Repro 5 Flashcards

1
Q

Wheree do the female gonads stop theri descent?

A

The pelvis

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2
Q

How are the ovaries supplied with blood?

A

Direct branches of the abdominal aorta

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3
Q

How are the ovaries drained of blood?

A

R&L ovarian vein

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4
Q

From where do the ovarian veins arise respectively?

A

R - IVC

L - left renal vein

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5
Q

What are the main parts of the uterus? From top to bottom please
Hint: 4

A

Uterine tube
Fundus
Body
Cervix

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6
Q

How many peritoneal pouches have an anatomical relationship with the uterus and what are they called?

A

2 - anterior and posterior

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7
Q

What are the correct names for the anterior and posterior pouches surrounding the uterus?

A

Anterior - Uterovesical

Posterior - Pouch of douglas

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8
Q

What are the posterior fornices of the vagina?

A

The most superior parts of the vagina on each side and behind the cervix

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9
Q

What are the paramesonephrics?

A

A pair of ducts opening cranially to connect to the urogenital sinus caudally

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10
Q

What condition is needed for the persistance of the paramesonephric ducts?

A

Lack of MIH

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11
Q

What is the fate of the paramesonephric ducts in women?

A

They fuse at the midline creating a broad transverse fold draped in peritoneum

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12
Q

What will the paramesnephric ducts become?

A

The uterus

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13
Q

What is the broad ligament?

A

A peritoneal fold in the female pelvis creating a mesentery of the uterus, uterine tube and ovary

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14
Q

What is the round ligament?

A

A continuation of the ligament of the ovary

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15
Q

What is the embryological origin of the round ligament?

A

The gubernaculum

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16
Q

Breifly describe the position of the round ligament

A

It is attached to the ovary and labium majus and travels through the inguinal canal

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17
Q

What is the name given to the angle of the vagina in the situ?

A

Anteverted

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18
Q

What is the name given to the angle of the cervix in situ?

A

Antiflexed

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19
Q

Name the parts of the uterine tube

Hint: 5

A
Abdominal ostium
Fimbria
Infundibulum
Ampulla
Isthmus
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20
Q

What are the functions of the uterine tube?

Hint: 2

A

To conduct oocytes into the uterine cavity

It is usually the site of fertilisation

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21
Q

What difference between the uterine cavity and the uterine tubes has clinical significance and why?

A

The tube has a different lining

Increases severity of consequaneces of ectopic pregnancy

22
Q

What difference between male and female with regards to the peritoneum has cinical significance and why?

A

In the female, the peritoneal cavity is open via the ostium of teh uterine tube
This presents a risk of peritonitis

23
Q

What is the transverse cervical ligament and what is its function?

A

A thickening at the base of the broad ligament providing lateral stability to the cervix

24
Q

What are the uterosacral ligaments?

A

Fibrous tissue extending from the rectouterine folds to attach to the front of the sacrum

25
Q

What are the functions of the uterosacral ligaments?

Hint: 2

A

Oppose the anterior pull of the round ligament

Aid in maintenance of anterversion

26
Q

What are the main arteries supplying the female genitalia?

Hint: 4

A

Ovarian
Uterine
Vaginal
Internal pudendal

27
Q

What is the ovarian artery a branch of?

A

Abdominal aorta

28
Q

What is the uterine artery a branch of?

A

Anterior division of the internal iliac

29
Q

What is the internal pudendal artery a branch of?

A

Anterior division of internal iliac

30
Q

What nodes are involved in lymphatic drainage of the uterus?

Hint: 5

A
Paraaortic 
External iliac 
Internal iliac
Sacral 
Ingunial
31
Q

To which nodes does the ovary drain?

A

Paraaortic

32
Q

Which nodes drain the fundus of the uterus?

A

Paraaortic & inguinal

33
Q

Which nodes drain the body of the uterus?

A

External iliac

34
Q

Which nodes drain the cervix?

A

External & internal iliac

Sacral

35
Q

What are the labia majora?

A

The relativley large outer folds of the vulva

36
Q

What do the labia majora enclose?

A

The pudendal cleft

37
Q

What are the labia minora?

A

The smaller inner folds of the vulva

38
Q

What do the labia minora enclose?

Hint: 3

A

The vestibule of the vagina, its bulbs and the clitoris

39
Q

What is within the vestibule of the vagina?

Hint: 4

A

The orifices of the urethra and vagina

The greater and lesser vestibular glands

40
Q

What is the correct name for the greater vestibular glands?

A

Bartholin glands

41
Q

What are the two common problems with the greater vestibular glands?

A

Bartholintitis

Bartholin gland cyst

42
Q

What is culdocentesis?

A

Procedure for obtaining peritoneal fluid accumulated in the recto-uterine pouch

43
Q

What is used in a culdocentesis?

A

A needle and syringe

44
Q

Where is the needle inserted in a culdocentesis?

A

Through the vaginal wall into the pouch of douglas

45
Q

What is the innervation of the vagina?

A

1st 5th - pudendal nerve

Remainder - uterovaginal plexus

46
Q

What is the innervation of the femal perineum?

A

Pudendal & ilioinguinal nerves

47
Q

Breifly describe the course of the pudendal nerve

Hint: 3 steps

A

Exits pelvis via greater sciatic foramen
Enters perineum via lesser sciatic foramen
Travels trhough pudendal canal

48
Q

What is the pelvic floor?

A

Muscular and fibrous tissue diaphragm

49
Q

Where is the pelvic floor?

A

In the lower part of the pelvic canal

50
Q

What are the (anatomical) functions of the pelvic floor?

Hint: 4

A

Fills the lower part of the pelvic canal
Closes the abdominal cavity
Defines the upper border of the perineum
Supports the pelvic organs

51
Q

Which structures pierce the pelvic floor?

A

Urethra, vagina, rectum