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Reproductive > Anatomy: Female Reproductive Tract > Flashcards

Anatomy: Female Reproductive Tract Flashcards

1
Q

What contains the neurovascular supply of the ovary?

A

Suspensory ligament

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2
Q

What is another name for the suspensory ligament?

A

Infundibulopelvic Ligament

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3
Q

What space does the ovary lie in?

A

Lateral pelvic ovarian fossa:

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4
Q

What are the boundaries of the ovarian fosa?

A

External iliac vessels

Ureter (Do not cut!)

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5
Q

What is the blood supply of the ovary?

A

Ovarian artery from aorta through suspensory ligament

Uterine artery in cardinal ligament can also be in ovarian ligament… smaller percent

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6
Q

If ovarian artery is ligated and bleeding is occuring, look at what?

A

Uterine artery in cardinal ligament through ovarian ligament from uterus

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7
Q

What is the most common places for ectopic implantation site?

A
  1. Uterine tube itself

2. Rectouterine pouch of douglas

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8
Q

What ways can women stop fetility?

A

Get tubes ligated/cauterized

E coil blocks

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9
Q

What are the three parts fo the broad ligament?

A

Mesometrium (bulk)
Mesoavarium
Mesosalpinx

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10
Q

What does the mesometrium contain? mesosalpinx? mesovarium?

A

Metrium: uterine artery
Ovarium: Ovary
Salpinx: tube

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11
Q

What is the relationship between the uterer and the uterine artery/vein?

A

“Water under the bridge”
Ureter takes a 90* turn under the vessels
Uterer is under the uterine vessels

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12
Q

What is the blood supply of the uterus?

A

Ovarian (in suspensory ligament)
Uterine (within cardinal ligament situated just at base of broad ligament, crosses under ureter)
Vaginal (branch from inferior vesicle supplies upper portion of vagina)

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13
Q

What arteries can anasthemose?

A

Uterine and ovarian

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14
Q

What is the position of the uterus in the pelvis?

A

Anteverted

Anteflexed

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15
Q

Why lies on top of the uterus, mostly?

A

Small intestine

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16
Q

What lies under the uterus, mostly?

A

Bladder (vesiclar surface)

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17
Q

What two angles are in the uterus?

A

Uterus

Cervix

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18
Q

What is first degree prolapse?

A

Into cervical canal

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19
Q

What is second degree prolapse?

A

Into vaginal canal

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20
Q

What is third degree prolapse?

A

External eversion of uterus

21
Q

Why do you get prolapse?

A

You lose normal supportive structures

22
Q

What is one of the main supoorting strucutres of the uterus?

A

Anteflexion
Anteversion
(normal position)

23
Q

When does prolapse normally occur?

A

Late in life, 80’s/90’s

24
Q

Who else can prolapse happen in?

A

Traumatic births… tearing of structures

25
Q

What fornices are in vagina?

A

Posterior
Anterior
Laterals

26
Q

What can be plapated via the vaginal walls?

A

Posterior: rectum
Anterior: bladder

27
Q

What is the term for using the posterior fornix to enter or visualize the peritoneal space?

A

Colposcopy “Colpy”

this is a sterile space, be cautious!

28
Q

What is a rectocele?

A

A herniation of the rectum into the posterior vaginal wall

29
Q

Cycstocele?

A

Herniation of bladder into anterior vaginal wall

30
Q

What is a enterocele?

A

Herniation of colon into posterior vaginal wall

31
Q

What fistulas were mentioned?

A

Urethrovaginal
Vesicovaginal
Vaginoperineal
Rectovaginal

32
Q

What pouch are external genitalia found in?

A

Superficial pounch

33
Q

What provides sexual lubrication in female?

A

Vestibular (bartholin’s) glands

34
Q

What is the function of the ischiocavernossus muscles?

A

Compress crus to erect clitoris with blood

35
Q

What two ways is the bulbospongious functional in females?

A
  1. compress deep dorsal vein by wrapping around clitoris to engorge erection
  2. sphincter of vaginal oraface
36
Q

What is the blood supply of the clitoris?

A

Dorsal artery to clitoris
Deep artery to clitoris
-from the
Dorsal nerve

37
Q

What is the innervation of the clitoris?

A

Dorsal nerve of the clitoris

-from internal pudendal artery

38
Q

What clitoral artery is for erection?

A 
deep artery 
(dorsal artery supplies more superficial structures)
39
Q

What artery does the blood supply of the clitoris come from?

A

Internal pudendal artery

40
Q

What parasympathetic

A

Preganglionic PNS cells bodies in S2/S4
Goes to inferior hypogastric plexus lining the floor of the pelvis
Synapse with postganglionics
Postganglionics travel with cavernous nerves to facilitate deep artery dilation and allow erection

41
Q

What are the 2 muscles of the floor of the pelvis?

A

Levator ani

Coccygeus

42
Q

What is cutting the UG diaphragm in labor called?

A

Episiotomy

-Posterior or

43
Q

What types of episiotomy are done?

A

lateral

mediolateral

44
Q

What are the muscles of the UG diaphragm?

A

Ischio
Bulbo
deep transverse perineal
Supergicial transverse perineal

45
Q

What are the options for regional anesthesia in childbirth??

A

Spinal nerve block at L3/L4 (cant move legs or utuerus )
Caudal epidural (still move legs and euterus to push )
Pudendal (ischial spine target, cant feel perineum, good for episiotomy)

46
Q

What is the obstentrical conjugate?

A

Pubic symphysis to sacral promitory distance

47
Q

What is a good estimate of the obstentrical conjugate?

A

Finger tip on sacral promontory to distance to pubic symphysis on palm

48
Q

What is the interspinous diameter?

A

Spine to spine

Changes during labor

Reproductive (31 decks)

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