Pelvic Viscera Flashcards

(29 cards)

1
Q

What systems can be found in the pelvic region

A

urinary tract
distal GIT
reproductive system

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2
Q

What structure does the ureter cross in the pelvis

A

vas deferens in male

uterine artery in female

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3
Q

What is the potential space anterior to the bladder called

A

retropubic space

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4
Q

Where is the apex of bladder pointing?

A

towards the pubic bone

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5
Q

Can we differentiate the trigone from the rest of the bladder macroscopically?

A

Yes, the trigone is smooth and doesn’t have detrusor muscle ridges

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6
Q

Which part of the bladder is fixed in position?

A

the neck, fixed by pubovesical ligament and lateral pelvic ligament

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7
Q

What’s the name of the peritoneal covering of testes

A

tunica vaginalis

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8
Q

T/F Vas deferens is posterior to the ureter on the posterior surface of the bladder

A

True, VD enters posterior to the ureter

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9
Q

Which prostate lobe is most likely to have benign hypertrophy

A

Medial lobe

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10
Q

What information of the prostate can we get with a PR exam

A

size, hardness, and contour

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11
Q

What’s the normal position of uterus in relation to bladder

A

ante-verted and anti-flexed

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12
Q

What are the two parts of female cervix

A

internal and external os

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13
Q

What ligaments stabilise the cervix?

A

lateral cervical ligament
utero-sacral ligament
pubo-cervical ligament

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14
Q

What happens if the cervical ligaments are lax

A

prolapse can occur
uterus falls inferiorly
bladder falls posteriorly
rectum falls anteriorly

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15
Q

What is the ligament covering the uterine tubes

A

broad ligament, extension of peritoneum

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16
Q

T/F Isthmus is the part of the uterine tube directly adjacent to the ovary

A

False, infundibulum is the part close to the ovary. Isthmus is closest to the uterus

17
Q

Which part of the uterine tube is broadest

18
Q

What’s the name of the ovary’s mesentery, formed as part of the broad ligament?

A

suspensory ligament, to the posterior wall

19
Q

What is the ligament that connects the ovary to the uterus?

A

ovarian ligament

20
Q

What is the round ligament analogous to in male?

A

it’s analogous to spermatic cord, the part that travels within the inguinal canal

21
Q

Why is the anterior wall of the vagina shorter than the posterior wall?

A

Because there is an angulation backwards

22
Q

Which part of the vagina is directly related to the pouch of douglas?

A

posterior fornix

23
Q

Where might we feel enlarged ovarian cysts?

A

the lateral fornix of the vagina, on either side of the cervix

24
Q

Which spinal segment does the rectum begin?

25
Which two arteries enter the pelvic from above?
Ovarian arteries | Superior rectal artery, continuation of IMA
26
In male, there is an additional inferior vesical artery. Which structures does it supply?
vas deferen prostate seminal vesicle
27
What is the uterine artery stabilised by?
endovascular condensation that forms the lateral cervical ligament
28
Which artery does the uterine artery anastamose with?
ovarian artery from above
29
T/F Inferior hypogastric plexus has both SNS and PNS fibres
True, S2-S4 for PNS | SNS from superior hypogastric plexus, forming a pair of hypogastric nerves