ANATOMY

Question 1

boundaries of pelvic inlet

Answer 1

sacrum
ilium
superior pubic ramus
pubic symphysis

Question 2

pelvic outlet boundaryes

Answer 2

pubic symphysis 
ischiopubic ramus
ischial tuberosities 
sarcrotuberous ligaments 
coccyx

Question 3

how are the ischial tuberosities palpated

Answer 3

vaginal exam at 4 and 8 oclock positions

Question 4

where is inguinal ligament

Answer 4

between ASIS and pubic symphysis

Question 5

what is located along inguinal ligament

Answer 5

inguinal lymph nodes

Question 6

ligament between sacrum and ischial spine

Answer 6

sacrospinal ligament

Question 7

ligament between sacrum and ichial tuberosities

Answer 7

sacrotuberous ligament

Question 8

what ligament is bigger and more posterior - sacrospinous or sacrotuberous

Answer 8

sacrotubrous

Question 9

what foramen dosacrotuberous and sacrospinous ligaments form

Answer 9

greater and lesser sciatic foramen

Question 10

where is obturator membrane and what runs through it

Answer 10

between superior pubic ramus and ischopubic ramus

obturator nerve and vessels go through here in obturator canal

Question 11

3 sutures of skull

Answer 11

coronal
sagittal
lamboid

Question 12

what are the 2 areas between the sutures called

Answer 12

anterior and posterior fontanelles

Question 13

what is moulding

Answer 13

movement of one bone over another allowing foetus to pass through pelvis

Question 14

what is the vertex

Answer 14

diamond shaped area between anterior and posterior fontanelles and left and right parietal eminences

Question 15

how should baby be lying when in pelvic cavity

Answer 15

facing right or left with head flexed

Question 16

how should baby be lying in after pelvic cavity

Answer 16

occipitoposterior with extended head

Question 17

what is the station

Answer 17

distance of foetal head from ischial spines

Question 18

organs in pelvic cavity

Answer 18

bladder 
uterus 
fallopian tubes and ovaries 
rectum 
superior vagina

Question 19

organs of perineum

Answer 19

inferior vagina
Bartholin’s glands
clitoris
labia

Question 20

main muscle making up pelvic diaphragm

Answer 20

levator ani

Question 21

pouches in female pelvis

Answer 21

rectouterine (pouch of douglas)

vesicouterine

Question 22

how can fluid from pouch of douglas be drained

Answer 22

through posterior fornix of vagina

Question 23

where does broad ligament attach

Answer 23

uterus to lateral walls and floor of pelvis

Question 24

where does round ligament attach

Answer 24

proximally involved in broad ligament

lateral uterus to superficial female perineum (via deep inguinal ring)

Question 25

what is round ligament

Answer 25

embryological remnant

Question 26

where is uterosacral ligaments

Answer 26

superiorly and posteriorly from sides of cervix to middle of sacrum

Question 27

when are uterosacral ligaments palpable

Answer 27

rectal exam

Question 28

most common uterus position

Answer 28

anteverted and anteflexed

Question 29

normal variation of uterus position

Answer 29

retroverted and retroflexed

Question 30

areas of fallopian tubes

Answer 30

fimbrae infundibulum ampulla isthmus

Question 31

where do ovaries develop

Answer 31

``` posterior abdo wall move laterally (round ligament) ```

Question 32

what is centre point of perineum

Answer 32

imaginary line between left and right ischial tuberosities

Question 33

boundaries of urogenital triangle

Answer 33

``` pubic symphysis ischial tiberosities (centre point) ```

Question 34

boundaries of anal triangle

Answer 34

``` ischial tuberosities (centre point) coccyx ```

Question 35

what nerve supplies levator ani

Answer 35

nerve to levator ani (S3-S5)

Question 36

what are muscles of perineum supplied by

Answer 36

pudendal nerve (S2-S4)

Question 37

what is perineal body

Answer 37

bundles of cartilaginous and elastic tissue where perineal muscles attach to

Question 38

where is perineal body

Answer 38

between vagina and anus

Question 39

what is bartholins gland

Answer 39

on labia and may become enlarged in infection (Bartholin's cyst)

Question 40

what is mons pubis

Answer 40

anterior to pubic bone | covered in pubic

Question 41

what ribs do breasts originate from

Answer 41

2-6

Question 42

what muscles do breasts lie over

Answer 42

pec major and serratus anterior

Question 43

what is the space called between deep fascia and breast tissue

Answer 43

retromammary space

Question 44

where does majority of breast tissue drain to

Answer 44

ipsilateral axillary lymph nodes | these drain to supraclavicular nodes

Question 45

where can inner quadrants drain to

Answer 45

parasternal nodes

Question 46

where can lower inner quadrant drain to

Answer 46

abdominal

Question 47

what else drains to axillary lymph nodes

Answer 47

arm - be careful with removal of lymph nodes, may cause lymphedema

Question 48

what are the levels of node clearance explained in relevance to

Answer 48

pectoralis minor

Question 49

level 1 lymph clearance

Answer 49

inferior and lateral to pec minor

Question 50

level 2 lymph clearance

Answer 50

deep to pec minor

Question 51

level 3 lymph clearance

Answer 51

media and superior to pec minor