female pelvis

Question 1

ureter (pelvic part)

Answer 1

crosses the bifurcation of common illiac artery
infront of sacroilliac joint and internal illiac artery
behind ovary and fallopian tube.

crosses forward and medially under the base of the broad ligament of uterus where it crosses the uterine artery

enters the urinary bladder lateral to the lateral fornix of vagina

Question 2

where is the urinary bladder located

Answer 2

in lower pelvis when empty, but extends to abdominal area when its full

in children its in the abdomen either way

Question 3

nerve supply of the bladder

Answer 3

inferior epigastric plexus

symp: L1 & L2 inhibit contraction of detrusor muscle and stimulate closure of sphincters
parasymp: S2-S4 cause contraction of detrusor muscle and stimulate opening of sphincter

Question 4

whats a detrusor muscle

Answer 4

the muscle that causes contraction to push urine through the urethra

Question 5

neck of bladder rests on?

Answer 5

urogenital diaphragm

Question 6

apex of the bladder

Answer 6

faces towards the upper part of pubic symphysis and forms medial umbilical ligament

Question 7

inferolateral surfaces of bladder

Answer 7

faces the pubic symphysis and isn’t covered by peritoneum

Question 8

superior surface of the bladder

Answer 8

covered by peritoneum

Question 9

base of infero posterior surface of bladder

Answer 9

triangular
vagina sperates it from rectum
suprolaterally -> ureter
inferior angle -> urethra

Question 10

vesicouterine pouch

Answer 10

between bladder and uterus

Question 11

rectouterine pouch

Answer 11

douglas pouch
between rectum and uterus
extension of the peritoneum

Question 12

ligaments of bladder

Answer 12

pubovesical ligament (pubic bone to bladder)
pubovaginal ligament (pubic bone to vagina)
vesicouterine ligament
urachus (connects apex to umbilicus to form median umbilical ligament)

Question 13

interior of the bladder

Answer 13

the mucosa of bladder is thrown into folds except at trigone (smooth)

Question 14

openings of ureters and urethra form a

Answer 14

trigone

Question 15

slight elevation may be seen in posterior portion of internal urethral orifice in male subjects called

Answer 15

uvula

Question 16

uterus divided into

Answer 16

fundus, body, and cervix

Question 17

where is the fundus of the uterus

Answer 17

above the enterance of the uterine tubes

Question 18

body of the uterus

Answer 18

below entrance of uterine tubes

Question 19

cervix

Answer 19

continued narrowed part of the body and pierces the anterior wall of the vagina

Question 20

anteversion

Answer 20

uterus bent forward on long axis of vagina

Question 21

anteflexsion

Answer 21

long axis of the uterus is bent forward at level of internal os with the long axis of the cervix

Question 22

retroverted

Answer 22

not good for pregnancy because it blocks the rectum and causes difficulty for defecation

Question 23

retrocession

Answer 23

cervix projected backwards

Question 24

where do we drain fluid in douglass pouch

Answer 24

vagina

Question 25

ligaments supporting the uterus

Answer 25

transverse cervical pubocervical ligaments sacrocervical ligaments round ligament of the uterus

Question 26

muscles and tendinous bodies supporting the uterus

Answer 26

levator ani and perineal body

Question 27

broad ligament

Answer 27

two layer folds of peritoneum Suspensory Ligament of ovary (contains arteries, veins, and nerves) mesoalpnix mesoovarium Uretrosacral ligaments

Question 28

what causes mensuration

Answer 28

endomatrium

Question 29

blood supply of uterus: branching of abdominal aorta:

Answer 29

ovarian artery

Question 30

blood supply of uterus: branching of internal illiac artery:

Answer 30

uterine artery | vaginal artery

Question 31

lymphatic supply of uterus

Answer 31

fundus: para aortic body and cervix: internal and external few into superficial inguinal LN

Question 32

fallopian tubes

Answer 32

consists of isthus, ampulla infundibullum and fimbriae

Question 33

site for fetrilization is

Answer 33

ampulla

Question 34

vaginal lumen

Answer 34

two lateral, posterior and anterior fornix

Question 35

blood supply of vagina

Answer 35

vaginal branch from internal illiac artery and vaginal branch of uterine artery

Question 36

lymphatic supply of vagina

Answer 36

upper third drain into external and internal iliac lymph node, middle third to internal iliac and lower third to superficial inguinal lymph node

Question 37

where do ovaries lie

Answer 37

ovarian fossa

Question 38

ovaries are surrounded by fibrous capsule called

Answer 38

tunica albuguinea

Question 39

ovaries are bound by which vessels

Answer 39

internal and external iliac vessels

Question 40

Ovaries attached to the posterior part of the broad ligament by

Answer 40

mesovarium

Question 41

function of the ovary

Answer 41

production of ova, estrogen and progestrone

Question 42

blood supply of ovary

Answer 42

ovarian artery

Question 43

veins: ovary

Answer 43

IVC on right and left renal on left side

Question 44

lymphatics: ovary

Answer 44

para aortic lymph nodes

Question 45

ovary nerve?

Answer 45

aortic plexus

Question 46

what anastomoses with uterine artery

Answer 46

vaginal artery

Question 47

cyctocele

Answer 47

bladder prolapse