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Reproductive System > 10) Female Reproductive Tract > Flashcards

10) Female Reproductive Tract Flashcards

1
Q

Where does the gubernaculum attach?

A

Inferior pole of ovary to labium majora

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2
Q

What is the arterial supply to the ovaries?

A

Ovarian arteries from abdominal aorta

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3
Q

What is the venous drainage of the ovaries?

A

Right ovarian vein into IVC

Left ovarian vein into left renal vein

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4
Q

What are the parts of the uterus?

A

Fundus
Body
Cervix

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5
Q

What is found anterior to the uterus?

A

Uterovesical pouch

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6
Q

What is found posterior to the uterus?

A

Rectouterine pouch (pouch of Douglas)

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7
Q

How can fluid from the rectouterine pouch be collected?

A

Through posterior fornix of vagina

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8
Q

What is the broad ligament?

A

Double layer of peritoneum attaching uterus to pelvis

Brought into abdominal cavity by paramesonephric ducts

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9
Q

What is the function of the broad ligament?

A

Acts as mesentery for uterus, uterine tubes and ovary

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10
Q

What is the round ligament?

A

Remnant of gubernaculum, uterus to labium majora via inguinal canal

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11
Q

What is the function of the round ligament?

A

Maintains anteverted position of uterus

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12
Q

What is the ovarian ligament?

A

Ovaries to uterus prior to round ligament

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13
Q

What is the significance of the suspensory ligament of the ovary?

A

Contains vasculature to ovary

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14
Q

What is the position of the uterus with respect to the vagina and cervix?

A

Anteverted with respect to vagina (rotated forward)

Anteflexed with respect to cervix (flexed towards anterior surface)

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15
Q

What abnormal positions can the uterus be in?

What does this predispose to?

A

Excessively anteflexed, retroverted or retroflexed

Can allows uterine prolapse into vagina

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16
Q

In terms of the uterine tubes, what can predispose to ectopic pregnancy?

A

Scarring or lack of cilia

17
Q

Where and why is there an opening into the peritoneal cavity in females?

A

Ostium of uterine tube, needed to collect oocytes

18
Q

What are the sections of the cervix?

A

Internal os (opening), endocervical canal and external os

19
Q

What ligaments support the pelvic viscera?

A

Transverse cervical (cardinal), uterosacral, pubovesical and pubocervical

20
Q

Describe the transverse cervical ligament and its function:

A

Thickening at base of broad ligament (level of cervix)

Lateral stability of cervix

21
Q

Describe the uterosacral ligament and its function:

A

Cervix to sacrum, opposes anterior pull of round ligament, maintaining anteversion

22
Q

A female undergoes surgery and now has flank pain and elevated serum creatinine, what is likely to have happened?

A

Unilateral ureter damage in hysterectomy

23
Q

What is the blood supply to the female internal genitalia?

A

Ovarian artery, uterine artery and internal pudendal artery

24
Q

To which lymph nodes does the ovary drain?

A

Para-aortic nodes

25
Q

To which lymph nodes does the fundus of uterus drain?

A

Aortic and inguinal nodes

26
Q

To which lymph nodes does the body of the uterus drain?

A

External iliac nodes

27
Q

To which lymph nodes does the cervix drain?

A

External and internal iliac nodes and sacral nodes

28
Q

What are the parts of the female external genitalia?

A

Labium majora, labium minora and vestibule

29
Q

What glands are found in the vestibule?

A

Greater (Bartholin) and lesser vestibular glands

30
Q

What is bartholinitis?

What are likely causative organisms?

A

Infection causing painful enlargement of greater vestibular glands
E.coli and staphylococci

31
Q

What is a Bartholin gland cyst?

A

Accumulation of fluid in gland

32
Q

What are fornices?

A

Recesses of vagina around cervix

Anterior, posterior and lateral

33
Q

Describe cudocentesis:

A

Taking fluid form pouch of Douglas through vagina using fornices

34
Q

What is the innervation to inferior 1/5th of vagina?

A

Somatic from pudendal nerve

35
Q

What is the innervation to superior 4/5th of vagina and uterus?

A

Uterovaginal plexus

36
Q

What is the innervation of the perineum?

A

Pudendal and ilioinguinal nerve

37
Q

Describe the course of the pudendal nerve:

A

Exits pelvis via greater sciatic foramen, enters perineum via lesser sciatic foramen and travles in pudendal canal

Reproductive System (24 decks)

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