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Anatomy · Pelvis: ureter
Sample itemDuring ligation of the uterine artery in hysterectomy, which structure must be protected because it passes inferior to the artery?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ureter
The ureter passes beneath the uterine artery near the lateral cervix: 'water under the bridge'. It is vulnerable during uterine-artery ligation.
Option by option
A. Ureter (correct)
Correct. The ureter lies inferior to the uterine artery.
B. Ovarian vein
The ovarian vein drains the ovary and is not the classic crossing relation.
C. Round ligament
The round ligament travels toward the inguinal canal, not beneath the uterine artery at this point.
D. Obturator nerve
The obturator nerve is on the lateral pelvic wall.
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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