Podcast
Questions and Answers
Which of the following describes the shape of the ovary?
Which of the following describes the shape of the ovary?
The posterior border of the ovary is attached to the broad ligament.
The posterior border of the ovary is attached to the broad ligament.
False
What extends laterally from the tubal end of the ovary to the pelvis wall?
What extends laterally from the tubal end of the ovary to the pelvis wall?
Suspensory ligament of the ovary
The ovarian artery descends on the __________, ureter, and external iliac vessels.
The ovarian artery descends on the __________, ureter, and external iliac vessels.
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Match the following structures with their respective functions:
Match the following structures with their respective functions:
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What is the size of the ovary?
What is the size of the ovary?
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The right ovarian vein drains directly into the left renal vein.
The right ovarian vein drains directly into the left renal vein.
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Which anatomical structure is supplied by the uterine artery?
Which anatomical structure is supplied by the uterine artery?
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The posterior fornix is the shallowest part of the vaginal fornices.
The posterior fornix is the shallowest part of the vaginal fornices.
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What is the direction of the vagina in relation to the uterus?
What is the direction of the vagina in relation to the uterus?
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The veins draining the uterus form two venous plexuses along its lateral borders, which are drained by a pair of _______ veins.
The veins draining the uterus form two venous plexuses along its lateral borders, which are drained by a pair of _______ veins.
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Match the parts of the uterus with their lymphatic drainage.
Match the parts of the uterus with their lymphatic drainage.
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What is the primary site of fertilization in the fallopian tube?
What is the primary site of fertilization in the fallopian tube?
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The fallopian tube is 15 cm long.
The fallopian tube is 15 cm long.
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What is the shape of the uterus?
What is the shape of the uterus?
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The ___________ is the part of the uterus that is completely covered by peritoneum.
The ___________ is the part of the uterus that is completely covered by peritoneum.
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Match the following parts of the fallopian tube with their characteristics:
Match the following parts of the fallopian tube with their characteristics:
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What is the arterial supply to the medial two-thirds of the fallopian tube?
What is the arterial supply to the medial two-thirds of the fallopian tube?
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The isthmus of the uterus is considered the widest part.
The isthmus of the uterus is considered the widest part.
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Where does the infundibulum of the fallopian tube open?
Where does the infundibulum of the fallopian tube open?
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The cervix of the uterus is divided into the supravaginal and __________ parts.
The cervix of the uterus is divided into the supravaginal and __________ parts.
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Which ligament is located in front of the Fallopian tube?
Which ligament is located in front of the Fallopian tube?
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The cervix is covered by peritoneum anteriorly and posteriorly.
The cervix is covered by peritoneum anteriorly and posteriorly.
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What is the angle formed between the longitudinal axis of the body and the longitudinal axis of the cervix in an anteflexed uterus?
What is the angle formed between the longitudinal axis of the body and the longitudinal axis of the cervix in an anteflexed uterus?
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The broad ligament is a ___________-layered fold of peritoneum extending from the uterus to the side wall of the pelvis.
The broad ligament is a ___________-layered fold of peritoneum extending from the uterus to the side wall of the pelvis.
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Match the following ligaments with their correct descriptions:
Match the following ligaments with their correct descriptions:
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Which structure is NOT related to the cervix's supra-vaginal part?
Which structure is NOT related to the cervix's supra-vaginal part?
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The pelvic diaphragm does not support the position of the uterus.
The pelvic diaphragm does not support the position of the uterus.
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What is the space formed between the peritoneum reflected anteriorly from the uterus?
What is the space formed between the peritoneum reflected anteriorly from the uterus?
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The _________ ligament is a fibromuscular cord connecting the uterine end of the ovary to the uterus.
The _________ ligament is a fibromuscular cord connecting the uterine end of the ovary to the uterus.
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Which structure ascends along the lateral borders of the uterus?
Which structure ascends along the lateral borders of the uterus?
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Which part of the broad ligament connects the ovary to the upper layer of the broad ligament?
Which part of the broad ligament connects the ovary to the upper layer of the broad ligament?
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The upper border of the broad ligament is posteriorly attached to the pelvic floor.
The upper border of the broad ligament is posteriorly attached to the pelvic floor.
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What nerves are transmitted through the suspensory ligament of the ovary?
What nerves are transmitted through the suspensory ligament of the ovary?
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The broad ligament divides the cavity of the lesser pelvis into _____ and _____ compartments.
The broad ligament divides the cavity of the lesser pelvis into _____ and _____ compartments.
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Match the parts of the broad ligament with their descriptions:
Match the parts of the broad ligament with their descriptions:
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Which of the following is NOT a component of the broad ligament?
Which of the following is NOT a component of the broad ligament?
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The uterine artery runs along the lower border of the broad ligament.
The uterine artery runs along the lower border of the broad ligament.
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What constitutes the anterior compartment of the broad ligament?
What constitutes the anterior compartment of the broad ligament?
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The _____ surface of the broad ligament is related to the coils of the small intestine.
The _____ surface of the broad ligament is related to the coils of the small intestine.
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Which artery is located in the root of the broad ligament and runs along the medial border?
Which artery is located in the root of the broad ligament and runs along the medial border?
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Study Notes
The Female Genital System
- The lecture was presented by Dr. Samar M Abd El-Moneam, a lecturer of human anatomy.
- The lecture was recorded.
- Students should know the external and internal genitalia by the end of the lecture.
External Genitalia
- Mons pubis: An elevation of skin over the symphysis pubis, with a thick pad of fat.
- Labia majora: Folds of skin with underlying fat pads, uniting anteriorly to form the mons pubis.
- Labia minora: Thin folds of skin medial to the labia majora, enclosing the vestibule of the vagina and the urethral opening.
- Clitoris: A small erectile structure located at the anterior margin of the vestibule of the vagina.
Internal Genitalia
- Ovaries: Produce oocytes, estrogen, and progesterone.
- Uterine tubes: Carry fertilized oocytes to the uterine cavity.
- Uterus: Houses the growing fetus.
- Vagina: Involved in intercourse and fetal delivery.
Ovary
- Site: Paired structure in the side wall of the pelvis, within the ovarian fossa, completely covered with peritoneum.
- Size: 3x2x1 cm.
- Shape: Almond-shaped.
- Ends: Upper (tubal) and lower (uterine).
- Upper (tubal) end: Directed upwards and laterally, attached to the ovarian fimbria of the fallopian tube and suspensory (infundibulo-pelvic) ligament.
- Lower (uterine) end: Directed downwards and medially, attached to the upper lateral angle of the uterus by the ligament of the ovary.
- Surfaces: Lateral and medial.
- Lateral surface: Related to the parietal peritoneum of the lateral pelvic wall and obturator nerve and vessels.
- Medial surface: Related to the fimbriated end of the fallopian tube.
- Borders: Posterior and anterior.
- Anterior border: Attached to the upper lateral part of the broad ligament, where the mesovarium transmits the ovarian vessels and nerves.
- Ovarian fossa: Inferior to the external iliac vessels; posterior to the ureter and internal iliac vessels.
Broad Ligament
- A double-layered fold of peritoneum extending from the side of the uterus to the side wall of the pelvis.
- Divides the lesser pelvis into anterior (bladder) and posterior (rectum, coils of ileum) compartments.
- It has two surfaces:
- Lower (vesical) surface: downwards & forwards, related to the bladder
- Upper (intestinal) surface: upwards & backwards, related to coils of small intestine.
- It contains the mesovarium, which transmits ovarian nerve and vessels to the ovary.
Fallopian Tubes
- Site: Located in the medial 4/5 of the upper free border of the broad ligament, extending from the superior angle of the uterus to the ovary on the side wall of the pelvis
- Length: 10 cm.
- Course: Runs upwards laterally from the uterus to the side of the pelvis; Curves backwards, piercing the upper layer of the broad ligament: ends on the medial surface of the ovary at the infundibulum.
Uterus
- Shape: Pear-shaped, hollow, thick-walled muscular organ.
- Size: 3 inches x 2 inches x 1 inch.
- Divided into three parts: Fundus, body, cervix
- Fundus: The top portion above the level of the uterine tubes, without a cavity.
- Body: Part of uterus from the level of the uterine tube to the isthmus. The cavity of the uterus, triangular and freely movable between broad ligament layers.
- Isthmus: Slight constriction between the body and the cervix.
- Cervix: The part below the isthmus, cavity is fusiform; divided into supravaginal and vaginal parts.
Uterine (Intra-mural) Part
- The shortest, and narrowest part, passing through the wall of the superolateral of the uterus to open into the uterine cavity.
- Isthmus: It is 2 cm, long, rounded, narrow, and thick-walled
- Ampulla: The longest (5cm), thin-walled, tortuous, and widest part, the site of fertilization
- The Infundibulum (fimbriated end): 2 cm funnel-shaped, opening into the peritoneal cavity near the ovary
Vagina
- Site: Fibromuscular tube between the cervix and vestibule.
- Size: 2.5 cm diameter.
- Direction: It is directed upwards and backwards, forming a right angle with the uterus.
- Fornices: Four pouches formed by the upper part of the vagina around the vaginal part of the cervix (2 lateral, 1 anterior, and 1 posterior).
Ureter
- Located in pelvic wall, 2 cm lateral to the cervix.
Ligaments of the Uterus
- Supporting factors of the uterus include pelvic diaphragm, urogenital diaphragm, perineal body, ligaments of the body, ligaments of the cervix.
- Ligaments of the body: Round ligament of uterus, ovarian ligament, broad ligament.
- Ligaments of the cervix: Pubocervical ligament, uterosacral ligament, lateral cervical ligament.
Vascular Supply
- Arterial supply: The uterine artery, a branch of the internal iliac artery, is the major supplier. Uterine artery ascends through the broad ligament, and turns laterally. Branches of the ovarian artery anastomose with some branches of the uterine artery. Branches of the internal iliac artery (e.g. vaginal arteries) supply the vagina.
- Venous drainage: Veins accompanying the arteries drain into the internal iliac vein, forming plexuses along the lateral borders of the uterus.
- Lymphatic and nerve supply: For each region, the anatomical pathways and regions have been noted and summarized
Additional Information
- Embryological remnants: epioophoron, paraoophoron.
- Connective tissue : parametrium.
- Lymphatics and lymph nodes (L.Ns.)
- The lecture also mentioned the relationships between the different parts and organs of the female pelvis region (internal and external structures)
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Description
This quiz covers key aspects of the anatomy of the female reproductive system, focusing on the ovary, uterus, and associated structures. Topics include the shape, size, and functions of various reproductive organs. Test your knowledge about their anatomical relationships and blood supply.