Uterus, Uterine Tubes And Cervix Flashcards

0
Q

What is the endometrium?

A

Inner layer of uterus
Dependent on steroids
Responds cyclically to hormone changes

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1
Q

How many layers does the uterus contain and what are they?

A

2;
Outer - muscular myeometrium
Inner - endometrium

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2
Q

Changes occur in the glandular and cells though the cycle

TRUE or FALSE

A

True
Most of endometrium is lost after menstruation
And stromal matrix with small columnar cells with glandular extensions

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3
Q

What is the proliferative phase?

A

The follicular phase of the ovary

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4
Q

What is the proliferative phase stimulated by?

A

Oestradiol from the dominant follicle

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5
Q

What changes occur in the uterus in the proliferative phase?

A

Stromal cell division and ciliated surface
Glands expand and become torturous
Increases vascularity
Induction of progesterone receptors
Small muscular contractions of the endometrium

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6
Q

What is the secretory phase?

A

2/3 days after ovulation

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7
Q

What does progesterone cause in the endometrium during the secretory phase?

A

Decrease cell division so heavy bleeding stops
Secretion of glycoproteins –> egg sticks to this to get nutrients
Oedema, increases vascular permeability

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8
Q

What does progesterone cause in the myometrium in the secretory phase?

A

Cell enlarge and movement is depressed

Blood supply increases

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9
Q

What happens during menstruation?

A

Steroid levels fall and so some of the endometrial lining regresses and is discarded.
Due to hypoxia caused by constriction of the spinal arteries (causes weakening), followed by dilatation (blood is lost)

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10
Q

What changes do epithelial cells undergo in the uterine tubes?

A

Undergo differentiation

Increase in height due to oestrogen

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11
Q

What are the different sections of the uterine tubes?

A

Intramural –> isthmus –> ampulla –> infundibulum –> fimbriae (leads to ovary)

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12
Q

Where does the egg get fertilised usually?

A

Ampulla of the uterine tube

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13
Q

How is the oocyte moved along the tube?

A

By the beating of the cilia, stimulated to grow by oestrogen
Rapid contraction of muscular layer caused my oestrogen

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14
Q

What is the function of the secretory glands in the cervix?

A

Produce mucous which act as a protective barrier to infection and allows passage of motile sperm

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15
Q

How does the mucous change due to oestrogen during the follicular phase?

A

Becomes more watery and contain glycoproteins which become aligned and form microscopic channels for sperm to swim up

16
Q

How does the mucous change in response to progesterone in the luteal phase?

A

Reduced secretion and becomes thicker

Glycoproteins form mesh which acts as a barrier

17
Q

What is the vagina lined with?

A

Squamous epithelium which is constantly shredding