Pelvis
Fetal head is engaged and sufficiently low in the pelvis.
What our notes say
- Fetal head is engaged and sufficiently low in the pelvis. (Junior Clerkship in Reproductive Health II CAT — October 2022)
- Pelvis is clinically adequate and there is no significant cephalopelvic disproportion (CPD). (Junior Clerkship in Reproductive Health II CAT — October 2022)
- The hard ballotable mass in the fundus is the fetal head, and the firm, engaged presenting part in the pelvis is the breech, with a longitudinal lie. (Reproductive Health End of Trimester 2 CAT (MBOG 4223): labour and cord prolapse)
- The following are typical of the female bony pelvis EXCEPT: (Junior Clerkship in Reproductive Health (MBOG 4200): end of year examination, 4 )
- The part of the fetus that occupies the lower segment of the uterus or pelvis is called: (Junior Clerkship in Reproductive Health (MBOG 4200): end of year examination, 4 )
- It lets the surgeon see the tube and the pelvis directly and confirm the diagnosis, and it allows immediate treatment (salpingectomy or salpingostomy) in the same procedure. (In practice, transvaginal ultrasound with serial hCG is used first.) (Year 6 Gynaecology CAT 1 (MBOG 6511): 13 December 2019, 4 short answers and 16 M)
Study material on Pelvis
- Urinary Tract Obstruction & Hydronephrosis: Causes, Symptoms
- Junior Clerkship in Reproductive Health (MBOG 4200): end of year examination, 4 July 2019
- Aponeurosis — Anatomy Question Bank
- renal pathology
- Junior Clerkship in Reproductive Health II CAT — October 2022
- Master First-Year Anatomy: Must-Know Essays & Key Concepts
- Aponeurosis — Embryology Question Bank
- Female & Male Genital Pathology: Ulcers, HPV, Endometriosis, Pre-eclampsia
- Bone & Cartilage Tumors: Osteoma to Osteosarcoma Pathology
- Acute Tubular Injury (ATI): AKI Causes, Pathology & Prognosis
- Abdomen and Pelvis Anatomy MCQs
Images
Practice questions on Pelvis
**With regard to the female pelvis, which is NOT true?**
- the cervix is separated from the rectum by the Pouch of Douglas
- the cervix is separated from the bladder by the vesicouterine pouch
- the ureter passes 1-2cm lateral to the cervix
- the ureter passes under both the broad ligament and the uterine artery
- lymph drainage from the body of the uterus includes the inguinal nodes
Answer: B. ** The vesicouterine pouch is between the body of the uterus and the bladder, not between the cervix and bladder. --- ---
With regard to the female pelvis, which is NOT true?
- The broad ligament supports the uterus.
- The ovaries are suspended by the suspensory ligament.
- The cervix protrudes into the vagina.
- The vaginal canal is anterior to the rectum.
Answer: B. The ovaries are suspended by the mesovarium, which is part of the broad ligament. The suspensory ligament of the ovary contains the ovarian vessels and nerves and attaches to the pelvic wall.
With regard to the female pelvis, which is NOT true?
- The uterus is an intraperitoneal organ
- The ovaries are connected to the uterus by the round ligament
- The bladder is located anterior to the vagina
- The rectum is posterior to the vagina
Answer: B. The ovaries are connected to the uterus by the ovarian ligament. The suspensory ligament of the ovary connects the ovary to the pelvic wall.
With regard to the female pelvis, which is NOT true?
- The uterus is a hollow, muscular organ.
- The ovaries are suspended by the suspensory ligament of the ovary.
- The cervix protrudes into the vagina.
- The fallopian tubes extend from the fundus of the uterus.
Answer: B. The ovaries are primarily suspended by the mesovarium (part of the broad ligament) and the ovarian ligament, not the suspensory ligament of the ovary (which contains the ovarian vessels).
The sciatic nerve typically exits the pelvis through which opening?
- Obturator canal
- Lesser sciatic foramen
- Greater sciatic foramen
- Sacral hiatus
Answer: C. The sciatic nerve, the largest nerve in the body, typically exits the pelvic cavity by passing through the greater sciatic foramen, inferior to the piriformis muscle.
Which of the following muscles leaves the lesser pelvis through the greater sciatic foramen? ---
- Pubococcygeus
- Iliococcygeus
- Puborectalis
- Piriformis
Answer: D.