Pelvic Organs II

Question 1

where is broad lig and round lig of uterus located

Answer 1

broad lig on post of uterus

Round lig of uterus runs ant to uterus and attaches on fat of pre pubic region

Question 2

what type of organ is the overies

Answer 2

Extraperitoneal organ

Question 3

how are the overies suspended in space (what are they connected to) (3)

Answer 3

To broad lig by mesovarium

to uterus by lig of overly

to pelvic wall by suspensory lig

Question 4

What connects the overy to the uterine tube

Answer 4

ovarian fimbria

Question 5

Is the uterine tube covered by peritoneum and what does it lie in

Answer 5

Completely surrounded by peritoneum + lies within upper part of broad lig (mesosalpinx)

Question 6

where is the usual site of fertilization

Answer 6

ampulla of uterine tube

Question 7

What is the blood supply of the mesovarium portion of the broad lig (2)

Answer 7

1. Ovarian branch of uterine artery

2. terminal branch of uterine aa

Question 8

What is the blood supply of the mesosalpinx of the broad lig (2)

Answer 8

1. Branch of uterine artery

2. branch of ovarian aa

Question 9

What is the sup part of the uterus called where the uterine horns attach

Answer 9

Fundus

Question 10

What do the uterine horns attach to post and ant

Answer 10

post attach to lig of overy

Ant attach to round lig

Question 11

What is the opening into the cervical canal called

Answer 11

external os (internal os separates cervix from uterus)

Question 12

What is the site of insemination

Answer 12

Vaginal fornix (there are 4)

Question 13

What are the layers of the uterus from out to in

Answer 13

perimetrium
myometrium (thickest)
Endometrium

Question 14

What position is the uterus in relation to the vagina

Answer 14

Uterus is antverted and anti flexed

Question 15

what lig keeps the uterus anteverted and antiflexed

Answer 15

round lig

Question 16

What fails in a uterine prolapse

Answer 16

failure of supporting mechanisms of uterus (perineal and pelvis membranes)

Question 17

What is the blood supply of the ovaries + branch

Answer 17

Ovarian aa (branch of abdominal aorta)

Question 18

What supplies the uterus and branch its from

Answer 18

Uterine aa (branch of int iliac)

Question 19

What branches does the uterine aa give off (3)

Answer 19

Vaginal aa, ovarian and tubar branch

Question 20

What are the sites of ectopic pregnancy (6)

Answer 20

Ovarian
Infundibuluar
Tubal isthmus
Abdominal
Interstitial
Cervical

Question 21

what occurs in an isthmus tubal etopic preg

Answer 21

can develop for 3/4 moths but won’t stretch enough so it leads to rupture of uterine horm

Question 22

What is the worst site of etopic preg

Answer 22

Interstitial

Question 23

What aa supplies the pelvic organs (3)

Answer 23

Sup vesical aa
Inf vesical aa (base of bladder/prostate)

middle rectal aa (from post int iliac)

Question 24

What is the main dif from male and female pelvic organ aa supply

Answer 24

Presence of uterine aa instead of inf vesical aa

Question 25

Venous drainage of all pelvic organs has connection to these veins +clinical app of this)

Answer 25

Lateral sacral veins but they are valveless and blood can travel to int vert venous plexus (cancer metastasis)

Question 26

what is the path of lymph drainage of pelvic organs

Answer 26

Int iliac common iliac aortic chyli cistern

Question 27

What is the main ganglion that inn the pelvic organs + what does it get its symp + parasympathetic from

Answer 27

Inf hypogastric nerve plexus Sympathetic contribution from L1,2 Parasympathetic from pelvic splanchnic

Question 28

Where would pain referral from pelvic organs refer to

Answer 28

sympathetic referral to L1,2 (groin) Parasympathetic referral to S2,3,4 in back