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OBSTETRICS > Maternal Anatomy and Pelvic Bone > Flashcards

Maternal Anatomy and Pelvic Bone Flashcards

1
Q

What is the blood supply of perineum?

A

Internal Pudendal Artery

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2
Q

It is a part of the ovary where follicles are produced or developed.

A

cortex

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3
Q

Homologue of penis.

A

clitoris

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4
Q

What is the most common type of pelvis?

A

Mixed type

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5
Q

What is the boundary of the true pelvis from the false pelvis?

A

linea terminalis

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6
Q

What is the landmark of the midpelvis?

A

ischial spine

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7
Q

It is the pelvic conjugate that can be measured clinically.

A

diagonal conjugate

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8
Q

Part of the fallopian tube where fertilization takes place.

A

ampulla

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9
Q

Part of the uterus that undergoes during menstruation.

A

functionalis layer of endometrium

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10
Q

Location of the Bartholin’s gland

A

5 and 7 o’clock position

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11
Q

During internal examination, I noted the cervix to be soft. It is called ___ sign
a. Chadwick
b. Goodel
c. Hegar
d. Swift

A

B

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12
Q

Isthmus softening

A

Hegar sign

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13
Q

Ideal level of regional anesthesia for CS
a. T4
b. T10
c. L2
d.C5

A

A

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14
Q

narrowest part of the fallopian tube
a. ampulla
b. isthmus
c. interstitium
d. infundibulum

A

B

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15
Q

The epithelial lining of the labia minora medial to the Hart line
a. Squamous keratinize
b. Squamous non keratinize
c. Simple columnar
d. Simple cuboidal

A

B

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16
Q

I underwent normal vaginal delivery without difficulty to a 3200g baby. What is the possible shape of my pelvis?
a. Android
b. Anthropoid
c. Platypelloid
d. Gynecoid

A

D

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17
Q

After delivery, my patient wanted to have bilateral tubal ligation, where should I cut it?
a. Interstitium
b. Isthmus
c. Ampulla
d. Infundibulum

A

B

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18
Q

The patient had myomectomy, her wish is to undergo normal delivery. It is not allowed due to possible:
a. Uterine perforation
b. Uterine rupture
c. Uterine infection
d. All

A

A

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19
Q

A 60 years old multigravida came in due to vaginal spotting after sexual intercourse. On examination, you noted atrophy on this part.
a. Ovaries
b. Fallopian tubes
c. uterus
d.cervix

A

D

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20
Q

A parturient patient was noted with CPD, you opted to do
CS, where will you do the uterine incision
a. Body
b. Fundus
c. Lower uterine segment
d. Anywhere in the uterus

A

C

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21
Q

A patient sustained straddle injury. During examination, the hematoma extended to the anterior abdominal wall. Where is the injury? It is ____________ to Colles fascia.
a. Anterior
b. Posterior
c. Superficial
d. Deep

A

A

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22
Q

rare malformation in which the vaginal orifice is
a. Imperforate hymen
b. Transverse vaginal septum
c. Infection
d. Uterine didelphys

A

A

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23
Q

Muscles during episiotomy except;
a. Internal anal sphincter
b. Bulbocavernous
c. External Anal Sphincter
d. Superficial transverse perineal

A

A

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24
Q

A patient is profusely bleeding, pregnancy test negative, the most important finding/findings is/are:
a. 2x3 cm ovarian cyst
b. Subserosal myoma
c. Thickened endometrium at 2.5 cm
d. All

A

D

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25
Q

I will do oophorectomy, what ligament will I cut
a.Infundibulopelvic
b.Cardinal
c.Uterosacral
d.Uteroovarian

A

A

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26
Q

I want to do culdocentesis
a. Left lateral vaginal wall
b. Rectouterine space
c. Vesicouteriine space
d. Right lateral vaginal wall

A

B

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27
Q

During hysterectomy, so that I will not injure the ureter. I should be familiar with its location
a. 2.5 cm lateral to the cervix
b. 1 cm lateral to the cervix
c. 2 cm lateral to the cervix
d. 1.5 cm lateral to the cervix

A

C

28
Q

The patient has recurrent STI, she had treatment for 5x now, the most important affected organ which causes infertility
a. Cervix
b. Vagina
c. Fallopian tube
d. Uterus

A

C/D

29
Q

I underwent CS secondary to CPD. What is/are the possible area/areas of obstruction?
a. bandc
b. inlet
c. outlet
d. midpelvis
e. aandb

A

B & C

30
Q

A multigravid patient, 2 yrs after her last NSD complained of a mass in the vagina
a. simple cyst
b. Meckels diverticulum
c. Bartholins duct cyst
d. epidermal inclusion cyst

A

C

31
Q

I will perform cone biopsy of the cervix in my patient. Where will I place the suture to prevent profuse bleeding?
a. 6 and 12 o’clock position
b. 3 and 6 o’clock position
c. 3 and 9 o’clock position
d. 6 and 9 o’clock postion

A

C

32
Q

branches of femoral artery, except
a. superficial circumflex iliac
b. superficial epigastric
c. superior epigastric
d. external pudendal

A

C

33
Q

LOWER lamellae of the clitoris
a. Prepuce
b. Fourchette
c. Frenulum
d. urethral meatus

A

B

34
Q

blood supply of the proximal vaginal wall, _____ artery
a. middle rectal
b. uterine
c. inferior vesical
d. internal pudendal

A

B

35
Q

Epithelial lining of the endocervix
a. stratified squamous non keratinized
b. stratified squamous keratinized
c. columnar
d. cuboidal

A

C

36
Q

In the uterus, the muscle content is greater in the __ part.
a. anterior
b. posterior
c. lateral
d. anterior and posterior

A

C

37
Q

Layer of the endometrium which regenerates after menstruation
a. functionalis
b. basalis
c. parietalis
d. serosa

A

B

38
Q

Normal size of the ovary during childbearing years (LxWxT)?

a. 2.5-5cm x 1.5-3cm x 0.6-1.5 cm
b. 3-5cmx2-3cmx1-1.5cm
c. 1.5-6cm x 1.5-4cm x 1-2 cm
d. 2-5cmx1-3cmx0.5-2cm

A

A

39
Q

During labor, fetal head engagement is defined by the fetal head’s passing through the pelvic inlet.
a. biparietal diameter
b. occipitofrontal diameter
c. head circumference
d. occipitomental diameter

A

A

40
Q

Fragments of stratified epithelium are embedded beneath the vaginal surface after normal delivery?
a. epidermal inclusion cyst
b. dermoid cyst
c. sebaceous cyst
d. endometrioma

A

A

41
Q

Ischial spine is the landmark of?
a. inlet
b. outlet
c. midpelvis
d. false pelvis

A

C

42
Q

Postpartum hemorrhage was noted, internal iliac artery ligation was performed, uterine ischemia was prevented due to the artery.
a. ovarian
b. uterine
c. internal pudendal
d. middle rectal

A

A

43
Q

Greater vestibular gland,
Excision of the bartholin’s gland abscess was done to
a. urethral
b. paraurethral
c. scene
d. Bartholin

A

D

44
Q

Varicosities in the labia majora during pregnancy should be treated.
a. False
b. True

A

A. FALSE

45
Q

Blood supply of the posterior vaginal wall, _____ artery?

a. inferior vesical
b. internal pudendal
c. uterine
d. middle rectal

A

D

46
Q

Boundary of Hesselbach triangle, except
a. inferior epigastric vessel
b. inguinal ligament
c. external oblique muscle
d. rectus abdominis muscle

A

C

47
Q

Upper lamellae of the clitoris?
a. fourchette
b. frenulum
c. prepuce
d. urethral meatus

A

C

48
Q

Hernia that protrudes through the abdominal wall?
a. direct
b. indirect
c. diastasis
d. incisional

A

A

49
Q

Consists of double layer drape of peritoneum?
a. round ligament
b. broad ligament
c. uterosacral ligament
d. utero ovarian

A

B

50
Q

Blood supply of the external anal sphincter?
a. middle rectal
b. inferior rectal
c. internal pudendal
d. superior rectal

A

B

51
Q

Clinically, it is the shortest distance between the sacral promontory and the symphysis pubis, _____ conjugate.

a. diagonal
b. transverse
c. obstetrical
d. true

A

C

52
Q

epithelial lining of the ectocervix
a. columnar
b. stratified squamous non keratinized
c. cuboidal
d. stratified squamous keratinized

A

B

53
Q

Layer of the endometrium which is sloughed off during after menstruation
a. serosa
b. basalis
c. functionalis
d. parietalis

A

C

54
Q

In the uterus, the muscle content is lesser in the ______ part
a. anterior and posterior
b. lateral
c. posterior
d. all
e. anterior

A

A

55
Q

The strongest layer of the abdomen that must be closed to prevent incisional hernia
a. peritoneum
b. subcutaneous tissue
c. muscle
d. fascia

A

C

56
Q

After normal delivery the patient was profusely bleeding. Uterus was well contracted. A laceration of the distal part of the vagina was noted
a. vaginal artery
b. internal pudendal artery
c. middle rectal artery
d. uterine artery

A

B

57
Q

IamcurrentlyrotatingatthePathologydepartment.Iwas assigned to examine the fallopian tube under microscope. What should be the epithelial lining of the said organ?
a. squamous non keratinized
b. Squamous keratinized
c. cuboidal
d. columnar

A

D

58
Q

A 44 yr old patient had recurrent Bartholins duct cyst,
a. any of the choices
b. incision and drainage
c. excision
d. Marzupialization

A

C.
1st - incision and drainage
2nd - excision
3rd - marzupialization

59
Q

My patient is 20 years old, her ovarian width size is
a. 2.5-4cm
b. 2-3.5cm
c. 3-5cm
d. 1.5-3cm

A

D

60
Q

I will do dilatation and curettage, i will infiltrate local anesthesia in the cervix to block ____
a. L2-S4
b. T10-L1
c. S2-S4
d. L2-S2

A

C

61
Q

During crowning, a midline episiotomy done. With your background on the external genitalia and perineum, what is the most commonly cut during the process?
a. Perineal body
b. Pubococcygeus muscle
c. Ischiocavernous
d. bulbocavernous muscle

A

A/C?

62
Q

I want to ligate the hypogastric artery to control uterine atony, I will ligate ___ to its posterior division
a. medial
b. anterior
c. lateral
d. distal
e. proximal

A

D

63
Q

adequate pelvis, except
a. sacrum well curved
b. pubic arch wide
c. sidewalls divergent
d. sacral promontory not accessible
e. ischial spines prominent

A

D

64
Q

Several days after Pfannenstiel incision, patient complain of loss of sensation at the suprapubic area. What could be possibly injured?
a. Iliohypogastric
b. Hypoinguinal
c. Intercostal
d. ilioinguinal

A

D

65
Q

My patient is 55 years old, her ovarian width size is
a. 1.5-3cm
b. 0.5-1.0cm
c. 2.5-4cm
d. 2-3.5cm

A

A

OBSTETRICS (8 decks)

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