S3_L2: Pelvic Cavity Flashcards
TRUE OR FALSE: The sigmoid colon, rectum, and anal canal are the most caudal parts of GI tract.
True
Determine the corresponding descriptions of the ff structures
- Lower part of the rectum that is dilated
- Continuous with the rectum in front of the 3rd sacral vertebra (S3)
- Produced by the puborectalis muscle forming a sling at the junction of the rectum with the anal canal
- Deviates to the left but quickly returns to median plane
- 2 or 3 semicircular permanent folds formed by mucous membrane of the rectum with the circular muscle layers
- Common site of cancer of the large bowel
A. Sigmoid colon
B. Rectum
C. Rectal ampulla
D. Anorectal angle
E. Houston valves (transverse folds of the rectum)
- C
- A
- D
- B
- E
- A
Determine the corresponding descriptions of the ureters in males and females
- Near its termination, it is crossed by the vas deferens
- It turns forward and medially beneath the base of broad ligament, where the uterine artery crosses it
- Runs downward and backward in front of internal iliac artery and behind ovary until it reaches ischial spine
- It passes obliquely through wall of bladder for 0.75 in (1.9 cm) before opening into bladder
- It runs forward, lateral to the lateral fornix of vagina to enter the bladder
- It runs down lateral wall of pelvis anterior of the internal iliac artery and turns forward to enter lateral angle of bladder
A. Male ureters
B. Female ureters
- A
- B
- B
- A
- B
- A
Determine the corresponding descriptions of the ff structures
- Made of smooth muscle, the muscular coat of bladder
- Begins at the base of bladder and ends with external opening in the perineum
- Muscular tube that extends from kidney to the posterior surface of bladder
- Has a strong muscular wall and its shape and relations vary accd. to the amount of urine it contains
- 3 layered interlacing bundles of the urinary bladder wall
- Immediately behind the pubic bones in both sexes
A. Ureters
B. Urinary bladder
C. Urethra
D. Detrusor muscle
- D
- C
- A
- B
- D
- B
Determine the corresponding descriptions of the urethra in males and females
- Short, about 4 cm long
- Bends twice along its course beginning at the base of bladder and passing inferior to the prostate
- Travels in a slightly curved course
- Is long, about 20 cm
- Opening is anterior to the vaginal opening
A. Male urethra
B. Female urethra
- B
- A
- B
- A
- B
Determine the corresponding descriptions of the urinary bladder in males and females
- 2 vas deferentia lie side by side on the base of bladder separating the seminal vesicles from each other
- Neck of bladder lies inferiorly and rests on the upper surface of prostate gland
- Lies at a lower level due to the absence of prostate gland
- Rectovesical fascia, vasa deferentia, and seminal vesicles separate lower part of base from rectum
- Base is separated from the rectum by the vagina
- Apex of bladder lies behind symphysis pubis
A. Male bladder
B. Female bladder
- A
- A
- B
- A
- B
- B
Determine the corresponding descriptions of the urinary bladder in males and females
- Neck lies directly on the upper surface of the urogenital diaphragm
- Upper part of base of bladder is covered by peritoneum, forming anterior wall of rectovesical pouch
- Superior surface is related to uterovesical pouch of peritoneum and body of uterus
- Neck is held in position by puboprostatic ligaments
- Neck is held in position by pubovesical ligaments
A. Male bladder
B. Female bladder
- B
- A
- B
- A
- B
Determine the corresponding descriptions of the common neurogenic bladder in SCI patients
- Bladder may be partially emptied by manual compression
- Bladder fills and empties reflexly; Simple reflex occurs every 1–4 hrs
- Bladder muscle is relaxed and sphincter is tightly contracted then bladder becomes distended and finally overflows
- Occurs in sacral segment (pudendal nerve)
- Patient is not aware the bladder is full
- Bladder is without external reflex control
A. Atonic bladder
B. Automatic reflex bladder
C. Autonomous bladder
- C
- B
- A
- C
- A
- C
Determine the corresponding descriptions of the common neurogenic bladder in SCI patients
- Type of bladder found also in infants
- Bladder wall is flaccid and capacity of bladder is greatly increased
- Occurs during spinal shock or immediately after a spinal cord injury
- Infection and back pressure effect in ureter and kidneys are inevitable
- Sphincter vesicae and urethral sphincter both relax
- Occurs after patient has recovered from spinal shock (lesion above S2-4, spinal shock: 24-48 hrs)
A. Atonic bladder
B. Automatic reflex bladder
C. Autonomous bladder
- B
- C
- A
- C
- B
- B
Determine the corresponding descriptions of the parts of the male urethra
- Shortest and narrowest part, 1-2 cm long
- Passes through the bulb and corpus spongiosum of the penis
- Associated with internal urethral sphincter
- Forms a gentle curvature with anterior concavity
- The longest part (15-16 cm and 5 mm in diameter)
- Descends through the anterior part of the prostate
A. Preprostatic Urethra (Intramural part of urethra)
B. Prostatic urethra
C. Membranous part
D. Spongy urethra
- C
- D
- A
- B
- D
- B
Determine the corresponding descriptions of the structures found in / related to the male urethra
- Depression on the summit of urethral crest, analog of uterus and vagina in females
- Spongy part of urethra located in the expanded in the bulb of penis
- The membranous part is posterolaterally related with it
- Groove on each side of the urethral crest and the prostatic glands open into these grooves
- Longitudinal ridge on the posterior wall
- Spongy part of urethra located in the glans penis
A. Urethral crest
B. Prostatic sinus
C. Prostatic utricle
D. Bulbourethral (Cowper’s gland)
E. Intrabulbar fossa
F. Navicular fossa
- C
- E
- D
- B
- A
- F
Determine the corresponding descriptions of the ff structures in males
- Produces thin milky fluid containing citric acid and acid phosphatase that is added to seminal fluid at the time of ejaculation
- Drains seminal fluid into the prostatic urethra
- Opens into the bulb of the spongy urethra at root of penis
- Not part of reproductive system of males; a glandular organ
- Secretion contains substances essential for nourishment of spermatozoa
- Conveys mature sperm from epididymis to the ejaculatory duct and the urethra
A. Vas deferens / Ductus deferens
B. Seminal vesicles
C. Ejaculatory ducts
D. Prostate gland
E. Bulbourethral glands (Cowper’s gland)
- D
- C
- E
- D
- B
- A
Determine the corresponding descriptions of the ff structures in females
- Connects the peritoneal cavity in the region of the ovary with the cavity of the uterus
- Upper anterior wall is pierced by the cervix and it projects downward and backward into upper vagina
- Produces female sex hormones estrogen and progesterone
- Its divisions / archlike regions are called fornices
- Hollow, pear shaped organ with thick muscular walls
- Fertilization can happen at the uterus, but most of the time it occurs at this structure
A. Ovary
B. Uterine tube / Fallopian tube
C. Uterus
D. Vagina
- B
- D
- A
- D
- C
- B
Determine the corresponding descriptions of the ff structures in females
- Lie in the upper border of the broad ligament
- Site of egg production (oogenesis); creates ova
- Covered with peritoneum except anteriorly, below level of internal os
- By end of pregnancy, contractility of this structure has been fully developed in response to estrogen and is sensitive to actions of oxytocin
- In the young nulliparous adult, it measures 3 in., 2 in. wide, and 1 in. thick
- Provides nourishment for the fertilized ovum and transports it to the cavity of uterus
A. Ovary
B. Uterine tube / Fallopian tube
C. Uterus
D. Vagina
- B
- A
- C
- C
- C
- B
Determine the corresponding descriptions of the ff structures in females
- Serves as site for the reception, retention and nutrition of the fertilized ovum
- Anteriorly, it is related to the bladder (above) and urethra (below)
- Position is variable and often hangs down in the rectouterine pouch (pouch of Douglas)
- Serves a conduit along which spermatozoa travel to reach ovum
- Oval-shaped and attached to the back of broad ligament by the mesovarium
- Its muscular activity is largely independent of extrinsic innervation
A. Ovary
B. Uterine tube / Fallopian tube
C. Uterus
D. Vagina
- C
- D
- A
- B
- A
- C
Determine the corresponding descriptions of the parts of the broad ligament
- ovary attaches to posterior layer of broad ligament by this
- part of broad ligament that attaches to the uterine tube and runs between uterine tube and mesovarium
- part of broad ligament that attaches to lateral margins of the uterus
- part of broad ligament that lies lateral to attachment of mesovarium forms this
A. Mesometrium
B. Mesovarium
C. Suspensory ligament of ovary
D. Mesosalpinx
- B
- D
- A
- C
The vestigial structure that lies in broad ligament above the attachment of mesovarium. It represents the remains of mesonephros.
Epoophoron
The vestigial structure that lies in broad ligament lateral to the uterus. It is a mesonephric remnant.
Paroophoron
What is the maximum capacity of the urinary bladder in adults?
500 mL / 500 cc of urine
Additional: The bladder can hold twice this amount without rupturing if, for example, the outflow is obstructed.
Determine the corresponding descriptions of the parts of the urinary bladder
- Faces posteriorly and is triangular
- Joined by the ureters
- Connected to the umbilicus by the median umbilical ligament (remains of urachus)
- Related in front to the retropubic pad of fat and pubic bone
- Covered by peritoneum; related to coils of ileum or sigmoid
- Gives rise to the urethra
A. Apex
B. Base
C. Inferior angle (Neck)
D. Superior surface
E. Two inferolateral surfaces
F. Superolateral angles
- B
- F
- A
- E
- D
- C
Determine the corresponding descriptions of the ff structures
- Internal urethral orifice
- A small elevation situated immediately behind urethral orifice, produced by underlying median lobe of prostate
- Openings of ureters
- The trigone is limited above by this muscular ridge. It runs from opening of one ureter to the other.
- Supplied by autonomic nervous system
A. Superior angles of trigone
B. Inferior angle of trigone
C. Interureteric ridge
D. Uvula vesicae
E. Detrusor muscle
- B
- D
- A
- C
- E
At the neck of the bladder, circular component of the muscle coat (detrusor muscle) is thickened to form what structure?
sphincter vesicae (internal urethral sphincter)
In the micturition reflex, when the bladder is stretched, this signals the parasympathetic nervous system to contract the (1)___ and inhibit action (relaxation) of the (2)___. This encourages the bladder to expel urine through the urethra.
- detrusor muscle
- sphincter vesicae (internal urethral sphincter)
Determine the corresponding descriptions of the parts of the male urethra
- Associated with the external urethral sphincter
- Widest and most dilatable part
- Ends at the external urethral orifice
- Begins at the apex of prostate and ends at the bulb of the penis
- Prevents retrograde movement of semen to the bladder
- Traverses the deep perineal pouch and passes through the external urethral sphincter and perineal membrane
A. Preprostatic Urethra (Intramural part of urethra)
B. Prostatic urethra
C. Membranous part
D. Spongy urethra
- C
- B
- D
- C
- A
- C
Determine the corresponding descriptions of the lobes of the prostate gland
- Separated from one another by shallow vertical groove on posterior surface of prostate
- Wedge-shaped and rich in glands
- Devoid of glandular tissue
- Between urethra and ejaculatory ducts
- Upper surface is related to trigone
- Behind urethra and below ejaculatory ducts, with glandular tissue
A. Anterior
B. Middle or median
C. Posterior
D. Left and right lateral lobes
- D
- B
- A
- B
- B
- C
Determine the corresponding relationships of the prostate gland
- Apex lies on upper surface of urogenital diaphragm, urethra leaves prostate just above apex on anterior surface
- Anterior fibers of levator ani (levator prostatae)
- Related to symphysis pubis separated by extraperitoneal fat in the retropubic space (cave of Retzius)
- Base of prostate is continuous with neck of bladder, urethra enters center of base of prostate
- Anterior surface of rectal ampulla separated by rectovesical septum (fascia of Denonvilliers)
A. Anteriorly
B. Posteriorly
C. Laterally
D. Superiorly
E. Inferiorly
- E
- C
- A
- D
- B
Determine the corresponding descriptions of the ff structures in females
- Remains of upper part of gubernaculum, connects lateral margin of uterus to ovary
- Modified area of peritoneum that covers the tunica albuginea
- Part of broad ligament between mesovarium and lateral wall of pelvis
- The depression where the ovary lies against the lateral wall of pelvis
- Thin fibrous capsule around ovary
A. Suspensory ligament of ovary
B. Round ligament of ovary
C. Tunica albuginea
D. Germinal epithelium
E. Ovarian fossa
- B
- D
- A
- E
- C