Ipapburke Ob Test 1- Rep. Anatomy

Front 1

Binds the perineum superiorly

Back 1

pelvic diaphragm

Front 2

Binds the perineum inferiorly

Back 2

the skin

Front 3

Two divisions of the perineum.

Back 3

urogenital triangle and anal triangle

Front 4

Another name for the perineal body

Back 4

Central tendon

Front 5

Two muscles that compose the pelvic diaphragm

Back 5

levator ani and coccygeus

Front 6

Function of the pelvic diaphragm

Back 6

supports the abdominal and pelvic organs

Front 7

Why is the pelvic diaphragm important in fecal continence?

Back 7

the colon and rectum perforate through it

Front 8

The pelvic diaphragm forms the floor of the _______ and the roof of the __________.

Back 8

pelvis; diaphragm

Front 9

Deepest recess in the pelvis

Back 9

Pouch of Douglas or rectouterine fold

Front 10

Two peritoneal folds

Back 10

vesicouterine and rectouterine folds

Front 11

Function of urogenital diaphragm

Back 11

provides support near the pubic symphyses

Front 12

What perforates through the urogenital diaphragm?

Back 12

urethra and vaginal canal

Front 13

Structures that make up the vulva.

Back 13

mons pubis, labia majora, labia minora, vestibule (fourchette)

Front 14

Two sets of glands in vestibule

Back 14

Skene’s and Bartholin’s

Front 15

Location of Skene’s glands

Back 15

inferior to urethra

Front 16

Location of Bartholin’s glands

Back 16

4 and 8 o'clock in area between labia majora and labia minora

Front 17

Glands most likely to be infected

Back 17

Bartholin’s

Front 18

What is the introitus?

Back 18

vaginal opening

Front 19

Two structures that the isthmus connects

Back 19

uterus to cervix

Front 20

Depth of cervix from external os to internal os

Back 20

2 1/3 to 3 cm

Front 21

Where is endocervical canal?

Back 21

area between the 2 os’s

Front 22

What part of uterus provides force for uterine contraction?

Back 22

fundus

Front 23

Where does growth of uterus occur in pregnancy?

Back 23

isthmus

Front 24

Name of isthmus as it grows during pregnancy.

Back 24

lower uterine segment

Front 25

What part of the uterus is cut in an LTCS?

Back 25

lower uterine segment

Front 26

LTCS

Back 26

Low Transverse Cesarian Section

Front 27

What is the importance of LTCS?

Back 27

patients can still have vaginal delivery after C section

Front 28

4 major pelvic ligaments

Back 28

cardinal, round, broad, and uterosacral

Front 29

Equivalent of the male spermatic cord in females

Back 29

round ligament

Front 30

Why os round ligament important during pregnancy

Back 30

it stretches and causes pain

Front 31

VBAC

Back 31

Vaginal Birth After Cesarean Section

Front 32

Why can vaginal birth not be attempted after classical Cesarean section?

Back 32

risk of rupture of the uterus

Front 33

Two types of C Section

Back 33

LTCS and classical

Front 34

What position is an anteverted uterus in?

Back 34

tilts forward

Front 35

This ligament is really a fold in the peritoneum that contains the round ligament and suspensory ligaments of the ovaries plus blood supply

Back 35

broad ligament

Front 36

Where most fertilizations take place

Back 36

ampulla

Front 37

MC location for ectopic pregnancy

Back 37

ampulla

Front 38

Function of fimbria

Back 38

pick up ovulated eggs

Front 39

Portion of cervix covered by stratified squamous

Back 39

ectocervix

Front 40

Part of cervix that hangs down into vagina

Back 40

ectocervix

Front 41

Part of cervix made of columnar epithelium

Back 41

endocervix

Front 42

Definition of portio

Back 42

part of cervix that extends into vagina (includes part of ecto and endo cervix)

Front 43

recessed vagina that borders the lateral cervix

Back 43

fornix

Front 44

Birth control that fits over cervix and lies in the fornix

Back 44

diaphragm

Front 45

Describe transvaginal hysterectomy (TVH)

Back 45

cuts all around fornix, cer. and ovarian arteries are clamped, all ligaments are cut, vice grips reach in and uterus is removed through vagina

Front 46

When is TAH used?

Back 46

cancer or huge uterus

Front 47

BSO

Back 47

Bilateral salpingoophorectomy- removal of all female parts

Front 48

Vaginal cuff

Back 48

when two ends of vagina are sewn together after a BSO

Front 49

Where the columnar cells of cervix meet the squamous cells

Back 49

Squamocolumnar Junction (SCJ)

Front 50

Position of SCJ depends on what?

Back 50

woman’s age and her hormonal status

Front 51

What is transformation zone?

Back 51

area between original and new SCJ

Front 52

Location of 95% of cervical neoplasia

Back 52

transformation zone

Front 53

Metaplasia definition

Back 53

transformation of one type of cell to another

Front 54

Describe epithelium of cervix/vagina at birth

Back 54

columnar epithelium in endocervical canal and squamous in cervix/vagina

Front 55

When do estrogen levels increase?

Back 55

during puberty and pregnancy

Front 56

What causes the columnar epithelium to transform back into squamous?

Back 56

acidification of vagina by estrogen

Front 57

When columnar cells are visible on ectocervix

Back 57

ectropion

Front 58

when is larger ectropion common

Back 58

near menarche, pregnancy and when on OCPs

Front 59

What symptoms may be noted when there is a larger ectropion?

Back 59

more vaginal secretions or postcoital spotting

Front 60

Postcoital spotting

Back 60

bleed after sex (b/c columnar cells can’t handle trauma)