INTERACCIONES ENTRE LA ABIÓTICO, LO BIÓTICO Y LO ANTROPICO

Pelvic Cavity and joints

125. Regarding the pelvis

A. The sacro-iliac joint is a synovial joint

B. The sacrotuberous ligament lies anterior to the sacrospinous ligament

C. The sub public angle is wider in male than in female D. The piriformis muscle leaves the pelvis through the

greater sciatic foramen

E.

The inferior pubic rami are everted in males

126. The pelvic outlet is formed by the

A. ischial tuberosities B. sacrotuberous ligaments C. alar of the sacrum

D. ischiopubic rami E. sacroiliac ligaments

127. The levator ani muscle

A. has superior and inferior surfaces covered with fascia

B. is supplied by a branch from the 1st _{sacral nerve}

C. is inserted into the perineal body

D. has fibres forming a sling around the anorectal junction

E. forms the medial boundary of the ischioanal fossa

128. Pelvic peritoneum in the female covers the

A. Superior surface of the bladder

B. Anterior surface of the lower third of the rectum C. Lateral surface of the urinary bladder

D. Fundus of the uterus

E. Anterior surface of the vagina

3

Rectum and anal canal

129. The rectum in the male

A. rests in front of the 3rd_,4th _{and 5}th _{sacral vertebrae}

B. is covered by the peritoneum in its upper 1/3 in front and sides

C. is derived from the lower part of the urogenital sinus

D. is lined by the stratified squamous non keratinizing epithelium

E. drains its upper part to the pre aortic lymph nodes

130. Regarding the anal canal

A. It has internal sphincter composed of striated muscle

B. Its upper part is developed from the hindgut C. Its lower part is derived from the urogenital sinus D. Superficial inguinal nodes drain lymph from its

upper third

E. Pecten is lined by a simple columnar epithelium

131. Regarding the anal canal

A. The pectinate line separates the ectodermal and endodermal parts

B. The middle rectal artery supplies it

C. The pecten is lined by stratified squamous keratinized epithelium

D. It drains into the superior rectal veins

E. Pectinate line is a site of portosystemic anastomosis

132. Regarding the rectum

A. It is covered by the peritoneum throughout

B. It is developed from the lower part of the urogenital sinus

C. It is lined by a simple columnar epithelium D. It is supplied by the inferior rectal artery

E. In the male the prostate can be palpated on its anterior wall by per rectal examination

Urinary bladder, urethra and ureters in the pelvis 133. The female urethra is

A. lined by the stratified squamous keratinizing epithelium

B. ten centimeters long

C. supplied by the internal pudendal artery D. derived from the mesonephric duct

E. drained into the internal iliac nodes

134. Regarding the urinary bladder

A. Its epithelium is derived from endoderm

B. The extrophy of the bladder is due to persistence of the urachus

C. Has no peritoneal covering

D. Is lined by a stratified squamous non keratinizing peithelium

E. Its apex is connected to the umbilicus by the median umbilical ligament

Male Reproductive Organs 135. The testis

A. develops in the paraxial mesoderm B. drains its lymph to the para aortic nodes

C. has the appendix testis which is a derivative of the mesonephric duct

D. is supplied by sympathetic nerve firbres originating from the T10 segment

E. contains diploid cells in the wall of seminiferous tubule

136. The testis

A. The tunica vaginalis completely encloses the testis B. Has the epididymis located along its anterior border C. Is supplied by sympathetic nerves arising from T10

spinal segment

E. The veins drain into the inferior vena cava on both sides

137. The ductus deferens

A. is lined by a cuboidal epithelium B. develops from the mesonephric duct C. passes through the inguinal canal

D. crosses the ureter in the region of the ischial spine E. joins with that of the opposite side to form the

ejaculatory duct

138. Regarding ductus deferens

A. It begins as a continuation from the upper pole of epididymis

B. It is palpable in spermatic cord

C. It is supplied by a branch of the testicular artery D. It leaves the spermatic cord at the deep inguinal

ring

E. The ampulla of the vas lies behind the base of the bladder

139. Pelvic part of the urogenital sinus in the male gives rise to the

A. penile urethra B. ejaculatory duct C. seminal vesicle D. prostatic urethra E. membranous urethra

140. Regarding the prostate gland

A. Its base lies against the neck of the bladder B. It has a skeletal muscle covering

C. Its posterior lobe is devoid of glandular tissue

D. The normal gland can be palpated by per rectal examination

E. Carcinoma of the prostate can directly spread to the pelvic bones

A. They lie on the posterior surface of the bladder B. The medial surface is related to the vas deferens C. Develop from the paramesonephric ducts

D. Store spermstozoa

E. Are palpable by per rectal examination

142. The penis

A. consists of two masses of erectile tissue B. is developed from the genital swellings C. drains into superficial inguinal lymph nodes D. is supplied by a branch of the pudendal artery

E. has the bulbospongiosis muscle attached to the side of the pubic arch

Female reproductive organs 143. Regarding the vagina

A. The upper part develops from the urogenital sinus B. The lower half lies within the perineum

C. It receives an arterial supply from the uterine artery D. Its posterior wall is completely covered by the

peritoneum

E. Its posterior wall is longer than the anterior wall

144. The ovary

A. Is developed from the paraxial mesoderm

B. when diseased will cause pain on the inner side of the thigh on the same side

C. is supplied by the uterine artery D. has its own mesentery

E. is attached to the uterus by the ligament of the ovary

145. Regarding the uterus

A. Lymph from the upper part of the body drains in to the para aortic nodes

B. It is normally anterverted and retroflexed C. Its body is enclosed by the peritoneum

D. The anterior surface of the cervix is attached to the bladder above the trigone

E. It is developed from the paramesonephric ducts

146. The broad ligament

A. has the ovary on its anterior margin B. has the fallopian tube at its upper border C. has an attachment to the labium majus

D. contains remnants of the mesonephric tubules E. extend from the uterus to the lateral wall of the

pelvis

147. Major supports of the uterus include

A. levator ani muscle B. round ligament

C. pubo-cervical ligament D. utero-sacral ligament E. perineal body

148. Dizygotic twins

A. always have a common chorionic cavity B. are always of the oppsosite sex

C. have separate amniotic cavities D. have two placentae

E. aAre commoner than monozygotic twins

149. The uterine tube

A. is the site of fertilization of the ovum B. is narrowest at the ampulla

C. develops from the paramesonephric ducts D. is lined by a simplecolumnar ciliated epithelium E. has an arterial supply from the ovarian artery

150. Which of the following are homologous

A.

Penis and clitoris

B.

Scrotum and labia minora

C.

Testis and ovary

E.

Penile urethra and vaginal fornices

Pelvic vessels and nerves

151. Following are branches of internal iliac artery

A. Iliolumbar artery B. Uterine artery

C. Median sacral artery D. Inferior epigastric artery E. Superior gluteal artery

152. The pudendal nerve

A. Consists of second, third and fourth sacral spinal segments

B. Leaves the pelvis through the obturator foramen C. Lies in the medial wall of the ischiorectal fossa D. Gives off the dorsal nerve of the penis

E. Supplies the deep transverse perinei muscle

153. The uterine artery

A. is a branch of the posterior division of the internal iliac artery

B. lies within the broad ligament C. passes above the ureter

D.

anastomoses with obturator artery E. supplies the ovaries

154. The sacral plexus

A. Lies on the obturator internus muscle

B. Receives a contribution from the lumbosacral trunk C. Supplies the quadratus femoris muscle

D. Gives branches to supply the perianal skin and skin of buttock

E. Supplies the gluteal muscles

A. begins in front of the sacroiliac joint

B. ends near the upper margin of the lesser sciatic foramen

C. is crossed anteriorly by the ureter at the pelvic brim D. gives off the the median sacral artery from its

posterior division

E. supplies the vas deferens

Perineum

156. Contents of the deep perineal pouch in the male include

A. membranous urethra B. perineal membrane C. internal pudendal vessels D. dorsal nerve of the penis E. bulb of the penis

157. Structures that drain directly to the superficial inguinal lymph

nodes include

A.

scrotum

B.

testis

C.

glans penis

D.

labia minora

E.

clitoris

158. Muscles attached to the perineal body include

A. levator ani

B. superficial transverse perinei C. external anal sphincter D. deep transverse perinei E. ischiocavernosus

159. Muscles found within the superficial perineal pouch include

A.

bulbospongiosus muscle

B.

ischiocavernosus mucle

D.

deep transverse perineal muscle

E.

superficial transverse perineal muscle

In document CAPITULO Nº4: DIAGNOSTICO DEL AREA DE INFLUENCIA DEL PROYECTO (página 63-66)