Gynecology - 2/17 Olinger

Question 1

Describe proportions of uterus during puberty?

Pregnancy?

Menopause?

Answer 1

2/3 body

3/4 body to 1/4 cervix

1/2 to 1/2 ratio

Question 2

What does a papanicolaou smear test for?

Answer 2

Pre-malignant cervical cancers

Question 3

What is a hysterectomy?

Answer 3

Excision of the uterus through the anterior abdominal wall or vagina

Question 4

What kinds of hysterectomies are there?

What is left in each?

Answer 4

Partial - leave cervix, tubes, ovaries
Total - leave tubes and ovaries
Radical - removes the entire uterus and vagina

Question 5

What is the round ligament of the uterus a remnant of?

Answer 5

Bottom half of gubernaculum

Question 6

What is the embryological remnant of the superior part of the gubernaculum?

Answer 6

Ligament of the ovary

Question 7

What wraps up the ovarian vessels in peritoneum?

Answer 7

Suspensory ligament of the ovary

Question 8

How is ligation of the uterine tubes achieved?

For what purpose?

Answer 8

Abdominal you or laparoscopically through the the umbilicus

Prevent pregnancy, oocytes never reach the uterine cavity

Question 9

Describe the path of an oocyte through uterus

Answer 9

Ovary -> abdominal osteum -> infundibulum -> ampulla -> isthmus -> uterine part -> uterine osteum -> uterine cavity -> internal uterine OS -> cervical canal -> external uterine OS -> vagina

Question 10

What are the female proportions Of the uterus like in newborns?
Due to what?

Postpartum proportions?

Answer 10

2/3 body to 1/3 cervix
Maternal hormonal influence

1/2 body to 1/2 cervix