Anatomy Pelvis
Anatomy
Perineum
Pelvis
Test
Perineum
2026- 2027
TestQuestions
2026- 2027
with
Questions
Solution with
& Rationales.pdfhttps://online2pdf.com/remove-pdf-header-footer
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Anatomy Pelvis Perineum Test
2026/ 2027 Questions with
Solution & Rationales
1. 32-year-old female with severe right-sided abdominal pain, vaginal bleeding,
hypotension (BP 90/60), tachycardia 110, RR 20. Most likely diagnosis?
Answer: C. Ectopic Pregnancy
Rationale: Acute unilateral pelvic pain with vaginal bleeding and hemodynamic
instability is a classic red flag for ruptured ectopic pregnancy. The shock picture (low BP,
high HR) and “never had this pain before” point away from benign causes. Ovarian
torsion causes severe pain and nausea but usually not bleeding or shock unless necrosis or
hemorrhage occurs; appendicitis rarely causes vaginal bleeding. Ectopic pregnancy often
implants in the ampulla, and rupture leads to intraperitoneal bleeding and peritoneal
signs.
2. A 23-year-old female with pruritus, vulvar pain, and thick white discharge. Best
treatment?
Answer: B. Diflucan 150 mg
Rationale: Thick, white, “cottage-cheese” discharge without malodor and with vulvar
pruritus is consistent with vulvovaginal candidiasis. First-line therapy is oral fluconazole
150 mg single dose (or topical azole). Ceftriaxone or doxycycline target
gonorrhea/chlamydia respectively and are unnecessary in the absence of STI risk features
or NAAT positivity.
3. 20-year-old male with abrupt severe testicular pain, nausea/vomiting. Which exam
finding fits the diagnosis?
Answer: c. Absent cremasteric reflex
Rationale: Testicular torsion typically presents with acute scrotal pain, high-riding testis,
horizontal lie, and a lost cremasteric reflex. Prehn’s sign (pain relief with elevation)
suggests epididymitis, not torsion. Torsion is a surgical emergency to salvage testicular
viability within 6 hours.
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, Anatomy Pelvis
Anatomy
Perineum
Pelvis
Test
Perineum
2026- 2027
TestQuestions
2026- 2027
with
Questions
Solution with
& Rationales.pdfhttps://online2pdf.com/remove-pdf-header-footer
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4. 16-year-old male with sudden severe left testicular pain for 4 hours, high-riding testis,
absent cremasteric reflex. Next best step?
Answer: A. Immediate surgical exploration
Rationale: High suspicion of torsion mandates immediate urologic exploration rather than
imaging delays. Doppler ultrasound can be used if diagnosis is uncertain, but timing is
critical because irreversible ischemic injury occurs rapidly.
5. 24 y/o male with 3-day left scrotal pain, swelling, dysuria; tender epididymis; pyuria;
NAAT pending. Most appropriate treatment?
Answer: A) ceftriaxone 500 mg IM plus doxycycline 100 mg orally twice daily for 10
days
Rationale: Epididymitis in sexually active men under 36 is commonly due to Chlamydia
trachomatis or Neisseria gonorrhoeae. Empiric dual therapy (ceftriaxone for gonorrhea
plus doxycycline for chlamydia) is recommended while awaiting NAAT.
6. 30-year-old male with swelling, redness, fever, dysuria, positive Prehn’s sign. Likely
diagnosis?
Answer: b. Epididymitis
Rationale: Subacute onset with urinary symptoms, systemic signs, and pain relief on
scrotal elevation support epididymitis. Torsion is abrupt, often without dysuria, and
typically has a negative Prehn’s sign and absent cremasteric reflex.
7. 32 y/o woman with lower abdominal pain, spotting, 6 weeks since LMP,
hemodynamically stable. Best diagnostic tool to confirm the diagnosis?
Answer: A) Ultrasound
Rationale: Transvaginal ultrasound is first-line to localize pregnancy (intrauterine vs
ectopic) and evaluate adnexa and free fluid. In stable patients it’s preferred alongside
quantitative β-hCG interpretation.
8. 3 parts of the broad ligament?
Answer: 1. Mesovarium 2. Mesosalpinx 3. Mesometrium
Rationale: The broad ligament is a double layer of peritoneum that supports the uterus,
tubes, and ovaries. The mesometrium is the largest portion; the mesosalpinx suspends the
uterine tube; the mesovarium attaches to the ovary’s hilum, conveying vessels and
nerves.
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Anatomy
Perineum
Pelvis
Test
Perineum
2026- 2027
TestQuestions
2026- 2027
with
Questions
Solution with
& Rationales.pdfhttps://online2pdf.com/remove-pdf-header-footer
Solution & Rationaleshttps://online2pdf.com/remove-pdf-header-footer
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Anatomy Pelvis Perineum Test
2026/ 2027 Questions with
Solution & Rationales
1. 32-year-old female with severe right-sided abdominal pain, vaginal bleeding,
hypotension (BP 90/60), tachycardia 110, RR 20. Most likely diagnosis?
Answer: C. Ectopic Pregnancy
Rationale: Acute unilateral pelvic pain with vaginal bleeding and hemodynamic
instability is a classic red flag for ruptured ectopic pregnancy. The shock picture (low BP,
high HR) and “never had this pain before” point away from benign causes. Ovarian
torsion causes severe pain and nausea but usually not bleeding or shock unless necrosis or
hemorrhage occurs; appendicitis rarely causes vaginal bleeding. Ectopic pregnancy often
implants in the ampulla, and rupture leads to intraperitoneal bleeding and peritoneal
signs.
2. A 23-year-old female with pruritus, vulvar pain, and thick white discharge. Best
treatment?
Answer: B. Diflucan 150 mg
Rationale: Thick, white, “cottage-cheese” discharge without malodor and with vulvar
pruritus is consistent with vulvovaginal candidiasis. First-line therapy is oral fluconazole
150 mg single dose (or topical azole). Ceftriaxone or doxycycline target
gonorrhea/chlamydia respectively and are unnecessary in the absence of STI risk features
or NAAT positivity.
3. 20-year-old male with abrupt severe testicular pain, nausea/vomiting. Which exam
finding fits the diagnosis?
Answer: c. Absent cremasteric reflex
Rationale: Testicular torsion typically presents with acute scrotal pain, high-riding testis,
horizontal lie, and a lost cremasteric reflex. Prehn’s sign (pain relief with elevation)
suggests epididymitis, not torsion. Torsion is a surgical emergency to salvage testicular
viability within 6 hours.
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1https://online2pdf.com/remove-pdf-header-footer
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, Anatomy Pelvis
Anatomy
Perineum
Pelvis
Test
Perineum
2026- 2027
TestQuestions
2026- 2027
with
Questions
Solution with
& Rationales.pdfhttps://online2pdf.com/remove-pdf-header-footer
Solution & Rationaleshttps://online2pdf.com/remove-pdf-header-footer
Page 2 of 10https://online2pdf.com/remove-pdf-header-footer
4. 16-year-old male with sudden severe left testicular pain for 4 hours, high-riding testis,
absent cremasteric reflex. Next best step?
Answer: A. Immediate surgical exploration
Rationale: High suspicion of torsion mandates immediate urologic exploration rather than
imaging delays. Doppler ultrasound can be used if diagnosis is uncertain, but timing is
critical because irreversible ischemic injury occurs rapidly.
5. 24 y/o male with 3-day left scrotal pain, swelling, dysuria; tender epididymis; pyuria;
NAAT pending. Most appropriate treatment?
Answer: A) ceftriaxone 500 mg IM plus doxycycline 100 mg orally twice daily for 10
days
Rationale: Epididymitis in sexually active men under 36 is commonly due to Chlamydia
trachomatis or Neisseria gonorrhoeae. Empiric dual therapy (ceftriaxone for gonorrhea
plus doxycycline for chlamydia) is recommended while awaiting NAAT.
6. 30-year-old male with swelling, redness, fever, dysuria, positive Prehn’s sign. Likely
diagnosis?
Answer: b. Epididymitis
Rationale: Subacute onset with urinary symptoms, systemic signs, and pain relief on
scrotal elevation support epididymitis. Torsion is abrupt, often without dysuria, and
typically has a negative Prehn’s sign and absent cremasteric reflex.
7. 32 y/o woman with lower abdominal pain, spotting, 6 weeks since LMP,
hemodynamically stable. Best diagnostic tool to confirm the diagnosis?
Answer: A) Ultrasound
Rationale: Transvaginal ultrasound is first-line to localize pregnancy (intrauterine vs
ectopic) and evaluate adnexa and free fluid. In stable patients it’s preferred alongside
quantitative β-hCG interpretation.
8. 3 parts of the broad ligament?
Answer: 1. Mesovarium 2. Mesosalpinx 3. Mesometrium
Rationale: The broad ligament is a double layer of peritoneum that supports the uterus,
tubes, and ovaries. The mesometrium is the largest portion; the mesosalpinx suspends the
uterine tube; the mesovarium attaches to the ovary’s hilum, conveying vessels and
nerves.
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