Test 3 Flashcards
“The uterus demonstrated in the image below is most likely under the influence of which hormone?”
Progesterone
What are the basic uterine cyclic phases that occur during the childbearing years?
Proliferative, secretive, and menstrual phases
If the fallopian tubes are ligated (“tied”), what would no longer be able to happen?
Fertilization.
What happens to FSH when there is a spike in estrogen?
Production of FSH from the pituitary will decrease
Which is responsible for the production and secretion of gonadotropin releasing hormones?
hypothalamus
When taking an OB-GYN history, what is indicated by the LMP?
Date bleeding began
What will happen if fertilization does not occur?
Corpus luteum becomes a corpus albicans and involutes
Which female reproductive structure has a dual blood supply?
Ovaries
The most accurate an sensitive test for pregnancy is…
Serum human chorionic gonadotropin hormone
Fertilization usually occurs in the:
Ampullary portion of the salpinges
Where are the follicles found within the ovary?
Stroma
What produces beta hCG?
Trophoblasts
The ovum forms a protective coating around it so that other sperm can not penestrate it. This coating is called the…
Zona Pellucida.
(Note: NOT “zona reticularis”)
What is the fertilized egg called once it reaches the uterine cavity?
Blastocyst
What is the most common cause of female infertility?
Tubal factors.
Which type of assisted reproductive technology injects an egg and sperm into the fimbriated end of the fallopian tube?
GIFT
During the first trimester, the serum quantitative human chorionic gonadotropin hormone levels…
Double every 48 hours.
What hormone causes ovulation ?
Luteinizing hormone
What phase of the uterus corresponds to the lateral phase of the ovaries?
Secretory phase.
What imaging tool should be used in order to quickly assess placement of an IUD that has migrated? (IUD has metal component)
X-ray.
What helps aid in the union of the sperm and the ovum?
Rhythmic contractions of the fallopian tube, the flagella of sperm, and myometrial contraction
When may a patient experience ovarian hyper stimulation syndrome?
after ART
What is something that would lead to a subnormal rise in hCG?
Ectopic pregnancy.
When does Implantation happen?
21 days from LMP
(Note: NOT “21 days after ovulation”)
What three things occur with hormonal contraception techniques?
-There are changes in the endometrial lining
-Ovulation is inhibited
-Cervical mucous thickens
(Note: NOT “the endometrium remains in the secretory phase”)
True/False:
Ovulation and corpus luteum formation can still occur when using inert intrauterine contraceptive devices?
True
When is the greatest risk for IUD perforation?
Upon insertion.
True/False:
When follicles are aspirated in preparation for artificial reproduction techniques the needle punctures through the vaginal wall to reach each one of the ovaries.
True
(Written)
Describe sequential hormone replacement therapy (hormone(s), effects, how/when its taken)
For the entirety of a patients cycle while doing sequential HRT, estrogen is taken and the endometrium is at its thickest; then, during the last half of their cycle, they are given progesterone and the endometrium thins. This combination will cause a withdrawal bleeding that resembles a period.
Name two IUDs that are no longer in the United States
Copper 7
SafeTCoil
Name two imaging techniques used to evaluate tubal patency.
Sonohystography
Salpingiography
Two IUD’s that ARE available in the USA:
Paraguard
Mirena
