Lesson 1 (Part 2)

Question 1

What are the ligaments that support the uterus? (6)

Answer 1

1. Broad ligament
   - paired
2. Cardinal
   - paired
3. Uterosacral
   - paired
4. Posterior
   - single
5. Anterior
   - single
6. Round
   - paired

Question 2

Broad ligament

Answer 2

Are double folds of parietal peritoneum that the uterus is suspended between and extends laterally to the lateral pelvic walls

Question 3

Cardinal ligament

Answer 3

Lower extension of broad ligament

Question 4

Round ligament

Answer 4

Fibromuscular cords extend from the upper outer angles of uterus through the inguinal canal and attach to the labia majora

Question 5

Uterosacral ligaments

Answer 5

Are fold like extensions of peritoneum that are located posterior from the uterus to the sacrum and are on each side of rectum

Question 6

Anterior ligament

Answer 6

It is a fold of peritoneum that goes from the anterior surface of uterus to the posterior surface of bladder

Question 7

What does the anterior ligament form? (2)

Answer 7

1. The anterior cul de sac
   or
2. Vesicouterine pouch

• fluid collects in this area

Question 8

Posterior ligament

Answer 8

It extends from the posterior side of the uterus to the rectum

Question 9

What does the posterior ligament form? (3)

Answer 9

1. Forms a deep pouch “Pouch of Douglas” PCDS
or 
2. Posterior cul de sac 
or
3. Rectouterine recess

• fluid collects in this area

Question 10

What are 2 functions of the uterus if fertilization occurs?

Answer 10

1. It implants into the endometrial lining and develops within UT
2. Myometrial contractions at labour

Question 11

What are 2 functions of the uterus if fertilization does not occur?

Answer 11

1. Menstruation occurs

2. Myometrial contractions aide sloughing off the endometrium

Question 12

What is the uterus’s primary blood supply?

Answer 12

Internal iliac arteries

Question 13

Where does the uterine blood supply travel within?

Answer 13

The broad ligament

- at the cornua anastomose with the ovarian artery

Question 14

Where do the broad ligament and the ovarian artery enter?

Answer 14

The myometrium

Question 15

Where do uterine plexus of veins run along?

Answer 15

With the arteries

Question 16

What part of the uterus is fixed?

Answer 16

The cervix

Question 17

What parts of the uterus is mobile? (2)

Answer 17

1. Body

2. Fundus

Question 18

Anastomoses

Answer 18

Joining of 2 structures

Question 19

Plexus

Answer 19

A collection of

- bunch of

Question 20

What are 2 uterine positions?

Answer 20

1. Flexion

2. Version

Question 21

Flexion

Answer 21

Axis of the uterine body relative to the cervix

- bend

Question 22

Version

Answer 22

Axis of the cervix relative to the vagina

- whole uterus is forward or back

Question 23

What can affect or change the position of the uterus? (2)

Answer 23

1. Distension of the bladder

2. Rectal fullness

Question 24

What is the common position for the uterus? (2)

Answer 24

1. Anteverted

2. Anteflexed

Question 25

What are 2 less common positions for the uterus?

Answer 25

1. Retroverted
   - tilted back (related to the vagina)
2. Retroflexed
   - bent back (related to the cervix)

Question 26

How long are the fallopian tubes?

Answer 26

7-12cm in length

Question 27

What are the 4 portions of the fallopian tubes?

Answer 27

1. Intramural
   - closest to the uterus
2. Isthmus
3. Ampulla
   - largest
4. Infundibulum
   - closest to the ovary

Question 28

What part of the fallopian tube is the narrowest?

Answer 28

Intramural

• 1cm long
• contained within muscular wall of the uterus

Question 29

Isthmus

Answer 29

Is the medial third part of the fallopian tube

- slightly wider and cordlike

Question 30

Ampulla

Answer 30

Tortuous

Question 31

How long is the ampulla?

Answer 31

Approx. ½ of length of the tube

Question 32

Where does the infundibulum open into?

Answer 32

The peritoneal cavity