Tempkin Chapter 19

Question 1

Which of the following is used to divide the pelvic cavity into the pelvis major (false pelvis) and the pelvis minor (true pelvis)?
Select one:
a. Pubic symphysis
b. Linea alba
c. Linea terminalis 
d. Iliac crests

Answer 1

c. linea terminalis

Question 2

The _______ ligaments are not true ligaments and provide minimal support

Answer 2

broad

Question 3

The peritoneal cavity space posterior to the broad ligaments is the ______

Answer 3

adnexa

Question 4

Which statement most accurately describes the anatomic relationships of the ovary, the ureter, and the internal iliac vessels?
Select one:
a. The ureter is posterior to the ovary, and the internal iliac vessels are anterior to the ovary.
b. The ureter is anterior to the ovary, and the internal iliac vessels are posterior to the ovary.
c. The ureter and internal iliac vessels both lie posterior to the ovary.
d. The ureter and internal iliac vessels both lie anterior to the ovary

Answer 4

c. The ureter and internal iliac vessels both lie posterior to the ovary.

Question 5

The fibrous tissue mass that remains in the ovarian cortex after ovulation and regression of the corpus luteum is called the

Select one:

a. corpus albicans.
b. graafian follicle.
c. linea alba.
d. granulosa luteal cells.

Answer 5

a. corpus albicans.

Question 6

The muscles of the pelvic diaphragm and any fluid in the posterior cul de sac are visualized

Select one:

a. abutting the anterior cul de sac.
b. posterior to the vagina.
c. abutting the posterior bladder wall.
d. posterior to the rectum.

Answer 6

b. posterior to the vagina.

Question 7

The uterine tubes or fallopian tubes extend ____ from the uterus to the ovaries within the true pelvis.

Answer 7

laterally

Question 8

Name the gonadotropin responsible for maintaining the corpus luteum.

Select one:

a. Follicle-stimulating hormone (FSH)
b. Estrogen
c. Progesterone
d. luteinizing hormone (LH)

Answer 8

d. Luteinizing hormone (LH)

Question 9

Which support structure extends from the uterine cornu, passes over the pelvic brim, through the inguinal canal, and is secured at the labia majora?
Select one:
a. Round ligament 
b. Broad ligament
c. Cardinal ligament
d. Uterosacral ligament

Answer 9

a. Round ligament

Question 10

Which of the following produces the hormones estrogen and progesterone in females?
Select one:
a. Anterior pituitary gland
b. Ovarian medulla
c. Ovarian follicles
d. Uterine endometrium

Answer 10

c. Ovarian follicles

Question 11

The portions of the large intestine contained within the true pelvis are the

Select one:

a. ascending colon and rectum.
b. transverse colon and rectum.
c. ascending and descending colon.
d. sigmoid colon and rectum.

Answer 11

d. sigmoid colon and rectum.

Question 12

The two descriptive compartments of the pelvis are the ___and ___

Answer 12

true and false pelvis

Question 13

Which support structure anchors the ovary loosely to the uterine cornu?
Select one:
a. Mesovarium
b. Ovarian ligament 
c. Round ligament
d. Cardinal ligament

Answer 13

b. Ovarian ligament

Question 14

Which muscles do NOT lie within the true pelvis?
Select one:
a. Iliacus muscles 
b. Piriformis muscles
c. Levator ani muscles
d. Obturator internus muscles

Answer 14

a. Iliacus muscles

Question 15

The arteries in the uterus that penetrate the myometrium are the

Select one:

a. spiral arteries.
b. arcuate arteries.
c. straight arteries.
d. radial arteries.

Answer 15

d. radial arteries.

Question 16

On ultrasound, the skeletal muscles of the abdomen and pelvis appear _____ compared to their surrounding structures.

Select one:

a. hyperechoic
b. hypoechoic
c. isoechoic
d. anechoic

Answer 16

b. hypoechoic

Question 17

When the corpus and fundus are bent anteriorly until the fundus is resting on the cervix, the uterine position is described as
Select one:
a. anteflexed. 
b. retroflexed.
c. retroverted.
d. anteverted.

Answer 17

a. anteflexed.

Question 18

The region of the uterus where the fallopian tube passes through the uterine wall and communicates with the uterine cavity is called the

Select one:

a. corpus.
b. cornua.
c. fundus.
d. infundibulum.

Answer 18

b. cornua

Question 19

When the uterine body and fundus are situated posteriorly adjacent to the cervix, the uterine position is described as

Select one:

a. anteflexed.
b. retroflexed.
c. retroverted.
d. anteverted.

Answer 19

b. retroflexed.

Question 20

A bicornuate uterus is a congenital malformation caused by incomplete fusion of which structures during embryogenesis?

Select one:

a. Wolffian ducts
b. Müllerian ducts
c. Urogenital sinuses
d. Mesonephros

Answer 20

b. Müllerian ducts

Question 21

The vagina can be identified in the _____ portion of the pelvis between the _____ (anteriorly) and the _____ (posteriorly).
Select one:
a. posterior; urinary bladder; rectum
b. anterior; anterior cul de sac; urinary bladder
c. inferior; urinary bladder; rectum
d. superior; urinary bladder; posterior cul de sac

Answer 21

c. inferior; urinary bladder; rectum

Question 22

When the uterine body and fundus are tilted posteriorly, uterine position is described as
Select one:
a. anteflexed.
b. retroflexed.
c. retroverted. 
d. anteverted.

Answer 22

c. retroverted.

Question 23

The space between the pubic symphysis and the anterior wall of the urinary bladder is called the
Select one:
a. anterior cul de sac.
b. vesicouterine pouch.
c. uterovesical junction.
d. space of Retzius.

Answer 23

d. space of Retzius.

Question 24

The most echogenic layer of the vagina is the

Select one:

a. vaginal mucosa.
b. muscular wall.
c. vaginal canal.
d. vaginal serosa.

Answer 24

a. vaginal mucosa.

Question 25

Anechoic areas seen between the outer and intermediate layers of the myometrium represent

Select one:

a. spiral arteries.
b. arcuate vessels.
c. areas of placental abruption.
d. the “sonographic halo.”

Answer 25

b. arcuate vessels.

Question 26

Which of the following is the outermost layer of the ovary?
Select one:
a. Tunica externa
b. Tunica albuginea
c. Visceral peritoneum
d. Germinal epithelium

Answer 26

d. Germinal epithelium

Question 27

“A thin, reflective, midline stripe in the uterus” describes the sonographic appearance of the

Select one:

a. endometrial canal.
b. basal layer of the endometrium.
c. inner layer of the myometrium.
d. functional zone of the endometrium

Answer 27

a. endometrial canal.

Question 28

The \_\_\_\_\_ phase is the best time to observe blood flow within the ovary.
Select one:
a. luteal 
b. proliferative
c. secretory
d. follicular

Answer 28

a. luteal

Question 29

When the urinary bladder is empty, the uterine position is described as
Select one:
a. anteflexed.
b. retroflexed.
c. retroverted.
d. anteverted.

Answer 29

d. anteverted.

Question 30

The three descriptive regions of the pelvis are the ____ and ___

Answer 30

right iliac, hypogastric, and left iliac