Phys and patho trigger Flashcards

1
Q

what induces the surge of LH to release oocytes

A

estrogen

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2
Q

which hormone thickens the vaginal wall and increases vaginal lubrication

A

estrogen

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3
Q

this hormone is responsible for proliferation of the endometrium. it also reduces acne and increases libido

A

estrogen

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4
Q

what causes menses and lactation

A

the fall of progesterone

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5
Q

which hormone is involved in WBC production and embryo developement

A

activins

activins also stimulate FSH production

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6
Q

which hormone inhibits activin

A

follistatins (therefore they also inhibit FSH)

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7
Q

how does lactation affect the HPO axis

A

lactation increases dopamine and alters release of GnRH

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8
Q

what is the first event of puberty?

A

thelarche (breast developement, duct growth, lobule and alveoli growth)

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9
Q

dries like a fern-ike pattern on a slide

A

cervix during high estrogen times

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10
Q

which hormone increases ciliary beat

A

estrogen

(progesterone decreases ciliary beat

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11
Q

which hormone antagonizes insulin effects on glucose metabolism in the muscles

A

progesterone
(also reduces spasms, relaxes smooth muscle)

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12
Q

which hormone improves skeletal contractility

A

estrogen

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13
Q

which hormone enhances sodium/water retention

A

estrogen

(progesterone causes sodium/water excretion)

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14
Q

How does pregnancy affect the PMI

A

upward and lateral shift of PMI

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15
Q

what supplement is reccomended for vegetarians or women with history of megaloblastic anemia

A

vitamin B12

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16
Q

what substances cross the placenta easily, give examples of these

A

albumin bound substances such as warfarin or salicylates

17
Q

what portion of the blastocyte becomes the placenta

A

outer cell group

(inner cell group becomes endoderm, mesoderm and ectoderm)

18
Q

what causes vascularization of the endometrium and developement of the uterine glands

A

estrogen and progesterone from the corpus luteum

19
Q

what causes spasms/ischemia of the endometrium and eventually leads to hemorrhage as the breakdown of endometrium occurs

A

the regression of the corpus luteum and decreasing estrogen and progesterone levels

20
Q

what part of the inner embryo forms the nervous system

A

ectoderm

also forms skin, teeth, outer epithelium

21
Q

what part of the inner embryo forms connective tissue and muscle and bones

A

mesoderm

remember this includes pericardium, peritoneum and pleura

22
Q

when does the heart begin to beat in an embryo

A

weeks 6-7

23
Q

when do limb buds begin to form? what else forms during this time?

A

weeks 6-7

also:
heart beat
ears,eyes, bones

24
Q

when do lungs begin to form

A

week 8

remember by week 9 all essential organs have begun to form

25
Q

when is a heart beat able to be heard by a doppler US

A

week 10

26
Q

when does urine production and RBC production begin

A

weeks 11-14

also:
ossification of bone centers occur at this time

27
Q

when does lanugo and meconium begin to form? what else occurs during this time?

A

weeks 15-18

also: movement and fat accumulation begins. although REMEMBER fetal movements arent usually felt by mother until week 19

28
Q

when does a fetus begin hearing

A

week 19
also when you start to feel lil baby move

29
Q

when should alveoli formation occur? what else occurs during this time?

A

by week 26

hand/startle reflex occurs

30
Q

when is surfactant produced

A

week 27-30

31
Q

what is the term describing initial formation of gonads but later degeneration

A

agonadism

32
Q

In what phase of the cycle is inhibin B secreted

A

Follicular phase.

the increase in FSH stimulates inhibin B release which then dereases FSH as a negative feedback loop

33
Q

what triggers ovulation

A

LH surge

(follicle releases estrogen which causes a surge of GnRH and then LH)

34
Q

in what phase of the cycle does mittelschermz occur

A

around day 14 during ovulation

occurs d/t follicular rupture and hemorrhage

35
Q

in what phase of the cycle does the corpus albicans form

A

luteal phase right before menstruation

menstruation occurs right after this because the coprus albicans is no longer creating progesterone

36
Q

in what phase of the cycle does the endometrium become vascularized

A

post ovulatory during the secretory phase

(remember in the proliferative phase, the uterine glands lengthen but dont secrete anything and the endometrium is not yet vascularized)

37
Q

which hormone alkalizes the mucus in the cervix?

A

estrogen! thins and alkalizes mucus in cervix to enhance sperm survival

38
Q

describe the effect that pregnancy has on platelet count and platelet production

A

increased production, but also increased consumption.

leading to an overall decrease in platelets.

39
Q

what is the term for a vaginal cavity that is fibrous and closed

A

vaginal atresia