Pelvis 1 Flashcards

1
Q

The hip socket is also called the

A

Acetabulum

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2
Q

The 3 bones of the bony pelvis are

A

Ilium
Ischium
Pubis

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3
Q

The pelvic region is divided into 2 parts. They are?

A

False Pelvis

True Pelvis

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4
Q

What is the superior border of the false pelvis?

A

Plane across the iliac crests

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5
Q

What is the inferior border of the false pelvis and the superior border of the true pelvis?

A

Plane of the pelvic inlet= linea terminalis

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6
Q

What is the linea terminalis?

A

Plane of the pelvic inlet that separates the false and true pelvic cavities

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7
Q

What is the inferior border of the true pelvic cavity?

A

Pelvic diaphragm

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8
Q

What 3 structures make up the linea terminalis?

A

Arcuate line
Pectineal line
Pubic Crest

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9
Q

What 6 structures make up the pelvic inlet?

A
Sacral promontory
Ala wings of sacrum
Arcuate line
Pectineal line
Pubic crest
Pubic symphysis
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10
Q

What bone is the arcuate line part of?

A

Ilium

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11
Q

What bone is the pectineal line part of?

A

Pubic

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12
Q

Which 2 structures are in the same vertical plane on the bony pelvis?

A

ASIS

Anterior-superior edge of pubic symphysis

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13
Q

The true pelvis lies in what orientation to the false pelvis?

A

Inferior and posterior

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14
Q

What are the 3 bones of the pelvic wall?

A

Sacrum
Coccyx
Os coxa

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15
Q

What are the 2 important ligaments of the pelvic wall?

A

Sacrospinuous

Sacrotuberous

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16
Q

What does the sacrospinuous ligament connect?

A

Coccyx/sacrum

Ischial spine

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17
Q

What does the sacrotuberous ligament connect?

A

PSIS - posterior superior iliac spine

Ischial tuberosity

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18
Q

What are the 3 foramen of the pelvis?

A

Obturator canal
Greater sciatic foramen
Lesser sciatic foramen

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19
Q

The obturator foramen lies between which 2 structures?

A

Obturator membrane

Pubis

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20
Q

Which foramen is the passageway from the pelvic cavity to the thigh?

A

Obturator foramen

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21
Q

What 4 structures form the boundaries of the greater sciatic foramen?

A

Greater sciatic notch
Sacrospinous ligament
Sacrotuberous ligament
Ischial spine

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22
Q

Which foramen is the passageway between the pelvic cavity and lower limb?

A

Greater sciatic foramen

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23
Q

What 4 structures are the boundaries of the lesser sciatic foramen?

A

Lesser sciatic notch
Sacrospinuous ligament
Sacrotuberous ligament
Ischial spine

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24
Q

What foramen marks the passageway between the perineum and lower limb?

A

Lesser sciatic foramen

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25
Q

What are the 2 important muscles of the pelvis?

A

Obturator internus

Piriformis

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26
Q

Where is the obturator internus muscle located?

A

Anterolateral pelvic wall

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27
Q

Where is the piriformis muscle located?

A

Posterolateral pelvic wall

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28
Q

What is the anterior border of the pelvic outlet?

A

Pubic symphysis

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29
Q

What 2 structures make up the lateral border of the pelvic outlet

A

Ischiopubic ramus

Ischial tuberosity

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30
Q

What 2 structures make up the posterior border of the pelvic outlet?

A

Sacrotuberus ligament

Coccyx

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31
Q

What makes up the inferior border of the pelvic outlet?

A

Pelvic diaphragm (3 muscles)

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32
Q

What separates the pelvic cavity and perineum?

A

Pelvic diaphragm

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33
Q

Which organ is most posterior in the pelvis?

A

Rectum

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34
Q

What 2 structures support fecal matter in the rectum?

A

Transverse folds

Rectal ampulla

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35
Q

The pelvic diaphragm acts on the anorectal juncture how?

A

Pulls it anteriorly

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36
Q

As the anorectal juncture is pulled anteriorly by the pelvic diaphragm, what happens to the anal canal?

A

Moved posteriorly

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37
Q

The ureters pass anteriorly to which structure?

A

Bifurcation of common iliac arteries

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38
Q

How do the ureters cross the bifurcation of the common iliac arteries?

A

Anteriorly

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39
Q

The ureter runs posterior to which structures?

A
Ductus deferens (male)
Uterine artery (female)
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40
Q

Why do the ureters run obliquely into the bladder?

A

Prevents backflow of urine from bladder into urethra when it distends

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41
Q

What is the most anterior structure of the pelvic cavity?

A

Bladder

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42
Q

What are the 3 major regions of the bladder?

A

Apex
Base
Neck

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43
Q

The apex of the bladder lies?

A

Most anteriorly

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44
Q

Where does the median umbilical ligament run?

A

From apex of bladder to umbilicus

45
Q

The base of the bladder lies?

A

Most posteriorly

46
Q

What is the trigone?

A

Smooth triangular shape within the base of the bladder from the ureters to urethra

47
Q

Where is the neck of the bladder?

A

Most inferior

48
Q

What structures does the neck of the bladder rest on in males and females?

A

Prostate- males

Pelvic diaphragm- females

49
Q

What is the wall of the bladder made of?

A

Detrusor muscle

50
Q

What is the uvula?

A

In males, it is the most inferior part of the trigone and is caused by protrusion of prostate

51
Q

What causes BPH in males?

A

Enlarged uvula in trigone

52
Q

What are the 4 parts to the male urethra?

A

Preprostatic
Prostatic
Membranous
Spongy

53
Q

What are the 5 internal structures of the male genitalia?

A
Testis
Epididymis
Ductus deferens
Ejaculatory duct
Urethra
54
Q

What are the 3 accessory glands of the male genitals?

A

Prostate
Pair of seminal vesicles
Pair of bulbourethral glands

55
Q

What is the orientation of the prostate? Inferior to? Anterior to? Posterior to?

A

Inferior to bladder
Anterior to rectum
Posterior to pubic symphysis

56
Q

Where do the paired seminal vesicles lie between?

A

Bladder and rectum

57
Q

The seminal vesicles are lateral to what structure?

A

Ductus deferens

58
Q

The prostate has 2 parts:

A

Depressed

Raised

59
Q

The depressed region of the prostate is called?

A

Urethral sinus

60
Q

Where do prostate ducts enter?

A

Urethral sinus

61
Q

The raised part of the prostate forms 2 parts. They are?

A

Urethral crest

Seminal colliculus

62
Q

What are the 5 internal genital organs of the female?

A
Vagina
Uterus
Uterine tubes
Ovaries
Vestibular glands
63
Q

The uterus lies between which 2 structures?

A

Bladder

Rectum

64
Q

What are the 3 regions of the uterus?

A

Fundus
Body
Cervix

65
Q

Which region of the uterus is most superior?

A

Fundus

66
Q

What region of the uterus lies between the fundus and cervix?

A

Body

67
Q

What two structures lie within the cervix?

A

Internal os

External os

68
Q

A woman who has not given birth has what kind of uterus? What are the dimensions?

A

Nulliparous

1/2 body, 1/2 cervix

69
Q

A woman who has given birth has what kind of uterus? What dimensions?

A

Parous- 2/3 body, 1/3 cervix

70
Q

The uterus has 2 orientations. They are?

A

Anteverted

Anteflexed

71
Q

What does anteverted mean?

A

Uterus is tipped anterior to the vagina

72
Q

What does anteflexed mean?

A

Uterus is tipped anterior relative to the cervix

73
Q

What happens to the angle between the vagina and uterus with a retroverted uterus?

A

Increases

74
Q

Trace the path of the round ligament.

A

From uterus –> deep inguinal ring –> inguinal canal –> labia majora

75
Q

What 2 ligaments fuse together and connect to the lateral wall of the uterus?

A

Round ligament

Proper ligament of ovary

76
Q

What are the 4 regions of the uterine tubes?

A

Isthmus
Ampulla
Infundibulum
Fimbrae

77
Q

The narrowest region of the uterine tube is the?

A

Isthmus

78
Q

The widened region of the uterine tube is the?

A

Ampulla

79
Q

Where does fertilization occur?

A

Ampulla of uterine tubes

80
Q

What region of the uterine tubes connect to the fimbrae?

A

Infundibulum

81
Q

Where do the vessels supplying the ovary travel?

A

Suspensory ligament of ovary

82
Q

What is the fornix?

A

Recess between the cervix and vaginal wall

83
Q

Which region of the vagina can be palpated to feel the rectouterine pouch?

A

Posterior vaginal fornix

84
Q

When doing a male rectal exam, what 7 structures are palpable?

A
Rectum
Prostate
Seminal vesicles
Ischial spine
Sacrum
Coccyx
Anal sphincter
85
Q

During a bimanual physical exam of the female, what 9 structures can be palpated?

A
Vagina
Cervix
Posterior wall of the bladder
Anterior wall of the rectum
Ischial spine
Sacrum
Bladder
Ovaries
Uterus
86
Q

What layer of the abdominal fascia becomes the pelvic fascia?

A

Transversalis fascia

87
Q

What two layers of fascia can be found in the pelvic cavity?

A

Pelvic fascia

Endopelvic fascia

88
Q

The extraperitoneal fascia within the abdominal cavity turns into which layer in the pelvis?

A

Endopelvic fascia

89
Q

All the pelvic organs are subperitoneal except?

A

Uterus

90
Q

The uterus has a mesentery called?

A

Broad ligament

91
Q

The pelvic fascia can be divided into two types. They are?

A

Parietal pelvic fascia

Visceral pelvic fascia

92
Q

The endopelvic fascia forms 3 ligaments in females:

A

Pubocervical/Pubovesical
Transverse cervical (cardinal)
Uterosacral

93
Q

Which ligament supports the uterus, bladder and cervix?

A

Pubocervical/Pubovesical

94
Q

Which ligament is important in urinary continence?

A

Pubocervical/Pubovesical

95
Q

Which ligament connects the cervix to the lateral body wall?

A

Transverse cervical (cardinal)

96
Q

Where do the uterine vessels travel?

A

Within the transverse cervical (cardinal) ligament

97
Q

Which ligament connects the cervix and uterus to the sacrum?

A

Uterosacral ligament

98
Q

Which 3 arteries travel in the endopelvic fascia?

A

Superior vesical artery
Uterine artery
Middle rectal artery

99
Q

What 2 ligaments does the endopelvic fascia form in males?

A

Puboprostatic ligament

Sacrogenital ligament

100
Q

What ligament connects the prostate to the pubic bone?

A

Puboprostatic ligament

101
Q

What ligament connects the prostate to the sacrum?

A

Sacrogenital ligament

102
Q

In males what structure is located between the rectum and bladder?

A

Rectovesical pouch

103
Q

What structure is located lateral to the rectum in males and females?

A

Pararectal fossae

104
Q

Females have a structure between the bladder and uterus. It is?

A

Vesicouterine pouch

105
Q

Which 2 pouches do females have?

A

Vesicouterine pouch

Rectouterine pouch

106
Q

In females which structure lies between the uterus and rectum?

A

Rectouterine pouch

107
Q

True or False. The ovary is intraperitoneal and covered by the broad ligament.

A

False. It is not covered by the broad ligament and is subperitoneal. Only the uterus is intraperitoneal.

108
Q

The hip bone is also called

A

Os coxa