Female Internal Viscera

Question 1

Ovary
* Located:

Answer 1

• Located: near
  attachment of broad
  ligament to lateral
  pelvic wall in true pelvis

Question 2

What is the ovary suspended by? (3)

Answer 2

• Broad ligament –
  mesovarium
• Suspensory ligament of
  ovaries
• Ligament of the ovary –
  attach to uterus (runs
  within mesovarium)

Question 3

What are the uterine tubes?

Answer 3

• Fallopian tubes

Question 4

Uterine tubes:
* Extends…
* Conduct

Answer 4

• Extends laterally within broad lig.: uterine horns & open into peritoneal cavity near ovaries
• Conduct oocyte from ovary to uterine cavity

Question 5

• Divide into 4 parts:

Answer 5

Question 6

Uterine tubes
Blood supply:

Answer 6

• Uterine arteries (IIA)

Question 7

Uterine tubes
* Venous drainage:

Answer 7

• Uterine veins

Question 8

Ovary
* Blood supply:

Answer 8

• Ovarian arteries (AA)

Question 9

Ovary
* Venous drainage:

Answer 9

• Pampiniform plexus merge
  to form ovarian vein
• IVC and renal vein

Question 10

Where does the Uterus lie? (3)

Answer 10

• Lie btw layers of broad
  ligament
• Body (sup. 2/3)
• Fundus of uterus (rounded
  sup. part)

Question 11

Uterus
* Fundus of uterus (rounded
sup. part)
* Sup:
* Demarcated from cervix:

Answer 11

• Sup: uterine tubes
• Demarcated from cervix:
  isthmus of uterus

Question 11

Cervix (inf. 1/3)
* Cylindrical & narrow
* 2 parts:

Answer 11

supra-vaginal & vaginal

Question 12

• Supra-vaginal part
• Btw isthmus & vagina
• Internal os
• Anteriorly:
• Posteriorly:

Answer 12

• Anteriorly: separated from
  bladder
• Posteriorly: separated from
  rectum

Question 13

• Vaginal part
• Protrudes into vagina
• Surrounds ____ ___ of
  uterus
• Surrounded by vaginal _____

Answer 13

external os
fornix

Question 14

What are the ligaments of the uterus? (5)

Answer 14

• Ligament of the ovary
• Round ligament of the
  uterus
• Transverse cervical
  ligament
• Uterosacral ligament
• Broad ligament of the
  uterus

Question 15

Uterus
* Ligament of the ovary
- _______ to utero-
tubal junction

Answer 15

Posteroinferior

Question 16

Uterus
* Round ligament of the
uterus
- ______ to utero-
tubal junction

Answer 16

Anteroinferior

Question 17

• Broad ligament of the
  uterus
• 2x layer peritoneum:

Answer 17

extend from sides of
uterus – lateral walls &
pelvic floor

Question 17

• Broad ligament of the
  uterus
  Assist:

Answer 17

position of uterus

Question 18

• Broad ligament of the
  uterus
• Laterally:

Answer 18

peritoneum of broad ligament lies over
vessels: suspensory
ligament of ovaries

Question 18

Position of uterus
* Normal Position of Uterus:

Answer 18

• Anteflexed and anteverted

Question 19

Position of uterus
- Positions of fundus
* Retroversion:
* Anteversion:

Answer 19

• Fundus points posterior against rectum
• Fundus tipped forward

Question 20

• Position of body
• Retroflexed

Answer 20

• Uterus tipped backwards

Question 21

• Position of body
• Anteflexed

Answer 21

• Body is bent sharply forward

Question 22

* Position of body - Retrocession

Answer 22

* ‘Recede’

Question 23

Uterus relations * Anterior:

Answer 23

* Anterior: vesicouterine pouch, superior surface of bladder

Question 24

Uterus relations * Lateral:

Answer 24

* Lateral: broad ligament of uterus, transverse cervical ligaments, ureters (supravaginal part of cervix)

Question 24

Uterus relations * Posterior:

Answer 24

* Posterior: rectouterine pouch, rectum

Question 25

Uterus Supporting structures Ligaments =

Answer 25

* Lateral: broad ligament of uterus, transverse cervical ligaments, ureters (supravaginal part of cervix)

Question 26

Uterus Diaphragms associated: (2)

Answer 26

* Pelvic diaphragm * Urogenital diaphragm

Question 27

Uterus * _______ organs

Answer 27

Surrounding

Question 28

Uterus * Blood supply:

Answer 28

* Uterine arteries

Question 28

Uterus * Venous drainage: (2)

Answer 28

* Uterine veins form plexus * Drains into int. iliac veins

Question 29

Vagina * Musculomembranous tube: (3) * cervix of uterus → * Form 90° angle with ______ * Pierces ______ _______

Answer 29

* cervix of uterus → vestibule * Form 90° angle with uterus * Pierces urogenital diaphragm

Question 29

* Vaginal fornix - Anterior, laterals and posterior * Posterior:

Answer 29

deepest, closely related to rectouterine pouch

Question 30

Vagina * 4 muscles compress vagina (act as sphincters) :

Answer 30

* Pubovaginalis * External urethral sphincter * Urethrovaginal sphincter * Bulbospongiosus

Question 30

Vagina * Blood supply: (2)

Answer 30

* Uterine & vaginal arteries (superior) * Internal pudendal arteries (inferior)

Question 31

Vagina * Venous drainage:

Answer 31

* Vaginal veins – vaginal venous plexus continuous with uterine venous plexus (→ internal iliac veins)

Question 32

Vagina & uterus * Inferior 1/5 – somatic innervation:

Answer 32

* Deep perineal nerve (B: pudendal)

Question 33

Vagina & uterus * Rest of vagina & uterus – visceral:

Answer 33

* Uterovaginal nerve plexus

Question 34

Vagina & uterus * Sympathetic innervation:

Answer 34

* Inferior thoracic → lumbar splanchnic nerves

Question 35

Vagina & uterus * Parasympathetic innervation * S__-S__ nerves → pelvic splanchnic nerves

Answer 35

S2-S4

Question 36

Ovaries & uterine tubes * Ovarian plexus & partly uterine _____.

Answer 36

Plexus