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Flashcards in Female Reproductive Anatomy Deck (21)
0

Where is the round ligament of the uterus attached to?

Inferior pole of the ovary and the labia majora. It travels through the inguinal canal

1

What are the anterior and posterior relations of the uterus?
What is the clinical relevance of the posterior relation?

A: uterovesical pouch
P: rectouterine pouch - it is accessible by the posterior fornix of the vagina. Fluid in the pouch of Douglas can be drained through the posterior fornix by culdocentesis

2

What structures can be found within the suspensory ligament?

Ovarian artery and ovarian vein

3

Which two ligaments provide support for the pelvic viscera?

Transverse cervical ligament
Uterosacral ligament

4

Describe the position of the uterus

Ante-flexed with respect to the cervix
Ante-vertex with respect to the vagina

5

What is the arterial supply and venous drainage of the ovaries?

Ovarian arteries directly off the abdominal aorta
Right ovarian vein drains in to ivc, left ovarian vein drains into the left renal vein

6

Where does the uterine artery come from?

Internal iliac artery

7

Where does the internal pudendal artery come from?

Internal iliac artery

8

What is the innervation of the inferior 1/5 of the vagina?

Somatic innervation from the pudendal nerve

9

What is the course of the pudendal nerve?

Exits the pelvis via the greater sciatic foramen
Enters peritoneum via the lesser sciatic foramen
Travels through the pudendal canal

10

What is the innervation to the superior 4/5 of the vagina and uterus?

Uterovaginal plexus

11

What is the innervation of the perineum?

Pudendal nerve and ilioinguinal nerve

12

What is the lymphatic drainage of the ovary?

Para-aortic nodes

13

What is the lymphatic drainage of the fundus of the uterus?

Aortic nodes and inguinal

14

What is the lymphatic drainage of the body of the uterus?

External iliac nodes

15

What is the lymphatic drainage of the cervix?

Internal and external iliac nodes
Sacral nodes

16

A ruptured ectopic pregnancy in the Fallopian tubes may cause a dangerous haemorrhage. What is their blood supply?

Anastomosis of the ovarian and uterine arteries

17

How can the broad ligament be subdivided?

The mesentery of the uterus is also called the mesometrium
The mesentery of the Fallopian tubes is the mesosalphinx
The mesovarium is part of the broad ligament that suspends the ovaries

18

What is the blood supply to the uterus?

Uterine arteries.
They branch to form arcuate arteries that are located in the myometrium.
The arcuate arteries branch to form straight arteries that supply the stratum basalis and coiled arteries which supply the stratum functionalis (deep spongy and compact layers)

19

What are the different types of epithelia in the female reproductive tract?

Fallopian tubes - line with peg cells and cilia
Uterus
Cervix - simple columnar, change to non-keratinised stratified squamous at the external Os (squamocolumnar junction)
Vagina: non-keratinised stratified squamous

20

What is meant by the transformation zone?

Adjacent to the squamocolumar junction where the majority of neoplasms occur