Male and Female Pelvis

Question 1

name the 4 portions of the uterine tube

Answer 1

• fimbria
• infundibulum
• ampulla
• isthmus

Question 2

function of the suspensory ligament of the ovary (infundibulopelvic ligament)

Answer 2

peritoneal passageway for ovarian a + v

Question 3

function of ovarian ligament

Answer 3

binds ovary to uterus
remnant of Gubernaculum

Question 4

name the 3 layers of the uterus

Answer 4

perimetrium
myometrium
endometrium

Question 5

name the 3 parts of the uterus

Answer 5

fundus
body
cervix

Question 6

function of round ligament of the uterus

Answer 6

binds uterus to anterior abdominal wall
- remnant of Gubernaculum
- passes through inguinal canal and eventually attaches to labia majora

Question 7

function of broad ligament of uterus

Answer 7

mesentery that extends from uterus and its associated structures and binds them to each other and to the pelvic wall

Question 8

name the 3 parts of the broad ligament of the uterus and their functions

Answer 8

• mesovarium: binds ovary
• mesosalpinx: binds uterine tube
• mesometrium: binds fundus of uterus

Question 9

name the 2 peritoneal pouches in the female pelvis

Answer 9

uterovesical pouch
rectouterine pouch

Question 10

the peritoneum between the uterus and the urinary bladder forms the ____

Answer 10

uterovesical pouch

Question 11

the peritoneum between the uterus and the rectum forms the ____

Answer 11

rectouterine pouch

Question 12

the rectouterine pouch is also known as the ____

Answer 12

pouch of douglas

Question 13

blood supply of the ovary

Answer 13

ovarian aa that arise from abdominal aorta

Question 14

lymphatics of the ovary

Answer 14

follows ovarian aa + vv to the para-aortic nodes at the level of L1

Question 15

innervation of the ovary

Answer 15

ovarian plexus, accompanying the ovarian vessels

Question 16

blood supply of the uterine tube

Answer 16

• uterine aa, from internal iliac aa
• ovarian aa

Question 17

lymphatics of the uterine tube

Answer 17

into para-aortic nodes

Question 18

innervation of the uterine tube

Answer 18

from inferior hypogastric plexus:
- parasympathetics (S2-S4)
- sympathetics (T10-L1)

Question 19

blood supply of the uterus

Answer 19

• uterine aa, from internal iliac aa
• ovarian aa

Question 20

lymphatics of the uterus

Answer 20

• from fundus into para-aortic nodes
• from body & cervix into internal & external iliac lymph nodes
• from round ligament into inguinal lymph nodes

Question 21

innervation of the uterus

Answer 21

from inferior hypogastric plexus:
- parasympathetics (S2-S4)
- sympathetics (T12-L1)

Question 22

blood supply of the prostate gland & seminal vesicles

Answer 22

• inferior vesicle aa & middle rectal aa
• prostatic venous plexus: receives the deep dorsal v of the penis and drains into internal iliac vv

Question 23

lymphatics of the prostate gland & seminal vesicles

Answer 23

internal iliac lymph nodes

Question 24

innervation of the prostate gland & seminal vesicles

Answer 24

inferior hypogastric plexuses
sympathetics stimulate ejaculation

Question 25

function of the seminal vesicles

Answer 25

form most of ejaculate (sucrose + coagulating enzyme) and contract during ejaculation

Question 26

function of the prostate gland

Answer 26

secretes highly alkaline based fluid of citric acid and acid phosphatase to neutralize acidity of vaginal canal

Question 27

blood supply of ductus deferens

Answer 27

deferential aa, from the superior vesicle aa

Question 28

lymphatics of ductus deferens

Answer 28

external iliac nodes

Question 29

innervation of ductus deferens

Answer 29

inferior hypogastric plexuses

Question 30

function of ductus deferens

Answer 30

carry spermatozoa to seminal vesicles

Question 31

blood supply of urinary bladder

Answer 31

via superior and inferior vesicle aa

Question 32

lymphatics of urinary bladder

Answer 32

drain into internal & external iliac nodes

Question 33

innervation of urinary bladder

Answer 33

inferior hypogastric plexus - sympathetics (T11-L2) - parasympathetics (S2-S4)

Question 34

what is the name of the smooth muscle that surrounds the urinary bladder?

Answer 34

detrusor muscle

Question 35

what is the triangular region of the urinary bladder called?

Answer 35

trigone

Question 36

what are the 2 openings within the trigone called, and what is their function?

Answer 36

uretic orifice: where urine dumps into urinary bladder from kidney via ureters

Question 37

what is the ridge between the uretic orifices called?

Answer 37

interureteric ridge

Question 38

what is a uvula vesicae?

Answer 38

- present only in males - midline swelling in trigone of urinary bladder - prominent in benign prostatic hypertrophy (BPH) = swelling of median lobe of prostate

Question 39

what is the name of the location where the sigmoid colon becomes the rectum?

Answer 39

rectosigmoid junction (S3)

Question 40

where does the rectum become the anus?

Answer 40

anorectal flexure at tip of coccyx

Question 41

what is the line of hilton?

Answer 41

separates endoderm from ectoderm, and therefore autonomic from somatic innervation

Question 42

hemorrhoids are located deep within ____

Answer 42

anal columns

Question 43

what supportive structures control defecation at the anus?

Answer 43

- puborectalis (skeletal m) - internal anal sphincter (smooth m) - external anal sphincter (skeletal m)

Question 44

name the arteries of the rectum

Answer 44

superior, middle, & inferior rectal aa

Question 45

the superior hypogastric plexus is comprised of ____ fibers

Answer 45

postganglionic sympathetic

Question 46

the ____ nerves bring postganglionic sympathetic fibers into the inferior hypogastric plexus

Answer 46

hypogastric

Question 47

the pelvic splanchnic nerves contain ____ fibers

Answer 47

preganglionic parasympathetic (S2-S4)

Question 48

the inferior hypogastric plexus is comprised of...

Answer 48

- postganglionic sympathetics - preganglionic parasympathetics

Question 49

what innervates the external anal sphincter and the skin around the anus?

Answer 49

pudendal n -> inferior rectal n (somatic motor and sensory)