OnlineMedEd: Gynecology - "Pelvic Anatomy" Flashcards

1
Q

The _________ are supplied directly by the aorta on both sides.

A

ovaries

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2
Q

The _______ ovarian vein goes directly into the inferior vena cava.

A

right (it is closer to the IVC)

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3
Q

The ______________ contains the vascular supply to the ovary.

A

suspensory ligament of the ovary

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4
Q

Postpartum hemorrhage is defined as _____________.

A

500 mL during vaginal birth or 1,000 mL during c-section

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5
Q

Why is 1,000 mL of blood loss not as significant in a pregnant woman?

A

Pregnant women have a larger circulating volume.

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6
Q

How can you treat postpartum hemorrhage (in order of what you should try)?

A

1) . Uterine massage
2) . Medications (oxytocin, Hemabate, Methergine)
3) . Balloon tamponade –an inflated Foley catheter
4) . Uterine artery ligation
5) . Internal iliac artery ligation
6) . Hysterectomy

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7
Q

______________ need to be removed during hysterectomy.

A

The uterosacral ligaments

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8
Q

The ______________ are sometimes mistaken for the ureters during hysterectomies.

A

uterosacral ligaments

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9
Q

What ligament anchors the uterus anteriorly and posteriorly?

A

The cardinal ligament

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10
Q

Weakening of the cardinal ligament can cause _____________.

A

pelvic floor relaxation

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11
Q

How can you diagnose pelvic floor relaxation?

A

During a speculum examination, you will see either the bladder bulging into the vaginal wall from the anterior aspect (cystocele) or the rectum from the posterior side (rectocele). The cervix being too close to the surface indicates uterine inversion.

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