Pelvic Viscera Pt. 1 Flashcards Preview

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Flashcards in Pelvic Viscera Pt. 1 Deck (82)
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1
Q

Lie within the bony pelvis between the pelvic floor and the peritoneum primarily occupying the subperitoneal space

A

Pelvic viscera

2
Q

Generally consists of collecting vessels, urinary bladder, uterus, rectal ampulla (connected to excretory tubes), urethra, vagina, and the anorectal junction

A

Pelvic Viscera

3
Q

The filling and voiding of the collecting vessels is facilitated by their location in the loose areolar tissue of the

A

Subperitoneal space

4
Q

Flow through the excretory tubes is controlled by the

A

Pelvic and U-G Diaphragms

5
Q

A pelvic viscera structure that stores urine

A

Bladder

6
Q

The bladder consists of a smooth muscle called the

A

Detrusor

7
Q

Where is the bladder located?

A

Posterior to the pubic bone in the retropubic space

8
Q

What are the 4 parts of the bladder?

A
  1. ) Anterior facing apex
  2. ) Posterior base
  3. ) Superior surface
  4. ) Two inferolateral surfaces
9
Q

The fundus and inferolateral surfaces converge to form the

A

Neck

10
Q

Extends from the neck of the bladder and conveys urine from the bladder to the outside of the body

A

Urethra

11
Q

A triangular region associated with the base and neck of the bladder

A

Trigone

12
Q

Where the bladder neck funnels into the urethra

A

The base of the trigone

13
Q

Enters the bladder obliquely at the other two corners of the trigone

A

Ureters

14
Q

This design causes the ureteric openings to be closed, acting like a valve during

A

Bladder contraction

15
Q

Retains its shape regardless of whether the bladder is distended or empty

A

Trigone

16
Q

The rest of the detrusor muscle has

A

Folds or Rugae

17
Q

Muscolomembranous tube about 10cm in length

A

Vagina

18
Q

Located in a superoposterior direction in the pelvis between the bladder (anteriorly) and the rectum (posteriorly)

A

Vagina

19
Q

Enter the anterior wall of the vagina superiorly

A

Uterus and cervix

20
Q

Recesses formed around the vaginal portion of the cervix

A

Vaginal fornices

21
Q

Can be exploited during a bimanual digital vaginal exam to palpate pelvic visceral structures

A

Vaginal fornices

22
Q

The posterior bladder wall can be palpated via the

A

Anterior fornix

23
Q

The oviduct, ureters, and ovaries can be palpated via the

A

Lateral fornices

24
Q

Can be used to palpate the uterus and access the rectouterine pouch (Pouch of Douglas)

A

Posterior Fornix

25
Q

The posterior fornix is covered in part by

A

Visceral Peritoneum

26
Q

The vagina opens externally into the

A

Vestibule of the vagina

27
Q

Pear shaped, hollow muscular organ consisting of a fundus, body, and cervix

A

Uterus

28
Q

The uterus receives the intrauterine openings of the uterine tubes between the

A

Fundus and Body

29
Q

Enters the anterior wall of the vagina and is open with the uterus

A

Cervix

30
Q

The anatomical position of the uterus within the vagina with respect to the angle at which its cervical portion enters is described as being

A

Anteverted

31
Q

The anatomical position of the uterus with respect to the angle between the cervix and the body of the uterus is described as being

A

Anteflexed

32
Q

This position reduces the likelihood of

A

Uterine prolapse

33
Q

The uterus is further supported by the

A

Round ligament, transverse cervical ligament, and uterosacral ligaments

34
Q

Provide a passageway for ovulated eggs to reach the uterus

A

Uterine tubes

35
Q

The most distal portion of the uterine tubes, which opens into the peritoneal cavity

A

Infundibulum

36
Q

Fertilization typically takes place in the

A

Ampulla of the uterine tubes

37
Q

In females, there is a communication between the external environment and the peritoneal cavity that begins with the opening of the vagina in the vestibule and ends with the opening of the uterine tubes in the

A

Peritoneal cavity

38
Q

This provides a pathway for microbes like gonnorrhea and chlamydia to cause

A

Pelvic Inflammatory Disease

39
Q

These infection can cause scarring and a resultant blockage of the

A

Uterine tubes

40
Q

What is done when the patency of the uterine tubes is in question?

A

Hysterosalpingography

41
Q

Located against the posterolateral wall of the pelvis

A

Female gonads

42
Q

What are the two ligaments of note that are associated with the female gonads?

A
  1. ) Proper ovarian ligament

2. ) Suspensory ligament of the ovary

43
Q

Attatches the ovary to the uterus and a remnant of a caudal genital ligament (gubernaculum testes in the male)

A

Proper ovarian ligament

44
Q

A fold of peritoneum elevated by the ovarian artery and veins

A

Suspensory ligament of the ovary

45
Q

Extends between the sigmoid colon (S3) and the beginning of the anal canal at the pelvic floor

A

Rectum

46
Q

The inferior portion of the rectum becomes dilated, forming the

-Where feces are stored prior to defecation

A

Rectal ampulla

47
Q

Palpable through the rectum anteriorly

A

Cervix

48
Q

Extends off the anterior abdominal wall to cover the superior surface of the bladder

A

Parietal peritoneum

49
Q

Reflects onto the anterior surface of the uterus and covers the posterior surface of the uterus and part of the posterior fornix of the vagina

A

Parietal peritoneum

50
Q

The parietal peritoneum then reflects onto the anterior surface of the

A

Rectum

51
Q

These reflections of the parietal peritoneum generate which two pouches or spaces?

A
  1. ) Vesicouterine

2. ) Rectouterine

52
Q

Located between the bladder and uterus

A

Vesicouterine pouch

53
Q

Located between the uterus and rectum

A

Rectouterine pouch

54
Q

Significant in that it is the inferior extend of the peritoneal cavity

A

Rectouterine pouch

55
Q

The peritoneum which drapes over the uterus, uterine tubes, and ovaries is called the

A

Broad ligament

56
Q

The PROXIMAL 1/3 of the rectum is covered anteriorly and laterally by

A

Peritoneum

57
Q

The middle 1/3 ANTERIORLY and DISTAL 1/3 of the rectum is

A

Subperitoneal

58
Q

Located between the neck of the bladder and the urogenital hiatus in males

A

Prostate

59
Q

The prostate consists of smooth muscle, connective tissue, and glandular cells responsible for producing

A

Prostatic fluid

60
Q

The prostate contains the prostatic urethra and receies the ejaculatory ducts from the

A

Ductus deferens and seminal vesicles

61
Q

The prostate is divided clinically into which three zones?

A
  1. ) Transitional
  2. ) Central
  3. ) Peripheral
62
Q

Surrounds the prostatic urethra

A

Transitional prostate

63
Q

Surrounds the ejaculatory ducts of the prostate

A

Central prostate

64
Q

Peripheral to and encircling the central and transitional zones

A

Peripheral prostate

65
Q

Enlargement of the prostate is common in men over

-Can be either benign or malignant

A

50

66
Q

Primarily involves the transitional zone and is characterized by difficulty in urinating and an increased urination frequency

A

Benign prostatic Hyperplasia (BHP)

67
Q

Malignant tumors of the prostate preferentially involve the

A

Peripheral zones

68
Q

An enlarged portion of the ductus deferens as it approaches the prostate

A

Ampulla of the ductus deferens

69
Q

Stores sperm prior to emission

A

Ampulla of the ductus deferens

70
Q

The ampulla of the ductus deferens forms the ejaculatory duct with the

A

Seminal vesicle

71
Q

Lie immediately lateral to the ampulla of the ductus deferens

-Provide seminal fluid and help nourish sperm

A

Seminal Vesicle

72
Q

The duct from the seminal vesicle unites with the duct from the ductus deferens to form the

A

Ejaculatory duct

73
Q

Opens into the prostatic urethra posteriorly

A

Ejaculatory duct

74
Q

In males, the parietal peritoneum of the anterior abdominal wall reflects onto the

A

Superior surface of the bladder (posteriorly) and then onto anterior surface of rectum

75
Q

This creates a single peritoneal pouch in the male called the

A

Rectovesical pouch

76
Q

Pelvic branches are supplied primarily with arterial blood from branches of the

A

Internal iliac artery

77
Q

Venous return from the pelvic region are to branches of the

A

Internal iliac vein

78
Q

Gives branches to the pelvic and perineal viscera as well as the lower limb

A

Internal iliac artery

79
Q

The ovarian artery is a branch of the

A

Abdominal Aorta

80
Q

The uterine artery has a clinically important relationship with the ureter. What is it?

A

Ureter crosses INFERIOR to the uterine artery

81
Q

Lymphatic rainage of the pelvic viscera follows blood vessels primarily to the

A

Internal iliac lymph nodes

82
Q

However, lymphatic drainage of the ovaries following the ovarian vessels would drain into the

A

Aortic lymph nodes

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