Pelvic Anatomy Overview
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Questions and Answers

Which sphincter is primarily responsible for resting anal pressure and fecal continence?

  • Urethral sphincter
  • External anal sphincter
  • Internal anal sphincter (correct)
  • Pelvic floor muscles
  • What type of muscle makes up the internal anal sphincter?

  • Smooth muscle (correct)
  • Cardiac muscle
  • Striated muscle
  • Skeletal muscle
  • Which nerve innervates the external anal sphincter?

  • Sciatic nerve
  • Pudendal nerve (correct)
  • Femoral nerve
  • Obturator nerve
  • What structure surrounds the ovarian nerves and vessels, holding the ovaries in place?

    <p>Suspensory ligament of ovary</p> Signup and view all the answers

    Where does fertilization and most ectopic pregnancies usually occur in the female reproductive system?

    <p>Ampulla of the uterine tube</p> Signup and view all the answers

    Which of the following is a key function of the autonomic innervation of the pelvic organs?

    <p>Regulation of blood flow to the pelvic organs</p> Signup and view all the answers

    The visceral sensory innervation of the pelvic organs is primarily carried by which of the following nerves?

    <p>Pelvic splanchnic nerves</p> Signup and view all the answers

    The pelvic pain line, which separates the lower abdomen from the pelvis, is marked by the transition between which two types of sensory innervation?

    <p>Somatic and visceral</p> Signup and view all the answers

    Which of the following is a key characteristic of the female pelvic skeleton compared to the male?

    <p>Wider sciatic notch</p> Signup and view all the answers

    The rectum and anal canal are innervated by which of the following nerve plexuses?

    <p>Sacral plexus</p> Signup and view all the answers

    Which of the following is a key function of the female internal genital organs?

    <p>Hormone production</p> Signup and view all the answers

    Which of the following is responsible for maintaining the anorectal flexure at rest?

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

    What type of sensory innervation is present above the pectinate line in the anal canal?

    <p>Visceral afferents sensitive to stretch</p> Signup and view all the answers

    Where is the anorectal junction located?

    <p>At the level of the S3 vertebra</p> Signup and view all the answers

    What is the difference in embryological origin between the upper and lower parts of the anal canal?

    <p>The upper part is derived from endoderm, and the lower part is derived from ectoderm.</p> Signup and view all the answers

    Which structure is responsible for the sensation of pain, touch, and temperature in the lower part of the anal canal?

    <p>Somatic afferents</p> Signup and view all the answers

    Which of the following structures forms the pelvic inlet?

    <p>Sacrum, ilium, and pubis</p> Signup and view all the answers

    Which ligaments create the greater and lesser sciatic foramina?

    <p>Sacrotuberous and sacrospinous ligaments</p> Signup and view all the answers

    Which of the following statements regarding the male and female bony pelvis is correct?

    <p>The male pelvis is narrower and deeper than the female pelvis.</p> Signup and view all the answers

    Which of the following structures is NOT part of the pelvic outlet?

    <p>Sacroiliac joints</p> Signup and view all the answers

    Which of the following structures is part of the perineal region?

    <p>External genitalia and anus</p> Signup and view all the answers

    Which structure creates a one-way flap valve in the bladder wall?

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

    Where is the anorectal junction located?

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

    Which pelvic organ is common to both sexes?

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

    Where is the external urethral orifice located in males?

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

    What muscle primarily surrounds the urethra in males?

    <p>Prostate gland</p> Signup and view all the answers

    Which artery supplies the bladder by arising directly from the internal iliac artery?

    <p>Inferior vesical</p> Signup and view all the answers

    In the male pelvic arteries, what is the typical relationship of the superior gluteal artery?

    <p>Between LS trunk and S1 ventral ramus</p> Signup and view all the answers

    Which arteries form an anastomotic network to supply the female internal genitalia?

    <p>Ovarian and uterine arteries</p> Signup and view all the answers

    In pelvic viscera supplied by branches from the anterior division, which structure corresponds to the inferior vesical artery in males?

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

    What is the source of the umbilical artery in supplying the bladder?

    <p>Superior vesical</p> Signup and view all the answers

    What structure is responsible for the passive support of the uterus and vagina?

    <p>The cardinal ligament</p> Signup and view all the answers

    Which of the following structures is directly palpable during a digital rectal exam for prostate cancer screening?

    <p>The prostate gland</p> Signup and view all the answers

    Where is the deepest part of the vagina located, separated from the recto-uterine pouch by a thin layer of pelvic fascia and peritoneum?

    <p>The posterior vaginal fornix</p> Signup and view all the answers

    Which of the following arteries course within the cardinal ligament, along the base of the broad ligament?

    <p>The uterine and vaginal arteries</p> Signup and view all the answers

    Which of the following structures is responsible for the dynamic support of the uterus and vagina?

    <p>The pelvic diaphragm muscles</p> Signup and view all the answers

    In which part of the uterine tube does fertilization and most ectopic pregnancies typically occur?

    <p>The ampulla</p> Signup and view all the answers

    Which of the following is a characteristic feature of the normal position of the uterus?

    <p>Anteflexion and anteversion</p> Signup and view all the answers

    Which of the following procedures is used to aspirate and collect peritoneal fluid from the recto-uterine pouch (pouch of Douglas)?

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

    Which of the following structures surrounds the ovarian nerves and vessels, holding the ovaries in place?

    <p>The mesovarium</p> Signup and view all the answers

    Which of the following nerve plexuses innervates the rectum and anal canal?

    <p>The inferior rectal plexus</p> Signup and view all the answers

    What is the name of the shallow compartment that is inferior to the pelvic diaphragm and deep to the perineal region?

    <p>Perineal compartment</p> Signup and view all the answers

    Which ligaments create the greater and lesser sciatic foramina?

    <p>Sacrotuberous and sacrospinous ligaments</p> Signup and view all the answers

    What is the key difference in the bony pelvis between males and females?

    <p>Females have a wider pubic arch</p> Signup and view all the answers

    Which part of the anal canal is innervated by somatic sensory nerves, responsible for pain, touch, and temperature sensation?

    <p>Below the pectinate line</p> Signup and view all the answers

    Which structure is responsible for maintaining the anorectal flexure at rest?

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

    Which structure is responsible for maintaining the anorectal flexure at rest?

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

    Which of the following is a key function of the female internal genital organs?

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

    Where does fertilization and most ectopic pregnancies usually occur in the female reproductive system?

    <p>Infundibulum of the uterine tube</p> Signup and view all the answers

    Which ligament surrounds the ovarian nerves and vessels, holding the ovaries in place?

    <p>Suspensory ligament of the ovary</p> Signup and view all the answers

    Which of the following structures forms the pelvic inlet?

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

    Which of the following is a key characteristic of the female pelvic skeleton compared to the male?

    <p>Wider pelvic inlet to facilitate childbirth</p> Signup and view all the answers

    What type of muscle makes up the internal anal sphincter?

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

    Where does fertilization and most ectopic pregnancies usually occur in the female reproductive system?

    <p>Fallopian tube</p> Signup and view all the answers

    Which of the following structures surrounds the ovarian nerves and vessels, holding the ovaries in place?

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

    Which of the following is a key function of the autonomic innervation of the pelvic organs?

    <p>Regulation of blood flow and secretion in the pelvic organs</p> Signup and view all the answers

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