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Pelvis and Perineum

Total questions: 46

Worksheet time: 23mins

Name
Class
Date
1.

What is the difference between the major (false) pelvis and the minor (true) pelvis?

a)

The major pelvis is inferior to the minor pelvis and contains the urinary bladder.

b)

The major pelvis lies behind the pubic symphysis, while the minor pelvis is above the iliac crest.

c)

The major pelvis is superior to the minor pelvis, lying between the iliac fossae.

d)

The minor pelvis is superior and contains digestive organs.

2.

What general statement can you make about the organs contained in the major (false) pelvis?

a)

It contains the urinary bladder and reproductive organs.

b)

It contains only the sigmoid colon.

c)

It is a continuation of the abdominal cavity containing parts of the small and large intestines.

d)

It is located entirely within the perineum.

3.

What general statement can you make about the organs contained in the minor (true) pelvis?

a)

It contains only bones and nerves.

b)

It lies behind the pubic symphysis and contains the urinary bladder and reproductive organs.

c)

It houses the liver and gallbladder.

d)

It lies above the iliac crest and supports only ligaments.

4.

What is the difference between the pelvic diaphragm and the levator ani?

a)

The pelvic diaphragm is made only of the levator ani.

b)

The levator ani is only part of the pelvic diaphragm; it includes the pubococcygeus and iliococcygeus. The coccygeus and the levator ani make up the pelvic diaphragm.

c)

The levator ani and pelvic diaphragm are the same.

d)

The pelvic diaphragm lies outside the pelvic cavity.

5.

What muscles, besides the pelvic diaphragm, lie in the pelvic region?

a)

Gluteus maximus and quadratus lumborum

b)

Sartorius, rectus femoris, and pectineus

c)

Piriformis, obturator internus, psoas major, and iliacus

d)

Tensor fasciae latae and adductor magnus

6.

Which arteries arise from the posterior division of the internal iliac artery?

a)

Inferior gluteal, uterine, and obturator arteries

b)

Umbilical, middle rectal, and vaginal arteries

c)

Iliolumbar, lateral sacral, and superior gluteal arteries

d)

Inferior vesical, superior rectal, and pudendal arteries

7.

Which artery off of the internal iliac artery is found only in the male?

a)

Uterine artery

b)

Inferior vesical artery

c)

Vaginal artery

d)

Obturator artery

8.

What structures would be affected if there were a blockage in the umbilical artery?

a)

Rectum and anus

b)

Reproductive organs only

c)

Urinary bladder

d)

Pelvic bones

9.

What structures would be affected if there were a blockage in the middle rectal artery?

a)

Rectum, prostate and seminal vesicles in males, vagina in females

b)

Kidneys and ureters

c)

Liver and pancreas

d)

Sigmoid colon and cecum

10.

What structures would be affected if there were a blockage in the uterine artery?

a)

Ovaries and fallopian tubes only

b)

Urinary bladder, uterus, and vagina

c)

Perineum and anal canal

d)

Rectum and sigmoid colon

11.

What structures would be affected if there were a blockage in the lateral sacral artery?

a)

Sciatic nerve and gluteal muscles

b)

Ventral rami, spinal nerve roots of sacral nerves, and meninges of sacral canal

c)

Kidneys and adrenal glands

d)

Coccyx and sacroiliac joint

12.

Do veins accompanying the internal iliac artery and its branches drain into the portal or systemic venous system?

a)

Portal venous system

b)

Systemic venous system

c)

Lymphatic system

d)

Both systems equally

13.

What is the difference in spinal nerve contribution between the lumbar and the sacral plexus?

a)

Lumbar: T12–L3, Sacral: L4–L6

b)

Lumbar plexus: L1–L5, Sacral plexus: L4–S3

c)

Lumbar: L1–L3, Sacral: S1–S5

d)

Lumbar plexus: T10–L2, Sacral plexus: L2–S2

14.

Is there any overlap between the lumbar and sacral plexus?

a)

Spinal nerves L4–L5 overlap both plexuses and unite to form the lumbosacral trunk

b)

No, they are completely separate

c)

Only L3 contributes to both

d)

Only sensory nerves overlap

15.

What are the nerves involved when there is a lesion at spinal nerve L2?

a)

Sciatic, pudendal, and gluteal nerves

b)

Genitofemoral, lateral femoral cutaneous, femoral, and obturator nerves

c)

Hypogastric and pelvic splanchnic nerves

d)

Tibial and common fibular nerves

16.

What are the nerves involved when there is a lesion at spinal nerve L4?

a)

Femoral, obturator, sciatic, superior gluteal, and nerve to the quadratus femoris

b)

Pudendal, hypogastric, inferior gluteal, and ilioinguinal

c)

Genitofemoral, lateral cutaneous nerve of thigh, and iliohypogastric

d)

Obturator, pelvic splanchnic, and inferior gluteal

17.

What are the nerves involved when there is a lesion at spinal nerve L5?

a)

Femoral, pudendal, and ilioinguinal nerves

b)

Genitofemoral, obturator, and nerve to piriformis

c)

Sciatic, superior gluteal, inferior gluteal, nerve to the quadratus femoris, and nerve to the obturator internus

d)

Pelvic splanchnic, hypogastric, and lateral femoral cutaneous nerves

18.

What are the nerves involved when there is a lesion at spinal nerve S1?

a)

Genitofemoral, femoral, and obturator nerves

b)

Ilioinguinal, lateral cutaneous nerve of thigh, and inferior gluteal

c)

Sciatic, superior gluteal, inferior gluteal, nerve to the quadratus femoris, nerve to the obturator internus, and nerve to piriformis

d)

Obturator, pudendal, and coccygeal nerves

19.

What are the nerves involved when there is a lesion at spinal nerve S2?

a)

Inferior hypogastric, femoral, and pelvic splanchnic nerves

b)

Sciatic, inferior gluteal, nerve to the obturator internus, pudendal, and nerve to the piriformis

c)

Superior gluteal, obturator, and iliohypogastric nerves

d)

Genitofemoral, ilioinguinal, and lateral femoral cutaneous nerves

20.

What are the three parts of the male urethra?

a)

Penile urethra, ureteric urethra, and testicular urethra

b)

External, internal, and middle urethra

c)

Prostatic urethra, membranous urethra, and spongy urethra

d)

Corpus urethra, cavernous urethra, and vasal urethra

21.

The prostatic urethra passes through the ___________________________.

a)

Corpus spongiosum

b)

Urogenital diaphragm

c)
Prostate gland
d)

Bladder trigone

22.

The membranous urethra passes through the ______________.

a)

Prostate gland

b)

Penile shaft

c)
Muscular urogenital diaphragm
d)

Corpus cavernosum

23.

The spongy urethra passes through the ___________________.

a)
Corpus spongiosum of the penis
b)

Corpus cavernosum of the penis

c)

Glans penis only

d)

Urogenital diaphragm

24.

What is the epididymis?

a)

A duct that connects the bladder to the urethra

b)

A highly coiled tube connected to the testes

c)

A gland that produces sperm

d)

A muscular layer of the scrotum

25.

Which of the following describes the relationship between the epididymis and the vas deferens?

a)

The epididymis is a continuation of the vas deferens

b)

The vas deferens is a continuation of the highly coiled tube of the epididymis that is not coiled

c)

The vas deferens drains directly into the seminiferous tubules

d)

The vas deferens and epididymis are two separate unconnected tubes

26.

The vas deferens leaves the scrotum through the _________________ to enter the pelvis.

a)
Inguinal ring
b)

Spermatic cord

c)

Urogenital diaphragm

d)

Epididymal duct

27.

What parts of the penis are covered externally by muscle?

a)

Bulb and the crura of the penis

b)

Shaft and glans penis

c)

Urethra and prepuce

d)

Corpus cavernosum and corpus spongiosum

28.

What are the muscles that cover the bulb and crura of the penis?

a)

Cremaster and dartos

b)

Bulbospongiosus and ischiocavernosus

c)

Obturator internus and piriformis

d)

Pubococcygeus and iliococcygeus

29.

Growth of the uterus during pregnancy would tend to compress what two neighboring structures?

a)

Urinary bladder and rectum

b)

Sigmoid colon and ureter

c)

Liver and pancreas

d)

Ovaries and fallopian tubes

30.

What two ligaments support the ovaries?

a)

Ovarian ligament and suspensory ligament

b)

Round ligament and broad ligament

c)

Inguinal ligament and sacrospinous ligament

d)

Mesovarium and uterosacral ligament

31.

What two ligaments support the uterus?

a)

Broad ligament and the round ligament of the uterus

b)

Suspensory ligament and ovarian ligament

c)

Sacrotuberous ligament and inguinal ligament

d)

Mesovarium and uterosacral ligament

32.

Where do ovarian blood vessels run through?

a)

Suspensory ligament

b)

Broad ligament

c)

Round ligament

d)

Uterosacral ligament

33.

What structures lie in the median part of the anal triangle?

a)

Anal canal, external and internal anal sphincter, perineal body, and anococcygeal ligament

b)

Urethra, pubic symphysis, and bulb of the penis

c)

Ischioanal fat, pudendal canal, and rectum

d)

Prostate gland and seminal vesicles

34.

What muscles form the lateral boundaries of the ischioanal fossa?

a)

Obturator internus

b)

Levator ani

c)

Coccygeus

d)

Piriformis

35.

What muscles form the superior boundary of the ischioanal fossa?

a)

Levator ani

b)

Obturator internus

c)

Bulbospongiosus

d)

Gluteus maximus

36.

What arteries lie in the ischioanal fossa?

a)

Inferior rectal and internal pudendal artery

b)

Superior gluteal and middle rectal arteries

c)

External iliac and femoral arteries

d)

Deep dorsal and obturator arteries

37.

What nerves lie in the ischioanal fossa?

a)

Inferior rectal and pudendal nerve

b)

Genitofemoral and ilioinguinal nerves

c)

Obturator and lateral cutaneous nerve of thigh

d)

Sacral splanchnic and hypogastric nerves

38.

What veins lie in the ischioanal fossa?

a)

Inferior rectal and internal pudendal veins

b)

Superior mesenteric and portal veins

c)

Obturator and femoral veins

d)

Middle rectal and renal veins

39.

What muscles lie in the superficial perineal space in men and women?

a)

Bulbospongiosus, ischiocavernosus, and superficial transverse perineal

b)

Levator ani, coccygeus, and piriformis

c)

Obturator internus, iliacus, and psoas major

d)

Deep transverse perineal and compressor urethrae

40.

What muscles lie in the deep perineal space in men and women?

a)

Deep transverse perineal, sphincter urethra, and compressor urethra muscles

b)

Bulbospongiosus, ischiocavernosus, and external anal sphincter

c)

Obturator internus, coccygeus, and iliacus

d)

Urethrovaginal sphincter and piriformis

41.

What muscles make up the UG diaphragm?

a)

Deep transverse perineal, sphincter urethra, and compressor urethra (urethrovaginal sphincter in females)

b)

Bulbospongiosus, levator ani, and ischiocavernosus

c)

Obturator internus, piriformis, and external urethral sphincter

d)

Ureter, bladder detrusor, and pubococcygeus

42.

How is the pelvic diaphragm different in comparison to the UG diaphragm?

a)

The pelvic diaphragm consists of the coccygeus muscle and levator ani

b)

The UG diaphragm lies deeper and includes the obturator internus

c)

The pelvic diaphragm contains only voluntary muscles of the perineum

d)

The UG diaphragm supports pelvic organs, while the pelvic diaphragm does not

43.

What muscles in the perineal region attach to the perineal body?

a)

Superficial and deep transverse perineal muscles, bulbospongiosus, and external anal sphincter

b)

Obturator internus, piriformis, and coccygeus

c)

Iliacus, psoas major, and ischiocavernosus

d)

Levator ani and internal anal sphincter only

44.

Damage to which nerve would result in anal incontinence, but not urinary incontinence?

a)

Inferior rectal nerve

b)

Femoral nerve

c)

Genitofemoral nerve

d)

Ilioinguinal nerve

45.

Damage to which nerve would result in urinary incontinence but not anal incontinence?

a)

Perineal nerve

b)

Obturator nerve

c)

Inferior rectal nerve

d)

Lateral femoral cutaneous nerve

46.

Damage to which nerve could produce urinary and anal incontinence, and where would this lesion have to be to have this effect?

a)

Pudendal nerve before it gives off the inferior rectal in the ischioanal fossa

b)

Femoral nerve at the inguinal canal

c)

Iliohypogastric nerve in the anterior abdominal wall

d)

Genitofemoral nerve along the psoas major