Unit 1- Physiology and Health Flashcards
In the reproductive system what do hormones control?
The onset of puberty
Sperm production
The menstrual cycle
What is the function of testosterone?
To stimulate sperm production and activate the accessory glands
What arteries are most commonly affected by PVD?
The arteries in the legs
What is the pituitary gland?
A gland hanging from the base of the brain.
Describe the process of fertilisation
A mature ovum is released into the oviduct where it is fertilised by sperm
Describe the process of puberty onset.
The hypothalamus decreases a released hormone targeting the pituitary.
The pituitary the produces 2 hormones
FSH and LH in women
And
FSH and ICSH in men
What is ICSH
Interstitial cell stimulating hormone
Stimulates testosterone production
What is the function of the pituitary gland?
To secrete hormones that control many other glands in the body.
What does haploid mean?
1 single set of chromosomes
Sex cells
How is sperm production controlled hormonally?
Negative feedback of FSH and ICSH
What is FSH?
Follicle Stimulating Hormone.
Develops follicle in women
And
Stimulates sperm production in men
Approximately how long is the average menstrual cycle?
28 days
What marks the first day of the menstrual cycle?
The first day of menstruation
What are the 2 phases of the menstrual cycle called?
Follicular and luteal phase
Describe the stages of the follicular phase of the menstrual cycle
FSH is released, stimulating the development of the follicle in the ovary.
The follicle secretes oestrogen, which stimulates the proliferation of the endometrium and affects the consistency of the cervical mucus making it more easily penetrated by sperm
Hugh levels of oestrogen trigger a surge in LH which is the direct cause of ovulation
What’s different about the end of the luteal phase of the menstrual cycle of fertilisation occurs?
The corpus luteum doesn’t degenerate and progesterone levels remain high to maintain the foetus.
What is the name given to a male fertility?
Continuous
What 2 ways can a female fertile period be calculated?
0.5 degree temperature increase
Thinning of the cervical mucus
What are the 4 types of infertility treatments?
Stimulating ovulation drugs
Artificial insemination
Intra-cytoplasmic sperm injection (ICSI)
In vitro fertilisation (IVF)
Why does diastole mean?
The chambers of the heart relax
What does diploid mean?
2 sets of chromosomes
Describe how stimulating ovulation drugs work
Drugs given to prevent negative feedback of oestrogen on FSH or drugs given to mimic FSH and LH to cause super ovulation
Describe the process of artificial insemination
Semen samples are collected over a period of time and inserted into the female reproductive tract
Describe the process of ICSI
Head of sperm is drawn into a needle and injected directly into the ova
Describe the process of IVF
Done in conjunction with ovulation drugs
Several eggs are removed, mixed with sperm.
Fertilised zygotes are incubated till around 8 cells and implanted into the uterus
What is the use fo PGD
To identify single gene disorders and chromosomal abnormalities
How do barrier methods of contraception work?
Cause a physical barrier between sperm and egg
How does an IUD work?
I steered into the uterus by a doctor and changed the lining of the uterus and oviduct stopping the movement of sperm and eggs
Where do the SL valves sit?
Between the ventricles and arteries
What is the morning after pill and how does it work?
An emergency contraceptive containing a high dose of progesterone preventing ovulation or implantation if ovulation has already occurred
What triggers the pituitary gland?
The hypothalamus
What does antenatal screening do?
Identifies risks of a disorder so further tests can be carried out and prenatal diagnosis can be given.
What is the main antenatal screening?
Ultrasound
What are the 2 types of ultrasound scan?
Dating scan and anomaly scan
What does a dating scan check for?
Babies due date
What is the name given to female fertility?
Cyclical- lasting about 1-2 days
When can a dating scan take place?
8-14 weeks
What does an anomaly scan check for?
Physical abnormalities with the foetus
Describe the luteal phase of the menstrual cycle
The empty follicle develops into the corpus luteum which secretes progesterone
Progesterone promotes further vascularisation of the endometrium
High levels of oestrogen and progesterone have a negative feedback control on the pituitary, inhibiting FSH and LH production so no new follicles
Lack of LH causes the corpus luteum to degenerate
Low levels of progesterone cause menstruation to occur because the endometrium can’t be maintained
What is a dating scan done in conjunction with?
Testing for chemical markers
Apart from ultrasound scans what’s the other type of antenatal screening?
Blood and urine tests
How does the combined contraceptive pill work?
By containing synthetic progesterone and oestrogen mimicking negative feedback preventing FSH and LH release
What do blood and urine tests do ?
Check levels of chemical markers in the blood or urine to indicate the possibility of a condition.
What can happen if blood and urine tests are done too early
It can result in a false positive
What can an irregular chemical marker concentration lead to?
A diagnostic test
What happens to expectant parents before diagnostic tests are done?
The risk factors are discussed and also their decisions they’re likely to make if the results are positive.
Describe the process of amniocentesis
A sample of amniotic fluid is taken using a fine needle through the belly and uterine wall. The cells are then cultured and karyotyped to check for chromosomal disorders.
How would you identify autosomal recessive inheritance?
Relatively rare
May skip generations
Males and females affected in equal number.
What is a diagnostic test?
A definitive test used to establish whether or not a person has a certain condition
Name 2 types of diagnostic test
Amniocentesis
Chorionic villus sampling (CVS)
What is a karyotype?
Individual chromosomes arranged as homologous pairs.
What happens if an atheroma ruptures?
The damage releases clotting factors that activate the formation of a blood clot/thrombus
What is cardiac output?
Volume of blood pumped through the ventricle per minute
Compare amino and cvs
Amniocentesis has a Lower risk of miscarriage but is carried out later in pregnancy whereas cvs is a slightly higher risk of miscarriage but can be carried out earlier.
How would you identify sex linked recessive inheritance?
Usually:
Many more males affected than females
Shown as X^h X^h or X^h Y
How is PKU tested for?
Heel prick test
How would you identify autosomal incomplete dominant inheritance?
Usually:
Full expression is rare
Partial expression is more common
Full sufferer has both parents with partial
Males and females affected in equal number
What causes plasma to be forced out of the capillaries into the fluid surrounding the cells?
High pressure blood coming from the arterioles
What is screened for in post natal screening?
Phenylketonuria (PKU)
What is PKU?
Phenylketonuria
A substitution mutation which causes the enzyme which converts phenylalanine into tyrosine to be non functional
What does systole mean?
The chambers of the heart contract
How is PKU treated?
A restricted diet low in phenylalanine
What is the heart rate?
Number of heart beats per minute
What hormone increases heart rate when stressed or during exercise?
Adrenaline
Where do the AV valves sit?
Between the atria and ventricles
What is PGD
Preimplantation genetic diagnosis
How do you calculate cardiac output?
Heart rate x stroke volume
Where is the SAN located?
The wall of the right atrium
How do the SL and AV valves open and close?
Due to pressure changes
How can you listen to the heart sounds?
With a stethoscope
What sets the rate of cardiac contraction?
The SAN(sinoatrial node) or pacemaker
Where does the heart beat originate?
Within itself
How does the mini contraceptive pill work?
Contains a high dose of progesterone which causes the thickening of the cervical mucus, stopping sperm
What is the order of blood circulation?
Heart——>Arteries——>capillaries——>veins——>heart