Pelvis I and II

Question 1

What type of Joint is the Sacroiliac joint?

Answer 1

Synovial Joint

Question 2

What Type of joint are the Lumbosacral and sacrococcygeal joints and the pubi symphisis joints?

Answer 2

These are all secondary cartilaginous joints

Question 3

The sacrotuberous and sacrospinous ligaments are responsible for what?

Answer 3

These both prevent anteriorinferior displacement of the superior sacrum and convert the greater and lesser sciatic notches into sciatic foramina.

Question 4

Where does the sacrospinous ligament run from?

Answer 4

The sacrospinous ligament runs from the sacrum to the ischium spine.

Question 5

Where does the sacrotuberous ligament run from?

Answer 5

The Sacrum to the ischial tuberosity

Question 6

What foramen in the pelvis does the piriformis pass through?

Answer 6

The piriformis passes through the greater sciatic foramen and attaches to the femurs greater trochanter.
This muscle serves as a bed for a nerve plexus. (Coccygeal plexus)

Question 7

The pelvic diaphram is composed of what two muscles?

Answer 7

The levator ani and the coccygeus muscle.

Question 8

The levator ani is a muscle body composed of three seperate parts. What are these parts listed medially to laterally?

Answer 8

Medially to laterally:
Puborectalis (Sometimes treated as part of the pubococcygeus)
Pubococcygeus
Iliococcygeus.

Question 9

The ureters are considered embrologically….

Answer 9

Retroperitoneal muscular tubes

Question 10

In females the ureter passes…. to the uterine arties

Answer 10

Passes Medial to the uterine arteries

Question 11

In males the ductus deferens rests between….

Answer 11

In males the ductus deferens rests between the ureters and the peritoneum.

Question 12

The trigone of the bladder is the…

Answer 12

The trigone is the triangle between the uteric and urethral openings.

Question 13

In men the uvula is…

Answer 13

The uvula is a projection of the trigone that is visible in older men.

Question 14

The wall of the bladder is primarily made up of this muscle….

Answer 14

Detrusor muscle.

Question 15

In females the muscle of the bladders neck is continuous with what structure?

Answer 15

The muscles of the bladder become continuous with the urethra in females.

Question 16

In males the muscle of the bladders neck is continuous with what structure

Answer 16

In males the muscle of the bladders neck is continuous with the prostates fibromuscular tissue. This prevents semen from entering the bladder.

Question 17

The male penis has …. urethra curves when flaccid and …. urethral curves when erect.

Answer 17

The male penis has 2 urethra curves when flaccid and one when erect.

Question 18

This structure in the prostate is a cul-de-sac remnant of the uterovaginal canal in the seminal colliculus

Answer 18

This structure is known as the prostatic utrical.

Question 19

The opening of the ejaculatory ducts can be found within what structure?

Answer 19

The seminal colliculus

Question 20

The openings of the prostatic ducts can be found within what structure?

Answer 20

Just lateral to the seminal colliculus

Question 21

This funnel shaped structure containing fimbrae in the uterine tube is known as the

Answer 21

Infundibulum

Question 22

This is the widest and longest portion of the uterine tube

Answer 22

This is known as the ampulla

Question 23

This is the portion of the uterine tube that enters the uterine horns

Answer 23

This is known as the isthmus

Question 24

This is the short segment of the uterine tube found within the uterine wall

Answer 24

This is known as the uterine part of the uterine tube.

Question 25

The broad ligament is the mesentery of the uterus and has many subdivisions. What are the subdivisions.

Answer 25

The suspensory Ligament The mesovarium The Mesosalpinx And the mesometrium

Question 26

The suspensory ligament accomplishes what job?

Answer 26

Coneys ovarian vessels, lymphatics, and nerve.

Question 27

The mesovarium accomplishes what job?

Answer 27

The mesovarium suspends the ovary.

Question 28

The mesosalpinx accomplishes what job?

Answer 28

Suspends the uterine tube

Question 29

The Mesometrium accomplishes what job?

Answer 29

The mesometrium suspends most of the uterus.

Question 30

What is the typical position of the uterus?

Answer 30

Anteverted and anteflexed.

Question 31

The vagina is located where in comparison to the urethra and bladder, as well as the rectum?

Answer 31

The vagina is located posterior to the urethra and bladder and anterior to the rectum.

Question 32

What is the innervation of the vagina?

Answer 32

Th upper 3/4 is autonomically controlled where as the lower 1/4 is somatically controlled and innervated by the deep perineal branch of the pudendal.

Question 33

When the ductus deferens joins the seminal vesicle what does it become?

Answer 33

The ejaculatory duct which converges upon the seminal colliculus of the prostatic urethra.

Question 34

What components make up semen?

Answer 34

Semen is a mixture of secretions by the testes, seminal vesicles, prostate, and bulbourethral glands.

Question 35

The ducts of the bulbourethral glands ope into what part of the penis?

Answer 35

These ducts open into the spongy urethra in the bulb of the penis.

Question 36

The pelvic fascia is a continuation of what fascia source?

Answer 36

The endoabdominal fascia.

Question 37

The extraperitoneal/subperitoneal reflections are considered?

Answer 37

These are considered outside or below the peritoneal cavity including most of the pelvic viscera.

Question 38

The primarily retroperitoneal structures of the pelvis are what?

Answer 38

Kidneys, ureter, rectum, anal canal, and male prostate, seminal vesicles, and vas deferens.

Question 39

The intraperitoneal structures of the pelvis include?

Answer 39

Uterus, ovaries, and uterine tubes.

Question 40

The uterus is part of what peritoneal reflection?

Answer 40

This is a special case and is considered secondarily IP

Question 41

Where is the rectovesicular pouch found?>

Answer 41

This space is found in males and lies between the bladder/prostate and the rectum.

Question 42

Where can the Vesicouterine pouch be found?

Answer 42

The vesicouterine pouch can be found between the bladder and the uterus

Question 43

This pouch in the female can be acessed by the posterior fornix

Answer 43

The rectouterine pouch, a space found between the uterus and the rectum.

Question 44

What are the branches off of the anterior devision of the internal iliac artery?

Answer 44

Umbilical artery: Superior vesicular and in some cases blood supply to ductus deferens. ``` Obturator Inferior vesicular Middle Rectal Internal pudendal Inferior gluteal Uterine (Vaginal) ```

Question 45

What are the branches from the posterior devision of the internal iliac artery?

Answer 45

Iliolumbar Lateral sacral Superior Gluteal

Question 46

What are the branches of blood that pass off the external iliac?

Answer 46

Deep circumflex iliac vessels | And the inferior epigastric vessel

Question 47

Where do the gonadal arteries (testicular/ ovarian) come from?

Answer 47

Directly off the abdominal aorta.