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Unit 2 B Pages Questions
Questions derived from the B pages for Unit 2 - Vessels, lymphatics, muscles, nerves and viscera
107
Anatomy
Graduate
09/11/2011

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Term
What are the major anastomoses of the heart?
Definition
Anterior interventricular (branch of left coronary) @ Posterior interventricular (branch of right coronary)

Circumflex (continuation of left coronary) @ right coronary
Term
With what arteries does the musculophrenic artery anastomose?
Definition
Lower posterior intercostals
Deep circumflex iliac
Term
What lobes of the liver does the left hepatic artery supply? Right hepatic artery?
Definition
Left: Left, caudate, quadrate
Right: Right, quadrate (sometimes)
Term
What are the two layers of superficial abdominal fascia, and what's the difference?
Definition
Superficial, fatty layer: Camper's

Deep membranous layer: Scarpa's (this layer is continuous with superficial fascia of scrotum)
Term
Where does the transversalis fascia run, and with what is it continuous?
Definition
Runs btw the transversus abdominus muscle and the extraperitoneal fat; continuous with the pelvic fascia (aka the epimysium of the iliacus muscle)
Term
Where does the endothoracic fascia run?
Definition
Between the intercostal muscles and the pleura in the thorax.
Term
What is Buck's fascia?
Definition
AKA the deep penile fascia.
Surrounds the corpus spongiosum and the corpora cavernosa.
Term
With what structure is the external spermatic fascia continuous?
Definition
The aponeurosis of the external obliques.
Term
With what structure is the cremasteric fascia continuous?
Definition
The internal oblique muscles.
Term
With what structure is the internal spermatic fascia continuous?
Definition
The transversalis fascia of the abdomen.
Term
What is Colle's fascia, and with what is it continuous?
Definition
AKA Superficial perineal fascia.
Defines the superficial boundary of the superficial perineal space.

Continuous with the superficial fascia of the penis and scrotum.
Term
What landmarking purpose does the inferior fascia of the urogenital diaphragm serve?
Definition
It serves as the deep boundary of the superficial perineal space, and the inferior boundary of the deep perineal space.
Term
The obturator fascia is the attachment for what tendon? (What muscle does the tendon originate from?)
Definition
The obturator fascia is an attachment site for the tendinous arch of the levator ani muscle.
Term
What structures or areas are drained by the thoracic duct?
Definition
Nodes of the right and left lower extremities, pelvis, LEFT thorax, LEFT upper extremity, and LEFT head and neck.
Term
What structures or areas are drained by the right lymphatic duct?
Definition
Nodes of the RIGHT thorax, RIGHT upper extremity and RIGHT head/neck.
Term
What five lymph nodes drain the breast? What specific regions do they drain?
Definition

1) Parasternal (medial)

2) Inguinal (inferior)

3) Infraclavicular (superior)

4) Axillary (everywhere - the predominant drainage of the breast)

5) Apical axillary (superior, as well as other axillary nodes)

Term
What are the four parietal lymph nodes of the thorax? What do they drain?
Definition
1) Parasternal (medial breast, upper abd. wall, anterior pleura, some liver)
2) Intercostal (lateral & posterior thoracic wall)
3) Diaphragmatic (liver, pleura, diaphragm)
4) Posterior mediastinal (pleura, esophagus)
Term
What are the four visceral lymph nodes of the thorax? What do they drain?
Definition
1) Pulmonary (lungs)
2) Bronchopulmonary (drain pulmonary nodes, and bronchi)
3) Inf./Sup. Tracheobronchal (drain bronchopulmonary & post. mediastinal nodes, trachea, and heart)
4) Paratracheal (drain tracheobronchal nodes)
Term
What structures are drained by the preaortic lymph nodes?
Definition
Abdominal viscera that have blood supply from celiac trunk, superior mesenteric artery, or inferior mesenteric artery.

(In other words, everything but the kidneys, adrenals, pelvic viscera, and genitalia.)
Term
What structures are drained by the lateral aortic (AKA para-aortic) nodes?
Definition
Drains the kidneys, suprarenal glands, ureters, posterior abdominal wall, testes/ovaries, uterine tubes, superior uterus and all iliac nodes.
Term
What are the three iliac lymph nodes, and what structures do they drain?

In turn, what drains the iliac nodes?
Definition
Common: drains external and iliac nodes.
External: drain inguinal nodes, abdominal wall, perineum and lower pelvic viscera.
Internal: drain pelvic viscera, perineum and the gluteal region except for the skin.

All three are drained by the lateral aortic nodes.
Term
Name the attachments, functions and innervation of the external intercostals.
Definition
A: rib to rib, going from sup/lat to inf/med
F: elevation of rib
I: intercostal
Term
Name the attachments, functions and innervation of the internal and innermost intercostals.
Definition
A: rib to rib, oriented sup/med to inf/lat
F: depression of rib
I: intercostal
Term
Name the attachments, functions and innervation of the transversus thoracis.
Definition
A: posterior sternum to costal cartilages
F: depression of rib
I: intercostal
Term
Name the attachments, functions and innervation of the cremasters.
Definition
A: medial edge of int. obliques to spermatic cord
F: elevation of testes
I: genitofemoral
Term
Name the attachments, functions and innervation of the diaphragm.
Definition
A: xiphoid process, internal surface of lower ribs/costal cartilages, medial & lateral arcuate ligaments, lumbar vertebrae, central tendon
F: inspiration (create negative thoracic pressure by inferior displacement)
I: PHRENIC

"C3, 4, and 5 keep the diaphragm alive."
Term
Name the attachments, functions and innervation of the external obliques.
Definition
A: Lower 8 ribs, iliac crest, rectus sheath.
F: flexion & rotation of trunk; compression of abd. cavity
I: ventral rami T7-12
Term
Name the attachments, functions and innervation of the internal obliques.
Definition
A: thoracolumbar fascia, inguinal ligament, iliac crest, rectus sheath
F: flexion & rotation of trunk; compression of abd. cavity
I: lower thoracic AND ventral rami of L1
Term
Name the attachments, functions and innervation of the quadratus lumborum.
Definition
A: rib #12, iliolumbar ligament, iliac crest
F: extension & lateral flexion of trunk; fixation of 12th rib during inspiration
I: ventral rami T12-L3
Term
Name the attachments, functions and innervation of the rectus abdominis.
Definition
A: xiphoid process of sternum and adjacent costal cartilages, pubic crest, pubic tubercle
F: flexion of trunk; compression of abd. cavity
I: lower thoracic ventral rami
Term
Name the attachments, functions and innervation of the transversus abdominis.
Definition
A: lower 6 costal cartilages, thoracolumbar fascia, inguinal ligament, iliac crest, rectus sheath
F: compression of abd. cavity
I: lower thoracic & L1 ventral rami
Term
Name the attachments, functions and innervation of the coccygeus.
Definition
A: ischial spine, sacrospinous ligament, coccyx
F: supports & compresses posterior pelvic floor
I: ventral rami S4 & 5
Term
Name the attachments, functions and innervation of the levator ani.
Definition
A: pubic symphysis, obturator fascia, ischial spine, midline raphe, anococcygeal ligament
F: supports pelvic viscera, compresses rectum and vagina
I: inferior rectal branches of the pudendal, AND S4
Term
Name the attachments, functions and innervation of the bulbospongiosus (male only).
Definition
A: Median raphe, perineal body (central tendon), bulb of penis
F: Empties urethra, maintains erection, contracts during ejaculation
I: Perineal branch of pudendal
Term
Name the attachments, functions and innervation of the bulbospongiosus (female only).
Definition
A: perineal body to vestibular bulb, vaginal orifice and clitoris
F: constriction of vaginal orifice and erection of clitoris
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the ischiocavernosus.
Definition
A: ischial tuberosity, ischial ramus, aponeurosis of crus of penis/clitoris
F: compress crus during erection
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the sphincter ani externus.
Definition
A: perineal body (central tendon) to anococcygeal raphe
F: close anal canal; fix perineal body
I: inferior rectal branch of pudendal
Term
Name the attachments, functions and innervation of the sphincter urethrae.
Definition
A: surrounds the urethra
F: compress urethra
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the compressor urethrae.
Definition
A: Ischiopubic ramus to midline (passes ventral to urethra and inferior to sphincter urethrae), with varying fibers going out to the vagina
F: compress urethra
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the sphincter urethrovaginalis.
Definition
A: perineal body, surrounding vagina and urethra, meets contralateral muscle inferior to compressor urethrae
F: compress urethra/vagina
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the deep transverse perineus.
Definition
A: ischial tuberosity to perineal body (central tendon)
F: fix perineal body
I: perineal branch of pudendal
Term
Name the attachments, functions and innervation of the superficial transverse perineus.
Definition
A: ischial tuberosity, perineal body (central tendon)
F: fix perineal body
I: perineal branch of pudendal
Term
What is the function of the phrenic nerve? What are its roots?
Definition
Roots: C3-5
F1) Sensory & postsymp to pericardium, central tendon (and adjacent pleura and peritoneum)

F2) Motor & postsymp to diaphragm
Term
What is the function of the intercostal nerve from T1-T6? What are the major branches here?
Definition
F: sensory & postsymp to intercostal muscles, parietal pleura & skin; motor to intercostals

1 - lateral cutaneous
2 - anterior cutaneous
3 - collateral
4 - intercostobrachial (sensory/post symp to skin of proximal, medial arm)
Term
What is the function of the intercostal nerve from T7-T11? What are the major branches here?
Definition
Sensory & postsymp to intercostal muscles, anterior abdominal muscles, peripheral diaphragm, parietal pleura & parietal peritoneum

Motor to intercostal & anterior abd. muscles

1 - lateral cutaneous (skin overlying lateral intercostals)
2 - anterior cutaneous (skin overlying your totally sweet six-pack)
3 - collateral
Term
What is the function of the subcostal nerve?
Definition
Sensory & postsymp to skin overlying lateral & anterior abd. wall, parietal peritoneum and muscles of abd. wall

Motor to muscles of ant. abd. wall
Term
What is the function of the iliohypogastric nerve? What are its roots?
Definition
Root: L1
Sensory & postsymp to skin overlying lower anterior abd. wall

Sensory, postsymp & motor to muscles of ant. abd. wall
Term
What is the function of the ilioinguinal nerve? Wat are its roots?
Definition
Root: L1
Sensory & postsymp to skin overlying proximomedial thigh, root of penis and scrotum (or mons pubis & labia majora)

Sensory, postsymp and motor to muscles of anterior abd. wall
Term
What are the functions of the genitofemoral nerve? What are its roots?
Definition
Roots: L1 & L2
Genital branch: Sensory & postsymp to skin overlying labia majora or scrotum; sensory postsymp & motor to cremaster

Femoral branch: sensory & postsymp to skin overlying femoral triangle
Term
What innervates the psoas and quadratus lumborum muscles?
Definition
Sensory, motor and postsymp thoughtfully provided by muscular branches of ventral rami of the lumbar nerves.
Term
What are the functions of the inferior rectal branch of the pudendal nerve? What are its roots?
Definition
Roots: S2-S4
Sensory & postsymp to skin overlying anus

Sensory, motor and postsymp to external anal sphincter
Term
What are the functions of the perineal branch of the pudendal nerve?
Definition
1) Sensory, postsymp & prepara to corpus spongiosum or bulb of vestibule

2) Sensory & postsymp to spongy urethra

3) Sensory, postsymp & motor to perineal muscles

4) Sensory & postsymp to skin overlying labia major, minora, lower vagina, urethra or scrotum (via posterior labial/scrotal branches)
Term
What are the functions of the dorsal nerve of the clitoris or penis?
Definition
Sensory & postsymp to skin overlying penis or clitoris

Sensory, postsymp & prepara to corpus cavernosum
Term
What are the functions of white rami communicans, and what level of spinal nerves are they relevant for?
Definition
T1-L2
Carry presymp axons to the sympathetic chain, celiac, superior mesenteric and aorticorenal ganglia

Carry sensory axons from viscera to spinal cord
Term
What are the functions of gray rami communicans?
Definition
Carry postsymp axons from sympathetic chain to spinal nerves for distribution through dorsal/ventral rami
Term
What are the functions of cardiopulmonary splanchnic nerves?
Definition
Sensory & postsymp axons going from cervical and upper thoracic sympathetic ganglia out to cardiac and pulmonary plexuses.
Term
What are the functions of upper thoracic splanchnic nerves?
Definition
Carry sensory and postsymp axons passing from upper thoracic sympathetic chain to the aortic plexus.
Term
What are the functions of the greater splanchnic nerve? What are its roots?
Definition
T5-T9
Presymp axons to celiac ganglion

Sensory axons from viscera supplied by celiac artery
Term
What are the functions of the lesser splanchnic nerve? What are its roots?
Definition
T10-T11
Presymp axons to superior mesenteric ganglion

Sensory axons from viscera supplied by superior mesenteric artery
Term
What are the functions of the least splanchnic nerve? What are its roots?
Definition
T12 only
Presymp axons to the aorticorenal ganglion

Sensory axons from viscera supplied by renal, suprarenal and gonadal arteries
Term
What are the functions of the lumbar splanchnic nerve? What are its roots?
Definition
L1-L5
Presymp axons to the inferior mesenteric ganglion and other ganglia in the hypogastric plexus

Sensory axons from viscera supplied by inferior mesenteric and internal iliac arteries
Term
What are the functions of the sacral splanchnic nerve? What are its roots?
Definition
S1-S5
Presymp axons to ganglia in hypogastric plexus

Sensory axons from viscera supplied by inferior mesenteric and internal iliac arteries
Term
What is the function of celiac ganglia?
Definition
Houses postsymp neuronal cell bodies innervating viscera supplied by branches of the celiac artery.
Term
What is the function of superior mesenteric ganglia?
Definition
Houses postsymp neuronal cell bodies innervating viscera supplied by branches of the superior mesenteric artery.
Term
What are the functions of the aorticorenal ganglia?
Definition
Houses postsymp neuronal cell bodies innervating viscera supplied by branches of the renal, suprarenal and gonadal arteries.
Term
What is the function of inferior mesenteric ganglia?
Definition
Houses postsymp neuronal cell bodies innervating viscera supplied by branches of the inferior mesenteric artery.
Term
What is the function of the cardiac plexus?
Definition
Sensory, postsymp (C/P splanchnic) and prepara (vagus) axons innervating the heart and coronary arteries.
Term
What is the function of the pulmonary plexus?
Definition
Sensory, postsymp (C/P splanchnic) and prepara (vagus) axons to the pulmonary and bronchial arteries, trachea, and bronchi
Term
What is the function of the superior mesenteric plexus?
Definition
Sensory, presymp (lesser splanchnic), postsymp (sup. mesenteric gang.), and prepara (vagus) axons to viscera supplied by superior mesenteric artery
Term
What is the function of the aorticorenal plexus?
Definition
Sensory, presymp (least splanchnic), postsymp (aorticorenal gang.), and prepara (vagus) axons to viscera supplied by renal, suprarenal and gonadal arteries
Term
What is the function of the inferior mesenteric plexus?
Definition
Sensory, presymp (lumbar splanchnic), postsymp (inf. mesenteric gang.), and prepara (pelvic splanchnic) axons to viscera supplied by inferior mesenteric artery
Term
What is the function of the celiac plexus?
Definition
Sensory, presymp (greater splanchnic), postsymp (celiac gang.), and prepara (vagus) axons to viscera supplied by superior mesenteric artery
Term
What is the function of the hypogastric plexus?
Definition
Sensory, presymp (lumbar splanchnic), postsymp (inf. mesenteric gang.), and prepara (pelvic splanchnic) axons to viscera supplied by the internal iliac artery
Term
What is the function of the vagus nerve?
Definition
Prepara (and sensory) axons innervating thoracic and abdominal viscera to the level of the left colic flexure
Term
What are the functions of the pelvic splanchnic nerves?
Definition
Sensory & prepara axons innervating the descending colon, sigmoid colon, rectum, bladder, uterus & erectile tissue
Term
What are the autonomic functions of the pudendal nerve?
Definition
Prepara axons to the corpus spongiosum (bulb of vestibule) and corpora cavernosa
Term
What structures are contained within the falciform ligament?
Definition
Surrounds ligamentum teres and the paraumbilical vein.
Term
What structures are surrounded by the hepatoduodenal ligament?
Definition
Hepatic artery, bile duct, hepatic portal vein.
Term
What structures are surrounded by the hepatogastric ligament?
Definition
Left gastric a/v.
Term
What structures are contained within the lesser omentum?
Definition
Hepatoduodenal ligament, hepatogastric ligament, epiploic foramen
Term
What ligament surrounds the splenic vessels?
Definition
Lienorenal l.
Term
What ligament surrounds the fetal umbilical vein?
Definition
Teres l.
Term
What ligament surrounds the short gastric vessels?
Definition
Gastrosplenic l.
Term
What ligament extends from the splenic flexure of the colon to the diaphragm?
Definition
Phrenicocolic l.
Term
What are the three folds of the peritoneum, and what do they surround?
Definition
Median umbilical (urachus)
Medial umbilical (umbilical arteries)
Lateral umbilical (inf. epigastric a./v.)
Term
What are the three mesenteries of the peritoneum, and what do they surround?
Definition
Mesentery proper (branches of sup. mesenteric vessels)
Sigmoid mesocolon (branches of inf. mesenteric vessels)
Transverse mesocolon (branches of middle colic vessels)
Term
What are the three peritoneal folds associated with the ovary? What do they surround?
Definition
Mesovarium (ovarian & suspensory ligaments, and ovarian vessels)
Mesosalpinx (uterine tubes)
Mesometrium (uterine vessels)
Term
What are the four regions of the uterine tubes?
Definition
Fimbria
Ampulla
Infundibulum
Isthmus
Term
What are the four lobes of the liver?
Definition
Left
Right
Caudate
Quadrate
Term
With what arteries do the superior intercostal arteries anastomose?
Definition
Anterior intercostals 1 & 2
Term
With what arteries does the left gastric artery anastomose?
Definition
Right gastric and short gastric
Term
With what artery does the short gastric artery anastomose?
Definition
Left gastric
Term
With what arteries does the inferior pancreaticoduodenal artery anastomose?
Definition
Superior pancreaticoduodenal and jejeunal
Term
With what arteries does the jejeunal artery anastomose?
Definition
Inferior pancreaticoduodenal and ileal
Term
With what arteries does the ileal artery anastomose?
Definition
Jejeunal and ileocolic
Term
With what arteries does the ileocolic artery anastomose?
Definition
Ileal and right colic
Term
With what arteries does the right colic artery anastomose?
Definition
Ileocolic and middle colic
Term
With what arteries does the middle colic artery anastomose?
Definition
Right and left colics.
Term
With what arteries does the left colic artery anastomose?
Definition
Middle colic and sigmoid
Term
With what arteries does the sigmoid artery anastomose?
Definition
Left colic and superior rectal
Term
With what arteries does the superior rectal artery anastomose?
Definition
Sigmoid & inferior rectal
Term
With what arteries does the uterine artery anastomose?
Definition
Ovarian and vaginal
Term
What are the four major branches of the internal thoracic artery?
Definition
- Pericardiacophrenic
- Anterior intercostals, 1-6
- Musculophrenic (which gives off anterior intercostals 7-9)
- Superior epigastric
Term
What are the three major branches of the splenic artery?
Definition
Short gastric
Great pancreatic
Left gastroepiploic
Term
What are the six branches of the superior mesenteric artery?
Definition
Inferior pancreaticoduodenal
Jejeunal
Ileal
Ileocolic
Right colic
Middle colic
Term
What are the three major branches of the inferior mesenteric artery?
Definition
Left colic
Sigmoid
Superior rectal
Term
What are the four major branches of the internal pudendal artery?
Definition
Inferior rectal
Perineal (gives rise to posterior labial/scrotal branches)
Deep artery of the clitoris/penis
Dorsal artery of the clitoris/penis
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