Chapter·AnatomyAutonomic nervous system anatomy

Autonomic innervation of pelvic organsDownloads

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1

A 68-year-old man presents to his primary care physician complaining of a bulge in his scrotum that has enlarged over the past several months. He is found to have a right-sided inguinal hernia and undergoes elective hernia repair. At his first follow-up visit, he complains of a tingling sensation on his scrotum. Which of the following nerve roots communicates with the injured tissues?

AS1-S3

BL1-L2

CS2-S4

DL4-L5

EL2-L3

2

A 19-year-old man is brought to the emergency department following a high-speed motor vehicle collision in which he was a restrained passenger. He complains of pelvic pain and urinary retention with overflow incontinence, along with associated lower extremity weakness. Examination shows perineal bruising and there is pain with manual compression of the pelvis. Injury to which of the following structures is most likely responsible for this patient's urinary incontinence?

AIlioinguinal nerve

BObturator nerve

CGenitofemoral nerve

DPelvic splanchnic nerves

ESuperior gluteal nerve

3

A 41-year-old woman presents with back pain for the past 2 days. She says that the pain radiates down along the posterior right thigh and leg. She says the pain started suddenly after lifting a heavy box 2 days ago. Past medical history is irrelevant. Physical examination reveals a straight leg raise (SLR) test restricted to 30°, inability to walk on her toes, decreased sensation along the lateral border of her right foot, and diminished ankle jerk on the same side. Which of the following nerve roots is most likely compressed?

AFourth lumbar nerve root (L4)

BSecond sacral nerve root (S2)

CThird sacral nerve root (S3)

DFifth lumbar nerve root (L5)

EFirst sacral nerve root (S1)

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