Session 5

Question 1

Which arteries supply the ovaries and where do they arise?

Answer 1

Ovarian arteries

Branches of the abdominal aorta at L2 (just inferior to the renal arteries)

Question 2

Which veins drain the ovaries and where do these veins drain to?

Answer 2

Right ovarian vein (drains to the IVC)

Left ovarian vein (drains to the left renal vein)

Question 3

Which part of the uterus becomes palpable during pregnancy?

Answer 3

Fundus

Question 4

What is the name of the anterior peritoneal pouch formed by the uterus?

Answer 4

Uterovesical pouch

Question 5

What is the name of the posterior peritoneal pouch formed by the uterus?

Answer 5

Rectouterine pouch (pouch of Douglas)

Question 6

What is found at the deepest point of the rectouterine pouch?

Answer 6

Posterior fornix of the vagina

Question 7

What is the name of the only peritoneal recess found in the male?

Answer 7

Rectovesical pouch

Question 8

From which embryological structures does the uterus develop?

Answer 8

Paramesonephric ducts

Question 9

The fusion of the paramesonephric ducts to form the uterus creates which peritoneum-covered structure?

Answer 9

Broad ligament

Question 10

What are the two remnants of the gubernaculum in females?

Answer 10

Round ligament of the uterus

Ovarian ligament

Question 11

Describe the route of the round ligament of the uterus.

Answer 11

Attaches to the ovary
Travels through the inguinal canal via the deep and superficial inguinal rings
Attaches to the labium majus

Question 12

What is the most common position for the uterus?

Answer 12

Anteverted (with respect to the vagina)

Anteflexed (with respect to the cervix)

Question 13

What is the function of the uterine (Fallopian) tube?

Answer 13

Conduction of the oocyte into the uterine cavity

Normal site for fertilisation

Question 14

What are the two ligaments that support the pelvic viscera?

Answer 14

Transverse cervical ligament

Uterosacral ligament

Question 15

Which arteries supply blood to the female internal genitalia?

Answer 15

Ovarian artery
Uterine artery
Internal pudendal
(Many anastamoses)

Question 16

Describe the lymphatic drainage of the ovaries and uterus.

Answer 16

Ovaries: drain to paraaortic nodes
Uterine fundus: aortic nodes (and inguinal nodes)
Uterine body: external iliac nodes
Cervix: external and internal iliac and sacral nodes

Question 17

What alternative name is given to the greater vestibular glands?

Answer 17

Bartholin glands

Question 18

What are the vaginal fornices?

Answer 18

Recesses of the vagina around the cervix

Question 19

What name is given to the process of draining fluid from the pouch of Douglas via the posterior vaginal fornix?

Answer 19

Culdocentesis

Question 20

From which two sources do the uterus and vagina receive innervation?

Answer 20

Uterovaginal plexus (uterus and superior 4/5 vagina)
Pudendal nerve (inferior 1/5 vagina)

Question 21

As well as the pudendal nerve, what other nerve also innervates the perineum?

Answer 21

Ilioinguinal nerve