Female And Reproductive Physiology Flashcards

0
Q

Receptors
Granulosa
Theca

A

FSH

LH

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1
Q

Functional unit of the ovary

A

Ovarian follicle

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2
Q

Primary oocyte
Arrested in
from
Until

A

Prophase
5th fetal month
Puberty

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3
Q

Secondary oocyte
Arrested in
From
Until

A

Metaphase II
Ovulation
Fertilization

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4
Q

Menstruation

Myometrial contractility

A

Prostaglandin F

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5
Q

Two cell hypothesis

Follicular phase

A

LH stimulates desmolase in thecal cells to produce androgens

FSH stimulates conversion of androgen to estradiol in granulosa cells

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6
Q

Estrogen effects
Uterus
Cervical mucous

A

Proliferative phase

Thin and watery, ferning

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7
Q

LH surge

A

Ovulation
Release of cumulus oocyte complex
Luteinization of granulosa cells

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8
Q

Remains of Graafian follicle becomes corpus hemorrhagicum maturing into corpus luteum (progesterone)

A

Luteinizaton

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9
Q

Cause mitterschmerz or mid cycle pain

A

Corpus hemorrhagicun

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10
Q

Progesterone effects
Uterus
Cervical mucus
Systemic

A

Secretory, subnucleolar vacuoles
Thick
Thermogenic, inc water retention

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11
Q

Key to initiation if ECM breakdown of stratum functionalis

A

Neutrophilic infiltration

IL8

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12
Q

Earliest histo logical evidence of progesterone action

A

Basal vacuolation

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13
Q

Most abundant histologic marker during proliferative phase

A

Stromal mitoses

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14
Q

Constant phase of menstrual cycle

A

Post ovulatory
Luteal
Secretory
14

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15
Q

Dominant hormone
Pre ovulatory
Post

A

Estrogen from granulosa

Progesterone from luteum

16
Q

Highly modified endometrium of pregnancy

A

Decidua

17
Q

Decidual layers

A

Basalis beneath blastocyst implantation unresponsive
Capsularis chorion 2nd month obliterated by growing fetus
Parietalis responsive to vasoactive agents

18
Q

Post conception week 1

A

Cleavage
Morula (ICM and OCM) which enters uterus at day 3
Blastocyst (embryoblast and trophoblast)
Implantation at post sup functional layer of uterus

19
Q

Post conception week 2

A

Bilaminar embryonic disk: epiblast to amniotic cavity and hypoblast to yolk sac
Mitotically active cytotrophoblast and secretory syncitiotrophoblast (HCG)

20
Q

Post conception week 3-8

A

Teratogen susceptibility

Ectoderm Endoderm Mesoderm

21
Q

Completed by week 8

A

Heart
UE LE
Upper lip

22
Q

Completed by week 9

A

Ext genitalia

23
Q

Folate acid
Normal
Prior child with N
Epileptic

A

400 mcg
4 mg
4 mg

24
Q

Anomalies
Embryonic period
Fetal period

A

Major congenital anomalies

Functional/growth retardation

25
Q

Fetal to maternal membranes

A
Amnion avascular
Chorion
Decidua parietalis
Myometrium
Serosa