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Topography of the Pelvic Viscera

Questions for the Topography of the Pelvic Viscera

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True/False - September 6, 2011

  1. The ejaculatory duct enters the posterior wall of the membranous urethra.
  2. The urogenital diaphragm lies within the pelvic cavity.
  3. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle pouch in the femaie.
  4. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle space in the male.
  5. The most distal part of the male urethra is the membranous urethra.
  6. The pelvic visceral fascia is peritoneum that extends into the pelvic cavity.
  7. The retropubic space defines a reflection of visceral peritoneum onto the the pelvic wall to become parietal peritoneum.
  8. An incision of the rectus sheath at the superior margin of the pubic crest provides access to the prevesicle space without entering the peritoneal cavity.
  9. The space of Douglas hosts the inferior hypogastric (rectal) plexus of autonomic fibers.
  10. The pouch of Douglas defines a reflection of peritoneum from the anterior margin of the rectum to the posterior wall of the uterus.
  11. The pouch of Douglas defines the lowest extent of the abdominopelvic cavity
  12. The pouch of Douglas defines the lowest extent of the peritoneal cavity.
  13. The pubosacral ligamentous complex is derived from a condensation of transversalis fascia.
  14. Transverse fibers of the pubosacral ligamentous complex constitute the lateral cervical (Cardinal) ligament.
  15. The pubovesicle ligament anchors the male bladder to the pubic bone.
  16. Passing along the superior margin of the lateral cervical ligament is the cervical artery.
  17. The periprostatic fascia is a case of perivisceral fascia derived the peritoneum.
  18. Transversalis fascia is membranous fascia derived from the endoabdominal fascia.
  19. Parietal pelvic fascia is an extension of the transversalis fascia into the pelvic cavity.
  20. Peritoneal reflections define pouches in the pelvic cavity.
  21. Parietal pelvic fascia and perivisceral fascia define, in part, spaces in the pelvic cavity.
  22. The retropubic space has parietal pelvic fascia as an anterior fascial boundary and perivisceral fascia as a posterior fascial boundary.
  23. The rectouterine space has perivisceral fascia for the anterior and posterior fascial boundaries.
  24. The presacral space has perivisceral fascia at the posterior boundary and parietal pelvic fascia at the anterior boundary.
  25. The fimbria sweep the fertilized egg into the uterine tube.
  26. The isthmus of the uterine tube connects the fimbriae to the ampulla of the uterine tube.
  27. The supsensory ligament of the ovary is a fibrous ligament and the ovarian ligament is a visceral ligament.
  28. The ovarian lymphatic drainage for the superior pole is to upper lumbar nodes and the inferior pole is to the superficial inguinal nodes.
  29. The ovarian ligament, from the inferior pole of the ovary, leaves the pelvic cavity at the deep ring and leaves the inguinal at the superficial ring.
  30. The fundus of the uterus has lymphatic drainage to upper lumbar nodes and the cervix has lymphatic drainage to the internal iliac nodes.
  31. The mesovarium and the mesosalpinx are named parts of the pelvic visceral fascia.
  32. Mesometrium is pelvic visceral fascia located between the anterior and posterior lamina of the parametrium.
  33. Antiverted and antiflexed describes the position of the typical uterus.
  34. The anterior vaginal fornix provides hypodermic access to the rectouterine pouch (of Douglas).
  35. The fundus of the uterus is a site of anastomosis between the ovarian arteries.
  36. The lateral margin of the uterus is a site of anastomosis between the ovarian and uterine arteries.
  37. The iliolumbar artery and the deep circumflex iliac artery define an anastomosis between the distributions of the internal and external iliac arteries.
  38. The inferior epigastric artery is the final leg of a descending aortic shunt within the anterior thoracic/abmoninal wall.
  39. There are 4 pairs of lumbar arteries and 5 lumbar vertebrae.
  40. The iliolumbar artery ascends from the pelvic cavity to enter the lumbar region of the 5th lumbar vertebra.
  41. The lateral sacral artery is verified by its branches that enter into the posterior sacral foramina.
  42. The lumbosacral trunk sends splanchnic nerves into the gluteal region by way of the greater sciatic foramen.
  43. The ventral ramus of the 5th lumbar spinal nerve contributes all of its fibers to the sacral plexus.
  44. The superior vesicle arteries can be identified as the final branches before the obliteration of the umbilical artery.
  45. The obturator artery can be identified as the artery that passes into the obturator canal along with the obturator nerve.
  46. Lymphatic drainage from the body of the epididymis is primarily to upper lumbar nodes.
  47. The internal pudendal artery passes between the coccygeus and piriiformis muscles proximal to crossing the posterior surface of the ischial spine/ligament.

True/False - September 2010

  1. With regard to the pelvic floor spaces are superficial to the the peritoneum whereas pouches are deep to the peritoneum.
  2. Peritoneal reflections around the pelvic viscera are named pouches whereas regions of extraperitoneal connective are named spaces.
  3. Posterior to the rectouterine pouch is the presacral space.
  4. Inferior to the pubovesical pouch is the rectopubic space.
  5. Posterior to the rectum is the presacral space.
  6. The pubosacral ligamentous complex includes the lateral cervical ligament, pubovesical ligament, and the suspensory ligament of the ovary.
  7. Perivisceral fascia is a condensation of transversalis fascia.
  8. The pubovesical ligament blends with the perivesical fascia in the female and the periprostatic fascia in the male.
  9. Parietal pelvic fascia refers to transversalis fascia of the pelvis.
  10. Parietal pelvic fascia extends onto the pelvic viscera as the visceral pelvic fascia.
  11. The rectouterine pouch separates the anterior fornix of the vagina from the retrorectal space.
  12. Visceral pelvic fascia refers to the extraperitoneal connective tissue of the pelvis.
  13. Parietal pelvic fascia reflects off the pelvic wall to from the pubovesical ligamentous complex.
  14. Between the os of the uterus and the isthmus of the uterus is the cavity of the uterus.
  15. Between the peritoneal cavity and the ampulla of the uterus is the os of the uterine tube.
  16. The supensory ligament of the ovary is derived from extraperitoneal connective tissue whereas the ovarian ligament is derived from pelvic visceral fascia.
  17. Within the broad ligament and along the lateral margin of the uterus there is an anastomosis between the ovarian and vaginal arteries.
  18. The lateral ligament of the uterus is derived from peritoneum whereas the broad ligament of the uterus is derived from parietal visceral fascia.
  19. The mesosalpinx plus the mesometrum plus the mesovarium equals the broad ligament whereas the broad ligament minus the mesosalpinx equals the parametrium.
  20. The uterus is normally anteverted and retroflexed.
  21. The lumbosacral trunk is formed by part of the L4 and all of the L5 dorsal ramus.
  22. There are five paired lumbar arteries and an unpaired iliolumbar artery.
  23. The superior, middle, and inferior rectal arteries are branches of the posterior division of the internal iliac artery.
  24. The superior vesical arteries are the most distal branches of the patent umbilical artery.
  25. The artery of the vas deferens is a branch of the internal iliac artery whereas the cremesteric artery is a branch (of a branch) of the external iliac artery.
  26. An anastomsis of the internal and external iliac arteries is located in the iiiac fossa.
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-- LorenEvey - 07 Sep 2011
Topic revision: r1 - 07 Sep 2011, UnknownUser
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