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Pelvic Topography Fun

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Posted by isz on September 06, 2011 at 21:36:04:

1. A young female patient comes to the emergency room complaining of intense pain in the lower right part of the abdominal wall. She appears to be in shock, and shows signs of an internal hemorrhage. A vaginal exam shows that the patient's cervix is soft, and patient indicates that she missed her last period. Your diagnosis is an ectopic pregnancy. Which is the most likely site of the ruptured implantation?
a. Body of the uterus.
b. Isthmus of the uterine tube.
c. Fundus of the uterus.
d. Ampulla of the uterine tube.
e. Anterior fornix of the vagina.

2. The diagnosis in the case above is made on the basis of the presence of fluid in the:
a. broad ligament
b. vesicotuterine pouch
c. lesser peritoneal sac
d. posterior fornix of the vagina
e. rectouterine pouch

3. With regard to the fascia in the abdominopelvic cavity:
a. The transversalis fascia in the abdomen is similar to the parietal pelvic fascia
b. The extraperitoneal connective tissue in the pelvic condenses and forms the Cardinal ligaments
c. Periprostatic fascia is a representation of the parietal pelvic fascia
d. The uterosacral ligament is a condensation of the parietal pelvic fascia
e. Renal fascia is a condensation of the transversalis fascia

4. In the uterus/vagina/ovary:
1. The germinal epithelium is covered by the peritoneum.
2. The mesovarium is another word for mesometrium.
3. Parametrium is peritoneum related to the uterine tube.
4. The uterus is normallh anteflexed and retroverted.
5. The ovarian ligament is related to the gubernaculum.



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