Physiology Review IV Flashcards
1
Q
FSH and LH levels
A
pulsatile repro years
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
3
Q
fast GnRH
A
LH
4
Q
slow GnRH
A
FSH
5
Q
ovary stroma
A
loose medulla
dense cortex
6
Q
gonadotropin independent stage
A
paracrine
7
Q
basal growth phase
A
low sensitivity
8
Q
rapid growth phase
A
high sensitivity
9
Q
primary oocyte
A
in 46, 4N
prophase I
10
Q
zona pellucida
A
glycoproteins
11
Q
theca interna
A
cuboidal
testosterone and androstenedione
12
Q
theca
A
LH
13
Q
granulosa
A
FSH
14
Q
secondary oocyte
A
23 2N
15
Q
stop of secondary oocyte
A
metaphase II
16
Q
maintains CL
A
LH
hCG
17
Q
theca
A
P and E
18
Q
granulosa
A
P
19
Q
corpus albican
A
regressed CL
20
Q
mammary ducts
A
E
21
Q
mammary alveoli
A
P
22
Q
fertilization
A
ampulla
23
Q
estrogen oviduct
A
wants fert
24
Q
progesterone oviduct
A
on fert
25
uterine blood
arcuate - myometrium
straight - basalis
coiled - functionalis
26
menstrual
COX2
| MMP
27
proliferative
estrogen
28
secretory
progesterone
29
ischemic
decreased E and P
| glands - very colied
30
cervix estrogen
thin watery alkaline mucus
31
cervix progesterone
scant thick acidic mucus
32
estrogen cardio
vasodilation
33
culdocentesis
fluid from douglas pouch
34
pheochromocytoma
cancer renal gland
increased catecholamines chromaffin tissue
triad HA, sweating, palpitations
35
trimester 1
insulin sensitivity
| adipose deposition
36
2-3 trimester
insulin resistance
increased insulin production
increased birth weight
37
insulin resistance
hPL, hPGH, progesterone, placental INF-alpha
38
GDM to to type II DM
50% 5-10 years
39
screening GDM
50g non-fasting challenge
40
confirmatory
```
75-100g glucose tolerance
fasting >95
1 hr > 180
2 hr > 155
3 hr > 140
```
41
single fasting glucose
> 126**
42
type II Dx
fasting > 126
random > 200
A1C > 6.5
43
GDM infant risks
baby hypoglycemia
44
therapy GDM
fast < 95
1 hour < 140
2 hr < 120
45
hCG peak
10 weeks
46
DHEA synthesis
sulfatase
47
estriol
can monitor fetus and placenta
48
induce labor
oxytocin
PGs
progesterone antagonist
49
lactational amenorrhea
sucking - increased oxytocin
decreased GnRH
50
acid reflux
progesterone effects
51
placenta contractions positive feedbak
CRH
| increased cortisol
52
ADH threshold
progesterone
53
internal hemorrhoids
painless
visceral afferents
also portal HTN
54
external hemorrhoids
pain
| somatic
55
tenesmus
can't poop
56
rectum vascular
superior - IMA
middle - internal iliac
inferior - pudendal
57
ureter localization
bifurcation of common iliac
58
erection
PS
59
urination
PS
60
ejaculation
S
