. cricothyroid 2. lateral cricothyroid
Give the term for the: 1. entrance to the larynx 2. space between the true and false vocal cords. 1. aditus 2. rima glottidis
__________name given to mucosal reflection formed by the LOWER edge of the quadrangular membrane. Vestibular fold
__________ name given to the parietal pleura over apex of lung Cupula
__________ name given to the upper part of the dorsum nasi supported by the nasal bones. Bridge
__________ structure which has a lateral and medial crus to hold open the nostrils Greater alar cartilage
Into what meatus does each of the following drain? 1. maxillary sinus 2. frontal sinus 1. middle 2. middle
_________ component immediately internal to renal fascia perirenal fat
Give the: 1.Bony posterior relations of the left kidney 2. capacity of bladder without over distension 3. Venous drainage of female bladder 4. Artery to bladder directly from the internal iliac 1. ribs 11 and 12 2. 500cc 3. vesical-vaginal plexus (female) 4. inferior vesicle
____________depression just lateral to colliculus seminalis. Prostatic sinuses
Muscle lining the posterior wall of the pelvis Piriformis
Concerning fascial layers: be specific and complete. 1. name given to Camper’s fascia in the perineal region 2. also known as Buck’s fascia . superficial layer or the superficial perineal fascia 2. deep fascia of clitoris/penis
__________form the anterior boundary of the anal triangle Imaginary line through the ischial tuberosities
List the vertebral level of: a) aortic hiatus b) esophageal hiatus a) T12 b) T10
__________ a ridge within the nasal cavity separating stratified squamous from respiratory mucosa Limen nasi
__________ counting the outer skin of the ANTERIOR scrotum as ? layer, give the 6th layer through which a penetrating item would pass Parietal layer of tunica vaginalis
Define: a) the isthmus of the prostate- b) the position of the RIGHT testis when compared to the left (higher, lower)- c) the 1st part of the male urethra- d) the derivation of the cremaster m.- a) anterior lobe-in midline anterior to urethra b) higher c) prostatic urethra d) internal oblique muscle
__________ component applied to most of the external surfaces of the tunica albuginea of testis Tunica vaginalis
Define the cardinal ligament. In your answer include: structural composition, SPECIFIC location, alternate name, and SPECIFIC PART of organ to which it is attached. Comprised of a considerable amount of CT forming a fascial sheath around vessels, nerves and lymphatics. CONT'D BELOW
The location of the cardinal ligament is at the base of the broad ligament and isthmus. Its alternate name is the lateral cervical ligament. It is attached to the isthmus of the uterus.
__________ makes up the greatest part of the uterine tube; it is thin walled Ampulla
__________ part of the levator ani that arises from the arcus tendineus Iliococcygeus
Name two branches of the perineal artery. Transverse perineal artery Posterior scrotal/labial artery
Concerning fascial layers: BE SPECIFIC AND COMPLETE! a) name given to abdominal Scarpa’s fascia in the perineal region- b) The __________ fascia of the perineum is NOT continuous with the dartos of the scrotum- a) Deep layer of the superficial fascia of abdomen b) Deep
__________ structure forming the inferior limit (boundary) of the deep perineal space Perineal membrane
Using the OUTLINE format, name all the branches and sub-branches of the pudendal NERVE. A. __________ B. __________ a) __________ b) __________ C. __________ A. Inferior rectal nerve(not in notes) B. Perineal nerve a) Posterior scrotal/labial nerve b) Deep branches C. Dorsal nerve of penis/clitoris
What muscle of the larynx: a) is an antagonist to the cricothyroid m.?- b) extends from posterior surface of the cricoid lamina to the muscular process of the arytenoids cartilage? a) Thyroarytenoid muscle b) Posterior cricoarytenoid muscle
What muscle (s) of the larynx: a) act (s) as a sphincter of the laryngeal inlet?- b) is/are NOT innervated by the recurrent laryngeal n.? a) Oblique arytenoid b) Cricothyroid muscle
Created by: BigSauce