GA1. Perineum, male repro, female repro Flashcards

1
Q

**______ is defined as the ENTIRE outlet of the pelvic cavity

A

perineum

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2
Q

perineum is Anterior boundary of the____

A

pubic symphysis

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3
Q

The perineum is anteriorlaterally bounded by the __

A

inferior pubic rami

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4
Q

The perineum is laterally bounded by the ____

A

ischial tuberosities

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5
Q

Perineum is posteriorlaterally bounded by ___

A

sacrotuberus lig

inf. boarder of the glut max

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6
Q

perineum is posteriorly bounded by the ____

A

coccyx

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7
Q

**_____ separates the main pelvic cavity from the pelvic diaphragm

A

perineum

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8
Q

_______ is the space btw the glut max (skin) & pelvic diaphragm

A

ischianl fossae

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9
Q

The ischioanal fossae contains what stuctures

A

fat
pudential N
internal pudential A&V

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10
Q

The ischioanal fossae containsed the ____ canal (give the two names)

A

pudential conal

alcocks canal

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11
Q

Epithelium of the top 1/2 of the anal canal is ______

A

simple columnar

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12
Q

Epithelium of the lower half of the anal canal is _____

A

strat. squamous

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13
Q

The supercial perineal fascia is called ____ fascia

A

colle’s

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14
Q

2 boundaries of the superficial perineal pouch

A

btw the

  1. inferior fascia of the urogenital diaphragm
  2. membranous layer of the superficial fascia (Colle’s)
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15
Q

***5 structures that are located in the superficial perineal pouch of males and females

A
  1. ischiocavernosus
  2. bulbospongiosus
  3. superficial transverse m.
  4. internal pudenal VAN
  5. Perineal body
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16
Q

boundary of the deep perineal pouch

A

superior and inferior fascia of the urogenital diaphragm

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17
Q

(6) contents of the deep perineal pouch

A
  1. membranous urethra
  2. sphincter urethrae
  3. bulbourethral glands
  4. deep transverse perineal m.
  5. internal pudendal a.
  6. dorsal nerve of penis
    • females also have
      1. urethra
      2. vagina
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18
Q

Superficial structures of the male urogenital triangle

A

penis

scrotum

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19
Q

____ prvides a foundation for the errectile tissues of the male and female genital

A

perineal membrane

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20
Q

_____ contains the external female genital organs

A

vulva

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21
Q

Contents of the vulva (7)

A
mons pubis 
labia majora
labia minora
vestible 
vaginal orifice 
opening of the greater vestibular glands (barolins) 
clit
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22
Q

what are the 2 addition structures that the female has in the superficial perineal pouch that males do not have

A
  1. paraurethral glands

2. greater vestibular glands (bartholin’s glands)

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23
Q

greater vestibular glands aka _____

A

bartholin’s glands

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24
Q

____ are homo. to the prostate

A

paraurethral glands

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25
Q

____ secretes mucous into the vestible

A

paraurethral glands and bartholins

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26
Q

_____ are overlapped by the bulb of the vestible

A

bartholins glands

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27
Q

_____ glands are surrounded by the bulbospongiusus

A

bartholin gland

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28
Q

2 extra structures that females have in the deep perineal pouch

A

urethra

vagina

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29
Q

c.c. ____ reflex: insert finger in rectum and pinch the glans penis – the extrnal anal sphinter reacts

A

bulbospingiosus reflex

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30
Q

c.c What is being tested for in the bulbospingiosus reflex

A

external anal sphincter to react

S2,S3,S4

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31
Q

C.c. What SNs are being tested for in the bulbospingiosus reflex

A

S2,S3,S4

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32
Q

______ helps to expel the last drops of urine/semen from the penis

A

bulbospingiosus

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33
Q

_____ supports the perineal body to the pelvic floor

A

bulbospongiosus

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34
Q

bulbospooingiosus innervation

A

pudendal N (S2,3,4)

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35
Q

Ischiocaverosus innervation

A

Pudendal N (S2,S3,S4)

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36
Q

origin of the superficial transverse perineal M

A

ischiopubic ramis

ischial tuberosity

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37
Q

Superficial transverse Perineal M innervation

A

pudendal N

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38
Q

Lat boundary of the ischiorectal fossa

A

ischium, obturator internus, obturator fascia

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39
Q

Medial boundary of the ischiorectal fossa

A

external anal sphincter

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40
Q

Roof of the ischiorectal fossa

A

levator ani

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41
Q

Posterior wall of the ischiorectal fossa

A

sacrotuberous lig, glut max

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42
Q

Anterior wall of the ischiorectal fossa

A

pubic bone,

inferior to the origin of the pubiorectalis

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43
Q

Contents of the ischiorectal fossa

A

fat

alcocks canal

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44
Q

alcocks canal is located _____

A

in the ischiorectal fossa

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45
Q

alcocks canal contains ____

A

internal pudendal N
pudendal VAN

(aka pudendal canal)

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46
Q

Testis (homo) -

A

ovary

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47
Q

gubernaculum testis (homo)-

A

ovarian lig , round lig

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48
Q

penis (homo)-

A

clit

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49
Q

raphe (homo)-

A

laia minora

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50
Q

Scrotum (homo)

A

labia majora

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51
Q

prostatc utricle (homo)

A

vagina

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52
Q

prostate gland (homo)

A

Urethral/paraurethral glands

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53
Q

Bulbourethral gland (homo)

A

greater vestibular gland

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54
Q

Internal organs of the female reproduction system

A
  1. ovaries
  2. uterus
  3. vagina
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55
Q

location of the ovaries

A

lateral wall, enclosed within mesovarium

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56
Q

what are the ovaries enclosed in

A

mesovarium

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57
Q

____ lig attaches the superior pole of the ovary to lateral pelvis

A

suspensory lig

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58
Q

____ lig attaches the inferior pole of ovary to uterus

A

ovarian lig

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59
Q

function of the ovary

A

ovum producing gonad

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60
Q

___ art supplies the ovary

A

ovarian art <– abd aorta

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61
Q

ovarian art is a branch of the ____

A

abd. aorta

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62
Q

Nerve supply of the ovaries

A

ovarian plexus (SP)

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63
Q

GVA fibers for the ovaries come from ___ spinal level

A

T10

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64
Q

____ fibers supply the ovaries

A

GVA

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65
Q

Venous supply of the ovaries drain into____

A
R= IVC 
L= L. Renal V.
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66
Q

_____ passes though the wall of the uterus. Located inside the myometrium wall of the uterus,

A

intramural segment

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67
Q

____ is the opening of the intramural segment within the uterus wall

A

uterine ostium

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68
Q

_____ is the opening of the infundibulum into the abdominal cavity

A

abdominal ostium

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69
Q

BS of the uterine tube

A

uterine art & ovarian art

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70
Q

What is the uterine art a branch of

A

internal iliac art

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71
Q

Nerve supply to the uterine tube

A

inferior hypogastric plexus

72
Q

__fiber to the inferior hypogastric plexus

A

GVA

73
Q

____ types of gg to the inferior hypogastric flexus

A

post gg SP
pre gg SP
Pre gg PS
GVA

74
Q

shape of uterus

A

pear shape

75
Q

shape of ovaries

A

almond

76
Q

The uterus rests upon the ____

A

bladder

77
Q

uterus is mainly in ____ postition

A

horizontal

78
Q

**anteflexed _____ degrees

A

170

79
Q

**anteversion _____ degrees

A

90

80
Q

principle suports of the uterus (2)

A
  1. pelvic floor

2. viscera

81
Q

Name the three layers of the uterus

A
  1. perimetrium
  2. myometrium
  3. endometerium
82
Q

Name the 3 broad lig.

A
  1. mesometrium
  2. mesosalpinx
  3. meovarium
83
Q

The fundus lies superior to the _____

A

uterine ostia

hole in the uterine wall through which the intramural segmental tube enters

84
Q

_____ separates the body of the uterus from the cervix

A

isthmus

85
Q

__ is the opening from the vagina into the cervix

A

external os of the uterus

86
Q

____ recess that surrounds the cervux

A

vaginal fornix

87
Q

measure anteversion through the ____

A

body and vaginal canal (90 degrees)

“V”ersion- vagina

88
Q

measure anterflexion through the ____

A

body and cervix (170 degrees)

89
Q

BS to the uterus

A

ovarian art (abd. aorta)

uterine art (internal iliac art) ** main BS

90
Q

_____ plexus supplies the uterus

A

uterovaginal plexus

91
Q

c.c.____ is an infection that can occur in female abd. cavities because the vagina is open to the external world

A

pelvic inflammatory disease (PID)

92
Q

c.c. what would have to be done if the uterine art. is cut doing surgery

A

emergency hysterectomy

93
Q

cc plexus by a gravid uterus will cause pain to where?

A

sciatic N

94
Q

c.c. ____ is a condition where the uterus protrudes through the vaginal canal

A

uterine prolapse

95
Q

c.c. ____ the presence of functioning endometrium outside of the uterus

A

endometriosis

96
Q

c.c. _____ endometrium has grown into the myometrium

A

endometriosis interna

blood can get trapped and cause a cyst

97
Q

c.c. _____ endometrium has grown into the ovary/pelvic cavity

A

endometriosis external

“chocolate ovaries”

98
Q

The vagina extends from the ___ to the ___

A

vestible –> cervix

99
Q

The anterior wall of the vagina is ___ then the posterior wall

A

shorter

100
Q

the posterior wall of the vagina is ___ then the anterior wall

A

longer

101
Q

The culs-de-sac around the cervix is called the ___

A

fornix

102
Q

____ & ____ is anterior to the vagina

A

urinary bladder & urethra

103
Q

(3) structures that are posterior to the vagina

A
  1. rectouterine pouch
  2. rectal ampulla
  3. perineal body
104
Q

at full term the baby hump is at the ____

A

xiphoid process

105
Q

the baby hump is at the _____ at 6 months

A

umbilicus

106
Q

cc 3 signs of cervical cancer

A
  1. leukoplasia (white spots)
  2. nodular lesions
  3. pollips protruding out of opening- bleeding between menstrual cycles
107
Q

BS to the vagina

A

vaginal art <– iinternal iliac art

108
Q

NS to the upper portion of the vagina

A

uterovaginal plexus

109
Q

NS to the lower portion of the vagina

A

pudendal N

110
Q

NS to the vagina

A

uterovaginal plexus

pudendal N

111
Q

_____ fibers innervate the vagina

A

GSA, GSE

112
Q

cc. _____ : condition known for the spasm of the vagina

A

vaginismus

113
Q

name the 6 structures that make up the external female genitalia

A
mons pubis 
labia majora
labia minora
vestible 
clitoris 
bulbs of the vestible
114
Q

fat covering the pubic bone

A

mons pubis

115
Q

____ bounds the urogenital vestible

A

labia majora

116
Q

_____ is where the labia majora meet

A

labial commissure

117
Q

NS to the clitoris

A

pudendal N

118
Q

BS to the clitoris

A

internal pudendal art

119
Q

__ forms the prepuce and frenulum of the clit

A

labia minora

120
Q

____ is the cleft btw the labia minora

A

vestible

121
Q

the opening of the vestible contains (5) structures

A
urethra 
vagina 
ducts of greater vestibule gland 
external urethral orifice- paraurethral gland
hymen
122
Q

clitoris attaches to the ischiopubic rami by ___

A

crura

123
Q

The bulb of the vestibule are invested in the ____ M

A

bulbocavernosus

124
Q

fibrous capsule that covers over the testes

A

tunica albuginea

125
Q

serous mm. that covers the testis

A

tunica vaginalis

126
Q

two hormones that stim the testis

A

LH (ICHS)

FSH

127
Q

___ hormone stim interstitial cells to produce testosterone

A

LH (ICHS)

128
Q

___ horm. stimulates spermatogenesis

A

FSH

129
Q

_____ plexus supplies the testis

A

testicular plexus - T10

130
Q

Spinal level of the testicular plexus

A

T10 - why it hurts in the stomach to get kicked

131
Q

BS of the testis

A

testicular art <– aorta

132
Q

4 parts of the male reproductive tract

A

epididymus
ductus deferens
ejaculatory ducts
urethra

133
Q

______ monitors the composition of the tubular fluid of the male repro tract

A

epididymus

134
Q

____ is the site of sperm maturation

A

epididymus

135
Q

____ is the site for sperm storage

A

epididymus

136
Q

______ site helps to propel the sperm towards the urethra

A

epididymus

137
Q

___ is the recycling center for damaged spermatozoa

A

epididymus

138
Q

____ begins after the epipdidymus (origin)

A

vas deferens

139
Q

_____ emerges from the deep inguinal ring to enter the pelvic cavity and goes through the posterior surface of the bladder

A

vas deferens

140
Q

The vas deferens enter the bladder through the ______

A

posterior surface

141
Q

______ joings seminal vesicle to form the ejaculatory duct

A

epididymus

142
Q

epididymus joins the _____ to form the ejaculatory duct

A

vas deferens

143
Q

the epididymus and the seminal vesicle join to form _____

A

ejaculatory duct

144
Q

_____ conveys sperm from the epididymus to the ejaculatory duct

A

vas deferens

145
Q

vas deferens has a dilated end called the ___

A

ampulla

146
Q

seminal vesicle is a ____ gland

A

accessory gland

147
Q

____ lies n the posterior surface of the bladder

A

seminal vesicle

  • lateral to the vas deferens
148
Q

_____ secretes fructose for the seminal fluid

A

seminal vesicles

149
Q

____ secretes 60% of the seminal fluid

A

seminal vesicles

150
Q

What lies medial to the seminal vescicle

A

ampulla of the vas deferens

151
Q

____ drains fluid into the prostatic urethra

A

ejaculatory duct

152
Q

_____ lies between the neck of the bladder and urogenital diaphragm

A

prostate

153
Q

___ : superior to the prostate

A

neck of the bladder

154
Q

___: inferior to the prostate

A

ureogenital diaphragm

155
Q

____: anterior to the prostate

A

symphysis pubis

156
Q

____: posterior to the prostate

A

rectal ampulla

157
Q

____: lateral to the prostate

A

lavator ani

158
Q

____ makes the milky seminal solution that breaks down the cervical mm.

A

prostate

159
Q

the prostate produces __% of the seminal fluid

A

20-30%

160
Q

bulbourethral gland (homo)

A

greater vestibule gland

161
Q

termination of the bulburethral gland

A

penile portion of the urethra

162
Q

location of the bulbourethral gland

A

beneath the sphinter urethra M

163
Q

sectretions from ____ lubercate the tip of the penis and neutralizes the acidity of the urethra

A

bulbourethral glands

164
Q

_____ surrounds the 3 errectile tissues in the penis

A

bucks fascia

165
Q

2 portions of the root of the penis

A

bulb

crura

166
Q

______ is the errectile tissue located on the ventral side of the penis

A

corpora spongiosum

167
Q

______ is the errectile tissue on the dorsal side of the penis

A

corpora cavernosa

168
Q

preputial glands secrete?

A

smegma

169
Q

Bulbocavernosus reflex

A

rectal exam to check the reflex of S2,3,4

170
Q

Hypospadias

A

ext of the urethra is on the underside (ventral)

171
Q

epispadias

A

ext of the urethr is on the top side (dorsal)

172
Q

average amount of seminal fluid per ejaculatio n

A

3-5ml

173
Q

name the four glands that contribute to semen

A
  1. testis /epipdidymus: 5%
  2. Seminal vesicle: 60%
  3. prostate gland -30%
  4. bulbourethral glands- less then 5%
174
Q

SP or PS act: errection

A

PS

175
Q

Sp/ PS act: lubercation

A

PS

176
Q

movement of the sperm cells and secretions from the genital ducts is ______pathetic

A

sympathetic reflex

177
Q

ejaculation is a _____ reflex

A

sympathetic