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Anatomy Final > Female Reproductive system > Flashcards

Female Reproductive system Flashcards

1
Q

suspensory ligament

A

ovary to lateral wall of pelvis

contains ovarian vessels and nerves

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2
Q

mesovarium

A

part of broad ligament associated with OVARIES

attaches to hilum of ovary, enclosing vascular supply

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3
Q

3 regions of broad ligament

A 
1. mesometrium 
=uterus, largest subsection; covers iliac vessels
2. mesovarium 
=ovaries
3. mesosalpinx 
=encloses uterine tubes
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4
Q

mesosalpinx

A

UTERINE TUBES

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5
Q

right ovarian vein goes to what

A

IVC

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6
Q

left ovarian vein goes to what

A

L. renal vein

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7
Q

what is the site of fertilization

A

uterine tubes

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8
Q

intraperitoneal innervation

SUPERIOR to pelvic pain line

A

visceral afferent pain fibers ascend retrogradely

T11-L1 with descending SNS fibers of ovarian plexus

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9
Q

visceral afferent reflex

A

PARASYMPATHETIC thru uterine (pelvic) plexus and pelvic splanchnic nerves S2-S4

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10
Q

what do pelvic splanchnic nerves carry

A

PARASYMPATHETIC

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11
Q

tubal (ectopic) pregnancy

A

embryo increases blood supply demands so increased blood flow and large amounts of bleeding

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12
Q

tubal ligation and sterilization

A

permanent and surgical method of BC

remove uterine tubes

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13
Q

blood supply of uterus

A

uterine artery

branch of internal iliac artery

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14
Q

venous drainage uterus

A

plexus in broad ligament that drains into uterine veins

INTERNAL ILIAC VEINS

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15
Q

lymphatic drainage uterus

A

iliac, sacral, aortic, inguinal

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16
Q

innervation of vagina, inferior 1/5

A

= somatic, pudendal nerve S2-S4
SYMPATHETIC AND VISCERAL ONLY
NO PARA

17
Q

most of vagina, innervation

A

VISCERAL innervation
nerves derived from pelvic plexus
SYMPATHETIC, VISCERAL, PARA

18
Q

parasympathetic innervation

A

S2-S4 spinal cord and pass thru pelvic splanchnic nerves

19
Q

visceral afferent fibers conducting pain impulses from intraperitoneal uterine fungus and body follow what innervation
SUPERIOR TO PELVIC PAIN LINE

A

SYMPATHETIC INNERVATION to reach T11-L1

20
Q

afferent fibers conducting pain from sub peritoneal uterine cervix and vagina follow what innervation
INFERIR TO PELVIC PAIN LINE

A

PARASYMPATHETIC INNERVATION thru pelvic splanchnic nerves S2-S4

21
Q

dynamic support of uterus

A

pelvic diaphragm

22
Q

passive support of uterus

A

position of uterus is ANTEVERTED and ANTEFLEXED

23
Q

cardinal (transverse cervical) ligaments

A

base of broad ligament

contains uterine artery and vein, assists support to uterus

24
Q

uterosacral ligaments

A

sides of cervix –> sacrum

palpable during exam

25
Q

layers of uterus

A
  1. perimetrium
  2. myometrium
  3. endometrium = inner mucous layer
26
Q

perimetrium

A

peritoneum with thin CT

27
Q

myometrium

A

middle
thinner and more extensive with pregnancy
main branches of blood vessels and nerves of uterus are here
contract to dilate cervical os during childbirth

28
Q

endometrium

A

inner mucous layer
firmly adhered to myometrium
involved with menstrual cycle

29
Q

what are the 3 portions of the cervix

A
  1. internal os: cervical canal + uterine body
  2. cervical canal: cavity between internal and external Ostia
  3. external os: opening cervical canal to vagina
30
Q

epidural block

A

intraperitoneal
sub peritoneal
somatic

31
Q

spinal block

A

intraperitoneal
sub peritoneal
somatic

32
Q

pudendal nerve block

A

somatic = perineum area innervated by pudendal nerve

33
Q

hysterectomy

A

removal of uterus

34
Q

where does the uterine artery cross the ureter

A

laterally to internal os

water under the bridge = uterine artery is on top of ureter

35
Q

pelvic relaxation

A

pelvic diaphragm during delivery
common post menopause
decreased estrogen = decreased tissue integrity
results in change in orientation of bladder to urethral sphincter = urinary incontinence

36
Q

cervical cancer

A

major risk factor HPV 16/18
develops in epithelium covering cervix
proceeded by changes called cervical intraepithelial neoplasia
if proliferating, cross basal lamina into underlying CT

Anatomy Final (6 decks)

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