SESSION 3 - Female Reproductive System
1. The normal description of the uterus is
(a) Retroflexed and anteverted
(b) Anteflexed and retroverted
(c) Anteflexed and anteverted
(d) Retroflexed and retroverted
2. Are the following statements true or false?
(a) The broad ligament does not enclose the Fallopian tube
(b) The ovary is suspended on the mesosalpinx
(c) The lateral edges of the broad ligament become the suspensory
ligaments of the ovary
(d) During pregnancy the uterus is no longer covered in peritoneum
3. Apart from the uterine artery from the internal iliac, which other artery
contributes to the blood supply of the uterus and where does it originate?
4. At hysterectomy the ureter is at risk. What is its relationship to the uterine
artery?
5. Name three ligaments (condensations of fascia) that support the uterus at the
level of the cervix. Of these three which is the most effective?
6. What structures run in the suspensory ligament of the ovary?
7. What is the embryological relationship of the ligament of the ovary to the
round ligament of the uterus?
8. Are the ovaries, hanging on their fold of broad ligament, on the anterior or
posterior side of it?
9. Why could it be said that the ovaries are the only true intraperitoneal organs in
the abdomen?
10. What is the lymphatic drainage of the distal end of the round ligament of the
uterus? Could this have clinical implications?
11. In severe prolapse the uterus slips downwards through the pelvic floor hiatus.
Which structures could be dragged with it and obstruct to the serious
disadvantage of the patient?
12. What structure that is a lateral relation to the ovary could be involved in
ovarian disease causing pain down the inside of the thigh?
13. What is a tubal pregnancy and how does it happen?
14. To where is the primary lymphatic drainage of the ovaries?
15. Why is ovarian pain felt in the peri-umbilical region? What nerves carry such
sensation?
16. If the Fallopian tubes are within the upper broad ligament, how is it that the
fimbria are so readily available to catch the ova that are discharged from the
ovary?
17. Is it true that there is direct communication from outside the body to the
peritoneal cavity via the female genital tract?
18. What are the anterior relations of the anterior vaginal wall?
19. The vagina is lined by epithelium that is
(a) Stratified squamous
(b) Low columnar
(c) Ciliated columnar
(d) Pseudostratified ciliated columnar
20. Which fornix of the vagina
(a) Is the largest
(b) Has peritoneum on its intra-abdominal surface
(c) Has the ureter in close approximation
21. What is the most likely outcome of an unrecognised forniceal perforation?