Female Reproductive System Flashcards

1
Q

what is the transitional zone of the cervix

A

where the columnar epithelia which line the cervix is exposed into the vagina

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2
Q

why can cancers occur due to exposure of the transitional zone of the cervix

A

the columnar epithelia undergoes metaplasia due to the acidic conditions in the vagina, changing into stratified squamous -this could give rise to mutations

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3
Q

why is the vagina full of glycogen

A

as this is used by the lactobacillus to produce lactic acid

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4
Q

why might you feel shoulder tip pain following an ectopic pregnancy

A

blood from a ruptured ectopic pregnancy may collect in the pouch of Douglas then move up through the paracolic gutter to irritate the diaphragm and phrenic nerve which innervates the dermatomes C3,4,5

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5
Q

what is the pouch of Douglas also known as

A

retro-uterine pouch

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6
Q

what are the 3 peritoneal ligaments covering the female reproductive system

A
  • broad ligament
  • suspensory ligament to the ovary
  • round ligament and ligament to the ovary
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7
Q

what are the 3 parts of the broad ligament

A
  • mesometrium (covering the uterus)
  • mesovarium (covering the ovary)
  • mesosalpinx (covering the uterine artery)
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8
Q

what is the suspensory ligament to the ovary

A

a folding of peritoneal membrane containing vessels

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9
Q

what are the round ligament and ligament to the ovary remnants of

A

the gubernaculum

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10
Q

what are the different parts of the Fallopian tubes

A

fimbrae, infundibulum, ampulla, isthmus

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11
Q

which part of the Fallopian tube do most ectopic pregnancies occur

A

ampulla

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12
Q

what are the 2 types of cells found in the Fallopian tubes

A

peg cells - secrete factors to maintain the egg

ciliated cells

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13
Q

what do peg cells do

A

secrete factors to help nourish and maintain the egg

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14
Q

describe the blood supply to the female reproductive system

A

ovarian artery - comes from the abdominal aorta

uterine and vaginal artery - comes from the internal iliac artery

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15
Q

describe the venous drainage of the female reproductive system

A

the left vein drains into the left renal vein and into the IVC. the right vein drains directly into the IVC

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16
Q

where do the lymph nodes drain to

A

the para-aortic sinuses

17
Q

what is the normal position of the uterus

A

ante flexed and anteverted

18
Q

what is endometriosis

A

where endometrial tissue is found outside of the uterus e.g.the pouch of Douglas

19
Q

how can ovarian cysts cause pain

A

direct pressure, stretching of peritoneal, torsion or rupturing