Presentation on theme: "Midterm Revision Lectures: Male & Female reproductive system"— Presentation transcript:
1 Midterm Revision Lectures: Male & Female reproductive system Female pelvis & perineumMidterm Revision
2 which one of the following is the male primary sex organ?? A. seminal vesicles B. prostate glandC. testis D. bulbourthral glandA, B ,D are accessory glands
3 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.
4 Which one of the following form the bulk of the testes (site of spermatogenesis)? Tunica VaginalisTunica albugeniaseminiferous tubulesRete testisIt is the Site of merging of the Seminiferous tubules.
5 testicular*gonadal* artery is a branch of abdominal aorta at the level of?? B. L2C. L3D. L4testicular 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.
7 the Efferent *motor* nerve of the cremasteric reflux is?? A. femoral branch of (GFN) B. genital branch of (GFN)C. Ilioinguinal nerveD. illiohypogastric nerveNerve involved: Genitofemoral nerve (GFN), ( L1,2)Sensory: femoral branch of (GFN) & Ilioinguinal N.Motor: genital branch of (GFN).
8 which one of the following parts of Reproductive Conducting Tract store spermatozoa up to 2 weeks for maturation??A. Epididymis.B. Vas Deferens.C. Spermatic cord.Epididymis:Located on the posterior & superior margins of the testis.The Head receives efferent ductules from testis.The Tail is continuous with Vas Deferens
9 Which one of the following glands secrete the majority of the seminal fluid ? Seminal vesicle.Prostate.Bulbourethral glands.60%30 – 20%10%
10 Which one of the following structures is inferior to the prostate gland? AnteriorSuperiorPosteriorInferiorLateralSymphysis pubisNeck of urinary bladderRectumUrogenital diaphragmMedial margins of levator ani muscles(levator prostate)Prostate gland supplied by inferior vesical artery
11 which one of the following lobes of the prostate gland is located between the urethra and ejaculatory ducts also rich of glandular tissue??A. anterior lobeB. posterior lobeC. lateral lobeD. median lobe The Median & Lateral lobes are rich in glandular tissue.The Central zone in Urologists & Sonographers division is represented by the Middle lobe.
12 which one of the following copulatory organs of the penis has the penile urethra? A. corpus spongiosum B. corpora cavernosa
13 Regarding the female reproductive organs, which one of the following statement is correct? The ampulla is the most medial part of the uterine tube.The rectum is anterior to the vagina.The ovarian artery is a branch of the internal iliac artery of the pelvis.The uterine tube is enclosed in the broad ligament of the uterus.
14 Rectouterine (Douglas) pouch is …? Reflection of peritoneum from uterus to upper surface of urinary bladderExtension of peritoneum from lateral wall of uterus to lateral wall of pelvisReflection of peritoneum from rectum to upper part of posterior surface of vaginaUterovesical (vesicouterine) pouchBroad ligament of uterus
15 Which one of the following structures is related (or attached) to the lateral end of the ovary? Fimbriae of uterine tubeAmpulla of uterine tubeLigament of ovaryRound ligament of uterusmedialOvary is attached to the back of the broad ligament by a peritoneal fold (mesovarium)
16 Which one of the following parts of uterus lies from the level of uterine tube to the level of the isthmus?FundusBodyCervixabove the level of uterine tubesbelow the level of the isthmus of the uterus
17 Which one of the following parts of uterine tube is the site of fertilization? A. intramural B. isthmusC. ampullaD. infundibulumopening into the uterine wallnarrowest partwidest partfunnel-shaped end, has finger-like processes (fimbriae)It is enclosed in the broad ligament of uterus
18 Which one of the following structures is posterior to the uterus(FUNDUS + BODY + SUPRAVAGINAL PART OF CERVIX)?A. Urinary bladderB. Uterine arteryC. Sigmoid colonD. OvaryAnteriorLateralVAGINAL PART OF CERVIX: surrounded by vaginal fornices
19 Which one of the following structures is lateral to the vagina? Urethraanal canaluretersANTERIOR: Urinary bladder (in pelvis) & urethra (in perineum)POSTERIOR: Rectum (in pelvis) & anal canal (in perineum)LATERAL: ureters (in pelvis)
20 Which one of the following positions is the usual position of the uterus? A. anteverted uterus B. anteflexed uterusC.anteverted anteflexed uterusD. retroverted uterus
21 Which one of the following structures maintains anteverted anteflexed position? Round ligament of uterusLigaments of cervixLevator ani musclesDownward dispalcement of uterusdamageLigaments of cervix (especially transverse cervical)
22 Which one of the following muscles lies in the posterior pelvic wall ? Obturator internusPiriformislevator aniCoccygeusANTERIOR PELVIC WALLPOSTERIOR PELVIC WALLLATERAL PELVIC WALLINFERIOR PELVIC WALL(PELVIC FLOOR)posterior surfaces of the bodies of the pubic bones, the pubic rami, and the symphysis pubis.sacrum, coccyx, and piriformisPart of the hip bone below the pelvic inlet,Obturator internusSacrotuberous&Sacrospinous ligamentslevator ani and the coccygeus muscles
23 Which one of the following muscles form the pelvic diaphragm? A. levatore ani + piriformis B. obturator internus + piriformisC. obturator internus + coccygeusD. levatore ani + coccygeus
24 Which one of the following levatores ani fibers is important for maintaining fecal continence? A. pubococcygeus (anterior fibers)B. puborectalis (intermediate fibers)C. iliococcygeus (posterior fibers)Pubococcygeus:(The levator prostate or sphincter vaginae)Supports the prostate or vaginastabilizes the perineal body.
25 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 jointUmbilical arteryGives the superior vesical arteryThe 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 tubesOvarian artery:Arises from the abdominal aorta.Venous drainage of the pelvis : internal iliac vein
26 All the following are contents of Urogenital triangle EXCEPT? A. urethra B. vaginaC. vulvaD. anus
27 all the following are contents of deep perineal pouch EXCEPT? A. urethra B. vaginaC. crura of clitoris D. sphincter urethae muscleDeep Perineal PouchSuperficial Perineal PouchUrethra , vaginaSphincter urethrae muscleDeep transverse perineal musclesInternal pudendal vesselsDosal nerve of clitorisBulbs of vestibule:Crura of clitoris.Superficial perineal muscles:Bulbospongiosus muscle, Ischiocavernosus muscle,Superficial transverse perineal muscles.Greater vestibular glands: Perineal branch of pudendal nerve
28 Which one of the following structures Forms the central point of the perineum ? Perineal Bodyischial tuberositiesAnococcygeal BodyCoccyxb/t vagina & anusb/t coccyx & anorectal canalPerineal Bodylocated at midpoint of the line between the ischial tuberosities
29 Which one of the following structures is posterior to the anal canal Perineal bodyIschiorectal fossaeAnococcygeal body.urogenital diaphragmAnteriorLateralPosterior
30 Which one of the following arteries supplies the upper half of anal canal? Superior vesical arterySuperior rectal arteryInferior rectal arteryInferior vesical arteryAnal canalArterial supplyVenous drainageLymphatic drainageUpper halfSuperior rectal arterySuperior rectal veinPara-rectal nodesLower halfInferior rectal a.Inferior rectal veinSuperficial inguinal lymph nodes