Abdominal Wall Anatomy Quiz
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Questions and Answers

What are the superior and inferior boundaries of the abdominal wall?

Superior: inferior thoracic aperature/diaphragm Inferior: pelvic inlet

The abdomen can freely communicate with the thorax, lower limbs, and pelvis.

False (B)

The abdomen assists with respiration.

True (A)

The majority of support and protection of the abdomen is bone.

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

What are the six components of the abdominal skeletal framework?

<ol> <li>Floating ribs (11 &amp; 12)</li> <li>Costal margin (formed by false ribs)</li> <li>Lumbar vertebrae</li> <li>Ala (ring) of sacrum</li> <li>Ilium</li> <li>Pubis</li> </ol> Signup and view all the answers

What are three important landmarks of the ilium?

<ol> <li>Iliac fossa</li> <li>Iliac crest</li> <li>Anterior superior iliac spine (ASIS)</li> </ol> Signup and view all the answers

What is an important landmark of the pubis?

<p>Pubic tubercle</p> Signup and view all the answers

Which of the following describes the anterolateral abdominal wall?

<p>Characterized by three main layers of fascia and four layers of muscle (B)</p> Signup and view all the answers

Which of the following describes the posterior abdominal wall?

<p>Characterized by three main muscles (C)</p> Signup and view all the answers

What are the two layers of the superficial fascia of the anterolateral abdominal wall?

<ol> <li>Camper's fascia</li> <li>Scarpa's fascia</li> </ol> Signup and view all the answers

Which layer of the superficial fascia of the anterolateral abdominal wall is more fatty?

<p>Camper's fascia (B)</p> Signup and view all the answers

Which layer of the superficial fascia of the anterolateral abdominal wall is more membranous?

<p>Scarpa's fascia (B)</p> Signup and view all the answers

Where is the superficial fascia of the anterolateral abdominal wall located?

<p>Deep to the skin</p> Signup and view all the answers

Where is the transversalis fascia located?

<p>Deep to the anterolateral wall muscles</p> Signup and view all the answers

Which abdominal fascia glues the peritoneum to the abdominal wall?

<p>Transversalis fascia</p> Signup and view all the answers

Between which two fascial layers are the four main muscles of the anterolateral abdominal wall located?

<p>Superficial fascia and transversalis fascia</p> Signup and view all the answers

Where does the external abdominal oblique and its aponeurosis originate?

<p>Ribs 5-12</p> Signup and view all the answers

Where does the external abdominal oblique and its aponeurosis insert?

<p>Iliac crest, pubic tubercle, and linea alba</p> Signup and view all the answers

What are the unilateral and bilateral actions of the external abdominal oblique?

<p>Unilateral: rotational and lateral movement of trunk Bilateral: bend forward</p> Signup and view all the answers

What is the linea alba?

<p>Fusion of aponeuroses of all abdominal muscles forming a sieve</p> Signup and view all the answers

Which abdominal oblique has a hands in pocket orientation while the other has a hands on chest orientation?

<p>External abdominal oblique has a hands in pocket orientation while the internal abdominal oblique has a hands on chest orientation. (A)</p> Signup and view all the answers

Where does the transversus abdominis and its aponeurosis originate?

<p>Thoracolumbar fascia and the internal surface of ribs 7-12</p> Signup and view all the answers

Where does the transversus abdominis and its aponeurosis insert?

<p>Linea alba and pubis</p> Signup and view all the answers

Which anterolateral abdominal muscle is the strongest of the four and increases intra-abdominal pressure for actions such as defecation and childbirth?

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

What is the orientation of the transversus abdominis and its aponeurosis?

<p>Horizontal orientation</p> Signup and view all the answers

Which anterolateral abdominal muscle does not have an aponeurosis, but instead tendinous intersections?

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

Where does the rectus abdominis and its tendinous intersections originate?

<p>The pubis</p> Signup and view all the answers

Where does the rectus abdominis and its tendinous intersections insert?

<p>Xiphoid process and costal cartilage</p> Signup and view all the answers

Which anterolateral abdominal muscle's action is to flex the trunk?

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

From superficial to deep, list the layers of the anterolateral abdominal wall.

<p>Skin → Camper's fascia → Scarpa's fascia → External abdominal oblique &amp; rectus abdominis → Internal abdominal oblique → Transversus abdominis → Transversalis fascia → Fat → Peritoneum → Viscera</p> Signup and view all the answers

What is the peritoneum?

<p>Serous membrane lining the abdominopelvic cavity &amp; abdominal viscera</p> Signup and view all the answers

What are the two layers of the peritoneum?

<p>Parietal (outer) layer and visceral (inner) layer</p> Signup and view all the answers

What is the peritoneal cavity?

<p>Potential space between the parietal and visceral peritoneum</p> Signup and view all the answers

Which layer of the peritoneum is the serous layer?

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

What is the rectus sheath?

<p>Fibrous sheath in the anterolateral wall formed by the aponeuroses of the external abdominal obliques, internal abdominal obliques, and the transversus abdominis; encases the rectus abdominis muscle (almost entirely)</p> Signup and view all the answers

What is the arcuate line?

<p>Line that marks the lower end of the posterior part of the rectus sheath</p> Signup and view all the answers

Which portion of the rectus sheath does not completely cover the rectus abdominis muscles?

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

What is the inguinal ligament?

<p>The inferior edge of the external oblique aponeurosis</p> Signup and view all the answers

The inguinal ligament spans from the ___________ to the ____________ ______________.

<p>ASIS, pubic tubercle</p> Signup and view all the answers

What is the inguinal canal?

<p>Passageway through the anterior abdominal wall extending from deep inguinal ring to superficial inguinal ring</p> Signup and view all the answers

Which ring of the inguinal canal is where the canal begins?

<p>Deep inguinal ring (A)</p> Signup and view all the answers

Which ring of the inguinal canal is caused by a defect in the transversalis fascia?

<p>Deep inguinal ring (A)</p> Signup and view all the answers

Which ring of the inguinal canal is an archway in the external abdominal oblique aponeurosis?

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

Explain how the inguinal canals form.

<p>The inguinal canals form during the descent of the testes into the scrotum. The testes develop within the abdominal cavity, and as they descend, they are pulled through a weak spot in the abdominal wall by the gubernaculum, a fibrous cord that connects the testis to the scrotum. This process forms a tunnel through the anterior abdominal wall, which becomes the inguinal canal.</p> Signup and view all the answers

Where do the embryonic gonads develop?

<p>Posterior abdominal wall (B)</p> Signup and view all the answers

What is the gubernaculum?

<p>Chord that anchors and pulls down testes to adult position</p> Signup and view all the answers

What does the male inguinal canal convey? What does the female inguinal canal convey?

<p>Male: spermatic cord Female: round ligament of the uterus</p> Signup and view all the answers

What is an inguinal hernia?

<p>Abnormal protrusion of abdominal contents into inguinal region through a weakness or defect in the abdominal wall</p> Signup and view all the answers

Which artery does the superior epigastric artery branch from?

<p>Internal thoracic artery</p> Signup and view all the answers

Where are the superior and inferior epigastric arteries located in relation to the anterolateral abdominal wall muscles?

<p>Deep to the rectus abdominis</p> Signup and view all the answers

Where is the superficial epigastric artery located in relation to the rectus sheath?

<p>Superficial to the rectus sheath</p> Signup and view all the answers

What nerve(s) provide motor innervation to the intercostal muscles and the anterolateral wall muscles?

<p>Thoraco-abdominal nerves</p> Signup and view all the answers

What nerve(s) provide sensory innervation to the skin over the thorax and abdomen?

<p>Thoraco-abdominal nerves</p> Signup and view all the answers

What are the thoraco-abdominal nerves?

<p>VPR of intercostal nerves 7-11</p> Signup and view all the answers

What nerve provides motor innervation to the external oblique abdominis, internal oblique abdominis, and transversus abdominis?

<p>Subcostal nerve</p> Signup and view all the answers

What nerve is the 12th thoracic spinal nerve?

<p>Subcostal nerve</p> Signup and view all the answers

What two nerves from the lumbar plexus innervates the anterolateral abdominal muscles?

<p>Iliohypogastric nerve (superior) and ilioinguinal nerve (inferior)</p> Signup and view all the answers

What two nerves innervate the internal obliques and transversus abdominis, but not the external oblique muscles?

<p>Iliohypogastric nerve and ilioinguinal nerve</p> Signup and view all the answers

What is a dermatome?

<p>A strip of skin innervated by a single spinal nerve</p> Signup and view all the answers

Which dermatome encircles the skin around the belly button?

<p>T10</p> Signup and view all the answers

What are the three major muscles of the posterior abdominal wall?

<ol> <li>Psoas major muscle</li> <li>Quadratus lumborum muscle</li> <li>Iliacus muscle</li> </ol> Signup and view all the answers

Which posterior abdominal muscle originates at the lumbar vertebrae?

<p>Psoas major</p> Signup and view all the answers

Which posterior abdominal muscle inserts at the femur?

<p>Psoas major and iliacus</p> Signup and view all the answers

What is the action of the psoas major muscle?

<p>Flexion of hips/thigh</p> Signup and view all the answers

Which posterior abdominal muscle originates at the 12th rib?

<p>Quadratus lumborum</p> Signup and view all the answers

Which posterior abdominal muscle inserts at the iliac crest?

<p>Quadratus lumborum</p> Signup and view all the answers

What is the action of the quadratus lumborum muscle?

<p>Minor lateral flexion</p> Signup and view all the answers

Which posterior abdominal muscle originates at the iliac fossa?

<p>Iliacus</p> Signup and view all the answers

What is the action of the iliacus muscle?

<p>Flexion of hips/thigh</p> Signup and view all the answers

Which nerve innervates the diaphragm?

<p>Phrenic nerve</p> Signup and view all the answers

Where is the caval hiatus located?

<p>T8</p> Signup and view all the answers

Where is the esophageal hiatus located?

<p>T10</p> Signup and view all the answers

Where is the aortic hiatus located?

<p>T12</p> Signup and view all the answers

Which ligament of the diaphragm helps anchor the diaphragm to the lumbar vertebrae?

<p>Medial arcuate ligament</p> Signup and view all the answers

Which ligament of the diaphragm anchors the diaphragm to the 12th rib?

<p>Lateral arcuate ligament</p> Signup and view all the answers

Where are the kidneys located relative to the vertebral column?

<p>T12-L3</p> Signup and view all the answers

What two blood vessels do the renal vessels anchor the kidneys to?

<ol> <li>Inferior vena cava</li> <li>Abdominal aorta</li> </ol> Signup and view all the answers

What are the four connective tissues that surround the kidneys?

<ol> <li>Paranephric fat</li> <li>Renal fascia</li> <li>Perinephric fat</li> <li>Renal capsule</li> </ol> Signup and view all the answers

Which connective tissue layer that surrounds the kidney is the outermost layer?

<p>Paranephric fat</p> Signup and view all the answers

Which connective tissue layer that surrounds the kidney anchors the kidneys to the diaphragm?

<p>Renal fascia</p> Signup and view all the answers

Flashcards

What are the superior and inferior boundaries of the abdominal wall?

superior: inferior thoracic aperature/diaphragm inferior: pelvic inlet

True or false: The abdomen can freely communicate with the thorax, lower limbs, and pelvis.

false; the abdomen can freely communicate with the lower limbs and pelvis but not the thorax

True or false: The abdomen assists with respiration.

true

True or false: The majority of support and protection of the abdomen is bone.

false; the majority of support/protection is muscular in nature

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What are the components of the abdominal skeletal framework?

  1. floating ribs (11 & 12)
  2. costal margin (formed by false ribs)
  3. lumbar vertebrate
  4. ala (ring) of sacrum
  5. ilium
  6. pubis
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What are 3 important landmarks of the ilium?

  1. iliac fossa
  2. iliac crest
  3. anterior superior iliac spine (ASIS)
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What is an important landmark of the pubis?

pubic tubercle

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The (anterolateral/posterior) abdominal wall is characterized by _________ main layers of fascia & _________ layers of muscle.

anterolateral, three, four

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The (anterolateral/posterior) abdominal wall is characterized by _________ main muscles.

posterior, three

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What are the 2 layers of the superficial fascia of the anterolateral abdominal wall?

  1. camper's fascia
  2. scarpa's fascia
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Which layer of the superficial fascia of the anterolateral abdominal wall is more fatty?

camper's

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Which layer of the superficial fascia of the anterolateral abdominal wall is more membranous?

scarpa's

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The superficial fascia of the anterolateral abdominal wall located deep to the ____________

skin

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The transveralis fascia is located deep to the _________________ ___________ _____________

anterolateral wall muscles (blue)

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Which abdominal fascia glues the peritoneum to the abdominal wall?

transveralis fascia

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The four main muscles of the anterolateral abdominal wall is located between the _____________ fascia and the _________________ fascia

superficial, transversalis

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Where does the external abdominal oblique (& its aponeurosis) originate at?

ribs 5-12

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Where does the external abdominal oblique (& its aponeurosis) insert at? (3 places)

iliac crest, pubic tubercle, and linea alba

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What is the unilateral action of the external abdominal oblique? Bilateral action?

unilateral: rotational and lateral movement of trunk bilateral: bend forward

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What is the linea alba?

fusion of aponeuroses of all abdominal muscles forming sieve

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The (internal/external) abdominal oblique have a hands in pocket orientation while the (internal/external) abdominal oblique have a hands on chest orientation

external, internal

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Where does the internal abdominal oblique (& its aponeurosis) originate at? (2 places)

thoracolumbar fascia and the iliac crest

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Where does the internal abdominal oblique (& its aponeurosis) insert at? (3 places)

ribs 10-12, the linea alba, and the pubic bone

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What is the unilateral action of the internal abdominal oblique? Bilateral action?

unilateral: rotational and lateral movement of trunk bilateral: bend forward

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Where does the transversus abdominis (& its aponeurosis) originate at? (2 places)

thoracolumbar fascia and the internal surface of ribs 7-12

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Where does the transversus abdominis (& its aponeurosis) insert at? (2 places)

linea alba and pubis

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Which anterolateral muscle increases intra-abdominal pressure (defecation, childbirth, etc.) by being the strongest muscle of the four?

transversus abdominis (& its aponeurosis)

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The transversus abdominis & its aponeurosis run in what kind of orientation?

in a horizontal orientation

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Which anterolateral muscle does not have an aponeurosis, but instead tendinous intersections?

rectus abdominis

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Where does the rectus abdominis (& its tendinous intersections) originate at?

the pubis

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Where does the rectus abdominis (& its tendinous intersections) insert at? (2 places)

xiphoid process and costal cartilage

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Which anterolateral muscle's action is to flex the trunk?

rectus abdominis (& its tendinous intersections)

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Study Notes

Abdominal Wall Anatomy

  • Superior boundary: Inferior thoracic aperture/diaphragm
  • Inferior boundary: Pelvic inlet
  • Communication: The abdomen freely communicates with the lower limbs and pelvis, but not the thorax.
  • Respiratory involvement: The abdomen assists with respiration.
  • Support and protection: Primarily muscular, not bony.
  • Skeletal framework components: Floating ribs (11 & 12), costal margin (false ribs), lumbar vertebrae, ala of sacrum, ilium, pubis
  • Iliac landmarks: Iliac fossa, iliac crest, anterior superior iliac spine (ASIS)
  • Pubic landmark: Pubic tubercle
  • Anterolateral wall layers: Three layers of fascia and four layers of muscle.
  • Posterior wall muscles: Three main muscles
  • Superficial fascia layers: Camper's fascia (fatty) and Scarpa's fascia (membranous).
  • Superficial fascia location: Deep to skin
  • Transversalis fascia location: Deep to anterolateral wall muscles
  • Transversalis fascia function: Glues peritoneum to abdominal wall
  • Anterolateral muscle layers: Superficial fascia, transversalis fascia, anterolateral wall muscles.
  • External oblique origin: Ribs 5-12
  • External oblique insertion: Iliac crest, pubic tubercle, linea alba
  • External oblique action (unilateral): Rotational and lateral movement of trunk; (bilateral): bend forward.
  • Linea alba: Fusion of aponeuroses of all abdominal muscles
  • Internal oblique orientation: Hands-on chest
  • Internal oblique origin: Thoracolumbar fascia and iliac crest
  • Internal oblique insertion: Ribs 10-12, linea alba, pubic bone
  • Internal oblique action (unilateral): Rotational and lateral movement of trunk; (bilateral): bend forward
  • Transversus abdominis origin: Thoracolumbar fascia, internal surface of ribs 7-12
  • Transversus abdominis insertion: Linea alba and pubis
  • Transversus abdominis action: Increases intra-abdominal pressure
  • Transversus abdominis orientation: Horizontal
  • Rectus abdominis: No aponeurosis, tendinous intersections
  • Rectus abdominis origin: Pubis
  • Rectus abdominis insertion: Xiphoid process and costal cartilage
  • Rectus abdominis action: Flexes the trunk
  • Anterolateral wall layers (order): Skin, Camper's fascia, Scarpa's fascia, external abdominal oblique, rectus abdominis, internal abdominal oblique, transversus abdominis, transversalis fascia, peritoneum (fat), viscera.
  • Peritoneum: Serous membrane lining the abdominopelvic cavity and abdominal viscera
  • Peritoneum layers: Parietal (outer) and visceral (inner)
  • Peritoneal cavity: Potential space between parietal and visceral peritoneum
  • Rectus sheath: Fibrous sheath of external oblique, internal oblique, and transversus abdominis
  • Arcuate line: Lower edge of posterior rectus sheath
  • Posterior rectus sheath: Incomplete
  • Inguinal ligament: Inferior edge of external oblique aponeurosis
  • Inguinal ligament span: ASIS to pubic tubercle
  • Inguinal canal: Passageway through abdominal wall
  • Inguinal canal rings: Deep inguinal ring (transversalis fascia defect), superficial inguinal ring (external oblique aponeurosis arch)
  • Inguinal canal formation: Testes descent via gubernaculum, pulling structures
  • Male inguinal canal contents: Spermatic cord, female: round ligament
  • Inguinal hernia: Abdominal contents protrude through abdominal wall weakness.
  • Superior epigastric artery branch: Internal thoracic artery.
  • Inferior epigastric artery branch: External iliac artery.
  • Superficial epigastric artery branch: Femoral artery
  • Superior & inferior epigastric arteries location: Deep to rectus abdominis
  • Superficial epigastric artery location: Superficial to rectus sheath
  • Anterolateral wall nerve supply (motor): Thoraco-abdominal nerves and subcostal nerve.
  • Anterolateral wall nerve supply (sensory): Thoraco-abdominal nerves
  • Thoraco-abdominal nerves: VPR of intercostal nerves 7-11
  • Lumbar plexus nerves: Iliohypogastric (superior) and ilioinguinal (inferior)
  • Dermatome: Strip of skin innervated by a single spinal nerve
  • Dermatome for belly button: T10
  • Posterior abdominal wall major muscles: Psoas major, quadratus lumborum, iliacus.
  • Psoas major origin: Lumbar vertebrae
  • Psoas major insertion: Femur
  • Psoas major action: Hip/thigh flexion
  • Quadratus lumborum origin: 12th rib
  • Quadratus lumborum insertion: Iliac crest
  • Quadratus lumborum action: Minor lateral flexion
  • Iliacus origin: Iliac fossa
  • Iliacus insertion: Femur
  • Iliacus action: Hip/thigh flexion
  • Diaphragm innervation: Phrenic nerve
  • Diaphragm hiatus locations: Caval hiatus (T8), esophageal hiatus (T10), aortic hiatus (T12)
  • Diaphragm ligaments: Medial arcuate ligament (lumbar vertebrae), lateral arcuate ligament (12th rib)
  • Kidney location: T12-L3
  • Kidney anchors: Inferior vena cava and abdominal aorta
  • Kidney connective tissues: Paranephric fat, renal fascia, perinephric fat, renal capsule
  • Kidney layers (outermost to innermost): Paranephric fat, renal fascia, perinephric fat, renal capsule
  • Kidney structure (outer to inner): Cortex (filtration), medulla (pyramids), minor calyces, major calyces, renal pelvis.
  • Aortic bifurcation location: L4
  • Aortic unpaired branches: Celiac trunk, superior mesenteric artery, inferior mesenteric artery
  • Aortic unpaired branch supplying foregut: Celiac trunk
  • Aortic unpaired branch supplying midgut: Superior mesenteric artery
  • Aortic unpaired branch supplying hindgut: Inferior mesenteric artery
  • Inferior vena cava location: Right of abdominal aorta

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Test your knowledge on the anatomy of the abdominal wall, including its boundaries, muscle layers, and skeletal components. This quiz covers essential landmarks and structures involved in support, protection, and respiration. Dive into the details of the abdominal anatomy and solidify your understanding!

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