Gynecology

Question 1

Uterus parts

Answer 1

• Fundus
• Body
• Isthmus
• Cervix

Question 2

Fundus of uterus

Answer 2

Rounded superior portion between uterine horns furthest from vaginal opening

Question 3

Body of uterus

Answer 3

• Upper 2/3 of uterus
  Contains uterine horns (entrance point for uterine tubes) and uterine cavity (internal space in body) (internal os of uterus)

Question 4

Cervix

Answer 4

Supravaginal region, vaginal part, cervical canal (external os of uterus)

Question 5

Layers of uterine wall

Answer 5

Perimetrium (outer layer, serious coat of peritoneum)
Myometrium (middle muscular layer, most vascularized)
Endometrium (inner mucus layer, adherent to myometrium)

Question 6

Cervical cancer

Answer 6

Leading cause of death for North American women pre 1940s, when pap smear was developed

Question 7

Hysterectomy

Answer 7

Excision of uterus through anterior abdominal wall or vagina

Question 8

Uterine and Ovarian ligamentous structures

Answer 8

• Broad ligament of uterus
• Suspensory ligament of ovary
• Round ligament of uterus (fibrous remnant of ovarian gubernaculum)
• Ligament of ovary
• Transverse cervical ligament
• uterosacral ligament

Question 9

Round ligament of the uterus

Answer 9

Fibrous remnant of the inferior part of the ovarian gubernaculum, extends from lateral uterus through mesometrium to labia majora via inguinal canal

Question 10

Ligament of ovary

Answer 10

Fibrous remnant of superior part of ovarian gubernaculum, from lateral uterine wall to the ovary via mesometrium

Question 11

Uterine tubes

Answer 11

• Infundibulum
• Ampulla
• Isthmus
• Uterine Part

Question 12

Infundibulum

Answer 12

Funnel-shaped distal end opento peritoneal cavity near ovaries
- Abdominal ostium (from peritoneal cavity to infundibulum)

Question 13

Fimbriae

Answer 13

Finger-like projections from end of infundibulum over ovaries

Question 14

Ampulla

Answer 14

Longest portion (from infundibulum to isthmus)

Question 15

Where do the ovaries lie?

Answer 15

Suspended by mesovarium

Question 16

Vagina

Answer 16

Musculomembranous tube from cervix to vestibule of vagina between labia minora

Question 17

Vaginal fornix

Answer 17

Short recess around cervix, typically described as having deep posterior, shallow anterior and lateral parts

Question 18

Perineum

Answer 18

Shallow external compartment with female external genitalia or pudendum 
Contains: 
- Mons pubis
- Pudendal cleft
- Labia majora
- Labia minora
- Clitoris 
- Vaginal vestibule

Question 19

Mons Pubis

Answer 19

Rounded, fatty prominence anterior to pubic symphysis

Question 20

Pudendal cleft

Answer 20

Anterior slit between labia majora

Question 21

Labia majora

Answer 21

Prominent skin folds that protect external urethral and vaginal orifices

• Anterior labial commissure- junction of right and left labia majora, anterior to angle of clitoris
• Posterior labial commissure- posterior limit of pudnedum, gone after first vaginal birth

Question 22

Labia minora

Answer 22

Folds of fat-free, hairless skin within pudendal cleft and labia majora (surrounded by vestibule of vagina)
- Frenulum of labia minora (aka Fourchette) that exists in pre-sexual activity

Question 23

Clitoris

Answer 23

Erectile organ extending from anterior junction of labia minora posteriorly to pubic symphysis that branches into 2 crura.

Question 24

Crura of clitoris

Answer 24

Associated with inferior pubic rami, posterolateral projections of corpora cavernosa (right and left crus)

Question 25

Prepuce of clitoris

Answer 25

Anterior most junction of labia minora which travels anterior to and covers glans clitoris

Question 26

Frenula of clitoris

Answer 26

Travels posteriorly from clitoris to paired labia minora

Question 27

Suspensory ligament of clitoris

Answer 27

Extends from pubic symphysis to body of clitoris

Question 28

Vaginal vestibule

Answer 28

between paired labia minora, containing vaginal and external urethral orifices

Question 29

External urethral orifice

Answer 29

Exit point of urethra

Question 30

Vaginal orifice

Answer 30

Opening of vagina (hymen in pre-sexual activity)

Question 31

Bulbs of vestibule

Answer 31

Paired, elongated erectile tissue surrounding vaginal orifice - Homologous to bulb and corpus spongiosum of the penis

Question 32

Greater vestibular glands

Answer 32

Paired glands, posterior to bulbs of the vestibule, that secrete mucus upon arousal

Question 33

Lesser vestibular glands

Answer 33

paired glands on either side of the vestibule that secrete mucus between the external urethral orifice and vaginal orifice, providing moisture to labia and vaginal vestibule