Vaginal lab Flashcards

1
Q

what is the broad ligament?

A

a sheet of peritoneum which the ovary attaches on top of via short mesentery

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2
Q

what is the blood supply to the ovaries?

A

ovarian artery, venous drainage from right and left ovarian arteries going to the IVC and left renal vein respectively

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3
Q

how is the ovary attached to the uterus?

A

via the ovarian ligament.

the suspensory ligament attaches the ovary to the lateral wall of pelvis

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4
Q

describe the fallopian tubes

A

four parts

infundibulum- opening to the peritoneal cavity, finger shaped projections

ampulla- most likely place for fertilisation

isthmus- narrowest section

interstitial- opening into the uterus

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5
Q

describe the uterus

A

cervis, fundus and isthmus. blood supply comes from the uterine arteries branching from the internal iliac

uterine vein drains the uterus to internal iliac vein

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6
Q

describe the different stages of oocytes

A

the primordial follicle is a small oocyte surrounded by one layer of somatic follicular cells

the primary follicle has many layers of follicular cells and the development of the zona pellucida

the secondary follicle- contains an antrum full of fluid. follicle cells differentiate into granulosa cells and theca cells

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7
Q

describe the relationship between theca cells and granulosa cells

A

theca interna produce androgens from cholesterol.

the androgens are passed to granulosa which contain aromatase converting it into oestrogen

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8
Q

how do follicles exit into the fallopian tubes

A

one secondary follicle contains more hormone receptors so grows into a tertiary stage

it grows and eventually ruptures releasing the oocytes. the rest of the secondary follicles degenerate via atresia

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9
Q

describe the histological zones of the uterus

A

myometrium- smooth muscle section of the uterus containing vascular and stromal cells

endometrium- where embryo would implant. columnar epithelium.

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10
Q

describe the endometrium in further detail

A

there is a stratum compactum, functionalis, basalis and spongiosum

the corpus luteum degenerates and stops secreting progesterone.

this causes the functionalis to shrink and spiral arteries compact. the functionalis dies as it becomes deprived of oxygen and blood

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11
Q

describe the histology of the vagina and uterine tube

A

the vagina has a stratified squamous non-keratinised epithelium
glycogen is secreted by the vagina making it an acidic environment killing microorganisms

mucus comes from parthenin glands

ciliated specialisations beat the egg towards the uterus

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