8. Female Reproductive System Flashcards

1
Q

FSH

A
  • produced at pituitary gland
  • targets ovary
  • stimulates maturation of the ovum
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2
Q

LH

A
  • produced in pituitary gland
  • targets ovary
  • stimulates ovulation
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3
Q

estrogen

A
  • produced in ovary & placenta (during pregnancy)
  • targets uterus
  • builds up the endometrial lining
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4
Q

progesterone

A
  • produced in ovary (corpus luteum) & placenta during pregnancy
  • targets uterus
  • sustains uterine lining and placenta during pregnancy
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5
Q

hCG

A
  • produced in placenta
  • targets ovary (corpus luteum)
  • sustains pregnancy
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6
Q

adnexa uteri

A

-fallopian tubes, ovaries, and supporting ligaments

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7
Q

amnion

A

innermost membraneous sac surrounding the developing fetus

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8
Q

areola

A

-dark pigmented area surrounding the breast nipple

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9
Q

bartholin glands

A

-small mucus-secreting exocrine glands at the vaginal orifice (opening to outside of the body)

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10
Q

cervix

A

-lower, neck-like portion of the uterus

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11
Q

chorion

A

outermost layer of the two membranes surrounding the embryo

-it forms the fetal part of the placenta

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12
Q

clitoris

A

-organ of sensitive erectile tissue anterior to the opening of the female urethra

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13
Q

coitus

A
  • sexual intercourse

- copulation

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14
Q

corpus luteum

A
  • empty ovarian follicle that secretes progesterone after release of the egg cell
  • literally means yellow (luteum) body (corpus)
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15
Q

cul-de-sac

A
  • region in the lower abdomen, midway, between the rectum and the uterus
  • indicates activity in the pelvic cavity
  • this is where things are observed (tests)
  • culdocentesis- make sure if there is an ovarian cyst rupture -> examine fluid
  • between anus and uterus
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16
Q

embryo

A

stage in prenatal development from 2 to 8 weeks

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17
Q

endometrium

A

-inner, mucous membrane lining of the uterus

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18
Q

estrogen

A
  • hormone produced by the ovaries

- promotes female secondary sex characteristics

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19
Q

fallopian tube

A
  • one of a pair of ducts through which the ovum travels to the uterus
  • also called an oviduct
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20
Q

fertilization

A

-union of the sperm cell and ovum from which the embryo develops

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21
Q

fetus

A

-stage in prenatal development from 8 to 39 or 40 weeks

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22
Q

fimbriae

A

finger or fringe like projections at the end of the fallopian tubes

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23
Q

follicle stimulating hormone (FSH)

A

-secreted by the pituitary gland to stimulate maturation of the egg cell (ovum)

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24
Q

gamete

A
  • male or female sexual reproductive cell

- sperm cell or ovum

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25
genitalia
reproductive organs | -aka genitals
26
gestation
- period from fertilization of the ovum to birth | - gestational- pertaining to pregnancy
27
gonad
- female or male reproductive organ that produces sex cell hormones - ovary or testis
28
gynecology
-study of the female reproductive organs including the breasts
29
human chorionic gonadotropin (hCG)
-hormone produced by the placenta to sustain pregnancy by stimulating (-tropin) that ovaries to produce estrogen and progesterone
30
hymen
-mucous membrane partially or completely covering the opening to the vagina
31
labia
- lips of the vagina - labia majora are the larger, outmost lips - and labia minora are the smaller innermost lips
32
lactiferous ducts
-tubes that carry milk within the breast
33
luteinizing hormone (LH)
secreted by the pituitary gland to promote ovulation
34
mammary papilla
- nipple of the breast | - papilla is any small nipple shaped projection
35
menarche
-beginning of the first menstrual period and ability to reproduce
36
menstruation
- monthly shedding of the uterine lining | - the flow of blood and tissue normally discharged during menstruation is celled the menses
37
myometrium
-muscle layer of the uterus
38
neonatology
-branch of medicine that studies the disorders and care of the newborn (neonate)
39
obstetrics
-branch of medicine concerned with pregnancy and childbirth
40
orifice
-an opening
41
ovarian follicle
- developing sac enclosing each ovum within the ovary | - only about 400 of these sacs mature in a womans lifetime
42
ovary
- one of a pair of female organs (gonads) on each side of the pelvis. -Ovaries are almond shaped - about size of large walnuts - produce egg cells (ova) and hormones.
43
ovulation
-release of the ovum from the ovary
44
ovum (ova)
- mature egg cell (female gamete) | - ova develop from immature egg cells called oocytes
45
parturition
-act of giving birth
46
perineum
-in females the area between the anus and vagina
47
pituitary gland
- endocrine gland at the base of the brain - produces hormones that stimulate the ovaries - pituitary gland also regulates other endocrine organs
48
placenta
- vascular organ attaches to the uterine wall during pregnancy - permits the exchange of oxygen, nutrients, and fetal waste products between mother and fetus
49
pregnancy
-condition in a female of having a developing embryo and fetus in her uterus for about 40 weeks
50
progesterone
-hormone produced by the corpus luteum in the ovary and the placenta of pregnant women
51
puberty
point in the life cycle at which secondary sex characteristics appear and gametes are produced
52
uterine serosa
outermost layer surrounding the uterus
53
uterus
- hollow, pear-shaped muscular female organ in which the embryo and fetus develop - where menstruation occurs - upper portion is the fundus - middle portion is the corpus - lowermost, neck-like portion is the cervix
54
vagina
-muscular, mucosa-lined canal extending from the uterus to the exterior of the body
55
vulva
- external female genitalia | - includes the labia, hymen, clitoris, and vaginal orifice
56
zygote
-stage in prenatal development from fertilization and implantation up to 2 weeks
57
amni/o
amnion
58
bartholin/o
bartholin gland
59
cervic/o
cervix, neck
60
chori/o, chorion/o
chorion
61
colp/o
vagina
62
culd/o
cul-de-sac
63
episi/o
vulva
64
galact/o
milk
65
gynec/o
woman, female
66
hyster/o
uterus, womb
67
lact/o
milk
68
mamm/o
breast
69
mast/o
breast
70
men/o
menses, menstruation
71
metr/o, metri/o
uterus
72
my/o, myom/o
muscle, muscle tumor
73
nat/i
birth
74
obstetr/o
pregnancy and childbrith
75
o/o
egg
76
oophor/o
ovary
77
ov/o
egg
78
ovari/o
ovary
79
ovul/o
egg
80
perine/o
perineum
81
phor/o
to bear
82
salping/o
fallopian tubes
83
uter/o
uterus
84
vagin/o
vagina
85
vulv/o
vulva
86
-arche
-beginning
87
-cyesis
-pregnancy
88
-gravida
-pregnant
89
-parous
bearing, bringing forth
90
-rrhea
dsicharge
91
-salpinx
-fallopian (uterine) tube
92
-tocia
labor, birth
93
-version
act of turning
94
dys-
painful
95
endo-
within
96
in-
in
97
intra-
within
98
multi-
many
99
nulli-
no, not, none
100
pre-
before
101
primi-
first
102
retro-
backward
103
carcinoma of the cervix
- malignant cells within the cervix (cervical cancer) | - infection with human papillomavirus (HPV) is the most common cause
104
cervicitis
- inflammation of the cervix - chronic - lining of the cervix is not renewed monthly - caused by bacteria
105
carcinoma of the endometrium (endometrial cancer)
- malignant tumor of the uterine lining (adenocarcinoma) - sign- postmenopausal bleeding - usually in women with high levels of estrogen
106
endometriosis
- endometrial tissue located outside the uterus - inflammation and scar tissue - may cause infertility and dyspareunia - result of growth of bits of menstrual endometrium that have passed backward through the lumen (opening) of the fallopian tube and into the peritoneal cavity
107
fibroids
- benign tumors in the uterus - aka leiomyomata or leiomyomas - composed of fibrous tissue and muscle
108
lei/o
smooth
109
cervical intraepithelial neoplasia (CIN)
- preinvasive neoplastic lesions - diagnose through pap test - lead to cancer
110
ovarian carcinoma (cancer)
- malignant tumor of the ovary (adenocarcinoma) - two types: serous (clear fluid) and mucinous (thick, pasty fluid) cystic adenocarcinomas - causes ascites - mutations include: BRCA1 and BRCA2
111
ovarian cysts
- collections of fluid within sacs (cysts) in the ovary - some are benign and lined with typical cells of the ovary - originate in unruptured follicular cysts or in follicles that have ruptured and immediately been sealed (luteal cyst) - some cysts are cancerous (cystadenocarcinomas)
112
dermoid cyst
- contain a variety of cell types and arise from immature egg cells - benign cystic teratoma - can have hair, teeth
113
terat/o
monster
114
pelvic inflammatory disease (PID)
inflammation and infection of organs in the pelvic region - salpingitis, oophoritis, endometritis, endocervicitis - leading cause is STIs - repetitive STIs leads to infections and scarring in fallopian tubes - increases risk of ectopic pregnancy and infertility - fever, discharge, ab pain
115
STIs
- gonorrhea - chlamydial infection - syphilis - genital herpes - HPV infection and genital warts
116
carcinoma of the breast (breast cancer)
- malignant tumor of the breast (arising from milk glands and ducts) - most common- invasive ductal carcinoma - lobular, medullary carcinomas - breast cancer first spread to lymph nodes in armpit, then skin and chest -> can appear in other parts of body bc of lymph nodes
117
mastectomy
-removal of the entire breast
118
stereotactic core needle biopsy
-performed with help of mammography for guidance
119
lumpectomy
- for small primary tumors - lump with immediately surrounding tissue is removed - usually radiation therapy after
120
sentinel node biopsy (SNB)
- determines whether the tumor has spread to lymph nodes | - blue dye or radioisotope is injected into the tumor site and tracks to the axillary lymph nodes
121
estrogen receptors (ERs)
- test breast cancer tumors for the presence of estrogen receptors - determines which treatment is best - 2/3 of breast cancer of ER positive - positive indicates that tumor will respond to hormonal therapy
122
tamoxifen
- blocks ER reception - first type - block effects of estrogen and kill ER positive breast cancer cells
123
aromatase inhibitors
- particularly useful in treating postmenopausal women - second type - block production of estrogen by inhibiting the enzyme, aromatase
124
HER2
- receptor protein - found in some breast cancers - signals high risk of tumor recurrence
125
herceptin
-antibody that binds to and blocks HER2 -effective in stopping growth when used with chemotherapy -
126
triple-negative tumors
-lack estrogen, progesterone, and HER2 and are rapidly growing but respond well to chemotherapy
127
fibrocystic breast disease
- numerous small sacs of fluid surrounded by dense strands of fibrous tissue in the breast - benign - modular (lumpy) consistency of the breast - associated with premenstrual tenderness and fullness - Mammography and surgical biopsy are indicated to differentiate fibrocystic changes from carcinoma of the breast
128
abruptio placentae
- premature separate of the normally implanted placenta - occurs from trauma, such as a fall - could be secondary to vascular insufficiency resulting from hypertension or preeclampsia - sign and symptoms are acute abruption, burning, bleeding
129
ectopic pregnancy
- implantation of the fertilized egg in any site other than the normal uterine location - most occur in the fallopian tubes (from previous scarring) - rupture of ectopic implant can lead to a lot of bleeding or death - likely with STIs and pelvic inflammatory disorder - can float outside into the abdominal cavity (rare)
130
multiple gestations
- more than one fetus inside the uterus | - multiple births are increasing
131
placenta previa
- implantation of the placenta over the cervical opening or in the lower region of the uterus (instead of upper) - signs- painless bleeding, hemorrhage, premature labor - cesarean delivery recommended
132
preeclampsia
- abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache - managed by bed rest and close monitoring of BP - can cause seizures, flashing lights - final untreated stage is called eclampsia- can cause death - medication- magnesium sulfate - baby should be delivered ASAP
133
down syndrome
-chromosomal abnormality (trisomy 21) results in mental retardation, retarded growth, a flat face with a short nose, low set ears, and slanted eyes
134
erythroblastosis fetalis
-Hemolytic disease in the newborn (HDN) caused by a blood group (Rh factor) incompatibility between the mother and the fetus
135
hyaline membrane disease
- acute lung disease commonly seen in the premature newborn - aka respiratory distress syndrome of the newborn (RDS) - caused by surfactant deficiency - surfactant is administered - hyaline- shiny membrane that forms in the lung sacs
136
hydrocephalus
- accumulation of fluid in the spaces of the brain - entire head can enlarge because the bones of the skull do not completely fuse together - soft spot or fontanelle between cranial bones -> allow for swelling - occurs because of problem in circulation of fluid within the brain and spinal cord
137
meconium aspiration syndrome
- abnormal inhalation of meconium produced by a fetus or newborn - meconium- thick, sticky, greenish-black substance - first intestinal discharge (stool) from newborns - intrauterine distress can cause passage into amniotic fluid - once meconium goes into amniotic fluid the fetus may breathe it -> breathing problems, inflammation
138
pyloric stenosis
- narrowing of the opening of the stomach to the duodenum - may be present at birth - frequently associated with down syndrome - surgical repair may be necessary
139
pap test (smear)
- papanicolaou - microscopic exam of stained cells removed from the vagina and cervix to detect abnormal changes - after inserting speculum, small spatula removes exfoliated cells from the cervix and vagina - microscopic analysis of the cell smear detects cervical or vaginal cellular abnormalities
140
pregnancy test
- blood or urine test to detect the presence of hCG | - hCG is secreted by fertilized ovum
141
hysterosalpingography (HSG)
- x-ray imaging of the uterus and fallopian tubes after injection of contrast material - evaluates tubal patency (adequate opening) and uterine cavity abnormalities
142
mammography
- x-ray imaging of the breast - screen for breast cancer - digital tomosynthesis- tube moves in an arc sac around the breast as several images are taken -> less painful, easier to find dense breast tissue
143
breast ultrasound imaging and breast MRI
- technologies using sound waves and a magnetic field to create images of breast tissue - confirm the presence of a mass - can distinguish a cystic from a solid mass - good for people with history breast cancer or dense breasts
144
pelvic ultrasonography
- recording images of sound waves as they bounce off organs in the pelvic region - evaluate fetal size, anatomy, fetal and placental position - can diagnose uterine and pelvic masses including abcesses
145
transvaginal ultrasound
allows the radiologist a closer, sharper look at organs within the pelvis - sound probe in the vagina instead of over the pelvis or abdomen - method is best used to evaluate fluid filled cyst - using a transducer inserted into the vagina to view internal female reproductive organs
146
aspiration
- withdrawal of fluid from a cavity or sac with an instrument using suction - aspiration needle biopsy is a valuable evaluation technique for patients with breast disease
147
cauterization
- destruction of abnormal tissue by burning - uses chemicals (silver nitrate) or an electrically heated instrument - treats cervical dysplasia or cervical erosion - loop electrocautery excision procedure (LEEP) used to furhter assess and often treat abnormal cervical
148
colposcopy
- visual exam of the vagina and cervix using a colposcope (thin lighted endoscope inserted into the vagina to allow for direct visualization of vagina and cervix) - lighted magnifying instrument resembling a small, mounted pair of binoculars - preferred for cervical dysplasia because it identifies specific areas of abnormal cells
149
conization
- removal of a cone-shaped section (cone biopsy) of the cervix - resects the tissue using LEEP (loop electrocautery excision procedure) or with a carbon dioxide laser or surgical knife
150
cryosurgery
- use of cold temperatures to destroy tissue - liquid nitrogen probe produces the freezing temperature - aka cryocauterization
151
cry/o
cold
152
culdocentesis
- needle aspiration of fluid from the cul-de-sac - inserts a needle through the vagina into the cul-de-sac - presence of blood may indicate a ruptured ectopic pregnancy or ruptured ovarian cyst
153
dilation (dilatation) and curettage (D&C)
- widening the cervix and scraping off the endometrial lining of the uterus - dilation is done by inserting a series of dilators of increasing diameter - curet (metal loop at the end of a long, thing handle) is used to sample uterine lining - diagnoses uterine disease and can temporarily halt prolonged or heavy uterine bleeding - also used to remove tissue during spontaneous abortion
154
exenteration
- removal of internal organs within a cavity | - pelvic exenteration is removal of the organs and adjacent structures of the pelvis
155
laparoscopy
- visual examination of the abdominal cavity using an endoscope (laparoscope) - minimally invasive surgery (MIS) - small incisions are made near the navel for introduction of laparoscope - inspection and removal of ovaries and fallopian tubes - diagnoses endometriosis, removal of fibroids - performs subtotal and total hysterectomies
156
tubal ligation
- blocking the fallopian tubes (salpinges) to prevent fertilization from occurring - sterilization - uses laparoscopy or hysteroscope - tubes between the ligations are removed - inserted through cervical os (opening) - tying off fallopian tubes - surgical cutting or burning through tissue
157
abortion (AB)
- termination of pregnancy before the embryo or fetus can exist on its own - expulsion of an embryo or fetus from the uterus before viability - spontaneous (miscarriage) or induced (SAB) - induced can be therapeutic (when women is in danger) or elective (request) - vaginal evacuation by D&C or vacuum aspiration (suction) - stimulation of uterine contractions by injection of saline into amniotic cavity (second-trimester) - incomplete abortion- without expulsion of all of the products of conception
158
amniocentesis
- needle puncture of the amniotic sac to withdraw amniotic fluid for analysis - cells of the fetus are cultured (grown) and cytologic and biochemical studies are performed to check fetal chromosomes - concentrations of proteins and bilirubin and fetal maturation
159
cesarean section
- surgical incision of the abdominal wall and uterus to deliver a fetus - done when cephalopelvic disproportion (babys head is too big), avruptio placentae, placenta previa, fetal distress, and breech or shoulder presentation
160
chorionic villus sampling (CVS)
- sampling of placental tissues (chorionic villi) for prenatal diagnosis - sample of tissue is removed with a catheter inserted into the uterus - can be done before amniocentesis (10 or more weeks of gestation)
161
fetal monitoring
-continuous recording of the fetal heart rate and maternal uterine contractions to assess fetal status and the progress of labor
162
in vitro fertilization (IVF)
- egg and sperm cells are combine outside the body in a laboratory dish (in vitro) to facilitate fertilization - after incubation period of 3-5 days-> fertilized ova are injected into the uterus through the cervix
163
nullipara
-never gave birth
164
menometrorrhagia
-excessive bleeding during and between menstrual periods
165
episiotomy
- incision in the perineum | - enlarge the vagina and assist in childbirth
166
fundus
myometrium - where endometrium is - ectopic
167
internal os
- cant be examined on pap smear - cant go into far enough here - says nothing about uterine or ovarian
168
external os
can be examined on pap smear - wear the opening is - pap smear gives information about cervix
169
-metry
measurement
170
partum
childbirth, labor
171
-pexy
surgical fixation
172
-plasia
formation, growth
173
-rrhea
expected flow, discharge | -light period
174
-rrhaphy
suture
175
-rrhage, -rrhagia
- flowing forth | - heavy menstrual period
176
adenomyosis
-presence of endometrial tissue growing through the myometrium
177
amenorrhea
absence of menstrual bleeding
178
cervical dysplasia
development of abnormal cells in the lining of the
179
36-40 weeks
-fully developed baby
180
stilborn
- not an abortion | - fully developed child dies
181
coloporrhaphy
- anterior/posterior repair | - surgical procedure that repairs a defect in the wall of the vagina
182
hysterectomy
-surgical excision of the uterus
183
total abdominal hysterectomy
- -TAH - surgical excision of the uterus and cervix (with or without removal of the ovaires or salpinges) through an incision in the abdomen
184
vaginal hysterectomy
-surgical excision of he uterus and cervix through and incision deep inside the vagina
185
myomectomy
-surgical removal of myomas
186
ooporectomy
-surgical excision of an ovary
187
pessary
appliance of varied form, introduced into the vagina to support the uterus or to correct any displacement
188
salpingectomy
-surgical excision of a salpinx
189
salpingo-oophorectomy
-surgical excision of a salpinx and an ovary
190
uterotomy, hysterotomy
incision of the uterus
191
vulvectomy
surgical removal of all or part of the vulva
192
apgar score
-numeric result of a test conducted on an infant immediately after delivery to evaluate a newborns physical condition quickly