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GA2_E3_Reproductive
Question | Answer |
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A patient presents with a ruptured bulbar penile urethra. The deep fascia of the perineum is not damaged. In which area(s) would you expect urine to collect during micturition? | 151 Penis |
Landmark through which the tendon of the obturator externus exits the pelvis. | ## Lesser sciatic foramen |
Makes of the greatest part of the uterine tube, it is thin walled. | 113 Ampulla |
Name and define the normal positions of the uterus. | 114 Anteverted: tilted forward from vagina, Anteflexed: uterus curved anteriorly |
Give all structural components forming the broad ligament. | 115 (A) The anterior and posterior sheets of peritoneum approximate one another, and extend from the uterus to the lateral pelvic wall. |
Specific part of broad ligament surrounding the uterine tube. | 115 (A2) Mesosalpinx |
Specific named part of broad ligament that forms it's inferior aspect. | 115 (A3) Mesometrium |
Define the cardinal ligament. In your answer include: structural composition, specific location, alternate name, and specific part of organ to which it is attached. | 115 (B2) Connective Tissue, In Base (Inferior Part) of Broad Ligament, Lateral cervical ligament, Isthmus (of uterus) |
What lies immediately medial to the anterior half of the uterosacral ligament? | 115 Rectouterine pouch |
The part of the levitator ani that arises from the arcus tendeneus. | 117 (A.b) Iliococcygeus |
Landmark through which the tendon of the obturator internus exits the pelvis. | 117 (A) Lesser sciatic foramen |
Component which forms the arcus tendineus. | 117 (A) Obturator Fascia is thickened from pubis to ischial spine |
Part of the levator ani that prevents incontinence. | 117 (A1) Puborectalis |
Part of pelvic diaphragm which originates off the ischial spine and sacrotuberous ligament. | 117 Coccygeus m. |
Muscle lining the posterior wall of the pelvis. | 117 Piriformis |
Counting the outer skin of the anterior scrotum as the first layer, give the fourth layer thorugh which a penetrating item would pass. | 135 Cremaster m. and fascia |
What is the position of the right testis when compared to the left (higher or lower)? | 135 Higher (just think about it) |
What is the derivation of the cremaster muscle? | 135 Internal oblique muscle and fascia |
Counting the outer skin of the anterior scrotum as 1st layer, give the sixth layer through which a penetrating item would pass. | 135 Parietal layer of tunica vaginalis |
Component applied to most of the external surface of the tunica albuginia of the testis? | 135 Visceral layer Tunica vaginalis |
Approximate length of ductus epididymis. | 136 (2) 20-23 ft (6-8 m) |
Give the composition of the head of the epididymis. | 136 (2a) efferent ducts and proximal ductus epididymis |
What is the first part of the male urethra? | 136 Prostatic urethra |
Homologue of the female vagina, formerly thought to be homologue of uterus. | 137 (2;1) Prostatic utricle |
Define the isthmus of the prostate. | 137 (3c) The anterior lobe or isthmus, in midline, anterior to urethra and devoid of glands. |
List three differently named structures located in the deep perineal space of the male. | 137 (C) external urethral sphincter, deep transverse perineal muscle, bulbourethral (Cowper's) glands |
What structure is related to the apex of the prostate? | 137 Deep perineal space/pouch |
Part of male duct system which passes through the prostate and into the urethra. | 136 Ejaculatory duct |
Define location of the posterior lobe of the prostate. | 137 In Midline, Posterior to urethra and inferior to ejaculatory duct |
What structure is related to the inferolateral surface of the prostate? | 137 Levitator ani muscle |
Define location of the median lobe of the prostate. | 137 Midline, posterior to urethra, superior to ejaculatory ducts |
What structure is associated with the base of the prostate? | 137 Neck of the urinary bladder |
Depression just lateral to the colliculus seminalis? | 137 Prostatic sinuses |
Draw a simple picture of the colliculus seminal is and label correctly the position of components present on it. | 137 Prostatic Utricle, Ejaculatory Ducts, Prostatic Sinus |
What structure is related to the posterior surface of the prostate gland? | 137 Recturm |
Besides lymphatics and nerves, give three specific structures located within the spermatic cord. Give the name of the their immediate covering. | 138 1) Ductus deferens w/ its artery and vein 2) Testicular artery 3) Papiniform plexus of veins. All are surrounded by internal spermatic fascia |
Forms the anterior boundary of the anal triangle. | 143 A line passing through the ischial tuberosities |
Forms superior boundary of the perineum. | 143 Pelvic diaphragm |
Structure forming the posterolateral border of the anal triangle. | 143 Sacrotuberous ligaments |
The anterior recesses of the ischiorectal fossa are located superiorly and inferiorly between what two structures? | 144 Deep perineal pouch and levator ani (or pelvic diaphragm) |
Discuss in detail the course taken by the internal pudendal artery and pudendal nerve as they exit the pelvis and pass through the anal canal. | 145 1) Exits pelvis through greater sciatic foramen/notch 2) Dorsally cross over ischial spine 3) Enters anal triangle through lesser sciatic foramen/notch 4) Enters pudendal (Alcock's) canal |
Using an outline format, name all the branches and subbranches of the pudendal nerve. | 145 155 1.Inferior Rectal n. 2. Perineal n. -> a) posterior labial/scrotal nn. b) deep branches 3. Dorsal n. of clitoris/penis |
Besides the pudendal nerve, give the sources of innervation to the anal triangle. | 145 Perineal branch of S4, perineal branches of the posterior femoral cutaneous nerve |
Forms the upper limit (roof) of the deep perineal space. | 146 Anterior recess of the ischioanal fossae |
Structure forming the inferior limit of the deep perineal space. | 146 Perineal membrane |
Define the crura of the perineum. | 147 Corpus cavernosa attached to urogenital structures (definition for cura of penis same as peritoneum?) |
Besides skin and fascia, name two structures located within the labia majora. | 148 Greater vestibular glands, 149 Bulbospongiosus m., |
Female homologue of proximal part of the corpus spongiosum. | 148 Vestibular bulb |
From what components does the suspensory ligament of the clitoris arise? | 149 Deep fascia of lower abdomen |
From what components does the prepuce of the clitoris arise? | 149 Lateral folds of the labia minora |
Fold of skin formed by labia minora; forms a hood over most of the clitoris. | 149 Prepuce |
Define the pudendal cleft. | 149 Space between labia majora |
List two different muscles occupying the superficial perineal space (also on inferior surface of the perineal membrane). | 150 Bulbospongiosus m., ischiocavernosus m., superficial transverse perineal mm. |
The ____ fascia of the perineum is not continuous with the dartos of the scrotum. | 150 Deep |
What fascial layer is also known as Buck's fascia? | 150 Deep fascia of clitoris/penis |
Name given to abdominal Scarpa's fascia in the perineal region. | 150 Deep layer of the superficial perineal fascia (Colles) |
Scarpa's fascia of the abdomen continues into the perineum as the _____layer of the _______perineal fascia, formerly known as ______fascia. Anteromedially, this fascia is continuous with the ________. | 150 Deep, Superficial, Colles', Dartos m. of the scrotum |
Name given to Camper's fascia in the perineal region. | 150 Superficial layer of the superficial perineal fascia |
The internal pudendal artery terminates as: | 155 Deep artery of penis/clitoris, Dorsal artery of penis/clitoris |
Name two branches of the perineal artery. | 155 Transverse perineal a., posterior labial/scrotal a. |
The deep dorsal vein of the penis/clitoris enters the pelvis b/w what ligaments? | 155 Transverse perineal and inferior pubic ligaments |