Abdominal Wall Anatomy

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Questions and Answers

Which of the following structures contributes to the osteology of the anterolateral abdominal wall?

  • Scapula
  • Pelvis (correct)
  • Thoracic vertebrae
  • Clavicle

Which of the following is NOT considered an important component of the thoracic cage for supporting the abdominal wall?

  • Lower ribs
  • Scapula (correct)
  • Xiphoid process
  • 4-7th ribs

When describing the general appearance of the abdominal wall, which statement is most accurate?

  • Well-developed abdominal muscles facilitate palpation of abdominal viscera.
  • The abdominal wall remains rigid, irrespective of respiratory excursion.
  • The contour of the abdomen is independent of muscle tone and subcutaneous tissue amount.
  • The abdomen appears soft and pliable and undergoes upward and downward excursion with respiration. (correct)

The os coxae of the hip bone is NOT composed of which of the following?

<p>Sacrum (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of the lumbar vertebrae?

<p>The intervertebral discs are thinner compared to the vertebral column. (C)</p> Signup and view all the answers

The medial surface of the ilium is divided into two parts by which anatomical structure?

<p>Arcuate Line (B)</p> Signup and view all the answers

What anatomical line demarcates the false pelvis from the true pelvis?

<p>Iliopectineal line (A)</p> Signup and view all the answers

The iliac fossa is what kind of surface?

<p>A Concave surface (D)</p> Signup and view all the answers

Which of the following statements accurately describes the formation of the iliopectineal line?

<p>None of the above. (D)</p> Signup and view all the answers

Which of the following is NOT a layer of the abdominal wall?

<p>Visceral Peritoneum (B)</p> Signup and view all the answers

Which statement accurately reflects a characteristic of the skin in the abdominal region?

<p>The umbilicus is a scar representing the site of attachment in the umbilical cord. (C)</p> Signup and view all the answers

Branches of which arterial group supply blood to the skin near the midline of the abdomen?

<p>Superior and inferior epigastric (C)</p> Signup and view all the answers

Venous drainage from the upper abdominal wall primarily empties into what?

<p>The axillary vein (C)</p> Signup and view all the answers

The fatty layer of the superficial fascia in the scrotum is replaced by a thin layer of smooth muscle known as:

<p>Dartos Muscle (D)</p> Signup and view all the answers

How many layers are in the superficial fascia?

<p>One (C)</p> Signup and view all the answers

Choose the accurate statement concerning the paired rectus abdominis muscles.

<p>The muscles form wide vertical straps along the midline of the anterior body (A)</p> Signup and view all the answers

The abdominal equivalent to the intercostal muscle is:

<p>Transversus abdominis (D)</p> Signup and view all the answers

What is the primary structure that encloses the rectus abdominis muscle?

<p>Rectus sheath (B)</p> Signup and view all the answers

The external oblique muscle originates from which structure?

<p>The iliac crest (D)</p> Signup and view all the answers

Which muscles compress the abdominal muscles:

<p>All of the above (D)</p> Signup and view all the answers

Which of the muscles have an insertion on the lower three ribs:

<p>Internal oblique (A)</p> Signup and view all the answers

Which of the muscles has an insertion on the 5th, 6th, 7th costal cartilage

<p>rectus abdominis (A)</p> Signup and view all the answers

Which of the muscles has an origination on the symphysis pubis and pubic crest:

<p>Rectus abdominis (B)</p> Signup and view all the answers

Which of the muscle is supplied by the lower six throacic nerves and iliohypogastric and ilioinguinal nerves (L1).

<p>external Oblique Muscle (A)</p> Signup and view all the answers

What statement characterizes pyramidalis

<p>A and B (A)</p> Signup and view all the answers

What abdominal muscle is supplied by 12th thoracic nerve:

<p>pyramidalis (A)</p> Signup and view all the answers

What is true of pyramidalis:

<p>insertion tenses the linea alba (B)</p> Signup and view all the answers

The triangular defect of the external aponeurosis that lies immediately above and medial to the pubic tubercle is known as the:

<p>Superficial inguinal ring (C)</p> Signup and view all the answers

A motorcycle driver crashed into a closed van , what is the most probably affected struture that results from force?

<p>Symphysis pubis (A)</p> Signup and view all the answers

Which option correctly describes the relationship of the linea terminalis and lesser pelvis

<p>Only the first statement is true (B)</p> Signup and view all the answers

Which vessel corresponds with the upper third of the vagina.

<p>Upper third of vagina - uterine artery (A)</p> Signup and view all the answers

The levator ani is made up of all listed muscles except:

<p>Bulbospongiosus (C)</p> Signup and view all the answers

Which area does NOT bound the female perinuem EXCEPT.

<p>Mons pubis (D)</p> Signup and view all the answers

The boundaries of the deep perineal pouch has the following EXCEPT:

<p>Inferior fascia of pelvic diaphragm (C)</p> Signup and view all the answers

Right and mediolateral episotomy what muscle cuts during the procedure.

<p>Bulbospongiosus and Superficial Transverse Muscles (B)</p> Signup and view all the answers

What is not true of the bony pelvis of a female:

<p>Narrow 70° (B)</p> Signup and view all the answers

Internal iliac vessels give rise to vessels except for which option:

<p>Inferior epigastric (B)</p> Signup and view all the answers

In an infants development the 3 bones are divided as follows:

<p>true (C)</p> Signup and view all the answers

What must occur for the pelvic bone to arise

<p>birth (D)</p> Signup and view all the answers

Flashcards

Abdominal Osteology

Osteology of the abdomen includes lumbar vertebrae, margin of thoracic cage, and iliac & pubic bones.

Thoracic cage for abdominal wall support

Components include xiphoid process, costal margin (7-10), and lower ribs.

General appearance of the abdomen

Abdomen is primarily a soft tissue region with little bone framework.

Os Coxae (hip bone)

Ilium, ischium, and pubis.

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Lumbar vertebrae characteristics

Intervertebral discs are thinner compared to the vertebral column

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Iliac fossa

Large, smooth, concave surface on the inner aspect of the ilium above the arcuate line.

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What is the visceral peritoneum?

It covers the abdominal organs, not the abdominal wall.

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Describe the umbilicus

The umbilicus is tethered to the skin representing the site of attachment of the fetal umbilical cord.

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Epigastric artery branches

Superior and inferior arteries supply the skin near the midline.

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Scrotum superficial fascia

Fatty layer replaced by smooth dartos muscle; membranous layer continues as dartos fascia.

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Layers of the superficial fascia

The superficial fascia is divided into 2 layers: Camper's and Scarpa's fascia .

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Anterolateral Muscle

Internal oblique, External Oblique, and Transversus Abdominis.

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Rectus sheath

Aponeuroses enclose the rectus abdominis.

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External oblique origins

Originates from the outer surface of the middle shaft of the lower 8 ribs.

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Action of the pyramidalis

Tense the linear alba, not compress abdominal contents

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TA

Transversus abdominis, linea alba, pubic crest, and pecten pubis

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What muscle has an origin?

It has an origin on the anterior surface of pubis and the pubic crest?

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Muscles supplied external oblique.

External Oblique Muscle with Lower six thoracic nerves and iliohypogastric and ilioinguinal nerves (L1)

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Triangular external aponeurosis defect

Contains superficial inguinal ring

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Anteroposterior compressions

Commonly affected structure by anterior compression symphysis pubis.

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Linea terminalis:

The first statement is true: The linea terminalis separates the pelvis into greater and lesser pelvis.

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Correct Blood supply

It is a 1/upper third blood supply where upper third of vagina - uterine artery (blood supply)

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Levator ani contents

Levator ani consists of Iliococcygeus. Pubococcygeus. Puborectalis

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Female perinem is bound by.

The female perineum is bounded by all of the following EXCЕРТ Ischical tuberosity.

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Deep perineal space/pouch is bound.

Deep perineal pouch (space) is bound Inferior fascia of pelvic diaphragm

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Study Notes

Abdominal Wall Osteology

  • The abdomen's osteology includes lumbar vertebrae as well as iliac and pubic bone aspects of the pelvis

Components Supporting Abdominal Wall

  • The components of the thoracic cage are vital in supporting the abdominal wall
  • These components include the xiphoid process, costal margin with cartilages 7-10, and lower ribs

General Appearance of the Abdominal Wall

  • It tends to be soft and pliable due to minimal bony structure
  • Respiratory excursion is involved

Os Coxae Composition

  • The hip bone/os coxae comprise the illium, ischium and pubis, but NOT the sacrum
  • The sacrum, together with the coccyx and hip bones, form the bony pelvis

Lumbar Vertebrae Properties

  • Intervertebral discs are THICKER compared to the vertebrae, unlike other vertebrae

Ilium's Medial Surface

  • The arcuate line splits the ilium's medial surface into two sections

Iliopectineal Line

  • The line, also termed the pelvic brim, is a bony ridge separating the lesser/true and greater/false pelvis

Iliac Fossa

  • Above the arcuate line is the Concave iliac fossa

Iliopectineal Line Composition

  • The arcuate line of the ilium does NOT form the anterior part of the iliopectineal line
  • This line is composed of the arcuate line of the ilium creating the posterior portion, and the pectineal line of the pubis creating the anterior portion

Visceral Peritoneum

  • It covers abdominal organs; visceral peritoneum is NOT part of the abdominal wall itself

Umbilicus as a Scar

  • The umbilicus functions as a scar, marking the location where the fetal umbilical cord was attached

Skin Nerve Supply

  • The cutaneous nerve supply to the anterolateral abdominal wall originates from the anterior rami of the lower seven thoracic nerves and the first lumbar nerve

Epigastric Arteries

  • The superior and inferior epigastric arteries provide blood to the skin closest to the midline

Superficial Fascia Layers

  • This fascia comprises two layers: an outer fatty layer referred to as Campers fascia and a deeper membranous layer called Scarpa's fascia

Superficial Fascia

  • It continues laterally, superiorly before connecting with the superficial back and thorax fascia

Intercostal Muscle Abdominal Equivalent

  • The internal oblique, external oblique and transversus abdominis muscles are the abdominal equivalent

Rectus Sheath Function

  • It functions by enclosing the rectus abdominis muscle, since aponeuroses form the sheath

External Oblique Muscle Origin

  • This muscle originates from the lower 8 ribs outer surface

Pyramidalis Muscle Action

  • To tense the Linea Alba

Internal Oblique Insertion

  • The internal oblique inserts into the lower 3 or 4 ribs, xiphoid process, linea alba, and pubic crest

Structures Originating at Symphysis Pubis

  • The rectus abdominus originates at the origin site

External Oblique Muscle Supply

  • Supplied by the lower 6 thoracic nerves and iliohypogastric and ilioinguinal nerves (L1)

Compressors of the Abdominal Contents

  • External oblique, internal oblique, and the transversus abdominis all compress the abdominal contents

The Triangular Defect

  • The External Oblique Aponeurosis is where the triangular shaped defect resides, which is also above the medial public tubercle

Damage of Symphysis Pubis

– The pubic rami structure is first affected after the motor vehicle crash

Greater and Lesser Pelvis

  • The Linea Terminalis separates the pelvis into both structures while the lesser pelvis is the skeletal framework for the pelvic viscera

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