F/M repro and Urogen Flashcards

1
Q

define the vagina

A

muscular tube located between the bladder and the rectum and inferior to the uterus

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2
Q

what does the vagina open through

A

the perineal membrane into the vestibule

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3
Q

what part of the levator ani supports the vagina

A

pubovaginalis part

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4
Q

what membrane supports the vagina

A

perineal

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5
Q

where does the ureter pass in relation to the uterine artery

A

ureter passes inferior to the uterine artery along the lateral sides of the uterus

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6
Q

how do the uterine arteries enter the uterus

A

enter the sides of the uterus through the broad ligament

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7
Q

what do the uterine arteries anastomose with

A

vaginal arteries and ovarian arteries

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8
Q

what runs through the transverse cervical ligaments

A

uterine vessels and nerves

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9
Q

describe uterosacral ligaments

A

condensations of endopelvic fascia that extend from the sides of the cervix to the sacrum

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10
Q

what are extremely important in order to prevent prolapse of pelvic structures

A

levator ani muscle and perineal body

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11
Q

what is the inferior vagina innervated by

A

somatic branches from the internal pudendal nerve

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12
Q

what are the middle and superior parts of the vagina and uterus innervated by

A

visceral nerves

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13
Q

where is an anesthetic agent injected and what does it produce

A

injected into subarachnoid space between L3-l4 and produces complete anesthesia below the waste (uterine contractions cannot be felt)

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14
Q

describe pudendal block

A

blocks S2-4 dermatomes and inferior part of vagina (sacrospinous ligament is the landmark

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15
Q

what block must be performed in order to abolish sensate to anterior vulva

A

ilioinguinal block

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16
Q

where do the lymphatics of the prostate typically drain

A

internal iliac nodes

17
Q

where does the male badder lymphatics typically drain

A

external iliac nodes

18
Q

where do the perineal structures of male lymphatics typically drain

A

superficial inguinal nodes

19
Q

define perineum

A

surface area of the trunk between the thighs and the buttocks

20
Q

what makes up the pelvic diaphragm

A

coccygeus and levator ani

21
Q

what makes up the legator ani

A

pubococcygeus+ puborectalis + iliococcygeus

22
Q

what are the divisions of the puborectalis

A

pubovaginalis and puboprostaticus

23
Q

define ischioanal fossa

A

wedge-shaped area between skin and the inferior surface of the pelvic diaphragm

24
Q

what are the lateral boundaries of the ischioanal fossa

A

ischium, obturator interns with fascia

25
Q

what are the medial boundaries of the ischioanal fossa

A

external anal sphincter with levator ani muscle

26
Q

what are the posterior boundaries of the ischioanal fossa

A

sacrotuberous ligament and edge of gluteus maximus

27
Q

what are the anterior boundaries of the ischioanal fossa

A

urogenital triangle and anterior recesses of the ischioanal fossa