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Reproductive System > Female Reproductive Tract > Flashcards

Female Reproductive Tract Flashcards

1
Q

What are the remnants of the gubernaculum?

A

Ovarian ligament

Round ligament

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2
Q

Where does the ovarian lig run?

A

Ovary to uterus

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3
Q

Where does the round lig run?

A

Uterus through inguinal canal

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4
Q

What is the arterial supply to the ovaries?

A

L and R ovarian arteries (direct from abdominal aorta)

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5
Q

What is the venous drainage of the ovaries?

A

R ovarian vein -> IVC

L ovarian vein -> L renal vein

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6
Q

What is the fundus of the uterus?

A

Most superior part

Palpable as pregnancy proceeds

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7
Q

What is the ideal implantation site for pregnancy?

A

High up on posterior wall of uterine body

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8
Q

What is the endocervical canal?

A

Channel that runs through the cervix

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9
Q

How are the vaginal fornices made?

A

Cervix dips down into the vagina

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10
Q

Where is the uterovesical pouch?

A

Between urinary bladder and uterus

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11
Q

Where is the rectouterine pouch?

A

Pouch of Douglas
Between uterus and rectum
Lowest part of peritoneum

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12
Q

How is the pouch of Douglas accessible?

A

Put a needle through the posterior fornix of vagina

Sample the fluid

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13
Q

What is the suspensory ligament?

A

Suspends ovary from lateral wall of pelvis

Contains vasculature of ovaries

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14
Q

Describe the position of the uterus

A

Anteverted - inclined forward with respect to vagina
Anteflexed - fundus pointing forward relative to the cervix
Uterus lies on top of the bladder

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15
Q

Where is the internal Os?

A

Opening of uterus to cervix

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16
Q

Where is the external Os?

A

Opening of cervix to vagina

17
Q

What is the transverse cervical ligament?

A

Thickening at the base of the broad ligament

Lateral stability of cervix

18
Q

What is the uterosacral ligament?

A

Opposes the anterior pull of the round lig

Assists in maintaining anteversion

19
Q

Where does the ovarian artery supply?

A

Ovary
Fundus and upper body of uterus
Fallopian tube

20
Q

Where do the uterine artery and internal pudendal artery branch from?

A

Anterior division of internal iliac

21
Q

The vaginal artery is a branch of …

A

Uterine artery

22
Q

Why do we need to be careful of ureter in a hysterectomy?

A

Ureter runs underneath the uterine artery

Need to ligate uterine artery in the surgery

23
Q

Describe a bimanual examination

A

Palpation of cervix and uterus via vagina
(2 fingers)
Other hand palpate anterior abdo wall

24
Q

Where does ovary lymph drain to?

A

Para-aortic nodes

25
Q

Where does fundus of the uterus lymph drain to?

A

Para-aortic nodes

Inguinal nodes

26
Q

Where does the lymph of body of uterus drain to?

A

External iliac nodes

27
Q

Where does the lymph from the cervix drain?

A

External and internal iliac nodes

Sacral nodes

28
Q

Where are the labia majora?

A

Enclosing the pudendal cleft

29
Q

Where are the labia minora?

A

Enclosing vestibule of vagina

30
Q

What is contained within the vestibule of the vagina?

A

Orifices of urethra and vagina

Greater and lesser vestibular glands

31
Q

What is the alternative name for greater vestibular glands?

A

Bartholin glands

32
Q

Give 2 pathologies that can affect Bartholin glands

A

Bartholinitis

Bartholin gland cysts

33
Q

How many vaginal fornices do we have and what are they called?

A

4

Anterior, posterior and 2 lateral

34
Q

What is the innervation to the uterus and superior 4/5 of vagina?

A

Uterovaginal plexus

35
Q

What is the innervation to the inferior 1/5 vagina?

A

Pudendal nerve

Somatic

36
Q

The perineum is mostly innervated by …

A

Pudendal nerve

37
Q

Describe some of the route of pudendal nerve

A

Exits pelvis via greater sciatic foramen
Enters perineum via lesser sciatic foramen
Travels through pudendal canal

Reproductive System (17 decks)

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