Block 7 Anatomy Perineum Pelvis BRS W Exp Prt 2
- 1.A 21-y/o marine biologist asks about her first bimanual examination and it is explained to her that the normal position of the uterus is:
- A.
Anteflexed and anteverted
- B.
Retroflexed and anteverted
- C.
Anteflexed and retroverted
- D.
Retroverted arid retroflexed
- E.
Anteverted and retroverted
- 2.After his bath, but before getting dressed, a 4-year-old boy was playing with his puppy. The boy's penis was bitten by the puppy and the deep dorsal vein was injured. The damaged vein:
- A.
Lies above Buck's fascia
- B.
Drains into the prostatic venous plexus
- C.
Lies lateral to the dorsal artery of the penis
- D.
Is found in the corpus spongiosum
- E.
Is dilated during erection
- 3.A 62-year-old man is incapable of penile erection after rectal surgery with prostatectomy. The patient most likely has a lesion of which of the following nerves?
- A.
Dorsal nerve of the penis
- B.
Perineal nerve
- C.
Hypogastric nerve
- D.
Sacral splanchnic nerve
- E.
Pelvic splanchnic nerve
- 4.A 23-year-old massage therapist who specializes in women's health attends a lecture at an annual conference on techniques of massage. She asks which of the following structures is drained by the lumbar (aortic) lymph nodes?
- A.
Perineum
- B.
Lower part of the vagina
- C.
External genitalia
- D.
Ovary
- E.
Lower part of the anterior abdominal wall
- 5.A sexually active adolescent presents with an infection within the ischiorectal fossa. Which of the following structures is most likely injured?
- A.
Vestibular bulb
- B.
Seminal vesicle
- C.
Greater vestibular gland
- D.
Inferior rectal nerve
- E.
Internal pudendal artery
- 6.A first-year resident in the urology department reviews pelvic anatomy before seeing patients. Which of the following statements is correct?
- A.
The dorsal artery of the penis supplies the glans penis
- B.
The seminal vesicles store spermatozoa
- C.
The duct of the hulbourethral gland opens into the membranous urethra
- D.
The duct of the greater vestibular gland opens into the vagina
- E.
The anterior lobe of the prostate gland is prone to carcinomatous transformation
- 7.A 43-year-old woman presents with a prolapsed uterus. Repair of a prolapsed uterus requires knowledge of the supporting structures of the uterus. Which of the following structures plays the most important role in the support of the uterus?
- A.
Levator ani
- B.
Sphincter urethrae
- C.
Uterosacral ligament
- D.
Ovarian ligament
- E.
Arcuate pubic ligament
- 8.A 16-year-old boy presents to the emergency department with rupture of the penile urethra. Extravasated urine from this injury can spread into which of the following structures?
- A.
Scrotum
- B.
Ischiorectal fossa
- C.
Pelvic cavity
- D.
Testis
- E.
Thigh
- 9.A 23-year-old woman visits her obstetrician for an annual checkup. During vaginal examination, which of the following structures may be palpated?
- A.
Apex of the urinary bladder
- B.
Fundus of the uterus
- C.
Terminal part of the round ligament of the uterus
- D.
Body of the clitoris
- E.
Uterine cervix
- 10.A 53-year-old bank teller is admitted to a local hospital for surgical removal of a benign pelvic tumor confined within the broad ligament. There is a risk of injuring which of the following structures that lies in this ligament?
- A.
Ovary
- B.
Proximal part of the pelvic ureter
- C.
Terminal part of the round ligament of the uterus
- D.
Uterine tube
- E.
Suspensory ligament of the ovary
- 11.A 72-year-old man comes to his physician for an annual check-up. Which of the following structures is most readily palpated during rectal examination?
- A.
Prostate gland
- B.
Epididymis
- C.
Ejaculatory duct
- D.
Ureter
- E.
Testis
- 12.A 48-year-old college football coach undergoes a radical prostatectomy for a malignant tumor in his prostate. Following surgery, he is incapable of achieving an erection. Which of the following nerves is most likely damaged during the surgery?
- A.
Sacral splanchnic nerve
- B.
Pelvic splanchnic nerve
- C.
Pudendal nerve
- D.
Dorsal nerve of the penis
- E.
Posterior scrotal nerve
- 13.While performing a pelvic exenteration, the surgical oncologist notices a fractured or ruptured boundary of the pelvic inlet. Which of the following structures is most likely damaged?
- A.
Promontory of the sacrum
- B.
Anterior-inferior iliac spine
- C.
Inguinal ligament
- D.
Iliac crest
- E.
Arcuate pubic ligament
- 14.A 32-year-old patient with multiple fractures of the pelvis has no cutaneous sensation in the urogenital triangle. The function of which of the following nerves is most likely to be spared?
- A.
Ilioinguinal nerve
- B.
Iliohypogastric nerve
- C.
Posterior cutaneous nerve of the thigh
- D.
Pudendal nerve
- E.
Genitofemoral nerve
- 15.A general surgeon is giving a lecture to a team of surgery residents. She describes characteristics of structures above the pectinate line of the anal canal, which include
- A.
Stratified squamous epithelium
- B.
Venous drainage into the caval system
- C.
Lymphatic drainage into the superficial inguinal nodes
- D.
Visceral sensory innervation
- E.
External hemorrhoids
- 16.An elderly man with prostatitis is seen at an internal medicine clinic. The seminal colliculus of his prostate gland is infected, and its fine openings are closed. Which of the following structures is most likely to be disturbed?
- A.
Ducts of the prostate gland
- B.
Prostatic utricle
- C.
Ducts of the bulbourethral glands
- D.
Ejaculatory ducts
- E.
Duct of the seminal vesicles
- 17.A trauma surgeon in the emergency room at a local center examines a 14-year-old boy with extensive pelvic injuries after a hit and run accident. The surgeon inspects the ischiorectal fossa because it:
- A.
Accumulates urine leaking from rupture of the bulb of the penis
- B.
Contains the inferior rectal vessels
- C.
Has a pudendal canal along its medial wall
- D.
Is bounded anteriorly by the sacrotuberous ligament
- E.
Contains a perineal branch of the fifth lumbar nerve
- 18.A 26-year-old man comes to a hospital with fever, nausea, pain, and itching in the perineal region. On examination by an urologist, he is diagnosed as having infected bulbourethral (Cowper's) glands. Which of the following structures is affected by this infection?
- A.
Superficial perineal space.
- B.
Sphincter urethrae.
- C.
Production of sperm.
- D.
Testis
- E.
Seminal vesicles
- 19.A 21-year-old man is involved in a highspeed motor vehicle accident. As a result, he has extensive damage to his sphincter urethrae. Which of the following statements best explains the injured sphincter urethrae?
- A.
Smooth muscle
- B.
Innervated by the perineal nerve
- C.
Lying between the perinea] membrane and CoIles' fascia
- D.
Enclosed in the pelvic fascia
- E.
Part of the pelvic diaphragm
- 20.An obstetrician is about to perform a pudendal block so a woman can experience less pain when she delivers her child. He recalls what he learned in medical school about this nerve:
- A.
It passes superficial to the sacrotuberous ligament
- B.
It innervates the testis and epididymis in a male
- C.
It provides motor fibers to the coccygeus
- D.
It can be blocked by injecting an anesthetic near the inferior margin of the ischial spine
- E.
It arises from the lumbar plexus
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