Femal Reproductive Flashcards

1
Q

Wt of uterus for each nullipara , multi , at term ?

A

N 50 g
M 70 g
At term 1 kg

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2
Q

Measurement of the uterus

A

7.5 * 5 * 2.5

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3
Q

Define isthmus and body of the uterus

A

Isthmus : space between anatomical an histological int os ( columnar to cuboidal epithelium )
From Cornu to the int so

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4
Q

Mention parts of the uterus

A

Fungus
Body
Isthmus
Cervix

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5
Q

Describe the meaning of anteflexed and anteverred

A

Antefelxed anteverted Nl avf

Anteverted = angle between the cervix and vagina long axis for each 90 degrees
Anf - angle between the cervix at the level of internal OS and uterus 120-170 degrees .

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6
Q

Define retro vetted retro flexed uterus

A
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7
Q

Mention layers of the uterus , endometrium 2 layers which one shed during menstruation

A

Endometrium basal and functional contain glands respond to estrogen and progesterone

Myometrium
Parametrium.

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8
Q

How many layers is the myometrium and what are they ? Which one made the bulk

A

3 layers
Inner circular
Middle oblique
Outer longitudinal

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9
Q

Blood supply to the uterus in general , blood supply for each layer basilar and functional ?
Nerve supply

A

Uterine artery ) وبطلعه وهو داعس عل يورينا mainly + ovarian artrey
Basilar = straight atreioles
Functional = spiral arterioles
Sacral plexus

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10
Q

What does the parametrium layer made of

A

Made of peritoneum .

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11
Q

What are the true ligaments mainly

A

Pubocervical ligament
Cardinal ligament
uterosacral ligaments
Round ligament

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12
Q

True and false ligamentts of the uterus

A
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13
Q

Ligaments of the uterus and cervix

A
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14
Q

What ancors the uterus anteriroly

A

Round ligament

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15
Q

Ligaments

A
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16
Q

Mention relation of the uterus , which part specifically is related to the uterus from the bladder

A

Anterior = uterovesical pouch and superior surface of the bladder
Poster pouch of Douglas and rectum
Laterally ureters and broad ligament

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17
Q

False ligament of the uterus is

A

Broad ligament

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18
Q

Uterus pierce which ligament

A

Cardinal ligament , mackronadts ligament

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19
Q

Relation of the ligaments of the uterus

A
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20
Q

Relations of the uterus

A
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21
Q

Whats the lymphatic drainage of the uterus for both fund us and the body

A

Fundus is by the round ligament to the inguinal lLN
And by the ovarian vessels to the para aortic L. n
Body lymphatic drainage is by the broad ligament to the EXTERNAL iliac L.N

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22
Q

Imagine the relation of the uterus , posterior relation to the fundus and to the body of the uterus each

A

Body rectum , fundus sigmoid colon

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23
Q

Which arteries anastamose lateral to the uterus

A
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24
Q

Cervix is formed from 2 portions mention them with their epithelium

A

Supravaginal portion columnar cells
Vaginal portion squamous epithelium

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25
Q

Lymphatic drainage of both fundus and the body of the uterus and via what

A

Fundus. Ovarian ligaments to the paraaortic l.nodes ,
Round ligament to the inguinal lymph nodes
Body of the uterus to the EXTErnal iliac lymph nodes via the broad ligaments .

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26
Q

Cervix Is formed from 2 portions mention them with each epithelium of both

A

Supravaginal columnar epithelium
Vaginal portion st sq epithelium

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27
Q

Describe the Cervical mucosa

A

Arbor vitae
Spinanbarkeit = sticky like mucous secretions .

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28
Q

LUS in pregnancy
What’s formed of

A

70% isthmus
30% cervix

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29
Q

What’s retraction

A

Shortening of the upper segment

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30
Q

During pregnancy locate the int os

A

Lies on the cervix

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31
Q

Mention the lymphatic drainage of the cervix; lateral portion , posterolateral , posterior aspect

A

Lateral portion via the broad ligament to the EXternal iliac ln
Postereolateral via the uterine artery to the internal iliac l n
Posterior aspect to the sacral l .nodes

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32
Q

Define decidua , decidua is rich I. ?
What does it secrete

A

Endometrium under the effect of progesterone
High in glycogen content .
Prolactin and IGF

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33
Q

When does Braxton hicks start

A

As early as 8 weeks GA

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34
Q

What pressure that can lead to Cervical dilatation

A

25 mmhg is enough for Cervical dilatation

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35
Q

Which part of Fallopian tubes is covered by peritoneum ?

A

Only the superior part is covered by peritoneum
Interstitial part is not covered with peritoneum .

36
Q

Fallopian tubes parts length , and which one is the widest

A

10 cm
Isthmus 2.5 cm
Ampulla 5 cm dilated
Infundibilum 2.5 com
Fimbrae

37
Q

Layers of the f. Tubes

A

1 ciliated columnar epithelium endosalpinx
2 inner circular layer
3Outer longitudinal layer
4Peritoneum only it’s superior part .

38
Q

Nerve supply of tubes is

A

Ovarian plexus .

39
Q

Mention the 5 uterine ligaments and relations of each of them

A

Broad ligament ; double fold peritoneum
Round ligament ; from Cornu to labia majors
Cardinal ligament cervix to the lateral pelvic wall
Uterosacral ligament cervix to the sacrum periosteum
Pubocervical from the cervix to the pubic bone

40
Q

Which ligament contain ovarian vessels

A

Ib ligament = suspensory ligament laterally between the ovary and the lateral pelvic wall .

41
Q

Study this pic carefully

A

Mention parts of the broad ligaments and their relations

42
Q

Pic relations

A
43
Q
A
44
Q
A
45
Q
A
46
Q
A
47
Q
A
48
Q
A
49
Q
A
50
Q
A
51
Q

Study pictures in th photos كتيييير مهم to understand the relations

A
52
Q

Mention the size , surface , shape oft the ovary

A

321
Irregular surface
Almond in shape
Wt 5-8 g

53
Q

Mention the 4 layers of the ovary

A

1 germinal epithelium
2 tunica albugenia
3 cotex which contain the follicles
4 medulla which contain the vessels

54
Q

Which layer of the ovary is affected by hormones

A

The cortex

55
Q

Mention layers of the ovary

A
56
Q

Posterior relation of the ovary

A
57
Q

Ligaments that support the ovary

A

Ib ligament , round ligament of the ovary = ovarian ligament

58
Q

Attached to the mesovarium of the broad ligament from which side

A

Posteriorly

59
Q

Nerve supply to the ovary

A

T10

60
Q

Ovarian epithelium is

A

Cuboidal

61
Q

Arterial supply of the ovarian artery

A

Direct branch from the aorta at level of L2

62
Q

Ovarian fossa contains which nerve

A

Obturator nerve

63
Q

Define walleyes fossa

A

Shallow depression in the lateral wall of the pelvis

64
Q

Anatomical relation of ovarian ligament

A

Attached to the lateral angle of the uterus inferior to the tube

65
Q

Ovarian fossa boundaries

A

Posterior internal iliac vessels and ureter
Anterior umbilical artery
Superior external iliac artery
Ovarian nerve inferior to the fossa

66
Q
A
67
Q
A
68
Q
A
69
Q
A
70
Q

Breast definition

A

Sudoriferous glands which produce milk

71
Q

Muscles overlie the breast

A

Serratours anterior
Pectoral is major
rectus sheath

72
Q

How many lobules does the breast contain

A

20 lobules

73
Q

How does those lobules drain into the nipple

A

By lactiferous ducts

74
Q

Beast lies on

A

2nd to 6th ribs
Serratous anterior
Pectoral is major
Rectus sheath

75
Q

Ligaments of ccoper

A

Separate the lobules
runs from the subcutaneous tissue to the fascia of the chest wal

76
Q

Glands of Montgomery

A

Lubricate the Areola
Modified Sabacous gland

77
Q

Tail of Spence

A

Is the superior lateral quadrant of the breast that extend to the axilla

78
Q

Nerve supply to the nipple

A

T4

79
Q

Nerve supply to the breast is

A

T4-T6

80
Q

Arterial supply of the breast

A

Intercostal arteries
Internal thoracic
Axillay aA = 2 branches of the axillary
Acromiothoracic + lateral thoracic A

81
Q

Embryological origin of the breast

A

Ectoderm

82
Q

Lymphatic drainage to the breast

A

Axillary L.Ns
Abdominal L.Ns
Parasternal L.Ns

83
Q

Scenes gland I male is

A

Prostate

84
Q

Labia majors in males

A

Scrotum

85
Q

Clitoris in male

A

Penis

86
Q

Prostatic utricle in females

A

Vagina

87
Q

Cowper bulbourethral glands in female

A

Bartholin gland.