Anatomy - UMIch - Reprouctive Flashcards

1
Q
The boundaries of the perineum include all the following except: 
 Ischiopubic rami
 Ischial tuberosity
 Tip of the coccyx
 Sacrotuberal ligament
 Sacrospinal ligament
A

sacrospinal ligament

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2
Q
A condensation of fibrous tissue in the female located at the center of the posterior border of the perineal membrane is the: 
 Frenulum
 Posterior labial commissure
 Perineal body
 Anococcygeal ligament
 Pubovesical ligament
A

perineal body

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3
Q
The artery which supplies blood to the major erectile body in both the male and female is the: 
 Artery of the bulb
 Dorsal artery of the penis/clitoris
 Deep artery of the penis/clitoris
 Posterior labial/scrotal artery
 Superficial external pudendal artery
A

Deep artery of the penis/clitoris

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4
Q
The vestibular bulbs/bulb of the corpus spongiosum are firmly attached to the: 
 Perineal membrane
 Superior pubic rami
 Ischiopubic rami
 Pubic symphysis
 Ischial tuberosities
A

Perineal membrane

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5
Q
The part of the male reproductive tract which carries only semen within the prostate gland is the: 
 Prostatic urethra
 Membranous urethra
 Seminal vesicle
 Ductus deferens
 Ejaculatory duct
A

Ejaculatory duct

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6
Q

Which of the following developmental processes is least likely to be involved in the differentiation of male external genitalia from the indifferent state?
Descent of the gonads into the labio-scrotal folds
Fusion of the urogenital folds
Elongation of the phallus
Formation of new erectile bodies

A

Formation of new erectile bodies

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7
Q
An intrahepatic blockage of the portal venous outflow may cause intestinal blood to drain via portal-systemic anastomoses into the: 
 Superior gluteal vein
 Middle rectal vein
 Splenic vein
 Renal vein
 Inferior phrenic vein
A

Middle rectal vein

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8
Q
What part of the ischioanal (ischiorectal) fossa extends deep to the sacrotuberal ligament? 
 Anterior recess
 Genital hiatus
 Posterior recess
 Pudendal canal
A

Posterior recess

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9
Q
The perineum is bounded by all of the following skeletal elements except: 
 coccyx
 ischiopubic ramus
 spine of ischium
 symphysis pubis
A

spine of ischium

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10
Q
A 6 mo. old male was brought to the pediatric clinic by his parents because of leakage of urine from the ventral surface of his penis. This congenital condition, hypospadias, is due to incomplete ventral closure of a component of the penis. Which of the below structures would be partially open for urine to take such a course? 
 Shaft of corpus cavernosum
 Membranous urethra
 Glans
 Shaft of corpus spongiosum
A

shaft of the corpus spongiosum

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11
Q
During childbirth a bilateral pudendal nerve block may be performed to provide anesthesia to the majority of the perineum and the lower one fourth of the vagina. To do this an anesthetic agent is injected near the pudendal nerve as it passes from the pelvic cavity to the perineum. The physician inserts a finger into the vagina and presses laterally to palpate what landmark? 
 Arcus tendineus levator ani
 Coccyx
 Ischial spine
 Lateral fornix
 Obturator foramen
A

Ischial spine

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12
Q
During a vaginal delivery, a surgeon performed median episiotomy in which he cut too far (i.e., through the perineal body into the structure immediately posterior). Which perineal structure did he cut? 
 Bulbospongiosis muscle
 External anal sphincter muscle
 Ischiocavernosis muscle
 Sacrospinous ligament
 Sphincter urethrae
A

External anal sphincter muscle

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13
Q
During a prostatectomy, the surgeon attempts to protect the prostatic plexus of nerves which contains nerve fibers that innervate penile tissue to cause erection. From which nerves do these fibers originate?
 Deep perineal
 Dorsal nerve of the penis
 Genitofemoral
 Pelvic splanchnics
 Pudendal
A

Pelvic splanchnics

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14
Q
If the venous drainage of the anal canal above the pectinate line is impaired in a patient with portal hypertension, there may be an increase in blood flow downward to the systemic venous system via anastomoses with the inferior rectal vein, which is a tributary of the: 
 External iliac
 Inferior gluteal
 Inferior mesenteric
 Internal iliac
 Internal pudendal
A

Internal pudendal

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15
Q
A patient complains of a boil located on her labia majora. Lymphatic spread of the infection would most likely enlarge which nodes?
 Lumbar nodes
 Sacral nodes
 External iliac nodes
 Superficial inguinal nodes
 Internal iliac nodes
A

Superficial inguinal nodes

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16
Q
In order to perform an episiotomy prior to childbirth, the perineum must be anesthetized. By inserting a finger in the vagina and pressing laterally, what palpable bony landmark can be used as the posterior limit of the pudendal canal?
 Coccyx
 Ischial tuberosity
 Ischiopubic ramus
 Obturator groove
 Ischial spine
A

Ischial spine