Pelvis Anatomy Quiz Flashcards

1
Q

Which of the following is found on the lateral side of the Ischioanal fossa?

A

Obturator internus muscle

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2
Q

What is continuous with the crus of the penis?

A

Corpus cavernosum

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3
Q

What is continuous with the bulb of the penis?

A

Corpus spongiosum

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4
Q

What part of the penis becomes enlarged with blood during erection?

A

Corpus cavernosum

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5
Q

What is superior and inferior muscles of the penis?

A

Superior: Corpus cavernosum
Inferior: Corpus spongiosum

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6
Q

What is the ischianal fossa located betwen?

A

The levator ani and obturator internus muscle

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7
Q

From proximal to distal what is the order of the different parts of the male urethra?

A
  1. Prostatic urethra
  2. Membranous urethra
  3. Spongy urethra
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8
Q

What covers the crus of the penis?

A

Ischiocavernous muscle

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9
Q

What covers the bulb of the penis?

A

Bulbospongiosus

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10
Q

What does the greater vestibular gland do?

A

Secrete mucus to lubricate vaginal canal

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11
Q

Where does the pudenal nerve/artery pass trough?

A

Exit pelvic cavity inferior to the piriformis via greater sciatic foramen
-pass through lesser sciatic foramen

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12
Q

What is in the pudenal canal?

A

Pudenal nerve and internal pudenal vessels

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13
Q

What is the pudenal canal between?

A

The obturator internus muscle and fascia

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14
Q

When do pudenal nerve and artery change their name?

A

To perineal nerves and arteries in the urogential triangle

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15
Q

What do the inferior rectal nerves supply?

A

External anal sphincter (voluntary)

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16
Q

What sympathetic nerves carry preganglionic sympathetic axons that will supply the mid gut?

A

Lesser splanchnic nerves

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17
Q

What sympathetic nerves carry preganglionic axons that will supply the hindgut?

A

Lumbar splanchnic nerves

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18
Q

What sympathetic nerves will supply the foregut carrying preganglionic axons

A

greater splanchnic nerves

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19
Q

What sympathetic nerves will supply the kidneys carrying preganglionic axons

A

Least splanchnic nerves

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20
Q

What is the spinal cord level carrying preganglionic neuronal cell bodies? To the foregut? (sympathetic)

A

T5-T9

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21
Q

What contains the postganglionic cell bodies? (Foregut) (sympathetic)

A

Celiac

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22
Q

What artery carries the postganglionic axons to the foregut? (Sympathetic)

A

Celiac

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23
Q

What is the spinal cord level of the preganglionic cell bodies? When the target is the midgut? (Sympathetic)

A

T10-T11

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24
Q

What contains the postganglionic neuronal cell bodies when the target is the midgut? (Sympathetic)

A

Superior mesenteric (also the artery containing postganglionic axons)

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25
Q

What is the spinal cord level of the preganglionic neuronal cell bodies when the target is the kidneys? (Sympathetic)

A

T12

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26
Q

What contains the postganglionic neuronal cell bodies when the target is the kidneys? (Sympathetic)

A

Aorticorenal

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27
Q

What arteries carry the postganglionic axons when the target is the kidneys? (Sympathetic)

A

Renal

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28
Q

What is the spinal cord levels of pregnanglionic neuronal cell bodies when the target is the hindgut? (Sympathetic)

A

L1-L2

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29
Q

What contains the postganglionic neuronal cell bodies when the target is the hindgut? (Sympathetic)

A

Inferior mesenteric

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30
Q

What artery carries the postganglionic axons, when the target is the hindgut? (Sympathetic)

A

Inferior mesenteric

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31
Q

Early referred pain from the hindgut is where on the body?

A

Hypogastric/pubic region

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32
Q

Early referred pain from the kidneys is found where on the bodies?

A

CVA

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33
Q

Early referred pain from the midgut is found where on the body?

A

Umbilical

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34
Q

Early referred pain from the foregut is found where on the body?

A

Epigastric

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35
Q

Which organ is almost above the pelvic pain line?

A

Uterus

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36
Q

What organs are above and below the pelvic pain line?

A

Above: Top of urinary bladder, uterus
Below: Vagina, bladder bottom

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37
Q

If you are in contact with peritoneum are you above or below the pelvic pain line?

A

Above (sympathetic)

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38
Q

If your are NOT in contact with peritoneum are you above or below the pelvic pain line?

A

Below (parasympathetic)
-sacral determatomes

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39
Q

What is a peritoneal attachment of the uterus?

A

Mesometrium

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40
Q

What is the attachments of the coccygeus muscle?

A

Lateral: ischial spine
Medial: coccyx

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41
Q

What is the superior attachment of the ilicoccygues?

A

Tendinous Arch

42
Q

What are the muscles of the pelvic diaphragm?

A

Levator ani and coccygeus

43
Q

What is the function of the urogential diaphragm?

A

Support urinary bladder and internal genital organs

44
Q

What is the functions of the pelvic diaphragm?

A

Supports the gastrointestinal tract
-controls defecation

45
Q

Where do the superior vesicular arteries arises from?

A

Umbilical artery
-the superior vesicular arteries go to the urinary bladder

46
Q

What passes inferior to the uterine artery?

A

The ureter
*Water (ureter) under the bridge (uterine Artery)

47
Q

Where does the middle rectal artery descend from?

A

Internal iliac artery

48
Q

Where does the superior rectal artery descend from?

A

Inferior mesenteric artery

49
Q

Where does the superior/inferior gluteal artery exit?

A

Superior gluteal: superior to piriformis muscle
Inferior gluteal: Inferior to Piriformis

50
Q

What is the function of the destrusor muscle?

A

Contracts to empty bladder

51
Q

The left Gondal vein drains directly to which vein?

A

Left renal vein

52
Q

The right Gondal vein drains to which vein?

A

Inferior vena cava

53
Q

Where do the gondal arteries arise from?

A

Abdominal aorta

54
Q

Pain from portions of the pelvic viscera located above the pelvic pain line is referred to which dermatomes?

A

L1-L2

55
Q

Pain from portions of pelvic viscera located below the pelvic pain line is referred to which dermatome?

A

S2-S4

56
Q

What nerves produces an erection?

A

Cavernous nerves

57
Q

If a radical prostatectomy happens what can it damage?

A

Can damage the prostatic plexus and cavernous nerves
-results in erectile dysfunction

58
Q

What is the function of the parasympathetic and sympathetic division for the urinary system/reproductive system/

A

Parasympathetic: urinary system stimulated, reproductive erection
Sympathetic: urinary system inhibited, reproductive (emission)

59
Q

What is a spigelian hernia?

A

Hernia at linea smeilunaris

60
Q

What describes an indirect inguinal hernia?

A

Herniation of gut through deep inguinal ring and into the spermatic cord

61
Q

What is hesselbach’s triangle?

A

Inferior Epigastric
Rectus abdominis
Inguinal ligament

62
Q

Describe a direct inguinal hernia

A

Hernia in the triangle of hesselbach

63
Q

Which of the following nerves is involved in mediating emission/

A

Sacral splanchnic nerve

64
Q

What is Murphys sign?

A

Rebound tenderness
-gallbladder is located between the costal margin and linea semilunaris

65
Q

What is a Kehr sign?

A

Splenic pain
- C3-C5 dermatomes (left shoulder pain)

66
Q

What is McBurneys Point?

A

Where the appendix is located 1/3 from the ASIS to umbilicus

67
Q

What is a positive Psoas sign?

A

Pain resulting from stretching or contraction of the Psoas Major Muscle

68
Q

Where is the Psoas Major muscle located?

A

Directly posterior to the appendix

69
Q

What nerve is involved with erection?

A

Pelvic splanchnic nerve

70
Q

Cell bodies of postganglionic parasympathetic neurons of the gastrointestinal system are located where?

A

In the gut wall

71
Q

What is the neurotransmitter of the parasympathetic division of the GI?

A

Acetylcholine

72
Q

What contains the parasympathetic preganglionic axons to the hindgut?

A

Pelvic splanchnic nerves
-From S2-S4 spinal cord

73
Q

What carries the parasympathic preganglionic axons to the foregut and midgut?

A

Vagus nerve

74
Q

What is Hischsrpung disease?

A

Failure of migration of neural crest cells
- lack of peristalsis

75
Q

What is a spinal block?

A

Lumbar puncture at L3/4 or L4/5
- blocks pain from below that point

76
Q

What is a caudal epidural block?

A

Only S2-S4 is effected
-pain is blocked from below the pelvic pain line
-pain is blocked from the S2-S5 dermatomes (vagina is numb)

77
Q

What is a pudendal nerve block?

A

Gives near the pudendal canal
-Pain from somatic structures are blocked including vagina

78
Q

What covers the bulb of the vestibule?

A

Bulbospongiosus muscle

79
Q

What covers the crus of the clitoris?

A

Ischiocavernosus muscle

80
Q

What is peyronie disease?

A

Idiopathic formation of fibrous plaques within the tunica albuginea

81
Q

What is the source of blood to make an erection?

A

Deep artery of the penis

82
Q

What structure is only in males?

A

Internal urethral sphincter
-prevents semen from entering urinary bladder

83
Q

What is collies fascia continous with?

A

Scarpas fascia

84
Q

What is the pectinate line?

A

Separates soma from viscera
Below the line: painful
Above the line: silent

85
Q

What sphincter is involuntary/voluntary

A

Internal anal sphincter (involuntary)
External anal sphincter (voluntary)

86
Q

What is found on the medial side of the ischioanal fossa/

A

Levator ani

87
Q

What does the sacrotuberous ligament attach to?

A

Sacrum
Ischial tuberosity

88
Q

What does the sacrospinous ligament attach to?

A

Sacrum
Ischial spine

89
Q

Where does the inferior vesicular artery come from?

A

Internal iliac artery

90
Q

What is left renal vein entrapment syndrome?

A
91
Q

What is semen composed of?

A

Secretion from
-ductus deferens
-seminal vesicles
-prostate gland

92
Q

What is the destrusor muscle?

A

Controls the urinary bladder, contracts to an empty bladder

93
Q

Where does fertilization occur?

A

In the ampulla of the uterine tube

94
Q

What does the round ligament of the uterus contain?

A

Remnant of the gubernaculum

95
Q

What is the punch of Douglass between/

A

Rectum and uterus

96
Q

What is the function of the puborectalis?

A

Forms a 90 degree turn between the rectum and anal canal
-relaxation permits defecation

97
Q

What is the anterolateral wall of the pelvic cavity?

A

Obturator internus

98
Q

What is the posterolateral wall of the pelvic cavity?

A

Piriformis

99
Q

Preganglionic neuronal cell bodies of the parasympathic division are located where?

A

Brain stem

100
Q

What is the neurotransmitter sympathetic division to the GI tract?

A

norepinephrine