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Block 3 Week 5 Meg > Cobine: Female Pelvis > Flashcards

Cobine: Female Pelvis Flashcards

1
Q

Structures covered by peritoneum in the female pelvis

A 
rectum
ovary/ovarian vessels
bladder
uterus/round lig of uterus
ureter
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2
Q

The peritoneum continues from the anterior abdominal wall, curves at the level of the (blank), covers the (blank) surface of the bladder to the (blank) of the uterus, forming the (blank) pouch; then covers the fundus/body of the uterus, extends over the (blank) of the vagina, extends from the uterus to the rectum forming the (blank) pouch, then covers the anterior/lateral parts of the superior rectum and the lateral sides of the middle rectum before becoming sigmoid (blank) at S3

A

pubic bone; superior; isthmus; vesicouterine; fornix; rectouterine; mesocolon

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3
Q

(blank) fossa on each side of the bladder; (blank) fossa on each side of the rectum; separated by the (blank) of the uterus

A

paravesical; pararectal; broad ligament

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4
Q

What is contained in the broad ligament of the uterus?

A
  1. uterine tubes
  2. ovaries and their ligaments
  3. round ligament of the uterus
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5
Q

Deep recesses where fluid can accumulate in event of an infection; this pouch can collect blood or puss, is posterior to the fornix of the vagina

A

vesicouterine and rectouterine (Pouch of Douglas) pouches; Pouch of Douglas

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6
Q

aninflammation of theperitoneum, may result frominfection(e.g. from rupture of a hollow organ) or from a non-infectious process. If left untreated, sepsis.

A

peritonitis

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7
Q

extraction of fluid from the Pouch of Douglas via the posterior fornix of the vagina

A

culdocentesis

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8
Q

small incision, endoscope inserted for viewing.

A

colpotomy

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9
Q

T/F: pelvic peritonitis is usually fatal

A

True

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10
Q

What passes over the ureter in the female on its course to the posterior bladder? This is something to keep in mind when performing a hyst.

A

uterine artery

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11
Q

The apex of the bladder is in direct relation to the (blank). The bladder fundus is in direct relation to the (blank).

A

fundus of the uterus; anterior wall of the vagina

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12
Q

When empty, the bladder is in the (blank) pelvis. When full, the bladder is in the (blank) pelvis.

A

lesser pelvis; greater pelvis

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13
Q

What is significant about the retropubic space?

A

allows distensibility of the bladder

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14
Q

What is significant about the lateral ligaments (pubovesical) of the bladder and the tendinous arch of pelvic fascia?

A

keep the bladder in place

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15
Q

What composes bladder walls?
Utereric orifices and the internal urethral orifice are at the angles of the (blank) bladder
Ureteric orifices are encircled by loops of (blank) that tighten as the bladder contracts to prevent the reflux of urine into the ureter

A

detrusor muscle; trigone; detrusor muscle

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16
Q

Blood supply to:

  1. anterosuperior bladder
  2. fundus and neck
  3. other
A
  1. superior vesical arteries
  2. vaginal arteries (inferior vesical in males)
  3. obturator and inf. gluteal arteries
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17
Q

Venous drainage in female bladder corresponds to arteries. (blank) plexus receives blood from the dorsal vein of the clitoris, and this plexus communicates with the (blank) plexus.

A

vesical venous plexus; vaginal

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18
Q

double layer of peritoneum extending from the sides of the uterus to the lateral walls and floor of the pelvis keeping the uterus in place

A

broad ligament of the uterus

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19
Q

3 parts of the broad ligament

  1. contains the uterine tube
  2. contains the ovary
  3. acts as the mesentery for the uterus
A
  1. mesoalpinx
  2. mesovarium
  3. mesometrium
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20
Q

Where the broad ligament is prolonged superiorly over the ovarian vessles; superolateral to the ovary

A

suspensory ligament of the ovary

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21
Q

lies anteroinferior to the uterotubal junction, courses to deep inguinal canal, passes through the inguinal canal and terminates at the labium majus

A

round ligament of the uterus

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22
Q

What are the ovarian ligament and round ligament of the uterus vestiges of?

A

ovarian gubernaculum

23
Q

extend from the supravaginal part of the cervix and lateral vaginal fornices to the lateral walls of the pelvis (contains uterine artery and vein)

A

transverse cervical ligaments (cardinal ligament)

24
Q

condensations of the pelvic fascia that extend from the cervix to the posterolateral pelvic walls

A

uterosacral ligament

25
Q

The ovary is suspended by peritoneal folds: from the posterosuperior aspect of the broad ligament by the (blank) and from the lateral pelvic walls by the (blank)

A

mesovarium; suspensory ligaments of the ovary

26
Q

(blank) contains ovarian vessels, lymphatics, and nerves which run within the suspensory ligament of the ovary contained within it

A

mesovarium

27
Q

When an oocyte is expelled, it passes into the (blank). It is trapped by the fimbriae (finger-like projections) of the (blank) of the uterine tube and swept up into the ampulla for possible fertilization

A

peritoneal cavity; infundibulum

28
Q

Two parts of the uterus - what demarcates the two parts?

Two surfaces of the uterus

A

body (superior 2/3) and cervix (narror inferior 1/3); isthmus; vesical and intestinal

29
Q

The body of the uterus lies on the (blank); the cervix lies between these two things

A

bladder; bladder and rectum

30
Q

What separates the supravaginal part of the cervix from the rectum?

A

Pouch of Douglas

31
Q

Two parts of the cervix

A

supravaginal (between isthmus and vagina) and vaginal

32
Q

Narrow space surrounding the external os of the uterus (cervix); has anterior, posterior, and lateral parts

A

vaginal fornix

33
Q

Three parts of uterine wall

  1. serosal layer
  2. middle coat of smooth muscle, main branches of blood vessels, dilates the cervical os during childbirth, producing cramping
  3. inner mucous coat that is shed during menstruation, location of blastocyst implantation
A
  1. perimetrium
  2. myometrium
  3. endometrium
34
Q

T/F:
The cervix is mostly fibrous vs. the muscular uterine body.
External os is H shaped in parous women.

A

True; true

35
Q

Blood supply to uterus

A

uterine arteries, ovarian arteries (uterine arteries also supply placenta)

36
Q

The uterus is normally (blank) with respect to the vagina, and (blank) with respect to the cervix

A

anteverted (90 degrees); anteflexed (170 degrees)

37
Q

T/F: normally some weight of the uterus is borne by the urinary bladder

38
Q

Causes of uterine prolapse

A 
weakened pelvic floor muscles/ligaments
childbirth
aging
lack of estrogen after menopause
pressure on pelvic muscles
39
Q

1st degree prolapse vs. 2nd degree vs. 3rd degree

A

1st: cervix still inside vagina
2nd: cervix outside of vulva
3rd: complete prolapse

40
Q

Conduct the ovum, usual site of fertilization
Extend laterally from the uterine horns and open into the peritoneal cavity near the ovaries
Lie in the mesosalpinx in the free edges of the broad ligaments

A

uterine tubes

41
Q

Ideally, the uterine tubes arch (blank) and (blank) to the ovaries. However, lots of variation can occur.

A

anterior; superior

42
Q

Four parts of uterine tube

A
  1. infundibulum
  2. ampulla
  3. isthmus
  4. uterine part
43
Q

The vagina extends from the (blank) to the vestibule. Superior end surrounds the (blank). Its walls are usually (blank). It passes through the medial margins of the (blank) muscles.

A

cervix; cervix; collapsed; levator ani

44
Q

Blood supply to vagina

  1. superior
  2. middle/inferior
A
  1. uterine arteries

2. vaginal and internal pudendal arteries

45
Q

Venous drainage from vagina

A

vaginal veins –> vaginal venous plexus –> continuous with uterine venous plexus –> uterine vein –> internal iliac veins (also communication with vesical and rectal venous plexuses)

46
Q

T/F: The vagina has rugae

47
Q

Pregnancy can be detected as softening of the uterine (blank) - cervix feels separated from the body

48
Q

What ligament contains the uterine artery and vein?

A

cardinal ligament

49
Q

Where does the round ligament of the uterus terminate?

A

at the labium majus

50
Q

Two vestiges of the gubernaculum?

A

Round ligament of the ovary

Round ligament of the uterus

51
Q

The ovary is suspended in the peritoneal cavity and its peritoneal surface is characterized by scarring from (blank)

52
Q

What separates the supravaginal part of the cervix from the bladder? What separates it from the rectum?

A

loose CT; pouch of Douglas

53
Q

Which part of the cervix is between the isthmus and the vagina? Which part protrudes into the vagina?

A

supravaginal; vaginal

54
Q

Which part of the vaginal fornix is the deepest?

Block 3 Week 5 Meg (8 decks)

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