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30 Cards in this Set
- Front
- Back
What is the infundibulum? |
The cup at the end of the fallopian tube which surrounds the oocyte |
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What are fimbriae? |
Finger-like projections that extend off the infundibulum |
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True or false - the anterior and posterior walls of the vagina never touch |
False - they are in contact except during sex and childbirth |
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What is the introitus? |
The vaginal orifice |
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What is the rectouterine pouch of Douglas? |
A folding of peritoneum between the posterior uterus and the rectum |
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What is the vesicouterine pouch? |
A fold of peritoneum between the anterior uterus and bladder |
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The fallopian tube can be divided into which regions? |
Infundibulum, ampulla, isthmus |
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The cervix is composed of which 3 regions? |
Internal os Cervical canal External os |
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What are the lateral fornices of the vagina? |
Small pockets on either side of the cervix |
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What is the fundus of the uterus? |
The top portion of the uterus |
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What attaches the ovary to the uterus? |
Ligament of ovary |
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What attaches the uterus to the body wall? |
Round ligament of uterus |
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The ligament of the ovary and the roung ligaments of the uterus are remnants of which structure? |
Ovarian gubernaculum |
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What is the normal alignment of the uterus? |
Anteverted and anteflexed |
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What does anteflexed mean? |
The body of the uterus is bent forwards at internal os of cervix |
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What does anteverted mean? |
Cervix is bent forwards relative to the vagina |
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How can you remember which way round anteverted and anteflexed is? |
AnteVerted involves the Vagina and cerVix |
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What is the opposite of anteflexed/anteverted? |
Retroflexed and retroverted |
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What is the broad ligament? What can it be divided into? |
A double fold of peritoneum that covers the superior aspects of the uterus and binds everything together Formed from mesometrium (covers uterus), mesosalpinx (covers uterine tube) and mesovarium (covers ovary) |
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Where specifically does the round ligament of the uterus pass to? |
The inguinal canal and labia majora |
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Draw a diagram showing from a superior view the ligaments holding the uterus to the body wall. What are the components of these ligaments? |
Uterosacral, pubocervical, transverse Cervical ligament |
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Draw a diagram showing a coronal view of the female pelvic floor and perineum. Which four muscles lie above the perineal membrane? |
Compressor urethrae, external urethral sphincter, ischiocavernosus, bulbospongiosus |
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What are the 3 main arteries that supply the vagina and uterus? What branches do they give |
Ovarian artery (Gonadal), which gives tubal branches and ovarian branches
Uterine artery, which gives a vaginal branch
Vaginal artery |
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The ovarian artery arises from which structure? |
Abdominal aorta |
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The uterine artery arises from which artery? |
Internal iliac |
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What artery supplies the vaginal artery |
Internal iliac of a branch of the uterine |
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What is the pelvic pain line? |
An imaginary line separating the fundus and body of the uterus from the cervix |
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How is the uterus innervated above the pelvic pain line? |
By sympathetic and visceral afferents from T12-L2, that run together in the same nerve |
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How is the cervix innervated below the pelvic pain line? |
Top 3/4s by pelvic splanchnic nerve (S2-S4) Bottom 1/4, distal vagina by pudendal nerve |
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If you want to eliminate sensation in the entire uterus, what would you do? If its to cervix, what then? If to distal vagina, what then? |
A spinal block for entire anaesthesia of pelvis Caudal epidural for entire cervix Pudendal nerve block for distal vaginal block |