REB 22. Pelvis, Pelvic Diaphragm, Ovaries, Uterus + Vagina Flashcards

1
Q

Name the important parts of the sacrum.

A
  • Sacral Canal
  • Sacral Hiatus
  • Anterior and Posterior Sacral Foramina
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name the part(s) of the Coccyx.

A
  • cornua

- transverse process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What type of joint is the sacroiliac joint? What may happen to this joint?

A
  • synovial joint

- it may fibrose or ossify

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the 3 sacroiliac ligaments?

A

[1] Anterior Sacroiliac Ligament
[2] Posterior Sacroiliac Ligament
[3] Interosseus Sacroiliac Ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What type of joint is the pubic symphysis?

A

Secondary Cartilaginous Joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which ligaments prevent the uplifting (upwards tilting) of the sacrum?

A

[1] Sacrospinous Ligament

[2] Sacrotuberous Ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Where is the false pelvis located?

A
  • superior to the pelvic brim/inlet

- considered a part of the abdominal cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is the true pelvis located?

A
  • inferior to pelvic brim/inlet

- floor = pelvic diaphragm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Is the pelvic diaphragm and the urogenital diaphragm the same thing?

A

No, they are not.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is inferior to the pelvic diaphragm?

A

perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name the parts (and lines) of the Pelvic Inlet.

A

[1] Sacral Promontary + Ala
[2] Arcuate Line
[3] Pectineal Line
[4] Pubic Crest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the parts (borders) of the Pelvic Outlet?

A

[1] Ischiopubic Ramus
[2] Ischial Tuberosity
[3] Sacrotuberous Ligament
[4] Coccyx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the diameter associated with the Pelvic Outlet? How do you find it?

A
  • Interspinous Diameter

- the distance between the ischial spines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the diameters associated with the Pelvic Inlet?

A

[1] Conjugate Diameter
- from pubic symphysis to sacral promontary

[2] Transverse Diameter
- widest part of brim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

List the differences betwen the female and male pelvis.

A

FEMALE:

  • Circular pelvic inlet
  • Roman pubic arch (80 to 85 degrees)
  • Straight ischial spines
  • ilial ala flare outwards

MALE:

  • Heart-Shaped pelvic inlets
  • gothic pubic arches (50 to 60 degrees)
  • ischial spines project medially

*side note: sacral, coccyx + acetabular differences!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What muscle makes up the obturator canal? What runs through the obturator anal?

A
  • obturator internus muscle

- obturator nerves and vessels runs through the canal

17
Q

What nerve innervates the Levator Ani muscle?

A

Pudendal Nerve

- S2,3,4 keeps your bottom off the floor

18
Q

At what vertebral level does the Common Iliac bifurcate? Which structural level is this at?

A
  • bifurcates at L4

- in front of the sacroiliac joint

19
Q

What is the median umbilical ligament a remnant of?

A

embryonic allantois

20
Q

What is the trigone of the bladder? What is its function?

A
  • is a smooth triangular region of the internal urinary bladder formed by the two ureteric orifices and the internal urethral orifice
  • area is very sensitive to expansion and once stretched to a certain degree, the urinary bladder signals the brain of its need to empty
21
Q

What cell type is the bladder mainly made up of?

A

Transitional Epithelium

  • they can undergo a change in their shape and structure
  • e.g. urine filling up the bladder
22
Q

What is the name of the peritoneum that is reflected over the uterus (laterally)?

A

Broad Ligament

23
Q

What are the pouches around the uterus? [2]

A

[1] Rectouterine Pouch
- Pouch of Douglas

[2] Uterovesical Pouch

24
Q

What is a Nulliparous Uterus?

A

the name of the uterus of a woman who has never given birth before
- “flattened pear”

25
What are the different parts of the uterus?
[1] Fundus - above the entrance of the uterine tubes [2] Body [3] Cervix
26
What is the innervation of the uterus and the vagina?
Uterus: - has autonomic innervation - little pain receptors - doesn't like to stretch Vagina: - has somatic innervation - pudendal nerve
27
What is the internal and external os?
Internal Os: - opening into the uterus External Os: - opening into the vagina
28
What are the Vaginal Fornices?
projection of the cervix into the vaginal canal
29
What are the layers of the uterine wall? (from outside in)
[1] Serosa (Peritoneum) [2] Myometrium (Smooth Muscle) [3] Endometrium (Columnar)
30
What cell type is the vagina made up of?
Squamous Epithelium | - "wear and tear"
31
Where is the squamocolumnar junction located?
between the vagina and uterus at the EXTERNAL OS - vagina = squamous epithelium - uterus = columnar epithelium
32
What are the 3 "types" of vaginal fornices?
``` [1] Anterior Fornix [2] Posterior Fornix [3] Lateral Fornices (2) -- ischial spine -- uterine artery + ureter ```
33
Where is the posterior fornix located in relation to an important structure?
- location is related to the pouch of Douglas
34
What is anteflexion? What is the approximate numerical value?
- angle between cervix and the body of the uterus | - approx. 170 degrees
35
What is anteversion? What is the approximate numerical value?
- angle between cervix and vagina - approx. 90 degrees side note: 20% of females retroverted
36
What structures/muscles support the uterus so that it does not collapse?
[1] Pelvic Diaphragm - levator ani [2] Perineal Body
37
What are the ligaments that the Pelvic Fascia forms?
``` [1] Lateral Ligaments - transverse ligaments - cardinal ligaments - Mackenrodt's ligaments [2] Uterosacral Ligaments [3] Pubocervical Ligaments ```
38
What is the round ligament of the uterus a remnant of? What is its function?
- a remnant of the gubernaculum - it pulls the ovaries - NOT important for support!!
39
What are the parts of the fallopian (uterine) tubes and ovaries?
- 10 cm long - proximal 1 cm lies within uterine wall [1] Isthmus - narrowest part of tube [2] Ampulla [3] Infundibulum - "trumpet"-shaped - multiple fimbriae [4] Fallopian Tube (continued) - outer longitudinal muscle - inner circular muscle - columnar epithelium - -- ciliated + non-ciliated [5] Ovary - ligament of the ovary - ovarian fossa - -- angle between internal + external iliac vessels - -- obturator nerve