The Pelvic MCQ’s

  1. The tunica vaginalis layer is directly adherent to the testis.
    A.True
    B.False
    The albuginea is directly adherent to the testis. The tunica vaginalis is derived from the processes vaginalis of the peritoneum and is comprised of 2 layers- the visceral layer which is directly adherent to the tunica albuginea and a parietal layer

  2. The rete testis lies inferiorly within the testis.
    A.True
    B.False
    The rete testis is the site of drainage of the straight portion of the seminiferous tubules located in the mediastinum testis. The mediastinum testis function is to concentrate the sperm.

3.The tunica albuginea is a fibrous layer surrounding the testis.
A.True
B.False
The tunica albuginea is a fibrous layer whereas the tunica vaginalis is a serous layer.

4.The testes are typically located within the scrotum at the time of birth
A.True
B.False
Testis are typically located within the scrotum birth. Approx 3% of the full term infants will have an undescended testicle, and of these approx 80% will have descended by 12 months. Undescended testes have an increased predilection for malignant transformation

5.The testicular arteries originate from the abdominal aorta above the renal arteries.
A.True
B.False
The testicular arteries originate from the abdominal aorta below the renal arteries at the 2nd lumbar vertebral level

6.The Weigert-Meyer rule describes the duplex collecting system, where the upper renal pole ureter inserts into the bladder medial and inferior to the ureter draining the lower pole.
A.True
B.False
The ureter draining the lower pole inserts into the bladder superior and lateral to the upper pole ureter and is more prone to reflux

7.The incidence of duplex collecting system is approximately 7%.
A.True
B.False
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8.A Spigelian hernia lies between the rectus abdominis muscle and the semilunar line.
A.True
B.False
A Spigelian hernia lies between the lateral border of the rectus abdominis muscle medially and the semilunar line laterally. The semilunar line is formed by the aponeurosis of the internal oblique muscle

9.A Bochdalek hernia is a congenital anterior diaphragmatic hernia.
A.True
B.False
A Bochdalek hernia is a posterior diaphragmatic hernia. (Bochdalek at the Back)

10.A Morgagni hernia is located immediately adjacent to the xiphoid process.
A.True
B.False

A Morgagni hernia (also a congenital diaphragmatic hernia) is an anterior hernia through the foramen of Morgagni located adjacent to the xiphoid process.