Pelvic contents

Question 1

Name the two peritoneum pouches in females

Answer 1

Vesicouterine pouch

Rectouterine pouch (pouch of Douglas

Question 2

Info on Rectouterine pouch

Answer 2

Extension of peritoneum between uterus and rectum

Analogous to rectovesical in males

Question 3

Info on Vesicouterine pouch

Answer 3

2nd shallower pouch formed from peritoneum over uterus and bladder

Question 4

Name the peritoneum pouch in males

Answer 4

Vesicorectal pouch

Question 5

Info on Vesicorectal pouch

Answer 5

Between bladder and rectum

Question 6

Info on bladder

Answer 6

Partial covering of peritoneum > stuck against pubic bones
Transitional epithelium and rugae
As the bladder fills it rises into the suprapubic region
Apex posterior to pubic symphysis

Question 7

Urachus

Answer 7

Fibrous remnant of allantois

Question 8

Trigone

Answer 8

Base of bladder is triangular
Internal area of smooth mucous membrane
Urethra exit and ureters enter here

Question 9

Detrusor

Answer 9

Smooth muscle found in wall of bladder

Question 10

Sphincter vesicae

Answer 10

At neck of bladder

circular but not complete

Question 11

Neck of bladder is held in place by what ligament in male

Answer 11

puboprostatic ligament

Question 12

Neck of bladder is held in place by what ligament in females

Answer 12

pubovesical ligament

Question 13

Bladder arterial supply

Answer 13

superior (x2) and inferior vesical from each side

Question 14

The inferior vesical artery in males corresponds to which artery in females?

Answer 14

The vaginal artery

Question 15

Veins of bladder

Answer 15

vesical plexus - drains to internal iliac

Question 16

Nerves of Bladder

Answer 16

ANS inferior hypogastric plexus

Question 17

Lymphatic drainage of ureter

Answer 17

lumbar. common iliac, internal iliac nodes as they descend towards bladder

Question 18

Lymphatic drainage of urethra

Answer 18

Main drainage to internal iliac

Males= spongy urethra to deep inguinal nodes

Females= some to sacral nodes

Question 19

Urinary bladder lymphatic drainage

Answer 19

main drainage to internal iliac nodes

Question 20

Upper 1/3 rd of rectum peritoneum

Answer 20

visceral peritoneum

Question 21

Middle 1/3rd peritoneum of rectum

Answer 21

on anterior surface

Question 22

Lower 1/3rd of rectum peritoneum

Answer 22

infraperitoneal

Question 23

Start and finish of rectum

Answer 23

3rd sacral vertebra to tip of coccyx

Question 24

4 main parts to the rectum

Answer 24

Sigmoid
transverse folds
rectal ampulla
anorectal junctiont

Question 25

Levator ani

Answer 25

main part of pelvic diaphragm

Question 26

Puborectalis

Answer 26

Part of pelvic floor | Sling muscle that anchors anteriorly to symphysis pubis and loops around the rectum

Question 27

3 arterial supplies of rectum

Answer 27

Superior rectal artery-(inf.mesenteric) Middle rectal artery -(internal Iliac) Inferior rectal (inernal pudendal)

Question 28

Veins of rectum

Answer 28

superior (portal) middle (int. iliac) inferior (internal pudendal)

Question 29

Lymph of rectum

Answer 29

pararectal to inferior mesenteric and internal iliac

Question 30

Nerve of rectum

Answer 30

inferior hypogastric plexus

Question 31

lymph drainage of anal canal superior to pecinate line

Answer 31

internal iliac nodes

Question 32

lymph drainage of anal canal inferior to pectinate line

Answer 32

superficial inguinal nodes

Question 33

mesosalpinx

Answer 33

portion of broad ligament that stretches from the ovary to the level of uterine tube - helps maintain position of uterus

Question 34

mesovarium

Answer 34

portion of broad ligament which suspends ovaries ovary is not covered by mesovarium but by germinal epithelium -keeps ovary in postion and acts as protective covering

Question 35

mesomentrium

Answer 35

mesentery of uterus , majority of broad ligament excluding mesosalpinx and mesovarium

Question 36

Function of round ligament of uterus

Answer 36

creates potential lymphatic pahway

Question 37

Function of broad ligament

Answer 37

carries vessels nerves and lymphatics

Question 38

Attachment of uterosacral (sacrocervical) ligament of cervix

Answer 38

from uterus to anterior aspect of sacrum

Question 39

Attachment of transverse cervical ligament of cervix

Answer 39

cervix to lateral pelvic wall

Question 40

Attachment of pubocervical (pubovesical) ligament of cervix

Answer 40

ligament connecting the side of the cervix to the pubic symphysis

Question 41

Arterial supply of the ovaries

Answer 41

abdominal aorta (ovarian artery @L2)

Question 42

Venous drainage of ovaries

Answer 42

ovarian vein to IVC on R and left renal vein on L

Question 43

Nerve of ovaries

Answer 43

aortic plexus