Repro - female Flashcards

1
Q

What three structures constitute the birth canal?

A

Vagina
Cervix
Vulva

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2
Q

What are the three layers of the uterus?

A

Endometrium
Myometrium
Perimetrium

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3
Q

What is the position of the uterus?

A

Anteflexed + anteverted

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4
Q

What can happen in early pregnancy if the uterus is retroverted and retroflexed?

A

Prolapse

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5
Q

Why is it important in the surgical management of miscarriage to know if the uterus is anteverted or not?

A

To minimise the risk of perforation of the uterus with instrumentation

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6
Q

What are the fornixes of the vagina?

A

The upper corners of the vagina that extend into the recesses made by the cervix

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7
Q

Through which vaginal fornix can you access the rectouterine pouch?

A

Posterior fornix

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8
Q

What are teh main ligaments of the uterus?

A

Ovarian ligament
Suspensory ligament
Round ligament of uterus
Broad ligament

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9
Q

What ligament is called the cardinal liagment of the uterus?

A

Lateral cervical ligament

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10
Q

What other structure, other than ligaments supports the uterus?

A

Pelvic diaphragm

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11
Q

What are the four parts of the uterine tube?

A

Infundibulum
Ampullary
Isthmus
Intramural or uterine part

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12
Q

What is the longest/widest part of the uterine tube?

A

Ampulla

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13
Q

At what point of the uterine tube does fertilisation normally occur?

A

Ampulla

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14
Q

What is an ectopic pregnancy?

A

Where egg is fertilised in the fallopia tube, not uterus

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15
Q

What is a corneal ectopic pregnancy?

A

Fertilisation in the interstitial section of fallopian tube

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16
Q

What ligament moves from uterus to ovary?

A

Ovarian ligament

17
Q

What ligament transverses from the ovary to the lateral pelvic wall?

A

Suspensory ligament

18
Q

At what level do the gonadal arteries orginiate?

A

L2

19
Q

How does the ovarian artery reach the ovary?

A

Through suspensory ligament

20
Q

With which artery does the ovarian artery anastomose?

A

Uterine artery

21
Q

Where does the uterine artery cross the uterus?

A

Ischial spine

22
Q

Why is the association between teh ureter and uterine important?

A

In case of ligation of uterine artery, don’t want to accidentially clamp ureter as well

23
Q

What is the lymphatic drainage of tje labia and distal part of the vagina?

A

Superficial inguinal nodes

24
Q

What is the lymphatic drainage of the ovaries?

A

Para-aortic nodes

25
Q

What is the lymphatic drainage of the fundus + upper uterine body?

A

Pre-aortic nodes

26
Q

What is the lymphatic drainage of the uterine body (other than upper)?

A

Internal iliac

27
Q

What is the lymphatic drainage of uterine cervice and upper vagina?

A

Internal iliac + sacral lymph nodes

28
Q

What is the lymphatic drainage of the lower vagina?

A

deep Inguinal nodes

29
Q

What fascia do the breasts lie in?

A

Superficial pectoral fascia

30
Q

What is the structure of the breast?

A

15-25 lobes with tubulo-acinar glands + stroma (connective tissue)

31
Q

Where is the breast located?

A

extends from 2nd-6th rib

Lateral border of sternum to anterior axillary line

32
Q

What muscles is the deep tissue of the breast related to?

A

Pectoralis major
Serratus anterior
External oblique muscle

33
Q

What is the blood supply of the breast?

A

Branches of
Subclavian artery
Axillary artery

34
Q

What lymph nodes drain the breast?

A

Axillary nodes
Parasternal
Supraclavicular lymph nodes

35
Q

Which nodes recieve the lymph fromt eh lateral part of the breast tissue?

A

Anterior (pectoral) group

36
Q

What is possible with the lymph of the breast that one should be wary about in breast cancer?

A

Medial side can drain to the opposite side

Allows cancer to spread from one side to the other