Maternal Anatomy

Question 0

Nerves of the Vagina
Upper 2/3
Lower 1/3

Answer 0

S: Hypogastric P:S2-S4 (cervical ganglion of Frankenhauser)

Pudendal nerve

Question 1

Blood supply of the vagina
Upper 1/3
Mid
Lower

Answer 1

Cervicovaginal branch of uterine artery
Inferior vesical
Mid rectal and internal pudendal

Question 2

Lymphatics of the Vagina
Upper 2/3
Lower 1/3

Answer 2

External and internal iliac nodes

Inguinal nodes

Question 3

Perineum
Ant/urogenital triangle
LUTS and hematomas

Answer 3

Ant pubic symphisis
Ant lateral ischiopubic rabi and ischial tuberosity
Post lateral sacrotuberous ligaments
Post coccyx

Question 4

Perineum
Post/anal triangle
Painful defecation

Answer 4

Internal pudendal vessels and nerve

Ischiorectal fossa, anal complex, anal sphincter complex

Question 5

Ant superficial space

Closed compartment

Answer 5

Ischiocavernosus clitoral erection
Bulbocavernosus Bartholin gland secretion and clitoral erection
Sup transverse perineal muscle perineal body

Question 6

Ant deep space

Continuous space with pelvis

Answer 6

Compressor urethrae
Urethrovaginal sphincter
External urethral sphincter

Question 7

Pudendal nerve

Answer 7

Dorsal nerve of the clitoris - skin of clitoris
Perineal nerve - muscle of ant triangle and labial skin
Inferior rectal nerve - ext anal sphincter, mucous membrane of anal canal, perianal skin

Question 8

Landmark for pudendal nerve block

Answer 8

Ischial spine

Question 9

Endometrial layers

Answer 9

Stratum functionale shed spiral arteries sup 2/3 hormone sensitive
Stratum basale straight arteries

Question 10

T or F

Endocervix is hormone sensitive

Answer 10

Exocervix

Question 11

Uterus: Ligaments
Two wing like structures from lateral uterus to pelvic walls
Divide pelvic cavity to ant and post

Answer 11

Broad ligament

Question 12

Broad ligament contains

Answer 12

Fallopian tubes and ovaries
Uterine and ovarian arteries
Ovarian and round ligament

Question 13

Uterus: Ligaments

Continuous with broad ligament outward and downward terminating at upper portion of labium majus

Answer 13

Round ligament

Question 14

Uterus: Ligaments
From densest portion of broad ligament
Major support of uterus and cervix

Answer 14

Cardinal ligament

Question 15

Uterus: Ligaments

Encircles rectum

Answer 15

Uterosacral ligament

Question 16

Long axis of uterus in relation to long axis of vagina

Answer 16

Version

Question 17

Relation of uterine fundus to cervix

Answer 17

Flexion

Question 18

Blood supply

Pudenda

Answer 18

Int pudendal artery

Question 19

Blood supply

Vagina

Answer 19

Vaginal artery of uterine artery

Question 20

Blood supply

Cervix

Answer 20

Cervicovaginal supply of the uterine atery

Question 21

Blood supply

Uterus

Answer 21

Uterine artery

Question 22

Blood supply

Fallopian tubes and ovaries

Answer 22

Ovarian artery

Question 23

Fallopian tube
Narrowest
Most highly developed musculature

Answer 23

Isthmus

Question 24

Fallopian tube Widest Site of fertilization 80% of ectopic pregnancy

Answer 24

Ampulla

Question 25

Damage to nerves | Radical hysterectomy

Answer 25

Genitofemoral perineal anesthesia | Obturator adduction of thigh, med thigh

Question 26

Damage to nerves Improper placement of stirrups Prolonged dorsal lithotomy

Answer 26

Peroneal footdrop

Question 27

Damage to nerves Lateral blade of self retaining retractor Inguinal node dissection

Answer 27

Femoral nerve hip flexion

Question 28

Damage to nerves | Obturator node dissection

Answer 28

Obturator nerve | Ext iliac artery

Question 29

Damage Straddle Anesthetic for second stage of labor

Answer 29

Pudendal artery hematoma

Question 30

Dorsal lithotomy

Answer 30

Upward gliding of sacroiliac joint | Outlet increase by 2 cm

Question 31

Pelvic inlet True conjugate Obstetric conjugate Diagonal conjugate

Answer 31

11 cm DC-1.5=10 11.5 clinical

Question 32

Assessment of midpelvis

Answer 32

Blunt ischial spine Parallel sidewalls Wide sacrum Wide sacroiliac notch

Question 33

Midpelvis | Interspinous diamter

Answer 33

10 cm

Question 34

Pelvic outlet | Intertuberous diameter

Answer 34

8 cm

Question 35

Dictates pelvic tendency | Dictates pelvic type

Answer 35

Ant | Post

Question 36

Round shape Straight sidewalls Non prominent ischial spines

Answer 36

Gynecoid

Question 37

Heart shaped Convergent sidewalls Prominent spines Deep transverse arrest

Answer 37

Android

Question 38

``` Vertically oriented iv Convergent sidewalls Prominent spines Deep sacrum Face delivery ```

Answer 38

Anthropoid

Question 39

Horizontally oriented oval Divergent then convergent sidewalls Nonprominent spines Short AP diameter

Answer 39

Platypelloid

Question 40

Ape like pelvis

Answer 40

Android

Question 41

No difficulties in vaginal birth

Answer 41

Gynecoid | Platypelloid

Question 42

Levator ani

Answer 42

Pubococcygeus Puborectalis Ileococcygeus

Question 43

Pelvic diaphragm

Answer 43

Levator ani | Coccygeus

Question 44

Mullerian duct

Answer 44

Females Fallopian tubes to upper 1/4 vagina Males Appendix testes

Question 45

Urogenital sinus

Answer 45

F lower 3/4 vagina vestibule bladder urethra M bladder prostatic and membranous urethra

Question 46

Mesonephric/Wollfian duct

Answer 46

F Gartner's lateral vaginal wall | M epidydimis vas deferens seminal vesicle ejaculatory duct

Question 47

Labioscrotal swelling

Answer 47

Labia majora | Scrotum

Question 48

Urogenital folds

Answer 48

Labia minora | Ventral penis

Question 49

Genital tubercle

Answer 49

Clitoris | Penis

Question 50

Metanephric duct

Answer 50

Ureter Renal pelvis Calyces Collecting system

Question 51

Metanephric mesenchyme

Answer 51

Glomerulus | Renal collecting tubules