Pelvic Anatomy and Muscles Quiz
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Questions and Answers

What is the primary function of the lateral ligaments of the bladder in adults?

  • To contain the caudal portion of the ureter and round ligament of the bladder (correct)
  • To form the primary blood supply for the bladder
  • To support the bladder and contain retroperitoneal fat
  • To assist in the contraction of the bladder during urination
  • Which zone of the anal canal is characterized by fine hairs and openings of the paranal sinus?

  • Muscular zone
  • Cutaneous zone (correct)
  • Columnar zone
  • Intermediate zone
  • What anatomical structure is located between the rectum and the genital fold in males?

  • Pubovesical pouch
  • Vesicogenital pouch
  • Rectogenital pouch (correct)
  • Pararectal fossa
  • Which of the following statements is true regarding the urinary bladder?

    <p>The neck of the bladder remains fixed within the pelvic cavity when full</p> Signup and view all the answers

    In fetal anatomy, what does the median ligament of the bladder primarily contain?

    <p>Portions of the umbilical arteries and urachus</p> Signup and view all the answers

    What is the main consequence of failure of the pelvic diaphragm?

    <p>Formation of a perineal hernia</p> Signup and view all the answers

    What structure is located laterally to the mesorectum?

    <p>Pararectal fossa</p> Signup and view all the answers

    What is the ventral boundary of the pelvic inlet?

    <p>Pecten of the pubis</p> Signup and view all the answers

    Which muscle is more medial and thinner in the pelvic diaphragm?

    <p>Levator ani</p> Signup and view all the answers

    What structure serves as the dorsal boundary of the pelvic outlet?

    <p>First caudal vertebra</p> Signup and view all the answers

    Which vessels and nerves are located in the ischiorectal fossa?

    <p>Internal pudendal vessels and pudendal nerve</p> Signup and view all the answers

    Which statement accurately describes the internal anal sphincter?

    <p>Smooth muscle with ANS innervation</p> Signup and view all the answers

    What muscle is primarily responsible for retaining pelvic viscera in the pelvic canal?

    <p>Levator ani</p> Signup and view all the answers

    The lateral boundary of the pelvic outlet is formed by which structure?

    <p>Sacrotuberous ligament</p> Signup and view all the answers

    Which aspect differentiates male and female urethra?

    <p>Length and shape</p> Signup and view all the answers

    What anatomical space is located between the anus and the ischiatic tuberosity?

    <p>Ischiorectal fossa</p> Signup and view all the answers

    What structure surrounds the female urethra?

    <p>Urethralis muscle</p> Signup and view all the answers

    Which arteries supply the female pelvic viscera?

    <p>Internal iliac arteries</p> Signup and view all the answers

    What is the function of the pudendal nerve in relation to the urethra?

    <p>Innervation of the urethralis muscle</p> Signup and view all the answers

    What distinguishes the male urethra from the female urethra?

    <p>The presence of the colliculus seminalis</p> Signup and view all the answers

    What is a characteristic of the female urethra's anatomy?

    <p>Includes a suburethral diverticulum</p> Signup and view all the answers

    What artery continues as the median sacral artery, supplying blood to the sacrum?

    <p>Aorta</p> Signup and view all the answers

    Which part of the male urethra is surrounded by the urethralis muscle?

    <p>Pelvic urethra</p> Signup and view all the answers

    What is the remnant of the umbilical artery in adults?

    <p>Round ligament of the urinary bladder</p> Signup and view all the answers

    Which structure of the male urethra allows multiple prostatic openings?

    <p>Colliculus seminalis</p> Signup and view all the answers

    Study Notes

    Pelvic Diaphragm

    • The pelvic diaphragm is made of muscle
    • It stabilizes the anal canal and rectum
    • The pelvic diaphragm is made up of the coccygeus and levator ani muscles
    • The levator ani muscle is more medial and the coccygeus muscle is more lateral
    • The levator ani muscle is responsible for holding the pelvic viscera in the pelvic canal

    Ischiorectal Fossa

    • The ischiorectal fossa is a space between the anus and the ischiatic tuberosity
    • It is excluded from the pelvic cavity by the pelvic diaphragm
    • The ischiorectal fossa is made up of fat
    • It is located between the anus and the ischiatic tuberosity
    • Contains the internal pudendal vessels and pudendal nerve

    Muscles of the Rectum and Anal Canal

    • The internal anal sphincter is made of smooth muscle and is located deep to the anal sacs
    • The internal anal sphincter is innervated by the autonomic nervous system and is responsible for maintaining tone in the anal canal
    • The external anal sphincter is made of striated muscle and is located superficial to the anal sacs
    • The external anal sphincter is innervated by the somatic nervous system and is responsible for voluntary control of the anal canal

    Female Urethra

    • The female urethra opens ventrally at the junction of the vestibule and the vagina
    • The female urethra is surrounded by the urethralis/urethral muscle, which is the external urethral sphincter
    • The external urethral sphincter is innervated by the pudendal nerve
    • The suburethral diverticulum is a blind pouch ventral to the urethral opening in cows and sows

    Male Urethra

    • Two parts: pelvic urethra and penile urethra
    • The colliculus seminalis is an elevated region on the urethral crest
    • The colliculus seminalis contains the opening of the deferent ducts and many prostatic openings
    • The pelvic urethra is surrounded by the urethralis/urethral muscle, which is the voluntary sphincter
    • The urethralis/urethral muscle is innervated by the pudendal nerve

    Pelvic Viscera Blood Supply

    • The aorta sends branches to the pelvic viscera
    • The external iliac artery is bilateral and supplies the pelvic limb
    • The internal iliac artery is bilateral and supplies the pelvic viscera
    • The median sacral artery is unpaired and supplies the sacrum and continues as the median caudal artery which supplies the caudal vertebrae (coccygeal)
    • The umbilical artery carries blood to the placenta in the fetus and becomes the round ligament of the bladder in the adult

    Terminal Branches of the Internal Iliac Artery

    • The internal pudendal artery supplies the vagina/prostate, uterus/ductus deferens, caudal vesical artery, middle rectal artery, and the ventral perineal artery
    • The ventral perineal artery supplies the caudal rectal artery
    • The cranial gluteal artery supplies the middle and deep gluteal muscles

    Pelvic Viscera Innervation

    • The pelvic plexus supplies both the sympathetic and parasympathetic nervous systems to the pelvic viscera
    • The hypogastric nerve supplies the SNS to the pelvic viscera
    • The pelvic nerve supplies the PSNS to the pelvic viscera
    • The genitofemoral nerve supplies somatic innervation to the cremaster muscle and sensory innervation to the proximal medial aspect of the thigh, and the inguinal region
    • The pudendal nerve supplies somatic motor innervation to the muscles of the pelvic viscera (external urethral sphincter, external anal sphincter), the perineum (muscles of the penis and clitoris, scrotum) and sensory innervation to the pelvic viscera, rectum, anus, scrotum/vulva, penis, clitoris, perineum, and internal and external reproductive organs

    Pelvic Viscera Lymphatics

    • The medial iliac lymph nodes are located between the deep circumflex iliac artery and the external iliac artery
    • The medial iliac lymph nodes drain the dorsal aspect of the abdomen, the pelvis, pelvic limb, genital tract, and caudal aspect of the urinary and digestive systems
    • The internal iliac lymph nodes are located between the internal iliac artery and the median sacral artery
    • The internal iliac lymph nodes drain the musculature in the area, pelvis, lumbar, sacral, and caudal vertebrae, genital system, caudal digestive and urinary systems
    • The sacral lymph nodes are not always present. They drain similar structures as the hypogastric lymph nodes.

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    Description

    Test your knowledge on the pelvic diaphragm, ischiorectal fossa, and the muscles associated with the rectum and anal canal. This quiz covers the anatomy and functions of these critical structures in human physiology.

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