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  • Question 1 - Which of the following structures lying posterior to the ovary are at risk...

    Incorrect

    • 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: Obturator nerve

      Correct 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
      110.4
      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
      12.5
      Seconds

  • Question 3 - Which name is given to the inferior fascia of the urogenital diaphragm? ...

    Incorrect

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

      Your Answer: Colles’ fascia

      Correct 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
      36.1
      Seconds

  • Question 4 - 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
      7.9
      Seconds

  • Question 5 - 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
      45.2
      Seconds

  • Question 6 - 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
      35.1
      Seconds

  • Question 7 - A 38 year old man is to undergo excision of the base of...

    Incorrect

    • A 38 year old man is to undergo excision of the base of the prostate for malignant growth, which of the following structures is directly related to the base of the prostate?

      Your Answer: Anus

      Correct Answer: Urinary bladder

      Explanation:

      The prostate is situated in the pelvic cavity and is also located immediately below the internal urethral orifice at the commencement of the urethra. It is held in position by the puboprostatic ligaments, the superior fascia of the urogenital diaphragm and the anterior portions of the levatores ani. The base of the prostate is directed upward and is attached to the inferior surface of the urinary bladder while the apex is directed downward and is in contact with the superior fascia of the urogenital diaphragm.

    • This question is part of the following fields:

      • Anatomy
      • Pelvis
      9.8
      Seconds

  • Question 8 - A 25 year old primi gravida lady was scheduled for a regular antenatal...

    Incorrect

    • 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: Uterine tube

      Correct 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
      71.2
      Seconds

  • Question 9 - Which lymph nodes are likely to be enlarged in a patient who has...

    Correct

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

      Your 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
      17
      Seconds

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

    Incorrect

    • The uterine artery arises from the?

      Your Answer: Abdominal aorta

      Correct 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
      33.7
      Seconds

SESSION STATS - PERFORMANCE PER SPECIALTY

Anatomy (5/10) 50%
Pelvis (5/10) 50%
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