Female and male reproductive system Flashcards

1
Q

What is contained within the pelvic cavity?

A

Ovaries
Uterine tubes
Uterus
Superior part of vagina

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2
Q

What is contained within the perineum?

A
Inferior part of vagina
Perineal muscles
Bartholin's glands
Clitoris
Labia
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3
Q

What are the primary reproductive organs in women?

A

Ovaries

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4
Q

What is the function of the inferior part of the parietal peritoneum?

A

Floor of peritoneal cavity

Roof over pelvic organs

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5
Q

What pouches form in the female peritoneum?

A

Vesico-uterine

Recto-uterine

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6
Q

How can fluid from the pouch of douglas be drained?

A

Needle passed through the posterior fornix of the vagina

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7
Q

Where will abnormal fluid collect within the peritoneal cavity in women?

A

Pouch of douglas; most inferior part of the peritoneal cavity in the anatomical position

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8
Q

Are the pelvic organs intra or sub peritoneal?

A

Sub

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9
Q

What part of the pelvic organs are intraperitoneal?

A

Uterine tubes

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10
Q

What is the broad ligament and where can it be found?

A

Double layer of peritoneum

Extends between the uterus and lateral walls + floor of pelvis

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11
Q

What is the function of the broad ligaments and what is contained within it?

A

Uterine tubes

Proximal part of round ligament

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12
Q

What is the round ligament?

A

Embryological remnant

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13
Q

Where does the round ligament attach?

A

Lateral aspect of uterus

Passes through the deep inguinal ring to attach to the superficial tissue of the female perineum

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14
Q

What are the 3 layers of the uterus?

A

Perimetrium
Myometrium
Endometrium

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15
Q

Where will the oocyte be fertilised?

A

Ampulla

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16
Q

Where should the zygote implant?

A

Body of uterus; anywhere else is an ectopic

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17
Q

What holds the uterus in place?

A

Uterosacral ligaments
Endopelvic fascia
Levator ani

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18
Q

What can result from weakness of the structures that hold the uterus in place?

A

Uterine prolapse; inferior movement

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19
Q

What is the most common position of the uterus?

A

Anteverted

Anteflexed

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20
Q

What does anteverted in terms of the uterus mean?

A

Cervix tipped anteriorly relative to the axis of the vagina

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21
Q

What does antiflexed mean in terms of the uterus?

A

Uterus tipped anteriorly relative to the axis of the cervix (mass of uterus lies over the bladder)

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22
Q

What is a very normal and common variation of the standard positioning of the uterus?

A

Retroverted and retroflexed

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23
Q

Is the vagina usually patent?

A

No; walls tend to be collapsed

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24
Q

What must be sampled in cervical screening?

A

Squamocolumnar junction (transformation zone)

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25
Q

What is the “salpinx”?

A

Tube; refers to fallopian tube

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26
Q

Where do the fimbriated ends of the uterine tubes open into?

A

The peritoneal cavity to act as a means of communication between the genital tract and the peritoneal cavity

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27
Q

What determines patency of fallopian tubes in a HSG (hysterosalpingogram)?

A

Radiopaque dye spilling out of the end of the uterine tube and into the peritoneal cavity

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28
Q

What size are the ovaries?

A

Almond shaped and sized in the lateral pelvic cavity

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29
Q

Where do the ovaries develop?

A

Posterior abdominal wall and they will move onto the lateral wall of the pelvis (round ligament(

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30
Q

What are the 4 fornix of the vagina?

A

Anterior
Posterior
2 x lateral

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31
Q

What can be felt on a digital vaginal examination ?

A

Ischial spines - at 4 and 8 o’clock positions
Position of uterus
Palpation of adnexae

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32
Q

What are the adnexae?

A

Uterine tubes and ovaries

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33
Q

What is the perineum?

A

Shallow space between pelvic diaphragm and inferior skin of external genitalia

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34
Q

What do the openings of the pelvic floor allow for?

A

Passage of distal parts of alimentary, renal and reproductive tracts from pelvis to perineum

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35
Q

What are the 2 triangles of the perineum?

A

Urogenital

Anal

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36
Q

What are the boundaries of the perineum?

A

Pubic symphysis at top
Coccyx at bottom
Ischial spines laterally

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37
Q

What is the function of the levator ani muscle?

A

Tonic contraction
Reflexively contracts further during situations of increased intra-abdominal pressure
Weakness can be a factor in the development of prolapse of the pelvic organs

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38
Q

What supplies the levator ani muscle?

A

Nerve to levator ani; S3,4,5

?? pudendal nerve

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39
Q

What are the perineal muscles supplied by?

A

Pudendal nerve

Superficial and deep

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40
Q

What is the perineal body?

A

Bundle of collagenous and elastic tissue into which the perineal muscles attach

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41
Q

What is the function of the perineal body?

A

Important to pelvic floor strength

Episiotomy act to preserve perineal body

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42
Q

What is the function of bartholin’s gland?

A

Mucus secretion for lubrication

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43
Q

What type of tissue lies under the perineal muscles?

A

Erectile tissue

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44
Q

Where does the bed of the breast extend to and from?

A

Ribs 2-6

Lateral border of sternum to mid-axillary line

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45
Q

Does the breast extend into the axilla?

A

Yes; axillary tail of spence

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46
Q

What does the breast lie on?

A

Deep fascia covering pec major and serratus anterior

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47
Q

What is the retromammary space?

A

Lies between fascia and breast - allows the breast to move independently of the pec muscle

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48
Q

What attaches the breast tissue to the skin?

A

Suspensory ligaments

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49
Q

What makes up the breast tissue?

A

Fat

Non lactating lobues; in pregnant/ breast feeding women these become lactating lobules

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50
Q

What connects the lactating lobues to the areola?

A

Lactiferous duct

51
Q

How is the female breast sectioned?

A

Upper and lower outer
Upper and lower inner
OR
Clock face

52
Q

How can you assess if a breast lump is “fixed” to underlying pectoral fascia?

A

Ask patient to place her hands firmly on her hips (and in doing so, there is contraction of pectoral muscles)

53
Q

Where will 75% of lymph from the breast drain to?

A

Ipsilateral axillary lymph nodes -> supraclavicular nodes

54
Q

Where can lymph from inner breast quadrants drain to?

A

Parasternal lymph nodes which can either drain to supraclavicular ipsilaterally or contralaterally

55
Q

Where can lymph from the lower inner breast quadrants drain to?

A

Abdominal lymph nodes

56
Q

What can be the implication of axillary node clearance?

A

Lymphedema; as all lymph from upper limb also drains there

57
Q

What is contained within the axilla?

A

Brachial plexus
Axillary artery and axillary vein
Axillary lymph
All embedded in axillary fat

58
Q

What are the different levels of axillary node clearance?

A

Level 1; inferior and lateral to pectoralis minor
Level 2; deep to pectoralis minor
Level 3; superior and medial to pectoralis minor

59
Q

What determines the levels of axillary nodal clearance?

A

In relation to pectoralis minor

60
Q

What is the arterial supply to the breast?

A
Internal thoracic forms the internal mammary (from subclavian) 
Lateral thoracic (axillary artery) 
Posterior intercostal arteries 2,3,4 at lateral aspect
61
Q

Does the venous drainage of the breast mirror the arterial?

A

Yes

62
Q

What are the male reproductive organs?

A

Testes

63
Q

What are the accessory reproductive organs in a male?

A

Vas
Seminal glands
Prostate gland
Penis

64
Q

What lies within the corpus spongiosum?

A

Spongy urethra

65
Q

What is the more inferior aspect of the peritoneal cavity in males?

A

Rectovesical

66
Q

What forms the bladder wall?

A

Detrusor muscle

67
Q

What openings are present on the trigone of the bladder?

A

2 ureteric orifices

Internal urethral orifice

68
Q

What is the function of the internal urethral sphincter in males?

A

Contracts during ejaculation to prevent retrograde ejaculation

69
Q

Where do the testes develop?

A

Posterior wall of abdo cavity

70
Q

Through which structure do the testes pass through to reach the scrotum?

A

Anterior abdominal wall; inguinal canal

71
Q

What is present in the spermatic cord?

A

Testicular artery and vein
Vas deferens
Lymph
Nerves; autonomic (vas), somatic (cremaster muscle)

72
Q

In what structure do the testis sit within in the scrotum?

A

Tunica vaginalis

73
Q

What is excess fluid within the tunica vaginalis called?

A

Hydrocele

74
Q

Where is sperm produced?

A

Seminiferous tubules

75
Q

What muscle controls the temp of the testes?

A

Dartos

76
Q

Describe the route of sperm from the seminiferous tubules to vas?

A
Seminiferous tubules
Rete testes
Head of epididymis 
Tail of epididymis 
Vas
77
Q

What is the volume of the testis?

A

12-25ml

78
Q

What is the arterial supply of the testes?

A

Testicular artery; lateral aspect of abdominal aorta

79
Q

What is the venous supply of the testes?

A

Left testicular vein to the left renal vein

Right testicular vein to the IVC

80
Q

Through which structure does the blood supply and drainage pass through?

A

Deep inguinal ring (along with vas, lymph and nerves)

81
Q

What is the function of the prostatic urethra?

A

Drains urine from bladder

Passes semen in ejaculatino

82
Q

What is the function of the bulbourethral gland?

A

Mucus secretion

Lubricates urethra and neutralises acidity

83
Q

What makes up the ejaculatory duct?

A

Vas deferens

Duct from seminal gland

84
Q

What is the inferior aspect of the prostate gland in contact with?

A

Levator ani

85
Q

Where do the majority of prostate cancers arise from?

A
Peripheral zone 
(central zone = BPH)
86
Q

What is the route of the vas?

A

Superiorly in spermatic cord to deep inguinal ring
At deep inguinal ring, turns medially into pelvis
Travels posterior to bladder

87
Q

Where do the left and right ejaculatory ducts join?

A

Within the prostate gland to drain into the urethra

88
Q

What is the anatomical position of the penis?

A

Erect

89
Q

What is paraphimosis?

A

Retraction of prepuce causing contraction of neck of glans

90
Q

In what area is the penis?

A

Within the perineum

91
Q

Where does the root of the penis attach?

A

Laterally to ischium of pelvis

92
Q

What are the 3 cylinders of erectile tissue within the penis?

A

2x corpus cavernosum

Corpus spongiosum

93
Q

What are the contents of the corpus cavernosum?

A

Transmit deep arteries of the penis

94
Q

What are the contents of the corpus spongiosum?

A

Spongy urethra

Expands distally to form glans penis

95
Q

Where does the superficial perineal pouch lie in the male?

A

Below perineal membrane

96
Q

What is contained within the superficial perineal pouch?

A

Root of penis:
Bulb (corpus spongiosum, crurs, corpus cavernosum)
Assoc muscles (bulbospongiosus, ischiocavernosus)

97
Q

What is the blood supply to the penis?

A

Deep arteries of the penis:

Branches from internal pudendal artery (from internal iliac)

98
Q

What is the blood supply to the scrotum?

A

Via internal pudendal and branches of external iliac

99
Q

Where does lymph from the testes drain?

A

Lumbar nodes

100
Q

Where does lymph from the scrotum and most of penis (not glans) drain to?

A

Superficial inguinal nodes at the superficial fascia of the groin

101
Q

What structures pass through the levator ani in the male?

A

Rectum and urethra

102
Q

What nerve fibres does the pudendal nerve contain?

A

Sympathetic
Somatic sensory
Somatic motor

103
Q

What space does the pudendal nerve pass through in the perineum?

A

Ischioanal fossa

104
Q

What are the components of the fluid secreted by the seminal vesicle?

A
Fructose
Proteins 
Prostaglandins 
Vitamin C 
Flavins 
Phosphorycholine 
Enzymes
105
Q

Which part of the ANS is responsible for orgasms?

A

Sympathetic

106
Q

What 4 muscles compress to vagina to act like sphincters?

A

Pubovaginalis
External urethral sphincter
Urethro-vaginal
Bulbospongiosus

107
Q

What is the blood supply to the vagina?

A

Superiorly; branches of uterine

Inferiorly; vaginala dn internal pudendal

108
Q

What is the round ligament of the uterus a remnant of?

A

Ovarian gubernaculum; descend of ovaries from developmental position on the posterior abdominal wall

109
Q

What are the layers of the spine transversed in giving a spinal anaesthesia?

A
From posterior to anterior: 
Skin
Subcutaneous fat
Supraspinous ligament,
Interspinous ligament
Ligamentum flavum
Dura mater
Subdural space
Arachnoid mater
Subarachnoid space
110
Q

What muscles make up the levator ani?

A

Puborectalis (sling around rectum)
Pubococcygeus
Iliococcygeus

111
Q

What forms the anterior-inferior pelvic wall?

A

Bodies and rami of pubic bones and pubic symphysis

112
Q

What forms the lateral pelvic walls?

A

Bony framework formed by hip bones, including obturator foramen
Obturator internus

113
Q

What forms the posterior pelvic wall?

A

Bony wall and roof in midline (sacrum and coccyx)
SI joint
Piriformis muscle (leaves via greater sciatic foramen)
Sacral plexus

114
Q

What is the perineum?

A

Shallow compartment that lies between the levator ani superiorly and perineal skin inferiorly

115
Q

Function of levator ani?

A

Roof of perineum
Floor of pelvis
Support to pelvic organs
Maintains faecal and urinary continence

116
Q

Nerve fibres of pudendal nerve?

A

Somatic motor (levator ani and muscles of perineum)
Somatic sensory
Sympathetic nerve fibres

117
Q

Where does lymph from the uterus drain to?

A

Lumbar/ caval/ paraaortic nodes

118
Q

Route taken by sperm from production to fertilization

A
Seminiferious tubules 
Rete testes
Epididymis 
Vas deferens in spermatic cord
Ejaculatory duct
Prostatic urethra
Membranous urethra
Spongy urethra
External urethral meatus
Vagina
Cervix
Fallopian tube
119
Q

Route taken by ovum from production to fertilization

A

Ovary
Peritoneal cavity
Gathered by fimbriae into infundibulum of fallopian tube
Moved along to ampulla

120
Q

How can uterine prolapse occur?

A

Weakened pelvic support

Increased intra-abdominal pressure

121
Q

Components of fluid secreted by seminal vesicles?

A
Proteins 
Enzymes
Fructose
Mucus
Vit C 
Flalvins 
Phosphorylcholine
Prostaglandin
122
Q

What is the main function of the fluid secreted by prostate?

A

Activation of sperm

123
Q

What are the functions of the fluid secreted by the bulbourethral (cowper’s) glands?

A

Lubricates urethra and helps to neutralise acid in urethra

124
Q

Which structures are located in spermatic cord?

A
Ductus (vas) deferens
Testicular artery 
Venous drainage (pampiniform plexus) 
Sympathetic nerve fibres
Genital branch of genitofemoral nerve
Lymphatics