Errors in Sexual Differentiation Flashcards by Clyde Silverio

___ syndrome

Presence of barr body

Turner Syndrome

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[Diagnosis]

short stature
shielded chest with widely shaped nipples
webbed neck
streaky ovary
CoA

Turners syndrome

Non-disjunction

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[Diagnosi]

Tall long extremities
gynecomastia
female hair distribution
eunuchoid body shape

Klinefelter Syndrome

47XXY

Non-disjunction

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[Diagnosi]

presence of 2 barr bodies

Superfemale

Triple X Syndrome

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Born with both ovarian and testicular tissues and with functional gonad

True Hermaphrodite

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Born with both ovarian and testicular tissues and with non-functional gonad

True hermaprodite

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male genotype

female phenotype

Testicular Feminization (androgen insensitivity)

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[Reproductive Anatomy]

extends from clitoris to posterior fourchette

vestibule

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[Reproductive Anatomy]

During the first coitus, the hymen usually ruptures at the ____ position

6 o’clock position

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____ refers to the remnants of hymen in adult female

Caruncle Myrtiformes

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_____ refers to the paraurethral glands

skene’s glands

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____ refers to the vulvovaginal gland

bartholin’s gland

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What are the 6 openings of the vestibule

Vaginal introitus
Urethral opening
Paired skene’s glands
paired bartholin

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[Reproductive Anatomy]

___ septum that separates the vagina from the bladder and urethra

Vesigovaginal septum

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[Reproductive Anatomy]

___ septum separates the lower portion of the vagina from the rectum

Rectovaginal Septum

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[Reproductive Anatomy]

separates the upper vaginal from the rectum

Rectouterine pouch of douglas

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[Reproductive Anatomy]

What is the blood supply of the upper 1/3 of the vagina

Cervico-vaginal branch of the Uterine artery

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[Reproductive Anatomy]

What is the blood supply of the middle 1/3 of the vagina

Inferior vesical arteries

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[Reproductive Anatomy]

What is the blood supply of the lower 1/3 of the vagina

Middle Rectal and Internal Pudendal Artery

LN: external and internal iliac nodes

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Which part of the cervix does vagina attach?

middle of the cervix

[Reproductive Anatomy]

the lower segment in the vagina is called

portio vaginalis

exocervix

[Reproductive Anatomy]

part of the cervix that is hormone sensitive

exocervix

[Reproductive Anatomy]

The major blood supply in the cervix is located at ____ positions

3 and 9 o’clock positions

[Reproductive Anatomy]

which layer of the endometrium responds to fluctuating hormonal levels

Stratum functionale

Zona spongiosa
Zona compacta

[Reproductive Anatomy] What arteries supply the stratum basale?

Straight arteries Stratum functionale - spiral arteries

[Reproductive Anatomy] what is the arrangement of the muscles of the myometrium?

1. Inner longitudinal 2. Middle oblique 3. Outer longitudinal

[Reproductive Anatomy] Narrowest portion of the fallopian tube

isthmus

[Reproductive Anatomy] site of fertilization in the fallopian tube

ampulla

[Reproductive Anatomy] the ovaries are attached to the broad ligament by _____

mesovarium

[Reproductive Anatomy: Ligaments of the ovary] _____ is formed by the posterior portion of the broad ligament; contains the ovarian and uterine arteries

mesovarium

[Reproductive Anatomy: Ligaments of the ovary] Narrow, short, extends from the lower pole of the ovary to the uterus

ovarian ligament

[Reproductive Anatomy: Ligaments of the ovary] attaches the upper pole of the ovary to the lateral pelvic wall; forms the superior and lateral aspect of the broad ligament

Infundibulopelvic Ligament Suspensory ligament of the ovary

[Reproductive Anatomy] the left ovarian vein drain to the ______

left renal vein

[Reproductive Anatomy] muscles important in supporting both the abdominal and pelvic viscera and facilitates equal distribution of intraabdominal pressure

pelvic diaphragm control of urination, in parturition, maintain fecal incontinence

[Reproductive Anatomy] What are the contents of the broad ligament?

1. Ovarian arteries 2. Uterine arteries 3. Ovarian ligament 4. Round ligament of uterus

[Reproductive Anatomy] ____ ligament provide major support of the uterus and cervix; maintains the anatomic position of the cervix and upper part of the vagina

Cardinal Ligament = Mackenrodt ligament

[Reproductive Anatomy] ____ ligament plays a role in the anatomic support of the cervix; from posterolateral to the supravaginal portion of the cervix encircling the rectum

uterosacral ligament

[Reproductive Anatomy] the ureters are found on the medial leaf of the parietal peritoneum and in close proximity to the

ovarian, uterine, obturator, superior vesical

[Reproductive Anatomy] at which level the ureter runs forward and medially from the uterosacral ligament to the base of the broad ligament?

ischial spine | then entering the cardinal ligament

[Reproductive Anatomy] just before entering the base of the bladder, the uterine is in immediate contact with the _____

anterior vaginal wall and the inferolateral aspect of the space of Retzius

[Reproductive Anatomy] how will you differentiate a ureter from a pelvic vessel?

1. Presence of peristalsis | 2. Visualization of the auerbach plexus

[Reproductive Anatomy] what is the arterial supply of the pudenda?

internal pudendal artery

[Reproductive Anatomy] what are the collateral circulation of the female pelvis, that are branches of the aorta?

1. Ovarian artery 2. Inferior mesenteric 3. Lumbar and vertebral 4. Middle sacral

[Reproductive Anatomy] what are the collateral circulation of the female pelvis, that are branches of the external iliac artery?

1. Deep iliac | 2. Inferior epigastric

[Reproductive Anatomy] what are the collateral circulation of the female pelvis, that are branches of the femoral artery?

1. Medial femoral circumflex | 2. Lateral femoral circumflex

[Reproductive Anatomy] improper placement of legs in the stirrups or prolonged dorsal lithotomy position can lead to damage of what nerve?

Peroneal nerve

[Reproductive Anatomy] radical hysterectomy, iliac and obturator nerve dissection can damage what nerve?

1. Genitofemoral | 2. Obturator

[Reproductive Anatomy] nerve that is damaged due to pressure from lateral blade of a self retaining retractor during n hysterectomy

femoral nerve prohibit flexion of the hip, cant left the leg off the bed

[Reproductive Anatomy] what artery can be damaged after a straddle or after giving anesthetic for second stage of labor

pudendal artery