mcq endo & repro (2).docx

**1. A 40-year-old man complains of loss of sensation over the right scrotum and on the medial right thigh. Damage to which of the following nerves would result in such symptoms?** **A. Iliolumbar** **B. Iliohypogastric** **C. Ilioinguinal** **D. Lateral cutaneous n. of the thigh** **E. Femoral...

**1. A 40-year-old man complains of loss of sensation over the right scrotum and on the medial right thigh. Damage to which of the following nerves would result in such symptoms?** **A. Iliolumbar** **B. Iliohypogastric** **C. Ilioinguinal** **D. Lateral cutaneous n. of the thigh** **E. Femoral** **2. The ductus (vas) deferens is connected to the prostatic urethra by: A. The prostatic utricle** **B. Gartner\'s duct** **C. The ejaculatory duct** **D. The urachus** **E. Epididymis** **3. Nodes receiving lymph from the testis:** **A. External iliac** **B. Internal iliac** **C. Superficial inguinal** **D. Presacral** **E. Para-aortic** **4. Internal spermatic fascia is derived from:** **a. External oblique muscle** **b. Internal oblique muscle** **c. Fascia transversalis** **d. Colles fascia** **[5. The sequence of sperm movements: ]** **a. rete testis → seminiferous tubules → efferent ductules** **b. seminiferous tubules → vas deferens → epididymis** **c. efferent ductules → rete testis → seminiferous tubules** **d. seminiferous tubules → rete testis → efferent ductules** **6[. Left testicular vein drains into: ]** **a. Left renal vein** **b. IVC** **c. SVC** **d. Hepatic vein** **[7. Injury to which nerve during a herniorrhaphy may cause paresthesia at the root of scrotum and base of the penis ]** **a. Ilioinguinal** **b. Obturator** **c. Femoral** **d. Iliohypogastric** **8[. Which lobe of prostate gland raises uvula vesicae: ]** **a. Anterior lobe** **b. Posterior lobe** **c. Median lobe** **d. Lateral lobe \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--[9. Which of the following structure in the spermatic cord is not at risk of injury during vasectomy: ]** **a. Testicular artery** **b. Cremasteric artery** **c. Genital branch of genitofemoral nerve** **d. Ilioinguinal nerve** **10. A 35-year-old woman was seen by her obstetrician and gynaecologist complaining of swelling in the genital region. On examination, a tense cystic swelling was found beneath the posterior two-thirds of the right labium majus and minus. A diagnosis of a cyst of the right greater vestibular gland (Bartholin\'s cyst) was made.. The following statements concerning this case are probably correct except which?** **(a) The cyst of the greater vestibular gland is produced by the retention of secretion caused by the blockage of the duct.** **(b) Infection of the duct by the gonococcus is a common cause of the blockage.** **(c) Infection of the cyst may occur, forming a painful abscess.** **(d) The lymphatic drainage of this area is into the lateral group of superficial inguinal nodes.** **(e) A small tender swelling was detected below and medial to the inguinal ligament.** **[11. Which statement is true about the uterus? ]** **a. The basal layer of the endometrium is shed each month during menses.** **b. The myometrium is composed of several layers of skeletal muscle. c. The cervix projects into the vagina.** **d. The round ligament is peritoneum that drapes over the uterus.** **13. After an amniocentesis, a 29-year-old woman who is carrying twins learns that one fetus has XY chromosomes and the other has XX chromosomes. At 37 weeks' gestation, the woman delivers two healthy babies. Which of the following structures is likely to be present in the baby with the XY chromosomes but not in the one with XX chromosomes?** **(A)urinary bladder** **(B) prostate** **(C) rectum** **(D)urethra** **(E) perineal body** **14. A resident physician is performing a pelvic examination on a young woman. The fingers of one of her hands are in the patient's vagina, palpating the cervix. The other hand is pressing on the abdomen. With the palm of this hand, the physician feels a bony structure in the lower midline. This structure is most likely the** **(A) coccyx** **(B) ilium** **(C) ischium** **(D) pubis** **(E) sacrum** **15. Supports of the uterus are all EXCEPT:** **a. Uterosacral ligament** **b. Broad ligament** **c. Mackenrodt's' ligament** **d. Levator ani** **16. All are true about Bartholin gland EXCEPT:** **a. Homologous of the male bulbourethral gland** **b. Present in the superficial perineal pouch** **c. Located at the junction of anterior 1/3 and middle 1/3 of labia majora** **d. Opens into the vestibule between hymen and labia minora** **[17. The normal position of the uterus is: ]** **a. anteverted and anteflexed** **b. anteverted and retroflexed** **c. retroverted and anteflexed** **d. retoverted and retroflexed** **[18. Which of the following prevents prolapse of the uterus? ]** **a. Inguinal ligament** **b. Sacrospinous ligament** **c. Broad ligament** **d. Transverse cervical ligament** **[19. All are parts of vulva EXCEPT: ]** **a. Labia minora** **b. Labia majora** **c. Perineal body** **d. Clitoris** **[20. The genital ridge: ]** **A. Appears on the 8th week** **B. Lies medial to the dorsal mesentery** **C. Lies medial to the mesonephros** **D. Is endodermal in origin** **[21. The indifferent gonad: ]** **A. Arises by coelomic epithelial proliferation** **B. Contains solid sex cords** **C. Sex cords appear earlier in male gonads** **D. All of the above** **[22. Regarding the primordial germ cells select the untrue statement ]** **A. Arise from coelomic epithelium** **B. Migrate by amoeboid movement** **C. Move along the dorsal gut mesentery** **D. Have an inductive influence on gonadal development** **E. Become incorporated in sex cords at six weeks** **[23. Sex determination occurs initially through the SRY transcription factor to form: ]** **a. kidney** **b. urinary bladder** **c. testes** **d. ovary e. uterus** **[24. INCORRECT statement about genital system development is:]** **a. Develop from mesoderm** **b. Genital ridge forms at week 5** **c. Testis develops earlier than the ovary** **d. External genitalia are fully differentiated at week 5** **[25. The embryonic origin of the labia minora is/are the: ]** **A. genital tubercle** **B. two urogenital urethral (genital) folds** **C. two labioscrotal folds (swellings)** **D. cloacal membrane** **[26. The embryonic origin of the scrotum is/are the:]** **A. genital tubercle** **B. two urogenital urethral (genital) folds** **C. two labioscrotal folds (swellings)** **D. cloacal membrane** **[27. The testes normally complete their descend in the scrotum by the age of]:** **a. End of 7th month of intrauterine life** **b. End of 8th month of intrauterine life** **c. End of 9th month of intrauterine life** **d. After birth** **[28- Which is a Wolffian duct derivative? ]** **a. Appendix of testis** **b. Uterus** **c. Appendix of epididymis** **d. Prostatic utricle** **e. Vagina** **[29. The paramesonephric ducts in the embryo develop which of the following? ]** **a. uterine tubes and uterus** **b. ovary** **c. ductus deferens** **d. seminal vesicle** **30. A newborn infant presents with ambiguous genitalia. Gonads are not palpable, but müllerian structures are present on ultrasound examination. 17-Hydroxyprogesterone is elevated. The karyotypic analysis shows the infant is 46, XX. Which of the following is the best diagnosis for this presentation?** **A. Congenital adrenal hyperplasia** **B. Cryptorchidism** **C. Klinefelter** **D. Turner** **E. Ovo-testicular disorder of sexual development** **[31. The upper 3/4th of vagina develops from: ]** **a. Mullerian ducts** **b. Wolffian ducts** **c. Genital ridge** **d. Genital swelling** **32. A newborn male is found to have urethral openings along the ventral surface of the penis. The physician explains to the parents that the bilateral structures that should have fused in the midline failed to fuse completely, and this resulted in the defect. The parents are very concerned, but the physician reassures them that this can easily be surgically corrected. Which of the following structures in a female normally develop from the same structures that failed to fuse in this boy?** **(A) Round ligaments of the uterus** **(B) Crura of the clitoris** **(C) Labia majora** **(D) Labia minora** **(E) Ovarian ligaments** **[33. The ovarian ligament and the round ligament of the uterus are derivatives of: ]** **a. Peritoneum** **b. Transversalis fascia** **c. Processus vaginalis** **d. Gubernaculum** **[34. The development of the ovarian parenchyma is characterized by:] a) The proliferation of the germ cells (oogonia) up the 36th developmental week** **b) The formation of primordial follicles by the arrangement of follicle cells around the oocytes** **c) The mitotic division of the germ cells, which is limited to the embryonic period, while their meiosis begins only after birth** **d) The proliferation of the primordial germ cells that form the sex cords** **[35.The embryonic origin of the penile urethra is/are the: ]** **A. genital tubercle** **B. two urogenital urethral (genital) folds** **C. two labioscrotal folds (swellings)** **D. cloacal membrane** **[36. The embryonic origin of the labia majora is/are the: ]** **A. genital tubercle** **B. two urogenital urethral (genital) folds** **C. two labioscrotal folds (swellings)** **D. cloacal membrane** **[37. The following statement concerning the pelvis is not true: ]** **(a) The ilium, ischium, and pubis are three separate bones that fuse to form the hip bone in the 50th year of life.** **(b) the two hip bones meet anteriorly at the symphysis pubis.** **(c) The bonny pelvis forms a ring that protects the pelvic contents. (d) The pelvic outlet is formed by the symphysis pubis anteriorly, the ischial tuberosities laterally, the sacrotuberous ligaments laterally, and the coccyx posteriorly.** **(e) Sacrum is shorter, wider, and flatter in the female than in male.** **[38. The following statement concerning the muscles and fascia of the pelvis is not true: ]** **(a) The levator ani muscle is innervated by the perineal branch of the fourth sacral nerve and from the perineal branch of pudendal nerve.** **(b) In the pelvis, the fascia is divided into parietal and visceral layers. (c) The levator ani muscle arises from a thickening of the obturator internus fascia.** **(d) The pelvic diaphragm is strong and has no openings.** **(e) The visceral layer of pelvic fascia forms important ligaments that help support the uterus.** **[39. The following statement concerning the bonny pelvis is true:]** **(a) When the patient is in the standing position, the anterior superior iliac spines lie vertically with the anterior surface of symphysis pubis.** **(b) a wide movement is possible at the symphysis pubis.** **(c) The false pelvis lies below the pelvic inlet.** **(d) The female acetabulum is larger than that of the male.** **(e) The sacroiliac joint is a secondary cartilaginous joint.** **[40. the following artery is not a branch of the internal iliac artery:]** **a. Middle rectal artery** **b. Superior vesical artery** **c. Ovarian artery** **d. Inferior vesical artery** **[41. The internal pudendal artery is a branch of: ]** **a. Anterior division of external iliac** **b. Posterior division of internal iliac** **c. Anterior division of internal iliac** **d. Posterior division of external iliac** **[42. The following muscle is not a part of the levator ani muscle: ]** **a) Puborectalis** **b) Pubococcygeus** **c) Iliococcygeus** **d) Ischiococcygeus \-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\-\--[43. As regarding the differences between the male and female pelves:] a. The obturator foramen is oval in the male** **b. The obturator foramen is round in the male** **c. The pubic arch is narrow in the female** **d. The superior pelvic aperture is rounded in the male** **e. The acetabulum is large in the female** **[44. Preganglionic parasympathetic nerve fibres which supply pelvic viscera is/are: ]** **a. Dorsal rami of S2,3,4** **b. Hypogastric plexus** **c. Pudendal nerve** **d. Pelvic Splanchnic nerve (Ventral rami of S2,3,4)** **e. Inferior mesenteric plexus** **[45. Name a muscle forming the pelvic diaphragm ]** **a. Deep transverse perineal muscles** **b. Sphincter urethrae** **c. Levator ani** **d. superficial transverse perineal muscles** **[46. The following is not a branch of the internal iliac artery: ]** **a. Inferior vesical artery** **b. Inferior epigastric artery** **c. Iliolumbar artery** **d. Internal pudendal artery** **e. Obturator artery** **[47. The following structure receives no innervation from the pudendal nerve: ]** **(a) Labia minora** **(b) Urethral sphincter** **(c) The urinary bladder** **(d) Ischiocavernosus muscles** **(e) The skin of the penis or clitoris** **[48. The urogenital diaphragm is not formed by the following structure:]** **(a) Deep transverse perineal muscle** **(b) Perineal membrane** **(c) Sphincter urethrae** **(d) Colles fascia** **(e) Parietal pelvic fascia covering the upper surface of the sphincter urethrae muscle** **[49. The following structure/s does not occupy the male superficial perineal pouch: ]** **(A) Ischiocavernosus muscle** **(B) Bulbospongiosus m.** **(C)Crus of penis** **(D)Bulbourethral glands** **(E) Bulb of penis** **[50. The following structure occupies male superficial perineal pouch:]** **(A) seminal vesicle** **(B)Corpus spongiosum** **(C) Prostate** **(D)Bulbourethral glands** **(E) Bulb of clitoris** **[51. The urogenital diaphragm is formed by]:** **(a) Bulb of penis** **(b) Fatty layer of superficial fascia** **(c) Sphincter urethrae** **(d) Colles fascia** **(e) Parietal pelvic fascia covering the upper surface of levator ani m.** **[51. The following structure occupies the deep perineal pouch: ]** **(A) Ischiocavernosus m.** **(B) Bulbospongiosus m.** **(C)Crus of penis** **(D)Bulbourethral gland** **(E) Bulb of penis** **[52. The following structure occupies the female superficial perineal pouch: ]** **(A) Uterus** **(B)Bulbospongiosus m.** **(C)sphincter urethrae m.** **(D)Bulbourethral glands** **(E) Bulb of penis** **53. The following is not a branch of the pudendal nerve:** **a) Inferior rectal nerve** **b) Dorsal nerve of the penis (or clitoris)** **c) Perineal nerve** **d) Pelvic splanchnic nerve**