-
what are the five areas of the thorax?
inlet, outlet, pleural cavities, anterior thoratic wall (mammary gland & muscles) mediastinum
-
identify boundaries and content of the pleural cavity?
- lungs
- inferior:diaphram
- superior:
- anterior:
- posterior:
- lateral:
-
identify the boundaries and content of the pericardium cavity?
heart
-
identify the boundaries and content of the mediastinum cavity?
contents: brachiocephalic vein, superior vena cava, vagus nerve and recurrent laryngeal nerve, phrenic nerve, heart and great vessels, trachea and primary bronchi, inferior vena cava
-
_______ of the neck is the inlet of the thorax
root
-
outlet of thorax is the ___________
diaphram
-
the xiphoid process is the midline for what structure(s)? superior level of the _________, central tendon of the _________, inferior border of ___________
-
when numbering the ribs ___________ _________ is the first landmark to identify before you start counting.
Sternal Angle
-
the _____________what prevents the first rib from being palpated
clavicle
-
identify intrinsic muscles of the thoratic wall: _______________intercostals(superficial) , ______________ intercostals (middle), ___________ intercostals(deep)
- External Intercostal mm. (Elevate)(superficial)
- Anteriorly replaced by membrane
- Internal Intercostal mm. (Depress)(middle)
- Posteriorly replaced by membrane
- Innermost Intercostal mm. (Depress)
- Only found in most lateral of Space(deep)
-
__________ intercostals -posteriorly, the muscle is replaced by ___________ intercostal membrane -fibers angled backwards -expiration=lowers ribs
internal intercostals
-
__________ intercostals -anteriorly, the muscle is replaced by ___________ intercostal membrane. It is superficiial and elevates.
external
-
___________ intercostals are only found in the most lateral of space (deep), and depresses
Innermost
-
the main thoratic lymphatic duct empties into the venous system near the union of the _________ _________ ________and the ___________ veins
left internal jugular and subclavian veins
-
___________ ___________excess connective tissue fluid (lymph is the fluid that is formed when interstital fluid enters the initial lymphatic vessels of the lymphatic system)
lymph fluid
-
_________ lymph drains right side of head and neck and right upper limb.
- ___________ duct drains remainder of body.
- right
- thoracic
-
_______ system is dominant on the right side of the body while the ________
- system is dominant on the left
- venous
- lympatic
- the main thoracic lymphatic duct empties into the venous system near the union of the ________ ________ jugular and the ____________ vein
- left internal jugular and subclavian veins
-
The _____________ lymph node is the first lymph node to which cancer is likely to spread from the primary tumor. Cancer cells may appear in the __________ node before spreading to other lymph nodes. In some cases, there can be more than one ________ lymph node.
sentinel
-
Breast Tissue extends into the __________
(Axillary Tail)
-
what is the significance in breast cancer of the sentineal lymph node?
- Hypothetical first lymph node or group of nodes reached by metastasizing cancer cells from a primary tumor.
- Because lymph axillary tail goes into the axilla area and can become cancerous as well.
-
why does a self-check breast exam include the axilla?
sentinel lymph node is a cancer hot spot a self check includes the axilla due to the axillary tail of the mammary gland.
-
the mammary gland is classified as a _________ ________ gland?
modified sweat
-
identify subdivisions of bronchial tree?
- left and right main bronchis
- divides into ________ bronchi (2L 3R)
- -divides into ___________ bronchi
- -divides into ___________ broncholes which supply the bronchopulmonary segment
- -divides into ___________ bronchioles
- -divides into __________ _____________
- lober
- segmental
- terminal
- respiratory
- aveoli sacs
-
_______________ is used to assess air flow through the tracheobronchial tree into the _________ with a stethescope. it is used clinically to listen to patients ______ breath sounds if healthy there will be no sound
- auscultation,
- lung
- bilateral
- _________ _________ is where is the primary gas exchange in the lungs takes place
- alveolar sacs
-
________ lung:superior lobe, middle lobe, inferior lobe
right
-
_______ lung: superior lobe, inferior lobe
left
-
what is the clinical significance of the apex of the lung?
cupula
-
the lobes of the right and left lung and the markings on both the mediastinal and costal surfaces. Left lung has a superior and inferior lobe with a ________ notch on the distal part of the _________ lobe.
- cardiac notch
- superior lob
-
in the left lung Oblique fissure separates the _________ and ___________ lobes.
superior inferior
-
in the right lung the _________ fissure separates superior from middle
oblique
-
The horizontal fissure separates _______ and ___________ of the right lung
superior and middle
-
Air in the ___________ cavity (pneumothorax) results in collapse of the lung.
pleural
-
Because of the slope of the first rib, the ________ of the pleura and the apex of the lung project upward into the neck, posterior to the sternomastoid, and hence may be injured in wounds of the neck. Their highest point is 2 to 3 cm or more above the level of the medial third of the clavicle
cupola
-
The _______ is rounded and fills the cupola of the pleura
apex
-
The portion of the upper lobe of the ________ lung that lies between the cardiac notch and the oblique fissure is known as the ________ , and it corresponds to the middle lobe of the right lung
-
____________ arteriosum (fetal structure) is the structure during embryonic development allows blood to bypass the lungs and what becomes this structure after birth ____________ arteriosum (adult structure)
-
what are the three structural layers of the heart?________ (thin external layer), _______ (thick middle layer), ___________ (inner layer)
epicardium, myocardium, endocardium
-
conduction system of the heart:______________ node-stimulus originates in the ________ node and travels across the walls of the atria causing them to contract. initiates and regulates heartbeat (the pacemaker of the heart)
Sinoatrial
-
Koch's Triangle—a triangle enclosed by the septal leaflet of the tricuspid valve, the coronary sinus, and the membraneous part of the interatrial septum is where the __ __ node is
-
______________ Node-distributes the SA node signal to the ventricles through __________ bundle. Stimulus descends to the apex of the heart through the bundle branches. After stimulus reaches the Purjinkie fibers, ther ventricles contract path of blood through the heart
Atrioventricular
-
_____________ node is a group of cells positioned on the wall of the right atrium, near the entrance of the superior vena cava.
-
The ___________ _________ node is an area of specialized tissue between the atria and the ventricles of the heart, specifically in the posteroinferior region of the interatrial septum near the opening of the coronary sinus, which conducts the normal electrical impulse from the atria to the ventricles. The AV node is quite compact (~1 x 3 x 5 mm).[2] It is located at the center of Koch's Triangle—a triangle enclosed by the septal leaflet of the tricuspid valve, the coronary sinus, and the membraneous part of the interatrial septum.
-
Be able to identify the vessels that form the coronary circulation. arteries:
left and right ________ arteries, _____________ artery, ____________ branch, p________ and a__________ ___________ arteries.
-
Be able to identify the vessels that form the coronary circulation. veins:
_________________,__________, and ____________ cardiac veins, and the _______ sinus.
-
small, medium, and great
cornary
-
diff between a & veins is that,
- __________ have thicker walls
- ________________have thinner walls and also contain ________
- arteries
- veins
- valves
-
The tunicas, venous valves, larger elastic content in ______________
arteries
-
name the endocrine organs that are found in the thorax, in the abdomen, and pelivs?
thymus (involution),adrenals,kidney (cortex, medulla), pancreas, gonads (ovaries and testies)
-
stomach (gastrin) and duodenum (secretin) are considered what function due to special cells?
endocrine function
-
____________ venous system drains
-
the __________ ___________ vein is the embryonic structure that became the ligamentum teres of the liver.
left umbilical
-
__________ ___________ is a system of vessels in which blood after passing through one capillary bed is conveyed through a second set of capillaries before it returns to the systemic circulation
portal system
-
the bile stored in the gallbladder primarily imulsifies down what types of materials?
carbs, fats, and or proteins
-
significance of the _________ ___________is that it has different epithelial lining then the rest of the urinary bladder, and this is where urinary bladder _________ can originate
-
_________ ____________ (vesicle) of the male reproductive glands makes the largest contribution to semen.
seminal glands
-
the _______ gland in a male can obstruct the urethra
prostate
-
pathway of fertilized ovum from ovary to implantation
egg starts in ovary,fimbrea,infantabulum,ampulla****,ishamus, body of uterus and implants onto wall
-
capillaries connect the ___________ and _____________sides of circulation.
arterial and venous
-
Abdominal regions right and left ________________, __________________, _____________ and ______________ and ___________
-
hypochondriac
- lumbar,
- iliac
- hypogastric
- epigastric
-
liver and large intestine are located in the _______ _____________ region?
right hypochondriac
-
structure/organ within left hypochondriac region contains __________, __________, and _________
liver, stomach, and spleen
-
epigastric region contains the _______ _________ and the ___________
gall bladder and liver
-
right kidney and large intestine can be found in the _______ ________ region?
right lumbar
-
_________ ___________ region contains the spleen, pancreas, large intestine, and stomach
left lumbar region
-
stomach, pancreas, small and large intestineis found within the ___________ region
umbilical
-
appendix and large intestine are with in the _______ _________ regiomn
right illiac
-
large intestine is within the ______ ________ region
left illiac
-
urinary bladder, prostate gland, ovary, rectum, and large intestine the bronchial arteries arise from ___________ region
hypogastric region
-
the Heart is bounded anteriorly by the ________
sternum
-
____________ is the final product of blood coagulation step in hemostasis
thrombus/thrombi
-
________ _________ attaches to the greater curvature of the stomach
greater omemtum
-
____________,____________, and___________ are subdivisions of the small intestine
duodenum, jejunum, ileum
-
__________, ____________, and ____________ are the subdivisions of the large intestine
-
clinical significance of the apex of the lung (__________)t he apex sticks up _________ level of first rib into the _______ of the _______
- capulla
- above
- root of the neck
-
The fibrous framework of dense collagen forms four fibrous rings, which surround the orifices of the valves, right and left ___________ ___________ (formed by connecting the rings, and the membranous parts of the____________ and ______________ septa).
- fibrous trigones
- interatrial
- interventricular
-
origin of the azygos and the hemiazygos venous system is from IVC, ascending __________ veins & renal veins. Hemiazygos dumps into the azygos..?
lumbar
-
the azygos and hemiazygos connect to each other by crossing the ________ of the body
midline
-
___________ venous system drains right side of ___________ wall and empties into the SVC. variation can occur
-
the right bronchial vein drains into the ___________ vein
azygos
-
the left bronchial vein drains into the _________ vein or the left intercostal vein
(accessory ) hemiazygos
-
the hemiazygos dumps into the _______ vein
azygos
-
hemiazyos venous system left side drains to the _________ side.
right
-
what are the five areas of the thorax?
inlet, outlet, pleural cavities, anterior thoratic wall (mammary gland & muscles) mediastinum
-
identify boundaries and content of the pleural cavity?
- lungs
- inferior:diaphram
- superior:
- anterior:
- posterior:
- lateral:
-
identify the boundaries and content of the mediastinum cavity?
contents: brachiocephalic vein, superior vena cava, vagus nerve and recurrent laryngeal nerve, phrenic nerve, heart and great vessels, trachea and primary bronchi, inferior vena cava
-
_______ of the neck is the inlet of the thorax
root
-
outlet of thorax is the ___________
diaphram
-
the xiphoid process is the midline for what structure(s)? superior level of the _________, central tendon of the _________, inferior border of ___________
-
when numbering the ribs ___________ _________ is the first landmark to identify before you start counting.
Sternal Angle
-
the _____________what prevents the first rib from being palpated
clavicle
-
identify intrinsic muscles of the thoratic wall: _______________intercostals(superficial) , ______________ intercostals (middle), ___________ intercostals(deep)
- External Intercostal mm. (Elevate)(superficial)
- Anteriorly replaced by membrane
- Internal Intercostal mm. (Depress)(middle)
- Posteriorly replaced by membrane
- Innermost Intercostal mm. (Depress)
- Only found in most lateral of Space(deep)
-
__________ intercostals -posteriorly, the muscle is replaced by ___________ intercostal membrane -fibers angled backwards -expiration=lowers ribs
internal intercostals
-
__________ intercostals -anteriorly, the muscle is replaced by ___________ intercostal membrane. It is superficiial and elevates.
external
-
___________ intercostals are only found in the most lateral of space (deep), and depresses
Innermost
-
the main thoratic lymphatic duct empties into the venous system near the union of the _________ _________ ________and the ___________ veins
left internal jugular and subclavian veins
-
___________ ___________excess connective tissue fluid (lymph is the fluid that is formed when interstital fluid enters the initial lymphatic vessels of the lymphatic system)
lymph fluid
-
_________ lymph drains right side of head and neck and right upper limb.
- ___________ duct drains remainder of body.
- right
- thoracic
- the main thoracic lymphatic duct empties into the venous system near the union of the ________ ________ jugular and the ____________ vein
- left internal jugular and subclavian veins
-
The _____________ lymph node is the first lymph node to which cancer is likely to spread from the primary tumor. Cancer cells may appear in the __________ node before spreading to other lymph nodes. In some cases, there can be more than one ________ lymph node.
sentinel
-
Breast Tissue extends into the __________
(Axillary Tail)
-
what is the significance in breast cancer of the sentineal lymph node?
- Hypothetical first lymph node or group of nodes reached by metastasizing cancer cells from a primary tumor.
- Because lymph axillary tail goes into the axilla area and can become cancerous as well.
-
why does a self-check breast exam include the axilla?
sentinel lymph node is a cancer hot spot a self check includes the axilla due to the axillary tail of the mammary gland.
-
the mammary gland is classified as a _________ ________ gland?
modified sweat
-
identify subdivisions of bronchial tree?
- left and right main bronchis
- divides into ________ bronchi (2L 3R)
- -divides into ___________ bronchi
- -divides into ___________ broncholes which supply the bronchopulmonary segment
- -divides into ___________ bronchioles
- -divides into __________ _____________
- lober
- segmental
- terminal
- respiratory
- aveoli sacs
-
_______________ is used to assess air flow through the tracheobronchial tree into the _________ with a stethescope. it is used clinically to listen to patients ______ breath sounds if healthy there will be no sound
- auscultation,
- lung
- bilateral
- _________ _________ is where is the primary gas exchange in the lungs takes place
- alveolar sacs
-
________ lung:superior lobe, middle lobe, inferior lobe
right
-
_______ lung: superior lobe, inferior lobe
left
-
what is the clinical significance of the apex of the lung?
cupula
-
____________ arteriosum (fetal structure) is the structure during embryonic development allows blood to bypass the lungs and what becomes this structure after birth ____________ arteriosum (adult structure)
-
what are the three structural layers of the heart?
epicardium, myocardium, endocardium
-
conduction system of the heart:______________ node-stimulus originates in the SA node and travels across the walls of the atria causing them to contract. initiates and regulates heartbeat (the pacemaker of the heart)
Sinoatrial
-
______________ Node-distributes the SA node signal to the ventricles through __________ bundle. Stimulus descends to the apex of the heart through the bundle branches. After stimulus reaches the Purjinkie fibers, ther ventricles contract path of blood through the heart
Atrioventricular
-
_____________ node is a group of cells positioned on the wall of the right atrium, near the entrance of the superior vena cava.
-
The ___________ _________ node is an area of specialized tissue between the atria and the ventricles of the heart, specifically in the posteroinferior region of the interatrial septum near the opening of the coronary sinus, which conducts the normal electrical impulse from the atria to the ventricles. The AV node is quite compact (~1 x 3 x 5 mm).[2] It is located at the center of Koch's Triangle—a triangle enclosed by the septal leaflet of the tricuspid valve, the coronary sinus, and the membraneous part of the interatrial septum.
sa
-
Be able to identify the vessels that form the coronary circulation. arteries:
- left and right ________ arteries, _____________ artery, ____________ branch, p________ ________________.
- cornary a
- circumflex a
- marginal b
- posterior interventircular
-
Be able to identify the vessels that form the coronary circulation. veins:
_________________,__________, and ____________ cardiac veins, and the _______ sinus.
-
small, medium, and great
cornary
-
diff between a & veins is that,
- __________ have thicker walls
- ________________have thinner walls and also contain ________
- arteries
- veins
- valves
-
The tunicas, venous valves, larger elastic content in ______________
arteries
-
name the endocrine organs that are found in the thorax, in the abdomen, and pelivs?
thymus (involution),adrenals,kidney (cortex, medulla), pancreas, gonads (ovaries and testies)
-
stomach (gastrin) and duodenum (secretin) are considered what function due to special cells?
endocrine function
-
the __________ ___________ vein is the embryonic structure that became the ligamentum teres of the liver.
left umbilical
-
__________ ___________ is a system of vessels in which blood after passing through one capillary bed is conveyed through a second set of capillaries before it returns to the systemic circulation
portal system
-
the bile stored in the gallbladder primarily imulsifies down what types of materials?
carbs, fats, and or proteins
-
significance of the _________ ___________is that it has different epithelial lining then the rest of the urinary bladder, and this is where urinary bladder _________ can originate
-
_________ ____________ (vesicle) of the male reproductive glands makes the largest contribution to semen.
seminal glands
-
the _______ gland in a male can obstruct the urethra
prostate
-
pathway of fertilized ovum from ovary to implantation egg starts in ovary,then to the ____________,infantabulum,ampulla****,___________, body of uterus and implants onto wall
-
capillaries connect the ___________ and _____________sides of circulation.
arterial and venous
-
Abdominal regions right and left ________________, __________________, _____________ and ______________ and ___________
- hypochondriac
- lumbar,
- iliac
- hypogastric
- epigastric
-
liver and large intestine are located in the _______ _____________ region?
right hypochondriac
-
structure/organ within left hypochondriac region contains __________, __________, and _________
liver, stomach, and spleen
-
epigastric region contains the _______ _________ and the ___________
gall bladder and liver
-
right kidney and large intestine can be found in the _______ ________ region?
right lumbar
-
_________ ___________ region contains the spleen, pancreas, large intestine, and stomach
left lumbar region
-
stomach, pancreas, small and large intestineis found within the ___________ region
umbilical
-
appendix and large intestine are with in the _______ _________ regiomn
right illiac
-
large intestine is within the ______ ________ region
left illiac
-
urinary bladder, prostate gland, ovary, rectum, and large intestine the bronchial arteries arise from ___________ region
hypogastric region
-
the Heart is bounded anteriorly by the ________
sternum
-
____________ is the final product of blood coagulation step in hemostasis
thrombus/thrombi
-
________ _________ attaches to the greater curvature of the stomach
greater omemtum
-
____________,____________, and___________ are subdivisions of the small intestine
duodenum, jejunum, ileum
-
__________, ____________, and ____________ are the subdivisions of the large intestine
-
clinical significance of the apex of the lung (__________)t he apex sticks up _________ level of first rib into the _______ of the root of then neck
-
The fibrous framework of dense collagen forms four fibrous rings, which surround the orifices of the valves, right and left ___________ ___________ (formed by connecting the rings, and the membranous parts of the____________ and ______________ septa).
- fibrous trigones
- interatrial
- interventricular
-
origin of the azygos and the hemiazygos venous system? Where are they connected? (A&M pg 74-80)
- from IVC, ascending lumbar veins & renal veins. Hemiazygos dumps into the azygos.
- the right bronchial vein drains into the ___________ vein
- azygos
-
the left bronchial vein drains into the _________ vein or the left intercostal vein
(accessory ) hemiazygos
-
the hemiazygos dumps into the _______ vein
azygos
-
All regions of the body except the right upper limb and right side of the head, neck, and thorax (see fig. 24-5) are drained by the __________ duct into one of the large veins of the neck, e.g., the left ____________ jugular vein.
- thoracic
- left
- All regions of the body except the right upper limb and right side of the head, neck, and thorax (see fig. 24-5) are drained by the __________ duct into one of the large veins of the neck, e.g., the left ____________ jugular vein.
- thoracic
- left
-
_________ Pleura Covers lungs (all surfaces)Cannot be dissected from lungs
visceral
-
The Z-Line of the esophageal-gastric junction, marks the boundary between two types of epithelial lining; the ________ to the __________.•
* i.e. gastric reflux changes the epithelium of the esophagus as a result this may lead to the production of ___________in the esophagus.
-
a ____________ is a double layer of peritoneum.
mesentery
-
a messentary is important because it Provides means for neurovascular communication between the ______ and ________ wall.
-
_________ is formed as an organ invaginatees into the abdominal cavity
organ, developmentally becomes susspended in abdominal cavity.
messentary
-
a _______ ligament is a Double layer of _________ , that connects an organ with another _______ or to the wall of ________l. supports abdominal vscera
- peritoneal
- peritoneum
- organ
- body
-
•double-layer extension of the peritoneum passing from the stomach and proximal part of the duodenum to adjacent organs. is an ___________. (A&M pg 138)
omentum
-
59.Identify the 3 subdivisions of the small intestine. (A&M pg 150)
-
60.What is the action of the sympathetic and parasympathetic nervous system on the intestine?
•__________, constricts blood vessels and contracts internal anal sphincter
•___________, stimulates digestive juices, relaxes sphincter, etc.
- •Sympathetic,]
- •Parasympathetic
-
_________, _________, and _______ cana, are subdivisions of the large intestine? (A&M pg 155)
- •Cecum
- •Colon (ascending, transverse, descending and sigmoid)
- •Anal cana
-
62. What are the three identifying characteristics of the large intestine that distinguishes it from small intestine?
______ intestine is longer and more mobile)
small
-
_______ ________three thick bands of longitudinal muscle
fibers) part of the large intestines
Teniae Coli
-
_________ (pouches between the teniae coli) of the large intestines
Haustra
-
large intestines have •__________ ________ (small fatty appendages on colon)
• Omental appendices
-
What is a hernia? What is the difference between a direct and indirect inguinal hernia?
a ________ inguinal hernia enters through a weak point in the fascia of the abdominal wall,
whereas a ________ inguinal hernia protrudes through the inguinal ring and is ultimately the result of the failure of embryonic closure of the internal inguinal ring after the testicle passes through it (usually a congenital condition)
-
a. ____________ recess – separates spleen from _-11th ribs
-
___________ ligament – connects to greater curvature of stomach at the spleen ????
gastrosplenic
-
________ ligament – connected to left kidney to the spleen
splenorenal
-
splenic vein unites with SMV to form this _______ vein
portal
-
__________ __________ allow for free communication between the supracolic and infracolic compartments of the abdomen
Intestenal gutters
-
•The adrenals sit on top of the kidneys and the kidneys are underneath the ___________ toward the back.•
diaphragm
-
the _______ __________ are located on the superomedial aspects of the kidneys and diaphragmatic crura, where they are surrounded by considerable connective tissue
adrenal glands
-
Where do the blood vessels to the suprarenal glands originate from the _________ aorta
•from the Abdominal Aorta
-
69.What is the difference between the renal sinus and the renal pelvis?
renal _________ contains the renal pelvis, calyces, vessels and fat
Renal _______ acts as funnel to collect urine and gives rise to the ureter
-
the renal fascia and fat surrounds the _______ to protect them.
kidneys
-
The significance of the ___________ is that is has different epithelial lining then the rest of the urinary bladder, this is where urinary bladder
cancer can originate.
smooth triangular area on surface of bladder containing the openings of the ureters and an opening to the urethra
trigone
-
74.Be able to identify the structural differences between the male and female pelvic bone. (Video) (A&M pg 207 Table 3.1)
•Females have a larger Pubic Arch than males
-
75.What are the divisions of the pelvic bone? (A&M pg 204-206)
•Greater & Lesser Pelvis?
-
76.What is the landmark for the division of the true pelvis from the false pelvis?
________ ________ of the pelvic inlet
-
•Oblique plane of Pelvic Inlet
-
77.What are the bones that form the pelvic girdle? (A&M pg 204)
-
78.What is the importance of the sub pubic angle? (A&M pg 205, see question 74)
•can be measured with fingers in vagina during pelvic exam
-
Tell me what are the boundaries of the brim ( inlet of pelvis)
- Lateral--sacroiliac joint , ileopectineal line , upper borders of pubic bones
- Posterior---sacral promontory , and ala of sacrum.
- Anteriorly---Superior border of symphysis pubis.
-
79.Identify the three places where the ureter is constricted. (A&M pg 176)
•at junction of _____ and _______ pelvis
•where ureters cross the _______ of pelvic inlet
•during passage through wall of ________
- ureturs and renal
- brim
- bladder
-
80.Identify the three largest nerves of the lumbar plexus and in general what structures do they supply? (A&M pg 192)
- •Obturator Nerve L2- L4 (supply adductor muscles)
- •Femoral Nerve L2 – L4 (supply flexors of the hip and extensors of the knee)
- •Lumbrosacral Trunk L4- L5 (participates in formation of sacral plexus)
-
•Obturator Nerve L2- L4 (supply ________ muscles)
•Femoral Nerve L2 – L4 (supply _______ of the hip and ________ of the knee)
•Lumbrosacral Trunk L4- L5 (participates in formation of _______ plexus)
- adductor
- flexor extensor
- sacral
-
81.What are the branches of the internal iliac artery? (A&M pg 222-223) EX: Obturator, Vesicle, Gonadal, Rectal, and Internal Pudendal.
lumbar and iliac branches
Lateral sacral arteries
Superior gluteal artery
Obturator artery (occasionally from inferior epigastric artery)
Inferior gluteal artery
Umbilical artery
Uterine artery (females)
deferential artery (males)
Vaginal artery (females, can also arise from uterine artery)
inferior vesical artery
Middle rectal artery
Internal pudendal artery
-
82.Which of the male reproductive glands makes the largest contribution to semen?
- Seminal Glands (Vesicle)
- •Testes
-
83.In the male this gland can obstruct the urethra.
•Prostate gland
-
84.Be able to give, in order, the pathway that sperm would travel through the male duct system into the urethra. (Lab Manual pg 217-218)
- •1) Seminiferous Tubules
- •2) Tubuli Recti
- •3) Rete Testis
- •4) Efferent Ductules
- •5) Epididymis
- •6) Ductus Deferens (vas deferens)
- •7) Ampulla
-
The spermatic veins that form the spermatic cord (Fig. 1147) emerge from the back of the testis, and receive tributaries from the epididymis: they unite and form a convoluted plexus,the plexus ________________,which forms the chief mass of the cord; the vessels composing thisplexus are very numerous, they unite toform three or four veins, which pass along the inguinal canal, and,entering the abdomen through the abdominal inguinal ring, coalesce toform two vein then eventually 1.
pampiniformis
-
The contents of the abdominal cavity may protrude into the spermatic cord, producing an ________ inguinal hernia.
indirect
-
contents of spermatic cord
arteries: testicular artery, deferential artery, cremasteric arterynerves: nerve to cremaster (genital branch of the genitofemoral nerve) , sympathetic nerves vas deferens (ductus deferens)pampiniform plexuslymphatic vesselsprocessus vaginalis (remains of)
-
86.What is the action of the cremaster (skeletal muscle) and dartos (smooth) muscles? (A&M pg 130-132)
- •Both help move the testicles to/away from the body, depending on
- temperature. Dartos wrinkles the scrotum when cold, helping to hold
- scrotum closer to body (testicular elevation)
-
Trace the pathway of a fertilized ovum from the ovary to implantation. Where does fertilization normally take place?
- egg starts in ovary
- fimbrea
- infantabulum
- ampulla****
- ishamus body of uterus and implants onto wall (inturmural?)
-
three layers of the uterus? (A&M pg 237)
- •Perimetrium
- •Myometrium
- •Endometrium
-
fertilization of the egg typically takes place in the _______ part of the fallopin tubes
ampulla
-
uterine tube has four named parts:_____________ is the funnel shaped opening - fimbria encircle this opening;_________ is a dilated region that connects the with the ________; isthmus is the constricted part nearest the uterus; _________ part is
within the uterine wall
- infundibulum
- ampula
- isthmus
- intramural
-
__________ _________ is a result of implentation to be somewhere else then uterus and instead implants in mucosa of uterine tube (usually), but implantation can also occur in the cervix, ovaries, and abdomen.
ectopic pregnancy
-
Levator Ani, Coccygeus muscles and associated facias muscles form the pelvic ________
diaphragm/floor
-
92.What are the boundaries of the urogenital triangle? Male? Female? (A&M pg 248-253)
•root of scrotum/penis in males and the external in females and anterior anal triangle
-
The urogenital (UG) triangle is the ________ portion of the perineum.
anterior
-
the _________ ________ contains the root of the scrotum and penis in males and the external genitalia in females.
urogenital triangle
-
__________ muscle of the pelvic floor can be torn in childbirth. (which is the most medial part of the levator ani)
Pubococcygeus
-
the Internal _______ arterior (anterior division) supplies the viscera and perineum with blood.
illiac
-
Internal _________ artery is another branch off of the anterior division of the internal iliac artery. It is the primary blood supply to the perineum, supplying the muscles and skin of the perineum and the erectile bodies.
pudendal
-
Hemorrhoids—There are two different types of hemorrhoids. __________ hemorrhoids occur due to a prolapse of the rectal mucosa around the internal venous plexus. Because these occur superior to the pectinate line, there is less pain associated with them.
internal
-
__________ hemorrhoids are blood clots of the external venus plexus that are covered by skin. Because this type occurs inferior to the pectinate line, they are more painful b/c of the somatic innervation here.
external
-
__________ are painful swollen veins in lower portion of anus.________
hemorrhoids occur just inside the anus, at the beginning of the rectum.
________ hemorrhoids occur at the anal opening and may hang outside the anus.
hemorrhoids
external and internal
-
The ________ (isoreactal) fosse is filled w/fat & subcutaneous tissue; allows for anal canal to expand during passing of feces
ischioanal
-
the ________ ________ or tendinous center of the perineum, is a median, fibromuscular node situated at the convergence of several muscles, including the levator ani and the exteal anal sphincter. may be injured during parturition.
perinal body
-
celic trunk gives rise to - _______ artery, _________, ________,
_________ ________(near the stomach)
- splenic artery, common heptic,
- left gastri
-
The left bronchial arteries are usually two in number, and arise from the _______ aorta.
thoracic
-
the right broncial artery, arises from the 1st _______ intercostal, or from the upper _______ broncial artery.
aortic
left
-
the _______ pleura innervated by intercostals & phrenic nerves. is it sensitive to pain?
-
the sternum bounds the the heart __________.
anteriorly
-
the SVC is the direct venous drainage of the ________ wall (A&M pg 67-68)
Thoracic wall
-
a thrombus/thrombi is another term for _______ _______
•blood clotting
-
35.In relationship to blood vessels the term ________ refers to communications between multiple branches of arteries providing numerous detours for blood flow in case of obstruction, etc.
antasomose
-
the importance of the anastomosis between the superior and inferior
epigastric blood vessels is that they both can supply the __________
region with blood
abdominus
-
____________( of the nervous system) is normal function & energy conservation ________, part of the autonomic system comprises the preganglionic fibers that issue from the brain stem (cranial nerves III, VII, IX, X, XI) and sacral part of the spinal cord (segments S2,3 or S3,4
- parasympathatic
- cranial sacral
-
_________ is “fight or flight” or thoracolumbar, part of the autonomic system comprises the preganglionic fibers that issue from the _________ and upper lumbar levels of the spinal cord
-
_______ is the endocrine gland in the thorax
thalamus
-
*are considered endocrine function due to special cells.*
37.Name the endocrine organ(s) that are found in the thorax, in the abdomen, and in the pelvis.
the*_________(gastrin), *__________(secretion), __________, _________ and, __________ are endocrine organs that are found in abdomen.
- stomach
- duodenum
- kidney,
- adreneal
- pancreas -
-
the _______ and _________ are the endocrine glands in the pelvis
ovaries and testies
-
___________ is a band-like skin area supplied by the sensory fibers of a single dorsal root through the dorsal and ventral rami of its spinal nerve. ______ or more intercostal nerves in adjacent intercostals spaces must be damaged
-
__________ ________, ___________ , and _________ are the internal boundaries of the abdominal cavity
• Abdominal walls, diaphragm, and pelvis
-
anterior sheath is comprised of the aponeurosis of the _________ oblique and an _________ layer of the aponeurosis of __________ oblique
- external
- anterior
- internal
-
posterior sheath of the _________ layer of the _________ oblique and the aponeurosis of the transversus abdominis muscle.
-
movment of bowls and flexing the trunk and moving it side to side are all functions of the _________ __________ muscles
abdominal wall muscles
-
__________, _______ ________, and _________ are main muscles of the posterior abdominal wall
- • Psoas
- • Quadratus Lumborum
- • Iliacus
-
___________ _________ (t8)(the abdominal openings of the respiratory diaphragm )permits the IVC
caval opening (foreamen)
-
the abdominal openings of the respiratory diaphragm, the ________ _______ at T10, permits the ___________ and ________ trunk
- esophageal hiatus
- esophagus and vagal
-
the abdominal opening of the respiratory diaphragm, the _____ ________ at T12, permits the _______, and the _______ vein, etc.
-
contraction of the diaphram helps venous blood return in the _______ opening.
caval
-
the ____________ hiatus acts as a esophgeal spincter during contraction
esophageal
-
The cross-bar of the "H" is the porta hepatis, or hilus of the
liver, which contains the _______ ducts and the branches of the _______
vein and _______ artery.
-
left _________ ducts emerge from the liver and unite to form the __________ hepatic duct. This receives the cystic duct from the gallbladder and becomes the _________ bile duct (or choledochal duct; from Gk, chole, "bile"), which opens into the second part of the duodenum in common with or at least beside the pancreatic duc
-
once the _______ vein and ________ artery blood has traversed the liver lobule via hepatic sinusoids, it is returned to the vena cava by the _______ veins (at least 3: right, middle and left).
-
A system of vessels in which blood, after passing through one capillary bed, is conveyed through a second set of capillaries before it returns to the systemic circulation. It pertains especially to the _________ __________ system.
a Venous return that goes from one capillary bed to another WITHOUT intervening arteries
heptic portal
-
The portal venous system (heptic) is responsible for directing blood from parts of the _____________ tract to the ________.
Substances absorbed in the small intestine travel first to the __________
for processing before continuing to the heart. Not all of the gastrointestinal tract is part of this system. The system extends from about the lower portion of the esophagus to the upper part of the anal canal.
It also includes venous drainage from the ______ and ________.
- gastrointestinal
- liver
- liver
spleen and pancreas
-
The _______ _________ vein is a vein in the abdominal cavity that drains blood from the gastrointestinal tract and spleen to the liver. It is usually formed by the confluence of the superior mesenteric and _______ veins, and also receives _______ from the inferior mesenteric, gastric, and cystic veins.
- heptic portal
- spleenic
- blood
-
Immediately before reaching the liver, the portal vein divides into
right and left. It ramifies further, forming smaller venous branches
and ultimately portal venules. Each portal venule courses alongside a
hepatic arteriole and the two vessels form the vascular components of
the ________ _______. These vessels ultimately empty into the hepatic sinusoids to supply blood to the liver.[1]
portal triad
-
Unlike most veins, the hepatic portal vein does not drain into the heart. Rather, it is part of a portal venous system that delivers venous blood into another _______ system, namely the hepatic __________
of the liver.
-
In carrying venous blood from the gastrointestinal tract to the liver, the hepatic portal vein accomplishes two tasks; namely,it supplies the liver with metabolic substrates and it ensures that substances ingested are first processed by the liver before reaching the systemic circulation. After draining into the liver ________, blood from the liver is drained by the _________ vein.
-
right lobe of liver is _________
larger
-
the right lobe of the liver is larger and consists of __________ (portion), ______ lobe, and _______ lobe
-
the left lobe of the liver is smaller and and is seperated by the right lobe by the __________ ligament
falciform
-
the liver, the remenant of the _________ __________ vein of an embryo becomes the ligmentum teres of liver
the left umbilical
-
The bile, stored in the gallbladder, primarily breaks down what type of food materials?
•Lipids (fats)
-
50.Be able to identify the divisions, sphincters, and lining of the stomach. (A&M Figure 2.15 A & B pg 145)
- •Cardiac Region (where esophagus dumps in)
- •Fundus (left dome of diaphragm)
- •Body
- •Pyloric Region
- •Pyloric Sphincter (regulates food entering duodenum)
- •Lesser & Greater curvatures
-
Name the mesentery, which attaches from the lesser curvature of the stomach to the hilus of the liver? What three structures run in the free margin of this mesentery? (A&M pg 138-139)
lesser omentum, portal triad
-
What structure attaches to the greater curvature of the stomach? (A&M pg 138)
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