Maternal Anatomy Quiz

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Maternal Anatomy

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1. Referring to the drawing, which of the following is marked by the letter B?

1. Ureter

2. Uterine artery

3. Uteroovarian ligament

4. Infundibulopelvic ligament

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2. In this diagram, which of the following is demonstrated?

1. Ischial tuberosities

2. Midpelvis ischial spines

3. Important pelvic outlet diameters

4. An inadequate obstetrical conjugate

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3. Which of the following is true regarding relaxation of the pelvic joints at term in pregnancy?

1. Is permanent and not accentuated in subsequent pregnancies

2. Allows for an increase in the transverse diameter of the midpelvis

3. Results in marked mobility of the pelvis at term because of a downward gliding movement of the sacroiliac (SI) joint

4. Displacement of the SI joint increases outlet diameters by 1.5 to 2.0 cm in dorsal lithotomy position

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4. Which of the following statements best describes the pelvic outlet?

1. The base of the posterior triangle is the coccyx

2. The angle of the pubic arch is usually < 90 degrees.

3. The lateral boundaries of the posterior triangle are the descending inferior rami of the pubic bones.

4. The common base of the two triangles is formed by a line drawn between the two ischial tuberosities.

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_x000D_

_x000D__x000D_The cervix contains little of which of the following components?_x000D__x000D_

_x000D_

1. Elastin

2. Collagen

3. Smooth muscle

4. Proteoglycans

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6. The lower uterine segment incised at the time of cesarean delivery is formed by which of the following?

1. Cornu

2. Cervix

3. Isthmus

4. Uterine corpus

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7. From proximal (uterus) to distal (fimbriae), the correct progression of fallopian tube anatomy is which of the following?

1. Isthmus, infundibulum, ampulla

2. Isthmus, ampulla, infundibulum

3. Infundibulum, ampulla, isthmus

4. Ampulla, infundibulum, isthmus

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_x000D_

_x000D__x000D_The perineal body is formed partly by which of the following muscles?_x000D__x000D_

_x000D_

1. Levator ani muscle

2. Gluteus maximus muscle

3. Bulbocavernosus muscle

4. Ischiocavernosus muscle

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9. During postpartum tubal sterilization, which of the following correct anatomical information may assist you?

1. The round ligament lies anterior to the fallopian tube

2. The fallopian tube lies anterior to the round ligament

3. The uteroovarian ligament lies anterior to the round ligament.

4. The fallopian tube lies posterior to the uteroovarian ligament

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10. The clinical evaluation of the pelvic inlet requires manual measurement of which diameter?

1. True conjugate

2. Diagonal conjugate

3. Obstetric conjugate

4. Pelvic inlet transverse diameter

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11. The posterior division of the internal iliac artery contains which of the following?

1. Iliolumbar artery

2. Middle rectal artery

3. Superior rectal artery

4. Superior vesical artery

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12.

_x000D_

_x000D__x000D_The internal pudendal artery supplies which of the following?_x000D__x000D_

_x000D_

1. Bladder trigone

2. Proximal vagina

3. Distal vaginal walls

4. Posterior vaginal wall

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13. Which of the following statements best describes the origin of the internal branch o the common iliac artery?

1. Proximal to the iliolumbar artery

2. Distal to the lateral sacral artery

3. Distal to the superior rectal artery

4. Proximal to where the ureters cross the pelvic brim

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14. Concerning the endometrium, which of the following is true?

1. The basal artery comes directly from the arcuate artery.

2. Spiral arteries extend directly from radial arteries

3. The spiral arteries extend directly from the arcuate artery.

4. Functionalis layer contains spiral arteries and radial arteries

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15.

_x000D_

_x000D__x000D_Which statement accurately describes the location of the inferior epigastric artery above the arcuate line?_x000D__x000D_

_x000D_

1. Ventral to the anterior rectus sheath

2. Dorsal to the posterior rectus sheath

3. Ventral to the external oblique muscle aponeurosis

4. Ventral to the transversus abdominis muscle aponeurosis

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16. Referring to the drawing, which of the following is marked by the letter D?

1. Ureter

2. Uterine artery

3. Uteroovarian ligament

4. Infundibulopelvic ligament

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17.

_x000D_

_x000D__x000D_The anterior abdominal wall is innervated by all EXCEPT which of the following?_x000D__x000D_

_x000D_

1. Subcostal nerve

2. Internal pudendal nerve

3. Intercostal nerves (T7 –T11)

4. Iliohypogastric nerve (L1)

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18.

_x000D_

_x000D__x000D_The labia minora lack all EXCEPT which of the following?_x000D__x000D_

_x000D_

1. Eccrine glands

2. Hair follicles

3. Apocrine glands

4. Sebaceous glands

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19. Referring to the drawing, which of the following is marked by the letter A?

1. Ureter

2. Uterine artery

3. Uteroovarian ligament

4. Infundibulopelvic ligament

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20. Hegar sign refers to which of the following?

1. Cervical softening

2. Bluish tint to ectocervix

3. Replacement of collagen by smooth muscle in the cervix

4. Replacement of ectocervix by endocervix commonly seen during pregnancy

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21. The common iliac artery arises directly from which of the following?

1. Aorta

2. External iliac artery

3. Internal iliac artery

4. None of the above

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22. Referring to the drawing, which of the following is marked by the letter C?

1. Ureter

2. Uterine artery

3. Uteroovarian ligament

4. Infundibulopelvic ligament

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23. Engagement occurs when the biparietal diameter of the foetal head descends below the level of which of the following?

1. Midpelvis

2. Pelvic inlet

3. Pelvic floor

4. Ischial tuberosities

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24.

_x000D_

_x000D__x000D_Which of the following is true concerning the anal sphincters?_x000D__x000D_

_x000D_

1. The external anal sphincter measures 3 to 4 cm in length.

2. The external sphincter remains in a state of constant relaxation.

3. The internal anal sphincter contributes the bulk of anal canal resting pressure

4. The external anal sphincter receives blood supply from the superior rectal artery

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25. Which of the following is true regarding the external anal sphincter?

1. Is bound anteriorly by the perineal body

2. Is bound anteriorly by the posterior vagina

3. Contains involuntarily innervated smooth muscle

4. Is supplied by the superior and middle rectal arteries

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26. The uterine artery is a main branch of which of the following vessels?

1. Iliolumbar artery

2. Common iliac artery

3. External iliac artery

4. Internal iliac artery

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27.

_x000D_

_x000D__x000D_The vagina and its investing musculature are supplied by all EXCEPT which of the following arteries?_x000D__x000D_

_x000D_

1. Perineal artery

2. Pudendal artery

3. Inferior rectal artery

4. Posterior labial artery

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28. The inferior epigastric artery arises rom which o the following?

1. Aorta

2. Femoral artery

3. Hypogastric artery

4. External iliac artery

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29.

_x000D_

_x000D__x000D_The vestibule is an almond shaped area bound by which of the following?_x000D__x000D_

_x000D_

1. Laterally by the Hart line

2. Anteriorly by the fourchette

3. Laterally by the labia minora

4. Laterally by the external surface of hymen

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30. Which of the following arteries is marked by the arrow?

1. Sampson artery

2. Uterine artery

3. Obturator artery

4. Internal iliac arter

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31. The pelvis is formed by which of the following bone(s)?

1. Sacrum

2. Coccyx

3. Innominate

4. All of the above

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32. The femoral artery gives rise to all EXCEPT which of the following vessels?

1. External pudendal artery

2. Inferior epigastric artery

3. Superficial epigastric artery

4. Superficial circumflex iliac artery

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Maternal Anatomy Quiz

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