Femal reproductive system and breast

Question 1

What parts of the female reproductive tract are in the pelvic cavity?

Answer 1

Ovaries

Uterine tubes

Uterus

Superior vagina

Question 2

What parts of the female reproductive tract are in the perineum?

Answer 2

inferior vagina

Perineal muscles

Bartholin’s glands

Clitrois

Labia

Question 3

What is the pouch between the utereus and and the bladder

uterus and rectum

Answer 3

Vesico uterine pouch

recto-uterine pouch

Question 4

What do you put a needle through to drain the pouch of douglas?

Answer 4

posterior fornix of the vagnia

Question 5

Where is the broad ligament

Answer 5

Question 6

What is the broad ligament made up of?

Answer 6

Double layer of peritoneum

Question 7

What is the function of the broad ligament?

Answer 7

Maintains uterus in the midline

Question 8

What is contained within the broad ligament?

Answer 8

Uterine tubes

Proximal round ligament

Question 9

What does the round ligament attatch to?

Answer 9

Lateral aspect of uterus

through deep inguinal ring

superficial tissue of the female perineum

Question 10

Where is the round ligament?

Answer 10

Question 11

What supports the utereus in place?

Answer 11

Uterosacral ligaemnts

Endopelvic fascia

Levator ani

Question 12

What are the 3 layers of the uterus body?

Answer 12

Perimetrium

Mymometrium

Endometrium

Question 13

What are the two ways the utereus can sit?

What does this mean?

what is more common?

Answer 13

Anteverted anteflexed (flopped over bladder)

Retroverted retroflexed ( flopped over colon)

vertered means cervix and flexed means utereus

anteverted anteflexed is most common

Question 14

Where does fetilisation usually occour?

Answer 14

Ampulla

Question 15

What are the parts of the fallopian tube

Answer 15

Question 16

What do you call the space in the vagina around the cervix?

Answer 16

Fornix

Question 17

What forms the majority of the pelvic diaphram?

Answer 17

Levator Ani

Question 18

What nerve supplies the levator ani and where does it come from?

Answer 18

nerve to the levator ani

S3,S4,S5 sacral plexus

Question 19

what nerve supplies the perineal muscles?

Answer 19

Pudendeal nerve

Question 20

What is the perineal body?

Answer 20

bundle of collangenous elastic tissue which the perineal muscles attatch too

Question 21

What do you call the little anchor point the perineal muscles attatch too?

Answer 21

The perineal body

Question 22

Where are the bartholins glands?

Answer 22

Question 23

what is the area anterior to the pubic bone?

Answer 23

mons pubis

Question 24

Label dans la vaginous

Answer 24

Question 25

What are the borders for the bed of the breast?

Answer 25

Ribs 2-6 Lateral border of sternum mid axillary line

Question 26

Label the breast

Answer 26

Question 27

How would you describe where a breast lump was?

Answer 27

Question 28

How does limph drain in the breast

Answer 28

Question 29

Answer 29

Question 31

What are the layers of the adomen from the side and from the top ?

Answer 31

Question 33

What way do the fibres run in external obliques?

Answer 33

Hands in pockets

Question 34

What way do the internal obliques run?

Answer 34

Towards your bum

Question 35

What is important to remember about the rectus sheath?

Answer 35

Question 36

Whats the line down the middle of your abs called?

Answer 36

Linea Alba

Question 38

What supplies blood to the anterior abdominal wall?

Answer 38

Superior epigastric arteries Inferior epigastric arteries

Question 39

What artery can get fucked up in a lateral port insertion?

Answer 39

Inferior epigastric artery

Question 40

Where does the inferior epigastric artery come from?

Answer 40

External iliac artery

Question 41

Where does the inferior epigastric artery emerge from?

Answer 41

Medial to the deep inginal ring (mid way betweem ASIS and pubic tubrecle)

Question 43

What transmits pain for the pelvic organs and what transmits pain from the perineum?

Answer 43

visceral affertens from the pelvic organs pudendal nerve from the pernieum

Question 44

Where does the viseral afferent nerve supply come from for the suprior aspect of the pelvic organs?

Answer 44

T11-L2

Question 45

Where does the visceral afferent supply for the inferior aspect of the pelvic organs come from?

Answer 45

S2,3,4

Question 46

what nerve roots supply the pudendal nerve?

Answer 46

S2,3,4

Question 47

How does the pain travel at the (a) superior aspect of a pelvic organ and (b) the inferior aspect?

Answer 47

**Superior aspect** visceral afferent follows sympathetics to T11 - L2 **Inferior aspect** visceral afferent follows parasymapthic to S2,S3,S4

Question 48

what are the 3 types of injectible asathesia in pregancny?

Answer 48

Spinal anaesthetic Epidural anaesthetic Pudendal nerve block

Question 50

What does the spinal cord become the cauda equina?

Answer 50

2 people can fit on a horse L2

Question 51

Where does the subarchnoid space end?

Answer 51

Two people can ride a spider L2

Question 52

What layers does a spinal anaesthetic pass through?

Answer 52

Supraspinous ligament Interspinous ligament Ligamentum flavum Epidural space Dura mater Arachnoid mater CSF

Question 53

Where do you put in an epidural anaesthetic?

Answer 53

L3-L4

Question 55

What will happen to the legs after a spinal anaesthetic?

Answer 55

loss of symapthic vessle tone = vasodilation Reduced sweating Hypotension risk

Question 56

What does the pudendal nerve come from?

Answer 56

Branch of the sacral plexus s2,s3,s4

Question 57

Where does the pudendal nerve travel?

Answer 57

greater sciatic foramen posterior to sacrospinous ligament pudendal canal (obturator fascia)

Question 58

What way do you do an episiotomy?

Answer 58

Question 59

Where does the pudendal nerve pass in relation to the sacrospinous ligament?

Answer 59

nerve crosses the lateral aspect of the sacrospinous ligament

Question 60

What nerve dmg can happen during a prolonged difficult vaginal labour?

Answer 60

pudendal nerve can be stretched week pelvic floor and inconinece

Question 62

What are the three layers of the pelvic floor?

Answer 62

Pelvic diaphragm Muscles of the perineal pouches Perineal membrane

Question 63

What are the two muscles in the pelvic Diaphram

Answer 63

Levator Ani Coccygeus

Question 64

Answer 64

Question 65

Is the levator Ani usually contracted or relaxed?

Answer 65

Normally contracted Relaxes to poo and pee

Question 66

Answer 66

Question 67

Answer 67

Question 68

Answer 68

Question 69

What does the gonadal artery come from?

Answer 69

L2 Abdominal Aorta

Question 70

Where does the sperior rectal artery come from?

Answer 70

Continuation of inferior mescenteric artery

Question 71

Answer 71

Question 72

Answer 72

Question 73

Answer 73

Question 74

Answer 74

Question 75

Answer 75