Perineum Quiz 3 Answers
1.
During fetal development, the testes cause the ___________ to evaginate (form an outpocketing from)
in their descent to the scrotum. The testes develop and travel superficial to the _____________ layer of
the abdominal wall of the fetus.
A) parietal peritoneum --- parietal peritoneum
B) parietal peritoneum --- transversalis fascia
C) parietal peritoneum --- transverse abdominal muscle
D) transversalis fascia --- parietal peritoneum
E) transversalis fascia --- transversalis fascia
F) transversalis fascia --- transverse abdominal muscle
Correct Answer(s):
D
2.
A triangular piece of synthetic fabric is used to cover the inguinal triangle during a laparoscopic
(posterior or internal) repair of a hernia in order to prevent recurrence of the hernia. The entire inferior
border of the fabric could be stapled to the
A) lateral umbilical ligament.
B) arcuate line.
C) iliopubic tract.
D) superficial inguinal ring.
E) cremasteric fascia.
Correct Answer(s):
3.
C
The __________ does not line or pass through the entire length of the inguinal canal.
A) round ligament of the uterus
B) testicular artery
C) pampiniform plexus of veins
D) internal spermatic fascia
E) cremasteric muscle and fascia
Correct Answer(s):
E
4.
The flow of urine in a ureter is likely to be obstructed by a kidney stone at a point of normal constriction
or narrowing, such as where the ureter _____________________. Afferent axons conveying the pain
associated with such an obstruction and the resulting distension are carried back to the spinal cord by
way of the _______________.
A) crosses posterior to the testicular vein --- thoracoabdominal (intercostoabdominal) nerves of T7- T10
levels
B) crosses posterior to the testicular vein --- splanchnic postsynaptic (postganglionic) sympathetic axons
at T11-L2 levels
C) joins the renal pelvis --- thoracoabdominal (intercostoabdominal) nerves of T7-T10 levels
D) joins the renal pelvis --- splanchnic postsynaptic (postganglionic) sympathetic axons at T11-L2 levels
Correct Answer(s):
D
5.
The lateral wall of the false (greater) pelvis is lined by the _________ muscle whereas the lateral wall of
the true (lesser) pelvis is lined with the __________ muscle.
A) transverse abdominal --- piriformis
B) transverse abdominal --- transverse abdominal
C) transverse abdominal --- obturator internus
D) iliacus --- piriformis
E) iliacus --- transverse abdominal
F) iliacus --- obturator internus
Correct Answer(s):
F
6.
If the inferior ramus of the pubis is resected (removed) due to bone cancer, the ________ will be
affected.
A) greater sciatic foramen
B) lesser sciatic foramen
C) obturator foramen
D) pelvic brim (inlet, superior pelvic aperture)
E) 1st ventral sacral foramen
Correct Answer(s):
C
7.
The _______________ are either boundaries or contents of the deep perineal pouch (space).
A) levator ani and sacrotuberous ligament
B) sacrotuberous ligament and perineal membrane
C) perineal membrane and bulb of the vestibule
D) bulb of the vestibule and external urethral sphincter muscle
E) external urethral sphincter muscle and levator ani
Correct Answer(s):
E
8.
Exudate in the superficial perineal pouch (space) can enter the ____________ without crossing a
membranous barrier.
A) space between Camper’s and Scarpa’s fascia
B) space between the superficial and deep (Buck’s) fascia of the penis
C) ischioanal fossa
D) space between the superficial fascia of the thigh and the fascia lata
Correct Answer(s):
B
9.
A tumor confined to the true (lesser) pelvis can impinge on the
A) obturator nerve and lumbosacral trunk.
B) lumbosacral trunk and femoral nerve.
C) femoral and lateral femoral cutaneous nerves.
D) lateral femoral cutaneous and genitofemoral nerves.
E) genitofemoral and obturator nerves.
Correct Answer(s):
A
10.
The __________ join to form the ejaculatory duct.
A) epididymis and ductus (vas) deferens
B) ductus (vas) deferens and duct of the seminal vesicle
C) ducts of the seminal vesicle and bulbourethral gland
D) ducts of the bulbourethral and prostate glands
E) prostatic ducts and the epididymis
Correct Answer(s):
B
11.
To anesthetize the anterior part of the scrotum, spinal anesthetic is injected at vertebral level(s) ______
in order to affect the _______ nerve.
A) S2 to S4 --- pudendal
B) S2 to S4 --- ilioinguinal
C) L1 --- pudendal
D) L1 --- ilioinguinal
Correct Answer(s):
D
12.
Because the perineal body is susceptible to tearing during childbirth, it may be severed intentionally
(episiotomy) where it lies between the
A) external urethral orifice and ischial tuberosity.
B) ischial tuberosity and coccyx.
C) coccyx and anus.
D) anus and vestibule of vagina.
E) vestibule of vagina and external urethral orifice.
Correct Answer(s):
D
13.
The __________ found only in the superficial perineal pouch of the female.
A) greater vestibular (Bartholin) glands are
B) ischiocavernosus muscle is
C) branches of the internal pudendal vessels are
D) bulbospongiosus muscle is
E) bulbourethral (Cowper's) glands are
Correct Answer(s):
A
14.
If Lorena Bobbitt had tried to repair her handiwork, she would have discovered that the _________ in
the normal male penis is unpaired.
A) deep artery
B) dorsal artery
C) deep dorsal vein
D) corpora cavernosum
E) dorsal nerve
Correct Answer(s):
C
15.
Venous spread of testicular tumors occurs via the testicular veins located in the ______________. The
testicular vein drains into the __________ on the right side and the _________ on the left side.
A) peritoneal cavity --- renal vein --- inferior vena cava
B) peritoneal cavity --- inferior vena cava --- renal vein
C) peritoneal cavity --- inferior vena cava --- inferior vena cava
D) retroperitoneal space --- renal vein --- inferior vena cava
E) retroperitoneal space --- inferior vena cava --- renal vein
F) retroperitoneal space --- inferior vena cava --- inferior vena cava
Correct Answer(s):
E
16.
The pelvic splanchnic nerves contain presynaptic (preganglionic) __________ axons whose activation
results in contraction of the __________ muscle.
A) parasympathetic --- detrusor
B) parasympathetic --- bulbospongiosus
C) sympathetic --- detrusor
D) sympathetic --- bulbospongiosus
Correct Answer(s):
A
17.
The ovary is attached to the __________ surface of the broad ligament. The ovarian artery reaches the
ovary by traveling in the __________.
A) anterior --- round ligament of the uterus
B) anterior --- suspensory ligament of the ovary
C) posterior --- round ligament of the uterus
D) posterior --- suspensory ligament of the ovary
Correct Answer(s):
D
18.
The intermediate (membranous) part of the urethra passes through the
A) perineal body.
B) external urethral sphincter.
C) prostate gland.
D) bulb of the penis.
Correct Answer(s):
B
19.
The __________ is in direct contact with peritoneum.
A) fundus of the uterus
B) base (fundus, trigone) of the bladder
C) anal canal
D) cervix
Correct Answer(s):
A
20.
The __________ artery provides blood to the prostate gland.
A) inferior gluteal
B) inferior vesical
C) obturator
D) umbilical
Correct Answer(s):
B
21.
The ductus (vas) deferens crosses the ureter just ________ to the entry of the ureter into the bladder
wall. At this point the ductus deferens expands to form an ampulla that is ________ to the seminal
vesicle.
A) inferior --- medial
B) inferior --- lateral
C) superior --- medial
D) superior --- lateral
Correct Answer(s):
C
22.
The _______ attach to the spine of the ischium.
A) piriformis and coccygeus muscles
B) coccygeus muscle and tendinous arch of the levator ani
C) tendinous arch of the levator ani and puborectalis muscles
D) puborectalis and piriformis muscles
Correct Answer(s):
B
23.
The relationship of the testis to the head of epididymis is comparable to the relationship of the ovary to
the
A) infundibulum of uterine (fallopian) tube.
B) cervix.
C) isthmus of uterine (fallopian) tube.
D) posterior fornix.
Correct Answer(s):
A
24.
Lymph from the ovary _____ pass through inguinal nodes, ________ pas s through iliac nodes and
________ pass through lumbar (lateral aortic) nodes.
A) does not --- does --- does
B) does not --- does --- does not
C) does not --- does not --- does
D) does not --- does not --- does not
E) does --- does --- does
F) does --- does --- does not
G) does --- does not --- does
H) does --- does not --- does not
Correct Answer(s):
C