Pelvic and Perineal Gynecology

Question 1

after child birth, what does the female infant uterus look like?

Answer 1

it has adult proportions (2/3 body to 1/3 cervix) due to maternal hormonal influence

Question 2

what does the uterus look like before puberty?

Answer 2

it is 1/2 body and 1/2 cervix

Question 3

what does the uterus look like during puberty?

Answer 3

the body of the uterus returns again to 2/3 size until menopause

Question 4

what is the internal os of the uterus?

Answer 4

the passage from the uterine cavity to the cervical canal

Question 5

what is the external os of the uterus?

Answer 5

the inferior opening of the cervical canal into the vagina

Question 6

cervical cancer used to be the leading cause of death in north america until what?

Answer 6

the advent of the pap smear

Question 7

what are the layers of the uterine wall?

Answer 7

the perimetrium, myometrium, and endometrium

Question 8

what is a partial hysterectomy?

Answer 8

excision of the uterus (leaves the cervix, uterine tubes, and the ovaries)

Question 9

what is a total hysterectomy?

Answer 9

excision of the uterus and the cervix (leaves the uterine tubes and the ovaries)

Question 10

what is a radical hysterectomy?

Answer 10

excision of everything

Question 11

what are the gubernaculum remnants in females?

Answer 11

round ligament of the uterus and the ligament of the ovary

Question 12

what portion of the gubernaculum is the round ligament of the uterus?

Answer 12

lower portion

Question 13

what portion of the gubernaculum is the ligament of the ovary?

Answer 13

upper portion

Question 14

where is the transverse cervical ligament found?

Answer 14

condensed endopelvic fascia

Question 15

what is the uterosacral ligament made up of?

Answer 15

parietal membranous pelvic fascia

Question 16

what are the parts of the uterine tubes?

Answer 16

infundibulum, ampulla, isthmus, and uterine part

Question 17

what are the different parts of the infundibulum?

Answer 17

the abdominal ostium and the fimbriae

Question 18

what is the one long infundibular fimbria that attaches to the superior end of the ovary?

Answer 18

the ovarian fimbrion

Question 19

how is ligation of the uterine tubes done?

Answer 19

either abdominally or laparoscopically through the umbilicus and involves ligating the uterine tubes so the oocytes never reach the uterine cavity

Question 20

what is the female perineum?

Answer 20

a shallow external compartment that contains the female external genitalia

Question 21

what is the pudendal cleft?

Answer 21

anterior slit between the labia majora

Question 22

what is the anterior labial commissure?

Answer 22

the junction of the right and left labia majora, anterior to the angle of the clitoris

Question 23

what is the posterior labial commissure?

Answer 23

the posterior limit of the pudendum

Question 24

what is the frenulum of the labia minora?

Answer 24

where the labia minora come together posteriorly

Question 25

what is the body of the clitoris comprised of?

Answer 25

two corpora cavernosa

Question 26

what is the anterior most junction of the labia minora?

Answer 26

prepuce of clitoris

Question 27

what extends inferiorly from the glans clitoris?

Answer 27

the frenula of the clitoris

Question 28

what ligament is associated with the clitoris?

Answer 28

the suspensory ligament of the clitoris

Question 29

what are the three erectile tissues in a female?

Answer 29

clitoris, right bulb of the vestibule, and left bulb of the vestibule