1,000ft View Women's Health, Puberty and Menopause Flashcards

1
Q

what is the vulva made up of

A

labia minora
labia majora
mons
clotoris
urethra
vestibular bulbs
bartholin glans
vaginal opening

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2
Q

what is the Mons

A

fatty mound anterior to the pubic bone
cushion during intercourse
secretes phermones

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3
Q

what does the labia protect

A

urethra and vaginal openings

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4
Q

what are the bartholin glands

A

under labia minora
secrete mucus (lubricant) into the vagina introitus

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5
Q

what innervates the bartholin glands

A

parasympathetic nervous system

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6
Q

what occurs during stimulation to the clitoris

A

dilation of arteries as results of release of acetylcholine and nitric oxide, tissue becomes erect

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7
Q

where does the vagina receive blood from

A

uterine arteries

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8
Q

what is the innervation of the vagina

A

sympathetic innervation deep perineal nerve off the pudendal nerve
afferent fibers to sensory ganglia at S2-S4

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9
Q

what is the fundus

A

upper part of the body of the uterus above the uterine ostia

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10
Q

what does the uterine isthmus lead into

A

the cevix

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11
Q

what is the typical presentation of the uterus

A

anteverted position laying over the ladder

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12
Q

what are the layers of the uterine wall

A

perimetrium
myometrium
endometrium

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13
Q

what is the perimetrium

A

outer aspect supported by layer of connective tissue

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14
Q

what is the myometrium

A

the smooth muscular layer, bulk of the uterus, where most of the nerve and blood vessels are located

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15
Q

what is the endometrium

A

layer involved in monthly menses

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16
Q

what does the round ligament support

A

uterus posterior-inferior

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17
Q

what is the broad ligament

A

2 layers that sandwhich the structures
-mesosalpinx
- mesovarium
-mesometrium

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18
Q

what attaches the uterus and ovary

A

ovarian ligament

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19
Q

what does the mesosalpinxsupport

A

the fallopian tube

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20
Q

what does the mesovarium support

A

the ovary

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21
Q

what does the mesometrium support

A

the uterus

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22
Q

what is the infundibulum

A

area within the peritoneal cavity that contain fimbriae to accept the ovary

23
Q

what is the Ampulla

A

largest aspect - area of fertilization within the fallopian tubes

24
Q

what is the isthmus

A

area where the wall of the fallopian wall is the thickest

25
Q

what do the ovaries contain

A

oocytes

26
Q

what is day 1 of your period

A

start of your cycle

27
Q

What is Meiosis

A

makes district gametes (diploid -> haploid)
four haloid daughter cells

28
Q

what is Mitosis

A

clones body cells (Diploid - > diploid)
one two daughter cells

29
Q

what is the ovum

A

mature egg (through oogenesis)

30
Q

what is follicle

A

sac containing unfertilized oocyte

31
Q

what is primordial follicle

A

primary oocyte with one layer of surrounding granulosa cells, stuck in phrophase 1

32
Q

what is primary follicle

A

advancing primordial stimulated by FSH with beefier granulosa cells

33
Q

what is secondary follicle

A

more granulosa cells that secrete follicular fluid

34
Q

where do the primordial ovum gather

A

in the ovarian stroma and will be surrounded by granulosa cells to become primordial follicle (primary oocyte)

35
Q

what provides the ovum with nutrients for development

A

granulosa cells

36
Q

what does the granulosa cell release

A

oocyte maturation inhibiting factor until ready to be acted upon by FSH and LH (puberty)

37
Q

how many ovum will reach primary follicle stage each month

A

6-12

38
Q

What is Theca

A

another layer of proliferating cells that will produce estrogen and progesterone as follicular fluid

39
Q

what occurs when granulosa cells proliferate

A

secondary follicle

40
Q

What is Atresia

A

the king primary follicle (largest) will be dominant and stop the progression of other follicles

41
Q

What is the Graafian follicle

A

sudden positive feedback mechanisms cause spike is LH butt not as much FSH
cause increase in proteases to cells around developed secondary oocyte - released with single layer of granulosa cell encasing it

42
Q

when does ovulation occur

A

14 days into cycle

43
Q

where does the sperm meet the egg

A

in the ampulla

44
Q

what occurs during the luteal phase

A

corpus luteum forms then degernates

45
Q

what is the corpus luteum

A

cells that remain after explusion of the ovum

46
Q

what stimulates the corpus luteum to produce progesterone* and estrogen

A

LH

47
Q

how long does the degredation of of the corpus luteum occur for

A

over 12 days - absorbed over several months

48
Q

what occurs with progesterone levels as the corpus luteum involutes

A

decreased production

49
Q

What occurs during the proliferative phase

A

menstration completed
estrogen increases, casues proliferation of stromal cells and epithelial cells
blood supply increases to endometrium - becomes 3-5mm thick

50
Q

What occurs during the secretory phase

A

estrogen and progesterone are being secreted by corpus luteum, primarily progesterone driven
glands increase - increased secretion
increased blood supply to endometrium - one week after ovulation, endometrial lining 5-6mm thick

51
Q

What does estrogen promote

A

development of follicle, secondary sexual characteristics

52
Q

what does progestins do

A

prep uterus for housing fetus, lactation

53
Q

what is estrogens effect on the kidneys

A

retention of sodium and water

54
Q

where is progesterone broken down

A

liver and release as bile or urine