204: LIVING ANATOMY AND ULTRASOUND OF THE PELVIS

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What is the primary function of the pelvic girdle?

To support the upper limbs

To attach the axial skeleton to the lower limbs (correct)

To facilitate movement of the spine

To protect the abdominal organs

What are the three main articulations of the hip bone?

Femur, patella, and tibia

Ilium, ischium, and femur

Ilium, ischium, and pubis (correct)

Sacrum, coccyx, and lumbar vertebrae

What is the anatomical landmark located at the anterior end of the iliac crest?

Iliac tuberosity

Anterior superior iliac spine (correct)

Gluteal fold

Posterior superior iliac spine

What is the structure that connects the abdominal region to the hip bone?

Inguinal ligament (D) Signup and view all the answers

What is the term for the palpable bony prominence of the ilium?

Anterior superior iliac spine (B) Signup and view all the answers

What is the structure that separates the buttocks?

Intergluteal cleft (D) Signup and view all the answers

What is the term for the upper lateral end of the groin?

Anterior superior iliac spine (A) Signup and view all the answers

What is the part of the hip bone that consists of the body and wing?

Ilium (C) Signup and view all the answers

What is the purpose of palpating the ischial spines during vaginal examination?

To perform a pudendal nerve block during childbirth (D) Signup and view all the answers

What is the orientation of the pelvis when sitting compared to standing?

The pelvis is more posteriorly tilted when sitting (C) Signup and view all the answers

What is the location of the ischial tuberosities in relation to the hands when sitting on a chair?

Under the hands (C) Signup and view all the answers

What is the purpose of palpating the deep surface of the body of the pubis during vaginal examination?

For information only, not a specific purpose (C) Signup and view all the answers

What is the recommended position of the volunteer being scanned during the ultrasound examination?

Lying supine (D) Signup and view all the answers

What is the anatomical landmark used in the transvaginal procedure of pudendal nerve block?

Ischial spine (A) Signup and view all the answers

What is the purpose of selecting the 'Bladder' pre-set in the Butterfly application?

To provide a best starting point for pelvic structures (D) Signup and view all the answers

What is the location of the ischial spines during palpation in the vagina?

At 4 and 8 o'clock position (B) Signup and view all the answers

What is the site where the pudendal nerve passes lateral to the ligament and lies medial to the pudendal vessels?

Sacrospinous ligament (A) Signup and view all the answers

Why is it essential to ask the volunteer to indicate the superior border of their pubic symphysis?

To identify the starting point for scanning (C) Signup and view all the answers

What is the purpose of injecting anesthetic solution during pudendal nerve block?

To relieve pain during childbirth (D) Signup and view all the answers

What is the purpose of using Doppler ultrasound in this session?

To differentiate blood vessels from other structures (D) Signup and view all the answers

At which vertebral level is the ischial tuberosity located?

Second sacral vertebra (B) Signup and view all the answers

How much pressure should be applied to the ultrasound probe?

Minimal pressure (D) Signup and view all the answers

What should you do if the volunteer experiences discomfort during the scanning process?

Ask the volunteer to scan themselves to assess the pressure needed (A) Signup and view all the answers

What is the purpose of the pubic tubercle?

Serves as an attachment for the inguinal ligament (C) Signup and view all the answers

Why is it important to ensure the volunteer is comfortable with the area being scanned?

To prevent unnecessary discomfort (C) Signup and view all the answers

Which of the following muscles attaches to the ischial tuberosity?

Hamstring muscles (A) Signup and view all the answers

What is the function of the ischial tuberosity?

Takes the weight of the body while sitting (D) Signup and view all the answers

What is the purpose of having the volunteer expose their lower abdomen?

To identify the starting point for scanning (A) Signup and view all the answers

Where is the pubic crest located?

On the anterior surface of the pubic bone (B) Signup and view all the answers

What is the purpose of the pubic crest?

Gives attachment to the rectus abdominis, conjoint tendon, and external oblique aponeurosis (A) Signup and view all the answers

How can the pubic crest be palpated?

By pressing firmly on the lower abdominal wall (C) Signup and view all the answers

What is the relationship between the ischial tuberosity and the skin depression?

The ischial tuberosity is located beneath the skin depression (D) Signup and view all the answers

What is the primary reason for performing an ultrasound assessment on an individual?

To identify potential clinical reasons for the assessment (B) Signup and view all the answers

What is the significance of the patient drinking 500ml of water an hour prior to undergoing an ultrasound examination?

To enhance the visualization of the bladder and surrounding structures (D) Signup and view all the answers

Which of the following structures is NOT visible in the transverse ultrasound image of the male pelvis?

Ejaculatory duct (D) Signup and view all the answers

What is the purpose of tilting the transducer inferiorly in the transverse ultrasound image of the male pelvis?

To better visualize the ductus deferens (C) Signup and view all the answers

What symptom might a biologically male patient exhibit that would prompt them to undergo a pelvic ultrasound?

Blood in the urine (B) Signup and view all the answers

Which of the following structures does NOT join to form the ejaculatory duct?

Urethra (D) Signup and view all the answers

What is the scale of the image shown in Figure 04-15?

3 cm (B) Signup and view all the answers

What is the purpose of referring to pages 59-61 in Gray's Surface Anatomy and Ultrasound?

To visualize the structures of the male pelvis (A) Signup and view all the answers