1,000ft View Women's Health, Puberty and Menopause Flashcards

(54 cards)

1
Q

what is the vulva made up of

A

labia minora
labia majora
mons
clotoris
urethra
vestibular bulbs
bartholin glans
vaginal opening

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2
Q

what is the Mons

A

fatty mound anterior to the pubic bone
cushion during intercourse
secretes phermones

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3
Q

what does the labia protect

A

urethra and vaginal openings

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4
Q

what are the bartholin glands

A

under labia minora
secrete mucus (lubricant) into the vagina introitus

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5
Q

what innervates the bartholin glands

A

parasympathetic nervous system

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6
Q

what occurs during stimulation to the clitoris

A

dilation of arteries as results of release of acetylcholine and nitric oxide, tissue becomes erect

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7
Q

where does the vagina receive blood from

A

uterine arteries

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8
Q

what is the innervation of the vagina

A

sympathetic innervation deep perineal nerve off the pudendal nerve
afferent fibers to sensory ganglia at S2-S4

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9
Q

what is the fundus

A

upper part of the body of the uterus above the uterine ostia

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10
Q

what does the uterine isthmus lead into

A

the cevix

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11
Q

what is the typical presentation of the uterus

A

anteverted position laying over the ladder

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12
Q

what are the layers of the uterine wall

A

perimetrium
myometrium
endometrium

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13
Q

what is the perimetrium

A

outer aspect supported by layer of connective tissue

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14
Q

what is the myometrium

A

the smooth muscular layer, bulk of the uterus, where most of the nerve and blood vessels are located

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15
Q

what is the endometrium

A

layer involved in monthly menses

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16
Q

what does the round ligament support

A

uterus posterior-inferior

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17
Q

what is the broad ligament

A

2 layers that sandwhich the structures
-mesosalpinx
- mesovarium
-mesometrium

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18
Q

what attaches the uterus and ovary

A

ovarian ligament

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19
Q

what does the mesosalpinxsupport

A

the fallopian tube

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20
Q

what does the mesovarium support

A

the ovary

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21
Q

what does the mesometrium support

A

the uterus

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22
Q

what is the infundibulum

A

area within the peritoneal cavity that contain fimbriae to accept the ovary

23
Q

what is the Ampulla

A

largest aspect - area of fertilization within the fallopian tubes

24
Q

what is the isthmus

A

area where the wall of the fallopian wall is the thickest

25
what do the ovaries contain
oocytes
26
what is day 1 of your period
start of your cycle
27
What is Meiosis
makes district gametes (diploid -> haploid) four haloid daughter cells
28
what is Mitosis
clones body cells (Diploid - > diploid) one two daughter cells
29
what is the ovum
mature egg (through oogenesis)
30
what is follicle
sac containing unfertilized oocyte
31
what is primordial follicle
primary oocyte with one layer of surrounding granulosa cells, stuck in phrophase 1
32
what is primary follicle
advancing primordial stimulated by FSH with beefier granulosa cells
33
what is secondary follicle
more granulosa cells that secrete follicular fluid
34
where do the primordial ovum gather
in the ovarian stroma and will be surrounded by granulosa cells to become primordial follicle (primary oocyte)
35
what provides the ovum with nutrients for development
granulosa cells
36
what does the granulosa cell release
oocyte maturation inhibiting factor until ready to be acted upon by FSH and LH (puberty)
37
how many ovum will reach primary follicle stage each month
6-12
38
What is Theca
another layer of proliferating cells that will produce estrogen and progesterone as follicular fluid
39
what occurs when granulosa cells proliferate
secondary follicle
40
What is Atresia
the king primary follicle (largest) will be dominant and stop the progression of other follicles
41
What is the Graafian follicle
sudden positive feedback mechanisms cause spike is LH butt not as much FSH cause increase in proteases to cells around developed secondary oocyte - released with single layer of granulosa cell encasing it
42
when does ovulation occur
14 days into cycle
43
where does the sperm meet the egg
in the ampulla
44
what occurs during the luteal phase
corpus luteum forms then degernates
45
what is the corpus luteum
cells that remain after explusion of the ovum
46
what stimulates the corpus luteum to produce progesterone* and estrogen
LH
47
how long does the degredation of of the corpus luteum occur for
over 12 days - absorbed over several months
48
what occurs with progesterone levels as the corpus luteum involutes
decreased production
49
What occurs during the proliferative phase
menstration completed estrogen increases, casues proliferation of stromal cells and epithelial cells blood supply increases to endometrium - becomes 3-5mm thick
50
What occurs during the secretory phase
estrogen and progesterone are being secreted by corpus luteum, primarily progesterone driven glands increase - increased secretion increased blood supply to endometrium - one week after ovulation, endometrial lining 5-6mm thick
51
What does estrogen promote
development of follicle, secondary sexual characteristics
52
what does progestins do
prep uterus for housing fetus, lactation
53
what is estrogens effect on the kidneys
retention of sodium and water
54
where is progesterone broken down
liver and release as bile or urine