解剖学题库下.doc

Pelvic and perineumSingle-choice questions1. The bony pelvis (A) A. is formed by the two hip bones, sacrum, coccyx and their joints.B. can be divided into abdominal and pelvic part by the terminal line.C. is enclosed at the inferior pelvic aperture by perineum.D. is wider, shorter and more funnel-shaped in female than in male.E. pelvic outlet is formed by the terminal line.2. The levator ani does not include (A) A. coccygeus.B. levator prostate.C. puborectalis.D. pubococcygeus.E. iliococcygeus.3. The pelvic diaphragm (E) A. encloses the whole inferior aperture of the pelvis.B. is located in the anal triangle.C. consists of levator ani, sphincter ani externus, superior and inferior fascia of pelvic diaphragm.D. has a hiatus of pelvic diaphragm for digestive and urogenital canal.E. can support the pelvic viscera.4. The perineum (B) A. is all of the soft tissue enclosing pelvic inlet.B. can be divided into urogenital and anal region.C. ends anteriorly at the external reproductive organsD. ends posteriorly at the anus.E. is a triangle-shaped region.5. The hiatus of the pelvic diaphragm(A) A. is a cleft between the anteromedial margin of pelvic diaphragm.B. is filled with the urogenital diaphragm.C. is enclosed by superior and inferior fascia of urogenital diaphragm.D. is the main channel connecting the pelvic spaces and perineal space.E. is penetrated by the membranous part of the urethra in male.6. The retropubic space (B) A. is located between the urinary bladder and rectum or uterus.B. is usually used for extra-peritoneal operation of urinarry bladder.C. is rich in venous plexus and unsuitable for organ separation.D. is suitable for exudation absorption. E. doesnt communicating with other pelvic spaces7. The retrorectal space (E) A. surround the inferior part of the ampulla of rectum.B. is the space between the sacrum and presacral fascia.C. is rich in venous plexus and unsuitable for rectus separation.D. communicates downwards with the ischioanal fossa. E. communicates upwards with the retroperitoneal space .8. Which one is right about the rectum (D) A. It continues upwards with the sigmoid colon at the level of pelvic inlet.B. It continues downwards with the anal canal at the level of dentate line.C. The upper part is not covered by peritoneum.D. It has sacral and perineal flexures in the sagittal plane.E. It is a intraperitoneal viscera.9. Concerning Hiltons line,the the wrong description is (E) A. lies at the interval between the sphincter ani internus and externus.B. is about 1cm below the dentate line.C. is also called white line.D. is continuous upwards with the anal pecten.E. can not be felt in digital examination of the anal canal.10. Which one is wrong about the relations of the rectum (B) A. The sacral plexus is behind it.B. It is separated from the prostate by rectovesical pouche in male.C. It is separated from the seminal vesicle by rectovesical pouche in male.D. It is separated from uterus by rectouterine pouch in female.E. It is separated from the vagina by rectouterine pouch and fascial septum in female.11. Through the anterior wall of the rectum , we can not palpate(E) A. prostate.B. seminal vesicle.C. ampulla ductus deferentis.D. neck of uterus.E. urethra.12. The urinary bladder (E) A. may raised into the peritoneal cavity when it is filled with urine.B. contacts with prostate posteriorly (male).C. contacts with posterior part of fornix of vagina (female).D. contacts with the urogenital diaphragm at the apex.E. is entirely within the lesser pelvis when it is empty13. The mark to find the uriteric orifice in urinary bladder is (C) A. trigone of bladder.B. internal urethral orifice.C. interureteric fold.D. urethral ridge.E. vesical uvula.14. The pelvic part of ureter (D) A. descends immediately behind the internal iliac artery.B. crosses lateral to the external vessels, umbilical artery, obturator nerve and vessels.C. crosses posteriorly over the ductus deferens (male).D. passes lateral to the fornex of the vagina and is crossed by uterine artery.E. ends on the inferior of the urinary bladder as the internal urethral orifice.15. The prostate (A) A. is located between the apex of bladder and urogenital diaphragm.B. is placed in front of the uterus.C. has venous plexus between the prostatic capsule and sheath.D. can not be touched during check-up.E. is pierced by the ductus deferens. 16. Which one is wrong about the prostate?(C) A. It is a chestnut-shaped organ. B. It may be divided into anterior, middle, posterior and two lateral lobes.C. The urethra passes through the middle lobe of the gland.D. There is prostatic sulcus along the middle line on the posterior surface.E. The ejaculatory duct penetrates the base and opens on seminal colliculus.17. Which one is wrong about the uterus? (D) A. It can be divided into three parts-fundus, body and neck.B. The isthmus is a slight constriction at the junction between the neck and body.C. The lower part of the neck can insert into the vagina.D. The cavity in the uterus is called cavity of uterus.E. The body is bent forward at the junction with the neck (anteflection).18. Which one is wrong about the uterine artery (E) A. It arises from the internal iliac artery.B. It descends in front of the ureter to the base of broad ligament.C. It crosses above the ureter just lateral to the neck of the uterus.D. It sends branches to vagina, uterine tube and ovary.E. It should be protected during hysterectomy (子宫切除术).19. The ligaments that protect the uterus from prolapse is（下垂） （D） A. broad ligament of uterus.B. suspensory ligament of ovary.C. round ligament of uterus.D. cardinal ligament of uterus.E. uterosacral ligament.20. Which one is wrong about the position of the uterus （D） A. Its inferior end is above the ischial spine.B. The urinary bladder is in front of it.C. The uterine tube, ovaries, broad ligament are on both sides of it.D. The rectum is behind it.E. Its lower part penetrates the urogenital diaphragm. 21. The ovary （E） A. is situated in the ovary fossa between the common and internal artery.B. is a retroperitoneal viscera.C. is connected to the uterus by proper ligament of ovary at its superior extremity.D. is attached to the front of the broad ligament of uterus by mesoovarium.E. is suspended to the pelvic wall by suspensory ligament of ovary.22. Fertilization（受精） usually occures in （D） A. cavity of uterus.B. uterine part of uterine tube.C. isthmus of uterine tube.D. ampulla of uterine tube.E. infundibulum of uterine tube.23. Which one is wrong about the uterine tube （D） A. It is situated on the upper margins of the broad ligament of uterus.B. Its medial end opens into the cavity of uterus by uterine orifice.C. Its lateral end open into peritoneal cavity by abdominal orifice.D. It can be divided into three part: isthmus, ampulla, and infundibulum.E. It is usually distinguished from the small intestine by fimbriae.24. Which one is wrong about the vagina （B） A. The upper end surrounds the lower part of neck of uterus.B. The anterior wall is longer than the posterior one.C. The posterior fornix of vagina is near the rectouterine pouch.D. The anterior wall contacts with urinary bladder and urethra.E. The posterior wall contacts with the anterior wall of rectum.25. Anal canal （A） A. continues with the rectum at the level of pelvic diaphragm.B. terminates at the dentate line.C. is about 78 cm in length.D. has two flexures in sagittal plane.E. has a dilated upper part called ampulla of rectum.26. Below the dentate line （E） A. The epidermis is skin.B. The epidermis is innervated by somatic nerve.C. The lymph is drained into the superficial inguinal lymph node.D. The blood is drained into the internal iliac vein.E. All of the above are is right.27. The ischioanal fossa （D） A. is located between the rectum and ischium.B. communicates anteriorly with the superficial perineal space. C. communicates posteriorly with the gluteal region through greater sciatic foramen.D. has pudendal canal on its lateral wall.E. is traversed by the obturator nerve.28. The pudendal canal （E） A. runs in the center of the ischioanal fossa.B. is a cleft formed by superior fascia of pelvic diaphragm.C. communicates with the obturator canal.D. communicates with the greater sciatic foramen.E. contains the pudendal nerve and internal pudendal vessels.29. Superficial fascia of perineum (C) A. can be divided into two layers.B. extends backwards with the superficial fascia in anal region.C. continues with Scarpas fascia.D. is not joined with the deep fascia of perineum.E. is separated from the inferior fascia of pelvic diaphragm with superficial perineal space.30. Which one is wrong about the deep fascia of perineum (E) A. It can be divided into two layers.B. It attaches laterally to the pubic arches. C. It attaches posteriorly to the line between the ischial tuberosities. D. It encloses the deep perineal space.E. It is also called Colles fascia.31. The superficial perineal space does not contain (E) A. suferficial transverse muscle of peritoneum.B. crura of penis.C. ischiocavernosus or bulbocavernous.D. bulb of urethra (male).E. bulbourethral gland.32. The deep perineal space does not contain (E) A. membranous part of urethra.B. sphincter of urethra.C. bulbourethral gland.D. deep transverse muscle of perineum.E. bulb of vestibule33. Which space is enclosed (B) A. superficial perineal spaceB. deep perineal spaceC. retropubic spaceD. retrorectal spaceE. ischioanal fossa34. The internal spermatic fascia is continuous with(E) A. scarpas fascia.B. aponeurosis of obliquus externus abdominis.C. aponeurosis of obliquus internus abdominis.D. aponeurosis of transversus abdominis.E. transverse fascia.35. Which muscle does not insert to the perineal central tendon(C) A. superficial transverse muscle of perineum.B. deep transverse muscle of perineum.C. ischiocavernousus.D. bulbocavernousus.E. urethrovaginal sphincter36. Which one is wrong about the perineum in female in narrow sense.(D) A. It is located between the external reproductive organs and the anus.B. It contains the perineal central tendon.C. It is easier tore up during childbirth.D. It is poor developed in female.E. It is also called obstetrical perineum.37. Which one is not the important surface landmark (E) A. pubic crest.B. pubic arch.C. ischial tuberosity.D. apex of coccyx.E. promontory of the sacrum.38. Which is wrong about the internal iliac artery (D) A. It arises from the common artery.B. It is a short trunk descending into the lesser pelvis.C. The ureter runs anterior to it. D. Send out the inferior epigastric a. E. The internal iliac vein accompanies the artery on its medial side.39. The internal iliac artery doesnt send(D) A. superior gluteal artery.B. obturator artery.C. internal pudendal artery.D. superior rectal artery.E. inferior vesical artery.40. Which is wrong about the nervous plexus in the pelvis (C) A. The sacral plexus lies in front of the piriformis.B. The sacral sympathetic trunk runs medial to the anterior sacral foramen.C. The sacral plexus belong to the syspathetic n.D. The pelvic plexus is also called inferior hypogastric plexus.E. The branches distribute to the pelvic organs. 41. Which is wrong concerning the Superficial fascia of perineum.(B) A. Is called Colles fascia alsoB. Continues with Campers fascia.C. Continues with Dartos coat.D. Continues with Superficial fascia of the penis.E. Scarpas fascia.42. During a straddle (骑跨) injury, the urine can not spread into （E） A. penis.B. scrotum.C. superficial perineal space.D. anterior wall of abdomen.E. retropubic space.43. Which part of the ductus deferens can be easy palpated under the skin (B) A. testicular part.B. funicular part.C. inguinal part.D. pelvic part.E. ampulla ductus deferentis44. The second stricture of male urethra is at (D) A. internal orifice urethra.B. prostatic part.C. cavernous part.D. membranous part.E. external orifice urethra.45. In male, the anterior urethra refers to(C) A. prostatic part.B. membranous part.C. cavernous part.D. bulbous part.E. bulbous part and Membranous part.46. The epididymis(B) A. attaches to the anterior surface of the testes.B. is the storehouse for sperm.C. can be divided into head, neck, body and tail.D. secrets male hormone.E. consists of rete testis.47. The penis can be divided into(B) A. head, body and tail.B. head, body and root.C. head, neck and body.D. head, neck and crus.E. head, neck and crus.48. The internal reproductive organ is (E) A. mons pubis.B. lesser lips of pudendum.C. bulb of vestibuleD. clitoris.E. great vestibular gland.49. The deep perineal space does not contain (D) A. Deep transverse perineal m.B. Sphincter urethraeC. Bulbo-urethral gland.D. perineal nerve.E. Artery of penis50. The internal pudendal artery(D) A. Arises from the anterior trunk of the internal iliac artery.B. Passes through the lesser sciatic foramen to enter the gluteal region.C. Runs along the lateral surface of the obturator internus.D. Supplies the perineum.E. Runs below the pudendal nerve in the pudendal canal.Multi-choice questions51. The parietal pelvic fascia on the surface of the obturator internus forms (BCD) A. obtrurator membrane. B. obturator fascia.C. obturator canal.D. tendinous arch of levator ani.E. pudendal canal.52. The visceral pelvic fascia forms (BC) A. pudendal canal.B. prostatic sheath.C. cardinal ligament of uterus.D. superior fascia of pelvic diaphragm.E. retrorectal space.53. Pelvic fascial spaces include(CD) A. deep perineal space.B. superficial perineal spaceC. retropubic space.D. retrorectal space.E. ischioanal fossa.54. The splanchnic nerve in the pelvis are (ACD)A. sacral sympathetic trunk.B. superior hypogastric plexus.C. pelvic plexus.D. pelvic splanchnic nerves.E. sacral plexus.55. Peritoneum in pelvis forms (BDE) A. the uterosacral ligament.B. the rectouterine pouch.C. the round ligament of uterus.D. the mesovarium.E. the vesicouterine pouch.56. During the digital examination, we can feel (BCDE) A. ovary.B. prostate.C. seminal vesicle.D. uterus.E. ampulla of ductus deferens.57. The muscle referring to the anorectal ring are (ACDE) A. sphincter ani internus.B. subcutaneous part of sphincter ani externus.C. superficial part of sphincter ani externus.D. deep part of sphincter ani externus.E. puborectalis.58. Superficial fascia of perineum(ACE) A. is also called Colles fascia.B. Is continuous with Campers fasciaC. Is continuous with dartos coat.D. Is continuous with albuginea of the penis.E. Is continuous with Scarpas fascia.59. The pedendal nerve innervates (ABCE) A. superficial transverse muscles of perineum.B. deep transverse muscles of perineum.C. sphincter ani externusD. sphincter ani internus.E. levator ani.60. Structures passing through the superficial and deep perineal space are (BC) A. anal canal B. vagina.C. urethra.D. Obturator artery. E. Inferior gluteal nerve.61. Muscles insert at the perineal central tendon are (ABCDE) A. sphincter ani externus.B. superficial transverse muscles of perineum.C. deep transverse muscles of perineum.D. levator ani.E. sphincter of urethra.62. On the lateral wall of the ischoanal fossa, there are (ABDE) A. pudendal canal.B. obturator internus.C. sacrotuberous ligament.D. ischial spineE. ischial tuberosity.63. The superficial perineal space in female contains (ABCDE) A. crus of clitoris.B. bulb of vestibule.C. great vestibular gland.D. superficial transverse muscle of perineumE. ischiocaverbousus.64. The urogenital diaphragm is composed of (BCDE) A. superficial transverse muscle of perineum.B. deep transverse muscle of perineum.C. sphincter of urethra.D. superior fascia of urogenital diaphragm.E. inferior fascia of urogenital diaphragm.65. Rectovesical or rectovaginal septum (ABCD) A. is between the rectum and urinary bladder or vagina.B. is in coronary plane.C. contacts upwards to peritoneum.D. ends downwards at the pelvic diaphragm.E. contains prostate in male.66. The rectal cancer can metastasize to (BDE) A. superior mesenteric lymph node.B. inferior mesenteric lymph node.C. superficial inguinal lymph node.D. internal iliac lymph node.E. sacral lymph node.67. Behind the urinary bladder, there are (BCD) A. ovary.B. rectum(male).C. neck of uterus.D. anterior wall of vagina.E. prostate.68. The blood supplying the rectum comes from(CD) A. superior mesenteric artery.B.