Posted by AAA on September 07, 2011 at 23:11:39:
In Reply to: Questions for the Topography of the Pelvic Viscera posted by lae2 on September 07, 2011 at 00:51:21:
: 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 prostatic
: 2. The urogenital diaphragm lies within the pelvic cavity.
F Perineal cavity. it lies inferior to the pelvic diaphragm which forms the inferior border of the pelvic cavity.
: 3. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle pouch in the female.
F no seminal vesicle in the female. (is there a homologous structure??)
: 4. The seminal vesicle lies in pelvic visceral fascia of the rectovesicle space in the male.
T
: 5. The most distal part of the male urethra is the membranous urethra.
F spongy
: 6. The pelvic visceral fascia is peritoneum that extends into the pelvic cavity.
F - the pelvic version of extraparitoneal connective tissue
: 7. The retropubic space defines a reflection of visceral peritoneum onto the the pelvic wall to become parietal peritoneum.
F - a little confused. the retropubic space is lined by parietal pelvic fascia and the bladder is lined by visceral pelvic fascia. In between is the loose areolar CT.
: 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 - C- sections are performed here
: 9. The space of Douglas hosts the inferior hypogastric (rectal) plexus of autonomic fibers.
F - inferior hypogastric lies posterior to the rectum the nthe plexus will lie on the sides of the rectum and vagina (p654 hollinshead's)
: 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 - something about "abdominopelvic" makes me think this is incorrect
: 12. The pouch of Douglas defines the lowest extent of the peritoneal cavity.
T - in females
: 13. The pubosacral ligamentous complex is derived from a condensation of transversalis fascia.
F - endopelvic fascia of some sort
: 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.
T
: 16. Passing along the superior margin of the lateral cervical ligament is the cervical artery.
F - uterine artery
: 17. The periprostatic fascia is a case of perivisceral fascia derived the peritoneum.
T
: 18. Transversalis fascia is membranous fascia derived from the endoabdominal fascia.
T
: 19. Parietal pelvic fascia is an extension of the transversalis fascia into the pelvic cavity.
T
: 20. Peritoneal reflections define pouches in the pelvic cavity.
T
: 21. Parietal pelvic fascia and perivisceral fascia define, in part, spaces in the pelvic cavity.
T
: 22. The retropubic space has parietal pelvic fascia as an anterior fascial boundary and perivisceral fascia as a posterior fascial boundary.
T
: 23. The rectouterine space has perivisceral fascia for the anterior and posterior fascial boundaries.
T - technically it's true, but there is peritoneum in between? Just referring to the drawing from class
: 24. The presacral space has perivisceral fascia at the posterior boundary and parietal pelvic fascia at the anterior boundary.
F - wouldn't it have transversals fascia for posterior border?
: 25. The fimbria sweep the fertilized egg into the uterine tube.
F- not usually fertilized before entrance into uterine tube
: 26. The isthmus of the uterine tube connects the fimbriae to the ampulla of the uterine tube.
F
: 27. The supsensory ligament of the ovary is a fibrous ligament and the ovarian ligament is a visceral ligament.
F - reversed (670 hollinshead)
: 28. The ovarian lymphatic drainage for the superior pole is to upper lumbar nodes and the inferior pole is to the superficial inguinal nodes.
F
: 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.
F - describes the round ligament of the uterus
: 30. The fundus of the uterus has lymphatic drainage to upper lumbar nodes and the cervix has lymphatic drainage to the internal iliac nodes.
F- fundus drains into superficial inguinal
: 31. The mesovarium and the mesosalpinx are named parts of the pelvic visceral fascia.
F - peritoneum
: 32. Mesometrium is pelvic visceral fascia located between the anterior and posterior lamina of the parametric.
F
: 33. Antiverted and antiflexed describes the position of the typical uterus.
T
: 34. The anterior vaginal fornix provides hypodermic access to the rectouterine pouch (of Douglas).
F - posterior vaginal fornix
: 35. The fundus of the uterus is a site of anastomosis between the ovarian arteries.
F - not too sure about this
: 36. The lateral margin of the uterus is a site of anastomosis between the ovarian and uterine arteries.
T
: 37. The iliolumbar artery and the deep circumflex iliac artery define an anastomosis between the distributions of the internal and external iliac arteries.
F
: 38. The inferior epigastric artery is the final leg of a descending aortic shunt within the anterior thoracic/abmoninal wall.
T - eventually leads up to internal thoracic artery
: 39. There are 4 pairs of lumbar arteries and 5 lumbar vertebrae.
T
: 40. The iliolumbar artery ascends from the pelvic cavity to enter the lumbar region of the 5th lumbar vertebra.
T
: 41. The lateral sacral artery is verified by its branches that enter into the posterior sacral foramina.
T
: 42. The lumbosacral trunk sends splanchnic nerves into the gluteal region by way of the greater sciatic foramen.
F - sacral foramina
: 43. The ventral ramus of the 5th lumbar spinal nerve contributes all of its fibers to the sacral plexus.
T - no lumbar plexus contribution
: 44. The superior vesicle arteries can be identified as the final branches before the obliteration of the umbilical artery.
T
: 45. The obturator artery can be identified as the artery that passes into the obturator canal along with the obturator nerve.
T
: 46. Lymphatic drainage from the body of the epididymis is primarily to upper lumbar nodes.
T - travels up the testicular artery
: 47. The internal pudendal artery passes between the coccygeus and piriiformis muscles proximal to crossing the posterior surface of the ischial spine/ligament.
T