Physiology Review IV Flashcards

1
Q

FSH and LH levels

A

pulsatile repro years

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2
Q

pituitary ovary talk

A
CL dies - no P or E
FSH increase - picks follicles
follicle increase E, negative on FSH
one follicle, lots of E
switch to positive feedback - LH surge
ovulation - CL - P and E
FSH and LH low again

repeat

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3
Q

fast GnRH

A

LH

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4
Q

slow GnRH

A

FSH

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5
Q

ovary stroma

A

loose medulla

dense cortex

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6
Q

gonadotropin independent stage

A

paracrine

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7
Q

basal growth phase

A

low sensitivity

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8
Q

rapid growth phase

A

high sensitivity

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9
Q

primary oocyte

A

in 46, 4N

prophase I

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10
Q

zona pellucida

A

glycoproteins

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11
Q

theca interna

A

cuboidal

testosterone and androstenedione

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12
Q

theca

A

LH

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13
Q

granulosa

A

FSH

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14
Q

secondary oocyte

A

23 2N

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15
Q

stop of secondary oocyte

A

metaphase II

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16
Q

maintains CL

A

LH

hCG

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17
Q

theca

A

P and E

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18
Q

granulosa

A

P

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19
Q

corpus albican

A

regressed CL

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20
Q

mammary ducts

A

E

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21
Q

mammary alveoli

A

P

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22
Q

fertilization

A

ampulla

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23
Q

estrogen oviduct

A

wants fert

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24
Q

progesterone oviduct

A

on fert

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25
Q

uterine blood

A

arcuate - myometrium
straight - basalis
coiled - functionalis

26
Q

menstrual

A

COX2

MMP

27
Q

proliferative

A

estrogen

28
Q

secretory

A

progesterone

29
Q

ischemic

A

decreased E and P

glands - very colied

30
Q

cervix estrogen

A

thin watery alkaline mucus

31
Q

cervix progesterone

A

scant thick acidic mucus

32
Q

estrogen cardio

A

vasodilation

33
Q

culdocentesis

A

fluid from douglas pouch

34
Q

pheochromocytoma

A

cancer renal gland
increased catecholamines chromaffin tissue

triad HA, sweating, palpitations

35
Q

trimester 1

A

insulin sensitivity

adipose deposition

36
Q

2-3 trimester

A

insulin resistance
increased insulin production
increased birth weight

37
Q

insulin resistance

A

hPL, hPGH, progesterone, placental INF-alpha

38
Q

GDM to to type II DM

A

50% 5-10 years

39
Q

screening GDM

A

50g non-fasting challenge

40
Q

confirmatory

A
75-100g glucose tolerance
fasting >95
1 hr > 180
2 hr > 155
3 hr > 140
41
Q

single fasting glucose

A

> 126**

42
Q

type II Dx

A

fasting > 126
random > 200
A1C > 6.5

43
Q

GDM infant risks

A

baby hypoglycemia

44
Q

therapy GDM

A

fast < 95
1 hour < 140
2 hr < 120

45
Q

hCG peak

A

10 weeks

46
Q

DHEA synthesis

A

sulfatase

47
Q

estriol

A

can monitor fetus and placenta

48
Q

induce labor

A

oxytocin
PGs
progesterone antagonist

49
Q

lactational amenorrhea

A

sucking - increased oxytocin

decreased GnRH

50
Q

acid reflux

A

progesterone effects

51
Q

placenta contractions positive feedbak

A

CRH

increased cortisol

52
Q

ADH threshold

A

progesterone

53
Q

internal hemorrhoids

A

painless
visceral afferents

also portal HTN

54
Q

external hemorrhoids

A

pain

somatic

55
Q

tenesmus

A

can’t poop

56
Q

rectum vascular

A

superior - IMA
middle - internal iliac
inferior - pudendal

57
Q

ureter localization

A

bifurcation of common iliac

58
Q

erection

A

PS

59
Q

urination

A

PS

60
Q

ejaculation

A

S