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Repro Class Notes > Dr. Lobo Review Session > Flashcards

Dr. Lobo Review Session Flashcards

1
Q

what is the order in which the organ are loacted in female from anterior to posterior

A

bladder, uterus , rectum

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2
Q

there is a collection of fluid in the peritoneal cavity of the abdomin. What do you do?

A

you need to do a culdocentesis. which is whne an instruments is inserted thru a cut made to the posterior fornix to aspirate a pelvic abcess

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3
Q

a culdocentesis is specificallly made it what part of a womans body

A

posterior fornix

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4
Q

a person does a pelvic exam. what 3 things are palpated anterior

A

urethra, bladder, pubic symphasis

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5
Q

what 2 things are palpated posteriorly in a pelvic exam

A

rectum and pouch of douglas

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6
Q

what 4 things are palpated laterally on a pelvic exam

A

ovary, fallopian tube, lateral pelvic wall and ureters

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7
Q

the pocket formed between the uterus and rectum is called what

A

rectouterine pouch or pouch of douglas

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8
Q

what 5 things are found in the broad ligament

A 
falllopian tube
ovarian vessels  
uterine vessels 
round ligament
ovarian ligament
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9
Q

embryologivally wehre does the ovarian and round ligament come from

A

gubernaculum

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10
Q

what is the function of the round ligament

A

connects the uterus to the labia majora

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11
Q

the round ligament is a remnant of what structure

A

gubernaculum

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12
Q

what structure does the round ligament pass thru

A

inguinal canal

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13
Q

what is the most important support muscle for the uterus

A

levator ani muscles

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14
Q

the pelvic fascia form what 3 important ligaments

A

transverse cervical ligament aka mackendroth ligament
pubocervical ligament
sacrocervical ligament

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15
Q

which ligament plays the biggest role in supporting the uterus

A

transverse cervical ligament aka mackenrodth ligament

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16
Q

where do uterine tubes open into

A

the peritoneal cavity

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17
Q

t/f in female the peritoneal cavity is open to the exterior

A

true! this is because the fallopian tube opens into the peritoneal cavity

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18
Q

the suspensory ligament contains what vessels

A

ovarian vessels

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19
Q

cutting what ligament will “ kill “ the ovary

A

the suspensory ligament of the ovary aka the infundigo pelvic ligament

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20
Q

where do the ovaries get their blood supply

A

the branch of the abdominal aorta at the L1 level

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21
Q

where does the ovarian veins drain into on the right and left side

A

right - IVC

Left - L renal vein

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22
Q

where does lymph from the gonads drain into

A

the para aortic aka. pre aortic lymph nodes at L1

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23
Q

During removal of the uterus , what is something that you must be careful of

A

the ureter under the uterine artery!!

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24
Q

what do you do to test the patency of the fallopian tube

A

hysterosalpingography

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25
Q

where does the aorta divide

A

L4

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26
Q

Where does the aorta pierce the diaphragm

A

T12

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27
Q

Where does the IVC form

A

L5

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28
Q

Where does the IVC pierce the diaphramg

A

T8

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29
Q

What are the posterior branches of the internal illiac

A

illiolumbar
lateral sacral artery
superior gluteal artery

30
Q

if the anterior division of the internal illiac is blocked what is the only sturcutre in the female pelvis that will not be affected

A

ovaries because they are getting supplied by aorta

31
Q

which supplies more stuff in the pelvis the anterior or posterior division of the internal illiac

A

the anterior supplies 6 things and the posterior only supplies 3

32
Q

what artery supplies the perinum

A

pudendal artery

33
Q

what are the branches of the pudendal artery

A

inferior rectal
posterior scrotal
deep artery of the penis
dorsal artery of the penis

34
Q

the superficial pouch and deep pouch are separated by what membrane

A

perineal membrane

35
Q

what are the boundaries of the superficial pouch

A

colles fasicia and perineal membrane

36
Q

what are the contents of the superficial perineal pouch

A

superficial transverese perineal muscle

bulbospongiouss muscles

ischiocavernosus muscles

branches of the internal pudendal vessels

perineal nerve and its branches

37
Q

where are the greater vestibular glands aka bartholin gland located in a female

A

superficial perineal pouch

38
Q

where does the greater vestibular glands aka bartholin glands open

A

in the lower part of the vagina

39
Q

what is the function of the greater vestibular glands

A

secrete mucus the lubricate vagina

40
Q

what part of the urethra is present in the deep perineal pouch

A

membranous urethra

41
Q

what part of the urethra is present in the superficial pouch

A

spongy urethra

42
Q

there is a rupture of the spongy urethra . where will the urine accumulate

A

in the scrotum

43
Q

there is a rupture of the membranous urethra. wehre will the urine accumulate

A

urogenital diaphragm

44
Q

what gland is loacted in the deep perineal pouch in males

A

bulbourethral aka cowpers glands

45
Q

what 2 muscles are located in the deep perineal pouch in males

A

deep transverse perineal muscle

sphincter urethrae

46
Q

where is the ischoanal fossa located

A

below the pelvic diaphragm

47
Q

the lateral wall of the ischoanal fossa contains what

A

pudendal canal . this transmits the pudendal nerve and internal pudendal vessels

48
Q

where is the pudendal canal located

A

the lateral wall of the ischoanal fossa

49
Q

if the inferior rectal nerve is damaged what will happen

A

loss of voluntary control of anal canal

50
Q

what arteries are located above and below the pectinate line

A

above = superior rectal artery

below = inferior rectal artery

51
Q

what veins are located above the pectinate line

A

above = superior rectal vein

below = inferior rectal vein

52
Q

where does lymph drain above and below the pectinate line

A

above = internal illiac node

below = superficial inguinal node

53
Q

nerve supply above and below the pectinate line

A

above = autonomic 2-L1,2

Below = inferior rectal nerve

54
Q

describe the difference in pain above and below the pectinate line

A 
above = not painful 
below = very painful
55
Q

where do the arteries come from above the pectinate line

A

inferior mesinteric artry

56
Q

where do the veins go to in the anal canal above the pectinate line

A

portal venus system

57
Q

where do the arterys come from below the pectinate line

A

internal illiac

58
Q

where do the veins go to below the pectinate line

A

caval venus system

59
Q

what is the landmark for the pudendal nerve block

A

ischial spine

60
Q

what is a pudendal nerve block used for

A

releive pain during childbirth

61
Q

what muscle is cut thru when you cut a midline vs medial lateral episiotomy

A

midline = superficial and deep perineal body

mediolateral = bulbospongiouss

62
Q

what causes bicornate uterus

A

partial fusion of paramesonephric ducts

63
Q

what does the paramesonephric duct turn into in males

A

appendix testis

64
Q

what does the mesonephric duct turn into in females

A

gartners duct

65
Q

what does the gubernaculum turn into. in males and females

A

males = gubernaculum testis

females = overain ligament, round ligament of uterus

66
Q

what do the urethral folds turn into in males and females

A

males = ventral aspect of the penis

females = labia minora

67
Q

the scrotum in males is made from what

A

genital swelling

68
Q

the labia majora , mons pubis is form what struture

A

genital swelling

69
Q

the clitoris, corpus cavernosa and vetibular bulbs come from what structure

A

genital tubercle

70
Q

the glans penis , copus cavernosa and corpus spongiosum come from what structure

A

genital tubricle

71
Q

the epoopohron and paroophoa come from what structure

A

mesonephric tubricle s

72
Q

the appendix testes comes from what

A

paramesonecphric duct

Repro Class Notes (9 decks)

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