Pelvic Viscera Pt. 1

Question 1

Lie within the bony pelvis between the pelvic floor and the peritoneum primarily occupying the subperitoneal space

Answer 1

Pelvic viscera

Question 2

Generally consists of collecting vessels, urinary bladder, uterus, rectal ampulla (connected to excretory tubes), urethra, vagina, and the anorectal junction

Answer 2

Pelvic Viscera

Question 3

The filling and voiding of the collecting vessels is facilitated by their location in the loose areolar tissue of the

Answer 3

Subperitoneal space

Question 4

Flow through the excretory tubes is controlled by the

Answer 4

Pelvic and U-G Diaphragms

Question 5

A pelvic viscera structure that stores urine

Answer 5

Bladder

Question 6

The bladder consists of a smooth muscle called the

Answer 6

Detrusor

Question 7

Where is the bladder located?

Answer 7

Posterior to the pubic bone in the retropubic space

Question 8

What are the 4 parts of the bladder?

Answer 8

1. ) Anterior facing apex
2. ) Posterior base
3. ) Superior surface
4. ) Two inferolateral surfaces

Question 9

The fundus and inferolateral surfaces converge to form the

Answer 9

Neck

Question 10

Extends from the neck of the bladder and conveys urine from the bladder to the outside of the body

Answer 10

Urethra

Question 11

A triangular region associated with the base and neck of the bladder

Answer 11

Trigone

Question 12

Where the bladder neck funnels into the urethra

Answer 12

The base of the trigone

Question 13

Enters the bladder obliquely at the other two corners of the trigone

Answer 13

Ureters

Question 14

This design causes the ureteric openings to be closed, acting like a valve during

Answer 14

Bladder contraction

Question 15

Retains its shape regardless of whether the bladder is distended or empty

Answer 15

Trigone

Question 16

The rest of the detrusor muscle has

Answer 16

Folds or Rugae

Question 17

Muscolomembranous tube about 10cm in length

Answer 17

Vagina

Question 18

Located in a superoposterior direction in the pelvis between the bladder (anteriorly) and the rectum (posteriorly)

Answer 18

Vagina

Question 19

Enter the anterior wall of the vagina superiorly

Answer 19

Uterus and cervix

Question 20

Recesses formed around the vaginal portion of the cervix

Answer 20

Vaginal fornices

Question 21

Can be exploited during a bimanual digital vaginal exam to palpate pelvic visceral structures

Answer 21

Vaginal fornices

Question 22

The posterior bladder wall can be palpated via the

Answer 22

Anterior fornix

Question 23

The oviduct, ureters, and ovaries can be palpated via the

Answer 23

Lateral fornices

Question 24

Can be used to palpate the uterus and access the rectouterine pouch (Pouch of Douglas)

Answer 24

Posterior Fornix

Question 25

The posterior fornix is covered in part by

Answer 25

Visceral Peritoneum

Question 26

The vagina opens externally into the

Answer 26

Vestibule of the vagina

Question 27

Pear shaped, hollow muscular organ consisting of a fundus, body, and cervix

Answer 27

Uterus

Question 28

The uterus receives the intrauterine openings of the uterine tubes between the

Answer 28

Fundus and Body

Question 29

Enters the anterior wall of the vagina and is open with the uterus

Answer 29

Cervix

Question 30

The anatomical position of the uterus within the vagina with respect to the angle at which its cervical portion enters is described as being

Answer 30

Anteverted

Question 31

The anatomical position of the uterus with respect to the angle between the cervix and the body of the uterus is described as being

Answer 31

Anteflexed

Question 32

This position reduces the likelihood of

Answer 32

Uterine prolapse

Question 33

The uterus is further supported by the

Answer 33

Round ligament, transverse cervical ligament, and uterosacral ligaments

Question 34

Provide a passageway for ovulated eggs to reach the uterus

Answer 34

Uterine tubes

Question 35

The most distal portion of the uterine tubes, which opens into the peritoneal cavity

Answer 35

Infundibulum

Question 36

Fertilization typically takes place in the

Answer 36

Ampulla of the uterine tubes

Question 37

In females, there is a communication between the external environment and the peritoneal cavity that begins with the opening of the vagina in the vestibule and ends with the opening of the uterine tubes in the

Answer 37

Peritoneal cavity

Question 38

This provides a pathway for microbes like gonnorrhea and chlamydia to cause

Answer 38

Pelvic Inflammatory Disease

Question 39

These infection can cause scarring and a resultant blockage of the

Answer 39

Uterine tubes

Question 40

What is done when the patency of the uterine tubes is in question?

Answer 40

Hysterosalpingography

Question 41

Located against the posterolateral wall of the pelvis

Answer 41

Female gonads

Question 42

What are the two ligaments of note that are associated with the female gonads?

Answer 42

1. ) Proper ovarian ligament | 2. ) Suspensory ligament of the ovary

Question 43

Attatches the ovary to the uterus and a remnant of a caudal genital ligament (gubernaculum testes in the male)

Answer 43

Proper ovarian ligament

Question 44

A fold of peritoneum elevated by the ovarian artery and veins

Answer 44

Suspensory ligament of the ovary

Question 45

Extends between the sigmoid colon (S3) and the beginning of the anal canal at the pelvic floor

Answer 45

Rectum

Question 46

The inferior portion of the rectum becomes dilated, forming the -Where feces are stored prior to defecation

Answer 46

Rectal ampulla

Question 47

Palpable through the rectum anteriorly

Answer 47

Cervix

Question 48

Extends off the anterior abdominal wall to cover the superior surface of the bladder

Answer 48

Parietal peritoneum

Question 49

Reflects onto the anterior surface of the uterus and covers the posterior surface of the uterus and part of the posterior fornix of the vagina

Answer 49

Parietal peritoneum

Question 50

The parietal peritoneum then reflects onto the anterior surface of the

Answer 50

Rectum

Question 51

These reflections of the parietal peritoneum generate which two pouches or spaces?

Answer 51

1. ) Vesicouterine | 2. ) Rectouterine

Question 52

Located between the bladder and uterus

Answer 52

Vesicouterine pouch

Question 53

Located between the uterus and rectum

Answer 53

Rectouterine pouch

Question 54

Significant in that it is the inferior extend of the peritoneal cavity

Answer 54

Rectouterine pouch

Question 55

The peritoneum which drapes over the uterus, uterine tubes, and ovaries is called the

Answer 55

Broad ligament

Question 56

The PROXIMAL 1/3 of the rectum is covered anteriorly and laterally by

Answer 56

Peritoneum

Question 57

The middle 1/3 ANTERIORLY and DISTAL 1/3 of the rectum is

Answer 57

Subperitoneal

Question 58

Located between the neck of the bladder and the urogenital hiatus in males

Answer 58

Prostate

Question 59

The prostate consists of smooth muscle, connective tissue, and glandular cells responsible for producing

Answer 59

Prostatic fluid

Question 60

The prostate contains the prostatic urethra and receies the ejaculatory ducts from the

Answer 60

Ductus deferens and seminal vesicles

Question 61

The prostate is divided clinically into which three zones?

Answer 61

1. ) Transitional 2. ) Central 3. ) Peripheral

Question 62

Surrounds the prostatic urethra

Answer 62

Transitional prostate

Question 63

Surrounds the ejaculatory ducts of the prostate

Answer 63

Central prostate

Question 64

Peripheral to and encircling the central and transitional zones

Answer 64

Peripheral prostate

Question 65

Enlargement of the prostate is common in men over -Can be either benign or malignant

Answer 65

50

Question 66

Primarily involves the transitional zone and is characterized by difficulty in urinating and an increased urination frequency

Answer 66

Benign prostatic Hyperplasia (BHP)

Question 67

Malignant tumors of the prostate preferentially involve the

Answer 67

Peripheral zones

Question 68

An enlarged portion of the ductus deferens as it approaches the prostate

Answer 68

Ampulla of the ductus deferens

Question 69

Stores sperm prior to emission

Answer 69

Ampulla of the ductus deferens

Question 70

The ampulla of the ductus deferens forms the ejaculatory duct with the

Answer 70

Seminal vesicle

Question 71

Lie immediately lateral to the ampulla of the ductus deferens -Provide seminal fluid and help nourish sperm

Answer 71

Seminal Vesicle

Question 72

The duct from the seminal vesicle unites with the duct from the ductus deferens to form the

Answer 72

Ejaculatory duct

Question 73

Opens into the prostatic urethra posteriorly

Answer 73

Ejaculatory duct

Question 74

In males, the parietal peritoneum of the anterior abdominal wall reflects onto the

Answer 74

Superior surface of the bladder (posteriorly) and then onto anterior surface of rectum

Question 75

This creates a single peritoneal pouch in the male called the

Answer 75

Rectovesical pouch

Question 76

Pelvic branches are supplied primarily with arterial blood from branches of the

Answer 76

Internal iliac artery

Question 77

Venous return from the pelvic region are to branches of the

Answer 77

Internal iliac vein

Question 78

Gives branches to the pelvic and perineal viscera as well as the lower limb

Answer 78

Internal iliac artery

Question 79

The ovarian artery is a branch of the

Answer 79

Abdominal Aorta

Question 80

The uterine artery has a clinically important relationship with the ureter. What is it?

Answer 80

Ureter crosses INFERIOR to the uterine artery

Question 81

Lymphatic rainage of the pelvic viscera follows blood vessels primarily to the

Answer 81

Internal iliac lymph nodes

Question 82

However, lymphatic drainage of the ovaries following the ovarian vessels would drain into the

Answer 82

Aortic lymph nodes