04c: Pelvic Floor/Anatomy Flashcards

1
Q

(Superior/inferior) gluteal nerve and artery leave pelvis via (X), above (Y) muscle.

A

Superior;
X = greater sciatic foramen
Y = piriformis

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2
Q

Which vessels leave pelvis via greater sciatic foramen under piriformis?

A

Internal pudendal and inferior gluteal

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3
Q

Which nerves leave pelvis via greater sciatic foramen under piriformis?

A
  1. Inferior gluteal
  2. Sciatic
  3. Posterior femoral cutaneous
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4
Q

In female, list the ligaments that pass through inguinal canal.

A

Round ligament of uterus

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5
Q

T/F: Ovaries are enclosed within broad ligament.

A

False

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6
Q

Which surface(s) of ovaries and broad ligament are in contact?

A

Anterior surface of ovaries attach to posterior surface of broad ligament

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7
Q

(X) forms the superior boundary of the superficial perineal space

A

X = perineal membrane

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8
Q

Colles’ fascia is (superficial/deep) to superficial space.

A

Superficial

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9
Q

Bulb of penis is (superficial/deep) to perineal membrane.

A

Superficial

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10
Q

Bulbourethral gland is found in (superficial/deep) space.

A

Deep

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11
Q

Greater vestibular gland is found in (superficial/deep) space.

A

Superficial

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12
Q

Ducts from the prostate gland open into the (X).

A

X = prostatic sinus

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13
Q

The superficial inguinal nodes receive lymph from:

A

penis, scrotum, buttocks,

labium majus, and the lower parts of the vagina and anal canal

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14
Q

The urogenital diaphragm consists of:

A
  1. Sphincter urethrae muscle

2. Deep transverse perineal muscle

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15
Q

Central tendon of perineum is also called (X). It’s an important attachment site for which muscle(s)?

A

X = perineal body

  1. Bulbospongiosus
  2. Superficial and deep transverse perineal
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16
Q

The (X) artery supplies the glans penis.

A

X = dorsal artery of the penis

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17
Q

T/F: The seminal vesicles

store spermatozoa.

A

False

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18
Q

The duct of the bulbourethral gland opens into the (X) portion of the (Y) urethra.

A
X = bulbous
Y = spongy
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19
Q

Greater vestibular gland opens into the (vagina/vestibule) between the (X) and (Y).

A

Vestibule;
X = Labia minora
Y = Hymen

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20
Q

The perineum is (X)-shaped region (above/below) pelvic floor.

A

X = diamond

Below

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21
Q

Margins of perineum.

A
  1. Pubic arch (via pubic arcuate ligament and ischiopubic rami)
  2. Ischial tuberosities
  3. Sacrotuberous ligaments
  4. Coccyx
22
Q

The urogenital triangle is divided into (X) regions by (Y).

A
X = deep and superficial
Y = transverse, interosseous perineal membrane
23
Q

Boundaries of true pelvis:

A
  1. Sacral promontory and anterior margin of ala
  2. Linea terminalis (arcuate line of ilium, pecten pubis and pubic crest)
  3. Upper border of pubic symphysis
24
Q

Obturator internus originates (within/outside) pelvis and (enters/leaves) pelvis via (X).

A

Within; Leaves

X = lesser sciatic foramen

25
Q

Neurovascular portal in lesser sciatic foramen can be found (superior/inferior/medial/lateral) to which muscle?

A

Medial to obturator internus

26
Q

List the parts of levator ani.

A
  1. Iliococcygeus

2. Pubococcygeus

27
Q

List the parts of Pubococcygeus.

A
  1. Pubococcygeus proper
  2. Pubovaginalis (F) or Levator prostatae (M)
  3. Puborectalis (with puborectal sling)
28
Q

The deep dorsal vein of penis/clitoris reached (X) by running through which key gap?

A

X = pelvic venous plexus

Arcuate pubic ligament and transverse perineal ligament

29
Q

Transverse perineal ligament is made from (anterior/posterior) thickening of:

A

Anterior; perineal membrane

30
Q

List muscles involved in urethral sphincter complex.

A
  1. Deep transverse perineal
  2. Sphincter urethrae (aka external urethral sphincter)
  3. Compressor urethrae
31
Q

List the muscles in deep perineal space.

A
  1. Sphincter and compressor urethrae

2. Deep transverse perineal

32
Q

Which part of urethra (males) passes through deep perineal space?

A

Membranous

33
Q

List nerves/vessels present in deep perineal space.

A
  1. Pudendal nerve

2. Internal pudendal vessels

34
Q

T/F: Urethra present in deep perineal space in female.

A

True

35
Q

T/F: Entire vagina present in deep perineal space in female.

A

False - only lower part

36
Q

Superficial perineal space lies between (X) and (Y) in (urogenital/anal) triangle.

A
X = colles fascia
Y = perineal membrane

Urogenital triangle only

37
Q

T/F: erectile tissue of corpus cavernosum and spongiosum receive somatic motor innervation from pudendal nerve.

A

False - sensory innervation

38
Q

The (X) serves as landmark in administration of pudendal nerve blocks.

A

X = ischial spine

39
Q

Trace path of neural signals that stimulate penile/clitoris erection.

A
  1. S2-4 anterior rami
  2. Pelvic splanchnic nerves
  3. Inferior hypogastric plexus
  4. Vesicular and prostatic/uterovaginal plexuses to erectile tissues
40
Q

Campers fatty layer is continuous between:

A
  1. Abdominal wall
  2. Thigh and gluteal
  3. Urogenital AND anal triangles
41
Q

Extravasation of urine that results in swelling and discoloration in the penis and scrotum. Which part of urethra damaged?

A

Penile (urine in superficial perineal pouch)

42
Q

Extravasation of urine into true pelvis. Which part of urethra damaged?

A

Prostatic

43
Q

Extravasation of urine into deep perineal pouch. Which part of urethra damaged?

A

Membranous

44
Q

(X) provides the MOST important support for the uterus

A

X = The pelvic diaphragm, particularly the levator ani

45
Q

Abscess derived from a greater vestibular (Bartholin) gland cyst. What group of lymph nodes should be checked first for lymphadenitis?

A

Superficial inguinal nodes

46
Q

The important (X) canal in ischioanal fossa is located at its (Y) border.

A
X = pudendal (or Alcock's)
Y = lateral
47
Q

To which of the following lymph nodes would prostatic cancer cells most likely metastasize initially?

A

Internal iliac nodes

48
Q

In congenital case of double uterus, (X) embryologic structures failed to fuse.

A

X = paramesonephric ducts

49
Q

(X) structure of female pelvis is continuation of camper’s fascia.

A

X = labia majora

50
Q

The pectinate line of (X) is a point of demarcation between:

A

X = anal canal

Visceral (above) and somatic (below) innervation

51
Q

Which portion of rectum supplied by pudendal nerve?

A

None