L2: Badderl Flashcards
1
Q
- What is the primary function of the urinary bladder?
- A) Storage of bile
- B) Temporary reservoir of urine
- C) Digestion of nutrients
- D) Filtration of blood
A
B
2
Q
- In females, what lies posteriorly to the urinary bladder?
- A) Sigmoid colon
- B) Uterus and vagina
- C) Rectum
- D) Small intestine
A
B
3
Q
- Which ligament keeps the neck of the bladder rigid in both males and females?
- A) Pubovesical ligament
- B) Rectovesical ligament
- C) Puboprostatic ligament
- D) Iliohypogastric ligament
A
C
4
Q
- What is the primary role of the trigone of the bladder?
- A) Storage of urine
- B) Formation of urine
- C) Regulation of blood flow
- D) Protection against infections
A
D
5
Q
- What structure in males is related to the base of the urinary bladder?
- A) Prostate gland and seminal vesicles
- B) Sigmoid colon
- C) Epididymis
- D) Vas deferens
A
A
6
Q
- Which nerve fibers are responsible for the sensation of bladder filling?
- A) Sympathetic fibers
- B) Parasympathetic fibers
- C) Afferent fibers
- D) Pudendal nerve fibers
A
C (pelvic splanchnic nerve)
7
Q
- What is the primary arterial supply to the urinary bladder?
- A) Femoral artery
- B) Inferior vena cava
- C) Vesical and pudendal arteries
- D) Internal and external iliac arteries
A
C
8
Q
- What ligament separates the retropubic space from the urinary bladder?
- A) Iliohypogastric ligament
- B) Puboprostatic ligament
- C) Tendinous arch of pelvic fascia
- D) Levator ani ligament
A
C/b?
9
Q
- In the autonomous bladder, what type of control is lost due to spinal cord injury?
- A) Reflex control
- B) Voluntary control
- C) Both voluntary and reflex control
- D) No control is lost
A
C
10
Q
- What is the consequence of spinal cord injury affecting the spinal micturition center (S2, S3, S4)?
- A) Overactive bladder
- B) Flaccid bladder
- C) Increased bladder capacity
- D) Enhanced voluntary control
A
B
11
Q
- What is the location of the ureteropelvic junction in relation to the urinary bladder?
- A) At the base of the bladder
- B) Near the ureteric orifice
- C) At the apex of the bladder
- D) Close to the fundus of the bladder
A
C
12
Q
- Which pelvic structure is pierced by the ureters as they enter the bladder?
- A) Levator ani muscle
- B) Internal urethral sphincter
- C) Puboprostatic ligament
- D) Detrusor muscle
A
D
13
Q
- What is the primary role of the internal urethral sphincter in males?
- A) Initiating micturition
- B) Preventing reflux of ejaculate
- C) Relaxing during ejaculation
- D) Controlling bladder contraction
A
B
14
Q
- In females, what structure runs underneath the uterine artery as the ureter crosses it?
- A) Vagina
- B) Ovary
- C) Fallopian tube
- D) Urethra
A
C
15
Q
- What sensation is referred to the glans penis or clitoris when there is pain in the trigone area of the bladder?
- A) Lumbar pain
- B) Testicular pain
- C) Inguinal pain
- D) Urethral pain
A
A
16
Q
- Which nerve supplies the external urethral sphincter in males and females?
- A) Pudendal nerve
- B) Pelvic splanchnic nerve
- C) Ilioinguinal nerve
- D) Genitofemoral nerve
A
A
17
Q
- What is the primary function of the median umbilical ligament?
- A) Connects bladder to the rectum
- B) Supports the uterus
- C) Anchors the bladder apex to the umbilicus
- D) Acts as a blood vessel
A
C
18
Q
- Which anatomical landmark is critical for catheter insertion and injection of radiopaque dye during cystoscopy?
- A) Ureteropelvic junction
- B) Interureteric ridge
- C) Median umbilical ligament
- D) Trigone of the bladder
A
B
19
Q
- In males, what lies superior to the internal urethral orifice?
- A) External urethral orifice
- B) Vas deferens
- C) Seminal vesicles
- D) Prostate gland
A
B
20
Q
- What is the primary lymphatic drainage of the urinary bladder?
- A) Para-aortic lymph nodes
- B) Inguinal lymph nodes
- C) Internal iliac lymph nodes
- D) Axillary lymph nodes
A
C
21
Q
- What anatomical structure is responsible for preventing the back-flow of urine into the ureters?
- A) Ureteropelvic junction
- B) Uvula Vesicae
- C) Interureteric ridge
- D) Trigone of the bladder
A
C
22
Q
- How is the urethra different in males and females concerning the ureteric orifice?
- A) Urethra is longer in males
- B) Urethra is shorter in males
- C) Urethra is lateral to the ureteric orifice in males
- D) Urethra is medial to the ureteric orifice in males
A
C
23
Q
- What is the primary arterial supply to the bladder in females?
- A) Internal iliac artery
- B) Superior vesical artery
- C) Inferior vesical artery
- D) Uterine artery
A
It’s suppose to be vaginal artery (replaces C)
24
Q
- Which condition leads to a flaccid bladder characterized by overfilling and overflow incontinence?
- A) Upper motor neuron lesion
- B) Lower motor neuron lesion
- C) Bladder hypertrophy
- D) Bladder hypotonia
A
B
25
Q
- During cystoscopy, which ligaments are important for maintaining the rigidity of the neck of the bladder?
- A) Medial and lateral puboprostatic ligaments
- B) Anterior and posterior true ligaments
- C) Uterosacral ligaments
- D) Mesenteric ligaments
A
A
26
Q
- What is the primary sensation carried through the pelvic splanchnic nerves related to bladder filling?
- A) Pain
- B) Temperature
- C) Stretch
- D) Pressure
A
C
27
Q
- Which nerve carries sympathetic fibers to the bladder, controlling constriction of the internal urethral sphincter?
- A) Pudendal nerve
- B) Pelvic splanchnic nerve
- C) Abdominopelvic splanchnic nerves
- D) Genitofemoral nerve
A
C
28
Q
- In cases of urinary bladder pain above the pelvic pain level, which spinal cord segments are involved?
- A) T10-L2
- B) S2-S4
- C) L1-L2
- D) Somatic nerves
A
A
29
Q
- What anatomical feature forms the interior base of the urinary bladder in an empty state?
- A) Uvula Vesicae
- B) Trigone of the bladder
- C) Internal urethral sphincter
- D) Interureteric ridge
A
D
30
Q
- Which anatomical structure in males is found on the base of the urinary bladder and is related to the ureters?
- A) Prostate gland
- B) Seminal vesicles
- C) Vas deferens
- D) Epididymis
A
B
31
Q
- What is the term for the triangular area inside the urinary bladder that includes the ureteric orifices and the internal urethral orifice?
- A) Trigone of the bladder
- B) Uvula Vesicae
- C) Interureteric ridge
- D) Vesicouterine pouch
A
A
32
Q
- Which ligament helps to keep the neck of the bladder rigid and is found in both males and females?
- A) Medial and lateral puboprostatic ligaments
- B) Anterior and posterior true ligaments
- C) Uterosacral ligaments
- D) Mesenteric ligaments
A
A
33
Q
- In females, what structure is located between the urinary bladder and the uterus on the superior surface?
- A) Vesicouterine pouch
- B) Uterosacral ligaments
- C) Fundus of the uterus
- D) Uvula Vesicae
A
A
34
Q
- Which nerve supplies the external urethral sphincter and is crucial for voluntary control over urination?
- A) Pudendal nerve
- B) Pelvic splanchnic nerve
- C) Hypogastric nerve
- D) Abdominopelvic splanchnic nerves
A
A
35
Q
- What anatomical structure connects the apex of the urinary bladder to the umbilicus and is a remnant of the allantois?
- A) Ureteropelvic junction
- B) Uvula Vesicae
- C) Median umbilical ligament
- D) Vesicouterine pouch
A
C
36
Q
- Which condition is characterized by a spastic neurogenic bladder, leading to involuntary contractions and urgency?
- A) Upper motor neuron lesion
- B) Lower motor neuron lesion
- C) Bladder hypertrophy
- D) Bladder hypotonia
A
A
37
Q
- What is the role of the internal urethral sphincter during micturition?
- A) Relaxation to allow urination
- B) Constriction to prevent urination
- C) Detrusor contraction
- D) Initiating the micturition reflex
A
B
38
Q
- Which artery primarily supplies the bladder in males?
- A) Superior vesical artery
- B) Inferior vesical artery
- C) Internal pudendal artery
- D) Uterine artery
A
B
39
Q
- In cases of urinary bladder pain below the pelvic pain level, which spinal cord segments are involved?
- A) T10-L2
- B) S2-S4
- C) L1-L2
- D) Somatic nerves
A
A
40
Q
- What is the primary lymphatic drainage of the bladder?
- A) Para-aortic group of lymph nodes
- B) Common iliac lymph nodes
- C) Inguinal lymph nodes
- D) Internal iliac lymph nodes
A
D
41
Q
- What is the term for the small triangular area inside the bladder formed by the internal urethral orifice and ureteric orifices?
- A) Vesicouterine pouch
- B) Interureteric ridge
- C) Trigone of the bladder
- D) Uvula Vesicae
A
C
42
Q
- Which ligaments contribute to keeping the neck of the bladder rigid, both in males and females?
- A) Puboprostatic ligaments
- B) Uterosacral ligaments
- C) Anterior true ligaments
- D) Medial and lateral pubovesical ligaments
A
A
43
Q
- In females, what structure lies between the urinary bladder and the uterus on the superior surface?
- A) Fundus of the uterus
- B) Vesicouterine pouch
- C) Uvula Vesicae
- D) Uterosacral ligaments
A
B
44
Q
- Which nerve is responsible for supplying the external urethral sphincter, enabling voluntary control over urination?
- A) Pelvic splanchnic nerve
- B) Pudendal nerve
- C) Abdominopelvic splanchnic nerves
- D) Hypogastric nerve
A
B
45
Q
- What anatomical structure connects the apex of the urinary bladder to the umbilicus, representing a remnant of the allantois?
- A) Uvula Vesicae
- B) Vesicouterine pouch
- C) Median umbilical ligament
- D) Ureteropelvic junction
A
C
46
Q
- In cases of a spastic neurogenic bladder, which condition is primarily associated with involuntary contractions and urgency?
- A) Bladder hypertrophy
- B) Bladder hypotonia
- C) Upper motor neuron lesion
- D) Lower motor neuron lesion
A
C
47
Q
- What is the role of the internal urethral sphincter during the micturition process?
- A) Constriction to prevent urination
- B) Relaxation to allow urination
- C) Detrusor contraction
- D) Initiating the micturition reflex
A
A
48
Q
- Which artery serves as the primary blood supply to the urinary bladder in males?
- A) Inferior vesical artery
- B) Internal pudendal artery
- C) Superior vesical artery
- D) Uterine artery
A
A
49
Q
- In cases of urinary bladder pain below the pelvic pain level, which spinal cord segments are involved?
- A) T10-L2
- B) S2-S4
- C) L1-L2
- D) Somatic nerves
A
A
50
Q
- What is the principal lymphatic drainage pathway for the bladder?
- A) Para-aortic group of lymph nodes
- B) Common iliac lymph nodes
- C) Inguinal lymph nodes
- D) Internal iliac lymph nodes
A
D
51
Q
- What is the location of the deepest part where fluid and blood may accumulate in the pelvic cavity?
A) Vesicouterine pouch
B) Rectovesical pouch
C) Pararectal fossa
D) Ischiorectal fossa
A
B
52
Q
- Which ligament keeps the neck of the bladder rigid?
A) Median umbilical ligament
B) Pubovesical ligament
C) Rectovesical ligament
D) Median umbilical fold
A
B
53
Q
- Which nerve supplies the external urethral sphincter?
A) Pudendal nerve
B) Pelvic splanchnic nerves
C) Hypogastric plexus
D) Lumbar splanchnic nerves
A
A
54
Q
- What is the embryonic remnant that connects the apex of the bladder to the umbilicus?
A) Median umbilical ligament
B) Median umbilical fold
C) Urachus
D) Ureteric bud
A
C
55
Q
- Which part of the bladder is pierced by the internal urethral orifice?
A) Apex
B) Fundus
C) Body
D) Neck
A
D
56
Q
- What is the primary arterial supply to the bladder?
A) Superior vesical artery
B) Inferior vesical artery
C) Internal pudendal artery
D) Obturator artery
A
A & B
57
Q
- Which dermatome is primarily associated with pain sensation from the trigone area of the bladder?
A) T10
B) L1
C) S2
D) S4
A
D
58
Q
- In a cystoscopy, a cystoscope is inserted through which anatomical structure?
A) Urethra
B) Ureter
C) Ureteropelvic junction
D) Bladder neck
A
A
59
Q
- What is the lymphatic drainage of the bladder?
A) Para-aortic lymph nodes
B) Inguinal lymph nodes
C) Internal iliac lymph nodes
D) Axillary lymph nodes
A
C
60
Q
- What is the primary venous drainage of the bladder?
A) Vesical venous plexus
B) Internal pudendal vein
C) Common iliac vein
D) Renal vein
A
A
