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  • Question 1 - The following structures DO NOT lie between the layers of the mesosalpinx except...

    Correct

    • The following structures DO NOT lie between the layers of the mesosalpinx except for the?

      Your Answer: Fallopian tube

      Explanation:

      Mesosalpinx is the portion of the broad ligament that stretches from the fallopian tube to the ovary and contains the uterine tubes between it’s layers.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      5.2
      Seconds

  • Question 2 - Which nodes are most likely to be enlarged in a patient complaining of...

    Correct

    • Which nodes are most likely to be enlarged in a patient complaining of a boil located on the labia majora?

      Your Answer: Superficial inguinal

      Explanation:

      The perineum, external genitalia, the labia majora and scrotum drain to the superficial inguinal lymph nodes. In a man, the testes do not drain to the superficial inguinal lymph nodes but rather travel in the spermatic cord and drain into the lumbar nodes. The lumbar nodes drain the internal pelvic organs. The sacral nodes drain the prostrate gland, uterus, vagina, rectum and posterior pelvic wall and the external iliac nodes in turn drain the lower limb. The internal iliac nodes drain the pelvis and gluteal region.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      7.8
      Seconds

  • Question 3 - Prostatectomy carries a risk of loss of penile erection due to injury to...

    Correct

    • Prostatectomy carries a risk of loss of penile erection due to injury to the prostatic plexus responsible for an erection. From which nerves do these fibres originate?

      Your Answer: Pelvic splanchnics

      Explanation:

      Erection is a function of the parasympathetic nerves. Of the nerves listed, only the pelvic splanchnic nerves have parasympathetic fibres that innervate the smooth muscles and glands of the pelvic viscera.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      11.8
      Seconds

  • Question 4 - The principal motor and sensory nerve of the perineum is the? ...

    Correct

    • The principal motor and sensory nerve of the perineum is the?

      Your Answer: Pudendal

      Explanation:

      The pudendal nerve is formed by S1,2,4 anterior branches. It gives off the inferior haemorrhoid nerve before dividing terminally into the perineal nerve and the dorsal nerve of the clitoris or the penis. Thus, it is the principal motor and sensory nerve of the perineum.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      27.2
      Seconds

  • Question 5 - Which of the following structures lying posterior to the ovary are at risk...

    Correct

    • Which of the following structures lying posterior to the ovary are at risk of injury in excision of a malignant tumour in the right ovary?

      Your Answer: Ureter

      Explanation:

      The ovaries are two nodular structures situated one on either side of the uterus in relation to the lateral wall of the pelvis and attached to the back of the broad ligament of the uterus, lying posteroinferiorly to the fallopian tubes. Each ovary has a lateral and medial surface. The ureter is at greater risk of iatrogenic injury at this location.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      10.2
      Seconds

  • Question 6 - An episiotomy is indicated for a woman during a difficult vaginal delivery. Whilst...

    Correct

    • An episiotomy is indicated for a woman during a difficult vaginal delivery. Whilst the registrar was performing this procedure she made a median cut too far through the perineal body cutting the structure immediately posterior. Which structure is this?

      Your Answer: External anal sphincter

      Explanation:

      An episiotomy is an incision that is made whenever there is a risk of a tear during vaginal deliver. A posterolateral incision, as opposed to a median incision is preferred. Of the options given, the external anal sphincter lies right posterior to the perineal body. The sacrospinous and the sacrotuberous ligaments are deep in the perineum that they should not be involved in this.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      31.2
      Seconds

  • Question 7 - A 45-year old male patient with a long history of alcoholism developed liver...

    Correct

    • A 45-year old male patient with a long history of alcoholism developed liver cirrhosis that has led to portal hypertension. Which of the following plexuses of veins is most likely dilated in this patient?

      Your Answer: Haemorrhoidal plexus

      Explanation:

      The haemorrhoidal plexus or also known as the rectal plexus is a venous plexus that surrounds the rectum. This venous plexus in males communicates anteriorly with the vesical plexus and uterovaginal plexus in females. This venous plexus forms a site of free communication between the portal and systemic venous systems. In the case of portal hypertension this plexus would most likely dilate due to the increased pressure.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      10.6
      Seconds

  • Question 8 - The line which divides the perineum into two triangles is connected to the?...

    Correct

    • The line which divides the perineum into two triangles is connected to the?

      Your Answer: Ischial tuberosities

      Explanation:

      The perineum has it’s deep boundaries in front of the pubic arch and the arcuate ligament of the pubis, behind the tip of the coccyx and on either side of the inferior rami of the pubis and ischium and the sacrotuberous ligament. It also corresponds to the outlet of the pelvis. A line drawn transversely across, in front of the ischial tuberosities divides the space into two portions, the posterior contains the termination of the anal canal and the anterior, contains the external urogenital organs.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      47.2
      Seconds

  • Question 9 - During hysterectomy, the ureter is most likely to be ligated when a surgeon...

    Correct

    • During hysterectomy, the ureter is most likely to be ligated when a surgeon is clamping the?

      Your Answer: Uterine arteries

      Explanation:

      The ureter forms the posterior boundary of a shallow depression which lodges the ovary and then runs medially and forward on the lateral aspect of the uterine cervix and upper part of the vagina to reach the fundus of the bladder. It is also situated about 2cm from the side of the cervix of the uterus. The relationship of the ureters and uterine arteries is of clinical significance because the arteries are at risk of iatrogenic injury during hysterectomy.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      11.6
      Seconds

  • Question 10 - Which organs would cause pain in a patient who complains of dull pain...

    Correct

    • Which organs would cause pain in a patient who complains of dull pain in her pelvis, along the midline starting from the pubic bone in the front to the sacrum at the back?

      Your Answer: Urinary bladder, uterus/cervix/vagina, rectum

      Explanation:

      The pain could have been caused by the urinary bladder, uterus/cervix/vagina or rectum as it involves the pelvic viscera.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      20.9
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (10/10) 100%
Pelvis (10/10) 100%
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