Female Genital Tract Flashcards

(43 cards)

0
Q

What are female chromosomes?

A

XX

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1
Q

What are male chromosomes?

A

XY

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2
Q

Fetal gender is determined by what?

A

The sperm which fertilize the ovum

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3
Q

How do male/female reproductive organs develop?

A

Gonadal ridges grow to form primary sex cords

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4
Q

When is the external genitalia fully formed?

A

12th week of gestation

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5
Q

What forms most of the female reproductive system?

A

Müllerian ducts

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6
Q

What forms most of the male reproductive system?

A

Wolffian Ducts

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7
Q

What derives from the Müllerian ducts?

A

The uterus and upper third of the vagina

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8
Q

What happens during the 7th-12th weeks of gestation?

A

Müllerian ducts elongate - internal lumens

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9
Q

Fusion begins and ends where? Generally and specifically.

A

Caudally to cephalically

Vagina to Fallopian tubes

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10
Q

What do unfused cranial ends form?

A

The Fallopian tubes

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11
Q

What do the fused caudal ends form?

A

The vagina, cervix, and uterus

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12
Q

What can occur through the fusion process?

A

Fusion anomalies

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13
Q

When imaging the pediatric pelvis, what has to be full?

A

The bladder

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14
Q

When imaging the pediatric pelvis, what are the guidelines for filling the bladder of a infant/toddler?

A

Have parents keep the child well hydrated

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15
Q

When imaging the pediatric pelvis, what are the guidelines for filling the bladder of a potty trained child?

A

Drink 2 glasses of fluid 1 hour prior; hold bladder

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16
Q

When imaging the pediatric pelvis, what are the guidelines for filling the bladder of a young teen?

A

3-4 glasses of fluid 1 hour prior

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17
Q

Are endovaginal exams done on children/minors?

A

NO; except for extenuating circumstances

18
Q

What does the bladder wall look like?

A

Smooth and thin

19
Q

What is the thickness of the bladder?

A

Full = 1.5-3.0 mm

Empty or partially filled = < 5 mm

20
Q

What is applied to the bladder jets during an ultrasound?

A

Color Doppler

21
Q

When imagining the bladder jets, the ureters should not be _________.

22
Q

Where should fluid not be visible when imaging the bladder?

A

The neck and the urethra

23
Q

Why do we image “post-void” or an empty bladder?

A

To make sure the bladder is actually the bladder and not a cyst

24
Name 4 things about a newborns uterus...
Maternal hormones are still present Pear shaped Length is 3.5 cm Fundus/cervix ratio is 1:2
25
Name 4 things about a 2-3 month olds uterus...
Teardrop shaped - tubular configuration Length is 2.5-3.0 cm (prepuberty) Fundus/cervix ratio is 1:1 No discernible endometrial stripe
26
Describe what a 7 year olds uterus looks like...
Increases in size | Looks more pear shaped
27
Name 3 things about a puberty/post puberty uterus...
Dramatic changes in shape and size Length is 5-7 cm Fundus/cervix ratio is 3:1
28
What part of the female reproductive tract is difficult to evaluate?
The vagina
29
How can the vagina be seen during an ultrasound?
With a full bladder
30
Describe the vagina and its location to the bladder and the cervix.
Tubular structure posterior to the bladder Continuity with the cervix
31
A bright central echo is an image of what?
The vagina
32
What is used to measure the ovaries?
A volume measurement
33
Ovaries can be difficult to images, where should you look?
Anywhere between the lower pole of the kidneys to the true pelvis
34
Size of the ovaries are _____ up to _____ years old.
Stable, 5
35
What is the measurement of the ovary?
.75-.86 cm cubed
36
What does a neonatal ovary look like?
Heterogenous secondary to tiny cysts
37
What does the ovary look like as it increases with ages?
Homogeneous; maybe small cysts
38
What 3 effects can developmental abnormalities of the ovaries and uterus have on a female?
Interference with blood supply Distortion of the uterine cavity causing infertility Spontaneous AB
39
What percentage of female develop congenital abnormalities?
Approximately .5%
40
A uterus and ovary abnormality is associated with what else?
A renal abnormality
41
Name some Müllerian abnormalities...
Improper fusion, incomplete development of one side, incomplete vaginal canalization
42
What should you ALWAYS check if a Müllerian abnormality is detected?
The kidneys