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Anatomy · Embryology: gubernaculum
Sample itemDuring repair of an inguinal hernia in a girl, the surgeon finds a fibromuscular cord running through the deep inguinal ring to the labium majus. This cord is a remnant of which embryonic structure, and what is it?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Gubernaculum; the round ligament of the uterus
The gubernaculum connects the gonad to the labioscrotal swelling. In females its upper part becomes the ligament of the ovary and its lower part the round ligament of the uterus, which passes through the inguinal canal to the labium majus. In males it becomes the scrotal ligament.
Option by option
A. Gubernaculum; the round ligament of the uterus (correct)
Correct. The round ligament of the uterus is the lower part of the female gubernaculum.
B. Paramesonephric duct; the transverse cervical ligament
The transverse cervical ligament is a pelvic condensation and does not pass through the inguinal canal.
C. Gubernaculum; the suspensory ligament of the ovary
The suspensory ligament carries the ovarian vessels and is a peritoneal fold, not a gubernacular remnant.
D. Mesonephric duct; the broad ligament
The broad ligament is a peritoneal fold, not a cord that passes through the inguinal ring.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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