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  • Question 1 - The ureters receive autonomic supply from which spinal segments? ...

    Incorrect

    • The ureters receive autonomic supply from which spinal segments?

      Your Answer: T10-12

      Correct Answer: T11-L2

      Explanation:

      The ureters receive innervation by a number of nerve plexuses. The nerves supplying the ureters originate from spinal segments T11 to L2. When you think about ureteric colic giving classic ‘loin to groin’ pain it is because the pain is referred to these dermatomes.

    • This question is part of the following fields:

      • Anatomy
      6
      Seconds

  • Question 2 - 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
      10.7
      Seconds

  • Question 3 - Which of the following muscles is NOT a constituent of the pelvic floor...

    Correct

    • Which of the following muscles is NOT a constituent of the pelvic floor (diaphragm)?

      Your Answer: Piriformis

      Explanation:

      The pelvic floor or diaphragm is composed of Coccygeus and Levator Ani. Levitator Ani is composed of 3 muscles: puborectalis, pubococcygeus and iliococcygeal. Although Piriformis assists in closing the posterior pelvic outlet it is not considered a component of the pelvic floor

    • This question is part of the following fields:

      • Anatomy
      9.8
      Seconds

  • Question 4 - What is the anatomical landmark used for gauging the station of the fetal...

    Correct

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

      Your 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
      4.4
      Seconds

  • Question 5 - 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
      25
      Seconds

  • Question 6 - 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
      8.1
      Seconds

  • Question 7 - The vulva is mainly supplied by which one of the following vessels? ...

    Correct

    • The vulva is mainly supplied by which one of the following vessels?

      Your Answer: Pudendal artery

      Explanation:

      Vulva is defined by the area which is located outside the female vagina and comprises of the labia majora, labia minora, clitoris, mons pubis and Bartholin glands. It is supplied by the vestibula branch of pudental artery.
      Inferior hemorrhoidal artery supplies the lower part of the rectum.
      Femoral artery is the continuation of external iliac artery and supplies most of the leg.

    • This question is part of the following fields:

      • Anatomy
      7.3
      Seconds

  • Question 8 - Which of the following statements regarding the vaginal artery is typically TRUE? ...

    Correct

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

      Your Answer: It arises from the Internal iliac artery

      Explanation:

      The vaginal artery is the homolog to the inferior vesical artery in males. In most of the cases it arises from the internal iliac artery.

    • This question is part of the following fields:

      • Anatomy
      16.1
      Seconds

  • Question 9 - After a vaginal delivery, a patient suffers a perineal tear. On examination the...

    Incorrect

    • After a vaginal delivery, a patient suffers a perineal tear. On examination the laceration involves the external anal sphincter and has partially torn the internal anal sphincter. Which of the following classifies this tear?

      Your Answer: 3b

      Correct Answer: 3c

      Explanation:

      During childbearing the vagina and perineum are prone to lacerations that may involve the skin or can extend into the anal sphincter complex. It is important to be able to identify obstetric and anal sphincter injuries to provide adequate care and prevent complications. In the classification of obstetric tears according to RCOG guidelines:

      First degree tear: injury to the perineal skin and/or the vaginal mucosa
      Second degree tears: Injury to perineum involving perineal muscles but not the anal sphincter.
      Third-degree tear: Injury to perineum involving the anal sphincter complex:
      Grade 3a tear: Less than 50% of external anal sphincter (EAS) thickness torn.
      Grade 3b tear: More than 50% of EAS thickness torn.
      Grade 3c tear: Both EAS and internal anal sphincter (IAS) torn.
      Fourth-degree tear: Injury to perineum involving the anal sphincter complex (EAS and IAS)
      and anorectal mucosa.

    • This question is part of the following fields:

      • Anatomy
      7.1
      Seconds

  • Question 10 - Which of the following takes part in the arterial supply of the ovary?...

    Incorrect

    • Which of the following takes part in the arterial supply of the ovary?

      Your Answer: None of the above

      Correct Answer: Uterine arteries

      Explanation:

      The ovarian arteries, arising from the abdominal aorta and the ascending uterine arteries which are branches of the internal iliac artery all supply the ovaries. They terminate by bifurcating into the ovarian and tubal branches and anastomose with the contralateral branches providing a collateral circulation.

    • This question is part of the following fields:

      • Anatomy
      10.1
      Seconds

  • Question 11 - Which cell type of the testis secrete inhibin? ...

    Correct

    • Which cell type of the testis secrete inhibin?

      Your Answer: Sertoli cells

      Explanation:

      Summary points of the two key testicular cell types:
      1. Sertoli Cells = Secrete Inhibin. Forms blood-testis barrier. Have FSH receptors
      2. Leydig Cells = Secrete testosterone. Have LH receptors

    • This question is part of the following fields:

      • Anatomy
      5.3
      Seconds

  • Question 12 - The round ligament develops from which structure? ...

    Correct

    • The round ligament develops from which structure?

      Your Answer: Gubernaculum

      Explanation:

      The round ligament is a remnant of the gubernaculum in females. In males it persists as the scrotal ligament.

    • This question is part of the following fields:

      • Anatomy
      3.6
      Seconds

  • Question 13 - Which of the following leaves the pelvis via the greater sciatic foramen? ...

    Correct

    • Which of the following leaves the pelvis via the greater sciatic foramen?

      Your Answer: Pudendal Nerve

      Explanation:

      The pudendal nerve arises from the S2-S4 nerve roots and it lies medial to the internal pudendal artery while exiting the pelvis via the greater sciatic foramen. It curves around the sacrospinous ligament and re-enters the pelvis via the lesser sciatic foramen and from there it runs medial to the ischial tuberosity over the obturator internus in the pudendal canal to the deep perineal pouch.

    • This question is part of the following fields:

      • Anatomy
      4.8
      Seconds

  • Question 14 - Regarding lymph drainage of the lower vagina where does the majority of lymph...

    Correct

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

      Your 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
      10.3
      Seconds

  • Question 15 - Which structure reinforces the inguinal canal anterolaterally? ...

    Incorrect

    • Which structure reinforces the inguinal canal anterolaterally?

      Your Answer: Aponeurosis external oblique

      Correct Answer: Internal oblique

      Explanation:

      The anatomy of the inguinal canal is of surgical importance. In the male, the inguinal canal carries the spermatic cord, ilioinguinal nerve and important blood vessels, while in females the inguinal canal holds the round ligament, ilioinguinal nerve and blood vessels. The floor of the inguinal canal is made of the inguinal ligament (a thickened portion of the inguinal ligament), while the posterior wall is made of the transversalis muscle. The anterior wall is made of the external oblique aponeurosis, and the roof is made up of fibres of the internal oblique, transversus abdominis and its aponeurosis, and the conjoint tendon. This means that the anterolateral support structure of the inguinal canal would be the fibres of the internal oblique.

    • This question is part of the following fields:

      • Anatomy
      33.5
      Seconds

  • Question 16 - Regarding the rectus sheath which of the following statements are true? ...

    Correct

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

      Your 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
      12.3
      Seconds

  • Question 17 - Regarding the structure of the detrusor muscle. Which of the following is true?...

    Correct

    • Regarding the structure of the detrusor muscle. Which of the following is true?

      Your Answer: The detrusor is divided into 3 layers consisting of inner and outer layers of longitudinal smooth muscle with a middle circular smooth muscle layer

      Explanation:

      The urinary bladder is composed of the transitional epithelium, followed by the lamina propria made up of the fibroelastic connective tissue. The muscularis layer covers the lamina propria which is made up of three poorly defined layers of smooth muscles; the inner longitudinal, middle circular and the outer longitudinal layer. The bladder is covered on the superior surface and the lateral surface by the peritoneum.

    • This question is part of the following fields:

      • Anatomy
      7
      Seconds

  • Question 18 - You see a patient who is 32 weeks pregnant. She complains of tingling...

    Correct

    • You see a patient who is 32 weeks pregnant. She complains of tingling to the right buttock and shooting pain down the leg. You suspect Piriformis syndrome. Regarding Piriformis which of the following statements are true?

      Your Answer: Insertion is onto the greater trochanter

      Explanation:

      The proximal attachment of the piriformis muscles is from the anterior surface of sacrum and it attaches distally to the superior border of the greater trochanter of the femur. It is innervated by the anterior rami of S1 and S2.

    • This question is part of the following fields:

      • Anatomy
      10.3
      Seconds

  • Question 19 - Which two nerves provide the primary cutaneous sensory innervation to the labia majora?...

    Correct

    • Which two nerves provide the primary cutaneous sensory innervation to the labia majora?

      Your Answer: Ilioinguinal and pudendal

      Explanation:

      The Pudendal provides cutaneous innervation to the posterior external genitalia via one of its terminal branches called the perineal nerve (this further branches into the posterior labial nerves or posterior scrotal nerve in men). The ilioinguinal nerve provides anterior sensation via the anterior labial nerves (anterior scrotal nerve in men). The genital branch of the genitofemoral nerve contributes some fibres to the skin of the mons pubis and labia majora in females. The posterior cutaneous nerve of thigh sometimes overlaps sensory areas.

    • This question is part of the following fields:

      • Anatomy
      19.2
      Seconds

  • Question 20 - 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
      2.9
      Seconds

  • Question 21 - The femoral triangle is bounded medially by which of the following structures? ...

    Correct

    • The femoral triangle is bounded medially by which of the following structures?

      Your Answer: Adductor longus

      Explanation:

      The femoral triangle is bounded superiorly by the inguinal ligament which forms the base of the triangle, medially by the lateral border of the adductor longus and laterally by the sartorius muscle.

    • This question is part of the following fields:

      • Anatomy
      12.2
      Seconds

  • Question 22 - Uterine Cervix: ...

    Correct

    • Uterine Cervix:

      Your Answer: Is the portion of the uterus below the isthmus

      Explanation:

      The uterus is divisible into two portions. The portion above the isthmus is termed the body, and that below, the cervix. The uterine cervix is the narrow inferior segment of the uterus, which projects into the vaginal cavity. It is a fibromuscular organ lined by a mucous membrane and measures approximately 3cm in length and 2.5cm in diameter. The cervix is continuous at its superior margins with the body of the uterus and at its inferior margins with the vagina.

    • This question is part of the following fields:

      • Anatomy
      14.1
      Seconds

  • Question 23 - The external anal sphincter is innervated by which nerves? ...

    Correct

    • The external anal sphincter is innervated by which nerves?

      Your Answer: Inferior rectal

      Explanation:

      The external anal sphincter is innervated by the inferior rectal branch of the pudendal nerve (S2-4) while the internal anal sphincter is innervated by autonomic nerves.

    • This question is part of the following fields:

      • Anatomy
      30.8
      Seconds

  • Question 24 - During the filling phase of micturition. At what bladder volume is the first...

    Correct

    • During the filling phase of micturition. At what bladder volume is the first urge to void felt?

      Your Answer: 150ml

      Explanation:

      The normal functional bladder capacity is around 400-600ml. First urge to void is typically felt when the bladder is approximately 150ml full.

    • This question is part of the following fields:

      • Anatomy
      4
      Seconds

  • Question 25 - At what angle is the plane of the pelvic inlet to the anatomical...

    Correct

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

      Your 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
      3.2
      Seconds

  • Question 26 - Which spinal segment is the lumbar plexus derived from? ...

    Incorrect

    • Which spinal segment is the lumbar plexus derived from?

      Your Answer: T10-L5

      Correct Answer: T12-L4

      Explanation:

      The lumbar plexus is formed via contributions from the T12-L4 spinal cord segment. The plexus is responsible for the motor and sensory innervation of portions of the lower extremities and some parts of the lower abdomen and pelvis. Nerves arising from the plexus include the Iliohypogastric, ilioinguinal, genitofemoral, lateral femoral cutaneous, femoral nerve, obturator, and nerve to the lumbosacral trunk.

    • This question is part of the following fields:

      • Anatomy
      5.2
      Seconds

  • Question 27 - Regarding lymph drainage of the breast where does the majority of lymph drain...

    Correct

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

      Your Answer: Axillary nodes

      Explanation:

      Lymphatic drainage of the breast.
      The lateral two thirds of the breast drains into the axillary lymph nodes. This constitute about 75% of the lymphatic drainage of the breast. The medial third of the breast drains into the parasternal lymph nodes and these communicate with the ipsilateral lymph nodes from the opposite breast. The superior part of the breast drains into the infraclavicular lymph nodes and inferior part drains into the diaphragmatic lymph nodes.

    • This question is part of the following fields:

      • Anatomy
      4.7
      Seconds

  • Question 28 - The inguinal canal is reinforced posteriorly by which structure? ...

    Correct

    • The inguinal canal is reinforced posteriorly by which structure?

      Your Answer: Conjoint tendon

      Explanation:

      The Inguinal Canal
      – Anterior wall: formed by the external oblique aponeurosis throughout the length of the canal; its lateral part is reinforced by muscle fibres of the internal oblique.
      – Posterior wall: formed by the transversalis fascia; its medial part is reinforced by pubic attachments of the internal oblique and transversus abdominis aponeuroses that frequently merge to variable extents into a common tendon—the inguinal falx (conjoint tendon)—and the reflected inguinal ligament.
      – Roof: formed laterally by the transversalis fascia, centrally by musculo-aponeurotic arches of the internal oblique and transversus abdominis, and medially by the medial crus of the external oblique aponeurosis.
      – Floor: formed laterally by the iliopubic tract, centrally by gutter formed by the infolded inguinal ligament, and medially by the lacunar ligament.

    • This question is part of the following fields:

      • Anatomy
      8
      Seconds

  • Question 29 - The superficial inguinal ring is an aperture in which structure? ...

    Correct

    • The superficial inguinal ring is an aperture in which structure?

      Your Answer: Aponeurosis external oblique

      Explanation:

      The superficial ring is the exit to the inguinal canal. It is a triangular aperture in the aponeurosis of external oblique. The conjoint tendon reinforces the ring posteriorly

    • This question is part of the following fields:

      • Anatomy
      8
      Seconds

  • Question 30 - The rectus sheath is formed by which of the following? ...

    Correct

    • The rectus sheath is formed by which of the following?

      Your Answer: aponeuroses of transversus abdominis, external and internal oblique

      Explanation:

      The rectus sheath is formed by the decussation and interweaving of the aponeuroses of the fl at abdominal muscles. The external oblique aponeurosis contributes to the anterior wall of the sheath throughout its length. The superior two thirds of the internal oblique aponeurosis splits into two layers (laminae) at the lateral border of the rectus abdominis; one lamina passing anterior to the muscle and the other passing posterior to it. The anterior lamina joins the aponeurosis of the external oblique to form the anterior layer of the rectus sheath. The posterior lamina joins the aponeurosis of the transversus abdominis to form the posterior layer of the rectus sheath.

    • This question is part of the following fields:

      • Anatomy
      5.6
      Seconds

  • Question 31 - During the filling phase of micturition. At what bladder volume is the first...

    Correct

    • During the filling phase of micturition. At what bladder volume is the first urge to void felt?

      Your Answer: 150ml

      Explanation:

      Micturition is defined as a process of expelling urine from the body. It is caused by the reflex contraction of detrusor muscle. Urinary bladder is a hollow muscular organ which can store 400-600ml of urine until it is expelled from the body. The first urge to urinate is felt when the bladder is filled with around 150ml of urine. The reflex action is initiated when the stretch receptors located in the bladder wall are stimulated. The afferent fibres pass to the pelvic splanchnic nerves to the 2nd, 3rd, and 4th sacral segments and some pass through the hypogastric plexus to the first and second lumbar segments of the spinal cord. Efferent pathways from the 2nd, 3rd, and 4th sacral segments leave the cords and through the splanchnic nerves and inferior hypogastric plexus supplies the smooth muscle of the bladder i.e. detrusor muscle. Detrusor muscle contracts and the sphincters are relaxed.

    • This question is part of the following fields:

      • Anatomy
      3.4
      Seconds

  • Question 32 - Which of the following nerves passes through the inguinal canal? ...

    Correct

    • Which of the following nerves passes through the inguinal canal?

      Your Answer: Ilioinguinal nerve

      Explanation:

      The contents of the inguinal canal is the ilioinguinal nerves, the round ligament of uterus in the females and the spermatic cord with its contents in males.

    • This question is part of the following fields:

      • Anatomy
      12
      Seconds

  • Question 33 - Bladder neck closure and relaxation of the bladder is mediated by? ...

    Correct

    • Bladder neck closure and relaxation of the bladder is mediated by?

      Your Answer: Sympathetic Fibres L1,L2

      Explanation:

      The neck of the bladder is surrounded by the internal sphincter. It is supplied by the sympathetic and parasympathetic nerves of the splanchnic nerve. Parasympathetic stimulation causes the detrusor muscle to contract and the internal urethral sphincter to relax. It Is predominantly by the parasympathetic nerves S2-S4. Relaxation of the bladder is caused by inhibiting the sacral parasympathetic preganglionic neurons and exciting the lumbar sympathetic preganglionic neurons. Remember SYMPATHETIC is for STORAGE and PARASYMPATHETIC is for PEEING.

    • This question is part of the following fields:

      • Anatomy
      18.6
      Seconds

  • Question 34 - The femoral triangle contains all of the following structures EXCEPT which one? ...

    Incorrect

    • The femoral triangle contains all of the following structures EXCEPT which one?

      Your Answer: Saphenofemoral Junction

      Correct Answer: Genital branch of the genitofemoral nerve

      Explanation:

      The contents of the femoral triangles are femoral nerve, artery and the vein. Along with the femoral sheath and lymphatics.

    • This question is part of the following fields:

      • Anatomy
      13.1
      Seconds

  • Question 35 - You are reviewing a patient who is complaining of pain and numbness to...

    Correct

    • You are reviewing a patient who is complaining of pain and numbness to the proximal medial thigh following abdominal hysterectomy. You suspect genitofemoral nerve injury. What spinal segment(s) is the genitofemoral nerve derived from?

      Your Answer: L1,L2

      Explanation:

      The genitofemoral nerves takes its origin from the L1 and L2 spinal segments.

    • This question is part of the following fields:

      • Anatomy
      14.4
      Seconds

  • Question 36 - 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
      6.6
      Seconds

  • Question 37 - What is the anatomical landmark used for gauging the station of the fetal...

    Correct

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

      Your Answer: Ischial Spine

      Explanation:

      The ischial spines and palpable through the vagina and are used as landmarks to assess the decent of the fetal head from the cervix. It also serves as a landmark for giving the pudendal block.

    • This question is part of the following fields:

      • Anatomy
      3.2
      Seconds

  • Question 38 - The median umbilical ligament is a remnant of what structure? ...

    Correct

    • The median umbilical ligament is a remnant of what structure?

      Your Answer: Urachus

      Explanation:

      MEDIAL umbilical ligament = remnant fetal umbilical arteries
      MEDIAN umbilical ligament = remnant of urachus

    • This question is part of the following fields:

      • Anatomy
      4
      Seconds

  • Question 39 - 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 right ovary drain into?

      Your 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
      5.2
      Seconds

  • Question 40 - 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: Genitofemoral

      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
      10.5
      Seconds

  • Question 41 - Regarding the pelvic outlet, what structure marks the posterior boundary? ...

    Correct

    • Regarding the pelvic outlet, what structure marks the posterior boundary?

      Your Answer: Tip of the coccyx

      Explanation:

      The bony pelvis is made up of a girdle with a central canal. The rim that surrounds the upper opening of the canal is called the pelvic inlet, while the lower rim is the called the pelvic outlet. The pelvic outlet is diamond-shaped and is bounded posteriorly by the tip of the sacrum, and anteriorly by the pubic symphysis, with its lateral boundaries being the ischial tuberosities and the sacrotuberous ligament.

    • This question is part of the following fields:

      • Anatomy
      12.1
      Seconds

  • Question 42 - Regarding the pubic symphysis, what type of joint is it ...

    Correct

    • Regarding the pubic symphysis, what type of joint is it

      Your Answer: Secondary Cartilaginous

      Explanation:

      The pubic symphysis is a cartilaginous joint. The cartilaginous joints are divided further into primary and secondary joints. The primary joint is called the synchondrosis. It articulates with the pubis of the other side.

    • This question is part of the following fields:

      • Anatomy
      5.5
      Seconds

  • Question 43 - The ascending colon drains into the superior mesenteric vein (SMV). What vein does...

    Correct

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

      Your 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
      5.3
      Seconds

  • Question 44 - Which of the following arteries branches directly from the aorta? ...

    Correct

    • Which of the following arteries branches directly from the aorta?

      Your Answer: Ovarian

      Explanation:

      The ovarian artery takes its origin directly from the aorta. While the uterine and the vaginal arteries are all branches of the internal iliac artery.

    • This question is part of the following fields:

      • Anatomy
      5.6
      Seconds

  • Question 45 - 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
      138.8
      Seconds

  • Question 46 - How many seminiferous tubules would you typically expect to find in a testicular...

    Correct

    • How many seminiferous tubules would you typically expect to find in a testicular lobule?

      Your Answer: 2

      Explanation:

      There are between 250 and 400 lobules in each testis. The lobule is a structural unit of the testis with each lobule contained in one of the intervals between fibrous septa which extend between the mediastinum testis and the tunica albuginea. Each lobule contains 1 to 3 seminiferous tubules.

    • This question is part of the following fields:

      • Anatomy
      1.7
      Seconds

  • Question 47 - 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:

      The arcuate line is a smooth rounded border on the internal surface of the ilium just inferior to the iliac fossa. It forms the boundary of the pelvic inlet.

    • This question is part of the following fields:

      • Anatomy
      5.5
      Seconds

  • Question 48 - Regarding lymph drainage of the lower vagina where does the majority of lymph...

    Correct

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

      Your Answer: Inguinal nodes

      Explanation:

      The lower vagina drains to the inguinal nodes where as the upper vagina drains to the internal and external iliacs

    • This question is part of the following fields:

      • Anatomy
      4
      Seconds

  • Question 49 - 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
      5.7
      Seconds

  • Question 50 - The inferior 1/3 of the rectum is principally supplied by which artery? ...

    Incorrect

    • The inferior 1/3 of the rectum is principally supplied by which artery?

      Your Answer: Inferior rectal artery

      Correct Answer: Middle rectal artery

      Explanation:

      Remember the inferior rectal artery supplies the anus. The middle rectal artery is the principle supply to the lower 1/3 rectum. The rectal arteries do form an anastomosis.

    • This question is part of the following fields:

      • Anatomy
      5.5
      Seconds

  • Question 51 - The pelvis includes which of the following bones: ...

    Incorrect

    • The pelvis includes which of the following bones:

      Your Answer:

      Correct Answer: Ilium, ischium, pubis, sacrum & coccyx

      Explanation:

      The pelvic skeleton is formed posteriorly (in the area of the back), by the sacrum and the coccyx and laterally and anteriorly (forward and to the sides), by a pair of hip bones. Each hip bone consists of 3 sections, ilium, ischium, and pubis.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 52 - 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:

      Correct Answer: Proximal portion of urethra

      Explanation:

      The deep perineal pouch contains the external urethral sphincter, proximal urethra in females and membranous urethra in males, deep transverse perineal muscles and the glands of cowper.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 53 - Regarding the foetus, which one of the following statements is true? ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 54 - The uterine vein drains where? ...

    Incorrect

    • The uterine vein drains where?

      Your Answer:

      Correct Answer: Internal iliac vein

      Explanation:

      The venous drainage of the uterus is via the uterine veins which form a plexus passing below the artery within the base of the broad ligament communicating with the rectal and the vesical venous plexus before draining into the internal iliac veins.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 55 - Regarding the urinary bladder, what type of epithelium lines it? ...

    Incorrect

    • Regarding the urinary bladder, what type of epithelium lines it?

      Your Answer:

      Correct Answer: Transitional

      Explanation:

      The urinary bladder, and most of the urinary structures are lined by epithelium called the urothelium, or the transitional epithelium. This stratified lining is divided into three parts, an apical layer, an intermediate layer and a basal layer. The transitional epithelium is available to stretch to accommodate the increased volume when the bladder is distended, without structural damage.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 56 - The juxtaglomerular apparatus (JGA) lies within which part of the kidney? ...

    Incorrect

    • The juxtaglomerular apparatus (JGA) lies within which part of the kidney?

      Your Answer:

      Correct Answer: Renal Cortex

      Explanation:

      The juxtaglomerular apparatus is the main site for the production of renin. It plays an important role in the regulation of the blood pressure. These structures are mainly located in the cortex of the kidneys.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 57 - From which of the following spinal segments do both the internal and external...

    Incorrect

    • From which of the following spinal segments do both the internal and external anal sphincters receive their innervation?

      Your Answer:

      Correct Answer: S4

      Explanation:

      The anal sphincters are responsible for closing the anal canal to the passage of faeces and flatus. The smooth muscle of the 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
      0
      Seconds

  • Question 58 - 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:

      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
      0
      Seconds

  • Question 59 - The joint between the two pubic bones is called the: ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 60 - During vertex presentation, the position is determined by relationship of which part of...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 61 - The arcuate line forms part of the border of the pelvic brim. Where...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 62 - 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 of the anterior aspect of the labia. Which nerve has likely been damaged during surgery?

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 63 - Sensory supply to the clitoris is via branches of which nerve? ...

    Incorrect

    • Sensory supply to the clitoris is via branches of which nerve?

      Your Answer:

      Correct Answer: Pudendal nerve

      Explanation:

      The Pudendal nerve divides into inferior rectal, perineal and dorsal nerve of the clitoris (or penis in males). The dorsal nerve of clitoris supplies sensory innervation to the clitoris. The perineal branch supplies sensory innervation to the skin of the labia majora and minora and the vestibule.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 64 - Presence of which one of the following features at term makes spontaneous delivery...

    Incorrect

    • Presence of which one of the following features at term makes spontaneous delivery incompatible?

      Your Answer:

      Correct Answer: Mentum posterior

      Explanation:

      When face presentation is diagnosed, around 60% of cases are in the mentum anterior position, 25% are mentum posterior and 15% are mentum transverse; most malpositions rotate spontaneously into mentum anterior. A vaginal birth at term is possible only if the foetus is in the mentum anterior position.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 65 - You are reviewing a patient who is complaining of pain and numbness to...

    Incorrect

    • You are reviewing a patient who is complaining of pain and numbness to the right anterior aspect of her labia following abdominal hysterectomy. You suspect ilioinguinal nerve injury. What spinal segment is the ilioinguinal nerve derived from?

      Your Answer:

      Correct Answer: L1

      Explanation:

      Ilioinguinal nerve injury is one of the most common nerve injuries associated with pelvic surgery.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 66 - You are asked to assess a patients perineal tear following labour by vaginal...

    Incorrect

    • You are asked to assess a patients perineal tear following labour by vaginal delivery. You note a laceration that extends approximately a quarter of the thickness through the external anal sphincter. How would you classify this tear?

      Your Answer:

      Correct Answer: 3a

      Explanation:

      1. First-degree trauma corresponds to lacerations of the skin/vaginal epithelium alone.
      2. Second-degree tears involve perineal muscles and therefore include episiotomies.
      3. Third-degree extensions involve any part of the anal sphincter complex (external and internal sphincters):
      i Less than 50 per cent of the external anal
      sphincter is torn.
      ii More than 50 per cent of the external anal
      sphincter is torn.
      iii Tear involves the internal anal sphincter
      (usually there is complete disruption of the
      external sphincter).
      4. Fourth-degree tears involve injury to the anal sphincter complex extending into the rectal mucosa.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 67 - All of the following are features of the female bony pelvis, except? ...

    Incorrect

    • All of the following are features of the female bony pelvis, except?

      Your Answer:

      Correct Answer: It is funnel shaped

      Explanation:

      The female bony pelvis is larger, broader and more of a funnel shape. The inlet is larger and oval in shape and the sides of the female pelvis are wider apart.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 68 - Regarding lymph drainage of the ovary where does the majority of lymph drain...

    Incorrect

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

      Your Answer:

      Correct Answer: para-aortic nodes

      Explanation:

      The Ovaries lymph drains primarily to the lateral para-aortic lymph nodes

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 69 - Which one of the following measurements is usually taken during clinical exam of...

    Incorrect

    • Which one of the following measurements is usually taken during clinical exam of the pelvis?

      Your Answer:

      Correct Answer: Shape of the pubic arch

      Explanation:

      During pelvimetry, the shape of the pubic arch is usually examined. It helps in determining the outcome of the type of fetal delivery.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 70 - A patient who is 36 weeks pregnant comes to see you as she...

    Incorrect

    • A patient who is 36 weeks pregnant comes to see you as she has developed tingling to the right lateral thigh over the past 3 weeks. On examination there are no skin changes and no muscle weakness. What is the likely diagnosis?

      Your Answer:

      Correct Answer: Meralgia Paraesthetica

      Explanation:

      Raised pressure with the pelvis can cause a number of nerve entrapment syndromes. This is entrapment of the lateral cutaneous nerve of the thigh (or lateral femoral cutaneous nerve) also known as Meralgia Paraesthetica. Pregnancy is a risk factor. Shingles can effect this nerve but the rash would usually present itself within 14days.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 71 - The testis receive innervation from which spinal segment ...

    Incorrect

    • The testis receive innervation from which spinal segment

      Your Answer:

      Correct Answer: T10

      Explanation:

      The T10 spinal segment provides the sympathetic nerve fibres that innervate the testes

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 72 - The femoral triangle is bounded superiorly by which of the following structures? ...

    Incorrect

    • The femoral triangle is bounded superiorly by which of the following structures?

      Your Answer:

      Correct Answer: Inguinal ligament

      Explanation:

      Boundaries of the Femoral Triangle:
      Superior: Inguinal ligament
      Medial: Medial border of the adductor longus
      Lateral: Medial border of the sartorius
      Floor: Pectineus, Adductor longus and Iliopsoas muscles
      Roof: Fascia Lata

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 73 - The juxtaglomerular apparatus (JGA) lies within which part of the kidney? ...

    Incorrect

    • The juxtaglomerular apparatus (JGA) lies within which part of the kidney?

      Your Answer:

      Correct Answer: Renal Cortex

      Explanation:

      The substructures of the nephrons are mainly located within the cortex. The JGA sits next to the glomerulus in the cortex (click on the magnifying glass of the image to see the arrangement). They play an important role in blood pressure homeostasis as the juxtaglomerular cells produce renin. The descending and ascending limbs of the loop of Henle and collecting ducts have sections within both the cortex and medulla

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 74 - What is the anterior boundary of the pelvic outlet? ...

    Incorrect

    • What is the anterior boundary of the pelvic outlet?

      Your Answer:

      Correct Answer: pubic arch

      Explanation:

      Pelvic Outlet Boundaries Anteriorly: Pubic arch Laterally: Ischial tuberosities Posterolaterally: Inferior margin of the sacrotuberous ligament Posteriorly: Tip of the coccyx Note: The pelvis outlet is also called the inferior aperture. The pelvic brim is the superior aperture

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 75 - 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 left ovary drain into?

      Your Answer:

      Correct Answer: Left renal

      Explanation:

      The right ovarian vein ascends and enters the inferior vena cava and the left ovarian vein drains into the longer left renal vein.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 76 - Leydig cells contain receptors to which hormone? ...

    Incorrect

    • Leydig cells contain receptors to which hormone?

      Your Answer:

      Correct Answer: LH

      Explanation:

      The Leydig cells contain receptors to the luteinizing hormone which in turn is responsible for the production of testosterone. This circulates in the body predominantly bound to transport proteins and to a lesser extent to albumin.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 77 - Which of the following terms best describes the pelvic type of small posterior...

    Incorrect

    • Which of the following terms best describes the pelvic type of small posterior sagittal diameter, convergent sidewalls, prominent ischial spines, and narrow pubic arch?

      Your Answer:

      Correct Answer: Android

      Explanation:

      There are four types pelvic shapes:
      1) Android pelvis: it has a larger inlet and smaller outlet along with small posterior sagittal diameter, prominent ischial spines and has a two finger arch.
      2) Gynecoid pelvis: it has a transverse or nearly a circular ellipse and it is the most favourable for delivery.
      3) Anthropoid pelvis: the brim is an anteroposterior ellipse.
      4) Platypelloid pelvis: in this type the pelvic brim is kidney shape

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 78 - Regarding the uterine artery which of the following statements are FALSE? ...

    Incorrect

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

      Your Answer:

      Correct Answer: It crosses the Ureter posteriorly

      Explanation:

      The Uterine artery typically arises from the anterior branch of the internal iliac artery. It crosses the ureter ANTERIORLY. It is the primary source of arterial supply to the uterus and its branches anastomose with branches of the ovarian and vaginal arteries.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 79 - Regarding the female breast how many lobes does the typical breast contain? ...

    Incorrect

    • Regarding the female breast how many lobes does the typical breast contain?

      Your Answer:

      Correct Answer: 15-20

      Explanation:

      The basic components of the mammary gland are the alveoli. These are lined with milk-secreting cuboidal cells surrounded by myoepithelial cells. The alveoli join to form groups known as lobules. The lobules form lobes. Each lobe has a lactiferous duct that drains into openings in the nipple. Each breast typically contains 15-20 lobes.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 80 - The roof of the femoral triangle is formed by which structure? ...

    Incorrect

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

      Your Answer:

      Correct Answer: Fascia lata

      Explanation:

      Boundaries of the Femoral Triangle: Superior: Inguinal ligament Medial: Medial border of the adductor longus Lateral: Medial border of the sartorius Floor: Pectineus, Adductor longus and Iliopsoas muscles Roof: Fascia Lata (cribriform fascia at the saphenous opening) Trasversalis fascia forms part of the roof of the inguinal canal

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 81 - The median umbilical ligament is a remnant of what structure? ...

    Incorrect

    • The median umbilical ligament is a remnant of what structure?

      Your Answer:

      Correct Answer: Urachus

      Explanation:

      The median umbilical ligament is the remnant of the Urachus.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 82 - Which one of the following muscles is the most important muscle forming the...

    Incorrect

    • Which one of the following muscles is the most important muscle forming the pelvic floor?

      Your Answer:

      Correct Answer: Levator ani

      Explanation:

      Levator ani muscle is composed of three different muscles i.e. iliococcygeus, pubococcygeus and the puborectalis muscle. It is the main muscle that supports the organs of the pelvic cavity.
      Bulbocavernosus and Ischiocavernosus muscles are located in-between the anus and scrotum and play an important role in sexual response in males.
      Superficial and deep transverse perineal muscles are located in the perinium and pass in front of the anus.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 83 - In which one of the following positions does hyperextension of the fetal head...

    Incorrect

    • In which one of the following positions does hyperextension of the fetal head occur?

      Your Answer:

      Correct Answer: Face presentation

      Explanation:

      Face presentation is the abnormal position of the fetal head in labour. In this position the neck is hyperextended.
      Vertex position is the normal presentation of the foetus for delivery, in which the head is flexed and the position of the chin is towards the chest.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 84 - Regarding the Pituitary gland which of the following statements is true? ...

    Incorrect

    • Regarding the Pituitary gland which of the following statements is true?

      Your Answer:

      Correct Answer: It is surrounded by the sella turcica

      Explanation:

      The Sella turcica is composed of three parts:
      1. The tuberculum sellae (horn of saddle): a variable slight to prominent median elevation forming the posterior
      boundary of the prechiasmatic sulcus and the anterior boundary of the hypophysial fossa.
      2. The hypophysial fossa (pituitary fossa): a median depression (seat of saddle) in the body of the sphenoid that accommodates the pituitary gland (L. hypophysis).
      3. The dorsum sellae (back of saddle): a square plate of bone projecting superiorly from the body of the sphenoid.
      It forms the posterior boundary of the Sella turcica, and its prominent superolateral angles make up the posterior clinoid processes.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 85 - 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:

      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
      0
      Seconds

  • Question 86 - A patient present to the clinic with a 1 day history of vaginal...

    Incorrect

    • A patient present to the clinic with a 1 day history of vaginal prolapse. Upon examination, the vagina is 1.5 cm below the vaginal plane. What grade is the prolapse according to the POP-Q classification?

      Your Answer:

      Correct Answer: Grade 3

      Explanation:

      Pelvic organ prolapse is a common condition amongst ageing women where a weakness in the pelvic support structures of the pelvic floor allows pelvic viscera to descend.
      The Pelvic Organ Prolapse Quantification system (POP-Q) is useful for describing and staging the severity of the pelvic organ prolapse.
      Grade 1: the most distal portion of the prolapse is more than 1 cm above the level of the hymen
      Grade 2: the most distal portion of the prolapse is 1 cm or less proximal or distal to the hymenal plane
      Grade 3: the most distal portion of the prolapse protrudes more than 1 cm below the hymen but protrudes no farther than 2 cm less than the total vaginal length (for example, not all of the vagina has prolapsed)
      Grade 4: vaginal eversion complete

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 87 - You have been asked to perform a pudendal nerve block on a patient...

    Incorrect

    • You have been asked to perform a pudendal nerve block on a patient by your consultant. The pudendal nerve is formed from which spinal segments?

      Your Answer:

      Correct Answer: S2,S3 and S4

      Explanation:

      The pudendal nerve has its origins form S2, S3 and S4 spinal segments. It provides sensation to the clitoris and labia along with the ilioinguinal nerve.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 88 - You are asked to assess a patients perineal tear following labour by vaginal...

    Incorrect

    • You are asked to assess a patients perineal tear following labour by vaginal delivery. You note a laceration that extends through the vaginal mucosa into the perineal muscle and fascia. The external anal sphincter appears to be in tact. How would you classify this tear?

      Your Answer:

      Correct Answer: 2nd

      Explanation:

      If the external anal sphincter is in tact then this is a 1st or 2nd degree tear. As the perineal muscles are involved this is 2nd degree tear.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 89 - The main support of the uterus is provided by: ...

    Incorrect

    • The main support of the uterus is provided by:

      Your Answer:

      Correct Answer: The cardinal ligament

      Explanation:

      The cardinal ligament (or Mackenrodt’s ligament, lateral or transverse cervical ligament) is a major ligament of the uterus. It is located at the base of the broad ligament of the uterus. It attaches the cervix to the lateral pelvic wall by its attachment to the Obturator fascia of the Obturator internus muscle, and is continuous externally with the fibrous tissue that surrounds the pelvic blood vessels. It thus provides support to the uterus.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 90 - What is the inferior border of the deep perineal pouch? ...

    Incorrect

    • What is the inferior border of the deep perineal pouch?

      Your Answer:

      Correct Answer: Perineal membrane

      Explanation:

      The perineal membrane (also known as the inferior fascia of the urogenital diaphragm) separates the deep and superficial perineal pouches i.e. it is the inferior border of the deep pouch and superior border of the superficial pouch. The deep perineal pouch is the space therefore between superior and inferior layers of the urogenital diaphragm The superior fascia of the urogenital diaphragm is the superior border

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 91 - The ovarian artery is a branch of the: ...

    Incorrect

    • The ovarian artery is a branch of the:

      Your Answer:

      Correct Answer: Aorta

      Explanation:

      The ovarian artery is an artery that supplies oxygenated blood to the ovary in females. It arises from the abdominal aorta below the renal artery. It can be found in the suspensory ligament of the ovary, anterior to the ovarian vein and ureter.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 92 - 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:

      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
      0
      Seconds

  • Question 93 - The lower part of the rectum is supplied by the middle rectal artery....

    Incorrect

    • The lower part of the rectum is supplied by the middle rectal artery. What is the middle rectal artery a branch of?

      Your Answer:

      Correct Answer: Internal iliac artery

      Explanation:

      The middle rectal artery arises from the anterior division of the internal iliac artery.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 94 - A patient is about to undergo a pudendal nerve block after vaginal delivery...

    Incorrect

    • A patient is about to undergo a pudendal nerve block after vaginal delivery to repair an episiotomy. Which spinal segments form the pudendal nerve?

      Your Answer:

      Correct Answer: S2, S3 and S4

      Explanation:

      The pudendal nerve provides sensory innervation to regions of the anus, the perineum, the labia and the clitoris in women. The nerve is formed from the ventral rami of the S2-S4 sacral spinal nerves. The nerve is paired, each innervating the left and the right side of the body. Pudendal nerve blocks are indicated for analgesia of the second stage of labour, repair of an episiotomy or perineal laceration, and for minor surgeries of the lower vagina and perineum.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 95 - Regarding the round ligament, it leaves the pelvis via which structure? ...

    Incorrect

    • Regarding the round ligament, it leaves the pelvis via which structure?

      Your Answer:

      Correct Answer: Deep inguinal ring

      Explanation:

      The round ligament is a band of fibromuscular connective tissue attached to the cornua of the uterus, near the attachment of the ovaries. On each side of the body, the ligament exits the pelvis through the deep inguinal ring, travels through the inguinal canal and enters the labia majora where its fibres terminate at the mons pubis. It is also important to know the embryological origins of the round ligament from the gubernaculum.

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  • Question 96 - Bladder neck closure and relaxation of the bladder is mediated by? ...

    Incorrect

    • Bladder neck closure and relaxation of the bladder is mediated by?

      Your Answer:

      Correct Answer: Sympathetic Fibres L1,L2

      Explanation:

      Remember SYMPATHETIC is STORAGE PARASYMPATHETIC is PEEING

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      • Anatomy
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  • Question 97 - The broad ligament contains which of the following structures? ...

    Incorrect

    • The broad ligament contains which of the following structures?

      Your Answer:

      Correct Answer: Uterine artery

      Explanation:

      The contents of the broad ligament:
      Fallopian tubes
      Ovarian artery
      Uterine artery
      Ovarian ligament
      Round ligament of uterus

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      • Anatomy
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  • Question 98 - What is the inferior border of the deep perineal pouch? ...

    Incorrect

    • What is the inferior border of the deep perineal pouch?

      Your Answer:

      Correct Answer: Perineal membrane

      Explanation:

      The perineal membrane is a tough fascial sheet that attaches to the sides of the urogenital triangle. it forms the inferior border of the deep pouch which lies between this and the levator ani and the superior border of the superficial pouch.

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  • Question 99 - All of the following anatomical features of the pelvis favour a vaginal delivery,...

    Incorrect

    • All of the following anatomical features of the pelvis favour a vaginal delivery, except?

      Your Answer:

      Correct Answer: Obstetric conjugate is less than 10 cm

      Explanation:

      For the foetus to pass through the vagina, the obstetric conjugate should be 11cm or greater. If the diameter is less than 10 cm then its better to perform C-section as the labour might not progress. All the other options favour a normal vaginal delivery.

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      • Anatomy
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  • Question 100 - Pelvic ligaments can change at term resulting in? ...

    Incorrect

    • Pelvic ligaments can change at term resulting in?

      Your Answer:

      Correct Answer: Enlargement of the pelvic cavity

      Explanation:

      The pelvis is supported by a variety of ligaments. At term, these ligaments allow for variation in its structure such that the overall size of the pelvic cavity is increased in order to accommodate the upcoming foetus into the cavity.

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      • Anatomy
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  • Question 101 - The femoral triangle is bounded superiorly by which of the following structures? ...

    Incorrect

    • The femoral triangle is bounded superiorly by which of the following structures?

      Your Answer:

      Correct Answer: Inguinal ligament

      Explanation:

      The femoral triangle is bounded superiorly by the inguinal ligament which forms the base of the triangle, medially by the lateral border of the adductor longus and laterally by the sartorius muscle.

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  • Question 102 - The main function of the cilia of the fallopian tube is? ...

    Incorrect

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

      Your Answer:

      Correct 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.

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  • Question 103 - The round ligament develops from which structure? ...

    Incorrect

    • The round ligament develops from which structure?

      Your Answer:

      Correct Answer: Gubernaculum

      Explanation:

      The round ligament develops from the lower end of the gubernaculum in females. In the males it persists as the scrotal ligament.

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  • Question 104 - Which nerves innervate the internal anal sphincter? ...

    Incorrect

    • Which nerves innervate the internal anal sphincter?

      Your Answer:

      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.

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  • Question 105 - The arterial blood supply to the bladder is via branches of which artery?...

    Incorrect

    • The arterial blood supply to the bladder is via branches of which artery?

      Your Answer:

      Correct Answer: Internal Iliac

      Explanation:

      The bladder is supplied by branches of the internal iliac artery, including the superior vesical artery, branches of the gluteal and obturator arteries and the inferior vesical artery in males and the vaginal and the uterine arteries in females.

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  • Question 106 - Which one of the following dimensions relates to the greatest diameter of the...

    Incorrect

    • Which one of the following dimensions relates to the greatest diameter of the fetal head?

      Your Answer:

      Correct Answer: Occipitomental

      Explanation:

      Occipitomental diameter is the greatest diameter of the fetal scalp and runs from chin to the prominent portion on the occiput. It measure about 12.5cm in diameter.

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      • Anatomy
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  • Question 107 - Sertoli cells contain receptors to which hormone? ...

    Incorrect

    • Sertoli cells contain receptors to which hormone?

      Your Answer:

      Correct Answer: FSH

      Explanation:

      Sertoli cells contain receptors for FSH. In response to this Sertoli cells synthesize inhibin, androgen binding proteins and anti Mullerian hormone all which are connected to the reproduction cycle.

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  • Question 108 - You see a patient who is 32 weeks pregnant. She complains of tingling...

    Incorrect

    • You see a patient who is 32 weeks pregnant. She complains of tingling to the right buttock and shooting pain down the leg. You suspect Piriformis syndrome. Regarding Piriformis which of the following statements are true?

      Your Answer:

      Correct Answer: Insertion is onto the greater trochanter

      Explanation:

      Nerve Supply: L5 to S2 via Nerve to Piriformis
      Origin: Sacrum
      Insertion: Greater trochanter
      Action: External rotation of hip
      Blood Supply: Superior and Inferior gluteal arteries and lateral sacral arteries

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      • Anatomy
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  • Question 109 - If your patient is 8 weeks pregnant which one of the following USS...

    Incorrect

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

      Your Answer:

      Correct 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.

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      • Anatomy
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  • Question 110 - Which of the following arteries branches directly from the aorta? ...

    Incorrect

    • Which of the following arteries branches directly from the aorta?

      Your Answer:

      Correct Answer: Ovarian

      Explanation:

      The uterine and vaginal arteries branch from the internal iliac artery. The ovarian artery branches direct from the aorta.

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      • Anatomy
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  • Question 111 - The posterior scrotal artery is a branch of which artery? ...

    Incorrect

    • The posterior scrotal artery is a branch of which artery?

      Your Answer:

      Correct Answer: Internal Pudendal

      Explanation:

      The posterior scrotal artery is a terminal branch of the perineal artery which is a branch of the internal pudendal artery.

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      • Anatomy
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  • Question 112 - The testicular arteries are branches of what? ...

    Incorrect

    • The testicular arteries are branches of what?

      Your Answer:

      Correct Answer: Aorta

      Explanation:

      The testicular artery arises from the aorta and supplies the testis and the epididymis. The testis is supplied by 3 arteries.: Testicular artery, cremasteric artery that arises from the inferior hypogastric artery and the artery to the vas deferens from the internal iliac artery.

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      • Anatomy
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  • Question 113 - The sacroiliac joint is what type of joint? ...

    Incorrect

    • The sacroiliac joint is what type of joint?

      Your Answer:

      Correct Answer: Synovial

      Explanation:

      The SIJ is a synovial joint. The Pubic Symphysis is a Secondary Cartilaginous

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      • Anatomy
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  • Question 114 - Regarding molding of the fetal head, which one is true? ...

    Incorrect

    • Regarding molding of the fetal head, which one is true?

      Your Answer:

      Correct Answer: Does NOT have time to occur in breech delivery

      Explanation:

      Molding allows the skull bones of the fetal head some mobility during the normal delivery of foetus as the skull changes its shape to accommodate passage through the mothers pelvis. However this does not occur in breach delivery where the skull is in circular shape. Babies born breech typically have craniofacial and limb deformations resulting from their in utero position. These babies characteristically have a long, narrow head, (“dolichocephaly” or “type 1”), with a prominent occipital shelf, redundant skin over the neck, overlapping lambdoidal sutures, and an indentation below their ears (from shoulder compression).

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  • Question 115 - What are the branches of the pudendal nerves in females? ...

    Incorrect

    • What are the branches of the pudendal nerves in females?

      Your Answer:

      Correct Answer: Perineal, inferior rectal and dorsal nerve of clitoris

      Explanation:

      The pudendal nerve provides sensory and motor innervation to regions of the anus, the perineum, the labia and the clitoris in women. The nerve is formed from the ventral rami of the S2-S4 sacral spinal nerves. The nerve is paired, each innervating the left and the right side of the body. The nerve gives the following branches in females: the inferior anal nerve, the perineal nerve and the dorsal nerve of the clitoris.

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  • Question 116 - The inguinal canal is reinforced anterolaterally by which structure? ...

    Incorrect

    • The inguinal canal is reinforced anterolaterally by which structure?

      Your Answer:

      Correct Answer: Internal oblique

      Explanation:

      The Conjoint tendon AKA Inguinal falx reinforces the posterior wall of the inguinal canal. The inguinal ligament is 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

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  • Question 117 - 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:

      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).

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  • Question 118 - The typical female breast contains how many lobes? ...

    Incorrect

    • The typical female breast contains how many lobes?

      Your Answer:

      Correct Answer: 15-20

      Explanation:

      The female breast is made of about 15 to 20 individual lobes. The lobules each consists of alveoli which drain into a single lactiferous duct. The ductal system leads to lactiferous sinuses and collecting ducts which expel milk from openings in the nipple.

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  • Question 119 - Regarding lymph drainage of the fallopian tubes where does the majority of lymph...

    Incorrect

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

      Your Answer:

      Correct Answer: Para-aortic nodes

      Explanation:

      Lymphatic vessels from the ovaries, joined by vessels from the uterine tubes and most from the fundus of the uterus, follow the ovarian veins as they ascend to the right and left lumbar (caval/aortic) lymph nodes.

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  • Question 120 - The ureter is lined by what type of epithelium? ...

    Incorrect

    • The ureter is lined by what type of epithelium?

      Your Answer:

      Correct Answer: Transitional

      Explanation:

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

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  • Question 121 - The normal lining of the fallopian tube is: ...

    Incorrect

    • The normal lining of the fallopian tube is:

      Your Answer:

      Correct Answer: Columnar epithelium with cilia

      Explanation:

      The Fallopian tubes, also known as, uterine tubes, and salpinges, are two very fine tubes lined with ciliated columnar epithelia, leading from the ovaries of female mammals into the uterus, via the uterotubal junction.

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  • Question 122 - Which of the following leaves the pelvis via the greater sciatic foramen? ...

    Incorrect

    • Which of the following leaves the pelvis via the greater sciatic foramen?

      Your Answer:

      Correct Answer: Pudendal Nerve

      Explanation:

      The pudendal nerve is formed by sacral nerve roots S2, S3 and S4 almost immediately as they exit the spinal foramina. The pudendal nerve exits the pelvis via the greater sciatic foramen, travels behind the sacrospinous ligament before re-entering the pelvis via the lesser sciatic foramen. It is an important nerve to be aware of as it supplies sensation to the genitalia and can also be damaged/compressed at a number of places along its course. Image sourced from Wikipedia

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  • Question 123 - What is the average anteroposterior distance of the female pelvic outlet? ...

    Incorrect

    • What is the average anteroposterior distance of the female pelvic outlet?

      Your Answer:

      Correct Answer: 13 cm

      Explanation:

      The pelvic outlet is bounded in front by the lower margin of the symphysis pubis, on each side by the descending ramus of the pubic bone, the ischial tuberosity and the sacrotuberous ligament, and posteriorly by the last piece of the sacrum. The AP diameter of the pelvic outlet is 13.5 cm and the transverse diameter is 11 cm.

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      • Anatomy
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  • Question 124 - The inguinal canal is reinforced posteriorly by which structure? ...

    Incorrect

    • The inguinal canal is reinforced posteriorly by which structure?

      Your Answer:

      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

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      • Anatomy
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  • Question 125 - What is the anterior boundary of the pelvic outlet? ...

    Incorrect

    • What is the anterior boundary of the pelvic outlet?

      Your Answer:

      Correct Answer: pubic arch

      Explanation:

      The pelvic outlet is bounded anteriorly by the inferior border of the pubic arch, posteriorly by the sacrotuberous ligament and the tip of the coccyx and laterally by the ischial tuberosities.

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      • Anatomy
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  • Question 126 - Which of the following is true about the origin of the ovarian artery?...

    Incorrect

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

      Your Answer:

      Correct 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.

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      • Anatomy
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  • Question 127 - Which of the following structures does the broad ligament contain? ...

    Incorrect

    • Which of the following structures does the broad ligament contain?

      Your Answer:

      Correct Answer: Uterine artery

      Explanation:

      The broad ligament is one of the secondary supporting structures of the uterus which attaches the lateral portion of the uterus to the pelvic sidewall. The broad ligament primarily serves a protective layer for important structures including the fallopian tubes, the ovaries, the ovarian arteries, and the uterine arteries, the round and ovarian ligaments, and the infundibulopelvic ligaments.

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      • Anatomy
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  • Question 128 - Sensory supply to the clitoris is via branches of which nerve? ...

    Incorrect

    • Sensory supply to the clitoris is via branches of which nerve?

      Your Answer:

      Correct Answer: Pudendal nerve

      Explanation:

      The pudenal nerves has three branches, namely the inferior rectal, perineal and the dorsal nerve of the clitoris. The perineal nerve has two branches: The superficial perineal nerve gives rise to posterior scrotal or labial (cutaneous) branches, and the deep perineal nerve supplies the muscles of the deep and superficial perineal pouches, the skin of the vestibule, and the mucosa of the inferior most part of the vagina. The inferior rectal nerve communicates with the posterior scrotal or labial and perineal nerves. The dorsal nerve of the penis or clitoris is the primary sensory nerve serving the male or female organ, especially the sensitive glans at the distal end.

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      • Anatomy
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  • Question 129 - 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:

      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

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      • Anatomy
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  • Question 130 - Bladder contraction during voiding (micturating) is mediated via innervation of which of the...

    Incorrect

    • Bladder contraction during voiding (micturating) is mediated via innervation of which of the following pathways?

      Your Answer:

      Correct Answer: Parasympathetic fibres from S2,S3,S4 nerve roots

      Explanation:

      Detrusor contraction is via Parasympathetic innervation of pelvic splanchnic nerves (S2-4). This also causes relaxation of the internal urethral sphincter Note contraction and relaxation of the external urethral sphincter is under somatic control.

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      • Anatomy
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