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Question 1
Incorrect
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Lymph drainage from the bladder is via which nodes?
Your Answer: Internal and Common iliac nodes only
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.
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This question is part of the following fields:
- Anatomy
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Question 2
Incorrect
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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: Third degree
Correct 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.
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This question is part of the following fields:
- Anatomy
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Question 3
Incorrect
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The typical female breast contains how many lobes?
Your Answer: 1
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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This question is part of the following fields:
- Anatomy
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Question 4
Correct
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Regarding the foetus, which one of the following statements is true?
Your Answer: Fetal lie describes the long axis of the foetus to the long axis of the mother
Explanation:Fetal lie describes the relationship of the long axis of the foetus with respect to the long axis of the mother.
Coronal suture is the transverse suture separating the parietal bone from the frontal bone.
Umbilical cord is composed of two arteries and one vein. the vein carries the oxygenated blood, whereas the arteries contain the deoxygenated blood.
At the time of birth, the anterior fontanelle is open and appears as a soft jelly like structure. -
This question is part of the following fields:
- Anatomy
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Question 5
Correct
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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.
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This question is part of the following fields:
- Anatomy
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Question 6
Incorrect
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Question 7
Incorrect
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Which one of the following muscles is the most important muscle forming the pelvic floor?
Your Answer: Bulbo cavernousus
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
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Question 8
Correct
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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.
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This question is part of the following fields:
- Anatomy
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Question 9
Incorrect
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Which two nerves provide the primary cutaneous sensory innervation to the labia majora?
Your Answer: Pudendal and Iliohypogastric
Correct 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.
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This question is part of the following fields:
- Anatomy
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Question 10
Incorrect
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The inguinal canal is reinforced posteriorly by which structure?
Your Answer: External oblique aponeurosis
Correct 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
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Question 11
Incorrect
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The femoral triangle is bounded medially by which of the following structures?
Your Answer: Adductor brevis
Correct 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.
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This question is part of the following fields:
- Anatomy
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Question 12
Correct
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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.
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This question is part of the following fields:
- Anatomy
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Question 13
Incorrect
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During vertex presentation, the position is determined by relationship of which part of the fetal vertex to the mother's pelvis?
Your Answer: Acromion
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.
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This question is part of the following fields:
- Anatomy
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Question 14
Incorrect
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Which of the following arteries branches directly from the aorta?
Your Answer: Femoral
Correct 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.
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This question is part of the following fields:
- Anatomy
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Question 15
Incorrect
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The round ligament develops from which structure?
Your Answer: Allantois
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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This question is part of the following fields:
- Anatomy
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Question 16
Correct
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Question 17
Incorrect
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The superficial inguinal ring is an aperture in which structure?
Your Answer: Aponeurosis internal oblique
Correct 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
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This question is part of the following fields:
- Anatomy
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Question 18
Incorrect
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The normal lining of the fallopian tube is:
Your Answer: Transitional epithelium
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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This question is part of the following fields:
- Anatomy
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Question 19
Incorrect
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The main function of the cilia of the fallopian tube is?
Your Answer: Remove the zona pellucida which surrounds the ovum
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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This question is part of the following fields:
- Anatomy
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Question 20
Correct
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The femoral triangle contains all of the following structures EXCEPT which one?
Your 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.
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This question is part of the following fields:
- Anatomy
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Question 21
Incorrect
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Which one of the following measurements is usually taken during clinical exam of the pelvis?
Your Answer: Elasticity of the levator muscles
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.
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This question is part of the following fields:
- Anatomy
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Question 22
Incorrect
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Regarding the round ligament, it leaves the pelvis via which structure?
Your Answer: Greater sciatic notch
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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This question is part of the following fields:
- Anatomy
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Question 23
Incorrect
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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: 3rd type A
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.
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This question is part of the following fields:
- Anatomy
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Question 24
Incorrect
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The ovarian artery is a branch of the:
Your Answer: Internal iliac artery
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.
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This question is part of the following fields:
- Anatomy
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Question 25
Incorrect
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Under which one of the following conditions is the pelvic inlet felt to be contracted?
Your Answer: Pelvic shape is platypelloid
Correct Answer:
Explanation:Contracted pelvis occurs when one or more of its diameters is reduced so that it interferes with the normal mechanism of labour. A transverse diameter below 11 cm will result in difficult delivery of the foetus and C-section will be the better option in that case
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This question is part of the following fields:
- Anatomy
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Question 26
Incorrect
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Sensory supply to the clitoris is via branches of which nerve?
Your Answer: Inferior rectal
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.
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This question is part of the following fields:
- Anatomy
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Question 27
Incorrect
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During the filling phase of micturition. At what bladder volume is the first urge to void felt?
Your Answer: 50ml
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.
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This question is part of the following fields:
- Anatomy
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Question 28
Incorrect
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Which of the following muscles is NOT a constituent of the pelvic floor (diaphragm)?
Your Answer: Pubococcygeus
Correct 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
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This question is part of the following fields:
- Anatomy
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Question 29
Incorrect
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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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This question is part of the following fields:
- Anatomy
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Question 30
Incorrect
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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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This question is part of the following fields:
- Anatomy
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SESSION STATS - PERFORMANCE PER SPECIALTY
