Female GU

Question 1

this is synthesized from cholesterol, it decreases bone resorption, and aids in growth of endometrium/breasts

Answer 1

estrogen

Question 2

progesterone

Answer 2

maintains pregnancy, suppresses FSH & LH, provides immunity, and growth of boob

Question 3

what survives the drop in fsh?

Answer 3

the strongest mature follicles

Question 4

what is corpus luteum and what does it do?

Answer 4

its the rest of the follicles that stayed in the ovary and it releases progesterone

Question 5

a drop in ___ will cause the hypothalamus to release ___

Answer 5

progesterone, gnRH

Question 6

follicular phase= high ___
LH surge= ___
luteal phase= ___

Answer 6

-FSH
-ovulation
-corpus luteum releases progesterone

Question 7

when does delayed puberty happen to boys and girls

Answer 7

girls (13) boys (14)

Question 8

precocious puberty

Answer 8

• for girls before 7, for boys before 9
  -due to obesity, too much protein, or lethal cns tumor

Question 9

abnormal uterine bleeding

Answer 9

-heavy/ irregular
-no ovulation
- this is seen in premenopausal
-leads to iron defieicny anemia and treated with NSAIDS, oral contraceptives, IUD, or hysterectomy

Question 10

Pelvic inflammatory disease
- due to infection from ____
symptoms? treatments?

Answer 10

-STDs
-risk factors: untreated STDs, multiple sexual partners, IUD!!!!
-symp: high WBC/ C reactive pro, chandelier sign
treated with abx or removal of IUD

Question 11

what is chandeliers sign?

Answer 11

cervical motion tenderness

Question 12

-this can be related to HPV in younger or older woman

Answer 12

vulvar carcinomas

Question 13

• normal flora of vagina is disrupted and is caused by STDs, abnormal estrogen level, incr glycogen, or changes in pH

Answer 13

vaginitis

Question 14

-____ discharge from cervix
due to infection or low amounts of estrogen

Answer 14

purulent
cervicitis

Question 15

cystocele vs rectocele

Answer 15

-cystocele: herniation of bladder into vagina; causes frequency/urgency
-rectocele:herniation of rectum into vag

Question 16

what is a pessary?

Answer 16

its a disc that is implanted to hold up the uterus, seen in uterine prolapse

Question 17

endometritis vs endometriosis

Answer 17

tritis: inflammation of endometrium, due to abortion or delivery
triosis: is endometrium tissue outside of uterus; very painful

Question 18

myomas

Answer 18

also known as uterine leiomyomas; re being tumors of smooth muscle, its asymptomatic until they get large enough, will need a hysterectomy/myomectomy

Question 19

what is the criteria to be diagnosed with PCOS?

Answer 19

polycystic ovary syndrome
criteria: anovulatory cycles (no eggs), high levels of male sex hormones, polycystic ovaries (only 2 are needed )

Question 20

what are symptoms of PCOS?

Answer 20

obesity, type II DM,HTN, infertility,hyperlipidemia, hirsutism , acne

Question 21

what words means to not have a cycle for 6-7 weeks?

Answer 21

6-7 weeks

Question 22

what are the two types of amenorrhea?

Answer 22

-primary: is when they’ve never had menses by 15 or 13 w/o secondary sexual characteristics
-secondary: had period before, due to pregnancy, PCOS, fat to muscle ration alteration , excessive exercise

Question 23

premenstrual syndrome

Answer 23

physical emotional behavioral changes due to change in hormones

Question 24

menopause

Answer 24

low estrogen no ovarian function causes hot flashes, insomnia, palpitation, high risk for osteoporosis
ONLY SOME WOMEN WOULD NEED HORMONE THERAPY
cervix and vagina become more likely to bleed