female internal genetalia

Question 1

which vaginal wall is shorter

Answer 1

anterior wall due to the projection of the urterus and intrusion of the cervix into the anterior wall

Question 2

cystocele

Answer 2

prolapse of the anterior wall of the vagina that occurs as a result of trauma from childbirth or chronic straining of the pelvic floor muscles

Question 3

vaginal vault

Answer 3

created by the widened termination of the superior end of the vagina around the cervix of the uterus

Question 4

vaginal fornix

Answer 4

recess around the protruding cervix - posterior forxis is largest of the fornices and is closeley related to the rectouterine pouch (fluid is sampled here )

Question 5

external os

Answer 5

opens into the vaginal cavity (can be visualized upon speculum exam)

Question 6

Internal os

Answer 6

opens into the uterine cavity

Question 7

Bimanual pelvic exam

Answer 7

cervix, ischial spines, and sacral promentory can be palapated. Pulsation of the uterine arteries may be felt through the lateral parts of the fornix as well as irregularities of the ovaries (such as cysts)

Question 8

Fundus of the uterus

Answer 8

rounded superioer part (area above the uterine horns)

Question 9

Uterine horns

Answer 9

superolateral regions of the uterus at the enterance of the uterine tube

Question 10

Isthmus of the uterus

Answer 10

narrow connection between the body of the uterus and the cervix of the uterus

Question 11

Perimetrium

Answer 11

outer serous layer of the uterus consisting of peritoneuam and thin conenctive tissue

Question 12

Myometrium

Answer 12

middle layer of smooth muscle. Main brances of blood vessels and nerves of the uterus are located here

Question 13

Endometrium

Answer 13

the inner mucous cout firmly adhered to the myometrium, part of which is shed during menstartion

Question 14

describe the typical orientation of the adult uterus

Answer 14

anteflexed (flexed forward relative to axis of cervix) and anterverted (forward tipping of uterine cervix relative to vagina)

Question 15

intramural (uterine) part of the uterine tube

Answer 15

short segment within the uterine wall and opening into the lumen of the uterine cavity

Question 16

Isthmus of the uterine tube

Answer 16

round and firm (due to thick muscular layers) these layers contract to assist the zygote toeards the uterus for implantation

Question 17

Ampulla of the uterine tube

Answer 17

continous with the isthmus. WIDEST AND LONGEST portion of the uterine tube. Typically the site of fertilization

Question 18

Infundibulum of the uterine tube

Answer 18

funnel shaped distal end that opensinto the peritoneal cavity thorugh the abdominal ostium. Finger like projections aid in capturing the released oocyte from the ovary

Question 19

cervical ligaments

Answer 19

these ligaments are endopelvic fascial connections that support the vagina, cervix, and body of the uterus to give structural integritty to the area along the peritoneal membane, levator ani musculature, and perineal body

Question 20

ovarian ligament proper

Answer 20

extends from the medial pole of the ovary to the lateral wall of the uterus near the uterine horn. Derivative of the gubernaculum with the round ligament of the uterus

Question 21

Round ligament of the uterus

Answer 21

contained iwthin the broad ligament, extends from the lateral cornu of the uterus to enter the deep inguinal ring and end in the labia majorum. Travels lateral to the inferior epigastric vessels

Question 22

Mesometrium

Answer 22

attaches to the lateral surface of the uterus and constitutes the majority of the braod ligament. It lies infererior to the mesosalpinx and mesovarium

Question 23

mesosalpinx

Answer 23

part of th broad ligament enclosing the uterine tube. Located on the superior edge of the broad ligamnet. Distal endo of the tube is free of the mesosalpinx

Question 24

Mesovarium

Answer 24

posteior extension of the braod ligament that suspends the ovary

Question 25

Suspensory ligament of the ovary (Infundubulopelvic ligament)

Answer 25

connects the ovaries to the lateral pelvic wall. Ovarian vessels are contained within the suspensory ligament

Question 26

arterial supply of the superir vagina

Answer 26

supplied by derivative of the uterine artery

Question 27

arterial suppy of middle and inferiior vagina

Answer 27

derivatives of the vagina artery and internal pudendal artery

Question 28

ureter passes _____ to the uterine artery

Answer 28

inferior

Question 29

lymphatic drainage of superior vagina

Answer 29

internal and external ilial nodes

Question 30

lymphatic drainage of middle vagina

Answer 30

internal iliac nodes

Question 31

lymphatic drainage of inferior vagina

Answer 31

sacral and common iliac nodes

Question 32

lymphatic drainage of external orifice of vagina

Answer 32

superficial inguinal lymph nodes

Question 33

lymphatic drainge of fundus and superior body of the uterus

Answer 33

lumbar lymph nodes

Question 34

lymphatic drainage of the body of the uterus

Answer 34

external iliac lymph nodes

Question 35

lymphatic drainage of the cervix

Answer 35

internal iliac nodes and sacral lymph nodes

Question 36

lumbar epidural and low spinal block

Answer 36

anesthesia administered at L2/4 level - completely anesthetizes the lower half of the body (from the waist down)

Question 37

Caudal (saddle) epidural nerve block

Answer 37

admistered via indwelling catheter in the sacral canal which ansethetizes lower sacral segments S2-S4 - used in childbirth so women can still feel contractions and know when to bear down

Question 38

Pudendal nerve block

Answer 38

adminusted to tissues surrounding pudendal nerve though skin or vagina. Anesthetizes most of the perineum and inferior quarter of vagina. Does not block pain from superior birth canali uterus, cervix, superior vagina (mother can still feel uterien contractions)