13/03

Question 1

What does the cardinal ligament contain

Answer 1

ureter
uterine vessels and nerves
lymph nodes draining cervix

Question 2

Theca interna vs externa

Answer 2

interna - inner layer -androgen production,

externa - outer layer - structural support

Question 3

Pudendal nerve
Origin
Branches
Motor
Sensory

Answer 3

Originates from ventral rami of S2, S3 and S4

3 branches:
inferior rectal,
perineal
dorsal nerve of clitoris/ penis

Motor supply
perineal, pelvic floor mm
ext urethral/ anal sphincters

Sensory supply
perineum,
external genitalia,
perianal skin
anal canal

Question 4

lateral walls of the pelvic cavity

Answer 4

obturator internus
piriformis

Question 5

most common sites of lymph node metastases from cervical cancer

Answer 5

external iliac
internal iliac
obturator groups.

Question 6

Vaginal blood supply

Answer 6

uterine artery (superior aspect of the vagina)

vaginal artery (middle and inferior aspect of the vagina)

both of which are branches of the internal iliac artery

Question 7

lymph node metastases from vaginal cancer

Answer 7

upper two-thirds pelvic lymph nodes (obturator, internal iliac/hypogastric and external iliac), - same as cervix

lower third - superficial inguinal group

Question 8

The infundibulopelvic ligament (AKA suspensoty lig)

Answer 8

Connects the ovary laterally to the pelvic wall

Not a true ligament as it is a fold of the peritoneum

Contains the ovarian artery, vein, nerve plexus and lymphatic vessels

Question 9

Luminal epithelium of fallopian tube

Answer 9

Secretory cells (most abundant)

Columnar cells

Peg cells (least abundant)