Pelvis and Perineum Flashcards

1
Q

the pelvis is composed of these three fused bones

A

ilium, ischium, pubis

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2
Q

the ___ joint transfers the weight of the trunk/upper limbs/head to the pelvis

A

sacroiliac joint

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3
Q

the sacroiliac joint is what kind of joint

A

synovial joint

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4
Q

the sacroiliac joint is reinforced by the ___ and ___ ligaments posteriorly

A

sacrotuberous and sacrospinous ligaments

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5
Q

the pelvis is stabilized by this cartilaginous joint

A

pubic symphysis

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6
Q

the greater sciatic foramen is a doorway between ___ and ___ regions, while the lesser sciatic foramen is a doorway between ___ and ___

A

greater sciatic foramen - doorway between pelvic and gluteal region
lesser sciatic foramen - doorway between gluteal region and perineum

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7
Q

in the pelvis, the abdominal aorta divides into R/L…

A

common iliac arteries

common iliac artery divides into external/internal iliac arteries

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8
Q

the internal/external iliac artery continues deep to the inguinal ligament as the femoral artery

A

external iliac artery

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9
Q

the internal/external iliac artery supplies the pelvis, perineum, and gluteal reginos

A

internal iliac artery (branch of common iliac artery, which is branch of aorta)

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10
Q

the internal iliac artery (branch of common iliac which is branch of aorta) has 3 major branches that leave the pelvis via the greater sciatic foramen:

A

superior gluteal, inferior gluteal, internal pudendal arteries

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11
Q

the internal pudendal artery is a branch of the internal iliac artery. It leaves the pelvis via the greater sciatic foramen into the gluteal region. It then leaves the gluteal region (…. finish the sentence)

A

leaves gluteal region via lesser sciatic foramen to supply the perineum (passes along medial surface of ischial tuberosity and follows isciopubic ramus to supply sensation to external genitalia and motor supply to sphincter urethra)

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12
Q

the lumbar/sacral plexus gives rise to the femoral nerve?

A

lumbar plexus

femoral nerve innervates anterior thigh

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13
Q

this nerve innervates the medial thigh

A

obturator nerve (passes through obturator foramen)

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14
Q

the ___ plexus gives rise to the sciatic nerve

A

lumbosacral plexus

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15
Q

the pelvic diaphragm is formed by this muscle which attaches to the wall of the pelvis

A

levator ani

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16
Q

the levator ani (forming the pelvic diaphragm) is reinforced posteriorly by this small muscle

A

coccygeus

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17
Q

in the pelvic diaphragm, there is a posterior opening for the urinary and reproductive tracts called the

A

urogenital hiatus

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18
Q

what is the pelvic floor comprised of?

A

urogenital diaphragm and pelvic diaphragm

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19
Q

structures superior to the pelvic floor are in the ___ while structures inferior to the pelvic floor are in the ___

A

superior to pelvic floor = in pelvis

inferior to pelvic floor = in perineum

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20
Q

pouch of Douglas

A

recto-uterine space, where peritoneal cavity and vagina are very close to each other

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21
Q

at the ___, the uterine/fallopian tube surrounds the ovary

A

fimbria

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22
Q

the position of the uterus on top of the bladder is referred to as ___ and ____

A

anteverted and anteflexed

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23
Q

the pelvic inlet is a plane running from the ____ to the ____
the pelvic outlet is a plane running from the ____ to the ___

A

pelvic inlet = superior border of pubic symphysis to sacral promontory
pelvic outlet = inferior border of pubic symphysis to coccyx

24
Q

the three parts of the male urethra are:

A

prostatic urethra (passes through prostate), membranous urethra (passes through urogenital diaphragm), penile urethra

25
Q

external genitalia (male and female) are attached to the

A

urogenital diaphragm

26
Q

this tendon lies between the vaginal orifice and anal canal

A

central perineal tendon - external anal sphincter, muscles of perineum, urogenital diaphragm, and pelvic diaphragm are attached to here

27
Q

the ala of the sacrum articulates with the ileum to form the ___

A

sacroiliac joint

28
Q

the piriformis muscle leaves the pelvis through the ____ and inserts on the ____

A

piriformis muscle leaves pelvis through greater sciatic foramen inserts on the greater trochanter

29
Q

match:
sacrotuberous ligament and sacrospinous ligament
and
passing from sacrum down to ischial tuberosity
passing from ischial spine to sacrum

A

sacrotuberous ligament - passes from sacrum to ischial tuberosity
sacrospinous ligament - passes from ischial spine to sacrum (deeper ligament)

30
Q

in the female perineum, the external genitalia are attached to the ____, which reinforces the pelvic floor

A

urogential diaphragm

31
Q

the cervix, body, and fundus of the uterus is [anterior/posterior] to the bladder?

A

posterior

32
Q

if you were to reflect the retroverted uterus anteriorly, you would find this pouch:

A

rectouterine pouch of Douglas

33
Q

this ligament connects the uterus to the wall of the pelvis on each side

A

broad ligament

34
Q

the medial attachment of the ovary is the ___

the lateral attachment of the ovary is the ___

A

medial attachment - round ligament

lateral attachment - suspensory ligament (contains ovarian vessels)

35
Q

the origin of the inferior epigastric artery is the ___

A

external iliac artery

36
Q

the femoral artery and vein pass deep to the ___ ligament to enter the thigh

A

inguinal ligament

37
Q

the uterine artery is a branch of the ____ artery

A

internal iliac artery

38
Q

pelvic inlet vs pelvic outlet vs diagonal conjugate

A

pelvic inlet: superior border of pubic symphysis to sacral promontory
pelvic outlet: inferior border of pubic symphysis to coccyx
diagonal conjugate: inferior border of pubic symphysis to sacral promontory

39
Q

the [anterior/posterior] division of the internal iliac artery gives rise to the umbilical artery, which eventually becomes superior vesical artery

A

anterior division of internal iliac –> umbilical artery

40
Q

what are the 3 layers of fascia in the scrotum?

A

superficial (camper’s) fascia
membranous (Scarpa) fascia
membranous fascia in scrotum is Colles fascia

41
Q

the ___ is the pathway by which direct and indirect inguinal hernias pass into the scrotum

A

superficial inguinal ring

42
Q

the inguinal ligament is formed by the inferior fibers of the ____

A

external oblique muscles

43
Q

the veins of the ____ plexus surround the testicular artery

A

pampiniform plexus veins surround the testicular artery

44
Q

the coiled tail of the epididymis becomes the ___

A

vas deferens

45
Q

the testicular lobules are separated by connective tissue septa, which is derived from the dense outer covering of the testes called the ___

A

tunica albuginea

46
Q

the male urethra is surrounded by ___

A

corpus spongiosum

47
Q

match in males:
ventral/dorsal
corpus spongiosum/ corpus cavernosum

A

ventral: corpus spongiosum
dorsal: corpus cavernosum

48
Q

the femoral nerve passes just lateral to the large ___ muscle

A

psoas muscle

49
Q

medial and deep to the large psoas muscle is this nerve:

A

obturator nerve

50
Q

the smooth area on the posterior bladder wall is called the

A

trigone, found in between the two slit-like openings for the ureters on each side

51
Q

the blood supply of the gluteal region is supplied by the

A

internal iliac artery

52
Q
the ovary receives its blood supply from which artery?
internal iliac
aorta
internal pudendal
external iliac
A

aorta

53
Q
the uterus receives its blood supply from which artery?
internal iliac
aorta
internal pudendal
external iliac
A

internal iliac

54
Q

the seminal vesicle are located on the [anterior/posterior] surface of the bladder?

A

posterior

55
Q

the testicular artery and vein are contained in the ___

A

spermatic cord