Errors in Sexual Differentiation Flashcards
___ syndrome
Presence of barr body
Turner Syndrome
[Diagnosis]
short stature shielded chest with widely shaped nipples webbed neck streaky ovary CoA
Turners syndrome
Non-disjunction
[Diagnosi]
Tall long extremities
gynecomastia
female hair distribution
eunuchoid body shape
Klinefelter Syndrome
47XXY
Non-disjunction
[Diagnosi]
presence of 2 barr bodies
Superfemale
Triple X Syndrome
Born with both ovarian and testicular tissues and with functional gonad
True Hermaphrodite
Born with both ovarian and testicular tissues and with non-functional gonad
True hermaprodite
male genotype
female phenotype
Testicular Feminization (androgen insensitivity)
[Reproductive Anatomy]
extends from clitoris to posterior fourchette
vestibule
[Reproductive Anatomy]
During the first coitus, the hymen usually ruptures at the ____ position
6 o’clock position
____ refers to the remnants of hymen in adult female
Caruncle Myrtiformes
_____ refers to the paraurethral glands
skene’s glands
____ refers to the vulvovaginal gland
bartholin’s gland
What are the 6 openings of the vestibule
- Vaginal introitus
- Urethral opening
- Paired skene’s glands
- paired bartholin
[Reproductive Anatomy]
___ septum that separates the vagina from the bladder and urethra
Vesigovaginal septum
[Reproductive Anatomy]
___ septum separates the lower portion of the vagina from the rectum
Rectovaginal Septum
[Reproductive Anatomy]
separates the upper vaginal from the rectum
Rectouterine pouch of douglas
[Reproductive Anatomy]
What is the blood supply of the upper 1/3 of the vagina
Cervico-vaginal branch of the Uterine artery
[Reproductive Anatomy]
What is the blood supply of the middle 1/3 of the vagina
Inferior vesical arteries
[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
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?
- Inner longitudinal
- Middle oblique
- 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?
- Ovarian arteries
- Uterine arteries
- Ovarian ligament
- 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?
- 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?
- Ovarian artery
- Inferior mesenteric
- Lumbar and vertebral
- Middle sacral
[Reproductive Anatomy]
what are the collateral circulation of the female pelvis, that are branches of the external iliac artery?
- Deep iliac
2. Inferior epigastric
[Reproductive Anatomy]
what are the collateral circulation of the female pelvis, that are branches of the femoral artery?
- 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?
- 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