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  • Question 1 - Which of the following arteries branches directly from the aorta? ...

    Correct

    • Which of the following arteries branches directly from the aorta?

      Your Answer: Ovarian

      Explanation:

      The uterine and vaginal arteries branch from the internal iliac artery. The ovarian artery branches direct from the aorta.

    • This question is part of the following fields:

      • Anatomy
      5.2
      Seconds

  • Question 2 - 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: Mentum anterior

      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
      16
      Seconds

  • Question 3 - 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
      9.4
      Seconds

  • Question 4 - 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 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
      13
      Seconds

  • Question 5 - 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
      3.5
      Seconds

  • Question 6 - At the time of delivery, if there is a laceration of perineal body...

    Incorrect

    • 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: Third degree

      Correct 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
      25
      Seconds

  • Question 7 - During the filling phase of micturition. At what bladder volume is the first...

    Correct

    • During the filling phase of micturition. At what bladder volume is the first urge to void felt?

      Your 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
      3.4
      Seconds

  • Question 8 - You see a patient who is 32 weeks pregnant. She complains of tingling...

    Incorrect

    • 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: Main action is internal rotation of the hip

      Correct Answer: Insertion is onto the greater trochanter

      Explanation:

      The proximal attachment of the piriformis muscles is from the anterior surface of sacrum and it attaches distally to the superior border of the greater trochanter of the femur. It is innervated by the anterior rami of S1 and S2.

    • This question is part of the following fields:

      • Anatomy
      39.4
      Seconds

  • Question 9 - 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
      17.4
      Seconds

  • Question 10 - 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
      16.3
      Seconds

  • Question 11 - 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: Superficial transverse perineal muscle

      Correct Answer: Proximal portion of urethra

      Explanation:

      The proximal portion of urethra in females or membranous urethra in males is in the deep perineal pouch

    • This question is part of the following fields:

      • Anatomy
      21.5
      Seconds

  • Question 12 - 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
      57.6
      Seconds

  • Question 13 - The external anal sphincter is innervated by which nerves? ...

    Correct

    • The external anal sphincter is innervated by which nerves?

      Your Answer: Inferior rectal

      Explanation:

      The external anal sphincter is innervated by the inferior rectal branch of the pudendal nerve (S2-4) while the internal anal sphincter is innervated by autonomic nerves.

    • This question is part of the following fields:

      • Anatomy
      20.1
      Seconds

  • Question 14 - 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
      13.3
      Seconds

  • Question 15 - 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
      6.2
      Seconds

  • Question 16 - The arterial blood supply to the bladder is via branches of which artery?...

    Correct

    • The arterial blood supply to the bladder is via branches of which artery?

      Your Answer: Internal Iliac

      Explanation:

      The bladder is supplied by branches of the internal iliac artery, including the superior vesical artery, branches of the gluteal and obturator arteries and the inferior vesical artery in males and the vaginal and the uterine arteries in females.

    • This question is part of the following fields:

      • Anatomy
      7.6
      Seconds

  • Question 17 - 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
      36.5
      Seconds

  • Question 18 - Lymph drainage from the bladder is via which nodes? ...

    Incorrect

    • Lymph drainage from the bladder is via which nodes?

      Your Answer: Para-aortic nodes

      Correct 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
      6.2
      Seconds

  • Question 19 - The juxtaglomerular apparatus (JGA) lies within which part of the kidney? ...

    Correct

    • The juxtaglomerular apparatus (JGA) lies within which part of the kidney?

      Your Answer: Renal Cortex

      Explanation:

      The substructures of the nephrons are mainly located within the cortex. The JGA sits next to the glomerulus in the cortex (click on the magnifying glass of the image to see the arrangement). They play an important role in blood pressure homeostasis as the juxtaglomerular cells produce renin. The descending and ascending limbs of the loop of Henle and collecting ducts have sections within both the cortex and medulla

    • This question is part of the following fields:

      • Anatomy
      10.3
      Seconds

  • Question 20 - Which of the following takes part in the arterial supply of the ovary?...

    Correct

    • Which of the following takes part in the arterial supply of the ovary?

      Your Answer: Uterine arteries

      Explanation:

      The ovarian arteries, arising from the abdominal aorta and the ascending uterine arteries which are branches of the internal iliac artery all supply the ovaries. They terminate by bifurcating into the ovarian and tubal branches and anastomose with the contralateral branches providing a collateral circulation.

    • This question is part of the following fields:

      • Anatomy
      18.2
      Seconds

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Anatomy (13/20) 65%
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