In the emergency room you examine a young boy whose was injured while trying to climb a fence. He says he hit his bottom hard while straddling the horizontal bar at the top of the fence.
Your examination reveals that his penis and scrotum are edematous as is the lower part of his anterior abdominal wall. Only the most superior aspects of his thighs are also edematous. You suspect the boy:
A) ruptured his corpus cavernosa and the swelling is due to blood.
B) bruised his penis and scrotum and the swelling is due to lymph.
C) ruptured his spongy urethra and the swelling is due to urine.
D) ruptured his internal pudendal vein and the swelling is due to blood.
E) ruptured his deep perineal pouch and the swelling is due to an inflammatory reaction resulting from the release of fluid from the bulbourethral glands.
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Question 2) The anorectal flexure of the anal canal:
A) occurs at the level of S3.
B) is maintained by the transverse rectal folds.
C) is where the alimentary tract penetrates the pelvic diaphragm.
D) is within the rectovesical pouch.
E) is where the omental appendices cease.
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Question 3) Which of the following is incorrect pertaining to the perineal body?
A) Stretching or tearing during parturition is associated with prolapse of pelvic viscera.
B) It is an attachment site for the external anal sphincter.
C) It is an attachment site for both the superficial and deep transverse perineal muscles.
D) It lies anterior to the vestibule in females.
E) It blends anteriorly with the perineal membrane.
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Question 4) While jogging on a trail you come upon a child who fell off her bike and has severe facial lacerations that are bleeding profusely. In order to most effectively curtail the bleeding, you would put pressure on the:
A) horizontal ramus of the mandible just anterior to the attachment of the masseter.
B) horizontal ramus of the mandible directly inferior to the angle of the mouth.
C) infraorbital foramen.
D) lateral aspect of mastoid process.
E) coronoid process of the mandible.
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Question 5) Which of the following is incorrect pertaining to the uterine tubes?
A) They lie in the mesosalpinx part of the broad ligament.
B) They allow the development of peritonitis from genitourinary tract infections.
C) They may be ligated to prevent pregnancy.
D) They may become the site of an ectopic pregnancy.
E) Their distal part, the ampulla, surrounds the ovary.
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Question 6) A pregnant patient seeks your counsel pertaining to anesthesia during delivery. She is particularly interested in a caudal epidural block. You explain that this procedure:
A) eliminates all pain associated with labor and delivery.
B) just minimizes the pain sensations that arise from the lower part of the birth canal (cervix and vagina) and the perineum.
C) just minimizes the pain sensations that arise from the body and fundus of the uterus.
D) just minimizes the pain associated with fibers traveling in the pudendal nerve.
E) is typically not used for delivery, but rather for an episiotomy.
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Question 7) In the following hysterosalpingogram, the arrows indicate the:
A) uterine arteries.
B) uterine tubes.
C) mesovarium.
D) round ligaments.
E) ureters.
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Question 8) Injection of an anesthetic agent into the infraorbital foramen would eliminate sensation from all of the following regions/structures except the:
A) hard palate.
B) anterior maxillary teeth.
C) upper lip.
D) upper gum.
E) philtrum.
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Question 9) Which of the following structures is least important for supporting the uterus and/or maintaining its position?
A) broad ligament
B) transverse cervical (cardinal) ligaments
C) uterosacral ligament
D) pelvic diaphragm
E) round ligament of the uterus
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Question 10) Softening of the isthmus of the uterus (Hegar sign) is associated with:
A) pregnancy.
B) uterine cancer.
C) a prolapsed uterus.
D) menopause.
E) menstruation.
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