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Obs N Gynae > Gynae Anatomy > Flashcards

Gynae Anatomy Flashcards

1
Q

Uterus
1. Parts
2. Shape
3.Corpus parts
4. Angles
5. Normal position
6. Size
7. Weight - non preg, preg.
8. Volume - no preg, preg
9. Lining- uterus, cx
10. Lenght of isthmus- non preg,at term, during labour

A
  1. Body / corpus & cervix
  2. Pyriform
  3. Fundus ( prominent upper broad dome shaped part )
    isthmus ( lower narrow near cervix )
  4. 2 cornua
  5. Antiverted & antiflexed
  6. 3x2x1 inch
  7. 60-80 g, 1000g
  8. 10 cc , 5 liters
  9. High columnar epithelium , Low columnar epithelium
  10. 0.5 cm , 5 cm , 10cm
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2
Q

Attachments at cornua
1 ant to post
2 superior to inferior

A
  1. Round ligament > Fallopian tube > Ovarian ligament
  2. Fallopian tube > RL & OL at same level
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3
Q
  1. Angle of antiversion
  2. Angle of antiflexion
A
  1. 90 b/w vagina & cx
  2. 120 b/w cx & uterus
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4
Q

Round ligament
1. Derived from
2. Attached to, inserted into
3. Function
4. Blood supply

A
  1. Gubernaculum
  2. Cornua, ant. 1/3 of labia majora
  3. Maintain antiversion position
  4. Sampson artery - br of uterine artery
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5
Q

Living ligature

A

Middle layer of myometrium - criss cross fibers

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6
Q

Cervix:Corpus ratio
1. At birth
2. Before puberty
3. After puberty
4. Reproductive age
5. Menopause

A
  1. 1:1
  2. 2:1
  3. 1:2
  4. 1:3/1:4
  5. 1:1
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7
Q

On PS examination appearance of
1. Exocx
2. Endocx

A
  1. Pink
  2. Red
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8
Q
  1. Fornix
  2. Internal os
  3. Ext os
  4. Ostia
  5. Prepuce
  6. Frenulum
  7. Fossa navicularis
  8. Fourchette
A
  1. Space b/w cx & wall of vagina- ant. , post. , 2 lateral

2.opening of cx inuterus

  1. Opening of cx in vagina

4.opening of fallopian tube into uterus- identification landmark for hysteroscopy

  1. Fold of labia minora above clitoris
  2. Fold of labia minora below clitoris
  3. Shallow vestibular depression b/w introitus & fourchette
  4. Region where posterior lips of labia minora meet
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9
Q

Angle of antiflexion is at the level of

A

Internal os

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10
Q

Asherman syndrome

A

Intra uterine adhesions

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11
Q

Pouch b/w bladder n uterus
Pouch b/w uterus n rectum

A

Uterovesical pouch
Pouch of douglas/ Cal de sac- most dependent part

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12
Q

Culdocentesis

Colpotomy

A

Aspiration of fluid collected ( PID or ectopic pregnancy ) from POD by passing a syringe through post fornix

Opening made in POD to drain pus of pelvic abscess

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13
Q

Uterocervical length
Measured by

A

3 inches
Uterine sound

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14
Q

Vulva/ ext genialia / pudendum
1. Blood supply
2. Nerve supply
3. Lymph node drainage
4. Exception of LN drainage

A
  1. Internal pudendal
  2. Pudendal N ( S2-S4 )
  3. Superficial inguinal > deep inguinal ( femoral LN )
  4. Glans of clitoris - deep inguinal k/a Cloquet/Rosenmuller LN
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15
Q

Openings in vulva

A
  1. Urethra
  2. Skene gland / paraurethral gland - 1 & 11 o clock
  3. Introitus - vaginal opening
  4. Bartholin ducts just outside introitus 4 & 8 / 5&7 o clock
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16
Q

Triradiate ligament - primary support of uterus

A

Pubocervical ligament
Transverse/Cardinal/Mackenrodt ligament
Uterocervical ligament

17
Q

Broad ligament content

A

BROAD

Blood vessels- Uterine & ovarian vessels & nerves
Round ligament
Ovarian ligament
Artifacts - Epoophoron, Paraophoron, Gartner’s duct
oviDuct-fallopian tude

Ureter also - along medial border

18
Q

Uterine artery br of
Branches outside to inside
Supplies

A

Ant division of ant. iliac artery

United ARaBS
Arcute A- outer 1/3 myometriun
Radial A- inner 2/3 myometrium
Basal A- basal layer of endometrium
Spiral A- superficial/functional layer of endometrium

Round ligament - via Sampsons A
Fallopian tube
Uterus
Cx & vagina - via descending cervical A
Ureter

19
Q

Ovary
1. Size
2. Vol
3. Location

A
  1. 3x2x1 cm
  2. 6-7cc
  3. Lateral pelvic wall in fossa of waldeyer
20
Q

Relation of ovary

A

Anterior/superior - external iliac artery
Posterior - Ureter and internal iliac artery
Lateral - obturator nerve and infundubulopelvic ligament
Medial - ovarian ligament

21
Q

Lining of
1. Vagina.
2. Cervix i) endocx ii) ectocx
3. Uterus.
4. Fallopian tube

A
  1. non-keratinised stratified squamous epithelium
  2. i) columnar epithelium ii) stratified, squamous epithelium
  3. Columnar epithelium.
  4. Ciliated columnar epithelium.
22
Q

Parts of fallopian tube
Length

A
  1. Interstitium/intramural - narrowest, only circular muscle, act as anatomical sphincter
  2. Isthmus - physiological sphincter.
  3. Ampulla - widest and longest, fertilisation occurs, mucosal folds called plicae
  4. Infundibulum/Fimbria

4 inches or 10 to 12 cm

23
Q
  1. Most common site for fertilisation.
  2. Most common site for ectopic pregnancy.
  3. Most common site for tubal abortion.
  4. Most common site for tubal rupture.
  5. Most common site for tubal ligation.
  6. TB causes block in
  7. Gonococcus causes block in
A
  1. Ampulla.
  2. Ampulla.
  3. Ampulla
  4. Isthmus
  5. Isthmus
  6. Cornual end of tube.
  7. Fimbrial end of tube.

Obs N Gynae (10 decks)

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