Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

eMRCS questions > Pelvic anatomy > Flashcards

Pelvic anatomy Flashcards

1
Q

Which structures are a hydrocele found

A

Parietal and visceral layers of tunica vaginalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

If there is a rupture of the urethra where membranous meets bulbar where does the urine go

A

Anteriorly into connective tissue surrounding scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Roots supplying external anal sphincter

A

S2,3,4- from inferior rectal
Keeps poo off the floor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Nerves damaged on left sided colonic resections

A

Parasympathetic plexus

Impaired detrusor contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Where does the membranous and prostatic urethra drain

A

Internal iliac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where does bulbar urethra drain

A

Glans- deep inguinal

Skin- superficial

Crura- to internal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which veins drain which haemorrhoids

A

Internal hemorrhoids drain through the superior rectal vein into the portal system.
External hemorrhoids drain through the inferior rectal vein into internal pudendal and into the inferior vena cava.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

First bit of resistance when inserting catheter in male

A

Membranous
Due to external sphincter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Contents of deep peroneal pouch

A

External Urethral sphincter
Deep Transversus perinei
Dorsal nerve of penis, muscular branches of the perineal nerve
Deep and dorsal arteries of penis, stem of origin of artery to the bulb of penis, urethral artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Location of deep and superficial peroneal pouch

A

Deep - between peroneal membrane and deep fascia of pelvic floor

Superficial- peroneal membrane and superficial perineal fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Content of superficial peroneal pouch

A

Erectile tissues that form the penis and clitoris- corpa cavernosum and spongiosum

three muscles – the ischiocavernosus, bulbospongiosus and superficial transverse perineal muscles.

The greater vestibular glands (Bartholin’s glands) are also located in the superficial perineal pouch

Posterior scrotal artery and nerve

In females the internal pudendal artery branches to become the posterior labial arteries in the superficial perineal pouch.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lymphatics of urethra

A

Glans- deep inguinal
Prostatic, membranous- internal illiac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Blood supply of urethra

A

Prostatic- inferior vesicle

Membranous urethra – supplied by the bulbourethral artery (branch of the internal pudendal artery)

Penile urethra – supplied directly by branches of the internal pudendal artery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Autonomic nerves and plexus of abdomen and pelvis, their origin and what they supply

A

Abdo
Symp
T5-9 - Greater splanchnic nerve - Coeliac plexus- Foregut
T10-11- Lesser SN- SM plexus- midgut
T12- Least SN- aorticorenal- renal and adrenals
L1-3- Lumbar- Inf M plexus - Hindgut

Para- Vagus- all up to end of midgut
Pelvic splanchnic- Hindgut (via inf Hypogastric)

Pelvis
Symp- Sacral splanchnic- Hypogastric plexus - hypogastric nerve (bladder), pudendal (penis)
Para- pelvic splanchnic (via inf hypogastric plexus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where is penile urethra situated, what surrounds it

A

Located in bulb of penis
Corpus spongiosum surrounds it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Function of bulbospongiosum and ischiocavernosum

A

Bulbospongiosum - in males to empty urethra
-In females, it helps to empty the greater vestibular glands by constricting the vaginal orifice. The anterior fibers compress the deep dorsal vein of clitoris, facilitating the erection of this structure.

Ischiocavernosus - maintain erection by forcing blood into corpus cavenosum
Compressing deep dorsal vein of penis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vestible glands of female

A

Greater- Bartholin- inf/post portion
Lesser- Skene - super/ant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pudendal nerve route

A

Greater sciatic then lesser
After travels through Alocks canal with pudendal artery and vein
Which is formed by obturator interns fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Most important ligament for supporting uterus

A

Central perineal tendon- damage can cause prolapse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Which muscle is the pudendal canal inferior to

A

Obturator internus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What will happen in nerves by IMA are damaged in high anterior resection

A

Impaired contraction of detrusor
Para damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lymphatic drainage of female urethra

A

Internal iliac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Main drainage of bladder

A

vesicoprostatic plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Initial location of the metanephric cap from which the kidney is derived

A

Medial to uteric bud in the pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are the ureters related to and could be affected in its removal

A

Internal iliac
Ovarian artery
Peritoneum
Sigmoid

Round lig is not

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Blood supply of prostate

A

Inferior vesical artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Which muscle lies superior to pudendal canal

A

Obturator interns

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Where is the resection of prostate limited to

A

The vermontanum distally to avoid sphincter and continence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Does the membranous urethra cross urogenital diaphragm

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is the continuation of scarpers fasciae in perineum and where is it found

A

Colles

Attaches to ischipubic rami and perineal membrane
Dividing prostate from penis bulb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Most Likely location of ectopic pregnancy

A

Ampulla

Isthmus 2nd

32
Q

What arises from urogenital sinus

A

Urethra, bladder (not trigone), prostate and bulbourethral gland

33
Q

Location and Purpose of bulbourethral gland

A

Inferior to prostate, posterolateral to membranous urethra

Secrete lubrications to spongy urethra and PSA

34
Q

Colles fascia and what is it a continuation of

A

Deep layer of perineal (Colles’ fascia) – continuous with Scarpa’s fascia of the anterior abdominal wall

35
Q

Rectum vs sigmoid- taeni coli

A

Sigmoid has
These blend together 5cm above rectum giving rise to longitundical that surrounds rectum

Rectum does not have coli

36
Q

Which nerve exits with pirifomis causing buttock parathesia

A

Scatic

37
Q

Transtubercular plane

A

L5

38
Q

Pudendal block

A

1 cm inferior and medial relative to the attachment of the sacrospinous ligament to the ischial spine

39
Q

Bones forming acetabulum

A

Ischium (post), ilium and pubic (ant)

40
Q

Erectile dysfunction and wasting of buttock but femoral pulse present

A

Internal iliac

41
Q

Superficial femoral artery

A

Femoral after giving off profunda branch

42
Q

Layers of uterus

A

Endo- inner
Myometrium
Perimetrium

43
Q

Who is at risk of Alock syndrome and feature

A

Cyclist
Compression of pudendal - S2-4

Penile scrotal para, weird ejac, incontinence

44
Q

What pierces the femoral sheath

A

Great saphenous at medial border

45
Q

Where does the femoral sheath end proximally and distally

A

4cm below inguinal ligament

End distally by blending into tunica adventitia of vessels

46
Q

What are the structures palpable on DRE in female vs male

A

Both- coccyx, sacrum, ischial spines
Prostate men
Cervix women
Uterosacral and ovaries sometimes

47
Q

Lymphatics of anal canal

A

Below dentate- superficial

Above- internal lilac

48
Q

Where does rectum start

A

S3

49
Q

Lymphatics of rectum

A

Upper 2/3 IM

Lower 1/3 internal iliac

50
Q

Patient presents with rectocele what muscle weakness is the cause

A

Levator ani

51
Q

Where to perform iliohypo/ilioinguinal block

A

2cm medial and cephalic to ASIS

52
Q

Posterior sciatic block location

A

4cm distal to midpoint of greater trochanter and PSIS

53
Q

Obturator nerve block

A

4cm medial to pubic tubercle
3cm cepahlad to adductor longus

54
Q

Formation of anterior and posterior triangle

A

Anterior – pubic symphysis.

Posterior – tip of the coccyx.

Laterally – inferior pubic rami and inferior ischial rami, and the sacrotuberous ligament.

Roof – pelvic floor.

Base – skin and fascia.

55
Q

Structures attaching to perineal body

A

Bulbospongiosus
Transverse perineal superficial and deep
Anterior levator ani
External Urethral sphincter
External anal

56
Q

What makes up pelvic floor

A

Levator ani
Coccygeus
Fascia

57
Q

Borders of sischioanal fossa

A

Ant- transversus perinea superfiicalis

Glut max- post

Ischial tuberosity and OI- laterally

Levator ani- medial and sup

58
Q

Most common nodes mets from cervix

A

Obturator
?or external

59
Q

2 regions of cervic

A

Endocervix- columnar, mucus
External to internal os

Ectocervix - squamous
Starts at external Os into vaginal

60
Q

Which part does ejaculatory ducts flow into

A

Prostatic urethras

61
Q

Sympathetic innervation of testes

A

Lesser splanchnic T10

62
Q

Which veins spreads prostatic mets

A

Intervertebral venous plexus

63
Q

Lymphatic drainage of prostate

A

Obturator and internal

64
Q

Zones of prostate

A

Central, peripheral, transisitonal and anterior fibromuscular

65
Q

Littres hernia

A

Meckels

66
Q

Shoudlice repair

A

Open inguinal without mesh

Useful when CI- contaminated or perf

67
Q

Lower border of greater sciatic foramen

A

Sacrospinous

68
Q

Borders of lesser sciatic

A

Upper sacrospinous

Lower Sacrotuberous

69
Q

Tumour in ant vagina likely to affect

A

Fundus of bladder

70
Q

Peritoneal covering of bladder

A

Superior surface and some of base

71
Q

Borders of inguinal canal

A

Posterior- Lateral 2/3 TF
Conjoint medially (TA IO)

Roof- TA, IO

Anterior- EO

Floor- IL

72
Q

What does lumbosacral trunk lie anterior to and pass under

A

Anterior to Piriformis

Pass under common lilac

73
Q

Uterie artery relation with uterers by lateral fornix

A

Superior and anteriro

74
Q

Where does uterine artery and uteres cross

A

2cm superior to ischial spine

75
Q
A

eMRCS questions (45 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions