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what does the pelvic region include?
pelvic cavity and perineum
what two bony structures of the innominate bone form the pelvic inlet and are attachment sites for the iliopsoas?
arcuate and pectinal lines
defines the upper border of the true pelvis
pelvic inlet
defined by a line connecting the ______, ________ ligaments, ischial __________, ischiopubic rami, and inferior border of the _____ _________
coccyx, sacrotuberous, tuberosities, pubic symphysis
which of the following describes the true pelvis?
1. lies below the pelvic brim
2. bounded inferiorly by muscular pelvic floor
which of the following does the peritoneum drape over in the pelvic area?
1. bladder
2. uterus
3. rectum
4. pelvic walls
this structure is the lowest point in the male peritoneal cavity
retrovescial pouch
what is the lowest point in the femal peritoneal cavity?
rectouterine pouch
where is the retropubic space (prevescical) located?
between pubic symphysis and bladder
this structure double layered structure descends from the rectovesical/rectouterine pouch to the peritoneum
peritoneal septum
this structure separates the rectum from the seminal glands and prostate
retrovesical septum
the lowest part of the retrovesical septum is referred to as
rectoprostatic fascia
the parietal pelvic fascia is continous with what two other fascias?
transversalis and psoas
what ligaments are an extension of the tendinous arch that support the bladder and prostate?
pubovesical and puboporstatic
what are paracolpium?
lateal connections between the visceral fascia and the tendinous arches
what is the function of the paracolpium?
suspends and supports the vagina
ligaments that connect the pelvic walls to the rectum
lateral ligaments of the rectum
what is the cardinal ligament?
supports pelvic visceral and their vascular and nerve plexuses
this triangular region contains the anal opening and anal canal surrounded by the exteranl sphincter
anal triangle
which of the following are contents of the DEEP POUCH of the urogenital triangle?
1. external urethral sphincter
2. compressor urethrae, urethrovaginal sphincter, and smooth muscle for females
3. membranous urethra, transverse perineal muscle, and bulbourethral glands for males
4. anterior recess of ischioanal fat pads
5. internal pudendal A & V
6. pudendal nerve
T/F: the pubic symphysis is a immobile cartilaginous jt with a fibrocartilaginous disc
true
the area between the abdomen and the lower limb is called
pelvic region
what bones make up the bony pelvis?
sacrum, coccyx, coxal bones (innominate)
what are the 4 functions of the pelvic girdle?
1. encloses pelvic cavity
2. protects pelvic viscera
3. stabilizes the back
4. provides an attachment site for lower limbs
what part of the sacrum attaches to the ilium?
auricular surface
what is the pelvic brim?
the upper edge of the pelvis at the plane of the pelvic inlet
the pelvic inlet is defined by a line that extends from the _________ of the sacrum, along the _______ line of the ilium and ______ line of the pubic bone, to the superior border of the _______ __________
promontory, arcuate, pectinal, pubic symphysis
defines the lower border of the true pelvis
pelvic outlet
which of the following applies to the false pelvis?
1. lower part of the abdominal cavity
2. lies above the pelvic inlet
3. bounded by the iliac fossa
which of the following are found in the false pelvis?
1. ileum
2. cecum
3. sigmoid colon
4. common iliac A & Vs
5. appendix
6. lumbar plexus
which of the following structures are located within the true pelvis?
1. ureters and bladder
2. rectum
3. vagina and ovaries
4. uterus and uterine tubes
5. prostate
6. ducti deferens and seminal glands
7. internal iliac A & V
8. sacral plexus
9. inferior hypogastric plexus
T/F: the periotneum of the abdominal cavity is not continous with the pelvic cavity
false
T/F: the peritoneum does reach the pelvic floor
false
what structures below the peritoneum occupies a subperitoneal space that is continous with the retroperitoneum of the abdomen?
deep pelvic viscera
what are peritoneal recesses?
spaces within the intraperitoneal spaces that are continous with the peritoneal cavity of the abdomen and lined by visceral peritoneum
where is the retrovesical pouch?
between the bladder and rectum
where is the vesicouterine pouch located?
between bladder and uterus
what are subperitoneal recesses?
extraperitoneal spaces that are continous with the retroperitoneum of he abdomen
what are subperitoneal recesses filled with?
endopelvic fascia
where is the rectorectal space (presacral space) located?
between sacrum and rectum
what is the rectovaginal septum?
separates the rectum from the vagina
what is the membranous fascia?
thin layer that adheres to the pelvic walls and viscera
what is the visceral pelvic fascia?
surrounds individual organs, lies between visceral peritoneum and organ wall
what is parietal pelvic fascia?
lines the inner surface of the muscles of the pelvic floor and wall
where do the pelvic viscera pierve the pelvic diaphragm and the parietal and visceral layers merge?
tendinous arch of pelvic fascia
the tendinous arch runs from the _____ to the ______
pubis to sacrum
which of the following applies to the endopelvic fascia?
1. forms a loos connective tissue matrix
2. sills the subperitoneal space between visceral and parietal layers of membranous fascia
3. pads the subperitoneal spaces
4. allows for distension of the pelvic viscera
ligaments that connect the bladder to the pelvic wall
lateral ligaments of the bladder
which of the follows describes the perineum of the pelvic area?
1. lies inferior to the pelvic cavity
2. perimeter formed by the pelvic outlet
3. pelvic diaphragm is the roof
4. perinanal skin is the floor
5. obturator internus and obturator fascia make up the lateral border
this triangular region contains the external genitalia and openings of the urethra and vagina
urogenital triangle
what shapes are the urogenital and anal triangles?
diamond
for the urogenital triangle (deep pouch): the pelvic diaphragm makes the _______ part, perineal membrane makes the _________ part, obturator fascia makes the _______ part, and the ischioanal fascia makes the ________ part
superior, inferior, lateral, posterior
for the urogenital triangle (superifial pouch): the perineal membrane makes the _______ part, the superficial perineal fascia makes the _______ part, and the ischiopubic rami makes the ______ part
superior, inferior, lateral
which of the following are contents of the SUPERFICIAL pouch of the urogenital triangle?
1. ischiocavernous muscle
2. bulbospongiosus mucle
3. superficial transverse perineal muscles
4. spongey urethra (males)
5. biltoris and root of penis
6. bulbs of vestibule and greater vestibule glands
7. internal pudendal A & V
8. pudendal nerve
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