reproductive system

Question 1

situation of ovary

Answer 1

anteriorly—–umbilical artery
posteriorly—-internal iliac artery

Question 2

position of ovaries

Answer 2

nulliparous — long axis horizontal
having upper and lower pole
multifarious women —– long axis horizontal upper pole lateral
lower pole is medial

Question 3

external features of ovaries

Answer 3

• two pole /extremities– upper tubal pole and lower uterine pole
  *two borders —-anterior mesovar ian border , posterior free border
• two surface lateral and medial

Question 4

peritoneal relation ovary

Answer 4

the ovary is almost coverd except the mesoovariam border

Question 5

visceral relation of ovaries

Answer 5

*Upper pole — Broader , related to uterine tube , suspensory ligament attached to ovary .
*lower pole – narrower , related yo pelvic floor .
*anterior border—straight related to uterine tube , form the **hilus **of ovary
*posterior border —convex related to uterine tube
*lateral surface –related to ovarian fossa
*medial surface –covered by uterine tube

Question 6

arterial supply of ovary

Answer 6

ovarian artery , uterine artery

Question 7

venous lymphatic of ovary

Answer 7

drain in ivc on right side
left renal vein on left side
lymphatic in lateral aortic and preaortic nodes

Question 8

nerve supply of ovaries

Answer 8

sympathetic t10 -t11
parasympathetic s2-s4

Question 9

histology

Answer 9

*germinal epithelium—cubical cells
*tunica albuginea— thin layer of connective tissue
*cortex –ovarian follicles , each has 1 oocyte, 400 in whole reproductive life ..
*oestrogen—-follicular cells
progesterone—corpus luteum
*medulla nerve lymphatics

Question 10

clinical anatomy of ovary

Answer 10

*prolapse of ovary
*ovarian cysts –can cause [stein leventhal syndrome] deep voice hirsutism
*carcinoma of ovary *endometriosis —commonest site having [chocolate cyst]

Question 11

uterine tube /salpinx /fallopian tube …situation

Answer 11

situated in upper margin of broad lig of uterus

Question 12

dimensions of tubes

Answer 12

10cm long
lateral end enters in peritoneal cavity through abdominal osmium about 3mm

Question 13

subdivisions of fallopian tube

Answer 13

1 lateral end [funnel like] * infundibulum* —-attached to tubal pole of ovary , one fimbrae is large ovarian fimbrae
2.. medial to infun is ampulla it is about 6to 7 cm [fertilisation ] [2/3]
3.. isthmus 2to 3 cm 1/3rd narrow
4.. uterine/ intramural/interstitial–1cm long opens jn uterine ostium

Question 14

blood supply lymphatic of tube nerve

Answer 14

uterine artery —medial2/3rd
ovarian artery —lateral 1/3rd

lymphatic–lateralaortic and preaortic

nerve sympathetic–t10 to L2
parasympathetic–s2to s4

Question 15

clinical anatomy of fallopian tube

Answer 15

1..salpingitis inflammation of tube
2… sterility [patency of tube by rubin test , hysterosalpingography ]
3tubal pregnancy
4 tubectomy

Question 16

uterus/hystera situation

Answer 16

b/w bladder and rectum , thick walled and palpate on pv exam

Question 17

size and shape of uterus

Answer 17

*pyriform shape
* 7.5cm long 5cm broad 2.5 cm thick
* 30 to 40 gms

Question 18

the superolateral angle of body outwards at the junction of fundus and body called as

Answer 18

cornua of uterus