Pelvis MCQs Block 1 1. The pelvic diaphragm includes the following muscles: A. The obturator internus B. The levator ani C. The coccygeus D. The external urethral sphincter E. The internal urethral sphincter 2. The peritoneum of the recto-uterine pouch (cul-de-sac of Douglas) passes over the following structures: A. Posterior vaginal wall B. Fundus of uterus C. Anterior wall of the rectal ampulla D. Anterior wall of anal canal E. Fundus of urinary bladder 3. The parietal pelvic fascia lines the inner aspect of the following muscles: A. The obturator externus B. The coccygeus C. The piriformis D. The obturator internus E. The levator ani 4. The branches of the anterior division of the internal iliac artery supply the following structures: A. Rectum B. Reproductive organs C. The liver D. Urinary bladder E. The thigh 5.* The iliolumbar vein usually drains into the following vein: A. Obturator B. Common iliac C. Internal iliac D. Gonadal E. Portal 6. The four primary groups of lymph nodes receiving lymph drainage from pelvic organs include: A. External iliac lymph nodes B. Celiac C. Sacral lymph nodes D. Internal iliac lymph nodes E. Common iliac 7.* The ganglion impar (coccygeal ganglion) is formed by convergence of the following paired structure: A. Coccygeal nerves B. Sacral sympathetic trunks C. Pudendal nerves D. Sacral parasympathetic trunks E. Obturator nerves 8. The major portions of the urinary bladder include: 1
A. Apex B. Isthmus C. Body D. Neck E. Fundus 9. The parts of the male urethra include: A. Spongy urethra B. Intermediate part C. Prostatic urethra D. Cavernous urethra E. Intramural part 10. The ejaculatory ducts arise by the union of the ducts of the following structures: A. Epididymes B. Ductus deferentes C. Ureters D. Urethra E. Seminal glands 11. The parts of the uterine tubes include: A. Cervix B. Isthmus C. Uterine part D. Infundibulum E. Ampulla 12. The lymph node groups involved in lymphatic drainage of structures of pelvis and perineum include: A. Common iliac 2 B. Superficial inguinal C. Inferior mesenteric D. Celiac E. Lumbar 13. The male urogenital triangle includes: A. Internal genitalia B. Levator ani muscle C. External genitalia D. External anal sphincter E. Perineal muscles 14.* The pelvic cavity is continuous with the abdominal cavity at the level of: A. The pelvic diaphragm B. The obturator membrane C. The obturator fascia D. The diaphragm E. The pelvic inlet 15. The attachments of the coccygeus muscle include: A. Ischial spine B. Inferior end of sacrum and coccyx C. Walls of prostate or vagina D. Ischial spine E. Tendinous arch of obturator fascia 16. The proximal attachment of the levator ani muscle includes: A. Perineal body
B. Tendinous arch of obturator fascia C. Body of pubis D. Ischial tuberosity E. Ischial spine 17. The distal attachment of the levator ani muscle includes: A. Ischial spine B. Anococcygeal ligament C. Perineal body D. Walls of prostate and vagina E. Coccyx 18. The levator ani includes the following muscles: A. Pubococcygeus B. Piriformis C. Puborectalis D. Coccygeus E. Iliococcygeus 19. The tendinous arch of pelvic fascia has the following parts: A. The pubovesical ligament B. The mesometrium C. The puboprostatic ligament D. The sacrogenital ligament E. The broad ligament 20. The paracolpium connects the following structures: A. The tendinous arch of the pelvic fascia 3 B. The inguinal canal C. The visceral fascia of the vagina D. The pubic symphysis E. The peritoneum of the vagina 21. The anococcygeal body is a ligament connecting the following structures: A. Anus B. Urogenital hiatus C. Coccyx D. Obturator fascia E. Tendinous arch of levator ani 22.* The pararectal fossae are the lateral extensions of the following peritoneal pouch: A. Omental bursa B. Vesico-uterine C. Subphrenic D. Hepatorenal E. Recto-uterine 23. The following elements are inclosed within the broad ligaments: A. Round ligaments of the uterus B. Ligaments of the ovaries C. Bulbs of vestibule D. Ovaries E. Uterine tubes 24. In the male, the ureteric fold is formed as the peritoneum passes up and over the following structures:
A. Seminal vesicle B. Internal iliac vessels C. Ejaculatory duct D. Ureter E. Ductus deferens 25. The male reproductive organs in contact with the peritoneum are: A. Prostate B. Bulb of penis C. Ampulla of ductus deferens D. Seminal glands E. Testis 26. The loose areolar (fatty) tissue in the subperitoneal endopelvic fascia can be explored through blunt dissection, therefore representing potential spaces, as follows: A. Retropubic space B. Prevesical space C. Retroperitoneal space D. Retrorectal space E. Presacral space 27. The hypogastric sheath gives passage to the following elements: A. Uterine tubes B. Vessels to pelvic viscera C. Ductus deferens D. Nerves to pelvic viscera E. Ureters 4 28. The hypogastric sheath divides into the following laminae (layers): A. Lateral rectal ligament B. Rectovesical septum C. Broad ligament D. Cardinal ligament E. Lateral ligament of the bladder 29. The rectosacral (lateral sacral) ligaments divide the pelvirectal space into the following spaces: A. Rectouterine B. Retrorectal C. Rectovesical D. Pararectal E. Paracolpium 30. The pubic branch of the obturator artery ascends on the pelvic surface of the pubis to anastomose with the following: A. The pubic branch of the inferior epigastric artery, a branch of the internal iliac artery B. The pubic branch of the inferior epigastric artery, a branch of the external iliac artery C. The pubic branch of the obturator artery from the other side D. The pubic branch of the inferior epigastric artery, a branch of the common iliac artery E. The pubic branch of the umbilical artery 31.* The inferior vesical artery occurs only in males, being replaced in females by the following artery: A. Ovarian B. Internal pudendal
C. Vaginal D. Uterine E. Middle rectal 32.* The uterine artery is the homolog of the following artery in male: A. Dorsal artery of penis B. Artery of the ductus deferens C. Inferior vesical artery D. Lateral sacral artery E. Internal pudendal artery 33. The following arteries have their origin in the posterior division of the internal iliac: A. Gonadal arteries B. Lateral sacral C. Inferior gluteal D. Iliolumbar E. Superior gluteal 34. On reaching the side of the cervix, the uterine artery divides into the following branches: A. Tubal B. Inferior vesical C. Ovarian D. Vaginal E. Ascending 35. The three urinary systems developped from mesodermal tissue include: A. Pronephros 5 B. Mesonephros C. Cloacal folds D. Metanephros E. Urogenital sinus 36. The mesonephros is characterized by the following: A. The mesonephric or Wolffianduct B. Forms in the cervical region, is vestigial C. The excretory units D. The metanephros E. The ureteric bud 37. The ureteric bud gives rise to the following structures: A. Ureter B. The urinary bladder C. Excretory units (nephrons) D. Renal pelvis E. Calyces 38. During the 4th to 7th weeks of development, the cloaca is subdivided into the following structures: A. Urogenital sinus B. Mesonephros C. Pronephros D. Anal canal E. Hind gut 39. The urogenital sinus differentiates into the following structures: A. Urinary bladder
B. Upper portion of vagina C. Membranous urethra D. Prostatic urethra E. Genital tubercle 40. Testosterone produced in the testes stimulates development of the mesonephric ducts to form the following structures: A. Ejaculatory duct B. Vas deferens C. Genital tubercles D. Epididymis E. Efferent ducts 41. During the indifferent stage of development, the genital system includes the following ducts: A. Efferent ducts B. Vas deferens C. Uterine tube D. Paramesonephric ducts E. Mesonephric ducts 42. Estrogens regulate development of the paramesonephric ducts which form the following: A. Uterine tube B. Upper portion of vagina C. Uterus D. Cervix E. Clitoris 43. The indifferent stage of the external genitalia features the following structures: 6 A. Genital tubercle B. Genital swellings C. Clitoris D. Scrotal swellings E. Cloacal folds 44.* In females, the genital tubercle forms the following structure: A. Clitoris B. Labia majora C. Labia minora D. Uterine tubes E. Cervix 45.* In females, the genital tubercle forms the following structure: A. Cervix B. Labia minora C. Clitoris D. Labia majora E. Uterine tubes 46.* In females, the urethral folds form the following structure: A. Cervix B. Clitoris C. Labia majora D. Uterine tubes E. Labia minora
47.* In females, the urethral folds form the following structure: A. Uterine tubes B. Labia majora C. Clitoris D. Cervix E. Labia minora 48.* In females, the genital swellings form the following structure: A. Labia majora B. Uterine tubes C. Clitoris D. Cervix E. Labia minora 49. In males, the ureter lies to the ductus deferens and enters the urinary bladder just to the seminal gland. A. Medial B. Inferior C. Posterolateral D. Anteromedial E. Superior 50. In females, the ureter is crossed by the uterine artery and then to the fornix of the vagina before entering the urinary bladder. A. Inferiorly B. Lateral C. Anterior D. Posterior 7 E. Superiorly 51. The pelvic parts of the ureter is supplied by the following arteries: A. Uterine B. Common iliac C. Middle rectal D. Internal iliac E. Ovarian 52. The urinary bladder, according to its content and the state of neighbouring viscera, varies in the following respects: A. Innervation B. Position C. Size D. Relationships E. Shape 53. The potential retropubic space (of Retzius) separates the following structures: A. Urethra B. Urinary bladder C. Pubic bones D. Uterus E. Rectum 54. The following parts of the urinary bladder meet at the neck of the bladder: A. Inferolateral surfaces B. Apex C. Fundus
D. Body E. External urethral orifice 55. In males, the fundus is separated from the rectum by the following structures: A. Ampullae of ductus deferentes B. Seminal glands C. Superior anterior wall of vagina D. Pubic symphysis E. Rectovesical septum 8