MRCOG Part 1 Practice Questions - MRCOG Part 1 Exam

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During a difficult vaginal hysterectomy, the surgeon must identify where the ureter is most at risk of injury. At which anatomical point does the ureter pass closest to the uterine artery?

Approximately 1.5 cm lateral to the cervix at the level of the internal os, where it passes beneath the uterine artery At the pelvic brim where it crosses the common iliac vessels As it enters the bladder at the trigone Where it crosses the infundibulopelvic ligament

Correct Answer:

Approximately 1.5 cm lateral to the cervix at the level of the internal os, where it passes beneath the uterine artery

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