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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
Created by: sor32663