A and P/Development Flashcards

1
Q

bones of bony pelvis (4)

A

ilium
ischium
sacrum
coccyx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

(4) joints of pelvis

A

cartilaginous symphyseal joints (sacrococcygeal and symphysis pubis)

synovial joints (sacroiliac joint and lumbar sacral joint)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

major severe that innervates the external genetalia + originates

A

pudendal nerve

S2, S3, S4 segments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

pudendal nerve function

A

sensory innervation to EXTERNAL genitals

striated urethral and anal sphincters

perineal muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

lymphatic drainage of internal genetalia

A

uterus and upper 2/3 of vagina = obturator and internal/external

drainage of ovaries = paraaortic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

venous drainage of uterus

A

venous plexus thru uterine vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

venous drainage of ovaries

A

R ovarian vein (to IVC)

L ovarian vein (to L renal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

arteries of female reproductive

A

aorta –> common iliac –> internal iliac artery

uterine artery

vaginal artery

internal pudendal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ovarian vascular supply

A

ovarian artery off the aorta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

vestibular glands

A

Bartholin’s and Skene’s

provide lubrication during sexual stimulation

rarely noted during exam unless abscessed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

squamocolumnar junction

A

stratified squamous epithelium and mucus secreting columnar epithelium of CERVIX meet here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

culdocentesis

A

posterior to the cervix thru vaginal wall into peritoneal cavity

samples fluid in pouch of douglas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

4 parts of Fallopian tubes

A
  1. interstitial (narrowest, next to uterine)
  2. isthmus
  3. Ampulla
  4. Fimbria (infundibulum)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

uterus is held into position by

A

round ligament
uterosacral ligaments
cardinal ligaments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

menorrhagia

A

excessive menstrual flow

> 30 mL

risk of IDA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

GnRH fxn

A

stimulates anterior pituitary to release FSH and LH

17
Q

when does the menstrual cycle begin?

A

first day of menses

18
Q

follicular phase (general)

A

onset of menses - LH surge

proliferative phase of endometrium

19
Q

luteal phase

A

begins with LH surge ends with menses onset

secretory phase

20
Q

menstrual cycle in teens

A

35 days

shortens with maturation

21
Q

adult menstrual cycle

A

28 days (women 20-40)

10 yrs prior to menopause there is variability

22
Q

early follicular phase

A

ovary is not hormonally active

uterus is quiet

estradiol and progesterone levels fall

23
Q

hormone action in the early follicular phase

A

hypothalamus releases GnRH

GnRH releases FSH and LH

24
Q

what do FSH and LH do? (follicular phase)

A

cause follicles in the ovary to mature

25
Q

mid follicular phase

A

estradiol levels rise significantly by day 7 and multiple follicles are recruited for maturation, one becomes dominant

endometrium proliferates under influence of estrogen

26
Q

granulose cells

A

found in the developing follicles to produce estrogen

estrogen decreases FSH release and strongest follicle emerges

27
Q

late follicular phase

A

single dominant follicle is selected

estrogen stimulates thickening of endometrium

high estrogen levels increase amount and stringiness of cervical mucus

28
Q

LH surge

A

occurs during ovulation

serum estradiol levels elevate one day before ovulation causing a rise in LH

36 hrs after = ovulation

29
Q

most reliable indicator of ovulation

A

LH surge

30
Q

luteal phase

A

follicle cells transform to corpus luteum = progesterone release

31
Q

dominant hormone of luteal phase

A

progesterone

32
Q

mid to late luteal phase

IF fertilized

A

early embryo makes HcG which maintains corpus luteum

continued corpus luteum = progesterone production continues until steroidogeneis is well established

33
Q

mid to late luteal phase

NOT fertilized

A

LH levels fall and progesteorn/estradiol = decreased blood flow to endometrium

tissue sloughing and necrosis

GnRH secretion increases

34
Q

menstruation

A

prostaglandins produced due to falling progesterone

causes contraction of endometrial blood vessels and uterine muscles

lasts 3-7 days

35
Q

two layers of endometrium

A

funtionalis
basalis

continues to proliferate each cycle

36
Q

three phases of functionalis endometrium

A

menstrual (sloughing)
proliferative (growth)
secretory (organization)

37
Q

what causes irregular spotting/bleeding?

A

progesterone withdrawal doesn’t cause sloughing,

continued estrogenic stimulation causes endometrium to outstrip blood supply at irregular intervals