Female Reproductive Wk12

Question 1

What are the peritoneal reflections in female UG?

Answer 1

Bladder, uterus, vagina, rectum

Question 2

What is the lowest part of the periotneal contents?

Answer 2

recto-uterine space (6) - relationship of
vagina to lowest part of peritoneal cavity

Question 3

What are the spaces/recesses in female UG?

Answer 3

Vesico-uterine pouch
Recto-uterine pouch or
Pouch of Douglas

Question 4

What is the position of the uterus?

Answer 4

Normally Antiflexed and antiverted
Retroflexion & retroversion

Question 5

Retroflexion

Answer 5

changed axis of uterus

Question 6

Retroversion

Answer 6

changed axis of cervix

Question 7

Retroverted and retroflexed

Answer 7

is when the uterus is backwards

Question 8

What ligaments provide support to uterus?

Answer 8

Broad ligament (mesometrium) and round ligament of uterus (similar to spermatic cord in males)

Question 9

What are the ligaments around cervix?

Answer 9

transverse cervical lig, uterosacral lig & pubocervical lig

Question 10

What does the broad ligament do?

Answer 10

Broad ligament = two layers of peritoneum sandwiched
together on sides of uterus

Question 11

What does the broad ligament comprise of?

Answer 11

Mesometrium; Mesosalpinx; Mesovarium

Question 12

What are the ligaments in the uterus and broad ligament area?

Answer 12

uterine tube in upper free margin of broad lig.
- ovaries are posterior and have their own mesothelium
- round ligament runs through anterior part of broad lig.
- suspensory ligament of ovary contains ovarian vessels

Question 13

Ecoptic pregnancies occur at several sites -

Answer 13

tubal, non-tubal, abdominal (recto-uterine pouch)

Question 14

What is the blood supply of the female reproductive tract?

Answer 14

Internal iliac artery - focus on the anterior then posterior

Question 15

Describe the branching of the internal iliac artery

Answer 15

Vaginal, uterine, and internal pudendal artery

Question 16

What arteries have a connection/anastomosis

Answer 16

Uterine and ovarian arteries

Question 17

Vaginal artery provides blood to?

Answer 17

Vaginal artery – vagina, bladder, rectum

Question 18

Uterine artery provides blood to?

Answer 18

Uterine artery – major artery to uterus, but also ovary and
vagina. Enlarges significantly during pregnancy

Question 19

Internal pudendal artery provides blood to?

Answer 19

Internal pudendal artery – perineum, erectile tissue

Question 20

Ovarian artery

Answer 20

within suspensory ligament

Question 21

Female external genitalia is composed of

Answer 21

labia majora
* labia minora
* vestibule or urogenital sinus = between labia minora
* clitoris
* urethal orifice
* vagina

Question 22

Vagina has the roles for

Answer 22

fibromuscular tube - from vestibule to uterus
* for elimination of menstrual fluids
* receives penis during sexual intercourse, holds sperm
* forms birth canal for expulsion of fetus
* fornices (singular fornix)

Question 23

What is the innervation of the female pelvis?

Answer 23

Superior hypogastric plexus
Inferior hypogastric plexus
Ovarian plexus

Question 24

Pudenal nerve - has

Answer 24

motor and sensory components

Question 25

Sensory pudendal nerves

Answer 25

perineal branches and dorsal clitoral nerve

Question 26

Sympathetic innervation

Answer 26

- from lower thoracic and upper lumbar spinal cord segments - travel via sympathetic chain ganglia and then series of midline ganglia/plexi (IMP, SHP, IHP) to innervate pelvic structures - Increased sympathetic drive causes: vasoconstriction and loss of erection

Question 27

Pelvic pain line

Answer 27

Inferior point peritoneum (lower border of broad ligament)

Question 28

Anaesthesia (epidural) is where

Answer 28

the spinal block (L3-L4) - pain relief for the below