Female Re-pro

Question 1

what are the Labia Majora derived from Embryologically?

Answer 1

Labioscrotal Swellings

Question 2

What are the Labia minora Embryologically derived from?

Answer 2

Urethral folds

Question 3

What is the Mons Pubis?

Answer 3

Subcutaneous fat pad located anteiror to the pubic symphysis

Question 4

what tissue forms the clitoris? and what is it Embryologically derived from?

Answer 4

Erectile Corpora Cavernosa

derived from genital tubercle

Question 5

what is the lymph drainage of the external genitalia in a female?

Answer 5

Superficial inguinal lymph nodes

Question 6

what is the arterial supply to the vulva?

Answer 6

internal pudendal arteries = internal iliac artery

external pudendal arteries = femoral artery

Question 7

what is the inovation of the anterior aspect of the external vagina?

Answer 7

ilioinguinal nerve
genital branch of the genitofemoral nerve

Question 8

what is the inovation o fthe posterior aspect of the etxternal vagina

Answer 8

pudendal nerve

posterior cutanous nere of the thigh

Question 9

what strains of HPV can cause carcinoma?

Answer 9

16 & 18

Question 10

what lies lateral to the vagina?

Answer 10

Levator Ani

Question 11

what are the four histological layers of the vagina?

Answer 11

internal –> external

stratified squamous epithelium

elastic lamina propria - dense connective tissue, projects papillae into the overlying epithelium.

fibromuscular layer - inner circular and outer longitudinal layer

adventivia - fiberous

Question 12

What is the arterial suppy to the vagina?

Answer 12

uterine and vaginal arteries, branches of the internal iliac artery.

Question 13

venous drainge of the vagina

Answer 13

Vaginal venous plexus drains into the internal iliac veins

Question 14

what is the lymphatic drainage of the vagina?

Answer 14

superior - external iliac nodes

middle - internal iliac nodes

inferior - superficial inguinal nodes

Question 16

what are the two regions of the cervix?

Answer 16

Ectocervix - projects into the vagina, stratified squamous non-keratinized epithelium

endocervical canal - inner part of the cervix. Lined by mucus sectreting simple columnar epithelium.

Question 17

what is the junction between the ectocervix and teh endocerical canal?

Answer 17

The external Os

Question 18

what part of the cervix is visable on a speculum?

Answer 18

The ectocervix and then external os

Question 19

what are the two main clasifications of cervical cancer?

Answer 19

squamous cell carcinoma - epithelial lining of ectocervix

adenocarcinoma - glands within the cervix

Question 20

What are the sections of the uterus?

Answer 20

Fundus
Body
Cervix

Question 21

What are teh three tissue layers of the uterus?

Answer 21

peritoneum - perimetrium, continous with abdo peritoneum

myometrium - thick smooth muscel layer

Endometrium - inner mucous membrane

Question 22

what are the two layers of the endometrium?

Answer 22

seep stratum basalis - changes little during the cycle

superficial stratum functionalis - shed during the cycle

Question 23

what is the broad ligament

Answer 23

attaches the sides of the uterus to the pelvis.

Question 24

what is the round ligament?

Answer 24

remnant of the gubernaculum

extends from the uterine horns to the labia majora via the inguinal canal.

Question 25

In what ligament is the uterine artery and vein found?

Answer 25

teh cardinal ligament, extends from the cervix to the lateral pelvis.

Question 26

where is the uterosacral ligament found?

Answer 26

extends from the cervix to the sacrum.

Question 27

where does the uterine artery cross the ureters?

Answer 27

Approx 1cm laterally to the internal os water under the bridge

Question 29

What ligament can the fallopian tubes be found?

Answer 29

upper border of the broad ligament.

Question 30

what are two ways the mircro anatomy of the fallopian tube help to move the egg along?

Answer 30

1. ciliated columnar epithelium 2. smooth muscel layer contracts

Question 31

what are the four parts of the fallopian tube?

Answer 31

Lateral --> medial Fimbriae - finger-like, catch the egg from the ovary Infundibulum - funnel-shaped opening Ampulla - fertilisation typically happens here Isthmus - narrow, connect to uterus

Question 32

what part of the fallopian tubes does fertilisation typically happen?

Answer 32

Ampulla

Question 33

What are the three main histlogical features of the ovary?

Answer 33

Surface - simple cuboidal epithelium cortex - nuerous ovarian follicles medulla - rich neurovascular network, connects to the hillum

Question 34

what is more medial? the ligament of ovary or the suspensory ligament of ovary?

Answer 34

ligament of ovary, connects the ovary to the fundus of uterus. suspensory - connects the ovary to the pelivc wall

Question 36

arterial supply to the ovary?

Answer 36

ovarian artery which arises from the abdo aorta, inferior to the renal.

Question 37

venous drainage of the uterus?

Answer 37

ovarian veins R - direct to IVC L - Left renal vein

Question 38

what lymph nodes drain the ovary?

Answer 38

para-aortic nodes