Anatomy part 2 Flashcards

1
Q

3 structures constituting the birth canal

A

Uterus
Cervix
Vagina

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2
Q

3 layers of the uterine wall

A

Endometrium
Myometrium
Perimetrium

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3
Q

Normal position of the uterus

A

Anteflexed anteverted

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4
Q

What is the space called behind the uterus but in front of the rectum

A

Rectouterine pouch (pouch of Douglas)

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5
Q

What are the fornices of the vagina

A

Protrusions of the cervix into the vagina - anterior/posterior recesses

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6
Q

Through which vaginal fornix can you access the rectouterine pouch

A

Posterior fornix - infection can collect here

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7
Q

The uterus and cervix are firmly anchored into position by what 4 ligaments + describe each

A

Ligament of ovary - connects ovary to lateral surface of uterus

Suspensory ligament of ovary - connects ovary to anterior abdominal wall

Round ligament of uterus - lies within the broad ligament

Broad ligament - sheet of peritoneum extending from the lateral pelvic walls that covers the internal genitalia

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8
Q

Which ligament is called the cardinal ligament of the uterus

A

Lateral cervical (transverse cervical) - located at base of broad ligament and attaches cervix to lateral pelvic wall

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9
Q

Apart from the pelvic fascia, what other structures support the uterus

A

Muscles of pelvic floor

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10
Q

Fallopian tubes are divided into 4 parts - name these from most proximal to uterus

A

Isthmus (narrowest) –> ampulla –> infundibulum –> fimbriae (finger like projections that catch the eggs from the ovary)

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11
Q

Which part of the uterine tube is the longest and widest

A

Ampulla

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12
Q

Fertilisation occurs in which part of the fallopian tube usually

A

Ampulla

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13
Q

What is an ectopic pregnancy

A

When fertilised egg implants outwith the uterine (endometrial) cavity

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14
Q

Round ligament of uterus is remnant of

A

embryonic gubernaculum

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15
Q

Arterial supply of the ovaries

A

Ovarian artery - arises from the abdo aorta at L2

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16
Q

The ovarian artery descends within what ligament

A

Suspensory ligament of ovary

17
Q

Uterine artery (branch of internal iliac) crosses over what structure at the level of the ischial spine

A

Ureter

18
Q

Lymph from the labia and lower vagina drains into

A

Superficial inguinal nodes

19
Q

Lymphatic drainage of the ovaries

A

Para-aortic nodes

20
Q

Lymphatic drainage of fundus + upper uterine body

A

Pre-aortic nodes

21
Q

Lymphatic drainage of majority of uterine body

A

Internal iliac nodes

22
Q

Lymphatic drainage of cervix and upper vagina

A

Internal iliac and sacral nodes

23
Q

The breast extend vertically from ribs … to … and horizontally from the … to …

A

ribs 2-4

lateral border of sternum to mid-axillary line

24
Q

The base of the breast (mammary glands) lies on what fascia + lies on what 2 muscles

A

Pectoral fascia - associated with pectoralis major

Serratus anterior

25
Q

Arterial supply of the breasts

  • medial aspect
  • lateral aspect
A

Medial aspect - internal thoracic artery (from subclavian)

Lateral aspect - lateral thoracic and thoracoacromial branches (from axillary),
lateral mammary branches and mammary branch

26
Q

Lymphatic drainage of the breasts (3)

A

Axillary nodes - 75%, lateral quadrants

Parasternal nodes - medial quadrants of breast

Posterior intercostal nodes

27
Q

Which group of lymph nodes receive lymph from the lateral quadrants of the breast

A

Axillary

28
Q

Breasts are modified sweat glands which consist of a series of … and … … (15-20)

Each lobule contains many … drained by a single … …

Lobules are surrounded by …

A

ducts and secretory lobules

alveoli drained by a single lactiferous duct

stroma (connective tissue)

29
Q

Lactiferous ducts are lined by what epithelium (2)

A

Columnar epithelium supported by a further layer of myoepithelial cells

30
Q

Fallopian tubes are lined by what epithelium

A

Ciliated columnar

31
Q

Appearance of maternal vs foetal surface of placenta

A

Foetal surface is smooth and has attachment for umbilical cord and maternal is rough

32
Q

Functions of placenta

A

Nutrient + gas exchange
Produce hormones
Protect against infection
Excrete waste products from foetus

33
Q

When is the placenta meant to separate from the uterine wall

A

Third/last stage of labour once foetus has been delivered

34
Q

3 structures within the umbilical cord are

A

2 umbilical arteries

1 umbilical vein

35
Q

Function of umbilical arteries in utero

A

Carry deoxygenated blood from foetus to placenta

36
Q

What does the umbilical vein persist as in females

A

Round ligament of uterus

37
Q

Function of the umbilical vein in utero

A

Carry oxygenated blood from placenta to foetus