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Flashcards in More pelvis Deck (90)
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0
Q

2 cell stage - how many hours after fertilization?

A

30 hrs

1
Q

At what stage does the embryo implant?

A

Blastocyst

2
Q

Morula - how long after fertilization?

A

3 days

3
Q

Blastocyst - how long after fertilization?

A

5 days

4
Q

Oophorectomy - where are the ovarian vessels and ureters?

A

Each ureter is medial to ovarian vessels within the suspensory ligament of the ovary

5
Q

Hysterectomy - where are the vessels and ureter?

A

Passing inferiorly to uterine vessels or adjacent to the transverse cervical ligament

6
Q

Version

A

Uterus and vagina

7
Q

Flexion

A

Body of uterus and cervix

8
Q

Parts of stratum functionalis

A

Stratum compactum and stratum spongiosum

9
Q

Cells are arrested at various stages of oogenesis. This follicle is classified as ?

A

Primary follicle

10
Q

Chromosome count of normal sperm

A

22x or 22y

11
Q

Origin of ovarian arteries

A

Aorta

12
Q

Drainage of R ovarian vein

A

IVC

13
Q

Drainage of L ovarian vein

A

L renal vein

14
Q

Divides genitourinary and anal triangles

A

Line between two ischial tuberosities

8cm

15
Q

Ischiorectal fossa infection. Which is likely injured?

A

Inferior rectal nerve

  • it is inside the ischiorectal fossa
16
Q

Lateral border of ischiorectal fossa

A

Obturator internus

17
Q

Manifestation of pudendal nerve injury

A

Weakness of voluntary muscle sphincter

18
Q

Landmark for pudendal nerve block

A

Ischial spine

19
Q

Weakness of voluntary sphincter - what nerve injured?

A

Pudendal nerve

20
Q

Strongest support of pelvic viscera

A

Levator Ani

21
Q

Mass in anterior vaginal wall

A

Cystocele

22
Q

Mass in posterior vaginal wall

A

Rectocele

23
Q

Compressed common iliac arteries - will not affect what artery?

A

Testicular a - from abdominal aorta

24
Q

What part of the prostate is palpable during DRE

A

Posterior

25
Q

Part enlarged in BPH

A

Periurethral

26
Q

Part enlarged in prostatic adenoCA

A

Peripheral

27
Q

Lymphatic drainage of prostatic CA

A

Obturator - perivesicular - hypogastric - iliac - paraaortic

28
Q

Prostate CA mets

A

Lumbar vertebra

29
Q

Finasteride MOA

A

5 alpha reductase inhibitor

30
Q

Alkalinity of semen comes from?

A

Prostate glans

31
Q

Sperm formation

A

Seminiferous tubules

32
Q

Sperm motility

A

Epididymis

33
Q

Sperm storage

A

Vas deferens

34
Q

Products of seminal vesicle

A

Fructose

Prostaglandin

35
Q

Supplies mucus to semen

A

Bulbourethral/ Cowper’s glands

36
Q

Normal semen pH

A

7.5

37
Q

Normal vaginal pH

A

3.5-4

38
Q

Determines gonadal sex

A

TDF

39
Q

Induces masculine differentiation of mesonephric duct

A

Testosterone

40
Q

Vestigial remnants of cortex of indifferent gonads in males develop into the?

A

Rete testis

41
Q

Urogenital sinus - cranial vesical derivatives?

A

Urinary bladder

42
Q

UG sinus - middle pelvic derivatives ?

A

Urethra (prostatic, membranous)

Lower vagina

43
Q

UG sinus - caudal phallic derivatives?

A

Genital tubercle

44
Q

To incise testicular parenchyma, one must incise?

A

Tunica albuginea

45
Q

Testicular CA - first nodes involved?

A

Lumbar

46
Q

Most likely location of cryptorchid testes

A

Within inguinal canal

47
Q

When do the testes descend?

A

26-28 wks

48
Q

Hypospadia

A

Ventral

49
Q

Epidpadia

A

Dorsal

50
Q

Nerve root of cremasteric reflex

A

L1

51
Q

Sensory inn of cremasteric reflex

A

Femoral of genitofemoral

52
Q

Motor inn of cremasteric reflex

A

Genital of genito femoral

53
Q

Ovarian and testicular arteries branch from abdominal aorta at what level?

A

L2

54
Q

Epispadia - what failed to fuse?

A

Spongy urethra

55
Q

Hypospadia - what failed to fuse?

A

Urethral folds

56
Q

Lumbar puncture - level? Structures?

A

SSSILED

L3-L4 or L4- L5

57
Q

Termination of spinal cord in adults and kids

A

Adult - L1 lower, L2 upper

Pedia - L3

58
Q

Nerve root involved - sensation of pain on lateral thigh, worsens with sitting and coughing

A

L4, L5

59
Q

Pain on pelvic wall - what spinal nerves?

A

Obturator nerve (L2,3,4)

60
Q

With guarding and rebound tenderness, what is inflamed?

A

Parietal peritoneum

61
Q

Colic is a form of what pain?

A

Visceral pain

62
Q

Main function of the bony pelvis

A

Transmit the weight of the body from the vertebral column to the femurs

63
Q

Lateral border of the pelvis

A

Iliopectineal line

64
Q

Posterior boundary of pelvic inlet

A

Sacral promontory (anterior and upper margin of S1)

65
Q

Posterior boundary of the pelvic outlet

A

Coccyx

66
Q

What convert the greater and lesser sciatic notches into Foramen?

A

Sacrotuberus ligament

Sacrospinous ligament

67
Q

Nerves that enter the lesser Sciatic Foramen

A

Pudendal nerve

Internal pudendal vessels

68
Q

Lateral border of the pelvic outlet

A

Ischial tuberosities

69
Q

Anterior part of the hip bone

A

Pubis

70
Q

Nerve supply of levator ani

A

4th sacral nerve

Pudendal nerve

71
Q

Insertion of piriformis and obturator internus

A

Greater trochanter of femur

72
Q

Lateral rotators of femur at hip joint

A

Piriformis

Obturator internus

73
Q

Sacral plexus lies in front of what muscle?

A

Piriformis

74
Q

Lumbosacral trunk

A

L4 and L5

75
Q

Largest branch of sacral plexus

A

Sciatic nerve (L4, L5, S1,2,3)

76
Q

Nerve supply to tensor fascia lata

A

Superior gluteal nerve

77
Q

Nerve supply to skin of buttocks

A

Posterior cutaneous nerve of thigh

78
Q

Pudendal nerve roots

A

S2, S3, S4

79
Q

Obturator nerve roots

A

L2, L3, L4

80
Q

Branches of external iliac artery

A

Inferior epigastric

Deep circumflex iliac

81
Q

External iliac in relation to femoral artery

A

It leaves the false pelvis by passing under the inguinal ligament to become the femoral artery

82
Q

Blood supply to prostate and seminal vesicles

A

Inferior vesical

83
Q

Blood supply to vas deferens

A

Inferior vesical

84
Q

Blood vessel to anal canal and skin and muscles of perineum

A

Internal pudendal

85
Q

Blood supply to vagina

A

Vaginal artery from internal iliac

86
Q

Does the testicular artery enter the pelvis?

A

No. It enters the inguinal canal

87
Q

Origin of ovarian arteries? Vertebral level?

A

Abdominal aorta - L1

88
Q

Continuation of the femoral vein

A

External iliac vein

89
Q

Branches of pudendal nerve

A

Dorsal nerve of penis/ clitoris
Peroneal
Inferior rectal