CJ-MORGANY 2ND MBBS REVISION SERIES 2016
UTERUS & VAGINA
UTERUS
1. What is the measurement of the uterus?
ANS: 8 x 5 x 3 cm
2. What are the 3 parts of the uterus?
ANS: 1) fundus 2) body 3) cervix
3. The uterine tubes enter the uterus above the fundus. T/F
ANS: False [the fundus is above the entrance of the tubes]
4. The broad ligament of the uterus is an extension of the peritoneum covering the body of
the uterus. T/F
ANS: True
5. What are the 2 parts of the cervix of the uterus?
ANS: 1) upper supravaginal part 2) lower vaginal part
6. The deep sulcus which surrounds the protruding cervix is the fornix of the vagina, and is
deepest anteriorly. T/F
ANS: False [it is deepest posteriorly]
7. The anterior surface of the cervix has no peritoneal covering. T/F
ANS: True
8. How far is the ureter from the cervix as it passes lateral to and then in front of the
fornix?
ANS: 2cm
9. The body of the uterus is always in the midline. T/F
ANS: False [the body of the uterus is rarely in the midline]
10. After childbirth, the anterior lip of the external os usually lies at a lower level than the
posterior lip. T/F
ANS: True
11. The external os is normally on a level with the ischial spines. T/F
ANS: True
12. What is the length of each uterine tube?
ANS: 10cm
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13. Why is the medial 1cm of the uterine tube called the intramural part?
ANS: it is because it is embedded within the uterine walls
14. The infundibulum of the uterine tube lies in front of the broad ligament. T/F
ANS: False
15. The muscularis propria of the uterine tube is similar to that of the GIT. T/F
ANS: True
16. The fimbriated end of the uterus is the least muscular part. T/F
ANS: True
17. What is the origin of the arterial branch to the uterus?
ANS: internal iliac artery
18. What does the uterine artery anastomose with, as it ends?
ANS: tubal branch of the ovarian artery, which supplies the uterine tube
19. The veins of the uterus course below the artery at the lower edge of the broad ligament.
T/F
ANS: True
20. Which plexus gives rise to nerves that supply the uterus?
ANS: inferior hypogastric plexus
21. Division of all uterine nerves or high transection of the spinal cord does not affect
uterine contractility, even in labor. T/F
ANS: True
22. Cutting the hypogastric nerves from the superior hypogastric plexus does not abolish
labor pain. T/F
ANS: True
23. In contrast to the uterine tube, which is sensitive to touching and cutting, the cervix and
body of the uterus are relatively insensitive to cutting and burning. T/F
ANS: True
24. The mucosa of the cervix is not shed at menstruation, but takes part in the monthly
cyclical changes of the uterus. T/F
ANS: False [it also doesn’t take part in the monthly cyclical changes of the uterus]
25. What is the most fixed part of the uterus?
ANS: cervix
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26. What are the 3 groups of structures that directly or indirectly help to maintain the
normal position of the cervix?
ANS: 1) pelvic diaphragm 2) condensations of visceral pelvic fascia forming ligaments 3)
peritoneal contributions
27. What are the 5 structures crossed by the line of lateral attachment of the broad
ligament of the uterus?
ANS: 1) obturator nerve 2) superior vesical 3) obliterated umbilical vessels 4) obturator
artery 5) obturator vein
28. What is contained in the mesoalpinx?
ANS: uterine tube
29. What is contained in the upper lateral part of the broad ligament?
ANS: ovarian vessels and lymphatics
30. What extends over the external iliac vessels to form the suspensory ligament of the
ovary?
ANS: upper lateral part of the broad ligament
31. What is parametrium?
ANS: it is a mass of arealor tissue found between the two layers of the broad ligament
32. What are the 5 contents of the parametrium?
ANS: 1) uterine vessels 2) lymphatics 3) round ligament of the uterus 4) ligament of the
ovary 5) vestigial remnant of mesonephric tubules {epoophron & paroophron}
33. What is represented together by the round ligament of the ovary and the round
ligament of the uterus?
ANS: gubernaculum
34. Where does the distal extremity of the round ligament of the uterus attach to?
ANS: to the fibrofatty tissue of the labium majus of the vulva
35. What supplies blood to the round ligament of the uterus at the broad ligament and at
the inguinal canal respectively. T/F
ANS: at the broad ligament  branch of the ovarian artery;
In the inguinal canal  branch from the inferior epigastric artery
36. What holds the uterus forwards in anteflexion and anteversion?
ANS: smooth muscle and fibrous tissue
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37. What is the extent of the transverse cervical ligament?
ANS: it extends from the cervix and vaginal fornix laterally to the side wall of the pelvis
38. What is the function of the Mackenrodt’s ligament?
ANS: it imparts lateral stability to the cervix and is an important support of the uterus [it
is also called the transverse cervical ligament]
VAGINA
39. What is the length of the vagina?
ANS: 10cm
40. What are the 3 subdivisions of the vaginal fornix?
ANS: 1) anterior fornix 2) posterior fornix 3) lateral fornix
41. Which of these subdivisions is deepest?
ANS: posterior fornix
42. The posterior wall of the vagina is longer than the anterior wall. T/F
ANS: True
43. What is the only part of the vagina with a peritoneal covering?
ANS: posterior fornix
44. The ureter is adjacent to the lateral vaginal fornix throughout its course to the bladder.
T/F
ANS: False [it is first adjacent to the lateral fornix and then passes across the front of the
anterior fornix to enter the bladder]
45. Below the bladder, in females, the urethra is embedded in the vaginal wall. T/F
ANS: True
46. Which gland opens on each side of the vagina just below the hymen in the
posterolateral wall?
ANS: greater vestibular (Bartolin’s) gland
47. Which arteries supply branches that contribute to a good anastomotic connexions on
the vaginal wall?
ANS: 1) uterine artery 2) inferior vesical artery 3) middle rectal artery
48. Which vein receives venous drainage from the vagina?
ANS: internal iliac vein
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49. Where does the lymphatic drainage of the upper and lower parts of the vagina drain
into?
ANS: upper part  external & internal iliac nodes;
lower part (below hymen level)  superficial inguinal nodes
50. Which 2 nerves supply the lower part of the vagina?
ANS: 1) perineal & posterior labial branches of pudendal nerve
2) ilioinguinal nerve
51. The upper part of the vagina is sensitive only to stretch. T/F
ANS: True
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