Dr Kamal's Intro to Gynae Flashcards

1
Q

when does implantation occur

A

day 8

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2
Q

what is the axis involved in menstrual cycle

A

hypothalamic - anterior pituitary - ovaries

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3
Q

what hormones are invovled in menstruation

A

GnRH - LH/FSH - progesterone / oestrogen

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4
Q

what does oogenesis produce

A

1 egg and 1 polar body each time

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5
Q

what does spermatogenesis produce

A

2 sperm each time

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6
Q

what is the name of the dominant follicle

A

graffian follicle

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7
Q

what cells does graffian follicle have & what do they make

A

thecal and granulosa
E2

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8
Q

where does eoestrogen e2 act and what does it cause

A

endometrial columnar cells
mitosis (proliferation)

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9
Q

what does LH surge cause

A

egg release (ovulation)

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10
Q

when does LH surge occur in relation to ovulation

A

72hrs before

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11
Q

how is the egg released

A

follicle ruptures

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12
Q

why does the egg move down the fallopian tube

A

cillia

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13
Q

what is made when egg and sperm meet

A

zygote

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14
Q

where does zygote implant

A

middle of uterine endometrium

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15
Q

list stages of mitosis as egg travels

A

modular - blastular - outer cell and inner cell mass

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16
Q

what does the outer cell mass make

A

trophoblast - placenta

17
Q

what does the inner cell mass make

A

bilaminar disc - trilaminar disc - foetal pole

18
Q

what is the process of no fertilisation

A

graffian follicle - corpus luteum - progesterone

19
Q

risks of PCOS

A

infertility
cancer due to endometrial hyperplasia

20
Q

where is an ectopic most likely to implant

A

ampula of fallopian tube

21
Q

what causes an ectopic

A

poor ciliary function
blockage eg endometriosis / PID

22
Q

RFs for ectopic

A

prev ectopic, endometriosis, PID

23
Q

most common cause of secondary amenorrhoea

A

pregnancy

24
Q

describe labor augmentation drugs & what they specifically help with

A

prostaglandins to open cervis
oxytocin to push baby out

25
Q

GDM Tx pathway

A

diet and lifestyle
metformin
insulin

26
Q

what is success of ECV

A

50% flip
50% of those flip back

27
Q

what is hydrops fetalis

A

oedema and liver failure