Errors in Sexual Differentiation Flashcards

1
Q

___ syndrome

Presence of barr body

A

Turner Syndrome

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2
Q

[Diagnosis]

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

Turners syndrome

Non-disjunction

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3
Q

[Diagnosi]

Tall long extremities
gynecomastia
female hair distribution
eunuchoid body shape

A

Klinefelter Syndrome

47XXY

Non-disjunction

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4
Q

[Diagnosi]

presence of 2 barr bodies

A

Superfemale

Triple X Syndrome

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5
Q

Born with both ovarian and testicular tissues and with functional gonad

A

True Hermaphrodite

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6
Q

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

A

True hermaprodite

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7
Q

male genotype

female phenotype

A

Testicular Feminization (androgen insensitivity)

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8
Q

[Reproductive Anatomy]

extends from clitoris to posterior fourchette

A

vestibule

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9
Q

[Reproductive Anatomy]

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

A

6 o’clock position

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10
Q

____ refers to the remnants of hymen in adult female

A

Caruncle Myrtiformes

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11
Q

_____ refers to the paraurethral glands

A

skene’s glands

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12
Q

____ refers to the vulvovaginal gland

A

bartholin’s gland

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13
Q

What are the 6 openings of the vestibule

A
  1. Vaginal introitus
  2. Urethral opening
  3. Paired skene’s glands
  4. paired bartholin
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14
Q

[Reproductive Anatomy]

___ septum that separates the vagina from the bladder and urethra

A

Vesigovaginal septum

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15
Q

[Reproductive Anatomy]

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

A

Rectovaginal Septum

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16
Q

[Reproductive Anatomy]

separates the upper vaginal from the rectum

A

Rectouterine pouch of douglas

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17
Q

[Reproductive Anatomy]

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

A

Cervico-vaginal branch of the Uterine artery

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18
Q

[Reproductive Anatomy]

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

A

Inferior vesical arteries

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19
Q

[Reproductive Anatomy]

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

A

Middle Rectal and Internal Pudendal Artery

LN: external and internal iliac nodes

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20
Q

Which part of the cervix does vagina attach?

A

middle of the cervix

21
Q

[Reproductive Anatomy]

the lower segment in the vagina is called

A

portio vaginalis

exocervix

22
Q

[Reproductive Anatomy]

part of the cervix that is hormone sensitive

A

exocervix

23
Q

[Reproductive Anatomy]

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

A

3 and 9 o’clock positions

24
Q

[Reproductive Anatomy]

which layer of the endometrium responds to fluctuating hormonal levels

A

Stratum functionale

  1. Zona spongiosa
  2. Zona compacta
25
Q

[Reproductive Anatomy]

What arteries supply the stratum basale?

A

Straight arteries

Stratum functionale - spiral arteries

26
Q

[Reproductive Anatomy]

what is the arrangement of the muscles of the myometrium?

A
  1. Inner longitudinal
  2. Middle oblique
  3. Outer longitudinal
27
Q

[Reproductive Anatomy]

Narrowest portion of the fallopian tube

A

isthmus

28
Q

[Reproductive Anatomy]

site of fertilization in the fallopian tube

A

ampulla

29
Q

[Reproductive Anatomy]

the ovaries are attached to the broad ligament by _____

A

mesovarium

30
Q

[Reproductive Anatomy: Ligaments of the ovary]

_____ is formed by the posterior portion of the broad ligament; contains the ovarian and uterine arteries

A

mesovarium

31
Q

[Reproductive Anatomy: Ligaments of the ovary]

Narrow, short, extends from the lower pole of the ovary to the uterus

A

ovarian ligament

32
Q

[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

A

Infundibulopelvic Ligament

Suspensory ligament of the ovary

33
Q

[Reproductive Anatomy]

the left ovarian vein drain to the ______

A

left renal vein

34
Q

[Reproductive Anatomy]

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

A

pelvic diaphragm

control of urination, in parturition, maintain fecal incontinence

35
Q

[Reproductive Anatomy]

What are the contents of the broad ligament?

A
  1. Ovarian arteries
  2. Uterine arteries
  3. Ovarian ligament
  4. Round ligament of uterus
36
Q

[Reproductive Anatomy]

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

A

Cardinal Ligament = Mackenrodt ligament

37
Q

[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

A

uterosacral ligament

38
Q

[Reproductive Anatomy]

the ureters are found on the medial leaf of the parietal peritoneum and in close proximity to the

A

ovarian, uterine, obturator, superior vesical

39
Q

[Reproductive Anatomy]

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

A

ischial spine

then entering the cardinal ligament

40
Q

[Reproductive Anatomy]

just before entering the base of the bladder, the uterine is in immediate contact with the _____

A

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

41
Q

[Reproductive Anatomy]

how will you differentiate a ureter from a pelvic vessel?

A
  1. Presence of peristalsis

2. Visualization of the auerbach plexus

42
Q

[Reproductive Anatomy]

what is the arterial supply of the pudenda?

A

internal pudendal artery

43
Q

[Reproductive Anatomy]

what are the collateral circulation of the female pelvis, that are branches of the aorta?

A
  1. Ovarian artery
  2. Inferior mesenteric
  3. Lumbar and vertebral
  4. Middle sacral
44
Q

[Reproductive Anatomy]

what are the collateral circulation of the female pelvis, that are branches of the external iliac artery?

A
  1. Deep iliac

2. Inferior epigastric

45
Q

[Reproductive Anatomy]

what are the collateral circulation of the female pelvis, that are branches of the femoral artery?

A
  1. Medial femoral circumflex

2. Lateral femoral circumflex

46
Q

[Reproductive Anatomy]

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

A

Peroneal nerve

47
Q

[Reproductive Anatomy]

radical hysterectomy, iliac and obturator nerve dissection can damage what nerve?

A
  1. Genitofemoral

2. Obturator

48
Q

[Reproductive Anatomy]

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

A

femoral nerve

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

49
Q

[Reproductive Anatomy]

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

A

pudendal artery