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  • Question 1 - 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: Inguinal 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
      23.7
      Seconds

  • Question 2 - The main support of the uterus is provided by: ...

    Correct

    • The main support of the uterus is provided by:

      Your 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
      25.1
      Seconds

  • Question 3 - Regarding the structure of the detrusor muscle. Which of the following is true?...

    Incorrect

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

      Your Answer: The detrusor is divided into 2 layers consisting of an inner longitudinal smooth muscle layer and outer circular smooth muscle layer

      Correct 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
      21.9
      Seconds

  • Question 4 - 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: Is primarily an exocrine gland

      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
      16
      Seconds

  • Question 5 - 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: Ischiocavernosus muscle

      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
      33.9
      Seconds

  • Question 6 - How many seminiferous tubules would you typically expect to find in a testicular...

    Incorrect

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

      Your Answer: 2 million

      Correct 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
      7.8
      Seconds

  • Question 7 - The testicular arteries are branches of what? ...

    Incorrect

    • The testicular arteries are branches of what?

      Your Answer: Internal pudendal artery

      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.

    • This question is part of the following fields:

      • Anatomy
      17
      Seconds

  • Question 8 - 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: Breach presentation

      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
      18.5
      Seconds

  • Question 9 - What is the inferior border of the deep perineal pouch? ...

    Correct

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

      Your 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
      20.8
      Seconds

  • Question 10 - 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
      19.6
      Seconds

  • Question 11 - The round ligament develops from which structure? ...

    Correct

    • The round ligament develops from which structure?

      Your 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.

    • This question is part of the following fields:

      • Anatomy
      15.4
      Seconds

  • Question 12 - 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
      26.1
      Seconds

  • Question 13 - During vertex presentation, the position is determined by relationship of which part of...

    Correct

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

      Your Answer: Occiput

      Explanation:

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

    • This question is part of the following fields:

      • Anatomy
      20.8
      Seconds

  • Question 14 - 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: L5,S1 and S2

      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
      29.5
      Seconds

  • Question 15 - What is the inferior border of the deep perineal pouch? ...

    Incorrect

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

      Your Answer: Bulbospongiosus

      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.

    • This question is part of the following fields:

      • Anatomy
      24.6
      Seconds

  • Question 16 - 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: External iliac artery

      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
      33.7
      Seconds

  • Question 17 - 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: Occiput left posterior

      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
      19.1
      Seconds

  • Question 18 - The joint between the two pubic bones is called the: ...

    Correct

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

      Your Answer: Pubis symphysis

      Explanation:

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

    • This question is part of the following fields:

      • Anatomy
      8
      Seconds

  • Question 19 - 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
      10.4
      Seconds

  • Question 20 - 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: Has an obtuse greater sciatic notch

      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
      25.9
      Seconds

  • Question 21 - 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: Superficial inguinal ring

      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.

    • This question is part of the following fields:

      • Anatomy
      24.8
      Seconds

  • Question 22 - A patient attends clinic with a vaginal prolapse. On examination the vaginal prolapse...

    Incorrect

    • 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 3

      Correct Answer: Grade 1

      Explanation:

      This is a grade 1 prolapse

    • This question is part of the following fields:

      • Anatomy
      19.4
      Seconds

  • Question 23 - Which one of the following muscles is the most important muscle forming the...

    Correct

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

      Your 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
      16.1
      Seconds

  • Question 24 - 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: Levator ani

      Correct Answer: Internal anal sphincter

      Explanation:

      The internal anal sphincter is innervated by pelvic splanchnic nerves

    • This question is part of the following fields:

      • Anatomy
      293.2
      Seconds

  • Question 25 - The ureters receive autonomic supply from which spinal segments? ...

    Incorrect

    • The ureters receive autonomic supply from which spinal segments?

      Your Answer: L1-L3

      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
      13.3
      Seconds

  • Question 26 - The main function of the cilia of the fallopian tube is? ...

    Correct

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

      Your Answer: Transport the ovum towards the uterus

      Explanation:

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

    • This question is part of the following fields:

      • Anatomy
      12.8
      Seconds

  • Question 27 - What is the anterior boundary of the pelvic outlet? ...

    Incorrect

    • What is the anterior boundary of the pelvic outlet?

      Your Answer: pubic crest

      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.

    • This question is part of the following fields:

      • Anatomy
      37.4
      Seconds

  • Question 28 - 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: Pubis

      Correct 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
      23.9
      Seconds

  • Question 29 - 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: Vertex

      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
      20.4
      Seconds

  • Question 30 - Lymph drainage from the bladder is via which nodes? ...

    Correct

    • Lymph drainage from the bladder is via which nodes?

      Your 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
      21.6
      Seconds

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Anatomy (10/30) 33%
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