Anatomy

Question 1

Structures related to lateral fornix of vagina

Answer 1

From below upwards
1)Cavernous tissue of vestibule
2)Superficial muscles of the perineum
3)Triangular ligament ,levator ani(2.5 cm above introitus),,lateral to it is the ischiorectal fossa
4)Endopelvic cellular tissue ,it’s condensation Mackenrodts ligament
5)Ureter ,12.5cm lateral to fornix
6)Vaginal branch of uterine artery

Question 2

Ph of vagina

Answer 2

3.5-4.5

Question 3

Another name of lactobacillus

Answer 3

Doderleins bacillus

Question 4

The main source of physiological secretion of vagina

Answer 4

Cervix

Question 5

Source of different components of Vaginal secretions

Answer 5

1)Endocervical secretions-mostly alkaline
2)Transudate of Vaginal episthelium and desquamate cells-acidic
3)Sweat and sebaceous glands of vulva and specialized reacemoc glands of Bartholin,odor due to secretions from apocrine glands of vagina
Endometrial glandular secretion

Question 6

Uterus to cervix ration in different age groups

Answer 6

Birth-1:1
Before puberty-1:2
After puberty-2:1
Reproductive life-3:1
Menopause-1:1

Question 7

Lining of cervix

Answer 7

Endocervix-high columnar
Ecto-non keratinized stratified squamous epi

Question 8

Nabathian follicles occur in

Answer 8

Erosion of cervix seen in chronic cervicitis

Question 9

Where does bartholin duct lies and opens into

Answer 9

Lies in the junction of middle and lower third of labium majus
And opens into a groove between labia minora and hymen

Question 10

Treatment of bartholin cyst and abscess

Answer 10

Non tender swelling at the introitus- bartholins cyst
Asymptomatic - no treatment
Symptomatic-<3cm-sitz bath and warm compresses
>3cm Incision and drainage and word catheter placement

More than 40 years-excision of cyst

If tender-Bartholin abscess
<3cm- Incision and drainage and culture
>3cm-I and D with culture,word catheter placement,antibiotics

Question 11

Narrowest part of FT

Answer 11

Interstitial portion

Question 12

Peg cells seen in

Answer 12

Fallopian tube

Question 13

Where does round ligament start and end

Answer 13

Starts at the upper end of uterus -goes into deep IR -Ing canal-SIR -ends in labia majora

Question 14

Attachments of ovary

Answer 14

Ovary is attached to posterior layer of broad ligament by mesovarium
Attached to lateral wall by infundibulopelvic ligament
To uterus by ovarian ligament

Question 15

Blood supply and drainage of ovaries

Answer 15

Supply by ovarian artery-branch of abdominal aorta
Venous drainage through pampiniform plexus to form ovarian vein — drains into IVC on right side and left renal vein on left side

Question 16

Where does round ligament develop form and its blood supply

Answer 16

Blood supply-Sampsons artery-branch of uterine artery

Develops from Gubernaculum

Question 17

Why does bicornuate uterus occur

Answer 17

Due to incomplete fusion of paramesinephric ducts

Question 18

Derivatives of paramesonephric duct

Answer 18

Hydatid testis
Uterus ,FT

Question 19

Gartners cyst develops from

Answer 19

Mesonephric duct

Question 20

For hormonal study,sample should be taken from which wall of vagina

Answer 20

Lateral wall

Question 21

Vaginal defense is lost at

Answer 21

10 days after birth

Question 22

Which ligament carries ovarian artery

Answer 22

Suspensory ligament of ovary

Question 23

Ligament which keeps the uterus in AV and AF position

Answer 23

Round ligament

Question 24

Ligament which prevents retroversion of uterus

Answer 24

Uterosacral ligament

Question 25

Remanats of Müllerian ducts in male

Answer 25

Appendix of testes (Hydatid of Morgagni)
Prostatic utriculus

Question 26

Most common uterine malformation association with renal anomaly

Answer 26

Unicornuate uterus

Question 27

Effects of DES in male

Answer 27

Cryptorchidism
Testicular hypoplasia
Hypospadias

Question 28

If during PV,first structure palpated is posterior lip of cervix it means

Answer 28

Uterus is retroverted

Question 29

Nerve supply of levator ani

Answer 29

Pudendal nerve (S2,3,4)