Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

SHB Exam 2 > Uterus + Perineum > Flashcards

Uterus + Perineum Flashcards

1
Q

What organs are directly anterior and posterior to the uterus?

A

Ant: urinary bladder
Post: Rectum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 3 parts of the uterus?

A
  • Fundus (top)
  • Body (2/3 of it)
  • Cervix (1/3 of it)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the name for the opening in the cervix?

A

Os

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long are the uterine tubes?
To which part of the uterus do they attach?
What are their fcn?

A

~4” long

  • Attach to fundus (epithelium is continuous)
  • Carry ovum to uterine cavity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the 4 parts of the uterine/fallopian tube, starting at the uterus?

A
  • Isthmus
  • Ampulla
  • Infundibulum
  • Fimbria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where is the approximate location of the ovary?

A
  • Lateral pelvic wall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the ovary’s own mesentery that attaches superior of it?

A

Mesovarium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What attaches the ovary to the uterus and runs in the mesovarium?
What runs through it?

A

Ovarian ligament

- Nothing runs through it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What suspends the ovary to the lateral wall of the pelvis?

What runs through it?

A

Suspensory ligament–a condensation of fascia surrounding bv’s to the ovary and is technically part of broad ligament
- Ovarian a. runs thru it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What connects the uterus to the labia majora by running thru the inguinal canal?

A

Round ligament (not a true ligament)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the broad ligament?

A

A fold of peritoneum that extends from the sides of the uterus to the lateral walls of the pelvis
- Surrounds the uterine tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the spatial arrangement of the ureter and uterine artery?
Why is this important?

A

“Water goes under the bridge”
Ureter travels under the uterine artery
- Many lawsuits follow ligation of the uterine a. during hysterectomy (don’t put staple in ureter following hysterectomy)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where does the ovarian a. branch from and what does it travel in?

A
  • Aorta

- Suspensory ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

In the vagina, what is the fornix?

A

Recesses in the superior vagina that surround the cervix (which protrudes into the vagina)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What’s the mesentary of the uterine tube?

A

Mesosalphinx (salphin: “tube”)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The uterine position is ______________, while the vaginal position is ______________.

A
  • Anteflexion
  • Anteversion
    (uterus is flexed, vagina is verted)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the 2 areas that makeup the perineum?

A

Anterior: urogenital diaphragm
Posterior: anal triangle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What sits in the center of the perineum?

A

Perineal body, AKA central tendon

- Serves as anchor point for most small mm. of the perineum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the term for foreskin?

A

Prepuce

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is the name for the space b/w the labia majora?

A

Vestibule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the female equivalent of the penile glans and prepuce?

A

Clitoral glans and clitoral prepuce

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the area of the pubic region called?

A

Mons pubis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the layers of the UG diaphragm, from inf to sup?

A
  1. Inferior fascia of the UG diaphragm, AKA perineal membrane
  2. UG diaphragm proper, AKA the deep pouch
  3. Superior fascia of the UG diaphragm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Generally, what would you find below the inferior fascia of the UG diaphragm?
What is this zone called?

A
  • Erectile tissue (both sexes)

- Superficial pouch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

In the penis, where does the urethra run?

A

Through the corpus spongiosum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What type of tissue is the clitoris made up of?

A

Corpus cavernosum only

27
Q

What area comes just before the eternal urethra orifice of the penis?

A

Navicular fossa of the urethra

28
Q

What does erectile tissue consist of?

A

Crura (legs), bulb of penis or vestibule, cavernous bodies

29
Q

What muscle covers to crus of the penis?

A

Ischiocavernosus m.

30
Q

What is w/in the bulb of the penis?

A

Bulbourethral glands (AKA Cowper’s glands)

31
Q

What muscle covers the bulb of the penis?

A

Bulbospongiosus m.

32
Q

Bulbospongiosus m: OIIA?

A

O: Perineal body
I: Goes around bulb or vesticule

I: Deep branch of perineal n. from pudendal n.
A: Male: compresses bulb of penis, forces blood into body of penis during erection, removes urine from urethra and semen during ejaculation
Female : constricts vaginal orifice, assists in expressing secretions of greater vestibular gland, forces blood into body of clitoris

33
Q

Ischiocavernosus m: OIIA?

A

O: Ischium
I: Crus of penis or clitoris

I: Deep branch of perineal n. from pudendal n.
A: Forces blood into penis and clitoris during erection

34
Q

Superficial transverse perineal m: OIIA?

A

O: Ischial rami
I: Perineal body

I: Perineal branches of pudendal n.
A: Stabilizes central tendon

35
Q

Cremaster m: OIIA?

A

O: Internal oblique and inguinal ligament
I: Pubis

I: Genital branch of genitofemoral n.
A: Retracts testicle

36
Q

External anal sphincter: OIIA?

A

O: Tip of coccyx, anococcygeal ligament
I: Deeper fibers surround anal canal, attach posteriorly to coccyx and anteriorly to central point of perineum

I: Perineal and inferior rectal branches of pudendal nerve
A: Closes anal orifice

37
Q

What artery generally supplies the perineum?

A

Internal pudendal a.

38
Q

What nerve generally supplies the perineum?

A

Pudendal n.

39
Q

In order to perform a pudendal nerve block, what should you locate?
Why would you do this?

A
  • Ischial spine

- Childbirth or surgery, etc.

40
Q

Are the crura (2x crus) part of the cavernosa or spongiosum?

A

Corpus cavernosum

41
Q

To divide the perineum into 2 triangle, draw a line b/w the _________________.

A

Ischial tubersities

42
Q

What runs b/w the sacrum/coccyx to the ischial tuberosity?

Which triangle is it a part of?

A
  • Sacrotuberous ligament

- Anal triangle

43
Q

Between what 2 layers is the superficial pouch located?

A

B/w colle’s fascia and inferior fascia of the UG diaphragm

44
Q
  • What are the mm. of the superficial pouch?

* What else is in there?

A
  • Ischiocavernosus m.
  • Bulbospongiosus m.
  • Superficial transverse perineus m.
  • External anal sphincter m.
  • Vestibular glands (females only!)
  • Crura and bulb
  • Some of neurovascular bundle
  • Perineal body
45
Q

What is the deepest part of the superficial pouch called, (just after the pouch ends)?

A

Inferior fascia of the UG diaphragm AKA perineal membrane

46
Q

What pierces the inferior fascia of the UG diaphragm?

A
  • Urethra

- Vagina (females only)

47
Q

By stripping off the inferior fascia of the UG diaphragm we expose what layer?

A

The deep pouch

48
Q
  • What are the mm. of the deep pouch?

* What else is in there?

A
  • Deep transverse perineus m.
  • Sphincter urethra m.
  • Bulbourethral glands AKA Cowper’s glands (male only!)
  • Vagina, urethra
49
Q

What is the most superior structure of the perineum, which is exposed after we remove the deep pouch?

A

Superior fascia of the UG diaphragm

50
Q

What main branches does the internal pudendal a. give off in the perineum?

A

(at least know the first 2)

  • Inferior rectal a.
  • Perineal a.
  • Dorsal a. of the penis/clitoris
  • Deep a. of the penis/clitoris
51
Q

Sphincter urethrae m: OIIA?

A

O: External fibers from junction of inferior pubic and ischial rami and adjacent fascia; internal fibers pass medially to surround membranous urethra
I: Male: median raphe in front and behind urethra. Female: encloses urethra, attaches to sides of vagina

I: Perineal branches of pudendal nerve
A: Compresses urethra at end of micturition; in female also compresses the distal vagina

52
Q

Deep transverse perineal m: OIIA?

A

O: Ischium
I: Male: medial tendinous raphe and perineal body. Female: sides of vagina

I: Perineal branches of pudendal nerve
A: Stabilizes perineal body, supports prostate/vagina

53
Q

What is the most important branch of the pudendal n. in the perineum?
What roots does the pudendal n. come from?

A
  • Perineal n.

- S2, S3, S4

54
Q

What is unique about the bulb in females?

A

It is split open by the vagina

55
Q

What aa. do the monkey’s eyes consist of?

A

Deep artery of penis (from internal pudendal a.)

56
Q

*Where does the superior rectal a. originate from?
Middle?
Inferior?

A
  • IMA
  • Anterior division of internal iliac a.
  • Internal pudendal a. (off same ant division)
57
Q

Injury to the pelvis that damages the urethra is know as __________________.

A

A “straddle injury”

58
Q

What are the names of the parts of the urethra in males?

A

(0. Preprostatic)
1. Prostatic
2. Membranous
3. Spongy

59
Q

How could damage to the spongy urethra (e.g. in straddle injury) be problematic in males?

A

Blood or urine could flow up to the potential space b/w the rectus sheath and Scarpa’s fascia to just below the navel

60
Q

An obstetrician has to perform an episiotomy on a birthing mother due to the large head of her Lithuanian baby. What midline structure would she prefer not to cut?

A) Crus
B) Ishiorectal fat
C) Superficial transverse perineal m.
D) Perineal body
E) Deep transverse perineal muscle
A

D) Perineal body

Will therefore perform a medio-lateral episiotomy

61
Q

Left ovarian v. drains into where? What about the right?

A
  • Left renal v.

- IVC

62
Q

What n. branches as it crosses over the ischial spine?

A

Pudendal n.

63
Q

What are the 3 branches of the pudendal n?

A
  • Perineal n.
  • Dorsal n. of clitoris/penis
  • Inferior rectal n.
64
Q

Dartos m: OIIA?

What was this layer before descent of testes?

A

O: Subcutaneous tissue of scrotum, superficial to superficial fascia (Colles)
I: Skin and midline fibrous septum of scrotum

I: Genital branch of genitofemoral n. (same as cremaster m.)
A: Corrugates (wrinkles) scrotal skin

  • Was camper’s fascia in abd

SHB Exam 2 (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions