Prostate Bladder Perineum

Question 1

Primary site of venous drainage of the urinary bladder

Answer 1

Vesicoureteric venous plexus

Rich venous plexus around the bladder draining into the internal iliac vein

Question 2

Blood supply of the bladder

Answer 2

• Superior vesicle arteries
• Inferior vesicle arteries

( which are branches of anterior division of IIA )

Question 3

Lymphatic drainage of parts of Urethra

Answer 3

Prostatic urethra - Internal iliac node

Membranous urethra - Internal iliac node ( shortest )

Bulbous urethra - Deep inguinal node

Spongy urethra - Deep inguinal node ( longest )
( penile urethra )

Question 4

First site of resistance to be encountered on insertion of cathetar ?

Answer 4

Membranous urethra

Question 5

Longest part of male urethra

Answer 5

Spongy urethra

Question 6

Shortest part of male urethra

Answer 6

Membranous urethra

Question 7

Which part of male urethra is entirely surrounded by Bucks fascia ?

Answer 7

Spongy urethra

Question 8

As the cathetar enters prostatic urethra ! What changes will occur ?

Answer 8

Resistance will decrease

Question 9

Lymphatic drainage of female urethra

Answer 9

Internal iliac nodes

Question 10

Blood supply of prostate

Answer 10

Inferior vesicle artery ( IIA )

IIA > Internal pudendal , Inferior gluteal artery > Prostato vesicle artery > Inferior vesicle

Question 11

What nerves passes through the greater sciatic foramen and innatvates the perineum ?

Answer 11

Pudendal nerve

Question 12

Genital branch of genitofemoral nerve exit the abdominal cavity via ?

Answer 12

Deep inguinal ring

Question 13

If there is an injury to the junction of membranous urethra to the bulbar urethra , in which direction is the extravasated urine most likely to pass ?

Answer 13

Anteriorly into the connective tissue surrounding the scrotum

Question 14

Contents of superficial perineal pouch in male

Answer 14

1. Bulbospongiosus
2. Ischiocavernosus
3. Anal sphincter
4. Deep trasnsverse perineal
5. Superficial transverse perineal
6. Pelvic diaphragm / Levator ani muscle
7. Obturator internus
8. Perineal body
9. Ano-coccygeal body
10. Sacrum & Coccyx
11. Ischial tuberosities
12. Sacrotuberous ligament

Question 15

Venous drainage of prostate

Answer 15

Prostatic venous plexus

to paravertebeal veins

Question 16

Lymphatic drainage of prostate

Answer 16

Internal iliac nodes

Question 17

Contents of deep perineal pouch

Answer 17

1. Deep transverse perineal m/s ( UG diaphragm )
2. Urethra
3. Sphincter urethrae
4. Urethreal artery
5. Vagina
6. Dorsal nerve of penis
7. Pudendal A
8. Pudenal N

Question 18

Nerve responsible for faecal & urinary continence

Answer 18

Pudendal nerve

Question 19

Nerve providing voluntary control of urethral sphincter

Answer 19

Pudendal nerve

Question 20

Nerve value of external urethral sphincter

Answer 20

S2 S3 S4

Question 21

Pudendal nerve root value

Answer 21

S2 S3 S4

Question 22

Nerve root value of external anal sphincter

Answer 22

S2 S3 S4

Question 23

Which nerve should be anaesthetised for Epiosiotomy ?

Answer 23

Pudendal nerve

Question 24

Nerve injured causing symptoms of faecal incontinence

Answer 24

Pudendal nerve

S2 3 4
Keeps the poo off the floor

Question 25

In non-descended testes what is the main structure that determines the descent part of the testes ?

Answer 25

Gubernaculum

Question 26

Lymphatic drainage of female reproductive organs

Answer 26

Ovary - Para-aortic nodes Uterus ``` • Horn - superficial inguinal • Upper - Para-aortic ( fundus ) • Body - External iliac ( mid ) • Cervix - Internal iliac , Sacral ``` Vagina * Superior - Iliac ( External , Internal ) * Inferior - Superficial Inguinal

Question 27

Lymphatic drainage of ovaries

Answer 27

Para-aortic

Question 28

Lymphatic drainage of superior part of Vagina

Answer 28

Internal & External iliac

Question 29

Lymphatic drainage of inferior aspect of vagina

Answer 29

Superficial inguinal

Question 30

Lymphatic drainage of Uterus body

Answer 30

External iliac

Question 31

Most important stucture supporting the uterus

Answer 31

Central perineal tendon

Question 32

Autonomic supply to the penis

Answer 32

Hypogastric plexus of nerves

Question 33

Lymphatic drainage of scotum

Answer 33

Inguinal nodes

Question 34

Cremasteric reflex

Answer 34

Reflex - Genitofemoral nerve ( L1 , L2 )

Question 35

Iliohypogastric / Ilioinguinal nerve root

Answer 35

L1

Question 36

Layers of Scrotum

Answer 36

- Skin - Dartos m/s - External spermatic fascia ( EO ) - Cremasteric fascia ( IO ) - Internal spermatic fascia ( TF )

Question 37

Outermost layer of spermatic cord derived from

Answer 37

External oblique aponeurosis | form external spermatic fascia

Question 38

IMV drains into ?

Answer 38

Splenic vein Splenic V + SMV = Portal vein > Hepatic vein > IVC

Question 39

Contents of spermatic cord

Answer 39

3 arteries - Testicular artery - Cremasteric artery - artery to Vas 3 nerves ``` - genital branch of genitofemoral nerve ( to cremasteric m/s ) - sympathetic nerves - Ilioinguinal nerve ( actually lies on the cord , not within it ) ``` 3 others - Vas Deferens - Panpiniform plexus - Lymphatics

Question 40

Innervation of Anterior & Posterior scrotal skin

Answer 40

Anterior skin of Scrotum - Ilioinguinal nerve Posterior skin of Scrotum - Pudendal nerve

Question 41

Obturator nerve root

Answer 41

L2 , L3 , L4