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UROGENITAL > [ANAT] UTERUS & VAGINA > Flashcards

[ANAT] UTERUS & VAGINA Flashcards

1
Q

fornices of vagina (4)

A

anterior
posterior
2 lateral

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2
Q

shallowest fornix

A

anterior

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3
Q

deepest fornix

A

posterior

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4
Q

only fornix covered by peritoneum

A

posterior

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5
Q

fornix giving attachment to mackenrodt’s ligament

A

lateral

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6
Q

which is longer:
anterior wall or posterior wall of vaginal cavity

A

posterior (9cm)

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7
Q

vaginal orifice is partially enclosed by

A

hymen

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8
Q

anterior relation of vagina

A

urethra (embedded in its ant wall)
base of bladder

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9
Q

posterior relations of vagina

A

lower 1/4: anal canal & perineal body
middle 2/4: rectum & loose fibro-areolar tissue
upper 1/4: rectum & rectovaginal pouch

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10
Q

lateral relations of vagina

A

lower pt: bartholins’ glands, bulbs of vestibule, urogenital diaphragm

middle pt: constrictor vaginae (levator ani)
upper pt: mackenrodt’s ligament

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11
Q

vagina arterial blood supply (4)

A

vaginal br of uterine artery
vaginal artery
middle rectal artery
internal pudendal artery

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12
Q

ant & post midline azygous arteries are formed by

A

vaginal branches of uterine artery
vaginal artery

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13
Q

vagina venous drainage

A

vaginal veins—>internal iliac veins

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14
Q

vaginal lymphatic drainage below hymen

A

superficial inguinal LNs

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15
Q

vaginal lymphatic drainage above hymen

A

external & internal iliac LNs

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16
Q

uterus site

A

b/w urinary bladder & rectum

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17
Q

uterus shape

A

pear shaped
apex: inferiorly
base: superiorly

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18
Q

uterus normal position

A

anteverted-anteflexed (AVF) w/ empty bladder

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19
Q

anteversion angle

A

angle b/w uterus & vagina axes
90°

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20
Q

anteflexion angle

A

angle b/w uterus & cervix axes
170°

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21
Q

retroverted uterus

A

axes of uterus & vagina are in ALIGNMENT

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22
Q

retroverted uterus position can lead to

A

prolapsed uterus in old multiparous women–> difficulties getting pregnant

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23
Q

fundus of uterus is related to

A

coils of ileum
sigmoid colon

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24
Q

part of uterus fully covered by peritoneum

A

fundus

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25
Q

anterior surface of uterus is covered by peritoneum till

A

internal os

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26
Q

anterior surface of uterus is related to

A

urinary bladder w/ uterovesical pouch in between

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27
Q

posterior surface of uterus is covered by peritoneum till

A

cervix & posterior fornix

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28
Q

posterior surface of uterus is related to

A

sigmoid colon
terminal ileum

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29
Q

upper ends of lateral border of uterus are an entry site of

A

uterine tube

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30
Q

upper ends of lateral border of uterus are an attachment site to

A

round ligament of uterus (antero-inferiorly)
ligament of ovary (postero-inferiorly)

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31
Q

uterine tube & round ligaments of ovary and uterus run in

A

broad ligament

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32
Q

broad ligament extends from

A

lateral pelvic wall to lateral uterine border

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33
Q

artery ascending along lateral borders of uterus

A

uterine artery (tortuous course)

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34
Q

most fixed part of uterus

A

cervix

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35
Q

uterine artery crosses ureter____

A

2cm from cervix

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36
Q

vagina is divided into 4 fornices by

A

vaginal part of cervix

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37
Q

cervical canal is connected to vagina by

A

external os

38
Q

supravaginal pt of cervix is related anteriorly to

A

bladder w/ parametrium in between

39
Q

supravaginal pt of cervix is related posteriorly to

A

rectum w/ Douglas pouch in between

40
Q

each side of supravagina pt of cervix is surrounded by

A

parametrium in which uterine artery crosses ureter 2cm from cervix

41
Q

supravaginal pt of cervix fully covered by parametrium

A

posterior

42
Q

supravaginal pt of cervix devoid of parametrium

A

anterior

43
Q

in fetus which is larger:
cervix or body

A

cervix

44
Q

in a coronal section: cavity of the body of uterus appears

A

triangular

45
Q

in sagittal section: cavity of body of uterus appears as a

A

transverse slit

46
Q

apex of cavity of body of uterus is the

A

internal os

47
Q

communications of cervical canal

A

cavity of body by–> internal os
vagina by–> external os

48
Q

base of cavity of body of uterus is b/w

A

openings of uterine tubes

49
Q

external os in nulliparous women

A

circular (pin’s head)

50
Q

external os in multiparous women

A

transverse slit

51
Q

isthmus corresponds to

A

upper 1/3 of cervix

52
Q

isthmus resembles

A

uterine body

53
Q

isthmus in non pregnant women

A

undergoes menstrual changes

54
Q

isthmus is pregnant women

A

taken up into body–> lower uterine segment

55
Q

peritoneal ligaments of uterus (3)

A

anterior lig
posterior lig
broad lig

56
Q

fibromuscular ligaments of ovary (4)

A

transverse cervical ligaments
pubocervical ligaments
uterosacral ligaments
round ligaments of uterus

57
Q

ligaments SUPPORTING uterus

A

fibromuscular ligaments

58
Q

ligaments NOT supporting uterus

A

peritoneal ligaments

59
Q

uterovesical fold forms

A

anterior ligament of uterus

60
Q

rectovesical fold forms

A

posterior ligament of uterus

61
Q

broad ligament extends from

A

sides of uterus—> lateral pelvic wall

62
Q

anterior ligament of uterus extends from

A

junction of body-cervix—->urinary bladder

63
Q

posterior ligament of uterus extends from

A

front of rectum–>posterior fornix & uterus

64
Q

transverse septum formed by uterus & 2 broad ligaments divides pelvic cavity into

A

ant compartment= bladder
post compartment= rectum, pelvic colon, coils of ileum

65
Q

superior layer of broad ligament is connected to ovary by

A

mesovarium

66
Q

superior layer of broad ligament is pierced by

A

infundibulum of fallopian tubes

67
Q

medial 4/5 of broad ligament contains

A

uterine tube

68
Q

lateral 1/5 of broad ligament forms

A

suspensory ligament of ovary

69
Q

posterior border of broad ligament rests on

A

pelvic diaphragm

70
Q

lateral border of broad ligament is attached to

A

lateral pelvic wall

71
Q

medial border of broad ligament is attached to

A

medial border of uterus

72
Q

parts of broad ligament (4)

A

mesovarium
mesometrium
mesosalpinx
suspensory ligament

73
Q

mesovarium transmits

A

ovarian vessels, nerves, lymphatics

74
Q

suspensory ligament of ovary transmits

A

ovarian vessels, nerves, lymphatics

75
Q

mesosalpinx contains

A

anastomosis b/w uterine & ovarian arteries

76
Q

mesometrium contains

A

uterine artery

77
Q

largest part of broad ligament

A

mesometrium

78
Q

contents of broad ligament

A

1-uterine tube
2-uterine vessels
3-ovarian vessels
—–
4-uterovaginal plexus
5-ovarian plexus
6-round ligament of uterus
7-ligament of ovary
8-epoophoron & garthner’s ducts
9-paroophoron
10-lymphatics
11-parametrium

79
Q

transverse cervical ligament

A

mackenrodt’s ligament=lateral cervical

80
Q

main supporting ligament of uterus

A

mackenrodt’s ligament

81
Q

infundibulopelvic part of broad ligament

A

suspensory ligament of ovary

82
Q

uterosacral ligament function

A

pulls uterus backward against forward pull of round ligament
keeps uterus in AVF position

83
Q

round ligament of uterus attaches to

A

anterior surface of uterus & in front the uterotubal junctions

84
Q

round ligament of uterus tranverses_______to reach______

A

inguinal canal to reach labia majora

85
Q

round ligaments of ovaries extend from

A

posterior surface of uterus—> behind uterotubal junction & uterine ends of ovaries

86
Q

uterus arterial supply

A

uterine artery

87
Q

uterus venous drainage

A

uterine venous plexus

88
Q

uterus nerve supply

A

uterovaginal autonomic plexus from inferior hypogastric plexus

89
Q

cervix lymphatic drainage

A

external & internal iliac LNs & sacral

90
Q

body lymphatic drainage

A

external iliac LNs

91
Q

uterotubal junction lymphatic drainage

A

superficial inguinal LNs

92
Q

fundus lymphatic drainage

A

para-aortic LNs

UROGENITAL (22 decks)

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