Anatomy of Female Pelvic Organs MCQs

Remnants of paramesonephric duct in male Appendix of testis (Hydatid of Morgagni in female) Remnant of mesonephric duct in female Duct of epoophoron Gartner’s duct Mesonephric tubules in female Epoophoron Paroophoron Reference: DC Dutta textbook of gynecology, 7th edition, chapter 3

Answer- B. More common in men Primary lymphedema with age of onset b/w ages 1 year and 35 years. MC forms of primary lymphedema. Female : Male - 10 : 1 Swelling involves foot and calf. Usually unilateral

Ans, A. LH "LH surge from the anterior pituitary gland occurs 24 hours prior to ovulation. Radioimmunoassays of the morning sample of urine & blood gives results in 3 hours. Not only does the LH surge help in predicting ovulation, but the approximate time of ovulation can be gauged & coitus around this time can improve the chances of conception."

In Testicular Feminization Syndrome Genotype – 46XY Gonads – Testis (intrabdominal) Phenotype – Female Internal Genitalia – Is of males (except a short vagina may be present) They are reared as female. Lab investigation : Testosterone levels may be normal/high/low depending on the degree of androgen resistance and the contribution of estradiol to feedback inhibition of the hypothalamus pituitary axis. Laboratory evaluation demonstrates elevated LH levels, normal or slightly elevated testosterone levels, and a 46 XY Karyotype. Reference: Dutta Gynae 6th/ed p 443

Though Dysgerminoma is the most radiosensitive tumour known, treatment of choice is oophorectomy of involved side followed by cisplatin based chemotherapy to preserve fertility, as dysgerminoma is seen in young women with average age incidence being 20 years. BEP: Bleomycin, Etoposide, Cisplatin Reference : Devita 7 th /ed pg 1391; Reference : Williams Gynae 1 st /ed pg 741

For identification of organisms in PID the materials are collected from the following available sources: Discharge from urethra or Bartholin's gland Cervical canal Collected pus from the fallopian tubes during laparoscopy or laparotomy. The material collected is subjected to Gram's stain and culture (aerobic/anaerobic). The findings of Gram-negative diplococci is very much suggestive of gonococcal infection. There are 2 important points which we should remember about gonorrhoea infection. Squamous epithelium is resistant to gonococcal infection Gonorrhoea is an STD (i.e. it is transmitted by ascending infection along with sperms) Now, since squamous epithelium is resistant to gonococcal infection, in vagina and ectocervix gonococcal infection cannot occur (as both are lined by squamous epithelium). Reference: Dutta Gynae 5th/ed p 143.

Melanoma is the second most common vulvar cancer. The common sites are the clitoris and labia majora. It may arise from a junctional nevus. Radical vulvectomy and bilateral regional lymphadenectomy (en-block) is the preferred treatment. Pelvic lymphadenectomy does not alter the prognosis. Radiation therapy, adjuvant chemotherapy, or immunotherapy are ineffective. Overall prognosis is poor. Reference: Dutta Gynae 6 th /ed pg 337

Pudendal nerve block typically involves blocking the nerve roots S2, S3, and S4, which are responsible for innervating the perineum and pelvic floor. Reference : Dutta Obs 7/e, pg 518