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Renal Anatomy

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Question
Answer
Where does the kidneys lie, and at what vertebral level?   T12-L3 retroperitoneal  
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The right kidney is found anterior to rib ? while the left kidney is found anterior to the ribs ??   12, 11 & 12  
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Each kidney is surrounded by: (deep to superficial)   Perinephric fat, Renal fascia, Paranephric fat  
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Posterior relations of the kidneys are..   Psoas major, quadratus lumborum, and transverse abdominis  
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Anterior relations of the kidneys are..   Ascending colon, Hepatic flexure, and duodenum (right) Spleen, stomach, splenic flexure and duodenum (left)  
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Renal arteries arise at ?   T12-L1, inferior to the SMA  
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Left renal vein receives tributaries from   the adrenal and gonadal veins  
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Where does the left renal vein pass on its way back to the IVC   Anterior to the aorta immediately below origin of superior mesenteric artery  
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What does a hilum consist of?   Renal artery, Renal vein, and Ureter  
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How does urine get excreted?   Collecting ducts --> Minor calyx --> Major calyx --> Renal pelvis --> Ureter  
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Name the narrowings of the ureter   Pelviuretic junction, Crossing pelvic rim, Uretero-vesical junction  
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Where does the ureters descend?   On the surface of the psoas major approx. in line with tips of transverse process of lumbar vertebrae  
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Crossing the pelvic rim, the ureters pass over..?   Passes anterior sacroiliac joint and the bifurcation of the common iliac artery  
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Upper 1/3 of the ureters is supplied by?   Renal arteries  
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Middle 1/3 of the ureters is supplied by?   Branches of the abdominal aorta, gonadal arteries or the common iliac arteries  
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Lower 1/3 of the ureters is supplied by?   Branches from the internal iliac  
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Urogenital system develops from?   Intermediate mesoderm  
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Name the layers of the ureters (deep to superficial)   Transitional epithelia, Lamina propria, Longitudinal layer, Circular layer, Adventitia  
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Reflex response to flow of urine in urethra is?   The internal sphincter relaxation  
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Female urethra is supported by?   A pubovesical ligament  
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The male urethra is made of 4 layers:   Preprostatic, Prostatic, Membranous, Spongy  
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What is the sympathetic nerve supply of the bladder? Stimulation of which, does what?   T12-L2, stimulation increases internal urethral sphincter tone  
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What innervates the detrusor?   S2,3,4  
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What is the trigone?   A triangle formed by the internal urethral orifice and the openings of the ureters  
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Male urethra is supported by ?   Puboprostatic ligament  
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Name the 4 distinct parts of the male urethra.   Preprostatic urethra, Prostatic urethra, Membranous urethra, Spongy urethra  
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Name the main muscles of the pelvic floor   Two levator ani muscles and the coccygeus muscle  
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What is the pudendal nerve?   S2-S4  
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The pudendal nerve is associated with?   The ischial spine with the sacrospinous ligament attached to it  
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How does the pudendal nerve leave the pelvic cavity?   Through the greater sciatic foramen, and enters the perineum inferior to the pelvic floor by passing round the ischial spine and through the lesser sciatic foramen.  
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