Applied Anatomy Of The Female Reproductive System

Question 1

What part of the pelvis is ASIS in vertical alignment with

Answer 1

Pubic symphysis

Question 2

What travels through the Obturator foramen

Answer 2

Obturator artery, nerve, and vein

Question 3

What travels under the inguinal ligament

Answer 3

Femoral art, nerve, vein

Question 4

What does the sacrospinous ligament travel between

Answer 4

Sacrum to ischial spine

Question 5

What does the sacrotuberous ligament travel between

Answer 5

Sacrum to ischial tuberosity

Question 6

4 main passageways into and out of pelvis

Answer 6

Greater sciatic foramen
Lesser sciatic foramen
Obturator foramen
Inguinal ligament

Question 7

What travels through the greater sciatic foramen

Answer 7

Gluteal arteries, veins, nerves
Sciatic nerve
Pudendal nerve

Question 8

What travels through the lesser sciatic foramen

Answer 8

Pudendal nerve
Internal pudendal artery
Internal pudendal vein

Question 9

Which 4 arteries leave the pelvis

Answer 9

Femoral artery
Obturator artery
Gluteal artery
Internal pudendal artery

Question 10

Which 3 main arteries stay in the pelvis

Answer 10

Superior vesicular arteries
Uterine artery
Middle rectal artery

Question 11

3 muscles in Levator ani

Answer 11

Puborectalis
Pubococcygeus
Iliococcygeus

Question 12

Which 2 pelvic hip muscles are associated with the pelvic floor

Answer 12

Obturator internus
Piriformis

Question 13

What is in the perineum

Answer 13

External genitalia

Question 14

What 3 structures transverse the pelvic floor

Answer 14

Urethra
Vagina
Anal canal

Question 15

Bartholin cyst

Answer 15

Bartholin glands or greater vestibular gland duct blocks and swells

Question 16

What can cause a Bartholin cyst to form

Answer 16

Trauma
Inflammation

Question 17

Perineal body

Answer 17

Fibromuscular mass which is the site of convergence of the perineal and pelvic floor muscles

Question 18

Episiotomy

Answer 18

Surgical incision of the perineum and posterior vaginal wall

Question 19

2 types of episiotomy

Answer 19

Midline
Mediolateral

Question 20

What type of nerve is the pudendal nerve

Answer 20

Somatic

Question 21

Which nerve leaves the greater sciatic foramen then re enters the lesser sciatic foramen

Answer 21

Pudendal

Question 22

Which nerve provides sensory and motor to the perineum

Answer 22

Pudendal

Question 23

Most common site of fertilisation

Answer 23

Ampulla of fallopian tube

Question 24

Possible Locations of ectopic pregnancy

Answer 24

Ovarian
Infundibular
Ampullary
Isthmus
Abdominal
Interstitial
Cervical

Question 25

Arteries supplying female reproductive system

Answer 25

Uterine artery Ovarian artery

Question 26

What structure does the uterine artery pass over

Answer 26

Ureter

Question 27

Normal position of the uterus

Answer 27

Anteflexed Anteverted

Question 28

Which ligaments partially maintain uterus position

Answer 28

Cardinal ligaments Uterosacral ligaments Pubocervical ligaments

Question 29

Uterine prolapse

Answer 29

Descent of uterus into vagina

Question 30

What can pelvic floor and uterine ligament dysfunction lead to

Answer 30

Uterine prolapse

Question 31

What does the gubernaculum fibrose to form

Answer 31

Round ligament of the uterus Ovarian ligament

Question 32

Broad ligament

Answer 32

Sheet of peritoneum over the uterus

Question 33

How does uterus size change after menopause

Answer 33

Decreases

Question 34

Where does epithelium type change in the cervix

Answer 34

External os

Question 35

Where do sensory fibres from the uterus travel and what do they travel with

Answer 35

Travel to L1 with sympathetic nerves

Question 36

Where do sensory fibres from the subperitoneal viscera travel to and what do they travel with

Answer 36

To S2,3,4 with parasympathetic nerves

Question 37

What innervates the perineum

Answer 37

Pudendal nerve

Question 38

Spinal epidural

Answer 38

Complete anaesthesia below waist

Question 39

Caudal epidural block

Answer 39

Anaesthetic administered to catheter in sacral canal, cervix vagina and perineum anaesthetised but limbs unaffected

Question 40

Pudendal nerve block

Answer 40

Anaesthetises perineum and lower 1/4 of vagina but mother can still feel contractions