SDR L7 - Anatomy of the Pelvis II

Question 0

1) Internal Iliac

2) Internal Iliac

Answer 0

For both male and female bladders the arterial supply is from the vesicular branches of the (1) arteries and lymphatic drainage travels to the (2) nodes

Question 1

T

Answer 1

(T/F) The bladder is an abdominal organ for infants, but for adults it has descended into the pelvis

Question 2

1) Peritoneum/Body of Cervix
2) Pubic Bone
3) Cervix/Vagina
4) Urethra

Answer 2

The female bladder is bounded superiorly by the (1) and (1), anteriorly by the (2), posteriorly by the (3), and interiorly by the (4)

Question 3

F (partially perineal and partially a pelvic structure)

Answer 3

(T/F) The urethra is partially a completely pelvic structure

Question 4

1) Peritoneum/Sigmoid Colon
2) Pubic Bone
3) Rectum/Vas Deferens/Seminiferous Vessels
4) Prostate/Urethra

Answer 4

The male bladder is bounded superiorly by the (1) and (1), anteriorly by the (2), posteriorly by the (3), (3), and (3), and inferiorly by the (4) and (4)

Question 5

1) Prostatic Urethra (~1.25 in)
2) Membranous urethra (~0.75 in)
3) Spong urethra (~6 in)

Answer 5

3 parts of the male urethra (proximal –> distal)

Question 6

Spong

Answer 6

This part of the urethra passes beneath the pubic bone and is particularly susceptible to injury

Question 7

Internal Sphincter Muscle

Answer 7

This structure prevents retrograde ejaculation of semen into the bladder, and there is no equivalent muscle in females

Question 8

Prostatic Urethra

Answer 8

The 2 ejaculatory ducts and 15-20 prostatic ducts enter into this portion of the male urethra

Question 9

TURP (Transurethral Resection of the Prostate)

Answer 9

This procedure is commonly performed to remove blockages in the male urethra near the prostate

Question 10

Cystocele

Answer 10

Hernia of the urinary bladder

Question 11

T

Answer 11

(T/F) During a TURP procedure the prostatic urethra gets resected and a new urethra forms around the inserted catheter

Question 12

Suprapubic Cystotomy

Answer 12

If a patient cannot empty his or her bladder and catheterization is not an option, a (1) can be performed

Question 13

F (Expansion of bladder lifts the perineum out of the way)

Answer 13

(T/F) Suprapubic Cystotomies can be performed with a low risk of peritoneal infection because the double fold in the perineum drains directly to aortic lymph nodes

Question 14

T

Answer 14

(T/F) The vagina is considered both a pelvic organ and a perineal organ

Question 15

Anterior, posterior, and two lateral

fornices

Answer 15

These are recesses that continuously surround the

cervix

Question 16

Urethra

Answer 16

In females, this structure is considered embedded in the anterior vaginal wall

Question 17

Uterus

Answer 17

Prolapse of this structure is common if the loose connective tissue between the rectum and vagina is
damaged

Question 18

Pouch of Douglas

Answer 18

This peritoneal area is adajent to the upper ¼ of the posterior vaginal wall and it can be accessed via the posterior fornix

Question 19

1) Internal Iliac

2) Uterine

Answer 19

Arterial supply to the vagina is supplied by the vaginal branch of the (1) artery and vaginal branch of the (2) artery

Question 20

E) Urethra

Answer 20

Which of the following structures does not pass laterally to the vagina?
A) Ovaries
B) Ischial Spine
C) Uterine Tubules
D) Ureters
E) Urethra
F) Uterine A.

Question 21

1) Uterine A.

2) Ovarian A.

Answer 21

Aterial supply to the uterus is through these two arteries

Question 22

1) Para-aortic
2) Internal Iliac
3) Superficial Inguinal

Answer 22

Lymphatic drainage from the uterus can be to

three locations. Superiorly to the (1) nodes, but also to the (2) and (3) nodes

Question 23

Uterovesicular

Answer 23

Anteriorly the peritoneal recess is called the (1) pouch, and posteriorly it is called the pouch of Douglas

Question 24

Broad Ligament

Answer 24

This structure is a fold of peritoneum draped over the uterus connecting the lateral sides of the uterus to the side walls of the pelvis

Question 25

Round Ligaments

Answer 25

These ligaments pass from the side wall of the uterus through the inguinal canal to the labia majora

Question 26

1) Cardinal L. (Cervix --> Side wall of pelvis) 2) Uterosacral L. (Cervix --> Sacrum) 3) Pubocervical Fascia (Cervix --> Pubic Bone)

Answer 26

These 3 connective tissues support the cervix at the base of the uterus

Question 27

Intramural

Answer 27

This portion of the uterine tubes is within the wall of the uterus

Question 28

Salpingitis

Answer 28

Inflammation of the fallopian tubes; can result in infertility

Question 29

Hysterosalpingogram

Answer 29

Patency of uterine tubes is determined with a

Question 30

Unicornuate uterus

Answer 30

Congenital malformation of the uterus that results in a uterus with one horn

Question 31

1) Uterine | 2) Ovarian

Answer 31

Arterial supply for the uterine tubes comes from the (1) and (2) arteries

Question 32

1) Internal Iliac | 2) Para-aortic

Answer 32

Lymphatic drainage for the uterine tubes travels to the (1) and (2) lymph nodes.

Question 33

1) Suspensory Ligament of the Ovary (infundibulo-pelvic ligament)

Answer 33

Arterial supply to the ovary is via the ovarian artery (duh), which travels to the ovary within the

Question 34

1) IVC 2) Left Renal V. 3) Para-aortic

Answer 34

The right ovarian vein dumps into the (1), while | the left ovarian vein dumps into the (2). Lymphatic drainage travels to the para-aortic nodes

Question 35

T

Answer 35

(T/F) Ovaries shrink in size after menopause and are irreversibly carried superiorly in the broad ligament during pregnancies

Question 36

1) upper 2/3 of vagina 2) most of uterus 3) bladder 4) urethra

Answer 36

These 4 parts of the female anatomy drain to the Iliac Nodes

Question 37

1) lower 1/3 of vagina 2) part of upper uterus via round ligament 3) urethra

Answer 37

These 3 parts of the female anatomy drain to the Superficial Inguinal Nodes

Question 38

1) fundus of uterus 2) ovaries 3) uterine tubes

Answer 38

These 3 parts of the female anatomy drain to the Para-aortic Nodes

Question 39

1) Bladder 2) UGD 3) Pubic Bone 4) Rectum

Answer 39

The prostate is surrounded superiorly by the (1), inferiorly by the (2), anteriorly by the (3), and posteriorly by the (4)

Question 40

Benign Prostatic *Hyperplasia*

Answer 40

BPH =

Question 41

Ureter

Answer 41

Prostate cancer can eventually cause renal failure if | the this structure becomes invaded and impeded from the cancer

Question 42

1) Internal Iliac | 2) Internal Iliac

Answer 42

Arterial supply to the prostate is via the (1) artery and lymphatic drainage from the prostate travels to the (2) nodes

Question 43

Vertebra

Answer 43

If cancer establishes metastasizes this structure, it can travel up into the skull because veins draining the region *do not have any valves*

Question 44

Vas Deferens

Answer 44

This structure is a tube that leads from the testes to join with the prostatic urethra

Question 45

Ductus Deferens

Answer 45

Vas Deferens aka

Question 46

Seminal Vesicles

Answer 46

These structures are lobulated sacs found posterior to the bladder and prostate and anterior to the rectum. They secrete an alkaline fluid that composes semen (helps balance out acidic secretions in the vagina, so sperm can prosper)

Question 47

Ejaculatory Duct

Answer 47

The vas deferens is called the (1) until it enters the prostatic urethra

Question 48

*Prostate* and seminal vesicles

Answer 48

These two structures contribute most to the production of semen