Mammary Gland Anatomy
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Mammary Gland Anatomy

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Questions and Answers

What characteristic distinguishes the areola's color change during pregnancy?

  • It turns bright red during childbirth.
  • It becomes darker and never returns to its original color. (correct)
  • It changes to a bluish tint after the first pregnancy.
  • It remains unchanged regardless of the pregnancy status.
  • Which arteries are primarily responsible for the arterial supply to the medial half of the breast?

  • Internal mammary artery and its perforating branches. (correct)
  • Lateral thoracic artery and posterior intercostal arteries.
  • Subclavian artery and lateral branches of the axillary artery.
  • Acromiothoracic artery and aortic branches.
  • Where is the nipple usually located in relation to the intercostal spaces?

  • Over the 4th intercostal space. (correct)
  • Directly at the apex of the breast.
  • Near the diaphragm.
  • Over the 2nd intercostal space.
  • What happens to the position of the nipple after the first childbirth?

    <p>It changes to a variable lower level.</p> Signup and view all the answers

    Which of the following structures primarily secretes into the lactiferous ducts?

    <p>Mammary glands.</p> Signup and view all the answers

    What is the primary role of the sebaceous glands located in the areola?

    <p>Providing lubrication.</p> Signup and view all the answers

    Which artery supplies the lateral half of the breast as a major source?

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

    What anatomical feature is mainly affected during lactation post childbirth?

    <p>Shape and position of the nipple.</p> Signup and view all the answers

    Which arteries contribute minimally to the blood supply of the breast?

    <p>Lateral branches of the posterior intercostal arteries.</p> Signup and view all the answers

    What happens to the areola in virgins compared to post-pregnancy?

    <p>It darkens and remains dark after pregnancy.</p> Signup and view all the answers

    What characterizes the position of the mammary gland in relation to surrounding structures?

    <p>It lies in the superficial fascia of the pectoral region.</p> Signup and view all the answers

    What structure primarily supports and separates the lobes of the mammary gland?

    <p>Cooper's ligaments.</p> Signup and view all the answers

    How does the mammary gland change during puberty?

    <p>It increases due to fat and superficial fascia.</p> Signup and view all the answers

    What happens to the lactiferous ducts as they approach the nipple?

    <p>They widen to form lactiferous sinuses before narrowing again.</p> Signup and view all the answers

    What does the axillary tail of the mammary gland do?

    <p>It curves around the lower border of the pectoralis major and extends into the axilla.</p> Signup and view all the answers

    Which of the following correctly describes the structure of the mammary gland?

    <p>It is arranged in a radial manner towards the nipple.</p> Signup and view all the answers

    What triggers the maximum growth of the mammary gland?

    <p>Pregnancy and subsequent lactation.</p> Signup and view all the answers

    Which of the following best describes the lactiferous sinus?

    <p>It is the point where all ducts converge.</p> Signup and view all the answers

    What is a key characteristic of the mammary gland in males?

    <p>It remains rudimentary and underdeveloped.</p> Signup and view all the answers

    Which of the following statements about the mid-axillary line is correct?

    <p>It passes through the midline of the axilla, equidistant from the anterior and posterior folds.</p> Signup and view all the answers

    What is the primary lymphatic drainage pathway for the medial quadrants of the breast?

    <p>To the parasternal lymph nodes</p> Signup and view all the answers

    In cases where a malignant tumor in the breast invades the fibrous septa, what potential change may occur to the nipple?

    <p>Nipple retraction</p> Signup and view all the answers

    What condition may occur due to obstruction of the superficial lymphatics in breast cancer?

    <p>Peau d'orange</p> Signup and view all the answers

    Which lymph nodes primarily receive lymph from the lateral halves of the breast?

    <p>Axillary lymph nodes</p> Signup and view all the answers

    What is the preferred method of drainage for a breast abscess to minimize infection spread?

    <p>Radial incision</p> Signup and view all the answers

    What lymphatic drainage features are characteristic of the lower medial part of the breast?

    <p>Some lymphatics pierce the abdominal wall</p> Signup and view all the answers

    Which structure lies along the internal mammary artery and is critical in the lymphatic drainage pathway of the breast?

    <p>Parasternal lymph nodes</p> Signup and view all the answers

    Which of the following is NOT a type of lymph node involved in breast lymphatic drainage?

    <p>Anterior group of cement nodes</p> Signup and view all the answers

    What is the clinical significance of superficial lymphatic obstruction in the breast?

    <p>Skin edema with orange peel appearance</p> Signup and view all the answers

    Which lymph nodes are involved in receiving most of the lymph from the medial parts of the gland?

    <p>Parasternal lymph nodes</p> Signup and view all the answers

    Where does the superficial plexus primarily send its efferents?

    <p>To the deep lymphatic plexus through interlobular lymph vessels</p> Signup and view all the answers

    Which group of lymph nodes do the lateral quadrants primarily drain into?

    <p>Pectoral group of axillary lymph nodes</p> Signup and view all the answers

    From which part of the breast do few lymphatics follow the posterior intercostal arteries to drain into para-aortic lymph nodes?

    <p>Lateral part of the breast</p> Signup and view all the answers

    What is a characteristic feature of the deep lymphatic plexus?

    <p>It lies on the deep fascia beneath the mammary gland</p> Signup and view all the answers

    What structural feature is directly associated with the drainage of the upper lateral part of the breast?

    <p>Infraclavicular nodes</p> Signup and view all the answers

    Which lymphatic pathway primarily drains the tail of the breast?

    <p>To the subscapular group of axillary lymph nodes</p> Signup and view all the answers

    What role do interlobular lymph vessels play in the lymphatic drainage of the mammary gland?

    <p>They transfer efferents from the superficial plexus to the deep lymphatic plexus</p> Signup and view all the answers

    Which of the following statements is true regarding the efferents of the deep lymphatic plexus?

    <p>They follow the blood supply as they exit</p> Signup and view all the answers

    Which lymph nodes are considered part of the apical group in the axilla?

    <p>Supraclavicular lymph nodes</p> Signup and view all the answers

    What is the uppermost layer beneath the skin of the areola where the superficial plexus lies?

    <p>Subcutaneous tissue</p> Signup and view all the answers

    Study Notes

    Mammary Gland

    • The mammary gland is a modified sweat gland, rudimentary in males, with a hemispherical shape.
    • It is located in the superficial fascia of the pectoral region, covering the pectoralis major and serratus anterior muscles.
    • Its base extends from the 2nd rib to the 6th costal cartilage and from the lateral border of the sternum to the mid-axillary line.
    • The axillary tail is a projection of the superior lateral quadrant of the gland that extends into the axilla.
    • The gland has 16-20 lobes embedded in fat, arranged radially.
    • Cooper's ligaments, fibrous septa, support the lobes and separate them into compartments.
    • Each lobe drains into a lactiferous duct, which converges at the nipple.
    • The lactiferous ducts widen into sinuses before narrowing again and opening on the nipple summit.
    • The gland's size increases at puberty and during pregnancy due to proliferation of glandular tissue.
    • The nipple is located over the 4th intercostal space and is traversed by lactiferous ducts.
    • The areola, a circular area of pigmented skin surrounding the nipple, becomes darker during pregnancy.
    • Arterial supply includes the lateral thoracic artery, perforating branches of the internal mammary artery, and the lateral branches of the posterior intercostal arteries.
    • Lymphatic drainage occurs through two plexuses: a superficial subareolar plexus and a deep lymphatic plexus.
    • The superficial plexus collects lymph from the mammary gland and drains into the deep plexus.
    • The deep plexus receives lymph from all quadrants of the breast and the superficial plexus.
    • Lateral quadrants drain mainly into the pectoral group of axillary lymph nodes, some into the subscapular group, and some into the infra-clavicular nodes.
    • Medial quadrants drain mainly into the parasternal lymph nodes along the internal mammary artery.
    • Some lymphatics may cross the midline to the opposite side's deep plexus.
    • Axillary lymph nodes receive over 75% of lymph from the breast.
    • Clinical importance includes potential for nipple retraction due to tumor invasion of fibrous septa, oedema caused by lymphatic obstruction, and abscess drainage strategies.

    Pectoralis Major

    • The pectoralis major muscle is a large, fan-shaped muscle that covers the chest.
    • It originates from the clavicle, sternum, and ribs and inserts on the humerus.
    • It is responsible for adduction, flexion, and medial rotation of the arm.

    External Oblique Muscle

    • The external oblique muscle is a large, flat muscle that covers the abdomen.
    • It originates from the ribs and inserts on the iliac crest and the pubis.
    • It is responsible for flexion, rotation, and lateral bending of the trunk.
    • Its aponeurosis is a strong, fibrous sheet that extends across the abdomen.

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    Description

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