MRCOG Part 1 – Anatomy

1. The inguinal canal in an adult female was opened surgically. Which of the following structures would normally be found?

2. A woman has a  radical hysterectomy and pelvic lymphadenectomy for Stage I carcinoma of the cervix. After surgery she complains that she cannot adduct her left leg and there is an absence of sensation on the medial aspect of her left thigh. What is the most likely explanation?

3. During a hysterectomy, vaginal bleeding may be a significant complication even after removal of the uterus. Such bleeding would most likely originate from which of the following arteries shown in image?

4. The anatomy of the spinal cord and dural space is important when giving regional spinal anesthesia. At what approximate spinal level do the dural space and the spinal cord, respectively, end?

5. The artery A shown in below image is branch of which of the following?

6. How do the labelled structure in following image occur?

7. During delivery, which of the following muscles is most likely to be obviously torn?

8. Identify this muscle marked green in image below?

9. Identify the space indicated by arrow?

10. A patient presents approximately 10 years post-menopausal with complaints of pressure vaginally and the sensation that something is falling out. When told she has a fallen uterus, she wonders if it is due to the damage from her round ligaments since she had a great deal of round ligament pain during her pregnancies. Which of the following ligaments in the image provide the most support to the uterus in terms of preventing prolapse?