Female Reproductive System Flashcards

1
Q

Which diameter is the most fixed narrowest one and is where the baby head must pass through during vaginal delivery?

A

True Conjugate (AnteriorPosterior)

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2
Q

What is the ligament that stabilizes the spine and keep one from leaning when they walk. Also supports the iliosacral ligament

A

Iliolumbar ligament

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3
Q

What region of the articulated pelvis is bounded by the inferior margin of the pubic symphysis anteriorly, laterally by the ischiopubic rami and posteriorly by the tip of the coccyx?

A

pelvic outlet

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4
Q

What region of the pelvic girdle is formed by the sacral promontory, anterior borders of ala of sacrum, arcuate line laterally and pectin pubic crest anteriorly?

A

pelvic inlet

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5
Q

Free opening of peritoneal cavity can be a site of infection the what?

A

pelvis

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6
Q

Access place where one can get into the peritoneum

A

The fornix of cervix

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7
Q

Carries ovarian and uterine vessels

A

Broad ligament of uterus

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8
Q

Collateral blood supply of uterine artery is what ?

A

The ovarian artery

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9
Q

Angle of anteflexion

A

measures axis of the main uterine body and the axis of cervix

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10
Q

Angle of anteversion

A

measures the axis of the vagina and axis off cervix

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11
Q

posterior to the posterior fornix is what space?

A

Pouch of douglas

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12
Q

anterior to the anterior fornix is the what

A

bladder

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13
Q

retroverted uterus

A

opening of angle

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14
Q

The body of the uterus normally arches _____ over the superior surface of the bladder.

A

anteflexed—foward

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15
Q

The cervix is angled ____ on the vagina so that the inferior end of the cervix projects into the upper anterior aspect of the vagina.

A

anteverted—foward

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16
Q

upper portion of vagina drains in (lymphatics)

A

internal iliac nodes

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17
Q

lower region of the vagina drains into the (lymphatics)

A

superficial inguinal nodes

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18
Q
internal iliac (vaginal branch)
and uterine artery supplies:
A

Vagina

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19
Q

where to look for infected fluid or bleeding through vagina?

A

go through fornix into pouch of douglas

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20
Q

What is directly in front of the rectum in the midline and can be palpated through the anterior wall of the rectum?

A

Cervix of uterus

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21
Q

The most inferior extent of the peritoneal cavity in the female is the:

A

Rectouterine pouch

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22
Q

What structure courses inferiorly to the pelvic cavity by passing over the pelvic brim, then courses anterior to the uterine artery in the female?

A

Ureter

23
Q

Where does implantation likely occur?

A

body of the uterus

24
Q

If the fetus implants outside of the body of the uterus what kind of pregnancy happens?

A

Ectopic

25
Q

Rectovaginal septum separates the posterior

A

surface vagina from the rectum

26
Q

episiotomy

A

surgical incison between the posterior edge of the vaginal and perineal body to enlarge space in a vaginal delivery —prevent recal incontinence

27
Q

Puboprostatic ligament is what?

A

The ligament (in men) that anchors the neck of the bladder to the pelvis

28
Q

Pubovesical ligament is ?

A

The ligament (in women) that anchors the neck of the bladder to the pelvic cavity.

29
Q

A hysterectomy is performed through a transverse incision known as

A

Pfannenstiel incision

30
Q

Fertilization normally occurs in the what part of the uterus?

A

Ampulla

31
Q

What is embedded into the anterior wall of the vagina?

A

Urethra

32
Q

What ligaments stabilize the uterus in the pelvic cavity?

A

Pubocervical, Transverse Sacral (Cardinal), Uterosacral ligaments

33
Q

Median fold of the peritoneum contains what embryological remnant?

A

Urachus

34
Q

Medial Fold of the peritoneum contains what embryological remnants?

A

The umbilical arteries

35
Q

What overlies uterosacral ligaments?

A

The rectouterine folds

36
Q

What are remnants of the gubernaculum?

A

The round ligament of the uterus and the ovarian ligament

37
Q

Transfer of ova from ovary to fimbriae occurs on posterior side of?

A

Broad ligament

38
Q

Fecal incontinence is due to paralysis, atrophy, or dysfunction of?

A

Pubococcygeus muscle—most medial part, puborectalis

39
Q

Normal position of the uterus in relation to the cervix is___ and ___?

A

anteflexed and anteverted

40
Q

The external anal sphincter is posterior to what structure and is susceptible to damage during an episiotomy.

A

perineal body—cental tendon of perineum

41
Q

The tendinous arch of fascia is connects to the fascia of ___?

A

fascia the levator ani muscle (pubocervical fascia)

42
Q

If the ____ fascia is torn, the ipsilateral side of the vagina falls, carrying the bladder and urethra with it. This also results in urinary ______?

A

tendinous arch fascia

Incontinence

43
Q

Levator ani (pubococcygeus) and its fascias–tendinous arch of fascia and arcus of tendineus fascia is related to _____ incontinence.

A

Urinary

44
Q

Buck’s fascia and Darto’s fascia rupture causes leakage in where?

A

abdominal leakage

45
Q

What structure is most likely to be found where an indirect hernia enter?

A

Round ligament of uterus

46
Q

pelvic splanchnic nerves cause what kind of sensation to rectum (Hindgut)?

A

visceral—no pain (i.e. internal hemorrhoids

47
Q

If the perineal body is affected during the surgical procedure known as ______. This can cause _____incontinence

A

episiotomy

urinary

48
Q

Swollen penis, scrotum and abdominal wall and blood is at the external urethral meatus—–what kept this fluid from reaching the thigh?

A

Colle’s fascia

49
Q

What does the left ureter crosses medial to?

A

Gonadal veins

50
Q

Puborectalis is crucial to maintaining what structure?

A

Anorectal triangle

51
Q

Internal sphincter around the rectum

A

puborectalis

52
Q

Forms the anal aperture by running through the obturator fascia to midline

A

iliococcygeus

53
Q

Rupture of the penile urethra and deep (Buck’s) fascia.Where is the most likely place extravasated of urine will occur?

A

superficial perineal pouch