Pelvis and Perineum Practice Exam

1. The roof of the ischiorectal fossa is formed by which of the following?
  1. obturator fascia
  2. urogenital diaphragm
  3. levator ani
  4. obturator internus muscle
  5. external anal sphincter
C
2. Lymphatic vessels from the anal canal, below the pectinate line, drain into which lymph nodes?
  1. para-aortic
  2. superior mesenteric
  3. internal iliac
  4. superficial inguinal
  5. inferior mesenteric
D
3. The ischiocavernosus muscle is found in the:
  1. true pelvis
  2. superficial perineal space
  3. deep perineal space
  4. ischiorectal fossa
  5. around the bulb of the penis
B
4. The broad ligament of the uterus is a double layer of peritoneum which encloses all of the following EXCEPT the:
  1. ureter
  2. ovarian ligament
  3. uterine tube
  4. round ligament
  5. uterine artery
A
5. The prostate gland lies:
  1. within the urogenital diaphragm
  2. at the neck of the bladder and above the pelvic diaphragm
  3. at the neck of the bladder and below the pelvic diaphragm
  4. in the superficial perineal space
  5. in the rectovesical space
B
6. The superior and inferior gluteal arteries arise from the:
  1. internal iliac artery
  2. superior rectal artery
  3. common iliac artery
  4. inferior epigastric artery
  5. median sacral artery
A
7. The internal iliac artery give rise to all of the following branches EXCEPT the:
  1. superior gluteal
  2. middle rectal
  3. superior vesicle
  4. internal pudendal
  5. ovarian
E
8. In the male, the membranous urethra:
  1. is that part within the prostate gland
  2. starts at the trigone of the bladder
  3. is that part within the urogenital diaphragm
  4. is that part within the corpus spongiosum
  5. is called the ejaculatory duct
C
9. In the male, during a rectal examination, each of the structures below can be palpated (felt) EXCEPT for the:
  1. prostate
  2. sacrum
  3. ductus deferens
  4. coccyx
  5. ischial tuberosity
C
10. The diagram represents a sagittal section through the anal triangle. Identify the lettered items.
  1. obturator internus
  2. levator ani or pelvic diaphragm
  3. ischiorectal fat
  4. rectum
  5. pudendal canal
11. The diagram represents the urogenital triangle of the female. Identify the lettered structures.
  1. superficial transverse perineus muscle
  2. ischiocavernosus muscle
  3. bulbospongiosus muscle
  4. clitoris
  5. vaginal opening
12. The lateral wall of the ischiorectal fossa is the:
  1. levator ani muscle
  2. external anal sphincter
  3. internal anal sphincter
  4. obturator internus muscle
  5. obturator externus muscle
D
13. In the male, the pelvic diaphragm separates the:
  1. true pelvis from the false pelvis
  2. lesser and greater sciatic notches
  3. perineum from the ischiorectal fossa
  4. deep perineal pouch from the superficial perineal pouch
  5. pelvis from the ischiorectal fossa
E
14. Which of the following leaves the pelvis by passing through the lesser sciatic foramen?
  1. piriformis muscle
  2. pubococcygeus muscle
  3. obturator internus muscle
  4. inferior gluteal nerve
  5. iliacus muscle
C
15. The uterine tube runs in the free border of a double-layered sheet of peritoneum clothing the anterior and posterior surfaces of the uterus and attaching laterally to the pelvic wall. This sheet is known as the:
  1. suspensory ligament of the ovary
  2. recto-uterine fold
  3. mesovarium
  4. mesouterus
  5. broad ligament
E
16. Each of the following crosses the pelvic brim EXCEPT the:
  1. vas deferens
  2. uterine artery
  3. ureters
  4. middle sacral artery
  5. internal iliac artery
B
17. Match the following lettered items with the a numbered selection on the diagram of a sagittal section through the broad ligament about 2 inches to the left of the midline. If there is no match, leave blank.
  1. ovarian ligamentnot visible
  2. uterine tube5
  3. ovarian arterynot visible
  4. round ligament2
  5. mesovarium3
18.
19.
20.


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