CHAPTER 2 Maternal Anatomy

21,The femoral artery gives rise to all EXCEPT which2-3.Which statement accurately describes the location ofof the following vessels?the inferior epigastric artery above the arcuate line?a. External pudendal arterya. Ventral to the anterior rectus sheathb. Inferior epigastric arteryb. Dorsal to the posterior rectus sheathC. Superficial epigastric arteryC. Ventral to the external oblique muscled. Superficial circumflex iliac arteryaponeurosisd. Ventral to the transversus abdominis muscle 2-2.The inferior epigastric artery arises from which ofaponeurosisthe following? 2-4. The anterior abdominal wall is innervated by all EXCEPT which of the following? a. Subcostal nerve b. Internal pudendal nerve C. Intercostal nerves (T7Tu) d. Iliohypogastric nerve (Lj)

2-5. The labia minora lack all EXCEPT which of the following? a. Eccrine glands b. Hair follicles C. Apocrine glands d. Sebaceous glands

2-6. The internal pudendal artery supplies which of the following? a. Bladder trigone b. Proximal vagina C. Distal vaginal walls d. Posterior vaginal wall

Reproduced with permission from Gorton MM: Anatomy. In Hoffman BL, Schorge JO, Schaffer JI, et al (eds): Williams Gynecology, 2nd ed. New York, McGraw-Hill, 2012, Figure 38-3.

a. Aorta b. Femoral artery C. Hypogastric artery d. External iliac artery

CHAPTER2

2-7. The vagina and its investing musculature are supplied by all EXCEPT which of the following arteries?

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Maternal anatomy. In Williams Obstetrics, 23rd ed. New York, McGraw-Hill, 2010, Figure 2-3.

a. Perineal arteryb. Pudendal arteryC. Inferior rectal arteryd. Posterior labial artery28. Which of the following is true concerning the anal sphincters?a. The external anal sphincter measures 3 to 4 cm in length.b. The external sphincter remains in a state of constant relaxation.C. The internal anal sphincter contributes the bulk of anal canal resting pressure,d. The external anal sphincter receives blood supply from the superior rectal artery.

2-9. The perineal body is formed partly by which of the following muscles?a. Levator ani muscleb. Gluteus maximus muscleC. Bulbocavernosus muscled. Ischiocavernosus muscle2TO. The vestibule is an almond shaped area bound by which of the following?a. Laterally by the Hart lineb. Anteriorly by the fourchetteC. Laterally by the labia minorad. Laterally by the external surface of hymen

Maternal Anatomy9

211. The cervix contains little of which of the follow components?a. Elastinb. CollagenC. Smooth muscled. Proteoglycans212. Concerning the endometrium, which of the following is true?Epithelium Capillaries Venous sinusEndometrial gland

Radial artery-Arcuate artery Uterine artery

Reproduced with permission from Hoffman BL: Abnormal uterine bleeding. In Hoffman BL, Schorge JO, Schaffer JI, et al (eds): Williams Gynecology, 2nd ed. New York, McGraw-Hill, 2012, Figure 8-3.

a. The basal artery comes directly from the arcuate artery.b. Spiral arteries extend directly from radial arteries.C. The spiral arteries extend directly from thearcuate artery.d. Functionalis layer contains spiral arteries and radial arteries.

213. During postpartum tubal sterilization, which of the following correct anatomical information may assistyou?a. The round ligament lies anterior to the fallopian tube.b. The fallopian tube lies anterior to the round ligament.C. The uteroovarian ligament lies anterior to the round ligament.d. The fallopian tube lies posterior to the uteroovarian ligament.

10Maternal Anatomy and Physiology

2-14. Which of the following arteries is marked by the arrow? 2-15. Which of the following is true regarding the external anal sphincter? a. Is bound anteriorly by the perineal body b. Is bound anteriorly by the posterior vagina C. Contains involuntarily innervated smooth muscle d. Is supplied by the superior and middle rectal arteries 216. Referring to the drawing, which of the following is marked by the letter A? a Ureter b. Uterine artery C. Uteroovarian ligament d. Infundibulopelvic ligament

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Mater nal anatomy. In Williams Obstetrics, 23rd ed. New York, McGraw-Hill, 2010, Figure 2-15.

a. Sampson artery b. Uterine artery C. Obturator artery d. Internal iliac artery

Uterine fundusTubal & ovarian branches of uterine & ovarian aa.

External iliac a.

EndometriumNOITCES2

Internal iliac a.

Inferior epigastric a. & n.

Deep inguinal ring

Fallopian tubeBroad ligament IsthmuscPortio supravaginalis of cervixPortio vaginalis of cervixDPosteriorvaginal wall (cut) Peritoneum (cut)

Reproduced with permission from Gorton MM: Anatomy. In Hoffman BL, Schorge JO, Schaffer JI, et al (eds): Williams Gynecology, 2nd ed. New York, McGrawHill, 2012, Figure 38-14.