Block 7 Anat Pelvis BRS Pretest W Xpl Prt 1

18 Questions | Total Attempts: 77

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Block 7 Anat Pelvis BRS Pretest W Xpl Prt 1 - Quiz

Questions and Answers
  • 1. 
    Which of the following is a characteristic of the female (compared with the male) pelvis?
    • A. 

      A heart-shaped (as opposed to an oval-shaped) pelvic inlet

    • B. 

      A relatively deep (as opposed to shallow) false pelvis with ilia that are flared

    • C. 

      A pelvic outlet of smaller diameter

    • D. 

      A subpubic angle of about 85

  • 2. 
    A young couple comes to your urology office because of inability to conceive a wanted child after 1 year of unprotected sex. The wife had already undergone a gynecological workup, including testing for 3 months showing a normal ovulation profile as confirmed by an ovulatory kit. The primary care physician describes the husband’s physical exam as normal and had already ordered a semen analysis and had forwarded the results to you. The semen volume was 0.5 mL, pH 6.8, and azospermic without any fructose. The husband has a brother, who has two children, one of whom has confirmed cystic fibrosis. You order a pelvic MRI of the husband to determine whether which of the following exist(s)?
    • A. 

      Bilateral abdominal testicles

    • B. 

      Hypospadias

    • C. 

      Congenital absence of ejaculatory ducts and vas deferens

    • D. 

      Congenital hydrocele

    • E. 

      Congenital absence of the prostate gland

  • 3. 
    The gubernaculum is a continuous mesenchymal condensation extending from the caudal pole of each gonad through the inguinal canal to the labioscrotal swelling, inferiorly. In the female the gubernaculum becomes which of the following?
    • A. 

      Canal of Nuck

    • B. 

      Ligament of the ovary or proper ligament of the ovary

    • C. 

      Round ligament of the uterus

    • D. 

      Round ligament of the uterus and the ligament of the ovary or proper ligament of the ovary

    • E. 

      Suspensory ligament of the ovary

  • 4. 
    Parts of some human skeletal remains are brought to you as coroner of a rural community. The pelvis is complete, yet the individual bones of the pelvis, the ilium, ischium, and pubis have just started to fuse together. The subpubic angle you estimate at 60° and the pelvic brim has a distinctive heartshaped appearance. On the basis of this information, you guess the remains are of which of the following?
    • A. 

      3-year-old male

    • B. 

      4-year-old female

    • C. 

      14-year-old male

    • D. 

      30-year-old female

    • E. 

      80-year-old male

  • 5. 
    Following vaginal childbirth, a woman experienced urinary incontinence, particularly when coughing. This was most likely caused by tearing of which of the following?
    • A. 

      Puborectalis muscle

    • B. 

      Obturator internus muscle

    • C. 

      Pubococcygeus muscle

    • D. 

      Superficial transverse perineal muscle

    • E. 

      Piriformis muscle

  • 6. 
    When one touches the upper medial thigh or scrotum of most young males, the testicles are pulled upwards towards the external inguinal ring. This is called the cremasteric reflex. The efferent limb of the cremasteric reflex is provided by which of the following?
    • A. 

      Femoral branch of the genitofemoral nerve

    • B. 

      Genital branch of the genitofemoral nerve

    • C. 

      Ilioinguinal nerve

    • D. 

      Pudendal nerve

    • E. 

      Temperature differential between core body temperature and scrotal temperature

  • 7. 
    A 36-year-old man complained to his primary care physician of occasional dull, throbbing pain associated with the right testis and scrotum. Examination indicated varicocele of the pampiniform plexus. The physician remarked that in all probability the patient had this condition since adolescence and should not be bothered by it. The patient was emphatic that the condition had arisen within the last few months and sought a second opinion from an urologist. The urologist ordered an abdominal  and pelvic CT. Factors that the urologist considered include which of the following in regard to varicocele of the pampiniform plexus on the right side?
    • A. 

      It is very uncommon

    • B. 

      It occurs about as often as that on the left side

    • C. 

      It may be the result of testicular torsion

    • D. 

      It may be associated with a long, redundant mesorchium

  • 8. 
    A 19-year-old female college student presents to the emergency room at 10:30 PM on a Friday night with severe left side, back, and pelvic pain. While she has never had them before, she states that she thinks she has kidney stones. The pain started in her mid back about a week ago and then subsided and now the pain has decreased somewhat and also extends down into her labia majora. She is on birth control pills, but denies any sexual activity. She is having her period, but denies the pain is menstrual. You have her do a urine pregnancy test while she is waiting to get an abdominal and pelvic computer tomography (CT) to look for ureteric calculi. What specific location(s) will you look for in the CTs for obstructing calculi?
    • A. 

      At the junction of the renal pelvis with the ureters

    • B. 

      As the ureters cross the cranial edge of the greater pelvis

    • C. 

      As the ureters cross the external iliac artery at the pelvic brim

    • D. 

      As the ureters pass through the wall of the bladder

    • E. 

      A, b, and c

    • F. 

      A, c, and d

  • 9. 
    You deliver a full-term baby boy who is healthy and receives an Apgar score of 9 out of 10. You do note that his scrotum is rather large compared to his penis and when he cries and strains, the scrotum gets even bigger. You palpate for testes and epididymides and think both are present and don’t feel any abnormal structures. You tell the parents the newborn has which of the following?
    • A. 

      Cryptorchidism

    • B. 

      Direct inguinal hernia

    • C. 

      Varicocele

    • D. 

      Hydrocele

    • E. 

      Klinefelter’s syndrome

  • 10. 
    A 6-year-old boy badly bruised his perineum on the horizontal bar of his bicycle as he was learning to ride a bike. Blood extended into his scrotum, and onto the anterior abdominal wall from 3 in. below his umbilicus to just anterior to his anus, but did not pass into his thigh. Which anatomical layers most likely explain the distribution of extravasated blood?
    • A. 

      Superficial membranous fascia and Camper’s fascia

    • B. 

      Superficial membranous fascia and transversalis fascia

    • C. 

      Dartos fascia and the perineal membrane

    • D. 

      Superficial membranous fascia and the perineal membrane

    • E. 

      Deep perineal fascia and inferior fascia of the pelvic diaphragm

  • 11. 
    Fructose, a source of energy for spermatozoa, is found primarily in secretions from which of the following organs?
    • A. 

      Bulbourethral glands

    • B. 

      Epididymis

    • C. 

      Prostate

    • D. 

      Seminal vesicles

    • E. 

      Testis

  • 12. 
    In this CT of the pelvis, the muscle indicated by the yellow arrow is which of the following?
    • A. 

      Sphincter urethrae/urogenital diaphragm

    • B. 

      Levator ani/pelvic diaphragm

    • C. 

      Obturator internus

    • D. 

      Obturator externus

  • 13. 
    Benign prostatic hypertrophy results in obstruction of the urinary tract. Patients present with weak urine flow, increased difficulty initiating urination, and increase frequency of urination since the bladder often is not fully emptied. Benign prostatic hypertrophy is associated with enlargement of which of the following?
    • A. 

      Entire prostate gland

    • B. 

      Lateral/posterior lobes

    • C. 

      Mucosal and submucosal regions

    • D. 

      Anterior region

  • 14. 
    A rectal cancer that occurs within the anal canal penetrates the mucosa and basement membrane. Which nodes would you most likely harvest at the same time you removed the cancerous growth to send to pathology to determine if there has been metastasis?
    • A. 

      Superficial inguinal nodes

    • B. 

      Inguinal nodes and internal iliac nodes

    • C. 

      Superficial inguinal, internal iliac and preaortic inferior mesenteric nodes

    • D. 

      Internal iliac and external iliac nodes

    • E. 

      External iliac, superficial inguinal, and preaortic nodes

  • 15. 
    In the male, the homologue of the vaginal artery is which of the following?
    • A. 

      Obturator artery

    • B. 

      Internal pudendal artery

    • C. 

      Middle rectal artery

    • D. 

      Umbilical artery

    • E. 

      Inferior vesical artery

  • 16. 
    A 24-year-old woman seeking assistance for apparent infertility has been unable to conceive despite repeated attempts in 5 years of marriage. She reveals that her husband fathered a child in a prior marriage. Although her menstrual periods are fairly regular, they are accompanied by extreme lower back pain. The lower back pain during menstruation experienced by this woman probably is referred from the pelvic region. The pathways that convey this pain sensation to the central nervous system involve which of the following?
    • A. 

      Hypogastric nerve to L1–L2

    • B. 

      Lumbosacral trunk to L4–L5

    • C. 

      Pelvic splanchnic nerves to S2–S4

    • D. 

      Pudendal nerve to S2–S4

  • 17. 
    The body of the uterus tends to wander within the pelvic cavity. However the cervix of the uterus tends to remain fairly firmly in place most of the time. Which of the following would be found immediately inferior to the left cardinal (lateral cervical) ligament?
    • A. 

      Ovarian neurovascular bundle

    • B. 

      Uterine tube

    • C. 

      Round ligament of the uterus

    • D. 

      Ureter

    • E. 

      Ovarian artery and vein

  • 18. 
    A 50-year-old associate professor is scheduled for a routine physical exam for an increase in the level of coverage for his life insurance. He had never had a digital rectal exam or PSA level determined so you recommend both to him. As you have him hop off the examination table, turn away from you and face the table, then bend at the waist while you gently insert a lubricated gloved finger into his anus you can feel structures through the wall of the rectum. Typically what part of three reproductive organs can you palpate through the anterior wall of the rectum?
    • A. 

      Main peripheral portion of the prostate gland

    • B. 

      Ejaculatory ducts

    • C. 

      Seminal vesicles

    • D. 

      Epididymal ducts

    • E. 

      Ampulla of the vas deferens

    • F. 

      A, b, and c

    • G. 

      A, b, and d

    • H. 

      A, c, and e

    • I. 

      B, c, and d

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