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 (C)</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 (A)</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 (B)</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 (A)</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 (A)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Puborectalis muscle (C)</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 (D)</p> Signup and view all the answers

Where is the anorectal junction located?

<p>At the level of the S3 vertebra (B)</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. (B)</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 (A)</p> Signup and view all the answers

Which of the following structures forms the pelvic inlet?

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

Which ligaments create the greater and lesser sciatic foramina?

<p>Sacrotuberous and sacrospinous ligaments (D)</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. (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Ureters (C)</p> Signup and view all the answers

Where is the anorectal junction located?

<p>Rectum (A)</p> Signup and view all the answers

Which pelvic organ is common to both sexes?

<p>Prostate (A)</p> Signup and view all the answers

Where is the external urethral orifice located in males?

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

What muscle primarily surrounds the urethra in males?

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

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

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

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

<p>Ovarian and uterine arteries (B)</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 (C)</p> Signup and view all the answers

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

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

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

<p>The cardinal ligament (A)</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 (B)</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 (D)</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 (B)</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 (B)</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 (C)</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 (D)</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 (D)</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 (A)</p> Signup and view all the answers

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

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

Which ligaments create the greater and lesser sciatic foramina?

<p>Sacrotuberous and sacrospinous ligaments (B)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

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

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

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

<p>Reproduction (D)</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 (B)</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 (D)</p> Signup and view all the answers

Which of the following structures forms the pelvic inlet?

<p>Pelvic brim (D)</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 (C)</p> Signup and view all the answers

What type of muscle makes up the internal anal sphincter?

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

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

<p>Fallopian tube (D)</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 (A)</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 (C)</p> Signup and view all the answers

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