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  • Question 1 - The arcuate line forms part of the border of the pelvic brim. Where...

    Correct

    • The arcuate line forms part of the border of the pelvic brim. Where is it located?

      Your 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
      7.2
      Seconds

  • Question 2 - The femoral triangle is bounded superiorly by which of the following structures? ...

    Correct

    • The femoral triangle is bounded superiorly by which of the following structures?

      Your Answer: Inguinal ligament

      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
      11.9
      Seconds

  • Question 3 - Regarding lymph drainage of the breast where does the majority of lymph drain...

    Correct

    • Regarding lymph drainage of the breast where does the majority of lymph drain to?

      Your Answer: Axillary nodes

      Explanation:

      Lymphatic drainage of the breast.
      The lateral two thirds of the breast drains into the axillary lymph nodes. This constitute about 75% of the lymphatic drainage of the breast. The medial third of the breast drains into the parasternal lymph nodes and these communicate with the ipsilateral lymph nodes from the opposite breast. The superior part of the breast drains into the infraclavicular lymph nodes and inferior part drains into the diaphragmatic lymph nodes.

    • This question is part of the following fields:

      • Anatomy
      14.7
      Seconds

  • Question 4 - A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains...

    Correct

    • A patient undergoes surgery for a vaginal vault prolapse. After surgery she complains of numbness of the anterior aspect of the labia. Which nerve has likely been damaged during surgery?

      Your Answer: Ilioinguinal

      Explanation:

      The anterior aspect of the vulva (mons pubis, anterior labia) is supplied by derivatives of the lumbar plexus: the anterior labial nerves, derived from the
      ilio-inguinal nerve, and the genital branch of the genitofemoral nerve.
      The posterior aspect of the vulva is supplied by derivatives of the sacral plexus: the perineal branch of the posterior cutaneous nerve of the thigh laterally, and the pudendal nerve centrally.

    • This question is part of the following fields:

      • Anatomy
      19.5
      Seconds

  • Question 5 - 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
      24.9
      Seconds

  • Question 6 - The femoral triangle contains all of the following structures EXCEPT which one? ...

    Correct

    • 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.

    • This question is part of the following fields:

      • Anatomy
      37.2
      Seconds

  • Question 7 - Regarding the uterine artery which of the following statements are FALSE? ...

    Correct

    • Regarding the uterine artery which of the following statements are FALSE?

      Your Answer: It crosses the Ureter posteriorly

      Explanation:

      The Uterine artery typically arises from the anterior branch of the internal iliac artery. It crosses the ureter ANTERIORLY. It is the primary source of arterial supply to the uterus and its branches anastomose with branches of the ovarian and vaginal arteries.

    • This question is part of the following fields:

      • Anatomy
      43.3
      Seconds

  • Question 8 - Which of the following terms best describes the pelvic type of small posterior...

    Correct

    • Which of the following terms best describes the pelvic type of small posterior sagittal diameter, convergent sidewalls, prominent ischial spines, and narrow pubic arch?

      Your Answer: Android

      Explanation:

      There are four types pelvic shapes:
      1) Android pelvis: it has a larger inlet and smaller outlet along with small posterior sagittal diameter, prominent ischial spines and has a two finger arch.
      2) Gynecoid pelvis: it has a transverse or nearly a circular ellipse and it is the most favourable for delivery.
      3) Anthropoid pelvis: the brim is an anteroposterior ellipse.
      4) Platypelloid pelvis: in this type the pelvic brim is kidney shape

    • This question is part of the following fields:

      • Anatomy
      41.5
      Seconds

  • Question 9 - The ureter is lined by what type of epithelium? ...

    Correct

    • The ureter is lined by what type of epithelium?

      Your Answer: Transitional

      Explanation:

      Ureters are muscular tubes that run from the kidneys to the urinary bladder. It is lined by transitional epithelium.

    • This question is part of the following fields:

      • Anatomy
      7.8
      Seconds

  • Question 10 - 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: 300ml

      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
      27.3
      Seconds

  • Question 11 - Regarding lymph drainage of the ovary where does the majority of lymph drain...

    Correct

    • Regarding lymph drainage of the ovary where does the majority of lymph drain to?

      Your 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
      13.6
      Seconds

  • Question 12 - The posterior scrotal artery is a branch of which artery? ...

    Incorrect

    • The posterior scrotal artery is a branch of which artery?

      Your Answer: Ilioinguinal

      Correct Answer: Internal Pudendal

      Explanation:

      The posterior scrotal artery is a terminal branch of the perineal artery which is a branch of the internal pudendal artery.

    • This question is part of the following fields:

      • Anatomy
      15.8
      Seconds

  • Question 13 - 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: Bulbospongiosus 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
      25.6
      Seconds

  • Question 14 - Under which one of the following conditions is the pelvic inlet felt to...

    Incorrect

    • 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

    • This question is part of the following fields:

      • Anatomy
      41.7
      Seconds

  • Question 15 - The vulva is mainly supplied by which one of the following vessels? ...

    Correct

    • The vulva is mainly supplied by which one of the following vessels?

      Your 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
      34.4
      Seconds

  • Question 16 - 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: L1-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
      71.4
      Seconds

  • Question 17 - The ascending colon drains into the superior mesenteric vein (SMV). What vein does...

    Incorrect

    • The ascending colon drains into the superior mesenteric vein (SMV). What vein does the SMV drain into?

      Your Answer: Inferior vena cava

      Correct Answer: Hepatic portal vein

      Explanation:

      The superior mesenteric vein joins the splenic vein to form the hepatic portal vein.

    • This question is part of the following fields:

      • Anatomy
      33.6
      Seconds

  • Question 18 - Which of the following statements regarding the Vaginal artery is typically TRUE? ...

    Correct

    • 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, like the Uterine artery is typically a branch of the Internal Iliac artery. It can sometimes arise as a branch of the Uterine artery so it is important to read the question (if the stem stated it CAN arise from the Uterine artery then that would be true)

    • This question is part of the following fields:

      • Anatomy
      34.9
      Seconds

  • Question 19 - Which of the following nerves passes through the inguinal canal? ...

    Correct

    • Which of the following nerves passes through the inguinal canal?

      Your Answer: Ilioinguinal nerve

      Explanation:

      The contents of the inguinal canal is the ilioinguinal nerves, the round ligament of uterus in the females and the spermatic cord with its contents in males.

    • This question is part of the following fields:

      • Anatomy
      11.4
      Seconds

  • Question 20 - The inferior 1/3 of the rectum is principally supplied by which artery? ...

    Correct

    • The inferior 1/3 of the rectum is principally supplied by which artery?

      Your Answer: Middle rectal artery

      Explanation:

      Remember the inferior rectal artery supplies the anus. The middle rectal artery is the principle supply to the lower 1/3 rectum. The rectal arteries do form an anastomosis.

    • This question is part of the following fields:

      • Anatomy
      22.8
      Seconds

  • Question 21 - Regarding molding of the fetal head, which one is true? ...

    Correct

    • Regarding molding of the fetal head, which one is true?

      Your Answer: Does NOT have time to occur in breech delivery

      Explanation:

      Molding allows the skull bones of the fetal head some mobility during the normal delivery of foetus as the skull changes its shape to accommodate passage through the mothers pelvis. However this does not occur in breach delivery where the skull is in circular shape. Babies born breech typically have craniofacial and limb deformations resulting from their in utero position. These babies characteristically have a long, narrow head, (“dolichocephaly” or “type 1”), with a prominent occipital shelf, redundant skin over the neck, overlapping lambdoidal sutures, and an indentation below their ears (from shoulder compression).

    • This question is part of the following fields:

      • Anatomy
      37.3
      Seconds

  • Question 22 - 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
      15.9
      Seconds

  • Question 23 - All of the following anatomical features of the pelvis favour a vaginal delivery,...

    Correct

    • All of the following anatomical features of the pelvis favour a vaginal delivery, except?

      Your Answer: Obstetric conjugate is less than 10 cm

      Explanation:

      For the foetus to pass through the vagina, the obstetric conjugate should be 11cm or greater. If the diameter is less than 10 cm then its better to perform C-section as the labour might not progress. All the other options favour a normal vaginal delivery.

    • This question is part of the following fields:

      • Anatomy
      77.4
      Seconds

  • Question 24 - 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
      10.6
      Seconds

  • Question 25 - A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does...

    Correct

    • A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does the left ovary drain into?

      Your Answer: Left renal

      Explanation:

      When it comes to questions on venous drainage the ovarian vein is likely to be a common question given its varied drainage depending on laterality. 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.

    • This question is part of the following fields:

      • Anatomy
      31.9
      Seconds

  • Question 26 - Regarding the foetus, which one of the following statements is true? ...

    Correct

    • 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
      30.8
      Seconds

  • Question 27 - You see a patient who is 32 weeks pregnant. She complains of tingling...

    Correct

    • You see a patient who is 32 weeks pregnant. She complains of tingling to the right buttock and shooting pain down the leg. You suspect Piriformis syndrome. Regarding Piriformis which of the following statements are true?

      Your Answer: Insertion is onto the greater trochanter

      Explanation:

      Nerve Supply: L5 to S2 via Nerve to Piriformis
      Origin: Sacrum
      Insertion: Greater trochanter
      Action: External rotation of hip
      Blood Supply: Superior and Inferior gluteal arteries and lateral sacral arteries

    • This question is part of the following fields:

      • Anatomy
      92.4
      Seconds

  • Question 28 - 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
      3.8
      Seconds

  • Question 29 - The ovarian artery is a branch of the: ...

    Incorrect

    • 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.

    • This question is part of the following fields:

      • Anatomy
      5.8
      Seconds

  • Question 30 - A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does...

    Correct

    • A patient undergoes oophorectomy and the ovarian veins are ligated. Which vein does the left ovary drain into?

      Your Answer: Left renal

      Explanation:

      The right ovarian vein ascends and enters the inferior vena cava and the left ovarian vein drains into the longer left renal vein.

    • This question is part of the following fields:

      • Anatomy
      25.3
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (22/30) 73%
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