Session 2 Flashcards

1
Q

Why do women sometimes get a sharp pain at ovulation?

A

The oocyte pops out of the ovary and reaches the peritoneum. Parietal peritoneum surround the ovary and is filled with somatic nerves which innervate it

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2
Q

What symptoms do ovarian cysts present with?

A
  • Can rupture or undergo torsion which gives you pain
  • Bloating
  • Stretching
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3
Q

What are the parts of the uterus?

A
  • Fundus (top)
  • Body (middle)
  • Cervix (bottom)
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4
Q

What is the appearance of the cervix in pregnant woman?

A

-Slit like appearance

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5
Q

What is the appearance of the cervix when the woman hasn’t been pregnant?

A

-Circular appearance

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6
Q

What are the symptoms experiences as the foetus grows?

A
  • Acid reflux due to mechanical compression
  • Hormones makes lower oesophageal sphincter leaky
  • Constipation
  • Urinary frequency increases due to bladder being squashed
  • Extreme stretch of ligamentous structures
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7
Q

What is the most common site for ectopic pregnancies?

A

Ampulla

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8
Q

What is important to confirm when a young woman presents with abdominal pain?

A

You need to confirm with a pregnant test as if its a ruptured ectopic pregnancy, the woman can bleed to death due to pregnant.

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9
Q

What is the function of the Peg cels?

A

They nourish and maintain the egg

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10
Q

What moves the egg into the uterine tube?

A

The fimbriae

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11
Q

How can infection spread into the peritoneum through the vaginal canal?

A

The uterine tube open into the peritoneal cavity so infection can spread into the peritoneum from the vaginal canal

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12
Q

What is the broad ligament?

A

Peritoneal fold.

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13
Q

What is the round ligamnet?

A

Remnants of the gubernaculum.

-Pulls the gonads down from the top of the abdomen to the pelvis

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14
Q

What is the suspensory ligament?

A

Neurovascular pathway bulging into the peritoneum.

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15
Q

Where is the mesometrium?

A

-Largest part of the broad ligament and covers the uterus up to the lateral pelvic wall

Runs laterally to cover the external iliac vessels, forming a distinct fold over them. The mesometrium also encloses the proximal part of the round ligament of the uterus.

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16
Q

What is the mesosalpinx?

A

Originates superiorly to the mesovarium, enclosing the fallopian tubes. Hangs from the tubes

17
Q

What is the mesovarium?

A
  • Part of the broad ligament associated with the ovaries
  • Projects from the posterior surface of the broad ligament and attaches to the hilum of the ovary, enclosing its neurovascular supply. It does not cover the surface of the ovary itself.

(Imagine it suspending the ovary)

18
Q

What is the blood supply and drainage to the uterus?

A
  • Uterine artery for supply

- Uterine veins for drainage

19
Q

What is the lymphatic drainage of the uterus?

A

Iliac, Sacral, Aortic and Inguinal lymph nodes

20
Q

What is the epithelium lining the vagina?

A

Stratified squamous epithelium

21
Q

Why is there lots of glycogen in the vagina?

A

Favourite food for lacto-bacilli. Maintains acidic pH due to conversion of glycol to lactic acid. This acts as defence against infection

22
Q

How does the structure of the Fallopian tube facilitate transport of the ovum towards the uterus?

A

-Tissue structure has cilia which help to waft the egg to the uterus

23
Q

Why could there be pain in shoulder top following ruptured ectopic pregnancy?

A
  • Internal bleeding could irritate the diaphragm
  • This can irritate the phrenic nerve which has sensory nerve roots at C3, C4 and C5
  • This can lead to pain at the shoulder
24
Q

What can be palpated at the:
A. Posterior fornix
B. Lateral fornix
C. Anterior fornix

A

A. Assessment of the rectouterine pouch
B. Assessment of the adnexal masses
C. Uterus