VHD Relationships Female Pelvis and Perineum Flashcards

1
Q

The divisions of the pelvic region are the ____________, __________ and the __________.

A

greater (false) pelvis, lesser (true) pelvis and perineum

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2
Q

The lesser (true) pelvis is located between the _____ and the _________.

A

pelvic inlet (from the promontory of the sacrum to the pubic symphysis along the arcuate line on the ilium) and the pelvic outlet (pubic symphysis, ischiopubic rami and sacrotuberous ligaments)

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3
Q

The ________ contains the abdominal viscera.

A

greater pelvis

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4
Q

The lateral pelvic wall is closed by the ________ and __________ muscles.

A

piriformis and obturator internus

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5
Q

The pelvic outlet is closed by the _________ and ____________.

A

pelvic diaphragm and urogenital diaphragm

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6
Q

What defines the space of the perineum?

A

diamond shaped region between abducted thighs extending from pubic symphysis to ischial tuberosity and coccyx

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7
Q

The perineum is divided into two triangles, the _______ and ____________ triangles by the ________.

A

anal and urogenital, superficial transverse perineus muscles

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8
Q

The _______ and ______ traverse the anal triangle.

A

anus and anal sphincter

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9
Q

The ___________ and ________ traverse the urogenital triangle.

A

urethra and vagina

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10
Q

The pelvic diaphragm is comprised of the _________ and the ________.

A

levator ani, coccygeus muscle

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11
Q

The levator ani includes these 4 muscles _________, ___________, ___________, ________.

A

puborectalis, pubococcygeus, iliococcygeus and ischioccygeus

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12
Q

The function of the muscle of the pelvic diaphragm function to ________ and ________the pelvic viscera (rectum and vagina).

A

support and compress

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13
Q

The urogenital triangle has ________ and ______ perineal spaces.

A

superficial and deep

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14
Q

The superficial perineal space is bounded superiorly by the ____________ and inferiorly by the ________.

A

perineal membrane, superficial perineal (Colle’s) fascia

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15
Q

The superficial perineal space contains the (8) structures.

A

bulb of the vestibule, crura of the clitoris, bulbospongiosus, ishiocavernousus and superficial transverse perineus muscles, greater vestibular glands, branches of the the pudendal nerve and internal pudendal muscles

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16
Q

The muscles of the superficial perineal space function to _______, _____ and ________.

A

fix the perineal body, compress the vagina, and contribute to erection of the clitoris

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17
Q

The deep perineal space is bounded superiorly by the ________ and inferiorly by the __________.

A

endopelvic fascia and perineal membrane

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18
Q

The deep perineal space contains the (7) structures.

A

deep transverse perineus (if any is present), urethral sphincter (inferior aspect), compressor urethrae, and urethrovaginal sphincter muscles, urethra, and branches of the pudendal nerve and internal pudendal vessels

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19
Q

The muscles of the deep perineal space function to _______ the vagina and urethra.

A

compress

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20
Q

Is the rectum a retro or intraperitoneal structure?

A

retroperitoneal

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21
Q

The external sphincter blends with the ____________ muscle.

A

levator ani

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22
Q

The urinary bladder is positioned __________ to the pubic symphysis when empty.

A

posterior

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23
Q

The anterior apex of the urinary bladder is continuous with the ________.

A

urachus, and embryonic remnant

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24
Q

The inferior neck of the urinary bladder is continuous with the ________.

A

urethra

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25
Q

The ___________ is characterized by a smooth appearing trigone with the orifices of the ureters and urethra at its angles.

A

fundus of the urinary bladder

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26
Q

The internal reproductive viscera are _______, ________ and ______, all surrounded by folds of peritoneum.

A

uterus, uterine tubes and ovaries

27
Q

The uterus is positioned between the __________ and the _________.

A

bladder and rectum

28
Q

The parts of the uterus are the ___________, _____ and ___________.

A

fundus, corpus and cervix

29
Q

The uterine tubes extend ___________ from the uterus near the fundus.

A

laterally

30
Q

The ovaries are positioned _______ to the uterine tubes and are suspended by the ________ and ________ ligaments.

A

posterior, ovarian (to the uterus) and suspensory (to the pelvic wall) ligaments

31
Q

The __________ and its subparts surround the internal reproductive viscera.

A

broad ligament (subparts are mesosalpinx – uterine tube, mesovarium – ovary and mesometrium – cervix)

32
Q

The female external genitilia are the _______, __________, ________ and _______.

A

labia majora, labia minora, clitoris and vagina

33
Q

The clitoris consists of the _______, _______ and _____.

A

glans, corpus and two crura

34
Q

The crura of the clitoris are attached to ________.

A

inferior pubic rami

35
Q

The _________ muscles surround the crura,

A

ischiocavernosus muscles

36
Q

The vagina is positioned between the _____________ and the __________ and surrounded by the ____________.

A

external urethral meatus, perineal body, two vestibular bulbs

37
Q

The __________ muscles surround the vestibular bulbs and vagina.

A

bulbospongiosus

38
Q

The greater vestibular glands drain into the ____________.

A

lower aspect of the vagina

39
Q

__________ are the spaces between the vaginal wall and the cervix.

A

Fornices

40
Q

Branches of the ___________ and __________ arteries are the primary blood supply of the uterus, uterine tubes and ovaries.

A

internal iliac and ovarian

41
Q

Branches of the ____________ and _____________ are the primary blood supply of the rectum.

A

inferior mesentaric and internal iliac

42
Q

Branches of the __________ are the primary blood supply of the bladder, distal ureters and urethra.

A

internal iliac

43
Q

Branches of the ____________ are the primary blood supply of the external genitilia.

A

internal pudendal

44
Q

The sacrotuberous ligament passes _________ to the sacrospinous ligament.

A

superficial

45
Q

The pudendal nerve and internal pudendal artery and vein pass ________ to the sacrospinous ligament.

A

posterior-lateral (superficial)

46
Q

The bulbospongiosus muscle is positioned directly __________ to the bulb of the vestibule.

A

superficial (lateral)

47
Q

The ischiocavernosus muscle is positioned directly _______ to the crus of the clitoris.

A

superficial

48
Q

The rectum is positioned __________ to the vagina and cervix and directly ___________ to the rectouterine pouch.

A

posterior, posterior

49
Q

The _______ is positioned posterior to the vagina and cervix and directly posterior to the rectouterine pouch.

A

rectum

50
Q

The uterus (body and fundus) is positioned _______ to the bladder.

A

posterior-superior

51
Q

The uterus (body and fundus) is positioned posterior-superior to the _______.

A

bladder

52
Q

The uterus is positioned directly ________ to the rectouterine pouch.

A

anterior

53
Q

The uterus is positioned directly anterior to the ___________.

A

rectouterine pouch

54
Q

The ovary is typically positioned _______ to the broad ligament of the uterus and ___________ to the uterine tube.

A

posterior, posterior-inferior

55
Q

The ovary is typically positioned posterior to the __________ of the uterus and posterior-inferior to the ____________.

A

broad ligament, uterine tube

56
Q

The urethra is positioned _______ to the vagina.

A

anterior

57
Q

The urethra is positioned anterior to the _______.

A

vagina

58
Q

The left common iliac vein is positioned ____________ to the common iliac artery.

A

posterior-medial

59
Q

The external iliac vein is positioned _________to the external iliac artery.

A

posterior-medial

60
Q

The obturator artery, vein and nerve pass _______ to the superior pubic ramus.

A

inferior

61
Q

The ureter passes __________ and _________ to the uterine artery.

A

posterior and inferior

62
Q

The ureter passes _______ and __________ to the vaginal artery.

A

superior and anterior

63
Q

The lumbosacral trunk passes _______ to the sacrum (ala).

A

anterior

64
Q

The pelvic diaphragm (levator ani muscle) is positioned _______ to the obturator internus muscle.

A

medial