Anatomy of Surgical Incisions in Obstetrics & Gynaecology

Question 1 of 32

1

Fill the blank space to complete the text.

The common vertical incision used in O&G to access the abdomen is known as a

Explanation

Question 2 of 32

1

Select from the dropdown lists to complete the text.

The incision for a caesarian section is typically conducted ( horizontally, vertically ) ( 2cm, 4cm ) above the ( pubic symphysis, iliac crests )

Explanation

Question 3 of 32

1

Fill the blank space to complete the text.

In order to reduce scarring, surgical incisions in O&G are made in an attempt to follow the tension lines of the skin known as lines

Explanation

Question 4 of 32

1

What are the three layers of abdominal fascia called?

Drag an answer into the correct orange point.

Camper's Fascia

Scarpa's Fascia

Transversalis Fascia

Explanation

Question 5 of 32

1

Fill the blank space to complete the text.

Which of the three layers of abdominal fascia are found beneath the oblique musculature?
fascia

Explanation

Question 6 of 32

1

Arrange the 4 groups of abdominal muscles from superficial to deep:
❌
❌
❌
❌

Drag and drop to complete the text.

External oblique muscles

Internal oblique muscles

Rectus abdominis muscles

Transversus abdominis muscles

Explanation

Question 7 of 32

1

Which direction do the external oblique muscles run in?

Select one of the following:

Postero-anteriorly
Antero-Posteriorly

Explanation

Question 8 of 32

1

Select from the dropdown list to complete the text.

Superiorly, the external oblique muscles attach to ribs ( 5-11, 5-12, 6-11, 6-10 )

Explanation

Question 9 of 32

1

Fill the blank space to complete the text.

The external intercostals are joined by a fibrous sheath called an aponeurosis. Name the midline section where the two aponeuroses meet and blend together.
The

Explanation

Question 10 of 32

1

As well as the linea alba, which two other structures do the external obliques attach to inferiorly?

Select one or more of the following:

Pubic tubercle
Iliac crest
ASIS
Ischial spine

Explanation

Question 11 of 32

1

Select from the dropdown list to complete the text.

The internal obliques run in the ( antero-posterior, postero-anterior ) direction

Explanation

Question 12 of 32

1

Select from the dropdown list to complete the text.

An aponeurosis is a flattened ( tendon, ligament, fibrous capsule, muscle )

Explanation

Question 13 of 32

1

Which abdominal muscles attach to the thoracolumbar fascia found on the back of the body?

Select one or more of the following:

External obliques
Internal obliques
Transversus Abdominis

Explanation

Question 14 of 32

1

Which bony feature of the pelvis do all abdominal muscles apart from the rectus abdominis attach to?

Select one of the following:

Pubic Tubercle
Iliac Crest
ASIS
Ischial Spine

Explanation

Question 15 of 32

1

Fill the blank space to complete the text.

The aponeurosis that exists lateral to the rectus abdominis muscles is known as the linea

Explanation

Question 16 of 32

1

Fill the blank space to complete the text.

What is the name of the strong, fibrous layer that surrounds the rectus abdominis muscles and is made up of the combined aponeuroses of transversus abdominis, external oblique and internal oblique muscles?

Explanation

Question 17 of 32

1

Fill the blank space to complete the text.

Which line, lying halfway between the pubic crest and umbilicus, demarcates the lower part of the rectus sheath?
The line

Explanation

Question 18 of 32

1

Which lateral abdominal muscle is always superficial to the rectus abdominis in the rectus sheath?

Select one of the following:

External Oblique
Internal Oblique
Transversus Abdominis

Explanation

Question 19 of 32

1

Which muscle splits into anterior and posterior 'leaflets' in the rectus sheath above the acuate line?

Select one of the following:

External oblique
Internal oblique
Transversus Abdominis

Explanation

Question 20 of 32

1

The only notable difference above and below the arcuate line is that above the arcuate line the internal oblique is split into two leaflets, one of which is superficial and the other deep to the rectus abdominis, whereas below the arcuate line the whole internal oblique lies superficial to the rectus abdominis.

Select one of the following:

True
False

Explanation

Question 21 of 32

1

Fill the blank space to complete the text.

What is the vertebral level os the subcostal nerve?

Explanation

Question 22 of 32

1

Fill the blank spaces to complete the text.

Blood supply to the anterolateral abdominal wall:

Anterior Abdominal Wall:
Superior & Inferior arteries

Lateral Abdominal Wall:
and arteries (alphabetical order)

Explanation

Question 23 of 32

1

Fill the blank spaces to complete the text.

Blood supply to the anterior abdominal wall:
The Superior Epigastric Arteries are a continuation of the artery
The Inferior Epigastric Arteries are branches of the Artery

Explanation

Question 24 of 32

1

Fill the blank space to complete the text.

What are the internal thoracic arteries and veins also known as in women?
The arteries and veins

Explanation

Question 25 of 32

1

Fill the blank space to complete the text.

What is the vertebral level of the ilioinguinal and iliohypogastric nerves that supply the anterolateral abdominal wall?

Explanation

Question 26 of 32

1

Between which two muscles do the abdominal nerves travel?

Select one or more of the following:

External Oblique
Internal Oblique
Transversus Abdominis

Explanation

Question 27 of 32

1

In a Caesarean section, the rectus abdominis muscles are cut in order to reach the uterus.

Select one of the following:

True
False

Explanation

Question 28 of 32

1

Fill the blank space to complete the text.

Which structure is found halfway between ASIS and pubic tubercle, and is the emerging point for the inferior epigastric artery into the abdomen?

Explanation

Question 29 of 32

1

Fill the blank space to complete the text.

What triangle is formed from the lateral border of rectus sheath medially, the inguinal ligament inferiorly and the inferior epigastric artery laterally?
The Triangle

Explanation

Question 30 of 32

1

Select from the dropdown lists to complete the text.

Direct vs Indirect Hernias:

First, reduce the hernia and put pressure on the deep inguinal ring (halfway between ASIS and pubic tubercle). Following this ask the patient to cough.
If it pops out upon coughing, it's ( a direct, an indirect ) inguinal hernia (through rectus muscle)
If it doesn't pop out upon coughing, it's ( an indirect, a direct ) inguinal hernia (it passes through the deep inguinal ring, which you're blocking)

Explanation

Question 31 of 32

1

Select from the dropdown lists to complete the text.

Direct inguinal hernias occur ( medially, laterally ) to the inferior epigastric artery.
Indirect inguinal hernias occur ( laterally, medially ) to the inferior epigastric artery.

Explanation

Question 32 of 32

1

The incision used to conduct a hysterectomy is the same that is used to conduct a caesarean section

Select one of the following:

True
False

	Created by Matthew Coulson over 5 years ago

Anatomy lecture given by luke reid on the monday of week 4. It would be best to go through this lecture using the pictures in the lecture as it makes things much easier given there's a lot of talk of insertions and attachments.

Anatomy of Surgical Incisions in Obstetrics & Gynaecology

Question 1 of 32

Fill the blank space to complete the text.

The common vertical incision used in O&G to access the abdomen is known as a

Explanation

Question 2 of 32

Select from the dropdown lists to complete the text.

The incision for a caesarian section is typically conducted horizontally vertically( horizontally, vertically ) 2cm 4cm( 2cm, 4cm ) above the pubic symphysis iliac crests( pubic symphysis, iliac crests )

Explanation

Question 3 of 32

Fill the blank space to complete the text.

In order to reduce scarring, surgical incisions in O&G are made in an attempt to follow the tension lines of the skin known as lines

Explanation

Question 4 of 32

What are the three layers of abdominal fascia called?

Drag an answer into the correct orange point.

Explanation

Question 5 of 32

Fill the blank space to complete the text.

Which of the three layers of abdominal fascia are found beneath the oblique musculature? fascia

Explanation

Question 6 of 32

Arrange the 4 groups of abdominal muscles from superficial to deep: ❌ ❌ ❌ ❌

Drag and drop to complete the text.

Explanation

Question 7 of 32

Which direction do the external oblique muscles run in?

Select one of the following:

Explanation

Question 8 of 32

Select from the dropdown list to complete the text.

Superiorly, the external oblique muscles attach to ribs 5-11 5-12 6-11 6-10( 5-11, 5-12, 6-11, 6-10 )

Explanation

Question 9 of 32

Fill the blank space to complete the text.

The external intercostals are joined by a fibrous sheath called an aponeurosis. Name the midline section where the two aponeuroses meet and blend together. The

Explanation

Question 10 of 32

As well as the linea alba, which two other structures do the external obliques attach to inferiorly?

Select one or more of the following:

Explanation

Question 11 of 32

Select from the dropdown list to complete the text.

The internal obliques run in the antero-posterior postero-anterior( antero-posterior, postero-anterior ) direction

Explanation

Question 12 of 32

Select from the dropdown list to complete the text.

An aponeurosis is a flattened tendon ligament fibrous capsule muscle( tendon, ligament, fibrous capsule, muscle )

Explanation

Question 13 of 32

Which abdominal muscles attach to the thoracolumbar fascia found on the back of the body?

Select one or more of the following:

Explanation

Question 14 of 32

Which bony feature of the pelvis do all abdominal muscles apart from the rectus abdominis attach to?

Select one of the following:

Explanation

Question 15 of 32

Fill the blank space to complete the text.

The aponeurosis that exists lateral to the rectus abdominis muscles is known as the linea

Explanation

Question 16 of 32

Fill the blank space to complete the text.

What is the name of the strong, fibrous layer that surrounds the rectus abdominis muscles and is made up of the combined aponeuroses of transversus abdominis, external oblique and internal oblique muscles?

Explanation

Question 17 of 32

Fill the blank space to complete the text.

Which line, lying halfway between the pubic crest and umbilicus, demarcates the lower part of the rectus sheath? The line

Explanation

Question 18 of 32

Which lateral abdominal muscle is always superficial to the rectus abdominis in the rectus sheath?

Select one of the following:

Explanation

Question 19 of 32

Which muscle splits into anterior and posterior 'leaflets' in the rectus sheath above the acuate line?

Select one of the following:

Explanation

Question 20 of 32

Select one of the following:

The incision for a caesarian section is typically conducted ( horizontally, vertically ) ( 2cm, 4cm ) above the ( pubic symphysis, iliac crests )

Which of the three layers of abdominal fascia are found beneath the oblique musculature?
fascia

Arrange the 4 groups of abdominal muscles from superficial to deep:
❌
❌
❌
❌

Superiorly, the external oblique muscles attach to ribs ( 5-11, 5-12, 6-11, 6-10 )

The external intercostals are joined by a fibrous sheath called an aponeurosis. Name the midline section where the two aponeuroses meet and blend together.
The

The internal obliques run in the ( antero-posterior, postero-anterior ) direction

An aponeurosis is a flattened ( tendon, ligament, fibrous capsule, muscle )

Which line, lying halfway between the pubic crest and umbilicus, demarcates the lower part of the rectus sheath?
The line

Blood supply to the anterolateral abdominal wall:

Anterior Abdominal Wall:
Superior & Inferior arteries

Lateral Abdominal Wall:
and arteries (alphabetical order)

Blood supply to the anterior abdominal wall:
The Superior Epigastric Arteries are a continuation of the artery
The Inferior Epigastric Arteries are branches of the Artery

What are the internal thoracic arteries and veins also known as in women?
The arteries and veins

What triangle is formed from the lateral border of rectus sheath medially, the inguinal ligament inferiorly and the inferior epigastric artery laterally?
The Triangle

Direct inguinal hernias occur ( medially, laterally ) to the inferior epigastric artery.
Indirect inguinal hernias occur ( laterally, medially ) to the inferior epigastric artery.