QMU 1st Week

7/30/2019 QMU 1st Week

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Module : REPRODUCTIVE SYSTEM (MODULE 16)

Name :

Week : 1st

WEEK

ANATOMY

1) Which of the following is the muscle of pelvic wall?

A. Levator ani

B. Coccygeus

C. Pubococcygeus

D. Obturator Internus

2) Which of the following is the muscle of pelvic floor?

A. Piriformis

B. Obturator internus

C. Levator ani

D. Biceps

3) All the following are the muscles of levator ani muscles EXCEPT:

A. Pubococcygeus

B. Piriformis

C. Iliococcygeus

D. Puborectalis

4) Which of the following is not fascia of pelvic floor?

A. Piriformis fascia

B. Superior fascia of pelvic diaphragm

C. Inferior fascia of pelvic diaphragm

D. Pelvic ligaments


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5) What tendinous arch that gives attachment to levator ani muscle:

A. Piriformis fascia

B. Coccygeus fascia

C. Obturator fascia

D. Perineal fascia

6) Regarding the boundaries of perineum, which one is not correct?

A. Tip of coccyx

B. Ischial tuberosities

C. Superior pubic ligament

D. Sarcotuberous ligament

7) These are attached to the central perineal tendon, EXCEPT:

A. urethral sphincter

B. internal anal sphincter

C. levator ani

D. right bulbospongiosus

8) These are the contents of the superficial perineal pouch in male, EXCEPT:

A. branches of internal pudendal artery

B. greater vestibular gland

C. deep dorsal vein of penisD. bulbo spongiosus muscle

9) These are the contents of the deep perineal pouch in female, EXCEPT:

A. dorsal nereve of clitoris

B. sphincter urethrae

C. urethra

D. bulbourethral gland


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10) What are the root origins of the Pudendal nerve:

A. S2 and S3

B. S3 and S4

C. S2, S3, S4

D. S1, S2, S3

11) All of them are part of the fallopian tube EXCEPT:

A. Isthmus

B. Intramural

C. Ampulla

D. Fundus

12) All of the statements about fallopian tube are false EXCEPT:

A. Intramural is the site of fertilization

B. Ovarian vein drains into Internal Jugular Vein

C. The uterine artery supplying the medial part arises from internal iliac artery

D. It drains lymphatic into superfical inguinal lymph node.

13) The lateral surface of the ovary are related to all of these EXCEPT :

A. Obturator nerve

B. Pudendal nerve

C. Peritoneum of lateral pelvic wall

D. Obturator vessels

14) All of these are ligaments of ovary EXCEPT:

A. Ovarian ligament

B. Round ligament

C. Mesovarium

D. Suspensory ligament


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15) Chose the correct statement about ovary:

A. The ovary is completely covered by peritoneum

B. The suspensory ligament is attached to upper end of ovary and medial pelvic wall.

C. The right ovarian vein drains into right renal vein

D. The left ovarian vein drains into left renal vein

PUT A FOR TRUE AND B FOR FALSE FOR EACH STATEMENT.

1. The branches of the posterior division of internal iliac artery are obturator artery, two

lateral sacral arteries and superior gluteal artery.

2. The inferior vesical artery in male is replaced by internal pudendal artery in female.

3. Umbilical artery is the highest branch of the anterior division of the internal iliac artery.

4. The sacral plexus is formed by the dorsal rami of L4,5 and S 1,2,3,4.

5. The superior and inferior gluteal nerves are dorsal branches from the sacral plexus itself.


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HISTOLOGY

1) All of the following are TRUE regarding the ovary EXCEPT :A) The medulla composed of loose connective tissue,smooth musle fibers,blood

vessel,lymphatics and nerve.

B) The cortex of the ovary is less cellular.C) The surface of the ovary is covered by a layer known as the germinal epithelium

which is made up of cuboidal ciliated cell.

D) The cortex of the ovary have the follicles which undergoes proliferation anddifferentiation.

2) Layer of the ovary from outside to inside :A) Cortex Tunica Albuginea Germinal EptheliumMedulla

B) Medulla CortexTunica Albuginea Germinal Epithelium

C) Tunica Albugenea Germinal EpitheliumMedullaCortex

D) Germinal Epithelium Tunica AlbugineaCortexMedulla

3) The ovarian follicles composed of all of the following stage EXCEPT :A) Regenerating atretic folliclesB) Secondary or growing folliclesC) Mature Graafian folliclesD)Primordial follicles

4) All of the following are FALSE regarding the primordial follicles EXCEPT :A) Primary oocyte surrounded by a single layer of granulosa cellsB) The endoplasmic reticulum in the early stage of oocyte development takes the

form of longer cisternal profiles.

C) The primary oocyte has large,pale,vesicular,eccentrically placed nucleus with aprominent nuclei.

D) Cytoplasm contains many organelles.


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5) Pairing:

1) Primary follicles2) Secondary or growing follicles3) The mature Graafian follicles4) Primordial follicles

6) The following are true regarding the secondary oocyte EXCEPT :A) It start the second meiotic division which will only be completed when

fertilization occurs

B) It undergoes first meiotic divisionC) Result from the rupture of the mature follicleD) It is a large cell which retains almost all of the cytoplasm

A) Theca folliculi differentiatesinto theca interna,which is

formed of large number of

blood capillaries with some

epitheliod cells (secreting

steroid) and theca externa.

B) Primary oocyte surroundedby a single layer of flattened

follicular cells.

C) Accumulation of the liquorfolliculi,pushing of the

gronulasa cells outward and

formation of the cumulus

oophorus.

D) Glycoprotein is secreted bythe oocyte mainly and to thelesser extent by gronulosa

cells forming zona pellucida.


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7) Which of the following is evident for the adventitial layer of the vagina?A) Presence of bacteriaB) Thick in elastic fibresC) Presence of interlacing muscle fibresD) Large amount of glycogen granules

8) The mucosa of the vagina is lined by?A) Non keratinized squamous epitheliumB) Keratinized squamous epitheliumC) Glandular epitheliumD) Sebaceous secreting epithelium

9) These structures describe theA) The clitorisB) The vaginaC) The libia majoraD) The libia minora

10)The low pH in the vagina is due to theA) Rich blood vessels oozing lymphocytes lowering the pHB) Fermented glycogen in the mucosal partC) Mobilization of glycogen by bacteria forming lactic acidD) Sebaceous glands secretion from the uterine cervix

Having stratified squamous epithelium

Contains sebaceous and sweat glands

Presence of keratin layers

Non hairy


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11)The musculosa of the vagina has:A) Longitudinally arranged muscle (only)B) Circumferentially arranged muscle (only)C) Longitudinally & circumferentially arranged muscle (only)D) Longitudinally, circumferentially and thin layers of striated arranged muscle

fibres

PHYSIOLOGY

1) All of the following are true about follicular phase of the ovarian cycle, EXCEPT:A) Rapid proliferation of granulosa cellsB) Formation of the antrumC) Rapid change of remaining granulosa cells into lutein cellsD) Secretion of follicular fluid by the follicles

2) LH surge occursA)

Just before the ovulation

B) Two days before ovulationC) Two days after ovulationD) Two hours before ovulation

3) Female hormonal system consists of the following hormones EXCEPTA) Gonadotrophic hormoneB) Luteinizing hormone inhibitory hormoneC) ProgesteroneD) Gonadotropin releasing hormone


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4) Main hormone secreted during luteal phase of the ovarian cycle isA) ProgesteroneB) EstrogenC) InhibinD) Gonadotrophic hormone

5) The follicle will progress to the stage of ovulation, even without the presence of LHand FSH

A) TrueB) False

6) All of the following are the phases of the endometrial cycle EXCEPT:A) Secretory phaseB) Luteal phaseC) Menstrual phaseD) Proliferation phase

7) Following the involution of corpus luteum, which hormone level decreases in blood?A) Estrogen and FSHB) Progesterone and inhibinC) Progesterone, estrogen and inhibinD)Progesterone and estrogen

8) Progesterone causes the following during secretory phase EXCEPT:A) The glands and blood vessels to become more tortuous.B) Slight addition to the cellular proliferation in the endometriumC) Increase in lipid and glycogen deposits in the stromal cellsD) Increase in accumulation of of secretory substances in the glandular epithelial cells


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True or false

9) Menstruation involves the shedding of all the layers of endometrium.

10)In anovulatory cycle, the cycle is shortened by many days but the rhythm continues.

PATHOLOGY

1) All of the following are true about Cervical Polyp except:A) Overgrowth of endocervical mucosaB) Cause intermittent uterine bleedingC) Associated with malignancyD) Due to inflammation

2) Cervical polyp:A) Always multipleB) Do not contain glandsC) Covered with epithelium similar to endocervical canalD) Hard in consistency

3) Cervical intraepithelial neoplasia(CIN):A) Cause destruction of basement membraneB) Due to multiple sexual activity with different partners at young ageC) Not involve genetic factorsD) Produce clinical symptoms

4) CIN II is low grade squamous intraepithelial lesionA) TrueB) False


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3) Infection usually occurs by:A) TouchingB) Sharing foodC) Sexual intercourseD) Organ transplantation

4) These are clinical findings of Neisseria Gonorrhoea in male except:A)Urethritis with yellow creamy pusB) Painful urinationC) Epididymis and prostatitisD)Ulceration of the prostate gland

5) The treatment used for Neisseria Gonorrhoeae is:A) CeftriaxoneB) AspirinC) PropranololD) Biguanides

QMU 1st Week

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