Women’s Health Radiology Part 1

Question 1

The major nerve of the Perineum is the Pudendal Nerve which innervates which dermatomes?

Answer 1

S2-S4

Question 2

the deep perineal pouch contains which vascular structures?

Answer 2

• deep transverse perineal muscles
• external urethral sphincter
• sphincter urethrovaginalis
• compressor urethrae

Question 3

The pelvic diaphragm is composed of:

Answer 3

• the levator ani:
  
  • iliococcygeus
  • pubococcygeus
  • puborectalis
• coccygeus muscle

Question 4

The Levator Ani arises from the walls of ?

there are 4

Answer 4

• the walls of the true pelvis
• the posterior pubic bone
• from a ligament on the obturator internus muscle
• from the ischial tuberosity

Question 5

The coccygeus arises from?

Answer 5

the ischial spine and sacrospinous ligament

Question 6

The coccygeus inserts on the?

Answer 6

sacrum and coccyx

Question 7

Which muscle pulls the anorectal junction forward to help keep the GI system closed at rectal area (aka the perineal flexure)

Answer 7

puborectalis muscle

Question 8

What is the name of the space that allows the Urethra and Vagina to pass through the Pelvic Diaphragm/Sling?

Answer 8

Urogenital Hiatus

Question 9

What is the other name for the Ischiorectal (ishioanal) fossa where abscesses can form?

Answer 9

the Deep Perineal Space

Question 10

The Levator Ani and the Perineal Membrane come together at the ?

Answer 10

perineal body

Question 11

The external anal sphincter is innervated by which nerve?

Answer 11

the inferior rectal branch of the pudendal nerve

Question 12

What are the 3 main supporting structures of the uterus?

Answer 12

• pelvic diaphragm (pelvic floor)
• urogenital diaphragm/perineal membrane
• perineal body

Question 13

What are the ligamentous supporting structures of the uterus?

Answer 13

• cardinal (transverse cervical, Mackenrodt)
• uterosacral ligaments
• anterior pubocervical ligament

Question 14

A fold of peritoneum off of the broad ligament is called?

Answer 14

the Mesovarium

Question 15

Which structures are not considered to be true supporting structures of the uterus?

Answer 15

• the Broad Ligament
• Round ligament
• suspensory ligament of the ovary
• peritoneal folds associated with the uterus

Question 16

The rectouterine pouch is also known as?

Answer 16

the Pouch of Douglas

Question 17

A fold of peritoneum from superiolateral pelvic wall that contains arteries, veins and lymphatics is called?

Answer 17

suspensory ligament of ovary

Question 18

The ligament that iscontinuous with Round Ligament of Uterus. Attached to lower pole of ovary to Uterus is called?

Answer 18

ligament of ovary

Question 19

Deep pelvic structures drain into the ?

Answer 19

internal and external iliac chains

Question 20

Deep perineal structures drain into the ?

Answer 20

internal iliac chain

Question 21

Some superficial perineal structures (penis and scrotum, clitoris and labia majora) drain into?

Answer 21

the superficial inguinal nodes

Question 22

The Glans penis and Glans clitoris, Labia minora, and inferior end of Vagina drain into?

Answer 22

Deep Inguinal nodes and the External Iliac Chain

Question 23

The Ovaries and related Uterine structures and the Testes drain into the ?

Answer 23

Lateral and Pre-Aortic nodes

Question 24

Gluteal nodes drain into the ?

Answer 24

internal iliac chain

Question 25

Drainage from the lower extremities is into the ?

Answer 25

Superficial and Deep Inguinal Nodes

Question 26

Lower abdominal wall, gluteal, and superficial areas of the lower limb drain into the ?

Answer 26

Superficial Inguinal Nodes

Question 27

the deep parts of the Perineum are drained by the ?

Answer 27

Internal Pudendal Chain > Internal Iliac nodes > Aortic nodes

Question 28

The superficial Perineum and external genitalia are drained by the ?

Answer 28

Superficial Inguinal Nodes, the Deep inguinal nodes, into the External Iliac nodes

Question 29

Sympathetic innervation to the bladder arises from which spinal cord level?

Answer 29

L2

Question 30

Parasympathetic innervation to the bladder arises from which spinal cord level?

Answer 30

S3

Question 31

What effect does sympathetic innervation to the beta 2 receptors of the detrusor muscle cause ?

Answer 31

relaxation

Question 32

What effect does sympathetic innervation to the alpha 1 receptors of the internal sphincter cause ?

Answer 32

contraction

Question 33

What effect does parasympathetic innervation to the muscarinic receptors of the internal sphincter cause ?

Answer 33

relaxation

Question 34

What effect does parasympathetic innervation to the muscarinic receptors of the detrusor muscle cause ?

Answer 34

contraction