431.A 50-year-old associate professor is scheduled for a routine physical
exam for an increase in the level of coverage for his life insurance. He had
never had a digital rectal exam or PSA level determined so you recommend
both to him. As you have him hop off the examination table, turn away
from you and face the table, then bend at the waist while you gently insert
a lubricated gloved finger into his anus you can feel structures through the
wall of the rectum. Typically what part of three reproductive organs can
you palpate through the anterior wall of the rectum?
a. Main peripheral portion of the prostate gland
b. Ejaculatory ducts
c. Seminal vesicles
d. Epididymal ducts
e. Ampulla of the vas deferens
f. a, b, and c
g. a, b, and d
h. a, c, and e
i. b, c, and d
432.The most important measurement of the pelvic outlet, indicating the
SMALLEST dimension, is the transverse midplane diameter. It is measured
between which of the following?
a. Ischial spines
b. Ischial tuberosities
c. Lower margin of the pubic symphysis to the sacroiliac joint
d. Sacral promontory to the inferior margin of the pubic symphysis
433.At delivery, caudal analgesia is induced by administration of anes-
thetic into the epidural space in the sacral region. The needle is introduced
via which of the following?
a. Anterior sacral foramina
b. Dural sac
c. Intervertebral foramina
d. Posterior sacral foramina
e. Sacral hiatus
538 Anatomy, Histology, and Cell Biology