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Obstetrics & Gynecolgy 1 > Mod 1 > Flashcards

Mod 1 Flashcards

1
Q

Innominate bone consists of

A

Ilium
Pubis
Ischium

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2
Q

Where do all the innominate bones meet

A

Acetabulum

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3
Q

What are the boundaries of the pelvis

A

True pelvis

False pelvis

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4
Q

How are the boundaries of the pelvis divided

A

Arcuate line

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5
Q

What are the other names for the arcuate line

A

Linea terminalis
Pelvic brim
Iliopectineal line

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6
Q

Structures in the true pelvis (inferior to arcuate line)

A 
Uterus
Ovaries
Fallopian tubes
Vessels
Muscles
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7
Q

Structures in the false pelvis

A

Bowel

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8
Q

Segments of the uterus

A

Fund us
Corpus
Isthmus
Cervix

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9
Q

Positions of the uterus

A

Anteverted
Anteflexed
Retroflexed
Retroverted

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10
Q

Can the uterus tip to the right or the left

A

Yes

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11
Q

What is the part of the uterus that can flex

A

Isthmus

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12
Q

What are the normal positions of the uterus

A

Anteflexed

Anteverted

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13
Q

What is the anterior boarder of the pelvis

A

Superior margin of the symphysis pubis

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14
Q

What is the posterior boarder of the pelvis

A

Sacral prominence

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15
Q

What is the shape of the uterus in newborns and infants

A

Bilobed

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16
Q

What is the shape of the uterus in reproductive and postmenopausal women

A

Pear

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17
Q

Side of the uterus in infants

A

3cm long

1cm thick

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18
Q

Is the size of a uterus larger or smaller in a neonate when compared to a infant

A

Slightly larger

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19
Q

What is the size of the uterus during reproductive years (nulliparous)

A

8x5x4 cm

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20
Q

What do you do when measuring a uterus that is multiparous

A

Add a cm in all directions

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21
Q

What are the uterine layers

A

Endometrium
Myometrium
Perimetrium

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22
Q

What are the two parts of the endometrium

A

Stratum functionalis

Stratum basalis

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23
Q

What is the layer of endometrium that is shed each month during menstration

A

Stratum functionalis

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24
Q

What is the myometrium

A

Muscle layer

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25
Q

What is the perimetium

A

Peritoneal coat or serosa

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26
Q

What are the phases of the endometrium

A

Menstrual
Proliferative
Secretory

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27
Q

Size of the endometrium during proliferative phase

A

4-8mm (double layer)

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28
Q

Size of the endometrium during secretory phase

A

7-14mm (double layer)

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29
Q

Size of the endometrium in postmenopausal with bleeding

A

< (less than) 5mm

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30
Q

Size of the endometrium without bleeding

A

< (less than) 9mm

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31
Q

Can postmenopausal bleeding be normal if the woman is on hormone replacement therapy

A

Yes

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32
Q

Size of the endometrium during the menstrual phase

A

< (less than) 1mm

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33
Q

do women on birth control pills have a thin or thick endometrium

A

Thin

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34
Q

What is the fornix

A

Potential space around the cervix

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35
Q

Where does the vagina attach to

A

Internal OS

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36
Q

Where are the Fallopian tubes contained

A

Mesosalpinx of broad ligament

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37
Q

What are the segments of the Fallopian tubes

A

Interstitial
Isthmus
Ampulla
Infundibulum

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38
Q

What is the narrowest segment of the Fallopian tube

A

Interstitial

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39
Q

What is the longest and widest segment of the Fallopian tubes

A

Ampulla

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40
Q

Where are the fimbriae contained

A

Infundibulum

41
Q

Where is the location of the ovaries

A

Variable

42
Q

What are the landmarks for the ovaries

A

Internal iliac arteries

43
Q

What is the most common sight of fertilization In the Fallopian tubes

A

Ampulla

44
Q

What is the structure of the ovaries

A

Cortex

Medulla

45
Q

What is the inner structure of the ovaries

A

Medulla

46
Q

What is the outer layer of the ovaries

A

Cortex

47
Q

What is the shape of the ovaries during reproductive years

A

Almond

48
Q

What is the size of the ovaries during reproductive years

A

6cc

3x2x2 cm

49
Q

What is the normal range for ovarian volume

A

Up to 20cc

50
Q

What is the volume of the ovaries in neonatals

A

Up to 3.66cc

51
Q

What is the shape of ovaries in infants

A

Sausage

52
Q

What is the volume of ovaries in menarche (just before starting menstration, prepubescent female) women

A

Upper normal of 8cc

53
Q

What is the normal volume in postmenopausal women

A

1-5.8cc

54
Q

What is considered the abnormal volume for postmenopausal women

A

Greater than 8cc

55
Q

What are the branches of the uterine arteries

A

Arcuate artery
Radial artery
Straight arterioles
Spiral arterioles

56
Q

What branch of the uterine artery supplies the basil layer

A

Straight

57
Q

What branch of the uterine artery supplies the decidual layer

A

Spiral

58
Q

What is the path of venous return from the uterus

A 
Venous plexus
Uterine vein
Internal iliac vein 
Common iliac vein
IVC
59
Q

What is the path of arterial blood supply to uterus

A 
Aorta 
Common iliac artery
Internal iliac artery
Anterior branch of internal iliac artery
Uterine artery
60
Q

What is the path of blood supply to ovarian arteries

A

Aorta
Ovarian arteries
Hilum of ovary

61
Q

What is the path of ovarian venous return

A

Right: right ovarian vein to IVC
Left: left ovarian vein to left renal vein to IVC

62
Q

Do the ovarian arteries and uterine arteries form a anastomoses

A

Yes

63
Q

What are the ligaments in the pelvis

A 
2 broad 
2 round
2 uterosacral
2 ovarian
2 suspensory 
2 mesosalpinx 
2 mesovarium
64
Q

What ligament is a double fold of peritoneum that drapes over the uterus and Fallopian tubes

A

Broad

65
Q

What ligament drapes over Fallopian tubes

A

Mesosalpinx

66
Q

What ligament is the posterior portion of the peritoneum that attaches to the ovaries

A

Mesovarium

67
Q

What ligament holds the uterine fundus and body in a forward position

A

Round

68
Q

What ligament helps anchor the cervix posteriorly

A

Uterosacral

69
Q

What ligament attaches the ovary to the lateral wall of the pelvis

A

Suspensory

70
Q

What ligament attaches the ovary to the wall of the uterus

A

Ovarian

71
Q

What’s another name of the suspensory ligament

A

Infundibulopelvic ligament

72
Q

What is another name for the round ligament

A

Ligamentum tere uteri

73
Q

What are the muscles in the abdominopelvis

A

Rectus abdominus

Psoas muscle

74
Q

What is the rectus abdominus form

A

Anterior wall of the abdomen

75
Q

What is the linea alba and where is it

A

The aponeuroses that fuses the 2 rectus muscles as well as the oblique and transverse muscles
Located at midline

76
Q

What is the psoas muscle form

A

Posterior wall of the abdomen

77
Q

What are the muscles in the false pelvis

A

Iliopsoas muscle

78
Q

What is the location of the iliopsoas muscle in the pelvis

A

Anterior

Lateral

79
Q

What is the location of the iliopsoas muscle when compared to the external iliac vessels

A

Lateral

80
Q

What are the muscles in the true pelvis

A

Obturator internus
Piriformis
Lavator ani
Coccygeus

81
Q

Where are the obturator internus muscles located

A

Side wallow pelvis

Directly lateral to uterus

82
Q

Are the obturator internus muscles easily visible on ultrasound

A

No

83
Q

Where are the piriformis muscles located

A

Posterior walls of pelvis

Posterior to cervix

84
Q

What are the lavator ani muscles

A

Most inferior muscle

85
Q

What muscles form the pelvic floor

A

Lavator ani

Coccygeus

86
Q

What is located in the intraperitoneal potential space

A

Posterior curl de sac

Anterior cul de sac

87
Q

What is another name for posterior cul de sac

A

Rectouterine pouch

88
Q

What is another name for the anterior cul de sac

A

Vesicouterine pouch

89
Q

What I’m located in the extraperitoneal potential space

A

Vaginal fonices

Space of retzius

90
Q

What does the bladder do to the uterus

A

The variable stages of bladder distension causes the to fold

91
Q

Where do the ureters enter the bladder

A

At the trigone

92
Q

Where is the trigone located on the bladder

A

Posterior wall

93
Q

How do the ureters travel to the ovaries

A

Inferiorly

94
Q

What makes up the third point of the trigone

A

Urethra

95
Q

What is the relationship of the urethra to the vagina

A

Anterior

96
Q

What is the only organ in the pelvis that is not covered by peritoneum

A

Ovaries

97
Q

Where is the perineum located

A

Between the thighs

98
Q

What is the perineum

A

Soft tissue around the external genitalia and anus

Obstetrics & Gynecolgy 1 (8 decks)

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