This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Surgery
Bloomers shelf is: 
Select and explain. 
A. Peritoneal mets palpable per rectal, B. Supraclavicular lymph nodes, C. Axillary lymphnodes, D. Ovarian mass
A: Peritoneal mets palpable per rectal
Answer: A: Peritoneal mets palpable per rectal 
Explanation: Ans) a (Peritoneal mets...) Ref: Bailey 25thThe anterior surface of proximal 1 /3rd of rectum is covered by visceral peritoneum. The peritoneal reflection is 7 to 9 cm from the anal verge in men and 5 to 7.5 cm in women. This anterior peritonealised space is so called the pouch of douglas or the pelvic cul de sac & may serve as the site of so called drop metastasis from visceral tumors. These peritoneal metastasis can form a mass in the cu led sac called Bloomers shelf & can be detected by per rectal examination.Sister Mary Joseph's nodules- Umblical deposits in visceral tumors.