Female Reproduction Anatomy

Question 1

ligaments supporting the female stuff

Answer 1

median umbilical ligament
round ligament of uterus
round ligament of ovary
uterosacral ligament
board ligament of the uterus
suspensory ligament of the ovary

Question 2

female spaces/pouches

Answer 2

supravesicular fossa
retropubic space
vesicouterine pouch
rectouterine pouch

Question 3

supravesicular fossa

Answer 3

peritoneal depression anterior to the bladder, above the pubic symphysis
used for suprapubic approach to pelvic cavity

Question 4

retropubic space

Answer 4

between bladder and pubic symphysis low, used for suprapubic approach

Question 5

vesicouterine pouch

Answer 5

space between uterus and bladder when uterus is ante flexed (normal)

Question 6

rectouterine pouch

Answer 6

between the uterus and rectum, defined by uterosacral ligament

Question 7

how is the rectouterine pouch accessed

Answer 7

posterior fornix of the vagina

Question 8

uterine prolapse

Answer 8

uterus protrudes into vagina

Question 9

rectocele prolapse

Answer 9

rectum protrudes into vagina

Question 10

cytocele prolapse

Answer 10

bladder protrudes into vagina

Question 11

enterocele prolapse

Answer 11

intestine protrudes into vagina

Question 12

what causes a prolapse

Answer 12

relaxed pelvic floor ligaments
damaged perineal body
excessive retroversion

Question 13

parts of the uterine tube

Answer 13

fimbria
infundibulum- first part of tube
osteium- opening into peritoneal cavity
isthmus- narrow area
intramural- in uterine wall

Question 14

salpingitis

Answer 14

uterine tube infection

Question 15

what is the blood supply of the uterine tuve

Answer 15

ovarian artery

Question 16

peritinitis

Answer 16

infection in the peritoneal cavity

Question 17

blood supply to uterus

Answer 17

ovarian and uterine

Question 18

ligments on the ovary

Answer 18

suspensory ligament- holds ovarian vessels
ligament of ovary- ovary to uterus
mesosalpix- part of broad ligament

Question 19

bloods supply of ovary

Answer 19

ovarian vessels

Question 20

which vaginal wall is longer

Answer 20

posterior

Question 21

palpable structures on pelvic exam

Answer 21

posterior- rectum, rectouterine pouch
anterior- bladder, urethra
lateral- ureters, uterine vessels, ovaries if enlarged

Question 22

vaginal blood supply

Answer 22

upper 1/3- uterine artery
middle- vaginal artery
lower- pudenal

Question 23

mesovarium

Answer 23

ovary to mesometrium

Question 24

mesosalpnix

Answer 24

surrounds uterine tuves

Question 25

mesometrium

Answer 25

connects uterus to lateral wall

Question 26

ovarian arteris

Answer 26

branch off aorta at T12 travel in suspensory ligament of the ovary supply ovary and uterine tubes

Question 27

uterine artery

Answer 27

branch off internal iliac uterus, upper 1/3 of vagina in transverse cervical ligament (cardinal)

Question 28

vaginal artery

Answer 28

branch off internal iliac | lower vagina

Question 29

internal pudendal artery

Answer 29

branch of internal iliac | supplies perineum, posterior labia, vestibule of vagina

Question 30

lymph of ovary and uterine tubes

Answer 30

lumbar nodes

Question 31

lymph of uterus and vagina

Answer 31

internal iliac nodes

Question 32

lymph of round ligament of uterus

Answer 32

inguinal nodes

Question 33

what forms the frenulum and prepuce

Answer 33

the labia minora

Question 34

what is in the vestibule of vagina

Answer 34

vaginal orifice urethral orifice opening of paraurethral glands opening of greater vestibular glands

Question 35

homolog of the greater vestibular glands

Answer 35

seminal vesicle

Question 36

homolog of the lesser vestibular glands

Answer 36

prostate

Question 37

homolog of the bulb of the vestibule

Answer 37

bulb of the penis and accompanying corpus spongiosum

Question 38

contents of the superficial perineal space

Answer 38

``` ishiocavernosus muscle clitoris glans and crura bulbospongiosus muscle bulbs of vestibule greater vestibular glands superficial perineus muscle ```

Question 39

female erectile tissues

Answer 39

clitoris and bulb of vestibule

Question 40

ishiocavernosus muscle covers the

Answer 40

crura of the clitoris

Question 41

bulbospongiosus muscle covers the

Answer 41

bulb of the vestibule

Question 42

contents of deep perineal space

Answer 42

``` external urethral sphincter compressor urethrae urovaginal sphincter deep transverse perineus dorsal verve of the clitoris dorsal artery of the clitoris ```

Question 43

location of external urethral sphincter

Answer 43

circular muscle around the urethra at the neck of the bladder and then spreads out

Question 44

location of compressor urethrae

Answer 44

formed by spreading out of the external urethral sphincter around the vagina

Question 45

location of urovaginal sphincter

Answer 45

formed by external urethral sphincter around the hiatus

Question 46

lymphatic drainage fot he perineum

Answer 46

goes to the same sine + 1 cm across midline (midline overlaps) follows inguinal nodes or iliac nodes if along internal pudendal artery

Question 47

perineum innervation

Answer 47

posterior labial nerve- cutaneous to labia anterior labial- fron ilioinguinal perineal branch of posterior cutaneous of thigh- outside labia majora

Question 48

pudendal nerve block

Answer 48

needle through vaginal wall aimed at the sacrospinous ligament gets posterior labial nerve only

Question 49

full anesthesia of perineal area

Answer 49

``` posterior labial (pudendal) anterior labial (ilioinguinal) perineal (cutaneous nerve of thigh) ```

Question 50

episiotomy

Answer 50

surgical cutting of the perineal body for more room for child birth

Question 51

suboccipitolbregmatic measurement

Answer 51

baby head size

Question 52

transverse diameter of pelvic inlet

Answer 52

widest part of pelvis, between the top of the ischial spines

Question 53

obstetric conjugate distance

Answer 53

distance from sacral promontory to the middle of the pubic symphysis, indirectly measured by the diagonal conjugate

Question 54

diagonal conjugate distance

Answer 54

distance from sacral promontory to the inferior pubic symphysis measured by inserting fingers into vagina and palpating the sacrum and measuring to the pubic symphysis

Question 55

interspinous distance

Answer 55

distance between ischial spine and location of baby head | ischial spine to tuberosity is 5cm

Question 56

structures above the pelvic pain line

Answer 56

ovary, uterine tubes, upper uterus

Question 57

visceral pain path above pelvic pain line

Answer 57

sympathetic T12-L2 segments, hypogastric plexus and lumbar splanchnic nerves

Question 58

structures below the pelvic pain line

Answer 58

cervix, vagina, perineum

Question 59

visceral pain path below the pelvic pain line

Answer 59

parasympathetic S2-4 via pelvic splanchnic nerves

Question 60

somatic pain below the pelvic pain line

Answer 60

pudendal and posterior labial nerves