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  • Question 1 - A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does...

    Incorrect

    • A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does the right ovary drain into?

      Your Answer: Right internal iliac

      Correct Answer: Inferior vena cava

      Explanation:

      The right ovarian vein travels through the suspensory ligament of the ovary and generally joins the inferior vena cava whereas the left ovarian vein drains into the left renal vein.

    • This question is part of the following fields:

      • Anatomy
      20.7
      Seconds

  • Question 2 - Regarding lymph drainage of the lower vagina where does the majority of lymph...

    Incorrect

    • Regarding lymph drainage of the lower vagina where does the majority of lymph drain to?

      Your Answer: External iliac node

      Correct Answer: Inguinal nodes

      Explanation:

      Lymphatic vessels from the vagina drain from the parts of the vagina as follows:
      • Superior part: to the internal and external iliac lymph nodes.
      • Middle part: to the internal iliac lymph nodes.
      • Inferior part: to the sacral and common iliac nodes.

    • This question is part of the following fields:

      • Anatomy
      9.8
      Seconds

  • Question 3 - A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains...

    Correct

    • A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains of numbness of the anterior aspect of the labia. Which nerve has likely been damaged during surgery?

      Your Answer: Ilioinguinal

      Explanation:

      The anterior aspect of the vulva (mons pubis, anterior labia) is supplied by derivatives of the lumbar plexus: the anterior labial nerves, derived from the
      ilio-inguinal nerve, and the genital branch of the genitofemoral nerve.
      The posterior aspect of the vulva is supplied by derivatives of the sacral plexus: the perineal branch of the posterior cutaneous nerve of the thigh laterally, and the pudendal nerve centrally.

    • This question is part of the following fields:

      • Anatomy
      24
      Seconds

  • Question 4 - The ureter is lined by what type of epithelium? ...

    Correct

    • The ureter is lined by what type of epithelium?

      Your Answer: Transitional

      Explanation:

      Ureters are muscular tubes that run from the kidneys to the urinary bladder. It is lined by transitional epithelium.

    • This question is part of the following fields:

      • Anatomy
      7.1
      Seconds

  • Question 5 - The roof of the femoral triangle is formed by which structure? ...

    Correct

    • The roof of the femoral triangle is formed by which structure?

      Your Answer: Fascia lata

      Explanation:

      The femoral triangle is bounded:
      – Superiorly by the inguinal ligament that forms the base of the femoral triangle.
      – Medially by the lateral border of the adductor longus.
      – Laterally by the sartorius; the apex of the femoral triangle is formed where the borders of the sartorius and the adductor muscles meet.
      – The floor of the femoral triangle is formed by the iliopsoas laterally and the pectineus muscle medially.
      – The roof of the femoral triangle is formed by the fascia lata and cribriform
      fascia, subcutaneous tissue, and skin.

    • This question is part of the following fields:

      • Anatomy
      4.1
      Seconds

  • Question 6 - At what angle is the plane of the pelvic inlet to the anatomical...

    Incorrect

    • At what angle is the plane of the pelvic inlet to the anatomical horizontal plane?

      Your Answer: 45

      Correct Answer: 60

      Explanation:

      The female pelvic inlet tilts at an inclination that is about 60 degrees from the anatomical horizontal plane. This tilt is maintained by muscles and fascia. The pelvic outlet slopes at an angle of 15 degrees.

    • This question is part of the following fields:

      • Anatomy
      9.2
      Seconds

  • Question 7 - If your patient is 8 weeks pregnant which one of the following USS...

    Correct

    • If your patient is 8 weeks pregnant which one of the following USS measurements is most useful?

      Your Answer: Crown rump length

      Explanation:

      Fetal crown-rump length (CRL) is recommended over last menstrual period for estimating GA when measured in early pregnancy i.e. before 9 to 13+6 weeks.

    • This question is part of the following fields:

      • Anatomy
      9.1
      Seconds

  • Question 8 - Under which one of the following conditions is the pelvic inlet felt to...

    Incorrect

    • Under which one of the following conditions is the pelvic inlet felt to be contracted?

      Your Answer: Pelvic shape is platypelloid

      Correct Answer:

      Explanation:

      Contracted pelvis occurs when one or more of its diameters is reduced so that it interferes with the normal mechanism of labour. A transverse diameter below 11 cm will result in difficult delivery of the foetus and C-section will be the better option in that case

    • This question is part of the following fields:

      • Anatomy
      34.9
      Seconds

  • Question 9 - What is the anatomical landmark used for gauging the station of the fetal...

    Incorrect

    • What is the anatomical landmark used for gauging the station of the fetal head during labour?

      Your Answer: Iliac Spine

      Correct Answer: Ischial Spine

      Explanation:

      The ischial spine is the anatomical landmark for assessing the station of the fetal head and also placing pudendal nerve blocks. (the pudendal nerve runs posterior to the ischial spine). The ischial spine can be palpated approximately 8cm into the vagina, at 4 and 8 o’clock.

    • This question is part of the following fields:

      • Anatomy
      9.9
      Seconds

  • Question 10 - Which of the following statements regarding the Vaginal artery is typically TRUE? ...

    Incorrect

    • Which of the following statements regarding the Vaginal artery is typically TRUE?

      Your Answer: It arises from the External iliac artery

      Correct Answer: It arises from the Internal iliac artery

      Explanation:

      The Vaginal artery, like the Uterine artery is typically a branch of the Internal Iliac artery. It can sometimes arise as a branch of the Uterine artery so it is important to read the question (if the stem stated it CAN arise from the Uterine artery then that would be true)

    • This question is part of the following fields:

      • Anatomy
      12
      Seconds

  • Question 11 - Regarding lymph drainage of the ovary where does the majority of lymph drain...

    Correct

    • Regarding lymph drainage of the ovary where does the majority of lymph drain to?

      Your Answer: para-aortic nodes

      Explanation:

      Majority of the lymph from the ovaries drain into the para-aortic lymph nodes.

    • This question is part of the following fields:

      • Anatomy
      4.5
      Seconds

  • Question 12 - Which of the following is true about the origin of the ovarian artery?...

    Correct

    • Which of the following is true about the origin of the ovarian artery?

      Your Answer: It arises from the Abdominal Aorta

      Explanation:

      The ovarian arteries are considered the main blood supply for the ovaries. The ovarian arteries usually arise from the lateral aspect of the abdominal artery, though in some instances they may arise from the renal or iliac arteries.

    • This question is part of the following fields:

      • Anatomy
      23.7
      Seconds

  • Question 13 - Which of the following muscles does NOT receive innervation from the pudendal nerve?...

    Incorrect

    • Which of the following muscles does NOT receive innervation from the pudendal nerve?

      Your Answer: External anal sphincter

      Correct Answer: Internal anal sphincter

      Explanation:

      The internal anal sphincter is innervated by the splanchnic nerves. Sympathetic nerve supply from the inferior hypogastric plexus (for contraction) and parasympathetic supply from nervi erigentes (for relaxation).

    • This question is part of the following fields:

      • Anatomy
      22.2
      Seconds

  • Question 14 - The arcuate line forms part of the border of the pelvic brim. Where...

    Correct

    • The arcuate line forms part of the border of the pelvic brim. Where is it located?

      Your Answer: Ilium

      Explanation:

      Arcuate means ‘bow shaped’ and there are different arcuate lines in anatomical terms. Regarding the pelvic brim this is composed of the arcuate line of the ilium, pectineal line and prominences of sacrum and pubic symphysis (as demonstrated in the images below). As can be seen the arcuate line is a smooth rounded border on the internal surface of the ilium inferior to the iliac fossa and Iliacus. Image sourced from Wikipedia Note: The pelvic outlet is also called the inferior aperture. The pelvic brim is the superior aperture

    • This question is part of the following fields:

      • Anatomy
      27.2
      Seconds

  • Question 15 - Which of the following is contained within the deep perineal pouch? ...

    Incorrect

    • Which of the following is contained within the deep perineal pouch?

      Your Answer: Bulbospongiosus muscle

      Correct Answer: Proximal portion of urethra

      Explanation:

      The proximal portion of urethra in females or membranous urethra in males is in the deep perineal pouch

    • This question is part of the following fields:

      • Anatomy
      19.5
      Seconds

  • Question 16 - During vertex presentation, the position is determined by relationship of which part of...

    Correct

    • During vertex presentation, the position is determined by relationship of which part of the fetal vertex to the mother's pelvis?

      Your Answer: Occiput

      Explanation:

      A cephalic presentation is the one where head of the foetus enters the pelvic cavity at the time of delivery. The commonest form of cephalic presentation is the vertex presentation in which the occiput of the foetus enters the birth canal.

    • This question is part of the following fields:

      • Anatomy
      9.9
      Seconds

  • Question 17 - The main function of the cilia of the fallopian tube is? ...

    Correct

    • The main function of the cilia of the fallopian tube is?

      Your Answer: Transport the ovum towards the uterus

      Explanation:

      Cilia are small hair line projections in the fallopian tube. Their main function is to transport the egg through he fallopian tube towards the uterus. It is present in many other tubular organs and its function varies accordingly to the organ.

    • This question is part of the following fields:

      • Anatomy
      14.6
      Seconds

  • Question 18 - The inguinal canal is reinforced posteriorly by which structure? ...

    Incorrect

    • The inguinal canal is reinforced posteriorly by which structure?

      Your Answer: External oblique aponeurosis

      Correct Answer: Conjoint tendon

      Explanation:

      The Conjoint tendon AKA Inguinal falx reinforces the posterior wall of the inguinal canal. The inguinal and lacunar ligaments are part of the floor The aponeurosis of external oblique is the major component of the anterior wall with fibres of internal oblique reinforcing the lateral part

    • This question is part of the following fields:

      • Anatomy
      33.9
      Seconds

  • Question 19 - A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does...

    Correct

    • A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does the left ovary drain into?

      Your Answer: Left renal

      Explanation:

      When it comes to questions on venous drainage the ovarian vein is likely to be a common question given its varied drainage depending on laterality. The right ovarian vein travels through the suspensory ligament of the ovary and generally joins the inferior vena cava whereas the left ovarian vein drains into the left renal vein.

    • This question is part of the following fields:

      • Anatomy
      8.1
      Seconds

  • Question 20 - A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains...

    Incorrect

    • A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains of numbness and groin pain. You assess her and find the numb area is the anterior aspect of the labia. Which nerve has likely been damaged during surgery?

      Your Answer: Perineal

      Correct Answer: Ilioinguinal

      Explanation:

      This describes the sensory area supplied by the ilioinguinal nerve. This is a potential complication with pelvic surgery.

    • This question is part of the following fields:

      • Anatomy
      46
      Seconds

  • Question 21 - Regarding the rectus sheath which of the following statements are true? ...

    Incorrect

    • Regarding the rectus sheath which of the following statements are true?

      Your Answer: Below the arcuate line the external oblique divides into two lamellae

      Correct Answer: Above the arcuate line the internal oblique divides into two lamellae

      Explanation:

      The rectus sheath is formed by the aponeurosis of the internal and external oblique muscles and the transversus abdominus muscle. The internal oblique divides into two lamellae and encloses the rectus muscle. Anteriorly it fuses with the aponeurosis of the external oblique and posteriorly with that of the transverus abdominus. Below the arcuate line the aponeurosis of all the flat muscles lies anteriorly and posteriorly it is only enclosed by the transveralis fascia.

    • This question is part of the following fields:

      • Anatomy
      37.7
      Seconds

  • Question 22 - Regarding the foetus, which one of the following statements is true? ...

    Correct

    • Regarding the foetus, which one of the following statements is true?

      Your Answer: Fetal lie describes the long axis of the foetus to the long axis of the mother

      Explanation:

      Fetal lie describes the relationship of the long axis of the foetus with respect to the long axis of the mother.
      Coronal suture is the transverse suture separating the parietal bone from the frontal bone.
      Umbilical cord is composed of two arteries and one vein. the vein carries the oxygenated blood, whereas the arteries contain the deoxygenated blood.
      At the time of birth, the anterior fontanelle is open and appears as a soft jelly like structure.

    • This question is part of the following fields:

      • Anatomy
      56
      Seconds

  • Question 23 - The ascending colon drains into the superior mesenteric vein (SMV). What vein does...

    Incorrect

    • The ascending colon drains into the superior mesenteric vein (SMV). What vein does the SMV drain into?

      Your Answer: Inferior vena cava

      Correct Answer: Hepatic portal vein

      Explanation:

      The superior mesenteric vein joins the splenic vein to form the hepatic portal vein.

    • This question is part of the following fields:

      • Anatomy
      19.8
      Seconds

  • Question 24 - A patient attends clinic with a vaginal prolapse. On examination the vaginal prolapse...

    Correct

    • A patient attends clinic with a vaginal prolapse. On examination the vaginal prolapse is visible 1.5cm above the plane of the hymen. According to the POPQ classification what grade is this prolapse?

      Your Answer: Grade 1

      Explanation:

      This is a grade 1 prolapse

    • This question is part of the following fields:

      • Anatomy
      16.9
      Seconds

  • Question 25 - At the time of delivery, if there is a laceration of perineal body...

    Correct

    • At the time of delivery, if there is a laceration of perineal body but not the anal sphincter, this type of laceration is classified as?

      Your Answer: Second degree

      Explanation:

      Perineal tears are common at the time of child birth. First degree perineal laceration means that the wound is so small that it doesn’t require any stitches and usually heals on its own. 2nd degree means that skin and smooth muscles are both torn. 3rd degree tear means that the tear is beyond the perineal muscles and the muscles surrounding the anal canal, while in 4th degree, the perineal tear goes through the anal sphincter up to the rectum.

    • This question is part of the following fields:

      • Anatomy
      20.2
      Seconds

  • Question 26 - If the presenting part of the foetus is the large fontanel, this presentation...

    Incorrect

    • If the presenting part of the foetus is the large fontanel, this presentation is known as?

      Your Answer: Brow

      Correct Answer: Sinciput

      Explanation:

      Sinciput means the head is neither flexed nor extended. It is the area between forehead and crown and in this case the anterior fontanel is the presenting part.

    • This question is part of the following fields:

      • Anatomy
      25.6
      Seconds

  • Question 27 - The joint between the two pubic bones is called the: ...

    Correct

    • The joint between the two pubic bones is called the:

      Your Answer: Pubis symphysis

      Explanation:

      The pubic symphysis or symphysis pubis is the midline cartilaginous joint (secondary cartilaginous) uniting the superior rami of the left and right pubic bones. It is located anterior to the urinary bladder and superior to it.

    • This question is part of the following fields:

      • Anatomy
      10.5
      Seconds

  • Question 28 - Which nerves innervate the internal anal sphincter? ...

    Incorrect

    • Which nerves innervate the internal anal sphincter?

      Your Answer: Inferior rectal

      Correct Answer: Pelvic Splanchnic

      Explanation:

      The anal sphincters are responsible for closing the anal canal to the passage of faeces and flatus. The smooth muscle or involuntary internal sphincter sustains contraction to prevent the leakage of faeces between bowel movements and is innervated by the pelvic splanchnic nerves, which are a branch of the spinal segment 4. The external sphincter is made up of skeletal muscle and can therefore contract and relax voluntarily. Its innervation comes from the inferior rectal branch of the pudendal nerve, and the perineal branch of S4 nerve roots.

    • This question is part of the following fields:

      • Anatomy
      14.9
      Seconds

  • Question 29 - Regarding the uterine artery which of the following statements are TRUE? ...

    Correct

    • Regarding the uterine artery which of the following statements are TRUE?

      Your Answer: It arises from the internal iliac artery

      Explanation:

      The uterine artery arises from the internal iliac artery, in particular the anterior division of the internal iliac artery. Some older texts refer to the internal iliac as the hypogastric artery. The vaginal artery typically arises as its own branch of the internal iliac artery. The ovarian arteries are branches of the aorta

    • This question is part of the following fields:

      • Anatomy
      9.7
      Seconds

  • Question 30 - Which one of the following statements regarding the fetal head is true? ...

    Incorrect

    • Which one of the following statements regarding the fetal head is true?

      Your Answer: Is likely to be a vertex presentation when the head is deflexed

      Correct Answer: Considered to be engaged when the biparietal diameter passes the level of the pelvic inlet

      Explanation:

      The fetal head is engaged when the head of the foetus or the presenting part enters the pelvic inlet or pelvic brim. It usually occurs at 38 weeks of gestation.
      The Spalding sign refers to the overlapping of the fetal skull bones caused by collapse of the fetal brain. It appears usually a week or more after fetal death in utero.
      In brow presentation the scalp is deflexed as the foetus is looking upward. Normally the head is inflexed such that the chin is touching the chest.

    • This question is part of the following fields:

      • Anatomy
      33.7
      Seconds

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