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OB GYN REGISTRY > Ch. 1 Female Reproductive Anatomy > Flashcards

Ch. 1 Female Reproductive Anatomy Flashcards

1
Q

In adults, the pelvic skeleton is composed of which bones?

A

Sacrum, coccyx, two innominate bones ( os coxae )

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2
Q

The innominate bones consist of the…

A

Fused ilium, ischium, and pubis

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3
Q

What divides the pelvic cavity into two regions?

A

Linea terminalis

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4
Q

Which pelvis is located above the linea terminalis?

A

False or greater pelvis

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5
Q

In a nongravid patient, where are the uterus, ovaries, and adnexa situated?

A

In the true pelvis

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6
Q

Type of ligament that connects pelvic bones together

A

Osseous ligament

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7
Q

Type of ligament that supports the uterus and ovaries

A

Suspensory ligament

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8
Q

A suspensory ligament that connects the uterus at the level of the cervix to provide support for the uterus and cervix

A

Cardinal (lateral cervical)

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9
Q

A type of suspensory ligament that extends from the lateral aspects of the uterus and attach to the lateral pelvic side wall

A

Broad ligament

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10
Q

Suspensory ligament that attaches the uterine cornu to the anterior pelvic wall, grows with pregnancy

A

Round ligament 

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11
Q

Suspensory ligament that attaches the ovary to the posterior layer of the broad ligament on each side

A

Mesovarium ligament

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12
Q

When are pelvic ligaments typically seen on ultrasound ?

A

In the presence of ascites 

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13
Q

Muscle responsible for the refraction or ghosting artifact that is occasionally seen while imaging the midline pelvis in a transverse plane

A

Rectus abdominis muscle

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14
Q

Which muscle is most likely to be mistaken for an ovary on ultrasound?

A

Iliopsoas muscle

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15
Q

Which two muscles make up the pelvic diaphragm or the pelvic floor?

A

Coccygeus and levator ani muscles

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16
Q

Where do the ureters insert the bladder? 

A

At the trigone. Inferior posterior portion. 

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17
Q

Typical length of the vagina is 

A

7-10 cm

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18
Q

Mucosal folds within the bladder are called

A

Rugae 

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19
Q

List the vaginal fornices 

A

Anterior fornix, posterior fornix, two lateral fornices 

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20
Q

Which vaginal fornix is a frequent site for fluid collections due to gravity dependence

A

Posterior fornix

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21
Q

When is a bladder considered adequately full for a trans abdominal pelvic ultrasound

A

When the dome or superior portion of the bladder extends above the uterine fundus

22
Q

What is the name for the main portion of the uterus

A

Body or corpus

23
Q

Which portion of the uterus grows at the most rapid rate during pregnancy

A

The Isthmus 

24
Q

What portion of the uterus provides an alkaline secretion favorable for sperm penetration

A

The cervix

25
Q

What layer of the uterus is the outer serosal layer

A

The Perimetrium 

26
Q

Portion of the uterus that is composed of three layers of smooth muscle that contract during childbirth

A

Myometrium

27
Q

Inner mucus layer of the uterus

A

Endometrium

28
Q

Forward placement of the uterus at the cervix forming a 90° angle with the vagina

A

Anteverted uterus

29
Q

Tilting backward of the uterus at the cervix or oriented more linearly in relationship to the vagina

A

Retroverted uterus

30
Q

Bending forward of the uterus at the body

A

Anteflexed uterus

31
Q

Bending backwards of the uterus at the body

A

Retroflexed uterus

32
Q

What is the most common uterine position

A

Anteverted and anteflexed 

33
Q

The outer functional layer of the ovary

A

Ovarian cortex

34
Q

The inner ovary which contains blood vessels and connective tissue

A

Ovarian medulla

35
Q

Portion of the ovary through which channel the ovarian vessels and nerves, it is situated on the anterior surface of each ovary

A

Ovarian Hilum 

36
Q

Typical length of the Oviducts 

A

7 to 14 cm

37
Q

Portion of the fallopian tube that is narrow and relatively straight, located within the uterine wall

A

Interstitial/intramural

38
Q

Medial portion of the fallopian tube closest to the uterus 

A

Isthmus 

39
Q

The longest portion of the fallopian tube which curves around the ovary; is thin walled distendable, normal sight of fertilization

A

Ampulla

40
Q

The outer trumpet shaped end of the fallopian tube

A

Infundibulum

41
Q

Numerous finger like projections which maintain a close relationship between the fallopian tube and ovary

A

Fimbriae 

42
Q

A peritoneal recess that is located between the pubic bone and the anterior urinary bladder wall

A

Space of Retzius aka retropubic or prevesical space

43
Q

Peritoneal Recess that is located anterior to the uterus and posterior to the urinary bladder

A

Vesicouterine space aka anterior cul de sac

44
Q

Peritoneal recess that is located posterior to the uterine cervix and anterior to the rectum. The most dependent recess in the body and therefore the most common site for free peritoneal fluid to collect

A

Recto uterine space a.k.a. posterior cul-de-sac a.k.a. pouch of Douglas

45
Q

Another term for internal iliac

A

Hypogastric artery

46
Q

Where does the left gonadal vein empty into

A

The left renal vein

47
Q

Dilated tortuous veins equal greater than 

A

Greater than 4 to 5 mm

48
Q

Dilated tortuous veins near the uterus and or in the adnexa may be associated with

A

Pelvic congestion syndrome 

49
Q

Describe the Doppler flow characteristics in a non-gravid patient of the uterine artery

A

Moderate to high velocity/high resistance flow. Higher resistance flow and proliferative phase than in secretory phase

50
Q

Describe the blood flow in ovarian arteries during the follicular phase

A

Low velocity and high resistance

OB GYN REGISTRY (19 decks)

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