Female Reproduction Anatomy Flashcards

1
Q

ligaments supporting the female stuff

A
median umbilical ligament
round ligament of uterus
round ligament of ovary
uterosacral ligament
board ligament of the uterus
suspensory ligament of the ovary
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2
Q

female spaces/pouches

A

supravesicular fossa
retropubic space
vesicouterine pouch
rectouterine pouch

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3
Q

supravesicular fossa

A

peritoneal depression anterior to the bladder, above the pubic symphysis
used for suprapubic approach to pelvic cavity

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4
Q

retropubic space

A

between bladder and pubic symphysis low, used for suprapubic approach

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5
Q

vesicouterine pouch

A

space between uterus and bladder when uterus is ante flexed (normal)

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6
Q

rectouterine pouch

A

between the uterus and rectum, defined by uterosacral ligament

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7
Q

how is the rectouterine pouch accessed

A

posterior fornix of the vagina

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8
Q

uterine prolapse

A

uterus protrudes into vagina

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9
Q

rectocele prolapse

A

rectum protrudes into vagina

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10
Q

cytocele prolapse

A

bladder protrudes into vagina

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11
Q

enterocele prolapse

A

intestine protrudes into vagina

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12
Q

what causes a prolapse

A

relaxed pelvic floor ligaments
damaged perineal body
excessive retroversion

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13
Q

parts of the uterine tube

A
fimbria
infundibulum- first part of tube
osteium- opening into peritoneal cavity
isthmus- narrow area
intramural- in uterine wall
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14
Q

salpingitis

A

uterine tube infection

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15
Q

what is the blood supply of the uterine tuve

A

ovarian artery

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16
Q

peritinitis

A

infection in the peritoneal cavity

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17
Q

blood supply to uterus

A

ovarian and uterine

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18
Q

ligments on the ovary

A

suspensory ligament- holds ovarian vessels
ligament of ovary- ovary to uterus
mesosalpix- part of broad ligament

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19
Q

bloods supply of ovary

A

ovarian vessels

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20
Q

which vaginal wall is longer

A

posterior

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21
Q

palpable structures on pelvic exam

A

posterior- rectum, rectouterine pouch
anterior- bladder, urethra
lateral- ureters, uterine vessels, ovaries if enlarged

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22
Q

vaginal blood supply

A

upper 1/3- uterine artery
middle- vaginal artery
lower- pudenal

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23
Q

mesovarium

A

ovary to mesometrium

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24
Q

mesosalpnix

A

surrounds uterine tuves

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25
Q

mesometrium

A

connects uterus to lateral wall

26
Q

ovarian arteris

A

branch off aorta at T12
travel in suspensory ligament of the ovary
supply ovary and uterine tubes

27
Q

uterine artery

A

branch off internal iliac
uterus, upper 1/3 of vagina
in transverse cervical ligament (cardinal)

28
Q

vaginal artery

A

branch off internal iliac

lower vagina

29
Q

internal pudendal artery

A

branch of internal iliac

supplies perineum, posterior labia, vestibule of vagina

30
Q

lymph of ovary and uterine tubes

A

lumbar nodes

31
Q

lymph of uterus and vagina

A

internal iliac nodes

32
Q

lymph of round ligament of uterus

A

inguinal nodes

33
Q

what forms the frenulum and prepuce

A

the labia minora

34
Q

what is in the vestibule of vagina

A

vaginal orifice
urethral orifice
opening of paraurethral glands
opening of greater vestibular glands

35
Q

homolog of the greater vestibular glands

A

seminal vesicle

36
Q

homolog of the lesser vestibular glands

A

prostate

37
Q

homolog of the bulb of the vestibule

A

bulb of the penis and accompanying corpus spongiosum

38
Q

contents of the superficial perineal space

A
ishiocavernosus muscle
clitoris glans and crura
bulbospongiosus muscle
bulbs of vestibule
greater vestibular glands
superficial perineus muscle
39
Q

female erectile tissues

A

clitoris and bulb of vestibule

40
Q

ishiocavernosus muscle covers the

A

crura of the clitoris

41
Q

bulbospongiosus muscle covers the

A

bulb of the vestibule

42
Q

contents of deep perineal space

A
external urethral sphincter
compressor urethrae
urovaginal sphincter
deep transverse perineus
dorsal verve of the clitoris
dorsal artery of the clitoris
43
Q

location of external urethral sphincter

A

circular muscle around the urethra at the neck of the bladder and then spreads out

44
Q

location of compressor urethrae

A

formed by spreading out of the external urethral sphincter around the vagina

45
Q

location of urovaginal sphincter

A

formed by external urethral sphincter around the hiatus

46
Q

lymphatic drainage fot he perineum

A

goes to the same sine + 1 cm across midline (midline overlaps)
follows inguinal nodes or iliac nodes if along internal pudendal artery

47
Q

perineum innervation

A

posterior labial nerve- cutaneous to labia
anterior labial- fron ilioinguinal
perineal branch of posterior cutaneous of thigh- outside labia majora

48
Q

pudendal nerve block

A

needle through vaginal wall aimed at the sacrospinous ligament
gets posterior labial nerve only

49
Q

full anesthesia of perineal area

A
posterior labial (pudendal)
anterior labial (ilioinguinal)
perineal (cutaneous nerve of thigh)
50
Q

episiotomy

A

surgical cutting of the perineal body for more room for child birth

51
Q

suboccipitolbregmatic measurement

A

baby head size

52
Q

transverse diameter of pelvic inlet

A

widest part of pelvis, between the top of the ischial spines

53
Q

obstetric conjugate distance

A

distance from sacral promontory to the middle of the pubic symphysis, indirectly measured by the diagonal conjugate

54
Q

diagonal conjugate distance

A

distance from sacral promontory to the inferior pubic symphysis
measured by inserting fingers into vagina and palpating the sacrum and measuring to the pubic symphysis

55
Q

interspinous distance

A

distance between ischial spine and location of baby head

ischial spine to tuberosity is 5cm

56
Q

structures above the pelvic pain line

A

ovary, uterine tubes, upper uterus

57
Q

visceral pain path above pelvic pain line

A

sympathetic T12-L2 segments, hypogastric plexus and lumbar splanchnic nerves

58
Q

structures below the pelvic pain line

A

cervix, vagina, perineum

59
Q

visceral pain path below the pelvic pain line

A

parasympathetic S2-4 via pelvic splanchnic nerves

60
Q

somatic pain below the pelvic pain line

A

pudendal and posterior labial nerves