Block 6 Anatomy Pelvis Pelv Viscera Umich W Exp Prt 2

21 Questions | By Chachelly | Last updated: Mar 20, 2022 | Total Attempts: 95

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1.

The expanded region of the lower rectum, where fecal matter is retained, is known as the:
- A.
  
  Anal columns
- B.
  
  Anal sinuses
- C.
  
  Ampulla
- D.
  
  Transverse folds
2.

During a vasectomy, the ductus deferens is ligated in the superior part of the scrotum. Two months following this sterilization procedure, the subsequent ejaculate contains:
- A.
  
  Prostatic fluid only
- B.
  
  Seminal fluid and prostatic fluid
- C.
  
  Sperm only
- D.
  
  Sperm and seminal fluid
- E.
  
  Sperm, seminal fluid, and prostatic fluid
3.

During a hysterectomy, the uterine vessels are ligated. However, the patient's uterus continues to bleed. The most likely source of blood still supplying the uterus is from which artery?
- A.
  
  Inferior vesical
- B.
  
  Internal pudendal
- C.
  
  Middle rectal
- D.
  
  Ovarian
- E.
  
  Superior vesical
4.

A female patient is found to have an ectopic (tubal) pregnancy (embryo develops in the uterine tube). In order to gain access to the peritoneal cavity endoscopically to remove the embryo, the instrument can be passed into the vagina and through the:
- A.
  
  Anterior fornix
- B.
  
  Cervix
- C.
  
  Posterior fornix
- D.
  
  Retropubic space
- E.
  
  Vesicouterine pouch
5.

An elderly male patient presents with dysuria and urgency. You suspect benign prostatic hypertrophy which has caused an enlargement of the:
- A.
  
  Interureteric crest
- B.
  
  Prostatic utricle
- C.
  
  Seminal colliculus
- D.
  
  Sphincter urethrae
- E.
  
  Uvula
6.

During a hysterectomy and an oophorectomy, the uterine and ovarian vessels must be ligated. These vessels can be found in which ligaments?
- A.
  
  Broad and ovarian
- B.
  
  Broad and suspensory
- C.
  
  Round and ovarian
- D.
  
  Round and suspensory
- E.
  
  Suspensory and ovarian
7.

A female patient comes to your office with lower abdominal pain. She missed her last menses and her pregnancy test is positive. Ultrasound imaging reveals a cyst-like structure in the right uterine tube which you feel may be a tubal pregnancy. In order to confirm your diagnosis and to remove the tubal embryo, you can gain access to the patient's lower pelvic cavity by passing a culdoscope through the vagina and the:
- A.
  
  Vesicouterine pouch
- B.
  
  Posterior fornix
- C.
  
  Cervix
- D.
  
  Isthmus
- E.
  
  Ampulla
8.

An elderly patient notices red blood in his stool. As part of his examination, you insert a proctoscope (sigmoidoscope) through his anal canal. As you pass the scope superiorly through the rectum, the most prominent features to be seen are:
- A.
  
  Longitudinal muscle bands
- B.
  
  Tenia coli
- C.
  
  Transverse rectal folds
- D.
  
  Rectovesical pouches
- E.
  
  Haustra
9.

An elderly patient is having difficulty in voiding (urinating). He complains that after voiding, he still feels as though he needs "to go" again. You suspect that this patient suffers from benign prostatic hypertrophy, which has caused enlargement of the __________ of the bladder.
- A.
  
  Seminal colliculus
- B.
  
  Interureteric crest
- C.
  
  Ampulla
- D.
  
  Trigone
- E.
  
  Uvula
10.

During a hysterectomy, care must be taken in ligation of the uterine vessels because they cross the _________ superiorly.
- A.
  
  Ureter
- B.
  
  Round ligament of the uterus
- C.
  
  Ovarian artery
- D.
  
  Lumbosacral trunk
- E.
  
  Inferior hypogastric plexus
11.

The prostate gland:
- A.
  
  Encircles the urethra
- B.
  
  Is well imaged using an intravenous urogram
- C.
  
  Is partially intraperitoneal
- D.
  
  Contains upper, middle and lower lobes
12.

The part of the broad ligament giving attachment and support to the uterine tube is the:
- A.
  
  Mesometrium
- B.
  
  Mesovarium
- C.
  
  Mesosalpinx
- D.
  
  Round ligament
13.

Which structure is NOT found within the true pelvis?
- A.
  
  Femoral nerve
- B.
  
  Hypogastric nerve
- C.
  
  Internal pudendal artery
- D.
  
  Obturator artery
- E.
  
  Pelvic splanchnic nerves
14.

A structure which takes the form of a hood anterosuperior to the clitoris:
- A.
  
  Frenulum of the clitoris
- B.
  
  Labia majora
- C.
  
  Labia minora
- D.
  
  Prepuce
15.

A structure which is homologous to the male scrotum:
- A.
  
  Labia minora
- B.
  
  Labia majora
- C.
  
  Glans
- D.
  
  Shaft of corpus cavernosum
16.

Which skeletal feature would you consider to be most characteristic of the female pelvis?
- A.
  
  Subpubic angle of 90 degrees or greater
- B.
  
  Marked anterior curvature of the sacrum
- C.
  
  Tendency to vertical orientation of the iliac bones
- D.
  
  Prominent medial projection of the ischial spines
17.

You are observing a doctor perform an abdominal hysterectomy. He notes that it is vital to protect the ureter which is found in the base of the:
- A.
  
  Mesometrium
- B.
  
  Mesovarium
- C.
  
  Mesosalpinx
- D.
  
  Round ligament of the uterus
- E.
  
  Suspensory ligament of the ovary
18.

A female patient is found to have an ectopic (tubal) pregnancy. In order to gain access to the peritoneal cavity endoscopically to remove the tubal embryo, the instrument can be passed through the posterior fornix of the vagina piercing into the:
- A.
  
  External os
- B.
  
  Internal os
- C.
  
  Rectouterine pouch
- D.
  
  Rectovesical pouch
- E.
  
  Vesicouterine pouch
19.

The male pelvis tends to differ from the female pelvis in that the male pelvis often has a:
- A.
  
  Larger pelvic inlet
- B.
  
  Smaller subpubic angle
- C.
  
  Straighter sacral curvature
- D.
  
  Larger pelvic outlet
- E.
  
  Rounder pelvic inlet
20.

The rectouterine pouch is the lowest extent of the female peritoneal cavity. At its lowest, it provides a coat of peritoneum to a portion of the:
- A.
  
  Urinary bladder
- B.
  
  Urethra
- C.
  
  Uterine cervix
- D.
  
  Vagina
21.

In a CT scan of the pelvis, the uterus is located:
- A.
  
  Posterior to the bladder and rectum
- B.
  
  Posterior to the bladder and anterior to the rectum
- C.
  
  Anterior to the bladder and rectum
- D.
  
  Anterior to the bladder and posterior to the rectum