Femal reproductive system and breast Flashcards

1
Q

What parts of the female reproductive tract are in the pelvic cavity?

A

Ovaries

Uterine tubes

Uterus

Superior vagina

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2
Q

What parts of the female reproductive tract are in the perineum?

A

inferior vagina

Perineal muscles

Bartholin’s glands

Clitrois

Labia

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3
Q

What is the pouch between the utereus and and the bladder

uterus and rectum

A

Vesico uterine pouch

recto-uterine pouch

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4
Q

What do you put a needle through to drain the pouch of douglas?

A

posterior fornix of the vagnia

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5
Q

Where is the broad ligament

A
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6
Q

What is the broad ligament made up of?

A

Double layer of peritoneum

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7
Q

What is the function of the broad ligament?

A

Maintains uterus in the midline

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8
Q

What is contained within the broad ligament?

A

Uterine tubes

Proximal round ligament

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9
Q

What does the round ligament attatch to?

A

Lateral aspect of uterus

through deep inguinal ring

superficial tissue of the female perineum

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10
Q

Where is the round ligament?

A
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11
Q

What supports the utereus in place?

A

Uterosacral ligaemnts

Endopelvic fascia

Levator ani

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12
Q

What are the 3 layers of the uterus body?

A

Perimetrium

Mymometrium

Endometrium

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13
Q

What are the two ways the utereus can sit?

What does this mean?

what is more common?

A

Anteverted anteflexed (flopped over bladder)

Retroverted retroflexed ( flopped over colon)

vertered means cervix and flexed means utereus

anteverted anteflexed is most common

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14
Q

Where does fetilisation usually occour?

A

Ampulla

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15
Q

What are the parts of the fallopian tube

A
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16
Q

What do you call the space in the vagina around the cervix?

A

Fornix

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17
Q

What forms the majority of the pelvic diaphram?

A

Levator Ani

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18
Q

What nerve supplies the levator ani and where does it come from?

A

nerve to the levator ani

S3,S4,S5 sacral plexus

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19
Q

what nerve supplies the perineal muscles?

A

Pudendeal nerve

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20
Q

What is the perineal body?

A

bundle of collangenous elastic tissue which the perineal muscles attatch too

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21
Q

What do you call the little anchor point the perineal muscles attatch too?

A

The perineal body

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22
Q

Where are the bartholins glands?

A
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23
Q

what is the area anterior to the pubic bone?

A

mons pubis

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24
Q

Label dans la vaginous

A
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25
Q

What are the borders for the bed of the breast?

A

Ribs 2-6

Lateral border of sternum

mid axillary line

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26
Q

Label the breast

A
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27
Q

How would you describe where a breast lump was?

A
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28
Q

How does limph drain in the breast

A
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29
Q
A
30
Q
A
31
Q

What are the layers of the adomen from the side and from the top ?

A
33
Q

What way do the fibres run in external obliques?

A

Hands in pockets

34
Q

What way do the internal obliques run?

A

Towards your bum

35
Q

What is important to remember about the rectus sheath?

A
36
Q

Whats the line down the middle of your abs called?

A

Linea Alba

38
Q

What supplies blood to the anterior abdominal wall?

A

Superior epigastric arteries

Inferior epigastric arteries

39
Q

What artery can get fucked up in a lateral port insertion?

A

Inferior epigastric artery

40
Q

Where does the inferior epigastric artery come from?

A

External iliac artery

41
Q

Where does the inferior epigastric artery emerge from?

A

Medial to the deep inginal ring

(mid way betweem ASIS and pubic tubrecle)

42
Q
A
43
Q

What transmits pain for the pelvic organs and what transmits pain from the perineum?

A

visceral affertens from the pelvic organs

pudendal nerve from the pernieum

44
Q

Where does the viseral afferent nerve supply come from for the suprior aspect of the pelvic organs?

A

T11-L2

45
Q

Where does the visceral afferent supply for the inferior aspect of the pelvic organs come from?

A

S2,3,4

46
Q

what nerve roots supply the pudendal nerve?

A

S2,3,4

47
Q

How does the pain travel at the (a) superior aspect of a pelvic organ and (b) the inferior aspect?

A

Superior aspect

visceral afferent follows sympathetics to T11 - L2

Inferior aspect

visceral afferent follows parasymapthic to S2,S3,S4

48
Q

what are the 3 types of injectible asathesia in pregancny?

A

Spinal anaesthetic

Epidural anaesthetic

Pudendal nerve block

50
Q

What does the spinal cord become the cauda equina?

A

2 people can fit on a horse

L2

51
Q

Where does the subarchnoid space end?

A

Two people can ride a spider

L2

52
Q

What layers does a spinal anaesthetic pass through?

A

Supraspinous ligament

Interspinous ligament

Ligamentum flavum

Epidural space

Dura mater

Arachnoid mater

CSF

53
Q

Where do you put in an epidural anaesthetic?

A

L3-L4

55
Q

What will happen to the legs after a spinal anaesthetic?

A

loss of symapthic vessle tone = vasodilation

Reduced sweating

Hypotension risk

56
Q

What does the pudendal nerve come from?

A

Branch of the sacral plexus

s2,s3,s4

57
Q

Where does the pudendal nerve travel?

A

greater sciatic foramen

posterior to sacrospinous ligament

pudendal canal (obturator fascia)

58
Q

What way do you do an episiotomy?

A
59
Q

Where does the pudendal nerve pass in relation to the sacrospinous ligament?

A

nerve crosses the lateral aspect of the sacrospinous ligament

60
Q

What nerve dmg can happen during a prolonged difficult vaginal labour?

A

pudendal nerve can be stretched

week pelvic floor and inconinece

62
Q

What are the three layers of the pelvic floor?

A

Pelvic diaphragm

Muscles of the perineal pouches

Perineal membrane

63
Q

What are the two muscles in the pelvic Diaphram

A

Levator Ani

Coccygeus

64
Q
A
65
Q

Is the levator Ani usually contracted or relaxed?

A

Normally contracted

Relaxes to poo and pee

66
Q
A
67
Q
A
68
Q
A
69
Q

What does the gonadal artery come from?

A

L2 Abdominal Aorta

70
Q

Where does the sperior rectal artery come from?

A

Continuation of inferior mescenteric artery

71
Q
A
72
Q
A
73
Q
A
74
Q
A
75
Q
A
76
Q
A