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Flashcards in Repro: Female Deck (293)
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0
Q

Function of Female RS: produce female _______. (________)

A

Gametes. Oocytes.

1
Q

Consist of two ovaries, oviducts, uterus, vagina and external genitalia.

A

Female Reproductive System

2
Q

Function of Female RS: Provide environment for ________.

A

Fertilization

3
Q

Function of Female RS: Hold _______ during complete development through fetal stage until birth.

A

Embryo

4
Q

Function of Female RS: Produces ___________ hormones.

A

Steroidal sex

5
Q

Function of Female RS: For _______ to reach ovum.

A

Sperm

6
Q

Function of Female RS: Canal for release of _________ & ______ canal.

A

Menstruation. Birth.

7
Q

Control organs of Reproductive System.

A

Steroidal sex hormones

8
Q

First menstruation. System starts to undergo cyclic changes in structure or functional activity.

A

Menarche

9
Q

Menarche modifications controlled by

A

Neuronal hormones

10
Q

Cyclic changes become irregular and eventually disappear

A

Menopause

11
Q

There is slow involution of reproductive organs, including mammary glands.

A

Post menopausal period

12
Q

Almond shape bodies. Storage of primary oocyte. Covered by _________, part of mesothelium. Consists cortex and medulla. Endocrine & Cytogenic properties.

A

Ovaries. Germinal epithelium.

13
Q

Measurement of ovaries: _____ long, ____ wide & ____ thick.

A

3.5, 1.5 & 1

14
Q

Endocrine property of Ovaries

A

Estrogen & Progesterone

15
Q

Cytogenic property of Ovaries

A

Oocytes

16
Q

Germinal epithelium LE is ________. Continuous with the _______. Overlies the tunica albuginea.

A

Simple cuboidal. Mesothelium.

17
Q

Lining epithelium of the Mesothelium

A

Simple squamous

18
Q

Main cell of the ovarian follicle

A

Oocyte

19
Q

Surrounding cells at the ovarian follicle

A

Follicular cell

20
Q

Thick layer of Dense connective tissue capsule. Responsible for the whitish color of the ovary.

A

Tunica Albuginea

21
Q

Ovarian cortex: Outer. Filled with a highly cellular ________ and many __________ plus characteristic epithelial structure of ovary.

A

CT Stroma. Ovarian Follicles.

22
Q

Ovarian medulla: most ________ part. Neurovascular structures. Contain ______ and blood vessels entering the organ through the hilum from mesenteries suspending the ovary.

A

Internal. LC.

23
Q

Morphologically similar to Leydig cells in the Ovarian medulla

A

Hilar cells

24
Q

Early dev’t of Ovary: Migrates from yolk sac to the gonadal primordia in first month of embryonic life. Divide and differentiate as ________. 2nd month embryo ________ and 5th month embryo ______.

A

Primordial germ cells. Oogonia. 600 000 oogonia. 7M.

25
Q

Early dev’t of Ovary: during ________. Oogonia begin to enter _______ of ___________ division but arrest after completing synapsis & recombination w/o progressing to later stages of meiosis.

A

3rd month. Prophase. 1st meiotic division.

26
Q

Cells that are arrested during Prophase I which are surrounded by Follicular cells. Within ovarian follicle.

A

Primary Oocytes

27
Q

Flattened supportive cells

A

Follicular cells

28
Q

During _______, Oogonia- Primary oocyte within follicles. Primary oocyte undergoes atresia.

A

7th month

29
Q

Slow continuous degenerative process

A

Atresia

30
Q

300 000 oocytes only reach full maturity when fertilization occurs.

A

Puberty

31
Q

Only _________ resumes meiosis w/ ovulation during each menstrual cycle.

A

One oocyte

32
Q

Reproductive life of woman: _______ years. Only _____ oocytes are liberated from ovaries by ovulation. Others degenerate by atresia.

A

30-40 years. 450 oocytes.

33
Q

Consist of an oocyte surrounded by one or more layers of epithelial cells. Surrounded by ________.

A

Ovarian follicles. Ovarian Stroma.

34
Q

Follicles formed during fetal life. Consist of a primary oocyte enveloped by a single layer of flattened follicular cells. Found in the superficial areas of the cortex. Surrounded by basal lamina.

A

Primordial follicles

35
Q

Spindle shaped cells, SM, Collagen fibers & Fibroblast.

A

Ovarian stroma

36
Q

Spherical cell w/ nucleus & mostly uncoiled chromosomes in 1st meiotic prophase

A

Oocyte

37
Q

In Oocyte: ______ concentrated near nucleus.

A

Organelles

38
Q

In Oocyte: Includes numerous ________. Several ________. Extensive _________. Prominent nucleoli.

A

Mitochondria. Golgi complexes. ER cisternae.

39
Q

Clear boundary between follicle and vascularized stroma.

A

Basal Lamina

40
Q

Begins in puberty w/ release of ____ from pituitary. Involves in growth of oocyte. Proliferation & differentiation of stromal _______. Selection of either primordial & dominant follicle.

A

Folliculogenesis/Follicular growth. FSH. Fibroblasts.

41
Q

In Folliculogenesis: undergo growth & recruitment

A

Primordial follicles

42
Q

In Folliculogenesis: ovulates

A

Dominant follicle

43
Q

In Folliculogenesis: Selection of complex _______ balances. Differences among follicles in FSH receptor numbers, ______ activity and estrogen synthesis.

A

Hormonal. Aromatase.

44
Q

Grows more rapidly during 1st part of follicular development. Prompted by ____. Max diameter ____.

A

Oocyte. FSH. 120um.

45
Q

In Oocyte: This enlarges.

A

Nucleus

46
Q

In Oocyte: become more numerous & uniformly distributed.

A

Mitochondria

47
Q

In Oocyte: more extensive.

A

ER

48
Q

In Oocyte: enlarge and move peripherally

A

Golgi complexes

49
Q

Separated to stroma by a thin basal lamina

A

Granulosa cell

50
Q

Undergo mitosis. Forms a simple cuboidal epithelium around the growing oocyte. Now known as ___________. Continue to proliferate forms Granulosa cells communicate through gap junctions.

A

Follicular cells. Unilaminar/Primary follicle.

51
Q

Single layer of cuboidal epithelium

A

Primary follicle

52
Q

Lining Epithelium of Granulosa

A

Stratified Columnar Epithelium

53
Q

Cells known as Granulosa cells. Follicle is multilayered primary follicle. Still surrounded by basement membrane. 2 layers of granulosa cells. Fine chromatin. Prominent nucleoli & cannot see nucleus.

A

Growing/Multilaminar follicle

54
Q

Granulosa cells produces

A

Estrogen

55
Q

Layer of extracellular material between oocyte & granulosa cells. Consists of 4 ___________ by oocyte. Thick layer of glycoprotein & proteoglycan.

A

Zona pellucida. Glycoprotein. Proteoglycan.

56
Q

Zona pellucida components: bind proteins on the surfaces of the sperm. Induce acrosomal activation.

A

ZP 1-4

57
Q

Zona pellucida is penetrated by ___________, microvilli of oocyte. Allows communication by cells between gap junctions.

A

Filopodia of follicular cells

58
Q

Stratification of cuboidal granulosa cells

A

Zona Granulosa

59
Q

_______ grow with increasing oocyte size & numbers of granulosa cells and move deeper in the __________.

A

Follicles. Ovarian cortex.

60
Q

Small spaces develop within granulosa layer. Cells secrete _____________ which accumulates in the spaces.

A

Follicular fluid/Liquor Folliculi

61
Q

In zona granulosa: ________ reorganize in a larger cavity. ________ is for spaces or cavity formation. Follicles not known as _________.

A

Granulosa cells. Antrum. Secondary Antral follicles.

62
Q

Contains hyaluronate, growth factors, plasminogen, fibrinogen and anticoding heparan SO4 & proteoglycan. And it joins to produce cavities known as _________.

A

Follicular fluid. Graafian follicle.

63
Q

High concentration of steroids with binding protein

A

Progesterone, Androstenadione & Estrogens”PAE”

64
Q

Part of Zona Granulosa: During reorganization, some cells form a small hilock, __________. Surrounds oocyte. Protrude into the antrum.

A

Cumulus oophorus

65
Q

Around Zona Pellucida: cells immediately surround and linked to the oocyte. Accompany the oocyte when it leaves the ovary.

A

Corona radiata

66
Q

Stromal cells that immediately around the follicle

A

Follicular Theca/Theca Folliculi

67
Q

Well vascularized endocrine tissue

A

Theca interna

68
Q

More fibrous. Contains smooth muscle & fibroblast. Located at the outer part.

A

Theca externa

69
Q

Steroid-producing endocrine w/ abundant smooth ER, mitochondria with tubular cristae . Numerous lipid droplets. Secrete androstenadione.

A

Cells of Theca Interna

70
Q

Transform steroid to estradiol

A

Aromatase

71
Q

Steroid hormone. Under the influence of _____. Synthesize aromatase. Absorbed in ________.

A

Androstenedione. FSH. Zona granulosa.

72
Q

Wall like formation of granulosa cell

A

Granulosalimitans externa

73
Q

Antrum increases greatly in size, accumulating follicular fluid. Oocyte adheres to wall of the follicle through cumulus oophorus of granulosa cells granulosa cell layer becomes thinner. Very thick thecal layers. FSH starts to decrease, inc estrogen.

A

Mature/Preovulatory/Graafian Follicle

74
Q

Degenerative process. Follicular cells & oocytes die & are disposed of by phagocytic cells. Exhibited by follicles at any stage of development involves apoptosis, detachment of granulosa cells, autolysis of oocyte and collapse of zona pellucida.

A

Follicular Atresia

75
Q

Invade degenerating follicle & phagocytose debris

A

Macrophage

76
Q

Occupy the area of the follicle. Produce a collagen scar.

A

Fibroblast

77
Q

Primordial to mature follicle. Takes place from before borth until a few years after menopause. Most prominent just __________. Maternal hormones decline rapidly during both puberty and pregnancy.

A

1st meiotic division

78
Q

Occurs midway through menstrual cycle (_____ day)

A

Ovulation. 14th

79
Q

Whitish or translucent bulging developed from the large mature follicle bulging against the tunica albuginea. Compactiom of the tissue has blocked blood flow.

A

Stigma

80
Q

Begin to secrete progesterone and estrogen

A

Granulosa cells & Theca interna

81
Q

Stimulus of Ovulation: ________ from anterior pituitary in response to rising levels of estrogen produced by the _____________.

A

LH surge. Mature dominant follicle

82
Q

Stimulates hyaluronate & prostaglandin synthesis and fluid production. Within preovulatory follicle.

A

LH

83
Q

Protesterone, LH & FSH activate proteolytic enzymes (________ & _______) within and around the follicle.

A

Plasmin. Collagenases.

84
Q

Progesterone, LH & FSH weaken ________, ________ & _________. Which then leads to the ballooning and rupture of ovarian surface at ________.

A

Granulosa layer, Cumulus Oophorus & Tunica Albuginea. Stigma.

85
Q

Cause contraction of theca externa smooth muscle through the opening @ stigma.

A

Prostaglandin

86
Q

Prostaglandin causes the expulsion of

A

Cells of cumulus, Corona radiata, Oocyte & Follicular fluid “ CCOF”

87
Q

Before ovulation: _______ completes first meiotic division. Began and arrested at _________, nuclear and cytoplasmic division. Chromosomes divide into secondary and first polar body.

A

Oocyte. Prophase.

88
Q

Nuclear is ________ and Cytoplasmic is ________.

A

Equal. Unequal.

89
Q

Division of chromosome that is released from ovary. Retains almost all of the cytoplasm. Haploid.

A

Secondary oocyte

90
Q

Division of chromosome that is nonviable cell of a nucleus and a minimal amount of cytoplasm. Haploid.

A

First polar body

91
Q

Formed after expulsion of first polar body. Oocyte begins ____ meiotic division. Arrests at _________.

A

Haploid. 2nd. Metaphase.

92
Q

Adheres loosely to the ovary surface because of ________ which is rich coagulating follicular fluid.

A

Ovulated secondary oocyte. Hyaluronate.

93
Q

Secondary oocyte if not fertilized within _______ degenerate.

A

24th day

94
Q

A large temporary endocrine gland formed by the granulosa cells and theca interna change under influence of ____. Cells specialized for the production of steroid ________.

A

Corpus Luteum. LH. Progesterone.

95
Q

Increase in size w/o dividing. Comprise 80% of parenchyma.

A

Granulosa cells

96
Q

Large pale staining cells which secrete progesterone & estrogen. Lost features of protein-secreting cells. Expanded role in aromatase conversion.

A

Granulosa Lutein cells

97
Q

Transient stage. Collapsing of blood vessels.

A

Corpus Hemorrhagicum (Corpus body)

98
Q

Form the former theca interna. Secrete estrogen. Smaller than granulosa lutei cells. Stain darkly. Cytoplasmic ultrastructural features of steroid-synthesizing cells. Acred by LH. Aggregated in the folds of corpus luteum.

A

Theca Lutein cells

99
Q

Produce large amounts of progesterone and androstenedione.

A

LH

100
Q

After LH surge, _________ programmed to secrete progesterone for _____ days.

A

Corpus Luteum. 10-12 days.

101
Q

Withou LH stimulation & pregnancy, both cells cease steroid production & undergo _________. Tissue regresses.

A

Apoptosis

102
Q

Shedding of the part of the uterine mucosa

A

Menstruation

103
Q

Menstruation brought about by decrease secretion of

A

Progesterone

104
Q

Inhibits FSH release from pituitary

A

Estrogen

105
Q

Produce estrogen

A

Corpus luteum

106
Q

Maintain & Strengthen endometrium

A

Progesterone

107
Q

Simultaneous with ovarian cycle

A

Endometrial cycle

108
Q

Persists for part of only one menstrual cycle. Remnants phagocytosed by ________. _______ produce a scar of dense of connective tissue.

A

Corpus Luteum of the menstrual cycle. Macrophage. Fibroblast.

109
Q

Fibroblast produce a scar of dense connective tissue. Atretic/scar follicle.

A

Corpus Albicans

110
Q

Glycoprotein hormone. Produced by __________ in the implanting embryo. Actions similar to LH. Stimulate secretion of progesterone. Targets corpus luteum to maintain it. Promotes further growth of this endocrine gland.

A

HCG. Trophoblast cells.

111
Q

Maintain uterine mucosa. Stimulate secretion on uterine mucosal glands for embryonic nutrition before placenta is functional.

A

Progesterone

112
Q

Maintained by HCG for _______. Degenerates and replaced by an end part known as ________.

A

Corpus luteum in pregnancy. 4-5months. Corpus albicans.

113
Q

Produces own progesterone and estrogen to maintain uterine mucosa

A

Placenta

114
Q

Ate genital ducts. Two mobile muscular tubes.

A

Uterine/Oviducts/Fallopian tubes

115
Q

Length of the uterine tube

A

12cm

116
Q

Funnel shaped end which opens to peritoneal cavity.

A

Infundibulum

117
Q

Fringe of finger like extensions. Oppose surface of ovary.

A

Fimbrae

118
Q

Longest & expanded area where fertilization normally occurs

A

Ampulla

119
Q

Narrow region. Folds are almost lost. Near uterus.

A

Isthmus

120
Q

Passes through the walls of uterus. Opens into inferior of the uterus.

A

Interstitial/Uterine/Intramural part

121
Q

Completed oogenesis

A

Mature/Defitive oocyte

122
Q

Three layers of the ovary

A

Folded mucosa, Thick muscularis and Thin serosa

123
Q

Layer of the uterine tube that is covered by visceral peritoneum w/ _________.

A

Thin serosa. Mesothelium.

124
Q

Layer of the uterine tube that is interwoven circular & outer longitudinal layer of smooth muscle

A

Thick muscularis

125
Q

Mucosa of the uterine tube has numerous branching. Longitudinal folds are most prominent in _________. Becomes smaller in segments of tubes closer to uterus. Not present in _________ portion.m

A

Ampulla. Intramural.

126
Q

Lining epithelium of the uterine tube

A

Simple columnar epithelium ciliated

127
Q

Lamina propia of uterine tube

A

LCT

128
Q

Epithelium of the uterine tube has ____ cells.

A

Three

129
Q

Uterine tube cells: Short. Lumen is towards uterus.

A

Ciliated cells

130
Q

Uterine tube cells: darker staining. Slightly taller. Apical ends bulge into lumen.

A

Peg/Secretory cells

131
Q

Uterine tube cells: reserve cells of tubal epithelium. Shortest.

A

Intercalated cells

132
Q

Bent toward the uterus. Cause movement of viscous liquid film. Covers epithelial surface. Contains glycoproteins & nutritive components produced by _________.

A

Cilia. Secretory cells.

133
Q

Triggered by ________. Cilia elongates.

A

Estrogen

134
Q

Both Tubal cells undergo hypertrophy during

A

Follicular growth phase

135
Q

Tubal cells both undergo atrophy during

A

Late Luteal phase

136
Q

Moves close to ovary. Partially covers ovarian surface. Favors transport of ovulated secondary oocyte.

A

Infundibulum

137
Q

_______ cause uterine tube muscular contraction. _______ for the ciliary activity. Oocyte then enters ________ and moves to ampulla.

A

Fimbrae. Epithelium. Infundibulum.

138
Q

Maximum viability of oocyte

A

24 hours

139
Q

Sperm activation

A

Capacitation

140
Q

Sperm release enzyme for it to penetrate.

A

Acrosome reaction

141
Q

Occurring in ampulla. Fusion of haploid sperm & egg. Reconstitution of diploid number of chromosomes. Triggers oocyte to complete 2nd meiotic division.

A

Fertilization.

142
Q

Formation of ovum. 2nd polar body.

A

2nd meiotic division

143
Q

Still present but gradually detaches. Forms a diploid cell: zygote. Which is transported to uterus.

A

Corona radiata

144
Q

Fertilization transport process occurs normally in women w/ ____________.

A

Immotile cilia syndrome

145
Q

If uterine tube is blocked: ________ cannot reach uterus. Implants itself in oviduct wall. __________ acts as uterine endometrium. Forms _______.

A

Embryo. LP. Decidual cells.

146
Q

Implantation of the embryo outside the uterus

A

Ectopic pregnancy

147
Q

Pear shaped. Thick muscular walls. Cell mass, inner is fetus and oiter is trophoblast. Morula enters and implants here.

A

Uterus

148
Q

Uterine part: largest. Entered by oviducts.

A

Body

149
Q

Uterine part: superior area between the tubes. Curved area.

A

Fundus

150
Q

Uterine part: narrowed part. Lumen. Internal OS. Only part to go back to its pre pregnant form.

A

Isthmus

151
Q

Uterine part: end. A lower cylindrical structure. Lumen, cervical canal.

A

Cervix

152
Q

Three layers of the uterus

A

Endometrium, Myometrium & Perimetrium

153
Q

Tunica serosa. Outer CT layer. Continuous w/ ligaments. Adventitia in some areas. Largely a serosa covered by a ________.

A

Perimetrium. Mesothelium.

154
Q

Lining epithelium of perimetrium

A

Simple squamous epithelium

155
Q

Thick tunic of highly vascular smooth muscle. Thickest. Composed of bundles of smooth muscle fibers seprated by CT & many blood vessels. Form 4 interwoven, poorly defined layers.

A

Myometrium

156
Q

Four interwoven layers of myometrium: composed mainly of fibers parallel to the long axis of the organ.

A

1st & 4th

157
Q

Four interwoven layers of myometrium: circularly disposed. Contains large blood vessels.

A

Middle layers

158
Q

Myometrium: during pregnancy undergoes both _______ & _______. 8M cells actively synthesize _______ that strengthens uterine wall.

A

Hypertrophy & Hyperplasia. Collagen.

159
Q

Myometrium: After pregnancy, ___ shrink, undergo ______. Removal of unneeded collagen.

A

SM. Apoptosis.

160
Q

Layer of myometrium: circular SM

A

Stratum Supravasculare

161
Q

Layer of myometrium: blood supply is concentrated. Longitudinal & Circular SM.

A

Stratum Vasculare

162
Q

Layer of myometrium: Longitudinal SM only

A

Stratum Subvasculare

163
Q

Tunica mucosa where zygote is implanted. Lamina propia contains ______ collagen fibers, abundant fibroblast and ground substance. LE is _________ which has both ciliated secretory cells which forms the uterine glands which penetrate its full thickness.

A

Endometrium. Type III Collagen. Simple columnar.

164
Q

2 zones of endometrium: unchanged on menstrual cycle. Adjacent to myometrium. Contains highly cellular LP & deep basal ends of uterine glands.

A

Basal layer

165
Q

2 zones of endometrium: changes. Superficial. Contains more spongy and less cellular LP. Richer in ground substances.

A

Functional layer

166
Q

In menstrual cycle, control growth & differentiation of epithelial cells & associated CT.

A

Progesterone & Estrogen

167
Q

Menstrual cycle duration average

A

28 days

168
Q

Day when menstrual bleeding appears

A

Day one

169
Q

Menstrual period lasts _______ on average.

A

3-4 days

170
Q

Fertilization of oocyte & embryonic implantation does not occur. Corpus luteum regresses. Self limiting.

A

Menstrual period

171
Q

For repair of endometrium

A

Estrogen

172
Q

In Menstrual Cycle, Circulating levels of progesterone and estrogen begins to decrease ______ days after ovulation. Leads to _______.

A

8-10 days. Menstruation.

173
Q

Drop off in Progesterone produces: _______ of muscle contraction i. Small spiral arteries of Functional layer.

A

Spasm

174
Q

Drop off in Progesterone produces: Increase synthesis by _______ of prostaglandin.

A

Arterial cells

175
Q

Produces strong vasoconstriction. Local hypoxia.

A

Prostaglandin

176
Q

Hypoxic cells. Increase vascular permeability immigration of leukocytes.

A

Cytokines

177
Q

Leukocytes release ________ & _____. Degrades basement membrane & ECM components.

A

Collagenas. Matrix Metalloproteins (MMP)

178
Q

Not dependent on progesterone sensitive spiral arteries, basal Layer of ________.

A

Basement membrane. Endometrium.

179
Q

Major portions of Functional layer including

A

Surface epithelium, Stroma & Blood-filled lacuna “SSB”

180
Q

Blood filled lacuna detaches from ________. Slough away as _________. Menses.

A

Endometrium. Menstrual flow.

181
Q

Limits blood loss

A

Arterial constriction

182
Q

At end of menstrual phase: Endometrium reduced to a _____ layer. Ready to begin a new cycle. Cells begin dividing to reconstitute _______.

A

Thin. Mucosa.

183
Q

3 line endometrium. Variable in length, ______ days average. Uterine mucosa is _____.

A

Proliferative phase. 8-10 days. Thin.

184
Q

Beginning. Rapid growth of ovarian follicles undergoing transition from preantral to antral follicles. Developed _________ which has follicles actively secreting estrogens.

A

Follicular/Estrogenic phase. Theca interna.

185
Q

Functional layer of the uterus during follicular phase

A

Stratum functionalis

186
Q

Act on endometrium. Induce cell proliferation. Reconstitute functional layer lost during menstruation.

A

Estrogen

187
Q

Endometrial lining of the uterus in proliferative phase

A

Simple columnar

188
Q

Straight tubules with narrow nearly empty lumens.

A

Uterine glands

189
Q

Cells of the uterine glands in proliferative phase: accumulate _______ of RER & larger golgi complexes in preparation for secretory activity.

A

Cisternae

190
Q

Lengthens as functional layer is reestablished and grows.

A

Spiral arteries

191
Q

At the end of the proliferative phase, endometrium is _______ thick.

A

2-3 mm

192
Q

Lining epithelium of the uterus during proliferative phase

A

Pseudostratified Columnar Ciliated

193
Q

Lamina propia of the endometrium during proliferative phase contains ____________ which are simple tubular glands.

A

Endometrial glands

194
Q

Uterine layer during Proliferative Phase: stroma and cells are more dense

A

Zona compacta

195
Q

Uterine layer during Proliferative Phase: cells are loosely arranged. Less compact & dense.

A

Stratum spongiosa

196
Q

Uterine layer during Proliferative Phase: contains blood vessels

A

Stratum basale

197
Q

Simultaneous with luteal phase. Maximal thickness. Starts as a result of _______ secreted by corpus luteum.

A

Secretory phase. Progesterone.

198
Q

Morphology of the endometrium during the secretory phase

A

Simple branched tubular glands

199
Q

Stimulates epithelial cells of uterine glands to accumulate glycogen. Cell undergo _______ secretion. Glandular lumen ______.

A

Progesterone. Apocrine. Dilates.

200
Q

In Secretory phase: glands become highly ______. Superficial microvasculature includes thin-walled, ___________.

A

Coiled. Blood filled lacuna.

201
Q

In Secretory phase: _________ reaches maximum thickness. Accumulation of secretions. Edema in stroma. If ________ had taken place, secretory activity are optimal for embryo implantation and nutrition.

A

Endometrium. Fertilization.

202
Q

In Secretory phase: major source for embryogenic nutrition before and during implantation.

A

Uterine gland secretion

203
Q

In Secretory phase: it inhibits strong contractions of the myometrium that might interfere with implantation.

A

Progesterone

204
Q

Viable cells of endometrium, displaced during menstruation, reflux into one or both uterine tubes, move upward and grow outside the uterus rather than undergoing vaginal discharge.

A

Endometrius

205
Q

Endometrius is under the influence of _______. _______ function grows and degenerates monthly without effective removal. Leads to pain, inflammation, cyst, adhesions, scar and infertility.

A

Estrogen. Ectopic.

206
Q

Embryonic implantation mainly of

A

Decidua & Placenta

207
Q

Embryonic implantation: ________ is fertilized in the ampulla of uterine tube. Resulting _______ undergoes mitotic cleavages as it is moved passively toward the uterus.

A

Oocyte. Zygote.

208
Q

Embryonic implantation: Embryo remains within the covering of the

A

Zona pellucida

209
Q

Embryonic implantation: becomes smaller with each division . Cells that result from segmentation of zygote.

A

Blastomere

210
Q

Embryonic implantation: compact aggregate of blastomeres

A

Morula

211
Q

Embryonic implantation: embryo reaches uterus ______ days after fertilization. Loses zona pellucida.

A

4-5 days

212
Q

Embryonic implantation: a cavity. Develops in center of morula.

A

Blastocyst

213
Q

Embryonic implantation: peripheral arrangement of blastomeres around the cavity

A

Trophoblast

214
Q

Embryonic implantation: collection of cells inside the trophoblast

A

Embryoblast/Inner cell mass

215
Q

Blastocyst attaches to the surface epithelial cells of the late secretory phase endometrium.

A

Implantation/Nidation

216
Q

In Implantation: proteolytic penetration of blastocyst from epithelium into underlying stroma occurs in ______. Driven by ______. Cells of embryoblast rearrange as two new cavities.

A

3 days. Trophoblast.

217
Q

In Implantation: makes contact with epiblast

A

Amnion

218
Q

In Implantation: makes contact with hypoblast

A

Yolk sac

219
Q

Parts of the embryo develop from this. Composed of two cavities which are epiblast and hypoblast.

A

Bilaminar Embryonic disc

220
Q

In Implantation: trophoblast differentiates to these which contributes to embryonic portion of placenta.

A

Cytotrophoblast & Syncytiotrophoblast

221
Q

More superficial. An invasive, multinucleated mass.

A

Syncytiotrophoblast

222
Q

In Implantation: ___ day after ovulation, embryo is totally implanted in the endometrium. Nutrient derived from blood & secretion.

A

9th

223
Q

In Implantation: Prevent adverse reaction of uterus to the implanted embryo

A

Cytokines

224
Q

What releases cytokines (anti inflammatory)

A

Trophoblast cells

225
Q

In Implantation: goes through profound changes

A

Endometrial stroma

226
Q

In Implantation: _______ enlarged & polygonal. More active in protein synthesis. Now called as ________.

A

Fibroblast. Decidual cells.

227
Q

In Implantation: endometrium now referred as

A

Decidua

228
Q

Layer of Decidua: between embryo and myometrium

A

Decidua basalis

229
Q

Layer of Decidua: between embryo and lumen of the uterus

A

Decidua capsularis

230
Q

Layer of Decidua: remainder of the decidua

A

Decidua parietalis

231
Q

Site of nutrient, waste, 02 & C02 exchanges between choriona nd maternal part. Contains tissues from both individual.

A

Placenta

232
Q

Embryonic part derived from former trophoblast

A

Chorion

233
Q

From decidua basalis

A

Maternal part

234
Q

Chorion and maternal part form this. Project into blood filled lacuna of decidua. Provides larger surface for nutrient and O2 absorption. Invaded by __________. Continuous with wide capillaries by end of ______ of pregnancy. Suspended in the pools of maternal blood. Have enormous area for metabolic exchange.

A

Chorionic villi. Embryonic mesenchyme. 3rd week.

235
Q

In placenta: diffusion occurs in

A

Trophoblast layer, CT of villi & Capillary endothelium “TCC”

236
Q

An endocrine organ which produces HCG, chorionic thyrotropin, chorionic corticotropin, estrogen and progesterone.

A

Placenta

237
Q

Initial attachment of embryo occurs on _________ walls of embryo. Sometimes attaches to _______. _______ between fetus and vagina.

A

Ventral/dorsal. Internal OS. Placenta.

238
Q

Obstruction in the passage of fetus @ parturition

A

CS delivery & Placenta previa

239
Q

Embryo sometimes attaches to epithelium of _________. Zygote enters ___________ attaches to peritoneum and develops.

A

Uterine tube. Abdominal cavity.

240
Q

Lower and more cylindrical part of the uterus. Differ in histologic structure.

A

Uterine cervix

241
Q

Lining epithelium of uterine cervix

A

Simple columnar epithelium

242
Q

Lamina propia of uterine cervix

A

Thick

243
Q

Region wherein endocervical canal opens into the vagina. Bulges into upper vagina. Covered by __________.

A

External. Exocervical mucosa.

244
Q

Lining epithelium of exocervical mucosa

A

Stratified squamous epithelium

245
Q

Simple columnar undergoes abrupt transition to stratified squamous

A

Transformation zone - Distinct zone

246
Q

Little SM. Consist mainly of DCT.

A

Middle layer of uterine cervix

247
Q

In uterine cervix: mucosa contains _________ which produces mucus. Does not _______ during menstruation.

A

Cervical glands. Desquamate.

248
Q

In uterine cervix: time of ovulation, _______ secretions are maximal, watery and facilitate movement through uterus by sperm.

A

Mucus

249
Q

In uterine cervix: during _________. Increase in ________. Mucous secretion becomes viscous and hinder passage of both sperm and microorganisms into the body of uterus.

A

Luteal phase. Progesterone.

250
Q

In uterine cervix: during pregnancy, _________ proliferate. Secrete abundant highly viscous mucus. Forms a ______ in endocervical canal.

A

Cervical glands. Plug.

251
Q

Derived from stratified squamous epithelium

A

Cervical carcinoma

252
Q

Wall lacks glands. 3 layers are muscular layer, mucosa and adventitia.

A

Vagina

253
Q

Vagina is covered by ________ which is produced by ________.

A

Mucus. Uterine cervix.

254
Q

Small glands. Provides additional lubricating mucus during intercourse. Opens into vestibule.

A

Vestibular glands

255
Q

Space enclosed within labia minora. Also contains vaginal orifice, urethra and ante erectile function of clitoris. Covered by __________.

A

Vestibule. External genitalia.

256
Q

Lining epithelium of external genitalia

A

Stratified squamous

257
Q

Epithelium of external genitalia contains small amount of _______. Does not undergo _______. When stimulated by ________, cells synthesize and accumulate ________.

A

Keratohyaline. Keratinization. Estrogen. Glycogen.

258
Q

Bacteria metabolize glycogen to Lactic acid. Low pH in vagina. Protection against pathogenic microorganism.

A

Desquamate

259
Q

Lamina propia of the vagina: rich in _________ & numerous narrow ________ projecting into epithelial cell layer.

A

Elastic fibers. Papillae.

260
Q

CT of vagina: contains ________ & ________.

A

Lymphocytes and Neutrophils.

261
Q

Mucosa of the vagina has few

A

Sensory nerve endings

262
Q

Muscular layer of the vagina composed of two indistinct lauers of SM. _______ bundle next to mucosa. Thicker _______ bundle next to adventitial layer.

A

Circular. Longitudinal.

263
Q

Makes vaginal wall strong and elastic

A

Elastic fiber

264
Q

Outer layer contains extensive venous plexus, lymphatics and nerves.

A

DCT of Adventitia

265
Q

Develop embryologically as invaginations of surface ________ along 2 ventral lines, the milk lines, from axilla to groin.

A

Mammary gland. Ectoderm.

266
Q

Mammary gland consists of lobes of ____________ type in whichf unction is to secrete milk.

A

Compound tubuloalveolar

267
Q

Breast dev’t during Puberty: only composition of male and female mammary gland before puberty. Near the nipple. Small branching duct emerges.

A

Lactiferous sinus

268
Q

Breast dev’t during Puberty: Increase in circulating estrogen, breast ______ in size, _______ accumulation in CT, Increase growth and branching of duct system and _______ enlarges.

A

Increase. Adipocyte. Nipple.

269
Q

Breast dev’t during Puberty: lobules contained in the parenchymal structure of non pregnant adult women’s breast. Embedded in ___________ connective tissue. ________ CT separates the lobes.

A

Terminal Duct Lobular Units. Loose vascular. Dense cellular.

270
Q

Breast dev’t during Puberty: Lining epithelium of Lactiferous sinus

A

Stratified cuboidal

271
Q

Breast dev’t during Puberty: Lining epithelium of Lactiferous & Terminal ducts

A

Simple cuboidal covered by loosely packed myoepithelial cells

272
Q

Skin covering the nipple. Thin skin with _______ gland. Epithelium continuous w/ lactiferous sinus. Contains more melanin. Skin is supplied with sensory nerve ending.

A

Areola. Sebaceous.

273
Q

Breast during Pregnancy & Lactation: Estrogen, Progesterone, Prolactin & HPL. Results in proliferation of secretory alveoli at ends of _________.

A

Intralobular ducts

274
Q

Breast during Pregnancy & Lactation: cuboidal epithelium with ________ myoepithelial cells between secretory cells and basal lamina.

A

Alveoli

275
Q

Shape of alveoli

A

Spherical

276
Q

Breast during Pregnancy & Lactation: grow & develop during pregnancy in preparation for lactation. _______ becomes less prominent.

A

Alveoli & ducts. Stroma.

277
Q

Breast during Pregnancy & Lactation: _____ in lobule is infiltrated in lymphocytes and _______.

A

LCT. Plasma cells.

278
Q

Breast during Pregnancy & Lactation: Plasma cells are more numerous and produce

A

Immunoglobulins (secretory IgA)

279
Q

Breast during Pregnancy & Lactation: accumulates late pregnancy. Causes dilatation of glandular alveoli and ducts. Rich in protein, ______ and electrolytes.

A

Colostrum. Vit. A.

280
Q

Breast during Pregnancy & Lactation: colostrum is produced under influence of _________.

A

Prolactin

281
Q

Breast during Pregnancy & Lactation: Igs produced by ________ are transferred to colostrum. ________ immunity ( _______ ) Breastfeeding.

A

Plasma cells. Passive. Acquired.

282
Q

Breast during Pregnancy & Lactation: type of secretion. Proteins- golgi- packaged into secreting vesicles- exocytosis.

A

Merocrine secretion

283
Q

Breast during Pregnancy & Lactation: type of secretion. Lipid droplets- pass out the cells- lumen.

A

Apocrine secretion

284
Q

Breast during Pregnancy & Lactation: Proteins in human milk (____%) digested as source of AA by infant.

A

1.5%. Caseins, B lactoglobulin & Gamma lactoglobulin.

285
Q

Caseins aggregate as

A

Micelles

286
Q

Breast during Pregnancy & Lactation: Lipids (____%)

A

4%

287
Q

Breast during Pregnancy & Lactation: Sugar. Lactose (___%) major source of energy. Synthesize in _______. Draws water. Adds to milk volume.

A

7-8%. Golgi.

288
Q

Breast during Pregnancy & Lactation: Causes contraction of Lactiferous sinuses and ducts & myoepithelial cells of alveoli.

A

Oxytocin

289
Q

Breast during Pregnancy & Lactation: initiated by negative emotion, frustration, anxiety and anger.

A

Milk ejection reflex

290
Q

Postlactational Regression in MG: when breastfeeding stops, secretory ______ degenerates. Apoptosis. Sloughing of whole cells. Dead cells and debris removed by ________.

A

Alveoli. Macrophage.

291
Q

Postlactational Regression in MG: _____ system inactivates.

A

Duct

292
Q

Postlactational Regression in MG: alveoli and ducts reduce further in size. Loss of fibroblast, collagen in stroma and elastic fiber.

A

Menopause