B8-003 Reproductive Organs Flashcards
the prostate is connected to the pubic symphysis via the […] ligament
puboprostatic
limits the direct spread of prostate cancer, preventing it from going into the rectum
rectoprostatic fascia (denonvillier)
deepest point of the pelvic area
fluid accumulates here in ascites
in a man
rectovesicular pouch
tough, fibrous outer covering of the testicle/ovary
tunica albuginea
(septa within testes is also comprised of this)
sperm production occurs in the
seminiferous tubules
sperm is stored in the
ductals of the epididymis
the vas deferens exits through the […] into the pelvis
deep inguinal ring
the ductus deferens ascends up the
spermatic cord
form the blood-testes barrier
sertoli cells
(in germinal epithelium)
in what layer of the seminiferous tubule is sperm produced?
germinal epithelium
supporting/nurturing cells of the sperm
sertoli cells
interstitial areas between seminiferous tubules contain […] cells that release testosterone
leydig cells
surround the seminiferous tubules and generate contractions to propel sperm/fluid
myoid cells
the vas deferens is located superior to the […] on the posterior bladder
ureter
where the ampulla of the ductus deferens and the seminal vesicle join is called the […]
ejaculatory duct
prostate is located […] to the bladder
inferior
the bulbo-urethral glands are located in the […] pouch
deep perineal
(inferior to prostate)
secrete thick alkaline fluid that contains fructose and a coagulating agent to mix with sperm
seminal gland
blood supply to prostate [2]
inferior vesicle artery and middle rectal artery
what zone/lobe of the prostate is highly susceptible to BPH?
medial lobe (or central zone)
what zone/lobe of the prostate are more susceptible to prostate cancer ?
peripheral zone/inferior lobe
space between the pubic symphysis and bladder
retropubic space
pouch between the rectum and uterus
recto-uterine pouch (Douglas)
pouch between the bladder and uterus
vesico-uterine pouch
anchoring point for pelvic floor musculature and perineal muscles
perineal body
AKA perineal body
in females, the ureter runs adjacent to the […] ligament
suspensory ligament of the ovary
also cardinal
[…] encircle the cervix as is protrudes into the vagina
fornices
fold of peritoneum comprising the mesometrium, mesovarium, and mesosalpinx
broad ligament
connects the uterus to the lateral pelvic wall
broad ligament
ligament containing the ovary, fallopian tube, and round ligament
broad ligament
connects ovary to uterine horn
ovarian ligament
uterine ligament that is a derivative of the gubernaculum [2]
ovarian ligament
round ligament
connects the uterine horn to the labia majora
round ligament
uterine ligament that travels through the superficial inguinal canal
round ligament
connects the ovary to the lateral pelvic wall
suspensory (infundibulopelvic) ligament
uterine ligament containing the ovarian vessels
suspensory (infundibulopelvic) ligament
ovarian vessel ligation during oophorectomy risks damaging the
ureter
connects the cervix to the lateral pelvic wall
cardinal ligament
uterine ligament containing the uterine vessels
cardinal ligament
condensation at the base of the broad ligament forms the
cardinal ligament
uterine vessel ligation during hysterectomy risks damaging the
ureter
connects the cervix to the sacrum
uterosacral ligament
ligaments providing active support to the uterus [2]
cardinal
uterosacral
(everything else is passive)
uterine artery and vein travel in the […] ligament
cardinal
the ovarian artery and vein travel in the […] ligament
suspensory (infundibulopelvic) ligament
the ovarian artery and the uterine artery anastomose in the [2]
mesovarium
mesosalpinx
(of the broad ligament)
angle of the uterine body and axis of cervix
anteflexion
angle of axis of the vagina and axis of the cervix
anteversion
uterus is located more posteriorly
retroversion
ligaments involved in ovarian torsion [2]
suspensory
ovarian
most common locations for ectopic pregnancy
ampulla of uterine tube
isthmus of uterine tube
uterus starts to descend into the vagina
uterine prolapse
bladder protrudes through vagina
cystocele
rectum protrudes anteriorly into vagina
rectocele
abdominal contents put pressure into the pouch of Douglas and push into the vagina
enterocele
part of the ovary that house the oogonia and corpus lutea
cortex
part of the ovary that is highly vascular and contains nerves
medulla
what layer of the endometrium is lost during menstruation?
stratum functionalis (superficial) layer
what layer of the endometrium is the source of regeneration?
stratum basalis (basal) layer
most common pelvic neoplasm
fibroids (leiomyomas)
sensitive to HPV viruses and site of cervical cancer
squamous-columnar junction and transformation zone of cervix
epithelial histology of the ectocervix
stratified squamous epithelium, non-keratinized
epithelial histology of the transformation zone
squamocolumnar junction
most common area for cervical cancer
sampled by pap test
transformation zone
epithelial histology of the endocervix
simple columnar epithelium
epithelial histology of the uterus
simple columnar epithelium with long tubular glands in the proliferative phase and coiled glands in the secretory phase
epithelial histology of the fallopian tube
simple columnar epithelium, ciliated
epithelial histology of the outer surface of the ovary
simple cuboidal epithelium
epithelial histology of the vagina
stratified squamous epithelium, non-keratinized
pathway of sperm during ejaculation (First Aid version)
Seminiferous tubules
Epididymis
Vas deferens
Ejaculatory ducts
Nothing
Urethra
Penis
SEVEN UP
cell of the seminiferous tubule that maintains the germ cell pool and produce primary spermatocytes
speramatogonia
germ cells that line the seminiferous tubules
spermatogonia
cell of the seminiferous tubule that secrete inhibin B and androgen binding protein
sertoli cells
cell of the seminiferous tubule that produce MIF
sertoli cells
tight junctions between […] cells forms the bood-testis barrier
sertoli cells
(isolates gametes from autoimmune attack)
cell of the seminiferous tubule that support/nourish developing spermatozoa
sertoli cells
cell of the seminiferous tubule that regulates spermatogenesis
sertoli cells
cell of the seminiferous tubule that are temperature sensitive
sertoli cells
(decrease sperm production and increase inhibin B)
convert testosterone and androstenedione to estrogens via aromatase
in males
sertoli cells
homolog of female granulosa cell
sertoli cells
granuolSa,Sertoli, fSh
cell of the seminiferous tubule that secrete testosterone in the presence of LH
leydig cells
cell of the seminiferous tubule that is unaffected by temperature
leydig cells
homolog of female theca interna cells
leydig cells
prior to ejaculation, sperm are stored in the
epididymis
BPH most commonly affects the […] of the prostate
median lobe/transition zone
prostatic cancer most commonly affects the […] of the prostate
posterior lateral lobes/ peripheral zone
open onto the posterior of the bladder wall, commonly affected by posterior bladder cancer
ureter
what is the most common position of the uterus
anteflexed and anteverted
layer in which fibroids form
myometrium
vaginal artery and vaginal branch both arise from the […] artery
uterine
vaginal structure surrounding the cervix
fornices
(ligated in hysterectomy)
what layers are incised to access the vas deferens
skin
dartos
external spermatic fascia (external oblique)
cremaster (internal oblique)
internal spermatic fascia (transversalis)
what structures should be dissected away during vasectomy? [2]
testicular artery
pampiniform plexus of veins
pathway of sperm from testis to urethra (Keim’s version)
seminiferous tubules
rete testis
efferent ductules
epididymis (stores sperm)
vas deferens
ejaculatory duct
prostatic urethra
intermediate urethra
spongey urethra
the vas deferens combines with the […] via the ejaculatory duct
seminal vesicle
immune reaction that can be a complication of vasectomy
sperm granuloma
(hard nodule in place that procedure was performed)
if cervical cancer is effecting the stratified squamous epithelium, what is it called?
squamous cell carcinoma
if cervical cancer is effecting the simple columnar epithelium, what is it called?
cervical adenocarcinoma
the transformation zone of the cervix is […] as the female ages
migratory
fluid build up in a persistent process vaginalis causing a swollen testis
hydrocele
diagnosed via transillumination, the light penetrates through
hydrocele
(if hemocele, light would not penetrate)
engorgement of the pampiniform plexus of veins in a “worm-like” sac
varicocele
varicocele is most commonly on the left side due to compression of the […] vein between the aorta and SMA
left renal vein
(nutcracker syndrome)
compression of left renal vein between the aorta and superior mesenteric artery
Nutcracker syndrome
undescended or agenesis of a testicle
cryptorchidism
painless-fluid filled sac of the epididymis
spermatocele
weakening of the ligaments and muscles supporting the uterus due to pregnancy, age, and weight can result in […] causing urinary incontinence
uterine prolapse
chronic […] infection is the primary cause of cervical cancer
HPV
edematous ovaries on ultrasound and decreased ovarian blood flow on doppler
ovarian torsion
ovarian torsion occurs in the […] ligament
suspensory
(can occlude ovarian artery and vein)
[…] ducts open in the seminal colliculus
ejaculatory ducts
[…] ducts open into the urethral sinuses
prostate
[…] ducts open into the bulbous part of the penile urethra
bulbourethral ducts
the ducts of the […] join the ampulla of the ductus deferens to form the ejaculatory duct
seminal vesicle
pathological accumulations of serous fluids within the spermatic cord due to serous secretions from a remnant of the peritoneum (tunica vaginalis)
hydrocele
painless swollen testis that feels like a water balloon
hydrocele
identify the layers of the uterus
A. stratum functionalis of endometrium
b. stratum basalis of endometrium
c. myometrium
d. serosa
fibroids form in what layer of the uterus?
myometrium
presents with heavy/prolonged menses, reproductive dysfunction, and bulk related symptoms
fibroids
what is the normal histology of the place a Pap smear is obtained?
transition from squamous to columnar epithelial cells
will present with continuous urine loss from the vagina
vesicovaginal fistula
positional, intermittent leakage of urine from the vagina could indicated
ureterovaginal fistula
BPH will most likely form in what zone of the prostate?
transition (central) zone
AKA median lobe
prostate cancer will most likely form in what zone of the prostate?
peripheral zone