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  • Question 1 - 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
      12.5
      Seconds

  • Question 2 - 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
      16.9
      Seconds

  • Question 3 - The uterine vein drains where? ...

    Correct

    • The uterine vein drains where?

      Your 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
      18.7
      Seconds

  • Question 4 - You are asked to assess a patients perineal tear following labour by vaginal...

    Correct

    • 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: 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
      21
      Seconds

  • Question 5 - 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
      27.7
      Seconds

  • Question 6 - What is the anterior boundary of the pelvic outlet? ...

    Correct

    • What is the anterior boundary of the pelvic outlet?

      Your 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
      67.2
      Seconds

  • Question 7 - The broad ligament contains which of the following structures? ...

    Correct

    • The broad ligament contains which of the following structures?

      Your 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
      15
      Seconds

  • Question 8 - Sensory supply to the clitoris is via branches of which nerve? ...

    Correct

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

      Your 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
      7.1
      Seconds

  • Question 9 - Sensory supply to the clitoris is via branches of which nerve? ...

    Correct

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

      Your 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.

    • This question is part of the following fields:

      • Anatomy
      4.8
      Seconds

  • Question 10 - In which one of the following positions does hyperextension of the fetal head...

    Correct

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

      Your 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
      16.6
      Seconds

  • Question 11 - 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: 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.

    • This question is part of the following fields:

      • Anatomy
      25.7
      Seconds

  • Question 12 - 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: S2

      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
      18.2
      Seconds

  • Question 13 - 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
      23.2
      Seconds

  • Question 14 - 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:

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

    • This question is part of the following fields:

      • Anatomy
      25.8
      Seconds

  • Question 15 - 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: Ilioinguinal artery

      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
      22.1
      Seconds

  • Question 16 - 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: It arises from the Internal iliac artery

      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.

    • This question is part of the following fields:

      • Anatomy
      17.4
      Seconds

  • Question 17 - 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 obstetric conjugate of 11-12 cm

      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
      22.7
      Seconds

  • Question 18 - 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: L2,L3

      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
      28.9
      Seconds

  • Question 19 - 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: Transverse diameter of the inlet

      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
      18.6
      Seconds

  • Question 20 - The testicular arteries are branches of what? ...

    Correct

    • The testicular arteries are branches of what?

      Your 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
      6.5
      Seconds

  • Question 21 - 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:

      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
      32.9
      Seconds

  • Question 22 - 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
      29.6
      Seconds

  • Question 23 - 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
      30.9
      Seconds

  • Question 24 - 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: 40-50

      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
      9.9
      Seconds

  • Question 25 - You are asked to assess a patients perineal tear following labour by vaginal...

    Correct

    • 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: 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
      39.2
      Seconds

  • Question 26 - 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
      30.1
      Seconds

  • Question 27 - The main support of the uterus is provided by: ...

    Incorrect

    • The main support of the uterus is provided by:

      Your Answer: The round ligament

      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
      18.3
      Seconds

  • Question 28 - 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 2

      Correct Answer: Grade 1

      Explanation:

      This is a grade 1 prolapse

    • This question is part of the following fields:

      • Anatomy
      16.9
      Seconds

  • Question 29 - 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
      33.2
      Seconds

  • Question 30 - 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
      32.5
      Seconds

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Anatomy (17/30) 57%
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