Board review

Question 1

Broad Ligament

Answer 1

lateral aspect of the uterus to pelvic sidewall

Question 2

Mesovarium ligament

Answer 2

posterior fold of the broad ligament: encloses the fallopian tube.

Question 3

Mesosalpinx ligament

Answer 3

upper fold of the broad ligament: encloses the fallopian tube.

Question 4

Round ligament

Answer 4

fundus to anterior pelvic sidewalls: holds uterus forward

Question 5

Cardinal Ligament

Answer 5

extends across the pelvic floor laterally : supports the cervix

Question 6

Uterosacral ligament

Answer 6

extends from uterine isthmus downward, alongside the rectum to the sacrum: supports the cervix

Question 7

Sespensory ligament

Answer 7

extends from lateral aspect of the ovary to the pelvic side wall

Question 8

Ovarian ligament

Answer 8

extends medially from the ovary to the uterine cornua

Question 9

Uterus position

Answer 9

posterior to the vesicouterine pouch and the superior surface of the bladder.

anterior to the rectouterine pouch (of Douglas) , the ilium and the colon

Question 10

Uterine size Premenarcheal

Answer 10

1-3cm x .5-1cm

Question 11

Uterine size Menarcheal

Answer 11

6-8cm x 3-5cm

Question 12

Uterine size Multiparity

Answer 12

7-9cm x 5-7cm

Question 13

Uterine size Postmenopausal

Answer 13

3.5-5.5cm x 2-3cm

Question 14

Menstration

Answer 14

days 1-14

Question 15

Proliferative Phase

Answer 15

days 5-14 "3 line sign"
coresponds to follicular phase
thin endo
estrogen increases , causes endo to thicken 4-8mm
Ovulation at day 14

Question 16

Secretory Phase

Answer 16

days 15-28
coresponds to luteal phase
ruptured follicle becomes corpus luteum
corpus luteum secrets progesterone
endo thickens 7-14mm

Question 17

gonadotropins

Answer 17

FSH-follicle stimulating

LH-luteinizing

Question 18

FSH

Answer 18

released by the anterior pituitary gland

causes ovarian follicles to develop (follicular phase)

Question 19

As ovarian follicles grow they secreate

Answer 19

estrogen

Question 20

Once estrogen reaches a certain limit

Answer 20

FSH stops and LH starts

24-36 hours later ovulation occures

Question 21

Luteal phase

Answer 21

starts at ovulation

14 days long

Question 22

corpus luteum secretes

Answer 22

progesterone
if no pregnancy then degenerates 9-11 after ovulation
If pregnancy then hCG produced by zygote causes the corpus luteum to persist and continue to secrete progesterone for 3 months.

Question 23

dysmenorrhea

Answer 23

painful periods

Question 24

menorrahgia

Answer 24

heavy periods

Question 25

oligomenorrhea

Answer 25

short or light periods

Question 26

polymenorrhea

Answer 26

short cycle less than 21 days

Question 27

amenorrhea

Answer 27

no period

Question 28

Space of Retzius

Answer 28

between the anterior bladder wall and the pubic symphysis