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Anatomy · Pelvis: obturator nerve
Sample itemA 28-year-old woman has a cyst in the ovarian fossa and complains of aching pain along the inner thigh. Which nerve accounts for this referred pain?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Obturator nerve
The ovary lies in the ovarian fossa on the lateral pelvic wall, where the obturator nerve (L2 to L4) passes just behind. Irritation of the peritoneum in the fossa refers pain to the medial thigh, the cutaneous territory of this nerve.
Option by option
A. Obturator nerve (correct)
Correct. The obturator nerve lies on the wall of the fossa and supplies the medial thigh skin.
B. Femoral branch of the genitofemoral nerve
The femoral branch of the genitofemoral nerve supplies a small patch of skin below the mid-inguinal point.
C. Femoral nerve
The femoral nerve supplies the anterior thigh and does not lie in the ovarian fossa.
D. Lateral femoral cutaneous nerve
The lateral femoral cutaneous nerve supplies the lateral thigh.
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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