Final Flashcards

1
Q

The MIDDLE suprarenal artery is a branch of the:

a. superior phrenic a.
b. inferior phrenic a.
c. renal a.
d. aorta
e. gonadal a.

A

d. aorta

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2
Q

The SUPERIOR suprarenal artery is a branch of the:

a. superior phrenic a.
b. inferior phrenic a.
c. renal a.
d. aorta
e. gonadal a.

A

b. inferior phrenic a.

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3
Q

The INFERIOR suprarenal artery is a branch of the:

a. superior phrenic a.
b. inferior phrenic a.
c. renal a.
d. aorta
e. gonadal a.

A

c. renal a.

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4
Q

Damage to which of the following nerves causes the pelvis to slump to the unsupported side during gait (Trendelenburg’s Sign)?

a. sciatic nerve
b. superior gluteal nerve
c. inferior gluteal nerve
d. femoral nerve
e. nerve to obturator internus

A

b. superior gluteal nerve

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5
Q

Which of the following muscles is not part of the levator ani or one of its subdivisions?

a. iliococcygeus
b. coccygeus
c. pubovaginalis
d. puboanalis
e. puboprastaticus
f. puborectalis

A

b. coccygeus

[(c, d, & e) = subdivisions of pubococcygeus]

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6
Q

The lateral cutaneous nerve of thigh originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

c. L2, L3

supplies the skin of the anterior and lateral thigh

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7
Q

The iliohypogastric nerve originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

a. L1 only

sensory to the skin covering the pubis and gluteal region

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8
Q

The ilioinguinal nerve originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

a. L1 only

sensory innervation to the skin of the scrotum (or labia majora) and the thigh

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9
Q

The genitofemoral nerve originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

b. L1, L2

genital branch: supplies cremaster muscle
femoral branch: supplies the skin over the femoral triangle

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10
Q

The femoral nerve originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

e. L2, L3, L4

supplies the muscles and skin of the thigh

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11
Q

The obturator nerve originates from which spinal segments?

a. L1 only
b. L1, L2
c. L2, L3
d. L3, L4
e. L2, L3, L4

A

e. L2, L3, L4

supplies the muscles and skin of the medial surface of the thigh

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12
Q

Of the five layers of the perenium below, which is the deepest (most internal)?

a. deep perineal pouch
b. deep perineal fascia
c. Colle’s Fascia (membranous layer of superficial perineal fascia)
d. superficial perineal pouch
e. perineal membrane

A

a. deep perineal pouch

Order:

  1. Skin
  2. Superficial Perineal Pouch
    a. fatty layer
    b. membranous layer (Colle’s Fascia)
  3. Perineal Membrane
  4. Deep Perineal Pouch
  5. Inferior Fascia of the Pelvic Diaphragm
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13
Q

Which of the following structures DOES NOT pass through the LESSER sciatic foramen?

a. pudendal nerve
b. internal pudendal vessels
c. nerve to the obturator internus muscle
d. piriformis muscle
e. tendon of the obturator internus muscle

A

d. piriformis muscle

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14
Q

Which of the following structures DOES NOT pass through the GREATER sciatic foramen?

a. pudendal nerve
b. internal pudendal vessels
c. nerve to the obturator internus muscle
d. piriformis muscle
e. tendon of the obturator internus muscle

A

e. tendon of the obturator internus muscle

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15
Q

Which of the following is not a characteristic of the male pelvis?

a. heart-shaped inlet
b. ilia more flaring than in female
c. subpubic angle smaller than in female
d. broad, shallow greater sciatic notch
e. longer, narrower sacrum than in female

A

d. broad, shallow greater sciatic notch

male’s is narrow and deep

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16
Q

Which of the following is not found in the superior hypogastric plexus?

a. preganglionic sympathetic fibers
b. postganglionic sympathetic fibers
c. preganglionic parasympathetic fibers
d. visceral afferent fibers
e. all of the above are found in the superior hypogastric plexus

A

c. preganglionic parasympathetic fibers

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17
Q

Which of the following is not true of the part of the anal canal ABOVE the pectinate line?

a. innervated by the pudendal nerve
b. venous drainage to the superior rectal vein
c. lymphatic drainage to internal iliac nodes
d. columnar or cuboidal cells are present
e. internal hemorrhoids occur here

A

a. innervated by the pudendal nerve

above = autonomic fibers; below = pudendal nerve

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18
Q

Which of the following is not true of the part of the anal canal BELOW the pectinate line?

a. innervated by the pudendal nerve
b. venous drainage to the middle & inferior rectal veins
c. lymphatic drainage to internal iliac nodes
d. stratified squamous cells are present
e. external hemorrhoids occur here

A

c. lymphatic drainage to internal iliac nodes

below = superficial inguinal; above = internal iliac

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19
Q

The superior vesical artery is a direct branch of the:

a. internal pudendal artery
b. umbilical artery
c. inferior vesical artery
d. superior gluteal artery
e. obturator artery

A

b. umbilical artery

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20
Q

Which of the following structures DOES NOT attach to the perineal body.

a. superficial & deep transverse perineal m.
b. bulbospongiosus m.
c. ischiocavernosus m.
d. sphincter ani externus m.
e. levator ani m.

A

c. ischiocavernosus m.

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21
Q

Which part of the prostate gland contains no glandular tissue? __________.

A

isthmus

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22
Q

T/F - The anthropoid pelvis is long in its transverse dimensions and short in its A-P dimensions.

A

False - Long A-P diameter and short transverse diameter

Platypelloid Pelvis = long transverse & short A-P

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23
Q

T/F - The lymphatic drainage of the lower 1/4 of the vagina is to the superficial inguinal nodes.

A

True

upper 3/4 = internal iliac nodes

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24
Q

T/F - The left and right hypogastric nerves connect the superior hypogastric plexus to the inferior hypogastric plexus.

A

True

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25
Q

T/F - the superior surface of the bladder is also called the fundus.

A

False - the fundus is also called the BASE

superior surface is separate from fundus

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26
Q

T/F - external hemorrhoids are due to varicosities of the superior rectal vein

A

False - INFERIOR rectal vein

Internal Hemorrhoids = superior rectal vein

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27
Q

T/F - The pecten of the anal canal lies between the pectinate line and anocutaneous line.

A

True

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28
Q

T/F - The lateral arcuate ligament passes over the quadratus lumborum muscle.

A

True

ALSO: medial arcuate ligament = psoas major muscle

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29
Q

Match Ductus Deferens with its reproductive function in the male.
A. Produces an alkaline component of semen
B. Transports sperm and the alkaline component of semen
C. Transports sperm, alkaline, and non-alkaline components of semen
D. Transports sperm only
E. Produces a non-alkaline component of semen

A

D. Transports sperm only

carries sperm from the testes to the ejaculatory duct

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30
Q

Match Prostate Gland with its reproductive function in the male.
A. Produces an alkaline component of semen
B. Transports sperm and the alkaline component of semen
C. Transports sperm, alkaline, and non-alkaline components of semen
D. Transports sperm only
E. Produces a non-alkaline component of semen

A

E. Produces a non-alkaline component of semen

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31
Q

Match Seminal Vesicle with its reproductive function in the male.
A. Produces an alkaline component of semen
B. Transports sperm and the alkaline component of semen
C. Transports sperm, alkaline, and non-alkaline components of semen
D. Transports sperm only
E. Produces a non-alkaline component of semen

A

A. Produces an alkaline component of semen

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32
Q

Match Ejaculatory Duct with its reproductive function in the male.
A. Produces an alkaline component of semen
B. Transports sperm and the alkaline component of semen
C. Transports sperm, alkaline, and non-alkaline components of semen
D. Transports sperm only
E. Produces a non-alkaline component of semen

A

B. Transports sperm and the alkaline component of semen

formed by the union of the ductus deferens and the duct of the seminal vesicle

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33
Q

Match Prostatic Urethra with its reproductive function in the male.
A. Produces an alkaline component of semen
B. Transports sperm and the alkaline component of semen
C. Transports sperm, alkaline, and non-alkaline components of semen
D. Transports sperm only
E. Produces a non-alkaline component of semen

A

C. Transports sperm, alkaline, and non-alkaline components of semen.

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34
Q

The condition in which the lower end of the uterus forms approximately a RIGHT ANGLE with the vagina and overlies the bladder is called: ______________.

A

AnteVERSION

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35
Q

The condition in which the uterus is bent downward at the junction between its body and cervix is called: _________.

A

AnteFLEXION

36
Q

Bundles of smooth muscle within the wall of the bladder is called the: ___________.

A

Detrusor muscle

37
Q

Where does implantation most commonly occur in an abdominal ectopic pregnancy? ___________.

A

RECTOuterine pouch

38
Q

The ________ forms a sling (puborectal sling) around the rectum at the anorectal junction which relaxes during defecation,

A

puborectalis

39
Q

The 3 constrictions in the ureter occur at the pelvic brim, where the ureter enters the bladder, and at the ____________.

A

ureteropelvic junction

40
Q

Name a specific cause for the “anatomical nutcracker” compression syndrome.

A
  1. aortic aneurysm (inter-mesenteric region)
  2. application of body cast (cast syndrome)
  3. compressive abdominal trauma

***aortic aneurysm = most common cause

41
Q

Name an intrapelvic cause for sciatica other than misalignment of the sacrum which was discussed in class.

A
  1. fetal head during pregnancy
  2. piriformis syndrome
  3. pelvic tumor
42
Q

Bulging of the rectum into the posterior wall of the vagina due to muscle damage caused by childbirth is called ___________.

A

retrocele

43
Q

Which of the following is partially drained by the portal system?

a. prostate gland
b. uterus
c. urinary bladder
d. kidney
e. rectum

A

e. rectum

44
Q

Fertilization of the oocyte usually occurs within the:

a. ampulla of uterine tube
b. infundibulum of uterine tube
c. isthmus of uterine tube
d. uterine part of uterine tube
e. cavity of uterus

A

a. ampulla of uterine tube

infundibulum = 2nd most common

45
Q

The layers surrounding the kidney, from innermost to outermost are as follows:

a. renal capsule, paranephric fat, renal fascia, perinephric fat
b. renal capsule, perinephric fat, renal fascia, paranephric fat
c. renal fascia, paranephric fat, renal capsule, perinephric fat
d. renal fascia, perinephric fat, renal capsule, paranephric fat
e. paranephric fat, renal capsule, perinephric fat, renal fascia

A

b. renal capsule (innermost), perinephric fat, renal fascia, paranephric fat (outermost)

46
Q

Which of the following structures is present only in MALES?

a. uvula of bladder
b. detrusor muscle
c. interureteric crest
d. internal urethral sphincter
e. external urethral sphincter

A

d. internal urethral sphincter

surrounds the neck of the bladder in males

47
Q

Which of the following is not a branch of the internal iliac artery?

a. iliolumbar artery
b. inferior vesical artery
c. umbilical artery
d. middle rectal artery
e. inferior epigastric artery

A

e. inferior epigastric artery

branch of the EXTERNAL iliac artery; along with deep circumflex iliac artery

48
Q

Which of the following nerves is sensory to the skin covering the pubis and gluteal region?

a. ilioinguinal
b. genitofemoral
c. iliohypogastric
d. lateral cutaneous nerve of thigh
e. obturator

A

c. iliohypogastric

ilioinguinal = sensory to scrotum (or labia majora) & thigh
lat. cutaneous = skin of the ant. & lat. thigh
genital branch of genitofemoral: cremaster muscle
femoral branch of genitofemoral: skin over femoral triangle
obturator = muscles & skin of the medial thigh

49
Q

Which of the following nerves supplies the gluteus medius, gluteus minimus, and tensor fascia latae muscles?

a. inferior gluteal nerve
b. posterior cutaneous nerve of thigh
c. nerve to quadratus femoris
d. nerve to obturator internus
e. superior gluteal nerve

A

e. superior gluteal nerve

50
Q

Which of the following nerves supplies the gluteus maximus muscle?

a. inferior gluteal nerve
b. posterior cutaneous nerve of thigh
c. nerve to quadratus femoris
d. nerve to obturator internus
e. superior gluteal nerve

A

a. inferior gluteal nerve

51
Q

Which of the following nerves supplies the obturator internus and superior gemellus muscles?

a. inferior gluteal nerve
b. posterior cutaneous nerve of thigh
c. nerve to quadratus femoris
d. nerve to obturator internus
e. superior gluteal nerve

A

d. nerve to obturator internus

52
Q

Which of the following nerves supplies the quadratus femoris and inferior gemellus muscles?

a. inferior gluteal nerve
b. posterior cutaneous nerve of thigh
c. nerve to quadratus femoris
d. nerve to obturator internus
e. superior gluteal nerve

A

c. nerve to quadratus femoris

53
Q

Which of the following nerves is sensory to part of the gluteal region and perineum?

a. inferior gluteal nerve
b. posterior cutaneous nerve of thigh
c. nerve to quadratus femoris
d. nerve to obturator internus
e. superior gluteal nerve

A

b. posterior cutaneous nerve of thigh

54
Q

Which of the following arteries exits the pelvis through the greater sciatic foramen SUPERIOR to piriformis?

a. obturator artery
b. internal pudendal artery
c. superior vesical artery
d. inferior gluteal artery
e. superior gluteal artery

A

e. superior gluteal artery

passes between lumbosacral trunk and ant. primary rami of S1

55
Q

T/F - The seminal vesicle are one site where sperm are stored.

A

False - seminal vesicle produces alkaline semen.

sperm are stored in epidydimis

56
Q

T/F - The right suprarenal vein drains into the right renal vein.

A

False - right suprarenal vein drains directly into IVC

left suprarenal vein drains into left renal vein

57
Q

T/F - The opening of the cervical canal into the vagina is called the internal os.

A

False - external os

58
Q

The median ridge which extends above and behind the internal urethral orifice is called the interureteric crest.

A

False - Uvula of Bladder

interureteric crest extends between both of the ureteric orifices

59
Q

Urine flows through each of the following structures before reaching the urinary bladder. Arrange the numbers in the correct order, beginning at the kidney.

1 = major calyx
2 = renal papilla
3 = minor calyx
4 = renal pyramid
5 = ureter
6 = renal pelvis
A

4, 2, 3, 1, 6, 5`

60
Q

The psoas major muscle takes its origin from the transverse processes, bodies, and intervertebral discs of which vertebrae?

A

T12 - L5

61
Q

The peritoneal pouch lies between the rectum and the bladder in the male is called the: ______________.

A

RECTOvesical pouch

62
Q

The subdivision of levator ani which functions to maintain the flexure at the anorectal junction is the ______________.

A

puborectalis

63
Q

Name a structure which is endangered during hysterectomy due to its proximity to the uterus _____________.

A

ureter

64
Q

In the “anatomical nutcracker”, what is the blood vessel which is in danger of being impinged upon by the superior mesenteric artery? _______________.

A

left renal vein

along with 3rd part of duodenum

65
Q

Which of the following arteries does not supply blood to the ureter?

a. renal artery
b. gonadal artery
c. aorta
d. common iliac artery
e. superior vesical artery
ab. all of the above supply branches to the ureter

A

ab. all of the above supply branches to the ureter

66
Q

Which of the following does not participate in the formation of the linea terminalis (pelvic brim)?

a. sacral promintory
b. ala of sacrum
c. arcuate line
d. pubic crest
e. all of the above participate in the formation of the pelvic brim

A

e. all of the above participate in the formation of the pelvic brim

67
Q

What type of pelvis is characterized by a long A-P diameter and a short transverse diameter?

A

anthropoid

68
Q

Which of the following structures does not give support to the uterus?

a. round ligament
b. pelvic diaphragm
c. broad ligament
d. pelvic viscera
e. pubocervical, transverse cervical, and uterosacral ligaments

A

a. round ligament

69
Q

Which of the following is not a branch of the internal pudendal artery?

a. perineal a.
b. inf. rectal a.
c. post. scrotal/labial a.
d. artery of the bulb
e. urethral a.
ab. middle rectal a.
ac. deep a. of penis/clitoris
ad. dorsal a. of penis/clitoris

A

ab. middle rectal a.

70
Q

T/F - The superior gluteal nerve arises from L4-S1.

A

True

Inf. Gluteal N. = L5-S2
N. to Obturator Internus = L5-S2
Sciatic N. = L4-S3
N. to Quadratus Femoris = L5-S1
Post. Cutaneous N. of thigh = S1-S3
71
Q

T/F - The layer of renal fascia lies internal to the perinephric fat.

A

False - internal to the PARAnephric fat

72
Q

T/F - The renal capsule lies internal to the perinephric fat.

A

True

73
Q

T/F - An anteverted uterus is one which forms a right angle with the vagina and which overlies the bladder.

A

True

74
Q

T/F - the ureter is the most anterior structure within the hilum of the kidney.

A

False - ureter is most POSTERIOR

Renal Vein = most ANTERIOR

75
Q

T/F - The inferior gluteal artery exits the greater sciatic foramen below the piriformis muscle. Passing between the ant. primary rami of S1 and S2 (or S2 and S3).

A

True

76
Q

T/F - The sacral promontory forms part of the pelvic brim

A

True

77
Q

The _________ provide lubrication for the vagina during sexual intercourse.

A

Greater Vestibular Glands

78
Q

The folds of mucosa which join the anal columns together inferiorly are called ______________.

A

Anal Valves

79
Q

The continuation of the crura into the body of the penis are called the ________________.

A

corpora cavernosa

80
Q

The ductus deferens joins with the duct of the seminal vesicle to form the ______________.

A

ejaculatory duct

81
Q

The prominent margin of the glans of the penis is called the _______________.

A

corona of the glans

82
Q

The part of the broad ligament which lies between the uterine tube and the mesovarium is called the ______________.

A

mesosalpinx

83
Q

An ovoid elevation located on the urethral crest. The two ejaculatory ducts and the prostatic utricle open onto it.

A

seminal colliculus

84
Q

The expanded end of the ureter within the hilum of the kidney is called the ___________.

A

renal pelvis

85
Q

Put these layers of the perineum in order from most superficial to deepest.

a. deep perineal pouch
b. deep perineal fascia
c. superficial perineal fascia
d. perineal membrane
e. inferior fascia of the pelvic diaphragm

A

c, b, d, a, e

86
Q

T/F - The prostatic utricle is homologus to the uterus in the female.

A

True