pak Flashcards

(48 cards)

1
Q

What is the histological organization of the female ovary from outside to inside?

A

1 Germinal Epithelium (not correct name)
Simple squamous or cuboidal epithelium
*In comparison with male: no peritoneum present

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2 Tunica Albuginea: dense connective tissue, analogous to male

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3 Cortex:
Cortical stroma connective tissue
Primordial follicles (dormant for 12-50 years)
After puberty: Stages of development of oocytes/follicles
(right under tunica albuginea)

===

4 Medulla
loose connective tissue, blood/lymphatic vessels, nerves

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2
Q

What are the two functions of the mensturation periods and what are the two main steroids produced and what is their function?

A

Function 1: Gamete: ovum production in monthly cycles
Function 2: Female sex hormone (steroid) production in monthly cycles

==========

Estrogen function: development of external sex organs + breast
Progesteron function: development of internal sex organs + lactation

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3
Q

Which part of the histological organization of the ovary is most prone to cancer?

A

“Germinal” epithelium origin of 70% of ovarian cancers

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4
Q

Where do the germ cells actually come from before reaching the ovary?

A

Germ cells are extra-gonadal origin:

migration From embryonic yolk sac
To cortex of embryonic ovary

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5
Q

What is the function of the follicular cells of the ovary?

A

They sustain a single developing primary oocyte which is Dormant: Arrested in prophase of 1st meiotic division

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6
Q

What are follicular cells called later in life?

A

G cells/granulosa cells

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7
Q

What do Stromal cells eventually become and what is their function?

A

Eventually become: theca interna and theca externa

Theca interna cells: Produce androgens to get sent to G cells for conversion to estrogen.

Theca externa cells are stromal supporting cells (support theca interna)

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8
Q

What hormones control the menstrual cycle in the first two weeks, on day 14, and on the 2nd two weeks?

A

Before Ovulation: 1st two weeks: FSH and estrogen control

Ovulation: on day 14: LH control

After ovulation: 2nd two weeks: LH and Progesteron control

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9
Q

What is the structure of a primordial follicle?

A

A primordial follicle has a primary oocyte (2n) at its center, surrounded by a single layer of squamous follicular cells, a basal lamina, and stromal cells.

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10
Q

In which stage of meiosis are primary oocytes arrested?

A

Primary oocytes are arrested in prophase of the first meiotic division.

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11
Q

What happens to primordial follicles at puberty?

A

At puberty, primordial follicles begin to develop further and become primary follicles.

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12
Q

What is the structure of an early primary follicle?

A

Contains a primary oocyte (2n) at its center, with the zona pellucida (transparent zone) beginning to appear and simple cuboidal epithelium surrounding it.

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13
Q

What is the zona pellucida and what is its function?

A

The zona pellucida is a glycoprotein coat secreted by the oocyte, playing a key role in fertilization and protection.

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14
Q

What types of cells surround the primary oocyte in a primary follicle?

A

The primary follicle consists of simple cuboidal follicular cells, basal lamina, and stromal cells.

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15
Q

What clinical implication arises from a defective zona pellucida?

A

A defective zona pellucida can lead to no fertilization by sperm, resulting in infertility.

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16
Q

What is the structure of the late primary follicle and what is special about it?

A

Structure: Primary oocyte (2n) in the center, Zona Pellucida
Stratified cuboidal epithelium.

Special: Follicular cells become granulosa cells (zona granulosa)

Stromal cells become: Theca cells or Theca folliculi cells

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17
Q

Q: What characterizes a secondary follicle and what is special about it?

A

contains a secondary oocyte (n) arrested in metaphase of meiosis II and is pushed off-center by antrum fluid.

Special: Antrum first appears

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18
Q

Q: What is a Graafian follicle and what special structures appear?

A

A Graafian follicle is a mature ovarian follicle containing a secondary oocyte (n) that is eccentric in position and arrested in metaphase II of meiosis.

Special:

Granulosa cells form the Corona radiata and Cumulus Oophorus

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19
Q

What is the id of each follicle and what is special about each one?

A

Primordial follicle simple squamous cells with no Antrum

Early primary follicle simple cuboidal cells with no Antrum (zona pellicuda first appears)

late primary follicle stratified cuboidal epithelium with no antrum (follicular cells become granulosa cells and stromal cells become theca cells)

Secondary follicle stratified cuboidal epithelium with a small Antrum

Mature follicle stratified cuboidal epithelium with a large Antrum (With Corona radiata and Cumulus Oophorus)

Corpus leutum: Big cavity with no oocyte

Corpus albicans White lines with big pink

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20
Q

What are the components of the blood-ovum barier?

A

Components of the Barrier:

Theca Interna Cells: These endothelial cells provide vascular support, ensuring a supply of blood and nutrients.

Granulosa Cells: Providing the next layer within the follicle, these cells are essential for hormone production and contribute to the barrier’s overall integrity.

Avascular Environment: The area surrounding the ovum is avascular, meaning there are no blood vessels directly supplying it, which further protects the ovum from potential immunological attacks or unwanted substances in the bloodstream.

21
Q

What occurs to theca interna cells during the formation of the corpus luteum?

A

Theca interna cells fold into surrounding granulosa cells during luteinization.

22
Q

What is luteinization?

A

Luteinization is the differentiation of theca interna and granulosa cells into endocrine cells, forming theca lutein cells and granulosa lutein cells, respectively.

23
Q

Where is the corpus luteum located?

A

The corpus luteum is located in the cortex of the ovary at the site where ovulation occurred.

24
Q

What hormones are secreted by the corpus luteum, and for how long?

A

The corpus luteum secretes estrogen and progesterone for about 10 days following ovulation.

25
What is the corpus albicans?
Corpus albicans or White body Develops after corpus luteum degenerates Structure: scar/fibrous tissue or collagen Location: cortex, where corpus luteum used to be Function: replaces corpus luteum
26
What is the histological composition of the fallopian tubes?
Mucosa Muscularis Serosa (Mesosalpinx)
27
What is the composition of the mucosa of the fallopian tubes?
**Epithelium:** Composed of simple columnar epithelium containing: Ciliated Cells: These cells help propel the ovum towards the uterus through coordinated beating. **Ciliated and Non-Ciliated Secretory Cells (Peg Cells):** These cells provide a nourishing environment for the ovum and early stages of the embryo. **Lamina Propria:** Composed of loose connective tissue, which supports the epithelium and serves as a conduit for blood vessels and nerves.
28
What is the composition of the muscularis of the fallopian tubes?
The muscular layer, or muscularis, is comprised of two distinct layers: **Inner Circular Layer:** This thick layer provides contractions necessary for the transport of the ovum. **Outer Longitudinal Layer**: This thinner layer contributes to the overall motility of the tube.
29
What is the composition of the serosa of the fallopian tubes?
Serosa (Mesosalpinx): The outermost layer consists of: Mesothelium: A type of epithelium that covers the external surface. Thin Layer of Connective Tissue (CT): This helps anchor the tube in place and provides additional structural support.
30
What are the components of the Mucosa (Inner Layer) of the uterus?
Endometrium and Endometrial Stroma.
31
What type of epithelium is found in the Endometrium?
Simple columnar epithelium.
32
What are the two layers of the Endometrium?
Stratum Basale and Stratum Functionale.
33
What is the role of the Stratum Basale?
It is a permanent layer that regenerates the Stratum Functionale.
34
What happens to the Stratum Functionale during the menstrual cycle?
It grows and dies (cycles).
35
What types of cells are found in the Endometrium?
Ciliated cells and Secretory cells.
36
What is the Muscularis layer of the uterus also known as?
Myometrium.
37
What are the layers of smooth muscle in the Myometrium?
Inner layer (longitudinal), Middle layer (circular/spiral), and Outer layer (longitudinal).
38
What is the function of the smooth muscle in the Myometrium?
Acts as a functional syncytium for contractions during childbirth.
39
What is the outer layer of the uterus called?
Serosa or Perimetrium.
40
What does the Perimetrium consist of?
Mesothelium, thin loose connective tissue, and elastic fibers.
41
What are Straight Arteries in the uterus?
Short arteries that do not respond to hormonal changes.
42
What are Spiral Arteries in the uterus?
Long, coiled branches that reach the endometrium and respond to hormonal cycles.
43
Which phase of the menstral cycle is each picture in?
Menstrual Cycle of Uterus (above dotted line: stratum functionale; below dotted line: stratum basale) **A Proliferative (growing) Phase**: (control by ovaries-estrogen) Mucus glands appear straight and less in number **B Secretory (glandular) Phase**: (control by corpus luteum-progesterone) Mucus glands appear corkscrew shaped and more in number Maximal thickness of endometrium Spiral arteries extend into the superficial regions of the functional layer **C Menstrual (dead) Phase**: (hormone production declines from ovary & degenerated corpus luteum) Stratum functionale sheds off: debris from necrosis, extavasated blood
44
How does the Myometrium of the cervix differ from that of the uterus?
The myometrium of the cervix contains more dense connective tissue, less smooth muscle, and elastic fibers.
45
What is found in the Endocervix (facing the uterus)?
Simple columnar epithelium (SCE) and lamina propria (LP), with branched tubular mucus glands (no spiral arteries).
46
What type of epithelium makes up the Ectocervix (facing the vagina)?
Non-keratinized stratified squamous epithelium (SSE) and lamina propria (LP); it does not contain glands.
47
What are the main features of the Mucosa in the vagina?
Contains rugae (folds), non-keratinized stratified squamous epithelium, and a thick lamina propria
48
What types of muscles are present in the Muscularis layer of the vagina?
Inner circular layers and outer longitudinal layers of smooth muscle.