Chapter 41 fill in blank wrkbk

Transvaginal

A ________ examination is performed with an empty bladder and allows the use of a higher frequency transducer, typically 7.5 to 10 MHz

Vagina

A collapsed muscular tube that extends from the external genitalia to the cervix of uterus is the

Retzius

An additional sonsgraphically significant area is the retropubic space, which is also called the space of ______

Obturator internus

Anterior lateral walls of the pelvis cavity are formed by the hip bones and the _______ muscles that rim the isschium and pubis

Cornua

At the lateral borders of the uterine fundus are the ______, where the fallopian tubes enter the uterine cavity

Luteal

Cells in the lining of the ruptured ovarian follicle begin to multiply and create the corpus luteum, or yellow body, during the ______ phase

Ovum

During the menarchal years, a________ is released once a month by one of the two ovaries in a process known as ovulation

14

Ovulation normally occurs midcycle on about day _______ of a 28 day cycle

FSH

Secretion of the ________ by the anterior pituitary gland causes the ovarian follicles to develop during the first half of the menstrual cycle

Labia, majora, minora

The _______ are folds of skin at the opening of the vagina; the labia ______ in the thicker external folds, and the _______ consists of thin Folds the skin between the labia majora

Radial

The _______ arteries extend through the myometrium to the base of the endometrium, where straight and spiral arteries branch of the radial arteries to supply the zona basalis of the endometrium

Spiral

The _______ arteries will lengthen during regeneration of the endometrium after menses to traverse the endometrium and supply the zona functionalis

Innominate, sacrum, coccygeus

The _______ bones make up the anterior and lateral margins of the bony pelvis; the _______ and _______ form the posterior wall

Luteinizing

The _______ hormone level will typically increase rapidly 24 to 36 hours before ovulation in a process known as the LH surge

Internal

The _______ iliac arteries extend into the pelvic cavity along the posterior wall and provide multiple branches that perfuse the pelvic structures to include the urinary bladder, uterus, vagina, and rectum

Fallopian tubes

The _________ are contained in the upper margin of the broad ligament and extend from the uterine cornua of the uterus laterally where the curve the ovary

infundibulum

The _________ is often referred to as the fimbriated end of the fallopian tube because it contains finger like extensions, called fimbriae, which move over the ovary redirecting the ovum into the fallopian tube after ovulation

Vesicuterine

The anterior cul-de-sac, or ___________ pouch, is located anterior to the fundus of the uterus between the urinary bladder and the uterus

Transabdominal

The approach that requires a full urinary bladder for use as an "acoustic window" and typically necessitates the use of a 3.5 to 5 MHz transducer for adequate penetration is the ________ approach

Perineum

The area below the pelvic floor is the

28

The average menstrual cycle is approximately ________ Days Inn way, beginning with the first day of menstrual bleeding.

Antiverted, anteflexed

The average uterine position is considered to be______ and _______

Medulla

The central__________ is composed of connective tissue containing blood, nerves, lymphatic vessels, and some smooth muscle as a region of the hilum

Internal, external

The cervix is constricted at its upper end by the ______ os and at its lower end by the _____ os

Posterior , anterior

The cervix lies ______ to the urinary bladder and urethra and _______ to the rectum and anus

Iliac

The common ________ arteries course anterior and medial to the psoas muscle, providing blood to the pelvic cavity and lower extremities.

Tunica albuginea

The cortex of the ovary consists primarily of follicles in varying stages of development and is covered by a layer of dense connective tissue, the __________

Secretory

The endometrial phase after ovulation is referred to as the _________ phase and extends from approximately day 15 the onset of menses (day 28). The secretory phase of the endometrial cycle corresponds to the luteal phase of the ovarian cycle

Functionalis

The endometrium consists primarily of two layers the superficial functional layer(zona _______), and the deep basal layer ( zona basalis)

Infundebulum, ampulla, isthmus, interstitial

The fallopian tubes are divided into four anatomic portions: the _______ (lateral segment), ______ (middle segment), _______, and _______ portion (segment that passes through the uterine cornua)

Ovulation

The greatest quantity of free fluid in the cul de sac normally occurs immediately following ________ when the mature follicle ruptures

Uterus

The largest organ in the normal female pelvis when the urinary bladder is empty is the

Levator ani, coccygeus

The lower margin of the pelvic cavity, the public floor is formed by the ________ and ________ muscles and is known as the pelvic diaphragm

piriformis, coccygeus

The margins of the poster lateral wall of the true pelvis are formed by the ________ and ______ muscles

Hypothalamus

The menstrual cycle is regulated by the _______ and it depended upon the cyclic release of estrogen and progesterone from the ovaries

Psoas, iliacus

The muscles of the false pelvis include the______ major and ______ muscles

Puborectalis

The muscles that arise from the lower part of the pubic symphysis and surround the lower part of the rectum, forming a sling are the _____ muscles

Medial, anterior

The ovaries are usually located _____ to the external Illiac vessels and ______ to the internal iliac vessels and ureter

Estrogen, progesterone

The ovaries produce reproductive cells, the ovum, and to known hormones: ________, secreted by the follicles, and _________, secreted by the corpus luteum.

Proliferative

The phase of endometrial regeneration is called the _______ phase and will last until Luteinization of the graafian follicle around ovulation

Isthmus

The point where the uterus bends anterior ly (anteversion) or posterior ly (retroversion) with an empty bladder is

Rectouterine

The posterior cul de sac, or ________ pouch, is located posterior to the uterus between the uterus and the rectum

Douglas

The rectouterine pouch is often referred to as the pouch of_______ and is normally the most inferior and most posterior region of the peritoneal cavity

Anterior

The retropubic space normally can be identified between the ________ bladder wall and pubic symphysis

Posterior

The retropubic space normally contains subcutaneous fat, but A hematoma or abscess in this location may displace the urinary bladder ________

Wide

The transabdominal can offer a _______ field of view for a general screening of the pelvic anatomy

Broad, round, uterosacral, cardinal

The uterus is supported in its midline position by paired ______ ligaments, _______, ligaments, _______ ligaments, and ________ ligaments

Myometrium, endometrium, perimetrium

Uterine wall consists of three histologix layers: the _______, the _____, and the _______€

Full

When a transabdominal scanning technique is used, a _______ urinary bladder is essential.