Anatomy of the Spermatic Cord
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Questions and Answers

What is the smooth muscle that receives autonomic innervation and works in conjunction with the striated cremasteric muscle?

  • Cremaster muscle
  • Transversalis muscle
  • External oblique muscle
  • Dartos muscle (correct)

Which fascia is responsible for forming the parietal layer and visceral layer of the scrotum?

  • External spermatic fascia
  • Internal spermatic fascia (correct)
  • Cremasteric fascia
  • Scarpa’s fascia

What is the arterial supply to the scrotum?

  • Femoral artery
  • Internal iliac artery
  • Perineal artery
  • External pudendal artery (correct)

Which nerve is involved in the venous and lymphatic drainage of the scrotum?

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

Which structure in the spermatic cord is derived from external oblique muscle/fascia?

<p>External spermatic fascia (B)</p> Signup and view all the answers

What structure forms the parietal peritoneum?

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

Where do the testicular arteries branch directly from?

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

Which structure is a weak area in the posterior wall of the inguinal canal?

<p>Hesselbach’s Triangle (C)</p> Signup and view all the answers

What is a hernia?

<p>A displacement and protrusion of an organ through the cavity wall (B)</p> Signup and view all the answers

Which veins are part of the testicular venous drainage?

<p>Left renal vein (B)</p> Signup and view all the answers

What defines the boundaries of Hesselbach’s Triangle?

<p>Lateral border: Inferior epigastric vessels (D)</p> Signup and view all the answers

From where does the right testicular vein drain into?

<p>Inferior vena cava (C)</p> Signup and view all the answers

Which type of hernia is more common in females?

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

In a direct inguinal hernia, the herniated content is covered by which layers?

<p>All 3 layers of spermatic cord plus peritoneum (B)</p> Signup and view all the answers

Which type of inguinal hernia originates from Hesselbach’s triangle?

<p>Direct inguinal hernia (D)</p> Signup and view all the answers

In an indirect inguinal hernia, the inferior epigastric artery is located __________ to the hernia.

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

Which type of inguinal hernia is more common in young males?

<p>Indirect inguinal hernia (D)</p> Signup and view all the answers

What is the surgical procedure to repair a hernia known as?

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

Which structure covers the herniated content in an inguinal hernia?

<p>Transversalis fascia and parietal peritoneum (D)</p> Signup and view all the answers

What is a common cause of groin herniation according to the text?

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

Which symptom is NOT associated with testicular torsion?

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

What is a notable risk factor for spermatic cord torsion?

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

What is the rate of reoccurrence after hernia repair according to the text?

<p>~10-15% (A)</p> Signup and view all the answers

Where is torsion more likely to occur in relation to the testis?

<p>Above the upper pole (C)</p> Signup and view all the answers

To prevent reoccurrence, what is involved in the surgical procedure for testicular torsion?

<p>Fixing the testes to the scrotal septum (D)</p> Signup and view all the answers

What is the purpose of undergoing surgery 4-6 hours after the onset of pain in testicular torsion cases?

<p>To prevent necrosis of the testis (C)</p> Signup and view all the answers

Which nerve is responsible for eliciting the cremasteric muscle reflex?

<p>Genital branch of genitofemoral nerve (D)</p> Signup and view all the answers

What causes rapid elevation of the testis in response to the cremasteric muscle reflex?

<p>Contraction of the cremaster muscle (D)</p> Signup and view all the answers

Which part of the thigh should be stroked to elicit the cremasteric muscle reflex?

<p>Medial aspect of the proximal, superior part of the thigh (B)</p> Signup and view all the answers

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