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

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

23
Q

ovarian size (cm) (LxWxAP)

A

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

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
Q

what do straight/spiral arterioles supply and what artery do they branch from

A

branch from uterine artery
straight: supply basal layer of uterus
spiral: supply decidual layer of uterus

26
Q

5 vessels for venous return from uterus

A

venous plexus
uterine vein
IIV
CIV
IVC

27
Q

blood supply to ovaries

A

aorta to ovarian arteries

28
Q

venous return for ovaries

A

right ovarian vein to IVC
left ovarian vein to LRV to IVC

29
Q

the ovarian arteries often form ____ with the uterine arteries

A

anastomoses

30
Q

ligaments for the female pelvis (7)

A

2 broad
2 round (lig teres uteri)
2 uterosacral
2 ovarian
2 suspensory (infundibulopelvic ligs)
2 mesosalpinx
2 mesovarium

31
Q

broad ligament (what, drapes over, parts)

A

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
Q

round ligament helps

A

hold the uterine fundus and body in a forward postition

33
Q

uterosacral ligaments

A

helps to anchor cervix and uterus posteriorly

34
Q

ovarian ligament

A

connect ovary to lateral uterus

35
Q

suspensory ligament

A

attach the ovary to the pelvic wall

36
Q

muscles in the abdominopelvis (2)

A

rectus abdominus (abs) (ant wall of abdomen)
psoas muscle (post wall of abdomen)

37
Q

linea alba

A

aponeuroses that fuse the 2 rectus muscles as well as the oblique muscles at the mid line

38
Q

muscles in the false pelvis (1) (what, where, lateral to)

A

iliopsoas muscle
anterior and lateral
lateral to bladder and external iliac vessels

39
Q

muscles in the true pelvis (4) (just name)

A

obturator internus muscle
piriformis
levator ani muscle
coccygues

40
Q

obturator internus muscle (where, lat to, seen on US?)

A

side walls of pelvis
directly lat to uterus
difficult to see on US

41
Q

piriformis (where, post to)

A

posterior wall of pelvis
post to cervix on US
(usually can only see it on one side)

42
Q

levator ani muscle (where, post to)

A

most inferior muscle
post to vagina on US

43
Q

coccygeus

A

the posterior floor of the pelviss

44
Q

what is commonly mistaken for an ovary

A

piriformis muscle

45
Q

what is the piriformis muscle commonly mistaken as

A

an ovary

46
Q

intraperitoneal potential spaces

A

posterior cul-de-sac (rectouterine pouch)
anterior cul-de-sac (vesicouterine pouch)

47
Q

extraperitoneal potential spaces

A

vaginal fornices
space of Retzius

48
Q

what is the only area of the bladder that does not expand

A

trigone

49
Q

peritoneum lines all pelvic organs except

A

ovaries

50
Q

perineum

A

area between thighs
soft tissue around external genitalia and anus

51
Q

what is the junction of the uterine body and the cervix

A

ishtmus

52
Q

what is the normal length of a nulliparous menstrual age female uterus

A

6-8cm

53
Q

what is the normal volume of an ovary in a patient o reproductive age

A

6cc but can be up to 20cc