Anatomy Test 3 - Quiz Questions

75 Questions | Total Attempts: 66

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Anatomy Test 3 - Quiz Questions - Quiz

For studying Anatomy Test 3.


Questions and Answers
  • 1. 
    A middle aged male patient complains of a weak "stream" and nocturia.  You believe the most likely cause to be:
    • A. 

      A bladder infection

    • B. 

      A spinal cord lesion affecting his pelvic splanchic nerves

    • C. 

      A ureteric calculi

    • D. 

      Benign prostatic hypertrophy

    • E. 

      An obstruction of his intramural (preprostatic) urethra

  • 2. 
    According to current concepts, the external urethral sphincter:
    • A. 

      Is similar in males and females.

    • B. 

      Has inferior part in males that act as a true sphincter of the intermediate (membranous) urethra.

    • C. 

      Only exists in females

    • D. 

      Only exists in males

    • E. 

      Is innervated by pelvic sphlanchnic nerves

  • 3. 
    Circumcision involves:
    • A. 

      Removal of the prepuce of the penis.

    • B. 

      Removal of the glans of the penis.

    • C. 

      Removal of the corona of the glans of the penis.

    • D. 

      Enlarging the external urethral orifice.

    • E. 

      Surgically constructing a new external urethral orifice.

  • 4. 
    Hemorrhoids are:
    • A. 

      Enlarged anal lymph nodes

    • B. 

      Infected anal sinuses

    • C. 

      Varicosities in rectal/anal veins.

    • D. 

      Infected and enlarged anal mucus glands.

    • E. 

      Arteriovenous malformations in the anal mucosa.

  • 5. 
    In male urethral catheterization:
    • A. 

      The diameter of the urethra at the external urethral orifice is narrower than at any other point.

    • B. 

      The urethra is least protected (most likely to rupture) at the bulb.

    • C. 

      The intermediate (membranous) segment is the most distensible part of the urethra.

    • D. 

      The location of the ducts of the bulbourethral glands must be identified in order to avoid injuring the glands.

    • E. 

      The patient is likely to feel the most discomfort (sharpest pain) when the catheter penetrates the prostatic urethra.

  • 6. 
    In the emergency room you examine a young boy whose was injured while trying to climb a fence. He says he hit his "bottom" hard while straddling the horizontal bar at the top of the fence. Your examination reveals that his penis and scrotum are edematous as is the lower part of his anterior abdominal wall. Only the most superior aspects of his thighs are also edematous. You suspect the boy:
    • A. 

      Ruptured his corpus cavernosa and the swelling is due to blood.

    • B. 

      Bruised his penis and scrotum and the swelling is due to lymph.

    • C. 

      Ruptured his internal pudendal vein and the swelling is due to blood.

    • D. 

      Ruptured his deep perineal pouch and the swelling is due to an inflammatory reaction resulting from the release of fluid from the bulbourethral glands

    • E. 

      Ruptured his spongy urethra and the swelling is due to urine

  • 7. 
    In the following AP pelvic radiograph, the arrow indicates:
    • A. 

      The sacrotuberous ligament.

    • B. 

      The ischial spine.

    • C. 

      The ischial tuberosity.

    • D. 

      The iliac tubercle.

    • E. 

      A posteriorly dislocated femoral head.

  • 8. 
    In the following MRI of a woman with an anteverted and anteflexed uterus, the arrow indicates the:
    • A. 

      Body of the uterus

    • B. 

      Opening of the vagina

    • C. 

      External os (opening of the cervix)

    • D. 

      Bladder

    • E. 

      Rectum

  • 9. 
    In the following coronal MRI of the penis and scrotum from a normal male, the arrow indicates the:
    • A. 

      Corpus spongiosum

    • B. 

      Corpus cavernosum

    • C. 

      Pampiniform venous plexus

    • D. 

      Vas deferens

    • E. 

      Testis

  • 10. 
    Prostate cancer:
    • A. 

      Is characterized by a softening of the prostate that can be felt during a digital rectal exam.

    • B. 

      Often metastasizes to the testes.

    • C. 

      Is conclusively identified by a positive test of the external iliac lymph nodes.

    • D. 

      Is best identified rectally when the patient has a full bladder.

    • E. 

      Is associated with bladder cancer.

  • 11. 
    The softening of the isthmus of the uterus (Hegar sign) is associated with:
    • A. 

      Uterine cancer

    • B. 

      A prolapsed uterus

    • C. 

      Menopause

    • D. 

      Menstruation

    • E. 

      Pregnancy

  • 12. 
    The anorectal flexure of the anal canal:
    • A. 

      Occurs at the level of S3.

    • B. 

      Is maintained by the transverse rectal folds.

    • C. 

      Is where the alimentary tract penetrates the pelvic diaphragm.

    • D. 

      Is within the rectovesical pouch.

    • E. 

      Is where the omental appendices cease.

  • 13. 
    The blood that results in penile erection is primarily derived from the:
    • A. 

      Posterior scrotal arteries.

    • B. 

      Deep arteries of the penis.

    • C. 

      Deep branches of the external pudendal arteries.

    • D. 

      Deep dorsal vein

    • E. 

      Superficial dorsal veins.

  • 14. 
    The ductus deferens:
    • A. 

      Terminates by uniting with the duct of the seminal glands to form the ejaculatory duct.

    • B. 

      Is typically ligated during a vasectomy as it exits the superficial inguinal ring.

    • C. 

      Begins at the head of the testis.

    • D. 

      Is intraperitoneal.

    • E. 

      Is drained by lymph vessels destined for the deep inguinal nodes.

  • 15. 
    The female urethra:
    • A. 

      Is more difficult to catheterize than the male urethra.

    • B. 

      Has cilia that very effectively prevent bacteria from entering the bladder.

    • C. 

      Begins with a distinct sphincter in the bladder, the internal urethral sphincter.

    • D. 

      Has a distinct posterior ridge termed the urethral crest.

    • E. 

      Opens into the vestibule of the vagina.

  • 16. 
    The hypogastric plexuses:
    • A. 

      Convey vagal fibers to the pelvic viscera

    • B. 

      Convey pelvic splanchnic fibers to pelvic viscera.

    • C. 

      Convey sympathetic fibers to pelvic viscera.

    • D. 

      Receive white communicating rami from the sacral spinal nerves.

    • E. 

      Comprise the pelvic part of the sympathetic trunk.

  • 17. 
    The levator ani:
    • A. 

      Is innervated by pelvic splanchnic nerves.

    • B. 

      Causes increased urination when spastic.

    • C. 

      Is part of the urogenital diaphragm.

    • D. 

      Actively contracts during coughing

    • E. 

      Actively contracts during inspiration.

  • 18. 
    The pectinate line of the anal canal:
    • A. 

      Denotes the separation of the external and internal sphincter ani muscles.

    • B. 

      Denotes the separation between the rectal and anal mucosa.

    • C. 

      Separates the part of teh anal canal that is innervated by sympathetic fibers from that innervated by parasympathetic fibers.

    • D. 

      Separates the part of the anal canal that is sensitive to laceration from the part that is not.

    • E. 

      Indicates the anorectal junction.

  • 19. 
    The trigone of the bladder:
    • A. 

      Forms the boundaries of the internal urethral orifice.

    • B. 

      Is the internal area demarcated by the internal urethral and ureteric orifices.

    • C. 

      Is a slight elevation of the internal posterior wall produced by the prostate.

    • D. 

      Is the extraperitoneal part of the external surface.

    • E. 

      Is synonymous with the apex.

  • 20. 
    The ureters:
    • A. 

      Have afferent fibers that typically refer pain to the lower abdomen, especially the inguinal region.

    • B. 

      Are intraperitoneal.

    • C. 

      Cross anterior to the ductus deferens.

    • D. 

      Pass straight through the bladder wall (in a horizontal plane).

    • E. 

      Are accompanied throughout their length by arteries and veins derived from the renal vessels.

  • 21. 
    The vaginal fornix:
    • A. 

      Is the inferior part of the rectouterine pouch.

    • B. 

      Is the recess between the external urethral and vagina orifices.

    • C. 

      Is part of the broad ligament.

    • D. 

      Contains the ovaries.

    • E. 

      Surrounds the vaginal part of the cervix.

  • 22. 
    Which of the following is incorrect pertaining to the bony pelvis?
    • A. 

      The pelvic girdle is composed of the right and left hip bones and the sacrum.

    • B. 

      In infants and children the hip bone is composed of three separate bones--the ilium, ischium, and pubis.

    • C. 

      The ala of the ilium helps to form the acetabulum.

    • D. 

      The ischial spine separates the greater and lesser sciatic foramina.

    • E. 

      The pelvic brim separates the greater (false) and lesser (true) pelves.

  • 23. 
    Which of the following is incorrect pertaining to the uterine tubes?
    • A. 

      They lie in the mesosalpinx part of the broad ligament.

    • B. 

      Their distal part, the ampulla, surrounds the ovary.

    • C. 

      They allow the development of peritonitis from genitourinary tract infections.

    • D. 

      They may be ligated to prevent pregnancy.

    • E. 

      They may become the site of an ectopic pregnancy.

  • 24. 
    Which of the following is not associated with male erection or ejaculation?
    • A. 

      Closure of the vesical (internal urethral) sphincter.

    • B. 

      Contraction of urethral smooth musculature.

    • C. 

      Contraction of bulbospongiosus.

    • D. 

      Contraction of the smooth muscle of the helical arteries.

    • E. 

      Parasympathetic impulses reaching the penis from the prostatic nervous plexus.

  • 25. 
    Which of the following structures is least important for supporting the uterus and/or maintaining its position?
    • A. 

      Broad ligament

    • B. 

      Round ligament of the uterus

    • C. 

      Transverse cervical (cardinal) ligaments

    • D. 

      Uterosacral ligament

    • E. 

      Pelvic diaphragm

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