PRPC EXAM 2024 - majora and introitus ICS classifies pelvic floo...

PRPC EXAM 2024

The vulvar vestibule includes which components Answer- area between the labia majora and introitus ICS classifies pelvic floor muscle contraction as the following Answer- absent, weak, normal, strong ICS classified pelvic floor muscle relaxation as the following Answer- absent, partial, complete Brink terminology refers to pelvic floor muscle contraction as the following Answer-

• 0= absent
• 1= flicker
• 2= no lift
• 3= fair pressure with lift
• 4= good
• 5= strong, inward pull

The bulbocavernosus, ischiocavernosus, superficial transverse perineum, and external anal sphincter are part of which layer Answer- superficial perineal pouch What nerve innervates the superficial perineal pouch Answer- pudendal nerve (S2- 5) Which muscles are a part of the deep perineal pouch Answer- sphincter urethrovaginalis, compressor urthra, external urethral sphincter, and perineal membrane The compressor urethra is responsible for what Answer- volitional closure of urethra to maintain continence What is another name for the deep perineal pouch Answer- urogenital diaphragm Which muscle attachments are the ATLA, anococcygeal body, and coccyx Answer- iliococcygeus The pelvic diaphragm layer is innervated by which nerves Answer- pudendal nerve (S2-5) and levator ani nerve (S3-5) What are the 3 branches of the pudendal nerve Answer- inferior rectal/hemorrhoidal (EAS and perianal sensation), perineal (urethral sphincter, perineal muscle and sensation), dorsal (penis/clitoris) What percent of the pelvic diaphragm is slow twitch vs fast twitch Answer- 70% slow, 30% fast 1 / 2

Are slow twitch fibers type 1 or type 2 Answer- type 1 Which ligament does the coccygeus muscle run along Answer- sacrospinous ligament Where is the Alcock's canal Answer- ischiorectal fossa, formed by fascia of obturator internus What is the role of the arcus tendinous and where does it attach Answer- provides attachment for deepest layer of PF muscles; attaches from ischial spine to pubic bone The piriformis muscles exits the pelvis through which 2 muscles Answer- coccygeus and piriformis Which nerve goes through the Alcock's canal Answer- the pudendal nerve, within the obturator sheath The pudendal nerve travels medial to this bony landmark, and under this ligament of the pelvis Answer- ischial tuberosity, sacrotuberous ligament The obturator nerve innervates what areas Answer- hip and inner thigh The iliohypogastric nerve innervates what areas Answer- skin above the pubic bone, lower abdominal muscles, and the postero-lateral gluteal region The ilioinguinal nerve innervates what areas Answer- mons pubis, external genitalia, labia majoria, upper medial inner thigh The genitofemoral nerve innervates what areas Answer- upper anterior thigh, mons pubis, labia majora The genitofemoral nerve pierces which muscle as it's traveling through the abdomen Answer- psoas What is involved in each perineal laceration stage Answer- a. 1st- vaginal mucosa and skin

• Mucosa, skin, perineal muscles (layers 1 and 2)
• 3rd- into the perineal body and EAS
• Includes the anterior rectal walls, IAS, and rectal mucosa

What are the names of the 3 glands within the vestibule Answer- gartner duct, greater (Bartholin's), less (Skene's/paraurethral) What is the role of the Bartholin's glands Answer- lubricates layer 2 What type of tissue is present in the outer vs inner layer of Hart's line Answer- a.Outer- keratonized, ectoderm

• Inner- nonkeratonized, endoderm
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