Sunday 22 May 2016

Fetal blood Returned to the umbilical arteries MCQ | Crack AIIMS NOV 2016 MCQs


Fetal blood is returned to the umbilical arteries and the placenta through the

A. Hypogastric arteries
B. Ductusvenosus
C. Portal vein 
D. Inferior vena cava

The answer is A.

Fetal blood is returned directly to the placenta through the two hypogastric arteries. The distal portions of the hypogastric arteries atrophy and obliterate within 3 to 4 days after birth; remnants are called umbilical ligaments. Fetal oxygenation is aided by the presence of three vascular shunts: the ductusvenosus, foramen ovale, and ductusarteriosus. The ductusvenosus shunts oxygenated blood from the umbilical vein into the inferior vena cava. The foramen ovale deflects the more oxygenated blood from the right atrium into the left atrium, thereby bypassing pulmonary circulation. Approximately two- thirds of the blood ejected from the right ventricle is shunted pulmonary circulation through the ductusarteriosus.