The part of the uterine wall which is not shed during menstruation is the: Endometrium Myometrium Mesometrium Cervical mucosa Rugae
The extension of the vaginal lumen around the intravaginal part of the uterine cervix is the: Cervical canal Uterine lumen Fornix Rectouterine Pouch Uterovesical Pouch
Which of the following would be most likely to be damaged by a stab wound into the ischiorectal (ischioanal) fossa 2 cm lateral to the anal canal? Crus of the Penis Perineal Body Pudendal Nerve Inferior Rectal Artery Vesicular Bulb
Lymphatic drainage of the terminal portion of the gastrointestinal tract may flow initially into either the superficial inguinal nodes or the pararectal nodes, depending upon whether the lymph is formed above or below the: Anorectal Junction Muscular Sling of the Puborectalis Muscle Pectinate Line White Line Cutaneous Zone
Under normal conditions, fertilization occurs in which part of the female reproductive tract? Infundibulum of the Uterine Tube Ampulla of the Uterine Tube Isthmus of the Uterine Tube Uterine Lumen Cervical Canal
Benign hyperplasia (excessive growth of cells) of which part of the male reproductive system would be most likely to interfere with the passage of urine? Periurethral Zone of the Prostate Central Zone of the Prostate Peripheral Zone of the Prostate Ejaculatory Duct Seminal Vesicle
After agreeing to have no more children, a man and his wife decided he should have a vasectomy. What structure would then be surgically ligated? Ductus deferens Ejaculatory duct Epididymis Fossa navicularis Seminal vesicle
Which pair of structures does NOT differentiate from comparable embryonic structures in the male and female? Bulb of corpus spongeosum and vestibular bulb Shaft of penis and labia majora Glans of penis and glans of clitoris Crus of corpus cavernosum penis and crus of corpus cavernosum clitoris
Which structure does NOT form part of the boundary defining the trigone of the bladder? Interuteric crest Left Ureteric Orifice Right Ureteric Orifice Urachus Urethral Orifice
Which structure is found only in males? Anterior recess of ischoianal fossa Genital Hiatus Ischiocavernosus muscle Rectovesical pouch Sphincter urethrae muscle
Which structure is outlined with contrast on a CT using intraperitoneal contrast
material? Ovary Prostate Rectum Seminal Vesicles Vagina
The prostate is often imaged using an ultrasound transducer placed in which location? Penis Perineum Rectum Urethra Urinary Bladder
Which of the following is considered a part of the broad ligament? Mesovarium Ovarian ligament Round ligament of the uterus Suspensory Ligament of the ovary Uterosacral ligament
Which of the following does not conduct spermatozoa? Ampulla of the ductus deferens Duct of the seminal vesicle Epididymis Prostatic Urethra
During the course of surgery for benign prostatic hypertrophy (benign enlargement of the prostate tissue which occludes the prostatic urethra) an electrical cutting device is inserted into the penile, then prostatic urethra, to remove the hypertrophic tissue. The posterior wall of the prostatic urethra is by necessity removed as well. Which part of the male seminal tract may also be partially removed? duct of seminal vesicle ductus deferens ejaculatory duct fossa navicularis seminiferous tubule
A 27-year-old woman is examined by her gynecologist. Upon rectal examination, a firm structure, directly in front of the rectum in the midline, is palpated through the anterior wall of the rectum. This structure is the: bladder body of uterus cervix of uterus pubic symphysis vagina
The most inferior extent of the peritoneal cavity in the female is the: Pararectal fossa Paravesical fossa Rectouterine pouch Rectovesical pouch Vesicouterine pouch
The prostate gland: Contains upper, middle and lower lobes Encircles the urethra Is well imaged radiologically using an intravenous urogram Is extraperitoneal B and D
A 64-year-old woman was diagnosed as having carcinoma of the distal gastrointestinal tract. At surgery, lymph nodes from the sacral, internal iliac and inguinal lymph node groups were removed and sent to pathology for study. Only the superificial inguinal nodes contained cancerous cells. In which part of the GI tract was the tumor localized? cutaneous portion of anal canal distal rectum mucosal zone of anal canal pectinate line of anal canal proximal rectum
Structures within the lower gastrointestinal tract specialized for physical support of fecal material are the: Transverse rectal folds Circular folds Anal valves Anal columns
A malignant tumor in the cutaneous zone of the anal canal would most likely metastasize (spread) to which group of lymph nodes? Inferior mesenteric Pararectal Sacral Superficial inguinal
Which of these features of the anal canal serves to indicate the point where the mucosal covering of the gastrointestinal tract ends and a skin-like covering begins? Mucosal zone White line Transitional zone Pectinate line
The expanded region of the lower rectum, where fecal matter is retained, is known as the: Anal columns Anal sinuses Ampulla Transverse folds
During a vasectomy, the ductus deferens is ligated in the superior part of the scrotum. Two months following this sterilization procedure, the subsequent ejaculate contains: Prostatic fluid only Seminal fluid and prostatic fluid Sperm only Sperm and seminal fluid Sperm, seminal fluid, and prostatic fluid
During a hysterectomy, the uterine vessels are ligated. However, the patient's uterus continues to bleed. The most likely source of blood still supplying the uterus is from which artery? Inferior vesical Internal pudendal Middle rectal Ovarian Superior vesical
A female patient is found to have an ectopic (tubal) pregnancy (embryo develops in the uterine tube). In order to gain access to the peritoneal cavity endoscopically to remove the embryo, the instrument can be passed into the vagina and through the: anterior fornix cervix posterior fornix retropubic space vesicouterine pouch
An elderly male patient presents with dysuria and urgency. You suspect benign prostatic hypertrophy which has caused an enlargement of the: interureteric crest prostatic utricle seminal colliculus sphincter urethrae uvula
During a hysterectomy and an oophorectomy, the uterine and ovarian vessels must be ligated. These vessels can be found in which ligaments? Broad and ovarian Broad and suspensory Round and ovarian Round and suspensory Suspensory and ovarian
A female patient comes to your office with lower abdominal pain. She missed her last menses and her pregnancy test is positive. Ultrasound imaging reveals a cyst-like structure in the right uterine tube which you feel may be a tubal pregnancy. In order to confirm your diagnosis and to remove the tubal embryo, you can gain access to the patient's lower pelvic cavity by passing a culdoscope through the vagina and the: vesicouterine pouch posterior fornix cervix isthmus ampulla
An elderly patient notices red blood in his stool. As part of his examination, you insert a proctoscope (sigmoidoscope) through his anal canal. As you pass the scope superiorly through the rectum, the most prominent features to be seen are: longitudinal muscle bands tenia coli transverse rectal folds rectovesical pouches haustra
An elderly patient is having difficulty in voiding (urinating). He complains that after voiding, he still feels as though he needs "to go" again. You suspect that this patient suffers from benign prostatic hypertrophy, which has caused enlargement of the __________ of the bladder. seminal colliculus interureteric crest ampulla trigone uvula
During a hysterectomy, care must be taken in ligation of the uterine vessels because they cross the _________ superiorly. ureter round ligament of the uterus ovarian artery lumbosacral trunk inferior hypogastric plexus
The prostate gland: encircles the urethra is well imaged using an intravenous urogram is partially intraperitoneal contains upper, middle and lower lobes
The part of the broad ligament giving attachment and support to the uterine tube is the: mesometrium mesovarium mesosalpinx round ligament
Which structure is NOT found within the true pelvis? Femoral nerve Hypogastric nerve Internal pudendal artery Obturator artery Pelvic splanchnic nerves
A structure which takes the form of a hood anterosuperior to the clitoris: Frenulum of the clitoris Labia majora Labia minora Prepuce
A structure which is homologous to the male scrotum: Labia minora Labia majora Glans Shaft of corpus cavernosum
Which skeletal feature would you consider to be most characteristic of the female pelvis? Subpubic angle of 90 degrees or greater Marked anterior curvature of the sacrum Tendency to vertical orientation of the iliac bones Prominent medial projection of the ischial spines
You are observing a doctor perform an abdominal hysterectomy. He notes that it is vital to protect the ureter which is found in the base of the: mesometrium mesovarium mesosalpinx round ligament of the uterus suspensory ligament of the ovary
A female patient is found to have an ectopic (tubal) pregnancy. In order to gain access to the peritoneal cavity endoscopically to remove the tubal embryo, the instrument can be passed through the posterior fornix of the vagina piercing into the: external os internal os rectouterine pouch rectovesical pouch vesicouterine pouch
The male pelvis tends to differ from the female pelvis in that the male pelvis often has a: larger pelvic inlet smaller subpubic angle straighter sacral curvature larger pelvic outlet rounder pelvic inlet
The rectouterine pouch is the lowest extent of the female peritoneal cavity. At its lowest, it provides a coat of peritoneum to a portion of the: urinary bladder urethra uterine cervix vagina
In a CT scan of the pelvis, the uterus is located: posterior to the bladder and rectum posterior to the bladder and anterior to the rectum anterior to the bladder and rectum anterior to the bladder and posterior to the rectum