Female Reproductive System and Breast

Question 1

What is the Pouch of Douglas?

Answer 1

recto-uterine pouch

Question 2

How can fluid collection in the pouch of douglas be drained?

Answer 2

needle through posterior fornix of the vagina

Question 3

What is the broad ligament?

Answer 3

double layer of peritoneum

Question 4

What is the function of the broad ligament?

Answer 4

maintina the uterus in its correct midlien position

Question 5

Where does the broad ligament extend between?

Answer 5

uterus and lateral walls and floow of the pelvic

Question 6

What is found within the broad ligament?

Answer 6

uterine tubes and proximal part of hte round ligament

Question 7

What is the round ligament?

Answer 7

embryological remnant

Question 8

What does the round ligament attach between?

Answer 8

lat aspect of the uterus to the superficial tissue of the female perineum

Question 9

What are teh 3 layers of hte uterus?

Answer 9

perimetrium; myometrium and endometrium

Question 10

What is the most common position of the uterus?

Answer 10

anteverted and anteflexed

Question 11

What is anteverted?

Answer 11

uterus is tipped anteiorly relative to the axis of the vagina

Question 12

What si anteflexed?

Answer 12

uterus is tipped antiorly relative to the axis of the cervic

Question 13

What is retroverted?

Answer 13

uterus tipped post relative to axis of vagina

Question 14

What is retroflexed?

Answer 14

uterus tipped posteiorrly relative to axis of cervix

Question 15

What gynae procedure can result in damage to the ureters?

Answer 15

hysterectomy

Question 16

What is the fornix of the vagina?

Answer 16

superiorly the walls are not in contact as held open by the cervix. fornix= space aroudn the cervix

Question 17

How many parts are there of the fornix?

Answer 17

4- 2 lat; ant and post

Question 18

The line which separates the urogenital traingle and anal triangle is created ebtween which points?

Answer 18

ischial tuberosities

Question 19

What is the nerve supply of the levator ani?

Answer 19

S3,4,5- nerve to levator ani and pudendal

Question 20

What muscle supplies the perineal muscles?

Answer 20

pudendal

Question 21

What si the perineal body?

Answer 21

bundle of collagenous and elastic tissue into which the perineal muscles attach

Question 22

Where are Bartholin’s glands located?

Answer 22

posteiror edge of vaginal opening

Question 23

What is the function of Bartholin’s glands?

Answer 23

secrete mucus to lubricate opening to vagina

Question 24

What are Bartholin’s glands equiavalent to in male?

Answer 24

Cowper’s/bulbourethral glands

Question 25

What are the adnexae?

Answer 25

uterine tubes and ovaries

Question 26

What ribs does the bed of breast extend between?

Answer 26

ribs 2-6

Question 27

What fasciae do the breasts lie on?

Answer 27

deep fascia covering pec major and serratus anteiror

Question 28

What is found between the deep fascia and the breast?

Answer 28

retromammary space which allows breast to move

Question 29

What attaches the breast to the skin?

Answer 29

suspensory ligaments

Question 30

What is the function of asking a patient to place her hands on her hips during breast exam?

Answer 30

fixes the pec muscles to determine if lump is mobile like breast should be

Question 31

Where does most lymph from the breast ho?

Answer 31

ipsilateral axillary lymph nodes and then to supraclavicular

Question 32

Where can lymph from inner breast quadrants drain to?

Answer 32

parasternal lymph nodes

Question 33

Where can lymph from the lower inner breast Q drain?

Answer 33

abdo lymph nodes

Question 34

What is level I axillary node clearance?

Answer 34

inferior and lateral to pec minor

Question 35

What is level II axillary node clearance?

Answer 35

deep to pec minor

Question 36

what is level III axillary node clearance?

Answer 36

superior and emedial to pec minor

Question 37

What is the main arterial supply to the breasts?

Answer 37

internal mammary a. from the internal thoracic a. ; also axillary branches and branches from posteiror intercostal a. (ribs 2,3,4)