Flashcards in 2a Gonadal drainage-Female reproductive anatomy-Female reproductive epithelial histology-Female sexual response cycle Deck (23):
The ____ (left/right) gonadal vein drains to the renal vein, then to the IVC; the ____ (left/right) gonadal vein drains directly to the IVC.
Left ("Left gonadal vein takes the Longest way"); right
Which lymph nodes might be biopsied, if needed, for a patient with a testicular or ovarian malignancy?
The paraaortic lymph nodes, which are the lymphatic drainage of the gonads
Lymph from the distal vagina/vulva/scrotum drains to which lymph nodes? Lymph from the proximal vagina/uterus drains to which lymph nodes?
The superficial inguinal lymph nodes; obturator, external iliac, and hypogastric lymph nodes
A 30-year-old man has a swollen testicle that looks like a bag of worms. Is this pathology more likely on the left or right side?
It is more common on the left (flow is less continuous on the left, as left spermatic vein enters and left renal vein at a 90° angle)
Above which artery does the round ligament travel?
Artery of Sampson
What structures are contained within the broad ligament of the uterus?
The round ligaments of the uterus, the fallopian tubes, the ovaries
During surgery, you noticed a ligament that connects the medial pole of the ovary to the lateral uterus. What is this ligament?
Ovarian ligament, which is a derivative of the gubernaculum (ovarian Ligament Latches to Lateral uterus)
During surgery, you noticed a ligament that connects the uterine fundus to the labia majora. What is this ligament?
The round ligament, which runs through the round inguinal canal—found above the artery of Sampson
Which ligament contains the uterine vessels?
During surgery, you noticed a ligament that connects the ovaries to the lateral pelvic wall. What is this ligament?
Suspensory ligament of the ovaries, also called the infundibulopelvic ligament (contains the ovarian vessels)
A woman has reduced urine output after a hysterectomy (removal of uterus). The ureter was likely damaged during ligation of which structure?
The uterine vessels, which run through the cardinal ligament and require ligation during a hysterectomy
During surgery, you noticed a ligament that connects the cervix to side wall of the pelvis. What is this ligament?
You perform an oophorectomy (removal of ovaries). Which vessels should you ligate to prevent bleeding? Which ligament contains the vessels?
Ovarian vessels; contained in the infundibulopelvic ligament
The ureter is at risk of injury during surgical ligation of which vessels?
Ovarian and uterine vessels
During surgery, you notice a ligament that connects the uterus, fallopian tubes, and ovaries to the pelvic side wall. What is this ligament?
Name the three components of the broad ligament.
Mesovarium, mesometrium, and mesosalpinx
Which female reproductive structure is lined by ciliated simple columnar epithelium?
The fallopian tubes
A 40-year-old woman has fishy-smelling vaginal discharge. You suspect bacterial vaginosis. What epithelium type did the organism invade?
Stratified squamous epithelium, nonkeratinized, in the vagina
The endocervix is lined by ____ epithelium, but the ectocervix is lined by ____ epithelium.
Simple columnar; stratified squamous, nonkeratinized
What type of epithelium lines the uterus in the follicular phase? In the luteal phase? The ovaries (outer surface)?
Simple columnar epithelium with long tubular glands; coiled glands; simple cuboidal epithelium (germinal epithelium)
Name the four phases of female sexual response cycle.
Excitement (uterus elevates, vaginal lubrication), plateau (expansion of inner vagina), orgasm (contraction of uterus), and resolution
A woman has difficulties with experiencing phases of the sexual response cycle. Which nervous system is likely dysfunctional?
Autonomic nervous system