Female Reproductive Anatomy Flashcards

1
Q

innominate bone consists of

A

ileum
ischium
pubis

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2
Q

what is the acetabulum

A

socket for the hip joint

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3
Q

boundary of true/false pelvis (name/made of ant/post)

A

arcuate line

ant: sup margin of symphysis pubis
post: sacral prominence

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4
Q

arcuate line AKA

A

linea terminalis
pelvic brim
iliopectineal line

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5
Q

uterus segments inf to sup

A

cervix
isthmus
corpus (body)
fundus

(cornua also come out)

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6
Q

what uterus positions have no flexion at the isthmus

A

anteverted
retroverted

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7
Q

what uterus positions have flexion at the isthmus

A

anteflexed
retroflexed

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8
Q

uterus is ___ shaped in reproductive years/postmenopausal year and ____ in newborns/infants

A

pear
bilobed

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9
Q

reproductive nulliparous uterus size (LxWxH)

A

8x5x4 cm (LxWxH)

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10
Q

cervix to uterus ratio (newborn, 4 year old, puberty, nulliparous adult, multiparous adult, postmenopausal)

A

2:1
1:1
2:1
2:1
3:1
1:1

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11
Q

uterine layers

A

endometrium
myometrium
peritmetrium

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12
Q

endometrium 2 layers

A

stratum functionalis (decidual)
stratum basalis

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13
Q

endometrium size
postmenopausal with bleeding:
postmenopausal no bleeding:

A

<5mm
<9mm

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14
Q

when may postmenopausal bleeding be normal

A

if woman on HRT

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15
Q

endometrium size
menstrual
proliferative
secretory

A

<1mm
5-8mm
9-14mm

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16
Q

the vagina attaches to the cervix at the level of the _____ with the posterior fornix being _____ than anterior

A

internal os
higherr

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17
Q

segments of fallopian tubes

A

interstitial
isthmus
ampulla
infundibulum (contains fimbriae)

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18
Q

fallopian tubes are contained in

A

mesosalpinx of broad ligament

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19
Q

ovaries are located in the Fossa of ____

A

Waldeyer

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20
Q

landmark for ovaries is the

A

internal iliac arteries

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21
Q

ovarian size/ shape (cc) (reproductive years)

A

almond shape
6cc up to 20cc (cubic cm)

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22
Q

postmenopausal ovarian size (cc) and what is considered abnormal

A

1-5.8cc
>8cc = abnormal

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23
Q

ovarian size (cm) (LxWxAP)

A

length: 2.5-5cm
width: 1.5-3cm
AP: .6-2.2cm

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24
Q

blood supply for uterus (3 off aorta, 4 off uterine artery)

A

aorta: CIA, IIA (AKA hypogastric artery), anterior branch of IIA

uterine artery: arcuate artery, radial artery, straight arterioles, spiral arterioles

25
what do straight/spiral arterioles supply and what artery do they branch from
branch from uterine artery straight: supply basal layer of uterus spiral: supply decidual layer of uterus
26
5 vessels for venous return from uterus
venous plexus uterine vein IIV CIV IVC
27
blood supply to ovaries
aorta to ovarian arteries
28
venous return for ovaries
right ovarian vein to IVC left ovarian vein to LRV to IVC
29
the ovarian arteries often form ____ with the uterine arteries
anastomoses
30
ligaments for the female pelvis (7)
2 broad 2 round (lig teres uteri) 2 uterosacral 2 ovarian 2 suspensory (infundibulopelvic ligs) 2 mesosalpinx 2 mesovarium
31
broad ligament (what, drapes over, parts)
2 fold of peritoneum drapes over uterus/fallopian tube mesosalpinx: drapes over fallopian tubes mesovarium: post portion of peritoneum that attaches to the ovary
32
round ligament helps
hold the uterine fundus and body in a forward postition
33
uterosacral ligaments
helps to anchor cervix and uterus posteriorly
34
ovarian ligament
connect ovary to lateral uterus
35
suspensory ligament
attach the ovary to the pelvic wall
36
muscles in the abdominopelvis (2)
rectus abdominus (abs) (ant wall of abdomen) psoas muscle (post wall of abdomen)
37
linea alba
aponeuroses that fuse the 2 rectus muscles as well as the oblique muscles at the mid line
38
muscles in the false pelvis (1) (what, where, lateral to)
iliopsoas muscle anterior and lateral lateral to bladder and external iliac vessels
39
muscles in the true pelvis (4) (just name)
obturator internus muscle piriformis levator ani muscle coccygues
40
obturator internus muscle (where, lat to, seen on US?)
side walls of pelvis directly lat to uterus difficult to see on US
41
piriformis (where, post to)
posterior wall of pelvis post to cervix on US (usually can only see it on one side)
42
levator ani muscle (where, post to)
most inferior muscle post to vagina on US
43
coccygeus
the posterior floor of the pelviss
44
what is commonly mistaken for an ovary
piriformis muscle
45
what is the piriformis muscle commonly mistaken as
an ovary
46
intraperitoneal potential spaces
posterior cul-de-sac (rectouterine pouch) anterior cul-de-sac (vesicouterine pouch)
47
extraperitoneal potential spaces
vaginal fornices space of Retzius
48
what is the only area of the bladder that does not expand
trigone
49
peritoneum lines all pelvic organs except
ovaries
50
perineum
area between thighs soft tissue around external genitalia and anus
51
what is the junction of the uterine body and the cervix
ishtmus
52
what is the normal length of a nulliparous menstrual age female uterus
6-8cm
53
what is the normal volume of an ovary in a patient o reproductive age
6cc but can be up to 20cc
54
how to calculate ovarian volume
L x W x H x 0.523 (or just devide by 2)
55
fallopian tube length total: interstitial: isthmus: ampulla:
7-12cm 1cm 2cm 5cm
56
diameter of fallopian tubes
8-10mm
57
Another name for IIA is _______
Hypogastric artery
58
Cardinal lig
anchors cervix