MCQs Flashcards
The primary group of lymph nodes that drain the vulva is the:
a. deep inguinal.
b. deep femoral.
c. obturator.
d. superficial inguinal.
D. Superficial inguinal
Where does the paravaginal fascia insert?
a) Arcus tendineus
b) Iliopectineal ligament
c) Urogenital diaphragm
d) Perineal body
e) Sacrospinous ligament
a) Arcus tendineus
What structures would you not meet when repairing a third degree tear?
a) Bulbocavernosus
b) Ischiocavernosus
c) External anal sphincter
d) Superficial transverse perinei
e) Deep transverse perinei
b) Ischiocavernosus
During a radical hysterectomy the uterine artery is divided at which of the following:
a) at its origin adjacent to the hypogastric artery (internal iliac )
b) adjacent to the ureter
c) where it meets the uterus
d) in the wall of the uterus
a) At its origin adjacent to the hypogastric artery (internal iliac )
34 yo, 165 cm, 52 kg. Hysterectomy for adenomatous atypical hyperplasia. No technical difficulties. Self-retaining retractor used. Next day weakness of left leg, unable to weight bear, reduced sensation anterior thigh, no patellar reflex. Which of the following has been injured:
a) Sciatic nerve
b) Femoral nerve
c) Obturator nerve
d) Pudendal nerve
e) Sacral plexus
b) Femoral nerve
The structure posterior to the external iliac artery and vein and would dissect medially off the psoas muscle is:
a) superior gluteal artery
b) obturator nerve
c) ureter
d) uterine artery
B) Obturator nerve
What muscles are cut with a midline episiotomy?
a) Pubococcygeus and ischiocavernosus
b) Bulbocavernosus and ischiococcygeus
c) superficial transverse perinei and ischiocavernosis
d) bulbocavernosus and superficial transverse perinei
e) superficial transverse perinei and coccygeus
d) Bulbocavernosus and superficial transverse perinei
Which are the muscles that are cut by a midline episiotomy:
a) Iliococcygeus
b) transverse superficial peronei
c) bulbocavernosus
d) pubocavernosus
B) transverse superficial peronei
