lectures: male & female reproductive system female pelvis & perineum

31
Midterm Revision ctures: le & Female reproductive system male pelvis & perineum

Upload: rosalind-hunt

Post on 16-Dec-2015

222 views

Category:

Documents


2 download

TRANSCRIPT

Page 1: Lectures: Male & Female reproductive system Female pelvis & perineum

Midterm Revision

Lectures:Male & Female reproductive systemFemale pelvis & perineum

Page 2: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

which one of the following is the male primary sex organ??

A. seminal vesicles

B. prostate gland

C. testis

D. bulbourthral gland

A, B ,D are accessory glands

Page 3: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Q- why is the left scrotum lower then the right ?

-because the venous drainage of the left testis is more difficult due to:

1-it travels in a vertical angle(to join the left renal vein)2-it is compressed by the sigmoid colon and it's content.

Page 4: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following form the bulk of the testes (site of spermatogenesis)?

A.Tunica Vaginalis

B.Tunica albugenia

C.seminiferous tubules

D.Rete testis It is the Site of merging of the Seminiferous tubules.

Page 5: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. L1

B. L2

C. L3

D. L4

testicular*gonadal* artery is a branch of abdominal aorta at the level of??

testicular artery at the level of L3 while the renal artery at the level of L2Right testicular Vein drains into IVC.Left testicular Vein drains into Left Renal Vein.

Page 6: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Testis drains it’s lymph into?

A. Superficial inguinal lymph node

B. Deep inguinal lymph node

C. Lumbar (paraaortic) lymph node

Testicular Lymphatics:in Lumbar (par aortic) nodesscrotum, penis, prepuce: Terminate in Superficial Inguinal nodes

Page 7: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. femoral branch of (GFN)

B. genital branch of (GFN)

C. Ilioinguinal nerve

D. illiohypogastric nerve

the Efferent *motor* nerve of the cremasteric reflux is??

Nerve involved: Genitofemoral nerve (GFN), ( L1,2)Sensory: femoral branch of (GFN) & Ilioinguinal N.

Motor: genital branch of (GFN).

Page 8: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. Epididymis.B. Vas Deferens.C. Spermatic cord.

which one of the following parts of Reproductive Conducting Tract store spermatozoa up to 2 weeks for maturation??

Epididymis:Located on the posterior & superior margins of the testis.

The Head receives efferent ductules from testis.The Tail is continuous with Vas Deferens

Page 9: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following glands secrete the majority of the seminal fluid ?

A.Seminal vesicle.

B.Prostate.

C.Bulbourethral glands.

60%

30 – 20%

10%

Page 10: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following structures is inferior to the prostate gland?

A.Symphysis pubis

B.Neck of urinary bladder

C.Rectum

D.Urogenital diaphragm

E.Medial margins of levator ani muscles

(levator prostate)

Anterior

Superior

Posterior

Inferior

Lateral

Prostate gland supplied by inferior vesical artery

Page 11: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

which one of the following lobes of the prostate gland is located between the urethra and ejaculatory ducts also rich of glandular tissue??

• The Median & Lateral lobes are rich in glandular tissue.

• The Central zone in Urologists & Sonographers division is represented by the Middle lobe.

A. anterior lobe

B. posterior lobe

C. lateral lobe

D. median lobe

Page 12: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

which one of the following copulatory organs of the penis has the penile urethra?

A. corpus spongiosum

B. corpora cavernosa

Page 13: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Regarding the female reproductive organs, which one of the following statement is correct?

A.The ampulla is the most medial part of the uterine tube.

B.The rectum is anterior to the vagina.

C.The ovarian artery is a branch of the internal iliac artery of the pelvis.

D.The uterine tube is enclosed in the broad ligament of the uterus.

Page 14: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Rectouterine (Douglas) pouch is …?

A.Reflection of peritoneum from uterus to upper surface of urinary

bladder

B.Extension of peritoneum from lateral wall of uterus to lateral wall of

pelvis

C.Reflection of peritoneum from rectum to upper part of posterior

surface of vagina

Uterovesical (vesicouterine) pouch

Broad ligament of uterus

Page 15: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A.Fimbriae of uterine tube

B.Ampulla of uterine tube

C.Ligament of ovary

D.Round ligament of uterus

Which one of the following structures is related (or attached) to the lateral end of the ovary?

medial

Ovary is attached to the back of the broad ligament by a peritoneal fold (mesovarium)

Page 16: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following parts of uterus lies from the level of uterine tube to the level of the isthmus?

A. Fundus

B. Body

C. Cervix

above the level of uterine tubes

below the level of the isthmus of the uterus

Page 17: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. intramural

B. isthmus

C. ampulla

D. infundibulum

Which one of the following parts of uterine tube is the site of fertilization?

opening into the uterine wall

narrowest part

widest part

funnel-shaped end, has finger-like processes (fimbriae)

It is enclosed in the broad ligament of uterus

Page 18: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. Urinary bladder

B. Uterine artery

C. Sigmoid colon

D. Ovary

Which one of the following structures is posterior to the uterus(FUNDUS + BODY + SUPRAVAGINAL PART OF CERVIX)?

Anterior

Lateral

VAGINAL PART OF CERVIX: surrounded by vaginal fornices

Page 19: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following structures is lateral to the vagina?

ANTERIOR: Urinary bladder (in pelvis) & urethra (in perineum)POSTERIOR: Rectum (in pelvis) & anal canal (in perineum)LATERAL: ureters (in pelvis)

A. Urethra

B. anal canal

C. ureters

Page 20: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. anteverted uterus

B. anteflexed uterus

C.anteverted anteflexed uterus

D. retroverted uterus

Which one of the following positions is the usual position of the uterus?

Page 21: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following structures maintains anteverted anteflexed position?

A. Round ligament of uterus

B. Ligaments of cervix

C. Levator ani muscles

damage Downward dispalcement of uterus

Ligaments of cervix (especially transverse cervical)

Page 22: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following muscles lies in the posterior pelvic wall ?

A.Obturator internus

B.Piriformis

C.levator ani

D.Coccygeus

ANTERIOR PELVIC WALL

POSTERIOR PELVIC WALL

LATERAL PELVIC WALL

INFERIOR PELVIC WALL(PELVIC FLOOR)

posterior surfaces of the bodies of the pubic bones, the pubic rami, and the symphysis pubis.

sacrum, coccyx, and piriformis

Part of the hip bone below the pelvic inlet,Obturator internus Sacrotuberous&Sacrospinous ligaments

levator ani and the coccygeus muscles

Page 23: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. levatore ani + piriformis

B. obturator internus + piriformis

C. obturator internus + coccygeus

D. levatore ani + coccygeus

Which one of the following muscles form the pelvic diaphragm?

Page 24: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. pubococcygeus (anterior fibers)

B. puborectalis (intermediate fibers)

C. iliococcygeus (posterior fibers)

Which one of the following levatores ani fibers is important for maintaining fecal continence?

Pubococcygeus: (The levator prostate or sphincter vaginae) Supports the prostate or vagina stabilizes the perineal body.

Page 25: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Important Notes About The Arteries Of The Pelvis • Internal iliac artery:• It is a terminal branch of the Common iliac artery. • Arises in front of the sacroiliac joint

• Umbilical artery• Gives the superior vesical artery• The distal fibrous part of this artery becomes obliterated and forms the Medial Umbilical Ligament.

• Inferior Vesical artery: >Prostate and the Seminal Vesicles.• It gives the artery to the Vas Deferens.

• Internal pudendal artery:• It is the main arterial supply to the perineum.

• Vaginal artery:• Replaces the inferior vesical artery(male).

• Uterine artery:• Crosses the ureter superiorly and supplies the uterus & uterine tubes

• Ovarian artery:• Arises from the abdominal aorta.• Venous drainage of the pelvis : internal iliac vein

Page 26: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. urethra

B. vagina

C. vulva

D. anus

All the following are contents of Urogenital triangle EXCEPT?

Page 27: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

A. urethra

B. vagina

C. crura of clitoris

D. sphincter urethae muscle

all the following are contents of deep perineal pouch EXCEPT?

Deep Perineal Pouch Superficial Perineal PouchUrethra , vaginaSphincter urethrae muscleDeep transverse perineal musclesInternal pudendal vesselsDosal nerve of clitoris

•Bulbs of vestibule:Crura of clitoris. •Superficial perineal muscles: • Bulbospongiosus muscle, Ischiocavernosus

muscle, • Superficial transverse perineal muscles.

•Greater vestibular glands: Perineal branch of pudendal nerve

Page 28: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following structures Forms the central point of the perineum ?

A. Perineal Body

B. ischial tuberosities

C. Anococcygeal Body

D. Coccyx

b/t coccyx & anorectal canal

Perineal Bodylocated at midpoint of the line between the ischial tuberosities

b/t vagina & anus

Page 29: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following structures is posterior to the anal canal

A. Perineal body

B. Ischiorectal fossae

C. Anococcygeal body.

D. urogenital diaphragm

Anterior

Lateral

Posterior

Anterior

Page 30: Lectures: Male & Female reproductive system Female pelvis & perineum

[email protected]

Which one of the following arteries supplies the upper half of anal canal?

A. Superior vesical artery

B. Superior rectal artery

C. Inferior rectal artery

D. Inferior vesical artery

Anal canal

Arterial supply Venous drainage Lymphatic drainage

Upper half Superior rectal artery

Superior rectal vein Para-rectal nodes

Lower half Inferior rectal a. Inferior rectal vein Superficial inguinal lymph nodes

Page 31: Lectures: Male & Female reproductive system Female pelvis & perineum

GOOD LUCKDone by:Anjod AlMuharebRevised by:Rheema Alfadhil

[email protected]

@anatomy433