Lecture 7: Pelvis II

Question 0

urethra in male hits pubic bone and ruptures

Answer 0

straddle injury

Question 1

forms posterior wall of vagina, danger of peritonitis with abortion

Answer 1

peritoneal pouch (pouch of douglas)

Question 2

what is directly behind prostate

Answer 2

rectum

Question 3

orientation of bladder in male

Answer 3

under intestines, on top of prostate, behind pubic bone, in front of rectum

Question 4

orientation of bladder in female

Answer 4

under uterus, on top of urethra, behind pubic bone, in front of vagina

Question 5

catheter into urethra

Answer 5

Foley catheter

Question 6

needle into bladder above pubic bone, below peritoneum

Answer 6

suprapubic cystotomy

Question 7

herniation of bladder into vaginal wall

Answer 7

cystocele (possible when there is damage to perineal muscles)

Question 8

form a gutter around the cervix, may disappear with age

Answer 8

fornices

Question 9

why cancer of the vagina can affect the ureter

Answer 9

ureter lies next to the lateral fornix

Question 10

vaginal arterial supply (3)

Answer 10

ovarian (from aorta), uterine and vaginal branches of internal iliac

Question 11

vaginal lymph drainage

Answer 11

iliac, superficial inguinal

Question 12

uterine arterial supply

Answer 12

ovarian, uterine

Question 13

uterus lymph drainage

Answer 13

iliac, para-aortic, superficial inguinal (b/c of round ligament)

Question 14

ligament supporting the uterus from the cervix to the side wall of the pelvis

Answer 14

cardinal ligament

Question 15

ligament supporting the uterus from cervix to sacrum

Answer 15

uterosacral ligament

Question 16

connective tissue supporting the uterus from cervix to pubic bones

Answer 16

pubocervical fascia

Question 17

double fold of peritoneum draped over fallopian tubes connecting lateral uterus to side wall of pelvis, forms anterior (w.bladder)and posterior(w.rectum) compartments of pelvis

Answer 17

broad ligament

Question 18

ligament from side of uterus through deep ring to labia majora

Answer 18

round ligament

Question 19

benign tumors causing menorrhagia

Answer 19

uterine fibroids (Leiomyomas)

Question 20

used to treat uterine fibroids

Answer 20

uterine artery embolization (UAE)

Question 21

why certain vaginal infections can spread to the peritoneum, or bleeding from ectopic pregnancy can get to peritoneum

Answer 21

uterine tube communicates with peritoneal cavity

Question 22

blockage of uterine tube from infection, causes infertility

Answer 22

salpingitis

Question 23

what a ruptured right tubal pregnancy may be misdiagnosed as

Answer 23

appendicitis

Question 24

germ cell tumor

Answer 24

teratoma

Question 25

lymph drainage for upper 2/3 of vagina, uterus, bladder, urethra

Answer 25

iliac

Question 26

lymph drainage for lower 1/3 of vagina, upper uterus via round ligament, urethra

Answer 26

superficial inguinal

Question 27

lymph drainage for fundus of uterus, ovaries, uterine tubes

Answer 27

para-aortic

Question 28

why infection in the bladder may travel to epididymis

Answer 28

vas joins seminal vesicles to form ejaculatory duct which joins the prostatic urethra

Question 29

may be felt in a male rectal exam if enlarged

Answer 29

seminal vesicle