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 2010 : 1. With regard to the pelvic floor spaces are superficial to the the peritoneum whereas pouches are deep to the peritoneum. : T : 2. Peritoneal reflections around the pelvic viscera are named pouches whereas regions of extraperitoneal connective are named spaces. : T : 3. Posterior to the rectouterine pouch is the presacral space. : Sort of True? It is posterior, but not immediately posterior. The class notes make it appear that the rectouterine pouch makes the rectouterine space discontinous. Thus, to get to the presacral space from the rectouterine pouch, one would first have to transverse a posterior part of the rectouterine space and the rectum. : 4. Inferior to the pubovesical pouch is the rectopubic space. : F - retropubic  or prevesical space? : 5. Posterior to the rectum is the presacral space. : T : 6. The pubosacral ligamentous complex includes the lateral cervical ligament, pubovesical ligament, and the suspensory ligament of the ovary. : F - of this list, only the pubovesical ligament and lateral cervical ligament (aka cardinal ligament) : 7. Perivisceral fascia is a condensation of transversalis fascia. : F - of visceral pelvic fascia. Transversalis fascia is a structural analog of parietal perivisceral fascia. : 8. The pubovesical ligament blends with the perivesical fascia in the female and the periprostatic fascia in the male. : F - perivesical in male also. Puboprostatic lig in males blends with the periprostatic fascia? : 9. Parietal pelvic fascia refers to transversalis fascia of the pelvis. : T : 10. Parietal pelvic fascia extends onto the pelvic viscera as the visceral pelvic fascia. : T : 11. The rectouterine pouch separates the anterior fornix of the vagina from the retrorectal space. : F - Does it separate the anterior fornix from the rectouterine space, or does a portion of the rectouterine space interpose between the two facial layers? : 12. Visceral pelvic fascia refers to the extraperitoneal connective tissue of the pelvis. : T : 13. Parietal pelvic fascia reflects off the pelvic wall to form the pubovesical ligamentous complex. : F - visceral pelvic fascia condenses to form the ligamentous complex, which then attaches to the pelvic wall. (But the parietal fascia overlies the pelvic wall, so I'm not sure how the semantics work in this question. The complex is formed by the visceral fascia but blends with the parietal at its lateral borders?) : 14. Between the os of the uterus and the isthmus of the uterus is the cavity of the uterus. : F - the isthmus is a feature of the uterine tube. The rest of the statement is true: the uterine cavity does lie between the os os the uterus and the isthmus. : 15. Between the peritoneal cavity and the ampulla of the uterus is the os of the uterine tube. : T : 16. The supensory ligament of the ovary is derived from extraperitoneal connective tissue whereas the ovarian ligament is derived from pelvic visceral fascia. : F - the ovarian ligament is derived from the gubernaculum : 17. Within the broad ligament and along the lateral margin of the uterus there is an anastomosis between the ovarian and vaginal arteries. : F - uterine and ovarian? : 18. The lateral ligament of the uterus is derived from peritoneum whereas the broad ligament of the uterus is derived from parietal visceral fascia. : F - Dr Gray says these are the same ligament, therefore by definition they cannot be derived from different sources. : ://books.google.com/books?id=wVZKAAAAMAAJ&pg=PA871&dq=lateral+ligament+of+the+uterus&hl=en#v=onepage&q=lateral%20ligament%20of%20the%20uterus&f=false : 19. The mesosalpinx plus the mesometrium plus the mesovarium equals the broad ligament whereas the broad ligament minus the mesosalpinx equals the parametrium. : F - the part antecedent to "whereas" is true. However: broad ligament contains {mesometrium, mesosalpinx, mesovarium} but parametrium != {mesometrium, mesovarium}. Parametrium is the uncondensed visceral pelvic fascia partially enclosed by the broad ligament. : 20. The uterus is normally anteverted and retroflexed. : F - anteverted, anteflexed. : 21. The lumbosacral trunk is formed by part of the L4 and all of the L5 dorsal ramus. : F - ventral? : 22. There are five paired lumbar arteries and an unpaired iliolumbar artery. : F - four paired, and iliolumbar is paired as well : 23. The superior, middle, and inferior rectal arteries are branches of the posterior division of the internal iliac artery. : F - the superior is a branch of the inferior mesenteric artery : 24. The superior vesical arteries are the most distal branches of the patent umbilical artery. : In females, yes. In males, would the artery of the ductus deferens be more distal? : 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. : T - as long as we're taking a reductionist view and ignoring the superior vesical arteries and the inferior epigastric arteries in between. : 26. An anastomosis of the internal and external iliac arteries is located in the iliac fossa. : T? - iliolumbar and deep circumflex iliac?

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