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ChapterAnatomy Cross-sectional anatomy

Pelvic cross-sections

Free notes, MCQs, tables & flowcharts for USMLE Step 1 Anatomy

10Questions
8Flashcards

Sample Questions

1

A 60-year-old post-menopausal female presents to her gynecologist with vaginal bleeding. Her last period was over 10 years ago. Dilation and curettage reveals endometrial carcinoma so she is scheduled to undergo a total abdominal hysterectomy and bilateral salpingo-oophorectomy. During surgery, the gynecologist visualizes paired fibrous structures arising from the cervix and attaching to the lateral pelvic walls at the level of the ischial spines. Which of the following vessels is found within each of the paired visualized structure?

AVaginal artery

BSuperior vesical artery

CUterine artery

DArtery of Sampson

EOvarian artery

2

A 36-year-old woman comes to the physician for a 2-month history of urinary incontinence and a vaginal mass. She has a history of five full-term normal vaginal deliveries. She gave birth to a healthy newborn 2-months ago. Since then she has felt a sensation of vaginal fullness and a firm mass in the lower vagina. She has loss of urine when she coughs, sneezes, or exercises. Pelvic examination shows an irreducible pink globular mass protruding out of the vagina. A loss of integrity of which of the following ligaments is most likely involved in this patient's condition?

AInfundibulopelvic ligament

BBroad ligament of the uterus

CCardinal ligament of the uterus

DRound ligament of uterus

EUterosacral ligament

3

A 35-year-old woman comes to the physician because of progressive left flank pain over the past 2 weeks. She has a history of type 1 diabetes mellitus. Her temperature is 38°C (100.4°F). There is tenderness to percussion along the left flank. Passive extension of the left hip is painful. Her leukocyte count is 16,000/mm3. An axial CT scan is shown. The underlying pathology is most likely located in which of the following anatomical structures?

AQuadratus lumborum muscle

BAbdominal aorta

CPsoas major muscle

DLeft kidney

EIliacus muscle

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