MCQs of Anatomy of Pelvis & Pelvic Viscera.
- The part of the uterine wall which is not shed during menstruation is the:
- The extension of the vaginal lumen around the intravaginal part of the uterine cervix is the:
- Which of the following would be most likely to be damaged by a stab wound into the ischiorectal (ischioanal) fossa 2 cm lateral to the anal canal?
Crus of the Penis
Inferior Rectal Artery
- Lymphatic drainage of the terminal portion of the gastrointestinal tract may flow initially into either the superficial inguinal nodes or the pararectal nodes, depending upon whether the lymph is formed above or below the:
Muscular Sling of the Puborectalis Muscle
- Under normal conditions, fertilization occurs in which part of the female reproductive tract?
Infundibulum of the Uterine Tube
Ampulla of the Uterine Tube
Isthmus of the Uterine Tube
- Benign hyperplasia (excessive growth of cells) of which part of the male reproductive system would be most likely to interfere with the passage of urine?
Periurethral Zone of the Prostate
Central Zone of the Prostate
Peripheral Zone of the Prostate
- After agreeing to have no more children, a man and his wife decided he should have a vasectomy. What structure would then be surgically ligated?
- Which pair of structures does NOT differentiate from comparable embryonic structures in the male and female?
Bulb of corpus spongeosum and vestibular bulb
Shaft of penis and labia majora
Glans of penis and glans of clitoris
Crus of corpus cavernosum penis and crus of corpus cavernosum clitoris
- Which structure does NOT form part of the boundary defining the trigone of the bladder?
Left Ureteric Orifice
Right Ureteric Orifice
- Which structure is found only in males?
Anterior recess of ischoianal fossa
Sphincter urethrae muscle
- Which structure is outlined with contrast on a CT using intraperitoneal contrast material?
- The prostate is often imaged using an ultrasound transducer placed in which location?
- Which of the following is considered a part of the broad ligament?
Round ligament of the uterus
Suspensory Ligament of the ovary
- Which of the following does not conduct spermatozoa?
Ampulla of the ductus deferens
Duct of the seminal vesicle
- During the course of surgery for benign prostatic hypertrophy (benign enlargement of the prostate tissue which occludes the prostatic urethra) an electrical cutting device is inserted into the penile, then prostatic urethra, to remove the hypertrophic tissue. The posterior wall of the prostatic urethra is by necessity removed as well. Which part of the male seminal tract may also be partially removed?
duct of seminal vesicle
- A 27-year-old woman is examined by her gynecologist. Upon rectal examination, a firm structure, directly in front of the rectum in the midline, is palpated through the anterior wall of the rectum. This structure is the:
body of uterus
cervix of uterus
- The most inferior extent of the peritoneal cavity in the female is the:
- The prostate gland:
Contains upper, middle and lower lobes
Encircles the urethra
Is well imaged radiologically using an intravenous urogram
B and D
- A 64-year-old woman was diagnosed as having carcinoma of the distal gastrointestinal tract. At surgery, lymph nodes from the sacral, internal iliac and inguinal lymph node groups were removed and sent to pathology for study. Only the superificial inguinal nodes contained cancerous cells. In which part of the GI tract was the tumor localized?
cutaneous portion of anal canal
mucosal zone of anal canal
pectinate line of anal canal
- Structures within the lower gastrointestinal tract specialized for physical support of fecal material are the:
Transverse rectal folds
- A malignant tumor in the cutaneous zone of the anal canal would most likely metastasize (spread) to which group of lymph nodes?
- Which of these features of the anal canal serves to indicate the point where the mucosal covering of the gastrointestinal tract ends and a skin-like covering begins?
- The expanded region of the lower rectum, where fecal matter is retained, is known as the:
- During a vasectomy, the ductus deferens is ligated in the superior part of the scrotum. Two months following this sterilization procedure, the subsequent ejaculate contains:
Prostatic fluid only
Seminal fluid and prostatic fluid
Sperm and seminal fluid
Sperm, seminal fluid, and prostatic fluid
- During a hysterectomy, the uterine vessels are ligated. However, the patient’s uterus continues to bleed. The most likely source of blood still supplying the uterus is from which artery?
- A female patient is found to have an ectopic (tubal) pregnancy (embryo develops in the uterine tube). In order to gain access to the peritoneal cavity endoscopically to remove the embryo, the instrument can be passed into the vagina and through the:
- An elderly male patient presents with dysuria and urgency. You suspect benign prostatic hypertrophy which has caused an enlargement of the:
- During a hysterectomy and an oophorectomy, the uterine and ovarian vessels must be ligated. These vessels can be found in which ligaments?
Broad and ovarian
Broad and suspensory
Round and ovarian
Round and suspensory
Suspensory and ovarian
- A female patient comes to your office with lower abdominal pain. She missed her last menses and her pregnancy test is positive. Ultrasound imaging reveals a cyst-like structure in the right uterine tube which you feel may be a tubal pregnancy. In order to confirm your diagnosis and to remove the tubal embryo, you can gain access to the patient’s lower pelvic cavity by passing a culdoscope through the vagina and the:
- An elderly patient notices red blood in his stool. As part of his examination, you insert a proctoscope (sigmoidoscope) through his anal canal. As you pass the scope superiorly through the rectum, the most prominent features to be seen are:
longitudinal muscle bands
transverse rectal folds
- An elderly patient is having difficulty in voiding (urinating). He complains that after voiding, he still feels as though he needs “to go” again. You suspect that this patient suffers from benign prostatic hypertrophy, which has caused enlargement of the __________ of the bladder.
- During a hysterectomy, care must be taken in ligation of the uterine vessels because they cross the _________ superiorly.
round ligament of the uterus
inferior hypogastric plexus
- The prostate gland:
encircles the urethra
is well imaged using an intravenous urogram
is partially intraperitoneal
contains upper, middle and lower lobes
- The part of the broad ligament giving attachment and support to the uterine tube is the:
- Which structure is NOT found within the true pelvis?
Internal pudendal artery
Pelvic splanchnic nerves
- A structure which takes the form of a hood anterosuperior to the clitoris:
Frenulum of the clitoris
- A structure which is homologous to the male scrotum:
Shaft of corpus cavernosum
- Which skeletal feature would you consider to be most characteristic of the female pelvis?
Subpubic angle of 90 degrees or greater
Marked anterior curvature of the sacrum
Tendency to vertical orientation of the iliac bones
Prominent medial projection of the ischial spines
- You are observing a doctor perform an abdominal hysterectomy. He notes that it is vital to protect the ureter which is found in the base of the:
round ligament of the uterus
suspensory ligament of the ovary
- A female patient is found to have an ectopic (tubal) pregnancy. In order to gain access to the peritoneal cavity endoscopically to remove the tubal embryo, the instrument can be passed through the posterior fornix of the vagina piercing into the:
- The male pelvis tends to differ from the female pelvis in that the male pelvis often has a:
larger pelvic inlet
smaller subpubic angle
straighter sacral curvature
larger pelvic outlet
rounder pelvic inlet
- The rectouterine pouch is the lowest extent of the female peritoneal cavity. At its lowest, it provides a coat of peritoneum to a portion of the:
- In a CT scan of the pelvis, the uterus is located:
posterior to the bladder and rectum
posterior to the bladder and anterior to the rectum
anterior to the bladder and rectum
anterior to the bladder and posterior to the rectum