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  • Question 1 - 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: Sacral promontory can not be felt

      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.

    • This question is part of the following fields:

      • Anatomy
      32.7
      Seconds

  • Question 2 - 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: internal iliac lymph nodes

      Correct 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
      23.1
      Seconds

  • Question 3 - 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: Sympathetic Fibres S2,S3,S4

      Correct Answer: Sympathetic Fibres L1,L2

      Explanation:

      Remember SYMPATHETIC is STORAGE PARASYMPATHETIC is PEEING

    • This question is part of the following fields:

      • Anatomy
      24.1
      Seconds

  • Question 4 - 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
      9.4
      Seconds

  • Question 5 - 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
      17.9
      Seconds

  • Question 6 - 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
      20.2
      Seconds

  • Question 7 - 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
      12.5
      Seconds

  • Question 8 - Which of the following is contained within the deep perineal pouch? ...

    Correct

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

      Your 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
      18
      Seconds

  • Question 9 - 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 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
      12.9
      Seconds

  • Question 10 - 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
      22.5
      Seconds

  • Question 11 - 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
      4.6
      Seconds

  • Question 12 - 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: 11.5 cm

      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.

    • This question is part of the following fields:

      • Anatomy
      6.3
      Seconds

  • Question 13 - 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 14 - 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 15 - 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:

      Correct 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
      0
      Seconds

  • Question 16 - Lymph drainage from the bladder is via which nodes? ...

    Incorrect

    • Lymph drainage from the bladder is via which nodes?

      Your Answer:

      Correct Answer: External, Internal and Common iliac nodes

      Explanation:

      Lymphatic drainage of the bladder is to the common iliac nodes via the internal iliac nodes.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 17 - 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:

      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
      0
      Seconds

  • Question 18 - 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 19 - 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 20 - During the filling phase of micturition. At what bladder volume is the first...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 21 - 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

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 22 - 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.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 23 - 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:

      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
      0
      Seconds

  • Question 24 - The ureters receive autonomic supply from which spinal segments? ...

    Incorrect

    • The ureters receive autonomic supply from which spinal segments?

      Your Answer:

      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
      0
      Seconds

  • Question 25 - During the filling phase of micturition. At what bladder volume is the first...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 26 - 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.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 27 - 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.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 28 - 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.

    • This question is part of the following fields:

      • Anatomy
      0
      Seconds

  • Question 29 - The vulva is mainly supplied by which one of the following vessels? ...

    Incorrect

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

      Your Answer:

      Correct 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
      0
      Seconds

  • Question 30 - 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

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