Repro anatomy

Question 1

What are the two main ligaments of the pelvis and what are their connections

Answer 1

Sacrotuberous ligament (sacrum to ischial spine)
Sacrospinous ligament (sacrum to ischial tuberosity)

Question 2

How should the fetus enter the pelvic cavity?

Answer 2

Facing either right or left (transverse direction)

Question 3

How should the fetus be when descending through the pelvic cavity?

Answer 3

Rotate and be in a flexed postion with chin to chest

Question 4

What position should the fetus be in the pelvic outlet?

Answer 4

The fetal head should be lie occipitoanterior with extension of head and neck

Question 5

What are the anterior layers of the abdominal wall?

Answer 5

Skin
Superficial fascia
Anterior rectus sheath
Rectus abdominis
Posterior rectus sheath

Question 6

What are the lateral layers of the abdominal wall

Answer 6

External oblique
Internal oblique
Transversus Abdominis
Internal lining of abdominal wall

Question 7

Pain from the body of the uterus is carried by which fibres?

Answer 7

Visceral afferent fibres to T11-L2 spinal cord levels

Question 8

What nerves carry pain from the upper uterus?

Answer 8

T11-L2

Question 9

What nerves carry pain from the lower uterus?

Answer 9

S2, S3, S4

Question 10

What level does the spinal cord become the cauda equina

Answer 10

L2

Question 11

What spinal level is anaesthetic inserted into

Answer 11

L4-L5

Question 12

In an epidural what does layers of the abdomen does the needle pass through?

Answer 12

-Supraspinous ligament
-Interspinous ligament
-Ligamentum Flavum
-epidural space

Question 13

In a spinal anaesthetic what layers does the needle pass through?

Answer 13

-Supraspinous ligament
-Interspinous ligament
-Ligamentum Flavum
-epidural space
- Dura mater
- arachnoid mater
-subarachnoid space

Question 14

What do pelvic structures such as the cervix and inferior part of the uterus drain into?

Answer 14

Internal illiac nodes

Question 15

What are the two main accessory ligaments of the sacroiliac joint?

Answer 15

Sacrospinous and sacrotuberous ligament

Question 16

Attachment of the sacrospinous ligament?

Answer 16

Lateral sacrum and coccyx to ischial spine

Question 17

Attachment of the sacrotuberous ligament?

Answer 17

Posterior ilium, lateral sacrum and coccyx to the ischial tuberosity

Question 18

What is the blood supply to the ovary and what is this a branch of?

Answer 18

Ovarian artery direct branch of abdominal aorta

Question 19

What is the blood supply to the vagina and what is this a branch of?

Answer 19

Uterine, vaginal and internal pudendal a branch of the internal illiac

Question 20

Where do the ovaries drain to?

Answer 20

Para-aortic lymph nodes

Question 21

Level 1 axillary clearance?

Answer 21

Inferior and lateral to pec minor

Question 22

Level 2 axillary clearance?

Answer 22

Deep to pec minor

Question 23

Level 3 axillary clearance?

Answer 23

Superior and medial to pec minor

Question 24

By what week gestation is the heart formed?

Answer 24

4th week

Question 25

Where does the testes drain to?

Answer 25

Para aortic