Pelvic Viscera Flashcards

1
Q

Why doesn’t urine travel up the ureter when the bladder contracts?

A

It has an oblique course through the wall therefore it closes when the wall contracts

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2
Q

How is a retroverted uterus positioned?

A

Bend backwards in relation to the vagina and lying on the rectum

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2
Q

How can you tell the transition between the sigmoid colon and rectum?

A

The tinea of the sigmoid colon redevelop into longitudinal muscle coat over the rectum

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3
Q

Where does the ureter cross the pelvic brim as it enters the pelvic cavity?

A

At the branching of the common iliac artery

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4
Q

Which part of the rectum stores the faeces?

A

The ampulla

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5
Q

Retroverted uteri are associated with what pathology?

A

Back pain

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5
Q

Why is the posterior wall of the vagina longer than the anterior wall?

A

Because the vagina is angled backwards with respect to the uterus

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7
Q

What size is the prostate gland?

A

Chestnut

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7
Q

Which lobe of the prostate is usually enlarged in benign prostatic hypertrophy?

A

The median or medial

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7
Q

Which arteries of the pelvic cavity enter from above?

A

The ovarian arteries (branch of the abdominal aorta)

The superior rectal artery

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8
Q

How is a anteflexed uterus positioned?

A

Flexed forward on itself

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10
Q

What is the urogenital diaphragm otherwise known as?

A

The perineal membrane

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11
Q

What are the three ligaments that support the uterus?

A

Lateral cervical ligaments

Utero-sacral ligament

Pubocervical ligament

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12
Q

What are the names of the different parts of the fallopian tubes, from the uterus afterwards?

A

Intramural

Isthmus

Ampulla

Infundibulum

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14
Q

What is the trigone of the bladder?

A

The base of the pyramidal shape of the bladder

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14
Q

Where does the posterior fornix lie?

A

Behind the external os of the cervix

15
Q

What are the openings of the cervix called?

A

The internal and external os

16
Q

Where do the ovaries lie in relation to the board ligament?

17
Q

Where can you find the superior vesical artery?

A

Extends from the bladder (branch of the internal iliac artery)

18
Q

At what spinal level does the rectum begin in the pelvis?

19
Q

What are the three accessory glands of the urethra in males?

A

Prostate

Seminal Vesicles

Bulbourethral glands

20
Q

What does the ureter run under in males and females before it enters to the bladder?

A

Males: Vas deferens

Females: Uterine artery

22
Q

Which part of the bladder is anchored?

23
Q

T/F The fallopian tubes are covered in peritoneum

24
Where does the nerve supply of the pelvic viscera come from?
The inferior hypogastric plexus
25
What is the size of the uterus?
8x5x3cm
26
What is the course of the vaginal artery?
Branches off the internal iliac, Comes into the cavity at the level of the cervix Turns down to supply the vagina
28
How is a anteverted uterus positioned?
Lying forwards ontop of the vagina
29
Where do the bulbourethral glands lie?
Within the perineal membrane
30
What is the shape and placement of the bladder in the pelvis?
A pyramid with the apex pointing towards to the pelvic bone and the base relating to the uterus or rectum, in females or males respectively
31
What is the name of the ligament that connects the ovaries to the uterus?
The ovarian ligament
32
Where does the pubovesical ligament lie and what is its function?
Connects the neck of the bladder to the pubic bone to stabilise the bladder
33
What does the middle rectal artery do?
Supports the superior rectal arteries' supply of the rectum
34
Where do the ovaries sit in relation to the walls of the pelvic cavity?
They sit right on the lateral wall, where the iliac artery splits
35
Which plexus has both parasympathetic and sympathetic component, the inferior or superior hypogastric plexus?
The inferior hypogastric plexus