Pelvic Viscera

Question 1

As the ureters enter the bladder what crosses over it in male/female?

Answer 1

male: vas deferens
female: uterine artery

Question 2

shape of bladder and orientation?

Answer 2

pyramidal and tipped forward

Question 3

what is located at the base of bladder in male/female?

Answer 3

male: rectum
female: uterus

Question 4

apex of bladder points towards?

Answer 4

pubic bone

Question 5

what muscle in the bladder?

Answer 5

detrusal muscle

Question 6

what part of bladder expands?

Answer 6

fundus

Question 7

smooth mucosa of bladder is called? where is it?

Answer 7

trigone at base of bladder

Question 8

3 accessory glands male?

Answer 8

prostate
seminal vesicles
bulbourethral glands

Question 9

what wraps around testicle?

Answer 9

tunica vaginalis

Question 10

seminal vesicle contributes?

Answer 10

alkaline fluid and fructose

Question 11

which lobe of prostate enlarged with BPH?

Answer 11

medial/median lobe

causes obstruction of urine

Question 12

3 things you can feel on prostate on a per rectal exam?

Answer 12

1. size
2. hardness: cancer - hard
3. contour: lobules

Question 13

uterus normal position?

Answer 13

anteverted over the bladder

Question 14

retroverted uterus associated with what?

Answer 14

back pain with menstruation and childbirth

Question 15

isthmus of uterus continuous with?

Answer 15

cervix

Question 16

cervix length?

Answer 16

2-3 cm long

Question 17

how is uterus stabilized?

Answer 17

cervical and vaginal ligaments

Question 18

3 ligaments that stabilize cervix?

Answer 18

1. utero-sacral (back)
2. lateral cervical (middle)
3. pubo cervical (front)

Question 19

ovaries located where on broad ligament?

Answer 19

posterior surface

Question 20

order of fallopian tube segments from uterus to ovary?

Answer 20

isthmus
ampulla
infundibulum
fimbria

Question 21

ovary connected to uterus via?

Answer 21

ovarian ligament

Question 22

round ligament of ovary does what?

Answer 22

forwards into deep inguinal ring (female equivalent of spermatic cord)

Question 23

3 segments of fornix can feel what structures?

Answer 23

anterior: bladder
lateral: enlarged ovarian cyst
posterior: pouch of douglas

Question 24

ovary located on side wall of pelvis where what?

Answer 24

common iliacs bifurcates

Question 25

what demarcates rectum from sigmoid?

Answer 25

loss of 3 tenia

Question 26

2 arteries from above that supply the pelvic viscera?

Answer 26

1. Two ovarian arteries | 2. superior rectal artery

Question 27

superior rectal artery continuation of?

Answer 27

inferior mesenteric

Question 28

what reinforces 2 superior arteries for pelvic viscera?

Answer 28

anterior internal iliac

Question 29

bladder supplied by which artery?

Answer 29

superior vesical artery

Question 30

uterine artey runs in which ligament?

Answer 30

lateral cervical ligament

Question 31

vagina supplied by which artery?

Answer 31

vaginal artery, turn up and meets ovarian artery

Question 32

nerves to pelvic viscera: 2 kinds

Answer 32

1. parasympathetic: S2-4 | 2. sympathetic: thoracolumbar components

Question 33

pouch of douglas importance?

Answer 33

any fluid, pus, ruptured appendix will collect in POD

Question 34

pouch of douglas and curettage?

Answer 34

rigid instrument will pierce pouch of douglas, cause infection and sepsis