ARRT ch 16
common iliac arteries
abdominal aortic bifurcation vessels
adnexa
area located posterior to the broad ligaments, adjacent to the uterus, which contains the ovaries and fallopian tubes
radial arteries
arteries that supply blood to the deeper layers of the myometrium
17. the abdominal aorta bifurcates into the a. internal iliac arteries b. common iliac arteries c. ovarian arteries d. external iliac arteries
b
iliopsoas muscle
bilateral muscles located lateral to the uterus and anterior to iliac crest
uterine arteries
branches of the internal iliac artery that supplies blood to the uterus, ovaries, and fallopian tubes
12. the true pelvis is delineated from the false pelvis by the a. space of retzius b. adnexa c. linea terminalis d. iliac crest
c
13. the vagina is located __ to the uterus a. anterior b. posterior c. inferior d. medial
c
16. pelvic muscles appear a. echogenic d. anechoic c. hypoechoic d. complex
c
28. the muscle located lateral to the ovaries is the a. iliopsoas muscle b. rectus abdominis muscle c. obturator internus muscle d. piriformis muscle
c
30. another name for the rectouterine pouch is the a. space of retzius b. pouch of retzius c. pouch of douglas d. anterior cul de sac
c
prolapse
condition that results from the weakening of the pelvic diaphragm muscles and allows for the displacement of the uterus often through the vagina
bony pelvis
consists of sacrum, coccyx, and innominate bones which are the ilium, ischium, and pubic symphysis,
1. what structure within the female pelvis lies posterior to the urinary bladder and anterior to the rectum? a. broad ligament b. rectus abdominus muscle c. space of retzius d. uterus
d
11. what other term is used to describe the space of retzius a. posterior cul de sac b. anterior cul de sac c. murphy pouch d. retropubic space
d
14. the muscles that may be confused with the ovaries on a pelvic sonogram include the a. rectus abdominis and obrurator internus muscles b. levator ani and coccygeus muscles c. obturator internus and levator ani muscles d. piriformis and iliopsoas muscles
d
19. the peritoneal spaces located posterior to the broad ligament are referred to as the a. rectouterine spaces b. anterior cul de sac c. lateral cul de sac d. adnexa
d
23. the pelvic ligament that provides support to the ovary to the pelvic side wall is the a. cardinal ligament b. ovarian ligament c. broad ligament d. suspensory ligament of the ovary
d
external iliac arteries
external branches of the common iliac arteries
space of retzius
extraperitoneal space located between bladder and symphysis pubis that contains fat
pelvic diaphragm
group of pelvic muscles consisting of the levator ani and coccygeous muscles that provide support to the pelvic organs
levator ani muscles
hammock shaped pelvic muscle group located between the coccyx and pubis consisting of the iliococcygeus, subococcygeus and puborectalis
linea terminalis
imaginary line that separates the true pelvis from the false pelvis
true pelvis
inferior portion of the pelvis that contains the uterus, ovaries, fallopian tubes, urinary bladder, small bowel, sigmoid colon, and rectum
internal iliac arteries
internal branches of the common iliac arteries
abdominal aorta
major abdominal artery responsible for supplying the abdomen, pelvis, and lower extremities with oxygenated blood
rectus abdominis muscles
paired anterior abdominal muscles that extend from the xiphoid process of the sternum to the pubic bone
pelvic ligaments
provide support to ovaries, uterus, and fallopian tubes, ligaments include broad ligaments and suspensory ligaments, the cardinal ligaments house vasculature of uterus,
pouch of douglas
rectouterine pouch
sonographically identifiable pelvic muscles
rectus abominis muscle (anterior), iliopsoas muscles (lat and ant to iliac crest), obturator internus (lat to ovaries), piriformis (post), pelvic diaphragm (inferior near the vagina in trans)
posterior cul de sac
retouterine pouch
false pelvis
superior portion of the pelvis
round ligaments
supports fundus of uterus, extends from uterine cornua to labia majora between folds of broad ligaments
uterosacral ligament
supports the uterus and extends from uterus to sacrum
straight arteries
uterine radial artery branch that supplies blood to the basal layer of the endometrium
10. the innominate bones of the pelvis consists of the a. ischium, ilium and pubic bones b. ilium, sacrium, and coccyx bones c. sacruym, coccyx, and pubic bones d. sacrum, ischium, and ilium bones
a
35. the urinary bladder, uterus, and ovaries are located within the a. true pelvis b. false pelvis
a
18. which of the following are the paired anterior abdominal muscles that extend from the xiphoid process of the sternum to the pubic bones a. iliopsoas muscles b. rectus abdominis muscles c. obturator interni muscles d. piriformis muscles
b
2. fluid noted posterior to the uterus would most likely be located within the a. space of retzius b. pouch of douglas c. anterior cull de sac d. adnexa
b
21. fluid noted anterior to the uterus would most likely be located within the a. pouch of douglas b. vesicouterine pouch c. space of retzius d. rectouterine pouch
b
29. the arteries that directly supply blood to the functional layer of the endometrium are the a. radial arteries b. spiral arteries c. straight arteries d. arcuate arteries
b
3. both the straight and spiral arteries are branches of the a. common iliac artery b. radial artery c. arcuate artery d. external iliac artery
b
33. the uterine artery branches off of the a. abdominal aorta b. uterine plexus c. internal iliac artery d. external iliac artery
c
8. what is considered the most dependent part of the peritoneal cavity a. space of retzius b. anterior cul de sac c. pouch of douglas d. rectovessicular pouch
c
22. the bilateral muscles that are located posterior to and extend from the sacrum to the femoral greater trochanter are the a. levator ani muscles b. rectus abdominis muscles c. obturator internus muscles d. piriformis muscles
d
26. the space of retzius is located a. between the uterus and bladder b. between the bladder and ilium c. along lateral aspect of uterus d. between bladder and pubic bone
d
34. the peripheral arteries of the uterus are the a. radial arteries b. spiral arteries c. straight arteries d. arcuate arteries
d
suspensory ligament of the ovary
pelvic ligament that provides support to the ovary and extends from the ovaries to the pelvic side walls, supports ovaries and tubes
ovarian ligaments
pelvic ligaments that provides support to the ovary extending from the ovary to the lateral surface of the uterus
arcuate arteries
peripheral arteries of the uterus that lie at the edge of the myometrium
vesicouterine pouch
peritoneal outpouching located between the bladder and the uterus, also called anterior cul de sac
anterior cul-de-sac
peritoneal outpouching located between the bladder and the uterus, also referred to as vesicouterine pouch
6. the uterine arteries supply blood to all of the following except a. fallopian tubes b. rectum c. ovaries d. uterus
b
15. which vessels supply blood to the deeper layers of the myometrium? a. radial arteries b. spiral arteries c. straight arteries d. arcuate arteries
a
20. the paired muscles that are located lateral to the uterus and anterior to the iliac crest are the a. iliopsoas muscles b. rectus abdominis muscles c. obturator interni muscles d. piriformis muscles
a
24. the pelvic muscle group that is located between the coccyx and the pubis is the a. levator ani muscles b. rectus abdominis muscles c. obturator internus smuscles d. piriformis muscles
a
25. the sonographic pelvic examination of a female patient reveals an extensive amount of ascites. in the trans plane you visualize two echogenic structures extending from the side walls of uterus to the pelvic side walls bilaterally. these structures are most likely the a. broad ligaments b. cardinal ligaments c. ovarian ligaments d. uterosacral ligaments
a
27. the right ovarian artery branches off of the a. aorta b. right renal artery c. uterine artery d. internal iliac artery
a
31. a patient presents to the sonography department with a history of uterine prolapse. which of the following best describes this disorder a. a condition that results from the weakening of the pelvic diaphragm muscles and allows for the displacement of the uterus through the vagina b. a congenital anomaly that results in the duplication of the uterus c. a condition that results in the abnormal invasion of the myometrium through the bladder wall d. an abnormality that describes the inversion of the myometrium and endometrium
a
32. the pelvic ligament that extends from the lateral aspect of the uterus to the side walls of the pelvis is the a. broad ligament b. ovarian ligament c. piriformis ligament d. round ligament
a
38. the ligament that houses the vasculature of the uterus is the a. cardinal ligament b. ovarian ligament c. broad ligament d. suspensory ligament of the ovary
a
5. pelvic bones when visualized on sonography will produce a. posterior shadowing b. posterior enhancement c. mirror image artifact d. minimal enhancement
a
36. the pelvic ligament that provides support to the ovary and extends from the ovary to the lateral surface of the uterus is the a. cardinal ligament b. ovarian ligament c. broad ligament d. suspensory ligament and ovary
b
39. the ovary is supplied blood by the a. ovarian artery b. ovarian artery and uterine artery c. uterine artery d. arcuate artery
b
40. prolapse of the pelvic organs most often involves the a. rectus abdominis and obturator internus muscles b. levator ani and coccygeus muscles c. obturator internus and levator ani muscles d. piriformis and iliopsoas muscles
b
9. the right ovarian vein drains directly into the a. right renal vein b. aorta c. IVC d. common iliac vein
c
37. pelvic pones, when visualized on sonography will appear a. anechoic b. hypoechoic c. dark d. hyperechoic
d
4. the left ovarian vein drains directly into the a. right renal vein b. IVC c. aorta d. left renal vein
d
7. the anterior cul de sac is also referred to as the a. space of retxius b. rectouterine pouch c. pouch of douglas d. vesicouterine pouch
d
obturator internus muscles
paired pelvic muscles located lateral to the ovaries
piriformis muscles
paired pelvic muscles located posteriorly that extends from the sacrum to the femoral greater trochanger
broad ligaments
pelvic ligament that extends from the lateral aspect of the uterus to the side walls of the pelvis, supports uterus, tubes, and ovaries
cardinal ligament
pelvic ligament that extends from the lateral surface of the cervix to the lateral fornix of the vagina and houses the uterine vasculature, supports the cervix,
coccygeus
pelvic muscle located posteriorly within the pelvis that helps support the sacrum
rectouterine pouch
peritoneal outpouching located between the uterus and rectum, also referred to as posterior cul de sac and pouch of douglas
pelvic muscles
rectus abdominis, iliopsoas muscles, obturator internus muscles, piriformis muscles, pelvic diaphragm (levator ani and coccygeus muscles),
sprial arteries
tiny, coiled arteries that supply blood to the functional layer of the endometrium