Lecture 18: Pelvic Viscera 2 Flashcards

1
Q

When are the genitals formed?

A

Week 6

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2
Q

What drags the ovaries to their spot in the pelvis?

A

Gubernaculum/rudder

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3
Q

What does the gubernaculum become?

A

Round ligament

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4
Q

What is the normal position of the ovaries?

A

Lateral wall of pelvis in ovarian fossa between external and internal iliac vessels on obturator nerve

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5
Q

What is an imperfect descent of the ovaries?

A

Descent arrested or descend too far

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6
Q

What happens if the ovary is diseased?

A

Due to position on obturator nerve, pain in medial thigh above knee with no associated somatic disease

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7
Q

What holds ovaries in position?

A

Periotoneal folds- ligaments

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8
Q

How is ovary attached to broad ligament?

A

Mesovarium

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9
Q

How is ovary attached to side of uterus?

A

Ovarian ligament

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10
Q

How is ovary attached to lateral pelvic wall?

A

Suspensory ligament

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11
Q

What are the parts of the uterine tubes?

A

Itramural, isthmus, ampulla, infundibulum, fimbriae

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12
Q

Where does fertilisation occur?

A

Ampulla

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13
Q

How does the ovum move into the tubes?

A

Released from the ovary, guided by ciliary action into the fimbriae

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14
Q

What is the shape of the uterus?

A

Pear shaped

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15
Q

What are the size changes of the uterus in pregnancy?

A

During pregnancy size increases (especially endometrial layer) and is at suprapubic level at 3 months, iliac crests at 6 months and xiphisternum at 8 months – puts pressure on viscera, especially bladder

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16
Q

What is the most extreme position of the uterus?

A

Retroflexed, retroverted

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17
Q

What is the primary support of the uterus?

A

Levator ani below - takes additional support from ligaments

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18
Q

Where is the uterus best supported?

A

Cervix

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19
Q

Where is the vagina located?

A

Upper part above pelvic floor and lower part in perineum

20
Q

What are the fornices?

A

Spaces between cervix and vagina

21
Q

What happens in a backyard abortion?

A

Passage of instruments intending to pass into body of uterus often passed directly via posterior fornix into peritoneal cavity – as a result might have died due to peritonitis

22
Q

What stabilises the vagina?

A

Urethrovaginal sphincter, bulbospongiosus, pubovaginalis

23
Q

What is elephantiasis?

A

Testes is grossly enlarged as a result of infestation by a parasitic worm, prevents lymphatic drainage

24
Q

Where is sperm stored?

A

Epididymis

25
Q

What is the pathway of sperm?

A

Epididymis - head, body and tail to vas deferens via peristalsis

26
Q

What encases the testes?

A

Fibrous tissue - tunica albuginea (white coat) and outer serous membrane - tunica vaginalis

27
Q

Which testes is lower?

A

Left

28
Q

What is cryptorchidism?

A

Undescended testes - not reaching scrotum

29
Q

Where does vas deferens pass?

A

Posterior of bladder - meets seminal vesicle and forms ejaculatory duct

30
Q

What sits in front of the prostate?

A

Bladder

31
Q

What is the seminal colliculous?

A

Elevation in posterior prostatic wall where ejaculatory duct opens into urethra

32
Q

What is the prostatic sinus?

A

Opening just above seminal colliculus where semen enters urethra

33
Q

What do the bulbourethral glands to?

A

Secrete mucous into urethra

34
Q

What is characteristic of the median lobe of the prostate?

A

Tends to enlarge after 40 and projects above external opening of bladder and obstructs it

35
Q

What is the function of the fascial layer of the rectovesical septum?

A

Prevents spread of cancer cells to rectum

36
Q

What is produced in the lateral lobes of the prostate?

A

Prostatic secretions

37
Q

Where is the transition zone of the prostate?

A

Around prostatic urethra

38
Q

What happens at the peripheral zone of the prostate?

A

Ducts originate

39
Q

What does cancer of the prostate occur?

A

Peripheral zone

40
Q

Where does hypertrophy of the prostate occur?

A

Transition zone

41
Q

What is the penis made up of?

A

Cavernous tissue - consists of spaces within parts of the penis

42
Q

What is the root of the penis?

A

Bulb

43
Q

Where is the corpus spongiosum?

A

Around penile urethra

44
Q

What is the termination of the penis?

A

Glans

45
Q

What is the navicular fossa?

A

Dilatation close to termination of the urethra

46
Q

What is the prepuce?

A

Part of the penis in non-circumcised - susceptible to AIDS

47
Q

What maintains erection?

A

Fascia surrounding individual components - deep penile and dartos