Wednesday - Physiology of Girls - Trach Flashcards

1
Q

what causes a primary oocyte to go undergo the first meiotic division

A

LH surge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what causes a secondary oocyte to undergo the 2nd meiotic division

A

sperm

fertilization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

if pregnancy does not occur, what happens to the corpus luteum
how does that change hormonally

A

it degrades
- then there is less progesterone and estrogen
that means there is not inhibitory feedback on LH and FSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what degrades the corpus luteum?

A

prostaglandin F2alpha

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what hormone do you not have in menopause

A

estrogen or progesterone –> gonadotropins are very high because no inhibition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to LH and FSH n pregnancy?

A

they are very low bacause there’s a lot of estrogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GnRH
made where
secreted how
receptor type

A

arcuate nucleus of hypothalmus
pulsatile
Gq –> IP3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

primary role of FSH

A

follicular groth and estrdiol secretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

primary role of LH

A

induction of ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

hCG’s role

where is it made?

A

made from placenta

in 1st trimester - maintains corpus luteim and stimulates LH receptor

later, responsible for steroidogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the gonadotropins

A

FSH, LH, hCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what turns testosterone to estradiol

where is it

A

aromatase

in granulosa cells –> then secretes the estradiol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Estrogen receptor

A

intracellular
dimerizes
cuases transcription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does clomiphene citrate do?
what does it treat

side effects

A

it’s an estrogen antagonist –> FSH and LH secretion

treats infertility from anovulation

hot flashes (lack of estrogen does that)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

2 drugs that are FSH and LH gathers from postmenopausal women that we probably don’t have to actually know

drug that’s just FSH

side effects

A

menotropin
urofolitropin

follitropin

lots of babies
overstimulation syndrome
- vascular fluid goes into thoracic cavity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hormone, given as a drug, given after clomiphene or gonadotropins to cause LH surge

A

hCG

17
Q

GnRH agonists

how can it have antagonist effects

A

Leuprolide
agonist if pulsitile
- use for infertility

antagonist if continuous (downregs the gnrh receptor in pituitary –> decrease FSH and LH)
- use for precocious puberty and fibroids

18
Q

GnRH antagonists that aren’t in FA

effects

A

Ganirelix and Cetrorelix

stop LH surge

19
Q

effects of estrogrens

A

development and growth of sex accessory tissue
skeletal growth and body shape
menstrual cycle (pituitary effects)

sodium and water retention
increase HDL lower LDL

20
Q

uses of estrogen

A

contraceptive
- block LH surge and ovulation

hormone replacement therapy

dysmenorrhea

21
Q

why is ethinyl estradiol used instead of estrogen for oral contraceptives?

A

because estrogen has a high 1st pass metabolism and the other doesn’t
- added c-17

22
Q

Tamoxofen MOA

use

other drugs in this class

A

SERM (selective estrogem receptor modulator) because antagonist in breast and agonist in bone

breast cancer

raloxifene - same MOA
toremifene - no bone effect, just antagonist in breast

23
Q

Pure estrogen antagonist

used for what

A

Fulvestrant
–> down regulates the receptors

tx for estrogen positive breast cancer

24
Q

aromatase inhibitors

use?

A

anastrozole/letrozole
- non-steroidal, reversible
exemestane
- steroidal, not reversible

estrogen receptor positive cancer

25
Q

actions of progesterone

uses?

A

development of endometrium
uterine relaxation in pregnancy

used with/for oral contraceptives, hormone replacement
tx for dysmenorrhea

26
Q

synthethic progestins used in oral contraceptives

A

medroxyprogesterone
norethindrone
levonorgestrel

27
Q

hormones for replacement therapy

use?
cons?

A

estrogen+/-progesterone

stops menopause sx

increase heart disease

28
Q

emergency contraceptives

MOA

A

progesterone agonists
- levonogestrel (plan B)
progesterone antagonists
- mifepristone, ulipristal

interfere with ovulation
mif is also abortaficient at high dose