1 Flashcards
Cyclic uterine bleeding of endometrial layer
Menstrual cycle
If you bleed today, today is your______ and yesterday is the ______ day of your previous menstrual cycle.
a. First day; last day
b. Last Day; first day
c. Ovulation Day; Estrogenic Day
d. Birthday; Bleed
a. First day; last day
Gonadotropin releasing hormone (GnRH) is made and released by Hypothalamus
True or False
True
Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) are released by Posterior Pituitary Gland.
True or False
False
Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) is released by ANTERIOR Pituitary Gland.
Estrogen and Progesterone are secreted by Ovary
True or False
True
The average menstrual cycle is which of the following?
a. 25 days
b. 28 days
c. 31 days
d. None of the above
b. 28 days
Menstrual period lasts for 5-6 days with Max of 7 days and min of 2 days.
True of False
True
The average amount of menstrual blood loss is 1/4 cup or ___________.
a. 40-50 mL
b. 50-60 mL
c. 60-70 mL
d. None of the above
b. 50-60 mL
Day 1-6 of the menstrual cycle is considered the menstrual phase in which endometrial bleeding happens. In this phase estrogen, and progesterone are________?
a. Both high
b. Both low
c. Inversely proportional
b. Both low
Always remember, ang starting point ng menstrual cycle is too low estrogen and progesterone.
Day 7-14 is the post-menstrual phase, also called
a. Preovulatory Phase
b. Proliferative Phase
c. Estrogenic Phase
d. All of the above
d. All of the above
Preovulatory Phase - because ovulation happens on day 14
Proliferative - idk
Estrogenic Phase - because ↑Estrogen ↓ Progesterone
Day 15 to 26 is the Progestational Phase, also called
a. Post-ovulatory Phase
b. Premenstrual Phase
c. Secretory Phase
d. All of the above
d. All of the above
Post-ovulatory Phase - because she just ovulated on day 14
Premenstrual Phase - because after the ischemic phase (the phase next to this) is the menstrual phase (the beginnng of the menstrual cycle)beginning
c. Secretory Phase - idk
Day 15 to 26 is the Progestational Phase, in this phase, the endometrium is twisted, spongy, and tortuous, and the progesterone is______.
a. At its lowest
b. High
c. moderate
b. High
progesterone is high
because progesterone is “pro” gestation, the uterus is prepared for implantation, hence spongy.
amazing body!
Day 27 to 28 is the Ischemic phase in which the endometrium is vasoconstricted, spiral arteries, twisted arteries. Esrogen and progesterone are_____________.
a. At its lowest
b. High
c. moderate
d. low
d. low
Napaay, because there was no implantation nag constrict tuloy, not lowest because Day 1-6 is the lowest.
During day three of the menstrual cycle, low estrogen levels trigger the hypothalamus to secrete __________, which triggers the APG to release ________.
a. Gonadotrophin-releasing hormone (GnRH), follicle-stimulating hormone (FSH)
b. GnRH, Luteinizing hormone (LH)
a. Gonadotrophin-releasing hormone (GnRH), follicle-stimulating hormone (FSH)
Remember, this is the beginning of the menstrual cycle, and GnRH is the starting line. GoNa!dotrophin hormone
Once it is triggered, domino effect na yan.
The first hormone to be triggered by GnRH to be released is FSH, NOT LH.
FSH does two things
1. Stimulate maturation of follicle (delay of this is the reason behind delayed menstruation)
2. Stimulate ovary to produce
Estrogen (kasi mababa, remember negative feedback mechanism?
Recall: kung ano ang mababa ay itataas, at kung ano ang mataas ay ibababa.
Kaya sa next phase day 7-14 post menstrual phase, mataas na si estrogen because of this negative feedback mechanism)
On day 12 or 13, estrogen is high, and progesterone is low.
High estrogen causes:
a. (+) spinnbarkeit
b. Triggers hypothalamus to release GnRH
c. None of the above
d. Both A and B
d. Both A and B
Estrogen > Spinnbarkeit
High estrogen levels trigger Hypothalamus to release GnRH, THIS TIME to release Luteinizing hormone»_space; high progesterone level.
By this time, both estrogen and progesterone are high.
Recall!
Low estrogen > Hypothalamus > GnRH > APG > FSH > mature follicle & high estrogen
then
High estrogen > hypothalamus > GnRH > APG > LH > rapture of graafian follicle and high progesterone > ovulation
hence estrogen and progesterone are high during ovulation
Day 14 is the ovulation day, both estrogen and progesterone are high, hence, the client may manifest the following: (SATA)
a. .3-.6 C increase of basal body temperature
b. (+) spinnbarkeit
c. (+) Chadwick’s sign
d. (+) Goodell’s sign
e. (+) Hagar’s Sign
a. .3-.6 C increase of basal body temperature
b. (+) spinnbarkeit
these are for pregnant woman starts at 6 weeks
c. (+) Chadwick’s sign - Softening of lower uterine segment
d. (+) Goodell’s sign - progressive softening of the
cervix
e. (+) Hagar’s Sign - bluish discoloration of vaginal
cervix, vulva and perineum
How to check for BBT?
a. Daily morning upon awakening or at least 4 hours of continued sleep.
b. Every nigh before sleeping.
c. Every afternoon before eating lunch.
a. Daily morning upon awakening or at least 4 hours of continued sleep.
rationale: basta
Signs of fertility include the following, which is not?
a. (+) ↑BBT
b. (+) spinnbarkeit
c. (+) mittleschmurz (Pain on LLA/RLA)
d. all of the above
e. none of the above
e. none of the above, because all of them are signs of fertility sabi ni sir Chokee
Irregularities in menstrual cycle is the due to FSH because: delay in maturation (FSH) causes delay in ovulation (LH).
True or False
True
Fertile days include ______.
a. 5 days before ovulation and 3 days after ovulation
b. 3 days before ovulation and 5 days after ovulation
a. 5 days before ovulation and 3 days after ovulation
FIVE DAYS BEFORE
THREE DAYS AFTER
mauuna ang F sa T
Ovum survives for 24-48 hrs (1-2days)
Sperm survives for 48-72 hrs (2-3days)
True or False
True
Longer survival time kay sperm kasi galing pa siya sa ibang planeta.
All of the following are true, except one.
a. Minimum sperm count 20M/mL
b. When about to do Sperm count, dont masturbate/ejaculate at least 3 days.
c. Vagina normal pH: 4-6pH
d. If a couple is infertile, check the woman’s problem first.
d. If a couple is infertile, check the woman’s problem first.
Male muna, male mauuna because
the test is simple (sperm count)
compared to that of female.
Gynosperm is a type of sperm characterized by: SATA
a. Female
b. Male
c. X
d. Y
e. Acid resistant
f. Dies is acidic environment
g. Slow-moving
h. Long-lived
i. Fast-moving
j. Short-lived
a. Female (Gyno “OBGyne”) baby girl
c. X
e. Acid resistant
g. Slow-moving
h. long-lived
Kahit slow-moving, acid resistant at long-lived naman.
Some ladies are slow-moving, tagal mag prepare.
Androsperm is a type of sperm characterized by: SATA
a. Female
b. Male
c. X
d. Y
e. Acid resistant
f. Dies in an acidic environment
g. Slow-moving
h. Long-lived
i. Fast-moving
j. Short-lived
b. Male (Baby boy Andrew)
d. Y (Yow! Baby boY)
f. Dies in acidic environment
i. Fast-moving
j. Short-lived
Senstive sa acidic, eh acidic ang vagina, kaya bibilisan nila para hindi sila mamatay sa entrance.
All of the following are true about irregular Cycle: Fertile Days Computation, except:
a. Chart the cycle days for 6-8
consecutive months.
b. Determine the shortest cycle.
c. Determine the longest cycle.
d. Shortest subtract 18 days
e. Longest subtract 11 days
f. Result: Unfertile Days
f. Result: Unfertile Days
the result is Fertile Days, hence the title
The raptured graafian becomes yellow body called Corpus Luteum
True or False
True
All of the following are true prior to ovulation:
↑ Estrogen > (+) Spinnbarkeit
↓Progesterone > ↓BBT
True or false
True
if both estrogen and progesterone are high, meaning ovulation na.
All of the following are true duing ovulation.
↑ Estrogen > (+) Spinnbarkein
↑Progesterone > ↓BBT
True or False
False
↑Progesterone > ↑ .3-.6C of BBT
After Ovulation
↓ Estrogen > (-) Spinnbarkeit
↑Progesterone > ↑BBT
True or False
True
mag drop na si estrogen, then if no implantation or fertilization, sunod mag drop na rin si progesterone kaya both hormones are low during ischemic phase (phase before menstrual period).
