Week 1 Flashcards

1
Q

The gonadal rudiments appear as the ‘____________ ’

A

genital ridge

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2
Q

What is Abnormal uterine bleeding?

A

When there is a variation in the duration, quantity , and frequency of the menstrual flow

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3
Q

An adult uterus weighs approximately ______

A

70g

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4
Q

In the upper part, the uterus is termed the _______ or _______

A

body or ‘corpus’.

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5
Q

The area of insertion of each Fallopian tube is termed the ‘_______’ and that part of the body above the ———— is called the ‘__________’.

A

cornu

cornu

Fundus

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6
Q

The uterus tapers to a small constricted area, the ___________ , and below this is the ________, which projects obliquely into the __________.

A

isthmus; cervix

Vagina

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7
Q

The ________ axis of the uterus is approximately at ———- angles to the ________ and normally tilts forward. This is called ‘anteversion’.

A

longitudinal

right ; vagina

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8
Q

Normal uterus is ante_______ and anti________

A

Verted

Flexed

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9
Q

FIXED and immobile Retroflexion and retroversion can be associated with ???

A

Endometriosis

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10
Q

The uterus consists of three layers: the outer ________ layer (_________), the middle _________ layer ( ___________ ) and the inner ________ layer (____________).

A

Serous; peritoneum

Muscular; myometrium

Mucous ; endome- trium

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11
Q

Normal menstrual flow is from ______-______ days

A

2-8

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12
Q

The peritoneum of the uterus is intimately attached to a ——————— layer, except laterally where it spreads out to form the leaves of the ————.

A

subserous fibrous

broad ligament

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13
Q

The cervix is narrower than the body of the uterus and is approximately ______ cm in length

A

2.5

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14
Q

The posterior aspect of the cervix is covered by the peritoneum of the __________

A

pouch of Douglas.

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15
Q

_____________ and _____________ are two laparoscopic surgeries used to treat some ectopic pregnancies.

A

Salpingostomy and salpingectomy

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16
Q

The Fallopian tube runs in the _____ margin of the broad ligament, known as the ____________, which encloses the tube so that it is completely covered with peritoneum, except for a narrow strip along this ________ aspect.

A

upper; mesosalpinx

inferior

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17
Q

Each fallopian tube is about ———— long and is described in four parts:
• The ————- portion.
• The __________.
• The ___________ .
• The ____________ or _________ portion.

A

10 cm

interstitial

Isthmus

Ampulla

infundibulum; fimbrial

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18
Q

Each ovary is attached to the cornu of the uterus by the ________ ligament and at the hilum to the broad ligament by the __________

A

ovarian; mesovarium

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19
Q

Laterally, each ovary is attached to the _____________ of the ovary with folds of peritoneum that becomes continuous with that of the overlying psoas major.

A

suspen- sory ligament

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20
Q

The round ligament lies _______ to the uterus. It does not _________ the uterus and is not a _________ structure.

It runs from the ________ of the uterus from the anterior leaf of the —————, to the __________. The round ligament does not contain the vascular bundle of the ovary; this runs in the mesovarian

A

anterior

physically support; vestigial

cornu; broad ligament

inguinal canal

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21
Q

Definitions

Menarche??

LMP??

A

Start of menstruation

Date of last menstrual bleed

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22
Q

What is amenorrhea

A

Absence of bleeds for more than 6 months in women of reproduc-
tive age

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23
Q

Oligomenorrhea

Dysmenorrhea

Menorrhagia

A

Infrequent menstrual bleeds more than 35 days apart

Painful menstrual bleeding

Now called heavy menstrual bleeding (HMB)

24
Q

HMB

IMB

PCB

A

Heavy menstrual bleeding

Intermenstrual bleeding

postcoital bleeding

25
Q

AUB Includes ___________ or _____________

A

postcoital bleeding (PCB)/intermenstrual bleeding (IMB)

26
Q

_______________ scars are used for caesarean section, hysterectomy, etc

A

Pfannenstiel

27
Q

The normal uterus is ______- shaped and about _____cm in length.

A

pear; 9

28
Q

Broad ligament is divided into ??

A

Mesometrium
Mesosalpinx
Mesovarium

29
Q

Normals

Menarch
Menopause

A

10-16

45-55

30
Q

For those not on hormonal birth control, the typical volume of menstrual flow is about ____ to ___________ over the entire period, though this can vary. Generally, it’s considered normal to use about _____ to _____ pads or tampons per day during the heaviest days of a period.

A

30;40 millilitres

three to six

31
Q

The median duration of pregnancy is _____ days (____ weeks) and this gives the estimated date of delivery (EDD).

A

280

40

32
Q

macrosomic baby may be related to ???

A

gestational diabetes

33
Q

gravida is the ?????

parity is the ????

A

total number of pregnancies regardless of how they ended;

number of live births at any gestation or stillbirths after 24 weeks.

34
Q

Women with very long cycles may have a condition known as _______________

A

polycystic ovarian syndrome.

35
Q

Previous episodes of pelvic inflammatory disease increase the risk for _____________.

A

ectopic pregnancy

36
Q

Knife cone biopsy is associated with an increased risk for both ________________ and ________ (leading to ——————- and ________ in labour, respectively).

A

cervical incompetence (weakness)

stenosis

preterm delivery

dystocia

37
Q

A large SFH raises the possibility of:
•______________;
•________________;
•______________

A

macrosomia

multiple pregnancy

polyhydramnios

38
Q

A small SFH could represent:
•_____________;
•________________.

A

FGR

oligohydramnios

39
Q

Pre-eclampsia

A potentially dangerous pregnancy complication characterised by ______________

A

high blood pressure.

40
Q

Pre-eclampsia usually begins after _________ of pregnancy in a woman whose blood pressure had been normal. It can lead to serious, even fatal, complications for both mother and baby.

A

20 weeks

41
Q

It may be possible to hear the fetal heart with the ______ ultrasound from approximately __________ onwards.

A

Doppler

12 weeks

42
Q

Layers of endometrium

__________ (____%)
_____________ (____%)
______________ (____%)

A

Basalis; 25

Spongiosum;50

Compactum;25

43
Q

Haemostasis in the uterine endome- trium is different from haemostasis elsewhere in the body

T/F

With reason

A

as it does not involve the processes of clot for- mation and fibrosis.

44
Q

Precocious is defined as the onset of puberty before the age of _____ in a girl or _____ in a boy. It is classified as either _________ or __________.

A

8; 9

central or peripheral.

45
Q

When there are no signs of secondary sexual characteristics by the age of ______ years this is termed delayed puberty.

A

14

46
Q

Amenorrhoea is defined as the absence of men- struation for more than ________ in the absence of pregnancy in a woman of fertile age, and oligomen- orrhoea is defined as irregular periods at intervals of more than _________, with only ____________ a year.

A

6 months

35 days

4–9 periods

47
Q

Primary amenorrhoea is when girls fail to menstruate by ____ years of age

A

16

48
Q

The crown–rump length (CRL) is used up until _____ weeks + ______, and the head circumference (HC) from _______ to _______

A

13; 6 days

14 to 20 weeks

49
Q

The ______________is used up until 13 weeks + 6 days, and the ______________ from 14 to 20 weeks.

A

crown–rump length (CRL)

head circumference (HC)

50
Q

PALM represents visually objective ____________ criteria: ______,______,________,________ , and COEIN for causes ________________ anomalies: _________, _________, __________ , __________,___________causes .

A

struc- tural

Polyps, Adenomyosis, Leiomyoma, Malignancy

unrelated to structural

Coagulopathy, Ovulatory disorders, Endometrial, Iatrogenic, and Not classi- fied

51
Q

PMB: bleeding ——————————————-. Exclude endometrial pathology or vaginal atrophy

A

more than 1 year after cessation of periods.

52
Q

BEO: ‘______________________ ’, a diagnosis of exclusion, has replaced the term ‘________________________ ’ (DUB).

A

bleeding of endometrial origin

dysfunctional uterine bleeding

53
Q

_______ is the most common type of menstrual bleed- ing disorder.

A

HMB

54
Q

HMB replaces the older term ‘ ____________ ’.

A

menorrhagia

55
Q

HMB is defined as a blood loss of greater than ______ per period.

A

80 ml