Female reproductive organs

Question 1

Which structures are located within the broad ligament?

Answer 1

Ovarian ligament
Round ligament of the uterus
Uterine artery
Ovarian artery
Fallopian tubes

Question 2

Which arteries supply the bladder?

Answer 2

Superior vesicle
Vaginal
Branches of gluteal and obturator

Question 3

Which nerves supply the bladder?

Answer 3

sympathetic T12-L2 - storage

Parasympathetic S1,2,3 - peeing

Question 4

What is the structure of the detrusor muscle of the bladder?

Answer 4

inner and outer layers are longitudinal smooth muscle, middle layer is circular smooth muscle

Question 5

Where does the vagina drain blood to?

Answer 5

Venous plexus then hypogastric veins

Question 6

Where does the cervix drain blood to?

Answer 6

uterine veins then internal iliac veins

Question 7

What is the innervation of the internal anal sphincter?

Answer 7

Pelvic splanchnic nerves

Question 8

What is the innervation of the external anal sphincter?

Answer 8

pudendal nerve

Question 9

What are the terminal branches of the pudendal nerve?

Answer 9

Perineal
Inferior rectal
dorsal nerve of clitoris

Question 10

Classify a perineal tear including perineal muscle but excluding external anal sphincter

Answer 10

2

Question 11

Classify a 3a tear

Answer 11

<50% of external anal sphincter

Question 12

Classify 3b tear

Answer 12

> 50% of external anal sphincter

Question 13

Classify 3c tear

Answer 13

Internal sphincter torn

Question 14

Classify a 4th degree tear

Answer 14

External and internal anal sphincters are torn and rectal mucosa is torn

Question 15

What is the innervation of internal and external anal sphincters

Answer 15

S4
Internal anal sphincter - involuntary control pelvic splanchnic nerves
External anal - S4 via inferior rectal branch of pudendal nerve

Question 16

Lymphatic drainage of the fallopian tubes

Answer 16

Para-aortic lymph nodes

Question 17

Lymphatic drainage of the ovaries

Answer 17

Para-aortic lymph nodes

Question 18

Lymphatic drainage of the vagina

Answer 18

Inferior 1/3 = inguinal

Superior 2/3 = internal and external iliac

Question 19

Lymphatic drainage of the cervix

Answer 19

External iliac and then to paraaortic

Question 20

Lymphatic drainage of the bladder

Answer 20

Internal, external, common iliac

Question 21

Which fetal structure does the round ligament develop from?

Answer 21

The gubernaculum

Question 22

Which artery supplies the lower 1/3 of the rectum?

Answer 22

middle rectal artery