WorksheetsPretest Anatomi Blok 3.3 Reproductive System ke-2
Total questions: 10
Worksheet time: 5mins
Which of the following muscles is NOT part of the levator ani component of the pelvic diaphragm?
Pubococcygeus
Puborectalis
Iliococcygeus
Pelvic diaphragm
Ischiocavernosus
The pelvic diaphragm (especially the levator ani) contributes to continence mainly by:
Compressing the ureters directly
Increasing the anorectal and urethrovaginal angles
Closing the urogenital hiatus by fascia alone
Fixing the sacrum to the coccyx
Reducing blood flow to the pelvic organs
In late pregnancy, the anatomical displacement of the heart is typically described as:
Downward, to the right, and posterior
Downward, to the left, and anterior
Upward, to the left, and anterior
Upward, to the right, and posterior
Unchanged in position
Supine hypotension (inferior vena cava) syndrome in late pregnancy is primarily caused by:
Compression of the aorta, reducing coronary perfusion
Direct compression of the pulmonary trunk by the uterus
Increased intrathoracic pressure limiting venous return
Compression of the inferior vena cava against the vertebral column
Spasm of the uterine arteries reducing cardiac output
The simplest and most effective immediate management when a pregnant woman in late gestation develops symptoms of supine hypotension syndrome during examination is to:
Place her in a high Fowler (sitting) position
Turn her onto her left lateral side
Elevate her legs above heart level while keeping her supine
Apply firm fundal pressure to displace the uterus
Give rapid intravenous fluids while maintaining supine position
A pudendal nerve block for vaginal delivery is best performed by inserting the needle through the vaginal wall toward which bony landmark?
Pubic tubercle
Ischial tuberosity
Ischial spine
Sacral promontory
Anterior superior iliac spine
During ligation of the uterine artery in hysterectomy, which statement best describes its relationship with the ureter (“water under the bridge”)?
The uterine artery crosses superior to the ureter near the lateral cervix
The uterine artery runs inferior to the ureter at the pelvic brim
The uterine artery and ureter run parallel with no crossing point
The uterine artery passes through the lumen of the ureter
The uterine artery lies medial to the ureter at the level of the sacral promontory
Which of the following correctly describes the normal vascular composition of the umbilical cord?
One umbilical vein and one umbilical artery surrounded by Wharton’s jelly
Two umbilical veins and one umbilical artery without Wharton’s jelly
Two umbilical veins and two umbilical arteries
One umbilical vein and two umbilical arteries surrounded by Wharton’s jelly
One umbilical vein only, the arteries obliterate before birth
Which type of uterine leiomyoma is most strongly associated with heavy menstrual bleeding and infertility due to interference with implantation?
Subserosal myoma
Submucosal myoma
Intramural myoma with serosal bulging only
Cervical myoma
Broad-ligament myoma
Which combination of features is most characteristic of a septate uterus?
Concave (“heart-shaped”) external fundus with muscular division of the cavity
Two completely separate uteri and cervices with often two vaginas
Banana-shaped single uterine horn with contralateral rudimentary horn
Slight (<1 cm) indentation of the fundus, almost normal cavity
Normal convex/flat external fundus, internal fibrous avascular septum, high miscarriage risk, treated by hysteroscopic resection
