Re: Questions for the Topography of the Pelvic Viscera

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: : Questions for the Topography of the Pelvic Viscera : : These questions were not submitted by the lecturer. : : True/False - September 6, 2011 : : 1. The ejaculatory duct enters the posterior wall of the membranous urethra. : F: the prostratic urethra : : 2. The urogenital diaphragm lies within the pelvic cavity. : F: The UG diaphragm lies inferior to the pelvic diaphram and within the peroneal cavity, separating the anterior recess of the ischiorectal fossa and the external pouch : : 3. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle pouch in the femaie. : F: no seminal vesicle in female. : : 4. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle space in the male. : F: seminal vesicle lies in condensed extraperitoneal connective tissue (perivisceral fascia) inferior to the rectovesicle pouch in males. Rectovesicle pouch is defined by peritoneum; seminal vesicle is not peritoneal. : : 5. The most distal part of the male urethra is the membranous urethra. : F: most distal part is the spongy urethra : : 6. The pelvic visceral fascia is peritoneum that extends into the pelvic cavity. : F: pelvic perivisceral fasica is condensed extraperitoneal connective tissue that extends into the pelvic cavity. : : 7. The retropubic space defines a reflection of visceral peritoneum onto the the pelvic wall to become parietal peritoneum. : F: no peritoneum in retropubic space: retropubic space defined by transversalis fascia (parietal pelvic fascia) and condensed extraperitoneal connective tissue (perivisceral pelvic fascia) : : 8. An incision of the rectus sheath at the superior margin of the pubic crest provides access to the prevesicle space without entering the peritoneal cavity. : T : : 9. The space of Douglas hosts the inferior hypogastric (rectal) plexus of autonomic fibers. : F: The inferior hypogastric plexus of autonomic fibers is a paired structure on either side of the rectum - the rectum is not in the space of Douglas. : : 10. The pouch of Douglas defines a reflection of peritoneum from the anterior margin of the rectum to the posterior wall of the uterus. : T : : 11. The pouch of Douglas defines the lowest extent of the abdominopelvic cavity : F: lowest extent of the peritoneal cavity : : 12. The pouch of Douglas defines the lowest extent of the peritoneal cavity. : T : : 13. The pubosacral ligamentous complex is derived from a condensation of transversalis fascia. : F : : 14. Transverse fibers of the pubosacral ligamentous complex constitute the lateral cervical (Cardinal) ligament. : T : : 15. The pubovesicle ligament anchors the male bladder to the pubic bone. : F: the puboprostatic ligament anchors the neck of the male bladder to the pubic bone : : 16. Passing along the superior margin of the lateral cervical ligament is the cervical artery. : : 17. The periprostatic fascia is a case of perivisceral fascia derived the peritoneum. : : 18. Transversalis fascia is membranous fascia derived from the endoabdominal fascia. : : 19. Parietal pelvic fascia is an extension of the transversalis fascia into the pelvic cavity. : : 20. Peritoneal reflections define pouches in the pelvic cavity. : : 21. Parietal pelvic fascia and perivisceral fascia define, in part, spaces in the pelvic cavity. : : 22. The retropubic space has parietal pelvic fascia as an anterior fascial boundary and perivisceral fascia as a posterior fascial boundary. : : 23. The rectouterine space has perivisceral fascia for the anterior and posterior fascial boundaries. : : 24. The presacral space has perivisceral fascia at the posterior boundary and parietal pelvic fascia at the anterior boundary. : : 25. The fimbria sweep the fertilized egg into the uterine tube. : : 26. The isthmus of the uterine tube connects the fimbriae to the ampulla of the uterine tube. : : 27. The supsensory ligament of the ovary is a fibrous ligament and the ovarian ligament is a visceral ligament. : : 28. The ovarian lymphatic drainage for the superior pole is to upper lumbar nodes and the inferior pole is to the superficial inguinal nodes. : : 29. The ovarian ligament, from the inferior pole of the ovary, leaves the pelvic cavity at the deep ring and leaves the inguinal at the superficial ring. : : 30. The fundus of the uterus has lymphatic drainage to upper lumbar nodes and the cervix has lymphatic drainage to the internal iliac nodes. : : 31. The mesovarium and the mesosalpinx are named parts of the pelvic visceral fascia. : : 32. Mesometrium is pelvic visceral fascia located between the anterior and posterior lamina of the parametrium. : : 33. Antiverted and antiflexed describes the position of the typical uterus. : : 34. The anterior vaginal fornix provides hypodermic access to the rectouterine pouch (of Douglas). : : 35. The fundus of the uterus is a site of anastomosis between the ovarian arteries. : : 36. The lateral margin of the uterus is a site of anastomosis between the ovarian and uterine arteries. : : 37. The iliolumbar artery and the deep circumflex iliac artery define an anastomosis between the distributions of the internal and external iliac arteries. : : 38. The inferior epigastric artery is the final leg of a descending aortic shunt within the anterior thoracic/abmoninal wall. : : 39. There are 4 pairs of lumbar arteries and 5 lumbar vertebrae. : : 40. The iliolumbar artery ascends from the pelvic cavity to enter the lumbar region of the 5th lumbar vertebra. : : 41. The lateral sacral artery is verified by its branches that enter into the posterior sacral foramina. : : 42. The lumbosacral trunk sends splanchnic nerves into the gluteal region by way of the greater sciatic foramen. : : 43. The ventral ramus of the 5th lumbar spinal nerve contributes all of its fibers to the sacral plexus. : : 44. The superior vesicle arteries can be identified as the final branches before the obliteration of the umbilical artery. : : 45. The obturator artery can be identified as the artery that passes into the obturator canal along with the obturator nerve. : : 46. Lymphatic drainage from the body of the epididymis is primarily to upper lumbar nodes. : : 47. The internal pudendal artery passes between the coccygeus and piriiformis muscles proximal to crossing the posterior surface of the ischial spine/ligament. : : True/False - September 2010 : : 1. With regard to the pelvic floor spaces are superficial to the the peritoneum whereas pouches are deep to the peritoneum. : : 2. Peritoneal reflections around the pelvic viscera are named pouches whereas regions of extraperitoneal connective are named spaces. : : 3. Posterior to the rectouterine pouch is the presacral space. : : 4. Inferior to the pubovesical pouch is the rectopubic space. : : 5. Posterior to the rectum is the presacral space. : : 6. The pubosacral ligamentous complex includes the lateral cervical ligament, pubovesical ligament, and the suspensory ligament of the ovary. : : 7. Perivisceral fascia is a condensation of transversalis fascia. : : 8. The pubovesical ligament blends with the perivesical fascia in the female and the periprostatic fascia in the male. : : 9. Parietal pelvic fascia refers to transversalis fascia of the pelvis. : : 10. Parietal pelvic fascia extends onto the pelvic viscera as the visceral pelvic fascia. : : 11. The rectouterine pouch separates the anterior fornix of the vagina from the retrorectal space. : : 12. Visceral pelvic fascia refers to the extraperitoneal connective tissue of the pelvis. : : 13. Parietal pelvic fascia reflects off the pelvic wall to from the pubovesical ligamentous complex. : : 14. Between the os of the uterus and the isthmus of the uterus is the cavity of the uterus. : : 15. Between the peritoneal cavity and the ampulla of the uterus is the os of the uterine tube. : : 16. The supensory ligament of the ovary is derived from extraperitoneal connective tissue whereas the ovarian ligament is derived from pelvic visceral fascia. : : 17. Within the broad ligament and along the lateral margin of the uterus there is an anastomosis between the ovarian and vaginal arteries. : : 18. The lateral ligament of the uterus is derived from peritoneum whereas the broad ligament of the uterus is derived from parietal visceral fascia. : : 19. The mesosalpinx plus the mesometrum plus the mesovarium equals the broad ligament whereas the broad ligament minus the mesosalpinx equals the parametrium. : : 20. The uterus is normally anteverted and retroflexed. : : 21. The lumbosacral trunk is formed by part of the L4 and all of the L5 dorsal ramus. : : 22. There are five paired lumbar arteries and an unpaired iliolumbar artery. : : 23. The superior, middle, and inferior rectal arteries are branches of the posterior division of the internal iliac artery. : : 24. The superior vesical arteries are the most distal branches of the patent umbilical artery. : : 25. The artery of the vas deferens is a branch of the internal iliac artery whereas the cremesteric artery is a branch (of a branch) of the external iliac artery. : : 26. An anastomsis of the internal and external iliac arteries is located in the iiiac fossa.

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