female repro organs Flashcards

1
Q

what structures make up the birth canal

A

vagina
cervix
uterus

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2
Q

what is the rectouterine pouch

how do you access it

A

space between the rectum and uterus

through posterior fornix

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3
Q

what is the uterovesical pouch

A

space between bladder and uterus

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4
Q

what are the three layers of the uterus

A

perimetrium/peritoneum
myometrium
endometrium

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5
Q

what covers the uterus in the pelvic cavity

A

peritoneum

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6
Q

what is the fundus

A

top part of uterus above where uterine tubes enter

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7
Q

what is the cervix

A

lower part of the uterus connecting it to the vagina

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8
Q

what is the anatomical position of the uterus with respect to the vagina

A

anteverted

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9
Q

what is the anatomical position of the uterus with respect to the cervix

A

anteflexed

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10
Q

where does the uterus lie in relation to the bladder and rectum

A

postosuperior to bladder

anterior to rectum

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11
Q

what are the ligaments of the uterus

A
broad 
round 
ovarian 
cardinal 
uterosacral
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12
Q

what is the blood supply/drainage of the uterus

A

uterine artery

plexus in broad ligament drains to uterine veins

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13
Q

where does sympathetic innervation of the uterus come from

A

uterovaginal plexus

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14
Q

where does parasympathetic innervation of the uterus come from

A

pelvic splanchnic nerves S2-4

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15
Q

what part of uterus is opened in a CS

A

anterior wall at lower section

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16
Q

what are the anatomical relations of the vagina

A

anterior - bladder and urethra
posterior - rectouterine pouch, rectum, anal canal
lateral - ureters, levator ani muscle

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17
Q

what are the fornices of the vagina

A

domes at superior end of vagina
surround cervix
anterior and posterior fornix
lateral fornices

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18
Q

what fornix can be used to access the rectouterine pouch

A

posterior fornix

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19
Q

what are the parts of the uterine tubes

A

fimbriae
infundibulum
ampulla
isthmus

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20
Q

where does fertilisation usually occur

A

ampulla

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21
Q

what is the blood supply and drainage of the vagina

A

uterine and vaginal arteries

vaginal venous plexus drains to vaginal veins

22
Q

what is the lymphatic drainage of the superior vagina

A

external iliac nodes

23
Q

lymphatic drainage of middle vagina

A

internal iliac nodes

24
Q

lymphatic drainage of inferior vagina

A

superficial inguinal nodes

25
Q

what are the two ligaments of the ovaries

A

suspensory ligament of ovary

ligament of ovary

26
Q

what is the structure of the suspensory ligament

A

fold of peritoneum

goes from ovary to lateral pelvic wall

27
Q

what is the structure of the ligament of ovary/ovarian ligament

A

extends from ovary to fundus of uterus

28
Q

what is the main arterial supply to the ovaries

A

paired ovarian arteries arising from abdominal aorta

29
Q

where do the ovarian veins drain (different for R and L)

A

left - left renal vein

right - IVC

30
Q

what is the venous drainage of the ovary

A

paired ovarian veins

31
Q

where does lymph from ovaries drain into

A

para-aortic nodes

32
Q

at what vertebral level do the ovarian arteries originate

A

L2/3

33
Q

what is the anatomical course of the ovarian arteries

A

descend and pass within suspensory ligament and supply ovaries via broad ligament
freely anastomoses with uterine artery

34
Q

what is the lymphatic drainage of the ovaries and fundus of uterus

A

para-aortic nodes

35
Q

what does the placenta develop from

A

trophoblast

feto-maternal organ

36
Q

what is the maternal side of the placenta like

A

rough and spongy

37
Q

what is the fetal surface of the placenta like

A

smooth with attachment of umbilical cord

38
Q

what are the four functions of the placenta

A

gas exchange
metabolism
nutrient exchange
endocrine secretion

39
Q

what are the three structures in the umbilical cord

A

two umbilical arteries

umbilical vein

40
Q

what structure does the umbilical vein persist as

A

round ligament of liver

41
Q

what are the breasts

A

modified sweat glands

42
Q

what is the breast mad eup of

A

15-25 lobes with tubulo-acinar glands and stroma

43
Q

what is the surface anatomy of the breasts

A

extend vertically from 2/3rd rib to 6th rib

extend horizontally from sternal edge to mid axillary line

44
Q

what is the retromammary space

A

space behind tissue of breast that helps with movement

45
Q

what is the function of the suspensory ligament of cooper

A

anchors breast tissue to dermis and supports lobules

46
Q

where do lobules drain to

A

lactiferous ducts

the ducts converge to form the lactiferous sinus

47
Q

what kind of tissue is the nipple

A

smooth muscle and collagenous connective tissue

48
Q

what is the arterial supply to the breast

A

branches of subclavian and axillary arteries

49
Q

what muscles are related to deep surface of breast

A

pectoralis minor and major

serratus anterior

50
Q

where does most of the lymph from the breasts drain to

A

axillary nodes

51
Q

what other nodes do the breasts drain to

A

parasternal

mostly the medial quadrants that drain to here

52
Q

what are the 5 groups of axillary lymph nodes

A
lateral 
apical 
central 
posterior 
pectoral