lec 8

Question 1

the ovarian fossa relations
posterior
anterior
superior

Answer 1

This fossa is bounded anteriorly by obliterated umblical ligament; posteriorly by ureter and internal iliac vessels; and superiorly by external iliac vessels

Question 2

each surface of the ovary is in contact with ?
medial 
lateral
anterior border
posterior border

Answer 2

coils of the intestine , on the right side we have vermiform appendix

ovarian fossa

hilum of the uterus , it is bounded to the broad ligament by mesovarium

directed towards the uterus , the uterine tube curves down the border

Question 3

the suspensory ligament connects btw?

Answer 3

the tubal pole with lateral wall of pelvis

Question 4

the ovarian ligament connects btw?

Answer 4

uterine pole of ovary to lateral margin of uterus

Question 5

Through which ligament vessels and nerves enter and leave ovary?

Answer 5

mesovarium

Question 6

blood supply (at which level) and venous drainage of ovaries

Answer 6

ovarian artery branch of the abdominal aorta at L2/L3 level and in some cases at the origin of renal artery

right ovarian vein –> inferior vena cava
left ovarian vein –> left renal vein

Question 7

uterine tubes are situated in

Answer 7

upper border of the broad ligament

Question 8

the uterine tube ascends along ———– and descends along ———-

Answer 8

anterior border

posterior border

Question 9

Is the widest and longest portion of uterine tube , making about 2/3 of whole length of uterine tube

Answer 9

ampulla

Question 10

In it fertilization of ova takes place

Answer 10

ampulla

Question 11

Blood Supply of Uterine Tube

Answer 11

Ovarian artery (branch of descending abdominal aorta).

Uterine arteries (branch of internal iliac artery).

Question 12

the uterine is (movement)?

Answer 12

freely moveable

Question 13

the cervix extends from

Answer 13

internal os to external os

Question 14

the cervix has two parts

Answer 14

supravaginal part

vaginal part

Question 15

The supravaginal part lies between (anterior and posterior)

Answer 15

bladder and rectum

Question 16

The peritoneum passes from anterior surface of rectum on to posterior surface of uterus, forming

Answer 16

rectouterine pouch (pouch of Douglas)

Question 17

the peritoneum curves over fundus to reach anterior surface of uterus , where it descends as far as ———————- then it is reflected forward on to superior surface of urinary bladder, forming ———–

Answer 17

junction of body and cervix.

vesicouterine pouch

Question 18

anterior relations of uterus (body , isthmus , cervix)

Answer 18

body –> separated from the superior surface of bladder by peritoneum and vesicouterine pouch

isthmus and cervix lie in direct contact with bladder

Question 19

what is the effect of the direct contact btw isthmus and cervix with the bladder

Answer 19

allows cervical cancer to invade urinary bladder

Question 20

posterior relations of uterus , cervix

Answer 20

body of uterus and supravaginal part of cervix are separated from rectum by pouch of Douglas containing coils of sigmoid colon

Question 21

lateral relations of uterus

Answer 21

related to broad ligament of uterus and uterine vessels

Question 22

The vaginal cervix is related laterally to

Answer 22

the lateral vaginal fornix

Question 23

The two round ligament of uterus, each extends from

Answer 23

from front of uterus bellow the entrance of uterine tubes –> inguinal canal –> labia major

Question 24

the round ligaments play a role in keeping the uterus in an ——————————— position

Answer 24

anteversion and anteflexion

Question 25

the peritoneum covers which part of the uterus

Answer 25

anterior and posterior surfaces

Question 26

The ovary is attached to posterior layer of broad ligament by

Answer 26

mesovarium

Question 27

The part of broad ligament which extends from infundibulum of uterine tube and upper pole of ovary to lateral pelvic wall, called

Answer 27

suspensory ligament

Question 28

The part of broad ligament forming mesentery of uterine tube is called

Answer 28

mesosalpinx

Question 29

The major part of broad ligament serves as a mesentery for uterus

Answer 29

mesometrium

Question 30

at base of broad ligament the uterine artery crosses ——-

Answer 30

ureter

Question 31

structures lie between two layers of broad ligament

Answer 31

(1) Uterine tube.
(2) Round ligament of the ovary.
(3) Round ligament of the uterus.
(4) Uterine and ovarian blood and lymphatic vessels, and nerves.
(5) Epoophoron, which is the remains of mesonephros.
(6) The paraophoron, which is a mesonephric remnant.

Question 32

anteversion of uterus means ?

Answer 32

long axis of uterus in most women is bent forwards on long axis of vagina

Question 33

anteflexion of uterus means ?

Answer 33

long axis of uterus is bent forward at level of internal os.

Question 34

Blood Supply of the Uterus

Answer 34

(1) Uterine artery (branch of internal iliac artery), which forms main arterial supply.
(2) Uterine branch of ovarian artery which assists in supplying uterus.

The uterine vein follows the artery and ends into internal iliac vein.

Question 35

Lymph Drainage of Uterus

Answer 35

(1) Fundus portion follow ovarian artery and drain into para-aortic lymph nodes at level of L1 vertebra.
(2) Body and cervix drain into internal and external iliac lymph nodes.

Few vessels, however follow round ligament of uterus via inguinal canal and drain into superficial inguinal nodes.