局解试题_英文3

PelvicandperineumSingle-choicequestions1.Thebonypelvis(A)A.isformedbythetwohipbones,sacrum,coccyxandtheirjoints.B.canbedividedintoabdominalandpelvicpartbytheterminalline.C.isenclosedattheinferiorpelvicaperturebyperineum.D.iswider,shorterandmorefunnel-shapedinfemalethaninmale.E.pelvicoutletisformedbytheterminalline.2.Thelevatoranidoesnotinclude(A)A.coccygeus.B.levatorprostate.C.puborectalis.D.pubococcygeus.E.iliococcygeus.3.Thepelvicdiaphragm(E)A.enclosesthewholeinferiorapertureofthepelvis.B.islocatedintheanaltriangle.C.consistsoflevatorani,sphincteraniexternus,superiorandinferiorfasciaofpelvicdiaphragm.D.hasahiatusofpelvicdiaphragmfordigestiveandurogenitalcanal.E.cansupportthepelvicviscera.4.Theperineum(B)A.isallofthesofttissueenclosingpelvicinlet.B.canbedividedintourogenitalandanalregion.C.endsanteriorlyattheexternalreproductiveorgansD.endsposteriorlyattheanus.E.isatriangle-shapedregion.5.Thehiatusofthepelvicdiaphragm(A)A.isacleftbetweentheanteromedialmarginofpelvicdiaphragm.B.isfilledwiththeurogenitaldiaphragm.C.isenclosedbysuperiorandinferiorfasciaofurogenitaldiaphragm.D.isthemainchannelconnectingthepelvicspacesandperinealspace.E.ispenetratedbythemembranouspartoftheurethrainmale.6.Theretropubicspace(B)A.islocatedbetweentheurinarybladderandrectumoruterus.B.isusuallyusedforextra-peritonealoperationofurinarrybladder.C.isrichinvenousplexusandunsuitablefororganseparation.D.issuitableforexudationabsorption.E.doesn’tcommunicatingwithotherpelvicspaces7.Theretrorectalspace(E)A.surroundtheinferiorpartoftheampullaofrectum.B.isthespacebetweenthesacrumandpresacralfascia.C.isrichinvenousplexusandunsuitableforrectusseparation.D.communicatesdownwardswiththeischioanalfossa.E.communicatesupwardswiththeretroperitonealspace.8.Whichoneisrightabouttherectum(D)A.Itcontinuesupwardswiththesigmoidcolonatthelevelofpelvicinlet.B.Itcontinuesdownwardswiththeanalcanalatthelevelofdentateline.C.Theupperpartisnotcoveredbyperitoneum.D.Ithassacralandperinealflexuresinthesagittalplane.E.Itisaintraperitonealviscera.9.ConcerningHilton’sline,thethewrongdescriptionis(E)A.liesattheintervalbetweenthesphincteraniinternusandexternus.B.isabout1cmbelowthedentateline.C.isalsocalledwhiteline.D.iscontinuousupwardswiththeanalpecten.E.cannotbefeltindigitalexaminationoftheanalcanal.10.Whichoneiswrongabouttherelationsoftherectum(B)A.Thesacralplexusisbehindit.B.Itisseparatedfromtheprostatebyrectovesicalpoucheinmale.C.Itisseparatedfromtheseminalvesiclebyrectovesicalpoucheinmale.D.Itisseparatedfromuterusbyrectouterinepouchinfemale.E.Itisseparatedfromthevaginabyrectouterinepouchandfascialseptuminfemale.11.Throughtheanteriorwalloftherectum,wecannotpalpate(E)A.prostate.B.seminalvesicle.C.ampullaductusdeferentis.D.neckofuterus.E.urethra.12.Theurinarybladder(E)A.mayraisedintotheperitonealcavitywhenitisfilledwithurine.B.contactswithprostateposteriorly(male).C.contactswithposteriorpartoffornixofvagina(female).D.contactswiththeurogenitaldiaphragmattheapex.E.isentirelywithinthelesserpelviswhenitisempty13.Themarktofindtheuritericorificeinurinarybladderis(C)A.trigoneofbladder.B.internalurethralorifice.C.interuretericfold.D.urethralridge.E.vesicaluvula.14.Thepelvicpartofureter(D)A.descendsimmediatelybehindtheinternaliliacartery.B.crosseslateraltotheexternalvessels,umbilicalartery,obturatornerveandvessels.C.crossesposteriorlyovertheductusdeferens(male).D.passeslateraltothefornexofthevaginaandiscrossedbyuterineartery.E.endsontheinferioroftheurinarybladderastheinternalurethralorifice.15.Theprostate(A)A.islocatedbetweentheapexofbladderandurogenitaldiaphragm.B.isplacedinfrontoftheuterus.C.hasvenousplexusbetweentheprostaticcapsuleandsheath.D.cannotbetouchedduringcheck-up.E.ispiercedbytheductusdeferens.16.Whichoneiswrongabouttheprostate?(C)A.Itisachestnut-shapedorgan.B.Itmaybedividedintoanterior,middle,posteriorandtwolaterallobes.C.Theurethrapassesthroughthemiddlelobeofthegland.D.Thereisprostaticsulcusalongthemiddlelineontheposteriorsurface.E.Theejaculatoryductpenetratesthebaseandopensonseminalcolliculus.17.Whichoneiswrongabouttheuterus?(D)A.Itcanbedividedintothreeparts-fundus,bodyandneck.B.Theisthmusisaslightconstrictionatthejunctionbetweentheneckandbody.C.Thelowerpartoftheneckcaninsertintothevagina.D.Thecavityintheuterusiscalledcavityofuterus.E.Thebodyisbentforwardatthejunctionwiththeneck(anteflection).18.Whichoneiswrongabouttheuterineartery(E)A.Itarisesfromtheinternaliliacartery.B.Itdescendsinfrontoftheuretertothebaseofbroadligament.C.Itcrossesabovetheureterjustlateraltotheneckoftheuterus.D.Itsendsbranchestovagina,uterinetubeandovary.E.Itshouldbeprotectedduringhysterectomy(子宫切除术).19.Theligamentsthatprotecttheuterusfromprolapseis（下垂）（D）A.broadligamentofuterus.B.suspensoryligamentofovary.C.roundligamentofuterus.D.cardinalligamentofuterus.E.uterosacralligament.20.Whichoneiswrongaboutthepositionoftheuterus（D）A.Itsinferiorendisabovetheischialspine.B.Theurinarybladderisinfrontofit.C.Theuterinetube,ovaries,broadligamentareonbothsidesofit.D.Therectumisbehindit.E.Itslowerpartpenetratestheurogenitaldiaphragm.21.Theovary（E）A.issituatedintheovaryfossabetweenthecommonandinternalartery.B.isaretroperitonealviscera.C.isconnectedtotheuterusbyproperligamentofovaryatitssuperiorextremity.D.isattachedtothefrontofthebroadligamentofuterusbymesoovarium.E.issuspendedtothepelvicwallbysuspensoryligamentofovary.22.Fertilization（受精）usuallyoccuresin（D）A.cavityofuterus.B.uterinepartofuterinetube..C.isthmusofuterinetube.D.ampullaofuterinetube.E.infundibulumofuterinetube.23.Whichoneiswrongabouttheuterinetube（D）A.Itissituatedontheuppermarginsofthebroadligamentofuterus.B.Itsmedialendopensintothecavityofuterusbyuterineorifice.C.Itslateralendopenintoperitonealcavitybyabdominalorifice.D.Itcanbedividedintothreepart:isthmus,ampulla,andinfundibulum.E.Itisusuallydistinguishedfromthesmallintestinebyfimbriae.24.Whichoneiswrongaboutthevagina（B）A.Theupperendsurroundsthelowerpartofneckofuterus.B.Theanteriorwallislongerthantheposteriorone.C.Theposteriorfornixofvaginaisneartherectouterinepouch.D.Theanteriorwallcontactswithurinarybladderandurethra.E.Theposteriorwallcontactswiththeanteriorwallofrectum.25.Analcanal（A）A.continueswiththerectumatthelevelofpelvicdiaphragm.B.terminatesatthedentateline.C.isabout7~8cminlength.D.hastwoflexuresinsagittalplane.E.hasadilatedupperpartcalledampullaofrectum.26.Belowthedentateline（E）A.Theepidermisisskin.B.Theepidermisisinnervatedbysomaticnerve.C.Thelymphisdrainedintothesuperficialinguinallymphnode.D.Thebloodisdrainedintotheinternaliliacvein.E.Alloftheaboveareisright.27.Theischioanalfossa（D）A.islocatedbetweentherectumandischium.B.communicatesanteriorlywiththesuperficialperinealspace.C.communicatesposteriorlywiththeglutealregionthroughgreatersciaticforamen.D.haspudendalcanalonitslateralwall.E.istraversedbytheobturatornerve.28.Thepudendalcanal（E）A.runsinthecenteroftheischioanalfossa.B.isacleftformedbysuperiorfasciaofpelvicdiaphragm.C.communicateswiththeobturatorcanal.D.communicateswiththegreatersciaticforamen.E.containsthepudendalnerveandinternalpudendalvessels.29.Superficialfasciaofperineum(C)A.canbedividedintotwolayers.B.extendsbackwardswiththesuperficialfasciainanalregion.C.continueswithScarpa’sfascia.D.isnotjoinedwiththedeepfasciaofperineum.E.isseparatedfromtheinferiorfasciaofpelvicdiaphragmwithsuperficialperinealspace.30.Whichoneiswrongaboutthedeepfasciaofperineum(E)A.Itcanbedividedintotwolayers.B.Itattacheslaterallytothepubicarches.C.Itattachesposteriorlytothelinebetweentheischialtuberosities.D.Itenclosesthedeepperinealspace.E.ItisalsocalledColles’fascia.31.Thesuperficialperinealspacedoesnotcontain(E)A.suferficialtransversemuscleofperitoneum.B.cruraofpenis.C.ischiocavernosusorbulbocavernous.D.bulbofurethra(male).E.bulbourethralgland.32.Thedeepperinealspacedoesnotcontain(E)A.membranouspartofurethra.B.sphincterofurethra.C.bulbourethralgland.D.deeptransversemuscleofperineum.E.bulbofvestibule33.Whichspaceisenclosed(B)A.superficialperinealspaceB.deepperinealspaceC.retropubicspaceD.retrorectalspaceE.ischioanalfossa34.Theinternalspermaticfasciaiscontinuouswith(E)A.scarpa’sfascia.B.aponeurosisofobliquusexternusabdominis.C.aponeurosisofobliquusinternusabdominis.D.aponeurosisoftransversusabdominis.E.transversefascia.35.Whichmuscledoesnotinserttotheperinealcentraltendon(C)A.superficialtransversemuscleofperineum.B.deeptransversemuscleofperineum.C.ischiocavernousus.D.bulbocavernousus.E.urethrovaginalsphincter36.Whichoneiswrongabouttheperineuminfemaleinnarrowsense.(D)A.Itislocatedbetweentheexternalreproductiveorgansandtheanus.B.Itcontainstheperinealcentraltendon.C.Itiseasiertoreupduringchildbirth.D.Itispoordevelopedinfemale.E.Itisalsocalledobstetricalperineum.37.Whichoneisnottheimportantsurfacelandmark(E)A.pubiccrest.B.pubicarch.C.ischialtuberosity.D.apexofcoccyx.E.promontoryofthesacrum.38.Whichiswrongabouttheinternaliliacartery(D)A.Itarisesfromthecommonartery.B.Itisashorttrunkdescendingintothelesserpelvis.C.Theureterrunsanteriortoit.D.Sendouttheinferiorepigastrica.E.Theinternaliliacveinaccompaniesthearteryonitsmedialside.39.Theinternaliliacarterydoesn’tsend(D)A.superiorglutealartery.B.obturatorartery.C.internalpudendalartery.D.superiorrectalartery.E.inferiorvesicalartery.40.Whichiswrongaboutthenervousplexusinthepelvis(C)A.Thesacralplexusliesinfrontofthepiriformis.B.Thesacralsympathetictrunkrunsmedialtotheanteriorsacralforamen.C.Thesacralplexusbelongtothesyspatheticn.D.Thepelvicplexusisalsocalledinferiorhypogastricplexus.E.Thebranchesdistributetothepelvicorgans.41.WhichiswrongconcerningtheSuperficialfasciaofperineum.(B)A.IscalledColles’fasciaalsoB.ContinueswithCamper’sfascia.C.ContinueswithDartoscoat.D.ContinueswithSuperficialfasciaofthepenis.E.Scarpa’sfascia.42.Duringastraddle(骑跨)injury,theurinecannotspreadinto（E）A.penis.B.scrotum.C.superficialperinealspace.D.anteriorwallofabdomen.E.retropubicspace.43.Whichpartoftheductusdeferenscanbeeasypalpatedundertheskin(B)A.testicularpart.B.funicularpart.C.inguinalpart.D.pelvicpart.E.ampullaductusdeferentis44.Thesecondstrictureofmaleurethraisat(D)A.internalorificeurethra.B.prostaticpart.C.cavernouspart.D.membranouspart.E.externalorificeurethra.45.Inmale,theanteriorurethrarefersto(C)A.prostaticpart.B.membranouspart.C.cavernouspart.D.bulbouspart.E.bulbouspartandMembranouspart.46.Theepididymis(B)A.attachestotheanteriorsurfaceofthetestes.B.isthestorehouseforsperm.C.canbedividedintohead,neck,bodyandtail.D.secretsmalehormone.E.consistsofretetestis.47.Thepeniscanbedividedinto(B)A.head,bodyandtail.B.head,bodyandroot.C.head,neckandbody.D.head,neckandcrus.E.head,neckandcrus.48.Theinternalreproductiveorganis(E)A.monspubis.B.lesserlipsofpudendum.C.bulbofvestibuleD.clitoris.E.greatvestibulargland.49.Thedeepperinealspacedoesnotcontain(D)A.Deeptransverseperinealm.B.SphincterurethraeC.Bulbo-urethralgland.D.perinealnerve.E.Arteryofpenis50.Theinternalpudendalartery(D)A.Arisesfromtheanteriortrunkoftheinternaliliacartery.B.Passesthroughthelessersciaticforamentoentertheglutealregion.C.Runsalongthelateralsurfaceoftheobturatorinternus.D.Suppliestheperineum.E.Runsbelowthepudendalnerveinthepudendalcanal.Multi-choicequestions51.Theparietalpelvicfasciaonthesurfaceoftheobturatorinternusforms(BCD)A.obtruratormembrane.B.obturatorfascia.C.obturatorcanal.D.tendinousarchoflevatorani.E.pudendalcanal.52.Thevisceralpelvicfasciaforms(BC)A.pudendalcanal.B.prostaticsheath.C.cardinalligamentofuterus.D.superiorfasciaofpelvicdiaphragm.E.retrorectalspace.53.Pelvicfascialspacesinclude(CD)A.deepperinealspace.B.superficialperinealspaceC.retropubicspace.D.retrorectalspace..E.ischioanalfossa.54.Thesplanchnicnerveinthepelvisare(ACD)A.sacralsympathetictrunk.B.superiorhypogastricplexus.C.pelvicplexus.D.pelvicsplanchnicnerves.E.sacralplexus.55.Peritoneuminpelvisforms(BDE)A.theuterosacralligament.B.therectouterinepouch.C.theroundligamentofuterus.D.themesovarium.E.thevesicouterinepouch.56.Duringthedigitalexamination,wecanfeel(BCDE)A.ovary.B.prostate.C.seminalvesicle.D.uterus.E.ampullaofductusdeferens.57.Themusclereferringtotheanorectalringare(ACDE)A.sphincteraniinternus.B.subcutaneouspartofsphincteraniexternus.C.superficialpartofsphincteraniexternus.D.deeppartofsphincteraniexternus.E.puborectalis.58.Superficialfasciaofperineum(ACE)A.isalsocalledColles’fascia.B.IscontinuouswithCamper’sfasciaC.Iscontinuouswithdartoscoat.D.Iscontinuouswithalbugineaofthepenis.E.IscontinuouswithScarpa’sfascia.59.Thepedendalnerveinnervates(ABCE)A.superficialtransversemusclesofperineum.B.deeptransversemusclesofperineum.C.sphincteraniexternusD.sphincteraniinternus.E.levatorani.60.Structurespassingthroughthesuperficialanddeepperinealspaceare(BC)A.analcanalB.vagina.C.urethra.D.Obturatorartery.E.Inferiorglutealnerve.61.Musclesinsertattheperinealcentraltendonare(ABCDE)A.sphincteraniexternus.B.superficialtransversemusclesofperineum.C.deeptransversemusclesofperineum.D.levatorani.E.sphincterofurethra.62.Onthelateralwalloftheischoanalfossa,thereare(ABDE)A.pudendalcanal.B.obturatorinternus.C.sacrotuberousligament.D.ischialspineE.ischialtuberosity.63.Thesuperficialperinealspaceinfemalecontains(ABCDE)A.crusofclitoris.B.bulbofvestibule.C.greatvestibulargland.D.superficialtransversemuscleofperineumE.ischiocaverbousus.64.Theurogenitaldiaphragmiscomposedof(BCDE)A.superficialtransversemuscleofperineum.B.deeptransversemuscleofperineum.C.sphincterofurethra.D.superiorfasciaofurogenitaldiaphragm.E.inferiorfasciaofurogenitaldiaphragm.65.Rectovesicalorrectovaginalseptum(ABCD)A.isbetweentherectumandurinarybladderorvagina.B.isincoronaryplane.C.contactsupwardstoperitoneum.D.endsdownwardsatthepelvicdiaphragm.E.containsprostateinmale.66.Therectalcancercanmetastasizeto(BDE)A.superiormesentericlymphnode.B.inferiormesentericlymphnode.C.superficialinguinallymphnode.D.internaliliaclymphnode.E.sacrallymphnode.67.Behindtheurinarybladder,thereare(BCD)A.ovary.B.rectum(male).C.neckofuterus.D.anteriorwallofvagina.E.prostate.68.Thebloodsupplyingtherectumcomesfrom(CD)A.superiormesentericartery.B.femoralartery.C.superiorrectalartery.D.inferiorrectalartery.E.analartery.69.Thespermaticcordconsistsof(BDE)A.Ejaculatoryduct.B.ductusdeferens.C.Seminalvesicle.D.pampiniformplexusE.testicularartery.70.Thepudendalnerve(ACDE)A.arisesfromthesacralplexus.B.leavesthepelvisthroughthelessersciaticforamen.C.entersthepudendalcanalthroughthelesserforamen.D.passthroughthepudendalcanal.E.givesoffdorsalnerveofpenis(clitoris)ANSWERQUESTIONS1.Writeouttheparietalandvisceralbranchesoftheinternaliliacartery.2.Writeouttheposition,shapeandrelationoftheuterus.3.Writeoutthepositionandformationofthepelvicdiaphragm,andthestructurespierceingit.4.Writeouttheposition,contentsofthedeepperinealspace.5.Writeouttheinternalreproductiveorgansinmale.6.Brieflydescribethecompositionofspermaticcord,.7.Brieflydescribethelocationandfunctionofepididymis.5.Brieflydescribethelocationandlig.ofovary.6.Brieflydescribethelocation,shapesorpotionsuterinetubes.7.Brieflydescribethelocation,posture,shapes,portions,andcavityoftheuterus.8.Brieflydescribethesupportingstructuresorlig.fortheuterus.9.Brieflydescribethefeaturesofthemaleandfemaleurethrae.10.Brieflydescribethebeginningandendingofcommoniliaca.andv.11.Brieflydescribethebeginningandendingofexternalandinternaliliaca.andv.12.Brieflydescribetherelationsofuterinea.andureter.13.Brieflydescribethelocationandcontentsofsuperficialperinealspace.14.Brieflydescribethelocationandcontentsofdeepperinealspace.15.Brieflydescribethelocationandcontentsofischiorectalfossa.16.Brieflydescribetheformationsofpelivicdiaphragmurogenitaldiaphragm.11