1.
A 68-year-old woman with uterine carcinoma undergoes surgical resection. This cancer can spread directly to the labia majora in lymphatics that follow which of the following structures?
A. 
B. 
Suspensory ligament of the ovary
C. 
Cardinal (transverse cervical) ligament
D. 
Suspensory ligament of the clitoris
E. 
Round ligament of the uterus
2.
A 17-year-old boy suffers a traumatic groin injury during a soccer match. The urologist notices tenderness and swelling of the boy's left testicle that may be produced by thrombosis in which of the following veins?
A. 
Left internal pudendal vein
B. 
C. 
D. 
Left inferior epigastric vein
E. 
Left external pudendal vein
3.
On a busy Saturday night in Chicago, a 16- year-old boy presents to the emergency room with a stab wound from a knife that enters the pelvis above the piriformis muscle. Which of the following structures is most likely to be damaged?
A. 
B. 
C. 
D. 
E. 
Posterior femoral cutaneous nerve
4.
A 22-year-old woman receives a deep cut in the inguinal canal 1 inch lateral to the pubic tubercle. Which of the following ligaments is lacerated within the inguinal canal?
A. 
Suspensory ligament of the ovary
B. 
C. 
D. 
Round ligament of the uterus
E. 
5.
A 29-year-old carpenter sustains severe injuries of the pelvic splanchnic nerve by a deep puncture wound, which has become contaminated. The injured parasympathetic preganglionic fibers in the splanchnic nerve are most likely to synapse in which of the following ganglia?
A. 
Ganglia in or near the viscera or pelvic plexus
B. 
Sympathetic chain ganglia
C. 
D. 
E. 
6.
A 59-year-old woman comes to a local hospital for uterine cancer surgery. As the uterine artery passes from the internal iliac artery to the uterus, it crosses superior to which of the following structures that are sometimes mistakenly ligated during such surgery?
A. 
B. 
C. 
D. 
E. 
Round ligament of the uterus
7.
A 29-year-old woman is admitted to a hospital because the birth of her child is several days overdue. Tearing of the pelvic diaphragm during childbirth leads to paralysis of which of the following muscles?
A. 
B. 
C. 
D. 
E. 
8.
A 37-year-old small business manager receives a gunshot wound in the pelvic cavity, resulting in a lesion of the sacral splanchnic nerves. Which of the following nerve fibers would primarily be damaged?
A. 
Postganglionic parasympathetic fibers
B. 
Postganglionic sympathetic fibers
C. 
Preganglionic sympathetic fibers
D. 
Preganglionic parasympathetic fibers
E. 
Postganglionic sympathetic and parasympathetic fibers
9.
A young couple is having difficulty conceiving a child. Their physician at a reproduction and fertility clinic explains to them that:
A. 
The ovary lies within the broad ligament
B. 
The glans clitoris is formed from the corpus spongiosum
C. 
Erection of the penis is a sympathetic response
D. 
Ejaculation follows parasympathetic stimulation
E. 
Fertilization occurs in the infundibulum or ampulla of the uterine tube.
10.
A 46-year-old woman has a history of infection in her perineal region. A comprehensive examination reveals a tear of the superior boundary of the superficial perineal space. Which of the following structures would most likely be injured?
A. 
B. 
C. 
Superficial perineal fascia
D. 
E. 
11.
A 58-year-old man is diagnosed as having a slowly growing tumor in the deep perineal space. Which of the following structures would most likely be injured?
A. 
B. 
C. 
D. 
E. 
12.
An elderly man with benign enlargement of his prostate experiences difficulty in urination, urinary frequency, and urgency. Which of the following lobes of the prostate gland is commonly involved in benign hypertrophy that obstructs the prostatic urethra?
A. 
B. 
C. 
D. 
E. 
13.
A 59-year-old man is diagnosed with prostate cancer following a digital rectal examination. For the resection of prostate cancer, it is important to know that the prostatic ducts open into or on which of the following structures?
A. 
Membranous part of the urethra
B. 
C. 
D. 
E. 
14.
A 29-year-old woman with a ruptured ectopic pregnancy is admitted to a hospital for culdocentesis. A long needle on the syringe is most efficiently inserted through which of the following structures?
A. 
Anterior fornix of the vagina
B. 
Posterior fornix of the vagina
C. 
Anterior wall of the rectum
D. 
Posterior wall of the uterine body
E. 
Posterior wall of the bladder
15.
A 37-year-old man is suffering from carcinoma of the skin of the glans penis. Cancer cells are likely to metastasize directly to which of the following lymph nodes?
A. 
B. 
C. 
Superficial inguinal nodes
D. 
E. 
16.
A 42-year-old woman who has had six children develops weakness of the urogenital diaphragm. Paralysis of which of the following muscles would cause such a symptom?
A. 
B. 
C. 
Superficial transversus perinei
D. 
E. 
17.
A 43-year-old man has a benign tumor located near a gap between the arcuate pubic ligament and the transverse perineal ligament. Which of the following structures is most likely compressed by this tumor?
A. 
B. 
Deep dorsal vein of the penis
C. 
D. 
E. 
18.
An obstetrician performs a median episiotomy on a woman before parturition to prevent uncontrolled tearing. If the perineal body is damaged, the function of which of the following muscles might be impaired?
A. 
Ischiocavernosus and sphincter urethrae
B. 
Deep transverse perineal and obturator internus
C. 
Bulbospongiosus and superficial transverse perineal
D. 
External anal sphincter and sphincter urethrae
E. 
Bulbospongiosus and ischiocavernosus
19.
A 22-year-old man has a gonorrheal infection that has infiltrated the space between the inferior fascia of the urogenital diaphragm and the superficial perineal fascia. Which of the following structures might be inflamed?
A. 
B. 
C. 
Membranous part of the male urethra
D. 
Deep transverse perineal muscle
E. 
20.
A 39-year-old man is unable to expel the last drops of urine from the urethra at the end of micturition because of paralysis of the external urethral sphincter and bulbospongiosus muscles. This condition may occur as a result of injury to which of the following nervous structures?
A. 
B. 
C. 
D. 
E.