[Review Test] Pelvis and Perineum

Question 1

Answer 1

• 1 E
• 2 B

Question 2

Answer 2

• 3 C
• 4 D
  
  • Round ligament is found in the inguinal canal

Question 3

Answer 3

• 5 A
• 6 D

Question 4

Answer 4

7. D

• Pelvic diaphragM : levator ani + coccygeus
• Urogenital diaphragm: sphincter urethrae + deep transverse peinei

Question 5

8. A 37 year old small business manager receives a gunshot wound in the pelvic cavity, resulting in a lesion of the sacral splanchnic nerves, Which of the following nerve fibers would primarily be damaged?

• A.Post ganglionic parasympathetic
• B. Postganglionic Sympathetic
• C. Preganglionic Sympathetic
• D. Preganglion Parasympathetic
• E. Postganglionic sympathetic and arasympathetic

Answer 5

C

Question 6

Answer 6

• 9 E
• 10 E

Question 7

Answer 7

• 11 A
  
  • deep perineal space
    
    • bulbourethral (cowper’s)
  • Superficial
    
    • Crus of the penis
    • bulb of the vestibule
    • spongy urethra
    • great vestibular glands
• 12 B

Question 8

A 59 year old man is diagnosed withprostate cancer following a digital rectal examination. For the resetion of prostate cancerm it i important to know that the prostatic ducts open into or on which of the following structures?

A. membranous part of urethra

B. Seminla Collicuus

C. Spongy Urethra

D. Prostatic sinus

E. Prostatic utricle

Answer 8

D

Question 9

Answer 9

• 14 B
• 15 C

Answer 10

• 16 A
• 17 B
  
  • Deep dorsal vein, dorsal artery, and dorsal nerve of the penis pass through a gap between the aruate pubic ligament and the transverse perineal ligament

Question 11

An OB perfors a median episiotomy on a woman before parturition to prevent uncontrollable tearing. if the Perineal body is damaged, the function of which of the following musces might be impaired?

• A. ischiocavernous and sphincter Urethrae
• B. Deep transverse perineal and obturator internus
• C. Bulbospongiousus and superficial transverse perineal
• D. External anal sphincter and sphincter urethrae
• E. Bulbospongiosus and ischiocarvernosus

Answer 11

• C

Question 12

Answer 12

• 19. A
• 20. C

Question 13

Answer 13

• 21 A
• 22 B
  
  • Deep dorsal vein
    
    • medial to the dorsal artery
    • dorsum and deep to Buck’s fascia
    • Drains into prostatic plexus of veins
    • compressed against the underlying deep fascia of the penis during erection

Question 14

Answer 14

• 23 E
  
  • The pelvic splanchnic nerve contains preganglionic PARASYMPATHETIC
  • Sacral splanchnic: preganlionic SYMPATHETIC
• 24 D

Question 15

Answer 15

• 25 D
  
  • ischiorectal fossa
    
    • inferior rectal nerves and vessels
    • Adipose tissue
  • Superficial perineal space
    
    • Bulb of the vestibule
    • great vestibular gland
  • deep perineal
    
    • bulbourethral
• 26 A

Question 16

A 43 year old woman presents with a prolapsed uterus. Repair of a prolapsed uterus requires knowledge of the supporting structures of the uterus. Whch of the following structures plays the most important role in the support of the uterus

• A. Levator ani
• B. Sphincter urethrae
• C. Uterosacral Ligament
• D. Ovarian Ligament
• E. Arcuate Pubic Ligament

Answer 16

A

Question 17

Answer 17

• 28 A
• 29 E

Question 18

Answer 18

• 30 D
• 31 A

Question 19

A 48 year old/M undergoes a radical postatectomy for a maignant tumor in his prostate. Following surgery, he is incapavle of achieving an erection. Which of the following nerves is most likely damaged during Surgery?

• A. Sacral splanchnic nerve
• B. Plevic Splanchnic nerve
• C. Pudendal nerve
• D. Dorsal nerve of the penis
• E. Posterior Scrotal nerve

Answer 19

• B

Question 20

Answer 20

• 33 A
• 34 B
  
  • Urogenital triangle
    
    • pudendal
    • posterior femoral cutaneous
    • aanterior scrotal or labial of theilioinguinal nerve
    • Genital branch of the geniro femoral nerve

Question 21

Answer 21

• 35 D
  
  • sacrospinous : boundary of the lesser sciatic nerve
• 36 A
  
  • Innervated by
    
    • ilioinguinal
    • genitofemoral
    • pudendal
    • posterior femoral
  • Receives blood
    
    • posterior scrotal branches if the internal pudendal
  • Drained by
    
    • posterior scrotal veins into the internal pudendal vein
  • Lymph
    
    • superfiial inguinal nodes

Question 22

Answer 22

• 37 C
• 38 D

Question 23

Answer 23

• 39 C
• 40 C

Question 24

After repair of a ruptured diverticulum, a 31 year old patient begins to spike with fever and complains of abdominal pain. An infection in the deep perineal space would most likely damage which of the following structures?

• A. Ischiocavernosus muscles
• B. Superficial transverse perineal muscles
• C. Levator Ani
• D. Sphincter urethrae
• E. Bulbospongiosus

Answer 24

D

Question 25

Answer 25

* 42 D * 43 E

Question 26

Answer 26

* 44 B * 45 B * Striated muscle * deep perineal space * part of the urogenital dipahragm * not enclosed in a pelvic fascia

Question 27

A 6 month old male infant is admitted to the children's hospital because he has no testis in hs scrotum. During PE, the pediatrician palpated the testis at the inguinal canal What is the diagnosis * A. Male pseudohermaphrodism * B. hypospadias * C. Epispadias * D. Cryptorchid testis * E. Chordee

Answer 27

46 D.

Question 28

Answer 28

* 47 D * 48 B * ischiorectal fossa * Posterior: gluteus maximus and sacrotuberous ligament * contains * fat * inferior rectal nerve and vessels * Perineal branch of the posterior femoral cutaneous nerves

Question 29

An Elderly man with prostitis is seen at an internal medicine clinic, The seminal colliculus of his prostate gland is infected and its fine openings are closed. Which of the following sructures is/are most likely o be distrubed? * A. Ducts of the prostate gland * B. prostatic utricle * C. Ducts of the bulbourethral glands * D. Ejaculatory ducts * E. Duct of the seminal vesicles

Answer 29

D

Question 30

Answer 30

* 50 D * 51 C

Question 31

Answer 31

C

Question 32

53. Extends between the vestibule and the cervix of the uterus and serves as excretory channel for the products of menstruation 54. Shorter than the corresponding structure in male 55. Hemorrhage occur after injury to the inferior retal essels 56. Houston's valves or fold, with its venous blood drained by the portal venous system 57. Innervated by the nerve passing throgh the greater and lesser sciatic foramina?

Answer 32

* 53. D * vagina * 54. A * Urethra * 55. E * ichiorectal fossa * 56. C * rectum * 57. B * obturator internus

Question 33

58. When fractured results in paralysis of the obturator internus muscle 59. secretes fluid containing fructose, which allows for forensic determination of rape? 60. which sructure would ligation of the external iliac artery reduce blood pressure? 61. A knife wound to the obturator foramen might injure 62. Stab would immediately superior to the pubic symphysis on the anterior pelvic wall would most likely injure which visceral organ first

Answer 33

* 58. E * greater trochanter * 59. B * seminal vesicle * 60. A * external iliac artery * 61. D * obturator nerve and vessels * 62. C * Bladder