Unit Two Abdominal Wall Flashcards

1
Q

The rectus sheath is formed by

A

Aponeuroses of three lateral abdominal muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rectus sheath completely encloses

A

The upper 3/4s of the rectus abdominis muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The rectus sheath covers the anterior surface of what part of the abdominal muscle

A

Lower 1/4 of the muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The anterior wall aponeurosis of the upper 3/4 covers what

A

External oblique and internal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The rectus sheath posterior wall aponeurosis of upper 3/4 covers what

A

Internal oblique and transversus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In the upper 3/4 of the rectus sheath internal oblique splits to enclose what muscle

A

Rectus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Rectus sheath of lower 1/4 anterior wall aponeurosis covers what

A

External oblique, internal oblique and transversus abdominis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Rectus sheath lower 1/4 posterior wall aponeurosis

A

No posterior wall but contains transversalis fascia and arcuate line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The posterior layer of the rectus sheath ends inferiorly at what

A

Arcuate line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the contents of the rectus sheath

A

Rectus abdominis, pyramidalis, lower 6 thoracic nerves, superior epigastric vessels, inferior epigastric vessels, posterior intercostal vessels, lymphatics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The inguinal canal is the oblique passage through

A

The lower part of the anterior abdominal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The inguinal canal extends from

A

The deep to superficial inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The inguinal canal is found above

A

Medial 1/2 of inguinal ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Inguinal canal begins where

A

Deep inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Inguinal canal ends where

A

Superficial inguinal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the four boundaries in the inguinal canal

A

Floor, anterior wall, roof and posterior wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the floor boundary of the inguinal canal

A

Rolled edge of inguinal ligament supported by lacunae ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Anterior wall of of inguinal canal

A

Aponeurosis of external oblique and lateral internal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the roof boundary of the inguinal canal

A

Lower edges of internal oblique and transversus (conjoint tendon medially)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Posterior wall boundary of inguinal canal

A

Transversalis fascia laterally and conjoint tendon medially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Contents of inguinal canal in female

A

Round ligament and ilioinguinal nerve (L1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Contents in male inguinal canal

A

Spermatic cord and ilioinguinal nerve (L1)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the inguinal ligament

A

Dense band of inferior most part of external abdominal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Inguinal ligament acts as a

A

Flexor retinaculum of hip joint along with iliopubic tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the iliopubic tract

A

Thickening of transverse abdomen posteriorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Inguinal ligament forms the roof of what

A

Subinguinal space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are the two types of inguinal hernias

A

Indirect and direct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Indirect hernia is what compared to inferior epigastric vessels

A

Lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Indirect hernia goes through

A

Canal and pushes out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Which inguinal hernia most likely to happen

A

Indirect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Direct hernia goes through what

A

Wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Direct hernia is where compared to inferior epigastric vessels

A

Medial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Indirect hernia congenital or acquired

A

Congenital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Direct hernia congenital or acquired

A

Acquired

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What is the spermatic cord

A

The collection of structures that traverse the inguinal canal and pass to and from the testis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What makes up the spermatic fasciae

A

Internal spermatic, cremasteric, external spermatic fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Peritoneum forms what in spermatic cord

A

Tunica vaginalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Transversalis fascia turns into what of spermatic cord

A

Internal spermatic fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Internal abdominal oblique muscle becomes what in spermatic cord

A

Cremaster muscle and fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

External abdominal oblique muscle becomes what in the spermatic cord

A

External spermatic fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Function of cremaster muscle

A

Contracts testes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What are the contents in the spermatic cord

A

Vas deferens, testicular artery, cremasteric artery, artery to vas deferens, pampiniform plexus, testicular vein, genital branch of genitofemoral nerve, autonomic nerves (pain), lymphatics and processes vaginalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Function of pampiniform plexus

A

Cools blood by pulling heat out for testes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

In the upper 3/4 of the rectus sheath, what splits the abdominal wall to enclose the rectus abdominis

A

Internal oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

The lower 1/4 of the rectus sheath begins where

A

Near a point midway between umbilicus and pubic symphysis. Present at the level of the ASIS

46
Q

What is present at the junction of the upper 3/4 and lower 1/4 of the rectus sheath

A

Arcuate line

47
Q

What is the cutaneous nerve supply of of the anterior abdominal wall

A

Anterior rami of lower six thoracic nerves (T7-T12) and lumbar nerves (L1)

48
Q

What are the branches of the anterior rami of the lower six thoracic nerves

A

Lateral and anterior cutaneous branches

49
Q

What are the branches of the lumbar nerves that innervate the cutaneous anterior abdominal wall

A

Iliohypogastric and ilioinguinal nerve

50
Q

What are the vertical lines of division of the abdomen

A

Mid clavicular lines (x2)

51
Q

The mid clavicular lines pass through

A

The midpoint between the ASIS and the symphysis pubis

52
Q

The horizontal lines of division in the abdomen are

A

Subcostal plane, intertubercular plane, trans pyloric plane

53
Q

Subcostal plane at what vertebrae level

A

L3

54
Q

Intertubercular plane at what vertebrae level

A

L5

55
Q

Transpyloric plane at what vertebrae level

A

L1

56
Q

The transpyloric place crosses through what

A

Pylorus, neck of pancreas, fundus of gallbladder, end of spinal cord, colic flexures, cisterna chyli

57
Q

The subcostal plane joins

A

The owner point of the costal margin on each side (R10)

58
Q

The intertubercular place joins what

A

Tubercles on the iliac crest

59
Q

Transpyloric place is where

A

Halfway between the jugular notch and the pubic bone

60
Q

Belly button is where compared to vertebrae

A

T10

61
Q

What are the abdominopelvic regions

A

Upper, middle and lower

62
Q

The upper regions of the abdominopelvic are

A

Right and left hypochondrium, epigastric

63
Q

The middle regions of the abdominopelvic regions consists of what regions

A

Right and left lumbar, and umbilical

64
Q

The lower abdominopelvic regions consist of what regions

A

Right and left iliac, hypogastrium

65
Q

What is fascia

A

Masses of connective tissue large enough to be visible to the unaided eye

66
Q

What is the superficial fascia that is a fatty layer of the abdomen

A

Campers fascia

67
Q

What is the membranous layer of the superficial fascia of the abdomen

A

Scarpa’s fascia, colle’s fascia

68
Q

Camper’s fascia is continuous with

A

The superficial fat over the rest of the body

69
Q

Scarpas fascia is present where

A

Present in the lower 1/3 of the anterior abdominal wall

70
Q

Colles fascia inferiorly extends into what

A

The perineum

71
Q

Name the layers of fascia starting from superficial to deep

A

Camper, scarpa, investing fascia (3 layers of superficial, intermediate, and deep)

72
Q

Origin of external abdominal oblique

A

Lower 8 ribs

73
Q

Insertion of external abdominal oblique

A

Xiphoid process, linea alba, pubic symphysis, pubic crest, pubic tubercle and iliac crest

74
Q

Innervation of external abdominal oblique

A

T7-L1

75
Q

The inferior margin of the aponeurosis of the external oblique forms what

A

Inguinal ligament

76
Q

What forms the superficial inguinal ring

A

A triangular shaped defect in the aponeurosis of the external abdominal oblique

77
Q

How is the linea alba formed

A

Fusion of the external oblique aponeurosis

78
Q

Is the linea alba vascular or avascular

A

Avascular

79
Q

Origin of the internal abdominal oblique

A

Lumbar fascia, iliac crest, lateral 2/3 of inguinal ligament

80
Q

Insertion of internal abdominal oblique

A

Lower 3 ribs, xiphoid process, linea alba, pubic symphysis, pubic crest, pectineal line

81
Q

Innervation of internal abdominal oblique

A

T7 - L1

82
Q

Internal abdominal oblique aponeurosis splits to enclose what

A

Rectus abdominis

83
Q

Origin of transversus abdominis

A

Lower six costal cartilages, lumbar fascia, iliac crest, lateral 1/3rd of inguinal ligament

84
Q

Insertion of transversus abdominis

A

Xiphoid process, linea alba, symphysis pubis, pubic crest, pectineal line

85
Q

Innervation of transversus abdominis

A

T6-L1

86
Q

What forms the conjoint tendon

A

Lower most fibers of internal oblique and transversus abdominis

87
Q

The conjoint tendon attaches where

A

Pubic crest

88
Q

AKA of conjoint tendon

A

Inguinal flax

89
Q

The transversalis fascia is deep to what muscle

A

Transversus abdominis

90
Q

The transversalis fascia contains what

A

Deep inguinal ring

91
Q

Origin of rectus abdominis

A

Pubic symphysis and pubic crest

92
Q

Insertion of rectus abdominis

A

5th to 7th costal cartilage and xiphoid process

93
Q

Innervation of rectus abdominis

A

T7 - T11

94
Q

What is present in the rectus abdominis

A

Three to four tendinous intersections

95
Q

The lateral margin of the rectus abdominis is called what

A

Linea semilunaris

96
Q

The linea semilunaris crosses the costal margin at what number costal cartilage

A

9th

97
Q

Origin of pyramidalis

A

Anterior surface of pubis and pubic symphysis

98
Q

Insertion of pyramidalis

A

Linea alba

99
Q

Nerve supply of pyramidalis

A

T12

100
Q

Action of pyramidalis

A

Tenses the linea alba

101
Q

Actions of abdominal wall muscles

A

Rotate/move trunk, depresses the ribs, compress the abdomen, support the viscera

102
Q

How does the abdominal wall muscles assist in breathing

A

Relax during inspiration and contract during forced expiration

103
Q

What occurs when abdominal wall muscles cause diaphragm to be fixed by holding inspired air and closing laryngeal openings

A

Micturation, defecation and parturition

104
Q

When the right external oblique is rotating to the left what muscle is synergistic with that muscle

A

Left internal oblique and will assist

105
Q

What is the motor pathway nerve supply

A

Supplies motor to muscles along the way and end up in skin for sensory

106
Q

Where is the neurovascular plane

A

Located between the transverse abdominis and internal abdominal oblique

107
Q

The nerve supply in the abdomen is similar to what was observed with ???

A

Intercostal nerves in thorax

108
Q

What supplies the anterior abdominal muscles with blood

A

Superior and inferior epigastric arteries

109
Q

The superior and inferior epigastric arteries run where compared to rectal sheath

A

Posterior

110
Q

What is another blood supply to the abdominal wall

A

Deep circumflex iliac artery