Part III: Female Internal Genital Organs Pg 103-108 Flashcards
(113 cards)
1
Q
distensible tube extending from uterine cervix to vestibule of vagina
A
Vagina
2
Q
The cleft between Labia Minora
A
Vestibule of the vagina
3
Q
The walls of the vagina are normally collapsed except where?
A
Superiorly where the cervix holds the walls apart
4
Q
The superior recess surrounding uterine cervix
A
Vaginal fornix
5
Q
The vaginal fornix is divided into anterior, lateral and posterior regions. The posterior region is the deepest part and associated with _______
A
Rectouterine pouch
6
Q
Four muscles compress the vagina and act like a sphincter:
A
- Pubovaginalis M
- External urethral sphincter
- Urethrovaginal sphincter
- Bulbospongiosus M
This will not be tested but interesting
7
Q
What are the functions of the vagina?
A
- Excretory duct for menstrual fluid
- Receive penis and semen during sexual intercourse
- Inferior portion of birth canal
8
Q
What is the arterial supply to the superior vagina?
A
Uterine artery
9
Q
What is the arterial supply to the middle vagina?
A
Vaginal A
10
Q
What is the arterial supply to the inferior vagina?
A
Internal pudendal A
11
Q
Venous drainage of the vagina is via:
A
Internal iliac V
12
Q
Lymphatic drainage of superior vagina is via:
A
Internal/external iliac lymph nodes
13
Q
Lymphatic drainage of middle vagina is via:
A
Internal iliac lymph nodes
14
Q
Lymphatic drainage of inferior vagina is via:
A
Sacral, common iliac and superficial inguinal lymph nodes
15
Q
__________ travels with Uterine A to innervate superior 80% of the vagina
A
Uterovaginal plexus
16
Q
Uterovaginal plexus is an extension of .
A
inferior hypogastric plexus
17
Q
Sympathetic innervation of the vagina is via:
A
Lumbar splanchnic N
18
Q
Parasympathetic innervation to the vagina is via:
A
Pelvic splanchnic N (S2-S4)
19
Q
Visceral afferents from the vagina accompany pelvic splanchnic N back to ______ dermatomes
A
S2-S4
NOTE: Responsive only to distension in upper 80% of vagina
20
Q
Somatic innervation to the vagina is via:
A
Deep Perineal N (branch of Pudendal N)
NOTE: Only to lower 20% of vagina. Responsive to touch and temperature
21
Q
Thick walled, pear shaped muscular organ of gestation located in lesser pelvis
A
Uterus
22
Q
Freely movable superior two thirds of uterus
A
Body
23
Q
narrow, slit like lumen in the body of the uterus
A
Uterine cavity
24
Q
superolateral origins of uterine tubes found in the body of the uterus
A
Uterine horns
25
rounded part of the uterine body superior to uterine horns
Fundus
26
short, constricted region of the body of the uterus just superior to cervix
Isthmus
27
Cylindrical inferior portion of uterus protruding into vagina
Cervix
28
The part of the cervix between isthmus and vagina, separated from rectum posteriorly by rectouterine pouch
Supravaginal part of cervix
29
The part of cervix that protrudes into vagina and surrounded by vaginal fornix
Vaginal part of the cervix
30
internal opening to uterine cavity of isthmus in the vaginal part of the cervix
Internal os
31
External opening to the vagina in the vaginal part of the cervix
External os
32
Structure that spans the cervix from internal os to external os in the vaginal part of the cervix
Cervical canal
33
Adult uterus is ______ (relative to vagina) and ______ (relative to cervix)
- anteverted
| - anteflexed
34
Uterine body normally lies on, and is supported by, _______
urinary bladder
35
When does the uterine position change?
as urinary bladder and/or rectum fill
36
Thin outer serosal covering of the uterus
Perimetrium
37
Thickest layer of the uterus that is comprised of irregularly arranged smooth muscle
Myometrium
NOTE: Changes dramatically during pregnancy (but not so during menstrual cycles)
38
Thin mucosal lining of the uterus; site of blastocyst implantation
Endometrium
NOTE: Changes dramatically during each menstrual cycle
39
Double layer of peritoneum that helps hold uterus in place and extends from lateral walls of uterus to lateral walls and floor of pelvis
Broad L of uterus
40
Anterior lamina of the broad L of uterus borders ________.
vesicouterine pouch
41
Posterior lamina of the broad L of uterus borders ________.
Rectouterine pouch
42
The anterior and posterior laminae of the uterus are continuous with each other over the free edge of ______
Uterine tubes
43
What forms a transverse septum in pelvic cavity?
Broad ligament of the uterus
44
Large section of Broad L lateral to uterus
Mesometrium
45
Extension of Broad L forming mesentery of ovary
Mesovarium
46
Extension of Broad L forming mesentery of uterine tube
Mesosalpinx
47
Round ligament of the uterus and the ovarian ligament have a uterine origin between:
Layers of the broad ligament of the uterus
48
The round ligament of the uterus attaches anteroinferiorly to :
Uterotubal junction
49
The round ligament of the uterus passes through _______ to insert into _______
- Inguinal canal
| - labia majora
50
The round ligament of the uterus is an adult remnant what?
Inferior part of gubernaculum
51
The ligament that spans from uterus to ovary
Ovarian L
52
The ovarian ligament of the uterus is an adult remnant of what?
Superior part of gubernaculum
53
What is the superior extension of the broad ligament of the uterus toward abdomen?
Suspensory Ligament of the ovary
54
What Surrounds neurovascular elements supplying ovary?
Suspensory Ligament of the ovary
55
What ligament extends from cervix and lateral fornix of vagina to lateral walls of pelvis
Cardinal ligament
56
Where is the cardinal ligament located relative to the broad ligament?
Along inferior margins of broad Ligament of the uterus
57
What ligament passes superoposteriorly from sides of cervix to middle of sacrum?
Uterosacral L
58
Tension from what ligament is possibly responsible for anteversion of uterus?
Uterosacral ligament
59
What ligament of the uterus is part of the tendinous arch of the pelvic fascia?
Uterosacral L
60
What ligament of the uterus is palpable via digital rectal exam?
Uterosacral ligament
61
What ligament extends from posterior surface of pubic bones to cervix?
Pubocervical ligament
62
What is the function of the uterine ligaments?
Uterine position is maintained by these ligaments and support from pelvic diaphragm
63
Uterine prolapse is inhibited by what?
by position of uterus overlying urinary bladder
NOTE: Prolapse would be more likely if uterus were in same vertical plane as vagina
64
The uterus is associated anteriorly with:
- vesicouterine pouch
| - superior surface of urinary bladder
65
The uterus is associated posteriorly with:
- rectouterine pouch
| - anterior surface of rectum
66
Rectouterine pouch is a potential space but sometimes may be filled with:
Ileum
67
The uterus is anchored to the pelvic wall laterally by:
- broad ligament of the uterus
| - cardinal ligament
68
What is the arterial supply of the uterus?
Uterine A, a branch from internal iliac A
NOTE: Ovarian A and Vaginal A anastomose with Uterine A
69
What is the venous drainage of the uterus?
Uterine venous plexus which then drains to internal iliac V
70
Lymphatic drainage of the fundus of the uterus:
Lumbar lymph nodes
71
Lymphatic drainage of the body of the uterus:
through Broad L to external iliac lymph nodes
72
Lymphatic drainage of the cervix of the uterus:
either internal iliac or sacral lymph nodes
73
The uterovaginal plexus is an extension of:
Inferior hypogastric plexus
74
Sympathetic innervation of the uterus is via:
Lumbar splanchnic N
75
Parasympathetic innervation of the uterus via:
Pelvic splanchnic N (S2-S4)
76
Visceral afferents from the body/fundus of the uterus follow:
sympathetics via lumbar splanchnic N
77
Visceral afferents from the cervix follow:
parasympathetics via pelvic splanchnic N
78
What is the function of the uterine tubes?
- Convey ovulated ovum to uterus
- Normal site for fertilization
- Blastocyst formation after successful fertilization
79
Uterine tubes extend laterally from”
Uterine horns
80
The uterine tubes are located in:
Mesosalpinx
81
The uterine tubes open to peritoneal cavity near:
Ovaries
82
Funnel shaped distal end of the uterine tubes adjacent to ovary
Infundibulum
83
opening of the infundibulum of the uterine tubes to peritoneal cavity
Abdominal ostium
84
inflammation often resulting in uterine tube blockage - Major cause of female infertility
Salpingitis
85
finger-like fringe processes of the infundibulum of the uterine tubes which associate with ovary
Fimbriae
86
Widest and longest distal two thirds of the uterine tube between infundibulum and isthmus
Ampulla
87
What is the usually site for fertilization?
Ampulla
88
Narrow, thick walled part of the uterine tubes adjacent to uterine horn
Isthmus
89
Short section of the uterine tubes that passes through wall of uterus
Intramural segment
90
The opening of the uterine tube to the uterine cavity
Uterine ostium
91
What is the arterial supply to the uterine tubes?
- Uterine A from internal iliac A
| - ovarian A from abdominal aorta
92
What is the venous drainage of the uterine tubes?
- Uterine venous plexus drains to Internal Iliac V
| - Ovarian V drains to IVC or L Renal V
93
Lymphatic drainage of uterine tubes is via:
Lumbar lymph nodes
94
Autonomic innervation of the uterine tubes is via:
Inferior hypogastric plexus
95
Visceral afferents from the uterine tubes follow:
sympathetics via lumbar splanchnic N to T11-L1
96
Small almond shaped glands that produce female gametes and sex hormones
Ovaries
97
The ovaries are suspended by ______ of the broad ligament near lateral pelvic walls
Mesovarium
98
Prepubertal ovaries are covered by:
smooth germinal epithelium
NOTE: Postpubertal ovaries become progressively distorted and scarred from ovulations
99
Ovulation releases oocyte directly to _______. The _______ of the uterine tube captures oocyte and brings it into ampulla
- peritoneal cavity
| - infundibulum
100
What connects distal end of ovary to lateral wall of pelvis?
Suspensory Ligament
101
What contains ovarian blood vessels, lymphatics and nerves?
Suspensory ligament
102
What connects proximal end of ovary to uterus?
Ovarian ligament
103
The ovarian ligament is located within:
Mesovarium
104
What is the arterial supply to the ovary?
Ovarian A which originates from abdominal aorta
105
What is the venous drainage of the ovaries?
Pampiniform plexus which drains to a single ovarian vein
106
Where does the pampiniform plexus form in females?
In broad ligament near ovary and uterine tube
107
The right ovarian vein drains to:
IVC
108
The left ovarian vein drains to:
Left renal vein
109
Lymphatic drainage of the ovaries is via:
Lumbar lymph nodes
110
Autonomic innervation of the ovary is via:
Ovarian plexus which follows the ovarian A
111
Sympathetic innervation of the ovaries is via:
T11-L1
112
Parasympathetic innervation of the ovaries is via:
Pelvic splanchnic N
113
What is the function of parasympathetic and my pathetic innervation to the ovary?
Regulate vascular diameter
