Block 7 Anat Pelv & Perineum Prt 2

17 Questions | Total Attempts: 213

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Perineum Quizzes & Trivia

The perineum plays an important role in functions as such maturation, defecation, sexual intercourse and childbirth. The block 7 on anatomy of pelvis and perineum quiz below is the second in a series of tests aimed at increasing your understanding on the chapter give it a try and keep an eye out for chapter 3.


Questions and Answers
  • 1. 
    You examine a young boy in the emergency room who is bleeding from his penis after an accident.  This blood is derived primarily from a branch of which of the following arteries?
    • A. 

      Superior gluteal

    • B. 

      Internal pudendal

    • C. 

      External pudendal

    • D. 

      Femoral

    • E. 

      Inferior epigastric

  • 2. 
    Which of the following is incorrect pertaining to the ovarian artery?
    • A. 

      It traverses the suspensory ligament of the ovary.

    • B. 

      It crosses anterior to the ureter.

    • C. 

      It has reduced blood flow following ligature of the internal iliac artery.

    • D. 

      It helps supply the uterine tube.

    • E. 

      It is accompanied by lymph vessels draining the ovary.

  • 3. 
    Which of the following is not typically a tributary of the internal iliac vein?
    • A. 

      Superior rectal vein

    • B. 

      Veins from the vesical pelvic plexus

    • C. 

      Internal pudendal vein

    • D. 

      Uterine vein

    • E. 

      Superior gluteal vein

  • 4. 
    Pelvic lymph drainage:
    • A. 

      Is associated with six primary groups of well-defined lymph nodes.

    • B. 

      Is defined by well-developed flow patterns that permit prediction of the spread of metastatic cancer from one organ to another.

    • C. 

      Includes vessels that drain the testis.

    • D. 

      Is characterized by terminal efferent vessels that pass the lymph to lumbar (caval/aortic) nodes.

    • E. 

      Rigidly follows venous drainage patterns.

  • 5. 
    The ureters:
    • A. 

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

    • B. 

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

    • C. 

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

    • D. 

      Cross anterior to the ductus deferens.

    • E. 

      Are intraperitoneal.

  • 6. 
    Detrusor muscle contraction is stimulated by:
    • A. 

      The superior hypogastric nerve.

    • B. 

      Lumbar splanchnic nerves.

    • C. 

      Pelvic splanchnic nerves

    • D. 

      Internal pudendal nerve.

    • E. 

      Contractions of the levator ani.

  • 7. 
    Which of the following is incorrect pertaining to the bladder?
    • A. 

      A cystocele may result from injuries associated with parturition.

    • B. 

      Withdrawal of urine from the bladder requires the needle to enter the peritoneal cavity.

    • C. 

      Rupture of the superior part of the bladder is usually associated with extravasation (passage) of urine into the peritoneal cavity.

    • D. 

      The interior of the bladder may be viewed with a cystoscope.

    • E. 

      A complete spinal cord transaction superior to the second sacral segment would eliminate voluntary control of micturition.

  • 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. 
    The female urethra:
    • A. 

      Is more difficult to catheterize than the male urethra.

    • B. 

      Opens into the vestibule of the vagina.

    • C. 

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

    • D. 

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

    • E. 

      Has a distinct posterior ridge termed the urethral crest.

  • 10. 
    The trigone of the bladder:
    • A. 

      Forms the boundaries of the internal urethral orifice.

    • B. 

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

    • C. 

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

    • D. 

      Is the extraperitoneal part of the external surface.

    • E. 

      Is synonymous with the apex.

  • 11. 
    The ductus deferens:
    • A. 

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

    • B. 

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

    • C. 

      Begins at the head of the testis.

    • D. 

      Is intraperitoneal.

    • E. 

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

  • 12. 
    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 splanchnic nerves.

    • C. 

      A ureteric calculi.

    • D. 

      An obstruction of his intramural (preprostatic) urethra.

    • E. 

      Benign prostatic hypertrophy.

  • 13. 
    Prostate cancer:
    • A. 

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

    • B. 

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

    • C. 

      Often metastasizes to the testes.

    • D. 

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

    • E. 

      Is associated with bladder cancer.

  • 14. 
    Which of the following associations is incorrect?
    • A. 

      Digital examination of the vagina—ovarian cysts

    • B. 

      Urethrovaginal fistula—continuous dribbling of urine from the vagina

    • C. 

      Digital examination of the vagina—pulsations of uterine artery

    • D. 

      Culdocentesis—drainage of a pelvic abscess via posterior vaginal fornix

    • E. 

      Rectovaginal fistula—discharge of fecal matter from the vagina

  • 15. 
    The vaginal fornix:
    • A. 

      Surrounds the vaginal part of the cervix.

    • B. 

      Contains the ovaries.

    • C. 

      Is part of the broad ligament.

    • D. 

      Is the inferior part of the rectouterine pouch.

    • E. 

      Is the recess between the external urethral and vagina orifices.

  • 16. 
    Which of the following structures is least important for supporting the uterus and/or  maintaining its position?
    • A. 

      Broad ligament

    • B. 

      Transverse cervical (cardinal) ligaments

    • C. 

      Uterosacral ligament

    • D. 

      Pelvic diaphragm

    • E. 

      Round ligament of the uterus

  • 17. 
    Softening of the isthmus of the uterus (Hegar sign) is associated with:
    • A. 

      Pregnancy

    • B. 

      Uterine cancer.

    • C. 

      A prolapsed uterus.

    • D. 

      Menopause

    • E. 

      Menstruation.

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