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  • Question 1 - 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
      6.5
      Seconds

  • Question 2 - A patient at the time of her second delivery opted for a bilateral...

    Correct

    • A patient at the time of her second delivery opted for a bilateral pudendal nerve block. In order to inject the anaesthetic agent near the pudendal nerve a anaesthetic consultant had to insert a finger into the vagina and press laterally to palpate which landmark?

      Your Answer: Ischial spine

      Explanation:

      The ischial spine is always palpated through the walls of the vagina when performing a transvaginal pudendal nerve block and can easily be palpated on the lateral wall of the vagina.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      6.7
      Seconds

  • Question 3 - Which lymph nodes are most likely to enlarge due to the spread of...

    Correct

    • Which lymph nodes are most likely to enlarge due to the spread of infection through the lymphatic channels in a patient with a boil on his scrotum?

      Your Answer: Superficial inguinal nodes

      Explanation:

      The superficial inguinal nodes drain the perineum and the external genitalia which include the scrotum and the labia majora. The testes, however, drain to the lumbar nodes.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      18.5
      Seconds

  • Question 4 - 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
      12.4
      Seconds

  • Question 5 - A 60-year old patient presenting with squamous cell carcinoma of the anal canal...

    Correct

    • A 60-year old patient presenting with squamous cell carcinoma of the anal canal was brought in to the oncology ward for chemotherapy. In which of the following lymph nodes of this patient would you likely find metastases?

      Your Answer: Internal iliac

      Explanation:

      The efferent lymphatics from the anal canal proceed to the internal iliac lymph nodes. This would most likely form the site of enlargement in the lymphatics.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      17
      Seconds

  • Question 6 - 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
      31.4
      Seconds

  • Question 7 - 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
      16.4
      Seconds

  • Question 8 - From which fascia of the pelvic wall muscle does the levator ani muscle...

    Correct

    • From which fascia of the pelvic wall muscle does the levator ani muscle arise?

      Your Answer: Obturator internus

      Explanation:

      The levator ani muscle arises from the posterior surface of the superior ramus of the pubis lateral to the symphysis, behind the inner surface of the spine of the ischium and between these points from the obturator internus fascia. It is attached to the inner surface of the side of the lesser pelvic cavity, supports the viscera in the cavity and surrounds the various structures that pass through it.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      7
      Seconds

  • Question 9 - 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
      24.6
      Seconds

  • Question 10 - The uterine artery arises from the? ...

    Correct

    • The uterine artery arises from the?

      Your Answer: Internal iliac artery

      Explanation:

      The uterine artery arises from the anterior division of the internal iliac artery and runs medially on the levator ani towards the uterine cervix.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      40.3
      Seconds

  • Question 11 - What is formed when the ductus deferens unites with the duct of the...

    Correct

    • What is formed when the ductus deferens unites with the duct of the seminal vesicle?

      Your Answer: Ejaculatory duct

      Explanation:

      The deferens is a cylindrical structure​ with dense walls and an extremely small lumen It is joined at an acute angle by the duct of the seminal vesicles to form the ejaculatory duct, which traverses the prostate behind it’s middle lobe and opens into the prostatic portion of the urethra, close to the orifice of the prostatic utricle.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      6.2
      Seconds

  • Question 12 - 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
      7.8
      Seconds

  • Question 13 - Which name is given to the inferior fascia of the urogenital diaphragm? ...

    Correct

    • Which name is given to the inferior fascia of the urogenital diaphragm?

      Your Answer: Perineal membrane

      Explanation:

      The urogenital fascia is mostly commonly referred to as the perineal membrane. This term refers to an anatomical fibrous membrane in the perineum. It is triangular in shape, and thus at times referred to as the triangular ligament. It is about 4 cm in depth. Its The perineal membrane’s apex is anterior and is separated from the arcuate pubic ligament by an oval opening for the passage of the deep dorsal vein of the penis. The lateral marginas of this triangular ligament are attached on either side to the inferior rami of the pubis and ischium, above the crus penis. Its base faces the rectum, and connects to the central tendinous point of the perineum. The pelvic fascia and Colle’s fascia is fused to the base of this triangle.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      6.8
      Seconds

  • Question 14 - Which lymph nodes are likely to be enlarged in a patient who has...

    Incorrect

    • Which lymph nodes are likely to be enlarged in a patient who has malignant growth involving the anus?

      Your Answer: Internal iliac

      Correct Answer: Superficial inguinal

      Explanation:

      The lymphatics from the anus, skin of the perineum and the scrotum end in the superficial inguinal nodes. In case of a malignant growth of the anus, the superficial inguinal lymph nodes would most likely be enlarge.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      7.5
      Seconds

  • Question 15 - Where do the seminal vesicles lie? ...

    Correct

    • Where do the seminal vesicles lie?

      Your Answer: Base of the bladder and rectum

      Explanation:

      The seminal vesicles are two lobulated membranous pouches situated between the fundus of the bladder and rectum and act as a reservoir for the semen and secrete a fluid that is added to the seminal fluid. Each sac is pyramidal in shape but they all vary in size not only in different individuals but also in the same individuals. The anterior surface is in contact with the fundus of the bladder, extending from near the termination of the ureter to the base of the prostate. Each vesicle consist of single tube, which gives off several irregular caecal diverticula. These separate coils and the diverticula are connected by fibrous tissue.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      14.2
      Seconds

  • Question 16 - The pudendal nerve is derived from? ...

    Correct

    • The pudendal nerve is derived from?

      Your Answer: S2, S3, S4

      Explanation:

      The pudendal nerve derives it’s fibres from the ventral branches of the second, third and fourth sacral nerves (S2,3,4)

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      3.2
      Seconds

  • Question 17 - 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
      18.7
      Seconds

  • Question 18 - A 25 year old primi gravida lady was scheduled for a regular antenatal...

    Correct

    • A 25 year old primi gravida lady was scheduled for a regular antenatal check up. During the vaginal exam of this lady, the registrar discovered a malignant growth on the anterior wall of her vagina. Which of the following structures, adjacent to the vagina, is likely to be involved as well?

      Your Answer: Fundus of the bladder

      Explanation:

      The fundus of the bladder is related anatomically to the anterior surface of the vagina and the urethra as well. If there was a malignant growth in the anterior surface of the vagina, then most likely the fundus of the bladder would be involved as well aspotentially the urethra.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      20.2
      Seconds

  • Question 19 - Passing through the lesser sciatic foramen are the: ...

    Correct

    • Passing through the lesser sciatic foramen are the:

      Your Answer: Pudendal nerve

      Explanation:

      Structures that pass through the lesser sciatic foramen include:

      – the pudendal nerve

      – the nerve to obturator internus

      – internal pudendal artery

      – the tendon of obturator internus

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      47.3
      Seconds

  • Question 20 - What forms the pelvic diaphragm? ...

    Correct

    • What forms the pelvic diaphragm?

      Your Answer: Levator ani and coccygeus muscles

      Explanation:

      The pelvic diaphragm is formed by the levator ani and the coccygeus muscles. The levator ani forms the greater part of the pelvic floor supporting the viscera in the pelvic cavity.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      7.6
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (19/20) 95%
Pelvis (19/20) 95%
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