F/M repro and Urogen Flashcards

(27 cards)

1
Q

define the vagina

A

muscular tube located between the bladder and the rectum and inferior to the uterus

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2
Q

what does the vagina open through

A

the perineal membrane into the vestibule

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3
Q

what part of the levator ani supports the vagina

A

pubovaginalis part

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4
Q

what membrane supports the vagina

A

perineal

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5
Q

where does the ureter pass in relation to the uterine artery

A

ureter passes inferior to the uterine artery along the lateral sides of the uterus

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6
Q

how do the uterine arteries enter the uterus

A

enter the sides of the uterus through the broad ligament

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7
Q

what do the uterine arteries anastomose with

A

vaginal arteries and ovarian arteries

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8
Q

what runs through the transverse cervical ligaments

A

uterine vessels and nerves

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9
Q

describe uterosacral ligaments

A

condensations of endopelvic fascia that extend from the sides of the cervix to the sacrum

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10
Q

what are extremely important in order to prevent prolapse of pelvic structures

A

levator ani muscle and perineal body

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11
Q

what is the inferior vagina innervated by

A

somatic branches from the internal pudendal nerve

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12
Q

what are the middle and superior parts of the vagina and uterus innervated by

A

visceral nerves

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13
Q

where is an anesthetic agent injected and what does it produce

A

injected into subarachnoid space between L3-l4 and produces complete anesthesia below the waste (uterine contractions cannot be felt)

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14
Q

describe pudendal block

A

blocks S2-4 dermatomes and inferior part of vagina (sacrospinous ligament is the landmark

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15
Q

what block must be performed in order to abolish sensate to anterior vulva

A

ilioinguinal block

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16
Q

where do the lymphatics of the prostate typically drain

A

internal iliac nodes

17
Q

where does the male badder lymphatics typically drain

A

external iliac nodes

18
Q

where do the perineal structures of male lymphatics typically drain

A

superficial inguinal nodes

19
Q

define perineum

A

surface area of the trunk between the thighs and the buttocks

20
Q

what makes up the pelvic diaphragm

A

coccygeus and levator ani

21
Q

what makes up the legator ani

A

pubococcygeus+ puborectalis + iliococcygeus

22
Q

what are the divisions of the puborectalis

A

pubovaginalis and puboprostaticus

23
Q

define ischioanal fossa

A

wedge-shaped area between skin and the inferior surface of the pelvic diaphragm

24
Q

what are the lateral boundaries of the ischioanal fossa

A

ischium, obturator interns with fascia

25
what are the medial boundaries of the ischioanal fossa
external anal sphincter with levator ani muscle
26
what are the posterior boundaries of the ischioanal fossa
sacrotuberous ligament and edge of gluteus maximus
27
what are the anterior boundaries of the ischioanal fossa
urogenital triangle and anterior recesses of the ischioanal fossa