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338 Cards in this Set

  • Front
  • Back
Dehydration
Increased blood osmolarity and decreased blood volume and BP
Scrotum
contains the testes and is divided into two internal compartments by an incomplete connective tissue septum;
Thirst Mechanisms
Stimulation of thirst center (in hypothalamus)
1.) Angiottensin 2 produced in response to decreased blood pressure
2.) ADH produced in response to increased blood osmolarity
3.) Hypothalamic somoreceptors: signal in response to increased ECF osmolarity
The primary female reproducive organ is the ____.
ovaries
Inhibition of Salivation
Thirst center sends SYMPATHETIC signals to salivary glands
Raphe
an irregular ridge marking the external midline of the scrotum; continues posteriorly to the anus and anteriorly to the base of the penis
Regulation of Output
- Controlling Na+ re absorption (changes volume)

- as Na+ is re absorbed or excreted, water follows
osmosis
the net movement of water mol's thru a selectively permeable membr. from an area of high water conc. to an area of low water conc.
Action of ADH in output
- Changes the concentration of urine

- ADH secretion (as well as thirst center) stimulated by hypothalamic osmoreceptors in response to dehydration

- Aquaporins synthesized in response to ADH
- Membrane proteins in renal collecting ducts to channel water back into renal medulla, Na+ is still excreted

- Effects: slows (decreases) in water volume and increases osmolarity
Dartos muscle
a layer of smooth muscle within the scrotum; contracts when exposed to cool temperatures; pulls the skin upward, decreasing the overall size of the scrotum
Hypovolemia
Volume depletion, total body water decreases, osmolarity is normal

hemorrhage, severe burns, chronic vomiting or diarrhea
This makes female gametes.
ova
Dehydration
Total body water decreases,
osmolarity rises

Due to: lack of drinking water, diabetes, profuse sweating, diuretics
Cremaster muscles
extensions of adominal muscles into the scrotum; contract in colder temperatures to help pull the testes nearer the body, helping to keep the testes warm; relax in warm temperatures to lower the testes away from the body;
lies between the two layers of spermatic fascia covering the spermatic cord
Infants are more vulnerable to dehydration because
Their high metabolic rate demands high urine excretion, kidneys cannot concentrate urine effectively, greater ratio of body surface to mass
the primary method of water movement into and out of body fluid compartments
osmosis
Most serious effects of dehydration
circulatory shock, neurological dysfunction, infant mortality
Perineum
the area between the thighs bounded by the symphysis pubis anteriorly, the coccyx posteriorly, and the ischial tuberosities laterally
Excess fluid leads to
Pulmonary and cerebral edema
Name two female sex hormones
estrogen
progesterone
Hypotonic Hydration
More water than sodium retained or engested, ECF hypotonic, can cause cellular swelling (RBCs) - like drinking too much pure water can be bad for you
Urogenital triangle
anterior triangle within the perineum;
contains the base of the penis and the scrotum
Potassium Homeostasis
Aldosterone stimulates renal secretion of K+ and reabsorbs Na+

Potassium and sodium always move in opposite ways
electrolytes
inorganic compounds which disassociate into ions in soln.

most solutes in the body are electrolytes
Hypercalcemia is caused by
Alkalosis
Hyperparathyroidism
Hypothyroidism
Anal triangle
posterior triangle within the perineum;
contains the anal opening
Hypercalcemia
Decreased Na+ permeability in the membrane, inhibits depolarization
Internal genitalia is
ovaries
internal ducts
What does Hypercalcemia do to the body?
Concentrations greater than 12 mEq/L cause: muscular weakness, depressed reflexes, cardiac arrhythmias
Testes
small ovoid organs;
primary reproductive organ in the male;
both exocrine and endocrine glands
Hypocalcemia is caused by
Low levels of Vitamin D
diarrhea
Pregnancy
Acidosis
Lactation
Hypoparathyroidism
Hyperthyroidism
most solutes in the body are:
electrolytes
Hypocalcemia
Increased Na+ permeability causing nervous and muscular systems to be abnormally excitable
Tunica albuginea
the outer part of the testis; thick, white capsule consisting of mostly fibrous connective tissue
What does hypocalcemia do to the body?
Causes: Tetanus
larygnospasm
Death
External genitalia is
external sex organs
Acid-Base balance of Urine
Urine is slightly acidic, variable in how much H+ can be released in the urine, gets rid of excess acidosis?
Septa (testes)
connective tissue divisions within the testis that divides the internal portion of the organ into numerous lobules
Acidosis
H+ diffuses into the cells and drives out K+, elevating K+ in the ECF
extracellular fluid composition
high in Na+, Cl-, Ca++, HCO3-
What does acidosis do to the cells?
H+ buffered by protein in the ICF causes membrane hyperpolarization, nerve and muscle cells become harder to stimulate
Lobules
cone shaped compartments within the interior protion of the testis;
formed by the incomplete septa of the tunica albuginea
What are the risks of Acidosis?
CNS depression may lead to death
This ligament anchors the ovary medially to the uterus
ovarian ligament
Alkalosis
H+ diffuses out of the cell and K+ diffuses in.
Seminiferous tubules
the sight of spermatogenesis in the testes;
surrounded by a loose connective tissue stroma that surrounds the tubules and contains clusters of interstitial cells
What does alkalosis do to the cells?
Membrane is depolarized, nerves overstimulate
intracellular fluid composition
high in K+, PO4, Mg++, and more prot than plasma
What are the risks of Alkalosis?
Spasms, tetany, convulsions, respiratory paralysis
Interstitial cells
endocrine cells located between the seminiferous tubules; produce testosterone
This ligament contains the suspensory ligament and the mesovarium
Broad ligament
Tubuli recti
a set of short, straight tubules into which the seminiferous tubules empty
blood plasma has more of this than interstitial fluid and lymph
proteins
Rete testis
a tubular network into which the tubuli recti empty
This ligment anchors he ovary laterally to the pelvic wall
Suspensory ligament
Efferent ductules
each testis contains 15-20 of these tubules into which the rete testis empties into; pierce the tunica albuginea to exit the testes;
inner layer contains ciliated pseudostratified columnar epithelium that helps move sperm cells out of the testis
in blood, osmotic pressure is referred to:
colloid osmotic pressure (COP)
Gubernaculum
a fibromuscular cord that attaches the testes to the tissue that will become the scrotum; developed by the 14th week
This ligament suspends the ovary in between
Mesovarium ligament
Inguinal canal
bilateral oblique passageways in the anterior abdominal wall;
forms between weeks 14 and 28; testes move through them to descend into the srotum;
much smaller in females
main regulator of water
thirst
Process vaginallis
an outpocketing of the peritoneum that precedes the descent of the testes
This is the blood supply for the ovaries
Ovarian arteries and the ovarian branch of the uterine tube
Tunica vagnialis
the residual portion of the process vaginallis in adults; surrounds most of the testis, small amount of fluid in it allows the testis to move with little friction; a serous membrane consisting of a layer of simple squamous epithelium that rests on a basement membrane
dehydration, as little as 1% decrease in body water causes:
decreased saliva production.
increased blood osmotic pressure - stim. osmorecept's in hypothalamus.
decreased blood vol. - renin is produced.
Deep inguinal rings
origination point of the inguinal canal; open through the aponeuroses of the transverse abdominal muscles
These are embedded in the ovary cortex
ovarian follicles
Superficial inguinal rings
termination point of the inguinal canals; opening in the aponeuroses of the external abdominal oblique muscles
infants are about what percent water and why?
73%
b/c of the low body fat and low bone mass
Cryptorchidism
a failure of one or both of the testes to descend into the scrotum; the higher temperature of the abdominal caivty prevents nromal sperm production
An immature egg is called
oocyte
Spermatogenesis
the process of sperm cell development
a healthy young adult male is about what percent water
60%
Sustentacular cells (Sertoli cells)
large cells that extend from the periphery to the lumen of the seminiferous tubule;
nourish germ cells; probably work with interstitial cells in producing numeorus hormones
The cells that surround the oocyte are called
follicle cells- one layer thick
granulosa cells-more than one layer is present
Blood-testis barrier
tight juncitons located between sustentacular cells; isolates sperm cells from the immune system;
significant because as sperm cells develop, they form surface antigens that the immune system would attack
a healthy young adult female is about what percent water
50%
Dihydrotestosterone
a hormone produced in sustentacular cells from testosterone
This follicle is a secondary follicle at its most mature stage that bulges from the surface of the ovary
Graafian follicle
Androgen-binding protein
a protein secreted into the seminiferous tubules by the sustentacular cells;
carries hormones created in the testis to the epididymis
why do females typically have less body water content than males?
b/c females have relatively more body fat and less muscle

adipose tissue is the least hydrated (a/b 20%)
muscles is a/b 75%
Spermatogonia
the most peripheral cells in the seminiferous tubules;
divide by mitosis
What follicle has one layer of squamouslike follicle cells surrounds the oocyte
Primordial follicle
Primary spermatocyte
spermatocyte arising by a growth phase from a spermatogonium; gives rise to secondary spermatocytes after first meiotic division
2 main fluid compartments of the body
intracellular fluid
extracellular fluid
Secondary spermatocyte
spermatocyte derived from a primary spermatocyte by the first meitoic division;
each secondary spermatocyte gives rise by the second meiotic division to two spermatids
What follicle has two or more layers of cuboidal granulosa cells enclose the oocyte.
Primary follicle
Spermatids
immature sperm cells that result fromt the secondary spermatocyte by the second meiotic division
2 subcomponents of extracellular fluid
plasma
interstitial fluid
Spermiogenesis
the process by which a spermatid becomes a spermatozoan;
during this time, the head, midpiece and tail are formed
What follicle has a fluid-filled space between granulosa cells that coalesces to form a central antrum
Secondary follicle
Spermatozoan
a mature sperm cell
nonelectrolytes
have bonds (usually covalent) that prevent them from dissociating in soln

most are organic mol's
Acrosome
a cap on the head of the spermatozoan;
contains hydrolytic enzymes used to pierce the surface of the secondary oocyte
This is the ejection of the oocyte from the ripening follicle
Ovulation
Epididymis
a comma shaped structure on the posterior side of the testis into which the efferent ductus leads;
site of final sperm cell maturation
most nonelectrolytes are what type of molecule
organic molecules
Duct of the epididymis
a convoluted structure of the epididymis through which sperm cells move;
contains pseudostratified columnar epithelium with elongated microvilli
This is a ruptured after ovulation
Corpus luteum
Stereocilia
elongated microvilli within the duct of the epididymis that function to increase the surface area of the epithelial cells that absorb fluid from the lumen of the duct
examples of nonelectrolytes
glucose, lipids, creatinine, urea
Ductus deferens (vas deferens)
the emerging end of the epididymis, ascends along the posterior side of the testis medial to the epididymis and become associated with the blood vessels and nerves that supply the testis
_______ receives the ovulated oocyte and provide a site for fertilization
Uterine tubes (fallopian tubes( and oviducts
Spermatic cord
a structure conssisting of the ductus deferens, the testicular artery and venous plexus, lymphatic vessels, nerves, fibrous remnant of the process vaginallis
electrolytes
chemical compounds that dissociate into ions in water

typically include:
inorganic salts
inorganic and organic acids and bases
some proteins
External and Internal spermatic fascia
external and internal connective tissue layers the surround the spermatic cord
The uterine tubes empty into the superlateral region of the uterus via the _____.
isthmus
Ampulla
an enlargement at the end of the ductus deferens
why do electrolytes have greater osmotic power than nonelectrolytes?
b/c water moves according to osmotic gradients, from areas of less osmolality to areas of greater osmolality, electrolytes have the greatest ability to cause fluid shifts.
Ejaculatory duct
a short duct leading from the seminal vesicle and joining the ampulla of the ductus deferens;
project into the prostata gland and end by opening into the urethra
The uterine tubes expand distally around the ovary forming the ______.
ampulla
Male urethra
extends from the urinary bladder to the distal end of the penis;
passageway for male reproductive fluids and urine; divided into three parts, prostatic, membranous, and spongy
chief cation and anion of ECF
cation - Na+
anion - Cl-
Prostatic urethra
a section of the male urethra that is connected to the urinary bladder and passes through the prostate gland;
ejaculatory ducts and other ducts join the urethra here
The ampulla ends in the funnel-shaped, ciliated infundibulum containing fingerlike projections called_______.
fimbriae
Membranous urethra
shortest part of the urethra;
extends from the prostate gland through the perineum
how much Na+ and Cl- ions does ICF contain?
small amounts in comparison to ECF.
Spongy urethra
the longest part of the urethra;
extends from the membranous urethra through the length of the penis
The uterine tubes have no contact with the ovaries and the ovulated oocyte is cast into the _______ cavity.
peritoneal
Penis
male copulatory organ
most abundant cation and anion in ICF
cation - K+
anion - HPO4-
Corpora cavernosa
two erectile columns that form the dorsum and sides of the penis; during erection, these fill with blood
What causes the currents to carry the oocyte into the uterine tube?
beating cilia onthe fimbriae
Corpus spongiosum
erectile column that forms the ventral portion of the penis; expands to form a cap called the glans penis; urethra passes through
does ICF or ECF contain the most soluble prot's
ICF contains three times the amount of soluble prot's
Glans penis
a cap formed over the distal end of the penis by the corpus spongiosum
Visceral peritoneum that supports the uterine tubes
Mesosalpinx
External urethral orifice
the external opening of the urehtra
male accessory sex glands
seminal vesicles
prostate
bulbourethral glands
Seminal vesicles
sac-shaped glands located next to the ampullae of the ductus deferentia; have capsules containing fibrous connective tissue and smooth muscle cells
Hollow, thick-walled organ located in the pelvis anterior to the rectum and posterosuperior to the bladder.
Uterus
Prostate gland
consists of both glandular and muscular tissue and is about the size and shape of a walnut; dorsal to the symphysis pubis at the base of the urinary bladder
temperature of testes
a/b 3 degrees celcius lower than rest of body

impt for sperm viability
Bulbourethral glands
a pair of small glands located near the membranous part of the urethra; small ducts from each gland unite to form a single duct which enters the songy urethra at the base of the penis
The major portion on the uterus is called the
body
Semen
a composite of sperm cells and secretions from the male reproductive glands;
60% from the seminal vesicles
30% from the prostate gland
5% from the testes
5% from the bulbourehtral glands
muscles associated w/ testes
dartos
cremaster
Emission
discharge and acculmulation of semen into the prostatic urethra; sympathetic reactions cause peristalsis, causing semen to be released in to the prostatic urethra
The rounded region superior to the entrance of the uterine tubes is called the
fundus
Ejaculation
the forceful expulsion of semen from the urethra caused by the contraction of the urethra, the skeletal muscles in the floow of the pelvis, and the muscles at the base of the penis
dartos muscle
wrinkles the scrotal skin
layer of SM in superficial facia
What type of cells keep the oocyte and the sperm nourished and moist?
nonciliated cells
cremaster muscle
elevates the testes
arise from internal oblique muscle
bands of skeletal muscle
This is the narrowed region between the body and the cervix.
Isthmus
2 tunics of testes
tunica vaginalis - outer tunic

tunica albuginea - fibrous capsule deep to tunica vaginalis.
The narrow neck which projects into the vagina inferiorly
Cervix
fibrous capsule of testes
tunica albuginea
What are the primary effects of LH on the male reproductive system?
binds to interstital cells in the testes and causes them to increase their rate of testosterone synthesis and secretion
The cavity of the cervix that communcates with the bagina via the external os and the uterine body via the interal os
cervical canal
What are the primary effects of FSH on the male reproductive system?
binds primarily to sustentacular cells in the seminiferous tubules and promotes sperm cell development
seminiferous tubules
sperm factories

surrounded my myoid cells - help squeeze sperm and fluids out of testes
Testosterone
the major male hormone secreted by the testes; classified as an andorgen because it stimulates the development of male reproductive organs; also regulates GnRH secretion
These glands secrete mucus that covers the external os and blocks sperm entry except during midcycle.
Cervical glands
Inhibin
a hormone secreted by the sustentacular cells of the seminiferous tubules; inhibits FSH secretion from the anterior pituitary
seminiferous tubules converge to form:
tubule rectus

conveys sperm to rete testis
Human chorionic gonadotropin (HCG)
a gonadotropin-like hormone secreted by the placenta;
stimulates the synthesis and secretion of testosterone by the fetal testes before birth
This is the portion of the broad ligament that supports the uterus laterally
Mesometrium
Puberty
the age at which individuals become capable of sexual reproduction;
during this stage, the hypothalamus becomes much less sensitive to the inhibitory effects of androgens, GnRH secretions increase
sperm are stored where?
tail of epididymis
What are some of the effets of testosterone on the body?
hair growth, coarser skin, increase the rate of sebaceous secretions in facial region, hypertrophy of larynx, reduced tension in vocal cords, general stimulatory effect on metabolism, sodium retention, promotes protein synthesis, rapid bone growth
This extends from the cervix and superior part of the vagina to the lateral walls of the pelvis.
Lateral cervical ligaments
Orgasm
a climactic sensation that occurs during the male sexual act, associated with ejaculation
interstitial cells
also leydig cells

in soft connective tissue surrounding seminiferous tubules.

produce androgens, most importantly testosterone.
Resolution
Post-ejaculatory phase in which the penis becomes flaccid, an overall feeling of satisfaction exists, and the male is unable to achieve erection
These are paired ligaments that secure the uterus to the sacrum
Uterosacral ligaments
Impotence
the inability to achieve or maintain an erection and to accomplish the male sexual act
interstitial cells, or leydig cells, produce:
androgens, most importantly testosterone.
Describe the pathway by which the male sexual response is executed.
action potentials are conducted by sensory neurons from the genitals through the pudendal nerve to the sacral region of the spinal cord where reflexes are conducted;
action potentials from the cerebrum reinforce the sacral reflexes;
nerve fibers release ACh and NO (smooth muscle relaxation)
The uterine wall is composed of three layers. What are they?
perimetrium - outermost layer, the visceral peritoneum
Myometrium - middle layer, interlacing layers of smooth muscle
Endometrium- mucosal lining of the uterine cavity
Erection
parasympathetic; the first major component of the male sexual act; occurs when the penis becomes enlarged and rigid from blood filling the sinusoids of erectile tissue; results from ACh and NO release from pudendal nerve
how does the testiculear blood supply help regulate testicular temperature?
cooler venous blood in the pampiniform venous plexus absorbs heat from arterial blood.
Broad ligament
an extension of the peritoneum that spreads out on both sides of the uterus and to which the ovaries and uterine tubes are attached;
The is the outermost layer of the uterine wall
perimetrium
Ovaries
female reproductive organs;
site of oogenesis
corpus spongiosum
erectile tissue

surrounds urethra

forms glans distally and bulb of the penis proximally
Mesovarium
a peritoneal fold that attaches each ovary to the posterior surface of the brad ligament
This is the middle layer of the uterine wall
Myometrium
Suspensory ligament
extends from the mesovarium to the body wall, helping to support the ovaries
corpus cavernosa
makes up most of penis

bound by fibrous tunica albuginea

forms crura of the penis proximally
Ovarian ligament
attaches the ovary to the superior margin of the uterus
This is the mucosal lining of the uterine cavity
Endometrium
efferent ductules location
head of epididymis
This undergoes cyclic changes in response to ovarian hormones
Srtatum functionalis
site of sperm maturation and storage.
epididymis
This forms a new functionalis after menstration ends and does not respnd to ovarian hormones
Stratum basalis
trace the route of ductus deferens from testes
begins as part of spermatic cord from epididymis
passes thru inguinal canal
loops around ureter
passes down back of urinary bladder.
The thin-walled tube lying between the bladder and the rectum, extending from the cervix to the exterior of the body is the
vagina
what composes the spermatic cord?
ductus deferens, blood vessels, lymph vessels, cremaster muscle, nerves
The urethra is embedded in the ______ wall
anterior
location of seminal vesicles
posterior urinary bladder surface
This provides a passageway for birth, menstrual flow, and is the organ of copulation.
Vagina
seminal vesicle secretion
an alkaline viscous fluid
fructose - E for sperm
prostaglandins - for sperm motility and viability
semeogelin - a coagulation protein.

accouts for 70% of semen volume.
Name the three coats of the vaginal wall
Fibroelastic adventitia
smooth muscle muscularis
Stratisfied squamous mucosa
prostaglandins
role in sperm motility and viability.

causes muscular contractions of female reproductive organs
Mucosa near the vaginal orifice forms an incomplete partition called the ______.
hymen
This is the upper end of the vagina surrounding the cervix.
vaginal fornix
This lies external to the vagina and includes the mons pubis, labia, clitoris, and vestibular structures
vulva (pudendum)
This round, fatty area overlying the pubic symphysis is the
mons pubis
Enlongated, hair-covered, fatty skin folds homoolgous to the male scrotum
Labia majoria
Hair free skin folds lying within the labia majora; homologous to the ventral penis
Labia minora
These are pea sized gland flanking the vagina, homologous to the bulbourethral glands and keep the vestibule moist and lubricated
Vulva
Erectile tissue hooded by the prepuse and the exposed portion is called the glans
Clitoris
Diamond-shaped region between the pubic arch and coccyx and bordered by the ischial tuberosities laterally
Perineum
These are modifed sweat glands consisting of 15-25 lobes that radiate around and open at the nipple
mammary glands
Pigmented skin surrounding the nipple
areola
Lobes contain ____ _____ that produce milk in lactating women
glandular alveoli
What glands pass milk to lactiferous ducts, which open to the outside
Compound alveolar glands
Breast cancer usually arises from the ______ cells of the ducts.
dpithelial
This is the production of female sex cells by meiosis
oogenesis
When is the total supply of eggs determined?
by the time she is born
In the fetal period, oogonia multiply by
Mitosis and store nutrients
These follicles appear as oogonia are transfomred into primary oocytes
Primoridal follicles
Primary oocytes begin meiosis but stall in
Prophase I
At puberty, one activated primary oocyte produces two _____ cells
haploid
The first two haploid cells are
first polar body
secondary oocyte
The secondary oocyte arrests in metaphase II and is _____.
ovulated
If penetrated by sperm, the second oocyte completed ______.
meiosis II
The second oocyte completed meiois II and yields ______ and ______.
one large ovum (the functional gamete)
A tiny second polar body
The ovarian cycle is a monthly series of events associated with _____________.
the maturation of an egg
This is the period of follicle growth (days 1 - 14)
follicular phase
This is the period of corpus luteum activity (days 14 - 28)
Luteal phase
When does ovulation occur?
midcycle
The primary follicle becomes a secondary follicle when
The theca folliculi and granulosa cells cooperate to produce estrogens
The zona pellucidaforms around the oocyte
The antrum is formed
The secondary follicle becomes a vesicular folllicle when
The antrum expands and isolates the ocyte and the corona radiata
The full size follicle bulges from the external surface of the ovary
The primary oocyte completes meiosis 1, and the stage is set for ovulation
When does ovulation occur?
When the ovary wall ruptures and expels the secondary oocyte
A twinge of pain sometimes felt at ovulation
Mittelschmerz
1 - 2 percent of ovulations release more than one secondary oocyte, which if fertilized, results in
fraternal twins
In this phase, after ovulation, the ruptured follicle collapses, granulosa cells enlarge, and along with internal thecal cells, form the corupus leteum.
Luteal Phase
What does the corpus leteum secrete?
progesterone and estrogen
If pregnancy does not occur, the corpus luteium degenerages in 10 days and leaves a scar known as
corpus albicans
If pregnancy occurs, the corpus luteum produces hormones until the _____________.
placenta takes over
During childhood, ovaries grow and secrete small amounts of estrogens that inhibit the hypothalamic release of ______
GnRH
As puberty nears, GnRH is released: FSH and LH are released by the _________, which act on the ovaries
pituitary
The ovarian cycle continues until an adult cyclic pattern is achieved and _________ occurs
menarche
Day 1 of the ovairan cycle, GnRH stimualtes the release of _________.
FSH and LH
What does FSH and LH stimulage?
The follicle growth and maturation, and low-level estrogen release
This inhibits the release of FSH and LH
rising estrogen levels
Estrogen levels increase during the ovarian cycle and high estrogen levels have a positive feedback effect on the pituitary, causing a sudden surge of ____.
LH
The LH spike stimulates the primary oocyte to complete _________, and the secondary oocyte continues on to ___________.
meiosis I
metaphase II
LH triggers ovualtion on what day?
day 14
LH transforms the ruptured follicle into a corpus luteum, which produces ______, _______, and _______.
inhibin
progesterone
estrogen
During what days does the decline of the ovarian hormones occur, the blockade of FSH and LH, and the cycle starts anew
Days 26 - 28
Series of cyclic changes that the uterine edometrium goes through each month in response to ovarian hormones in the blood.
uterine (menstral) cycle
Days 1 - 5
Menstrual phase - uterus sheds all but the deepest part of the endometrium
Days 6 - 14
Proliferative (preovulatory) phase - endometrium rebuilds itself
Days 15 - 28
Secretory (postovulatory) phase - endometrium prepares for implantation of the embryo
If fertilization does not occur, progesterone levels fall, depriving the endometrium of hormonal support
mensus
Estrogen levels rise during
puberty
Secondary sex characteristics consist of
growth of breasts
increased deposition of subcutaneous fat, especially int he hips and breasts
Widening and lightening of the pelvis
Growth of axillary and pubic hair
the clitoris, vaginal mucosa and breasts engorge with blood consist of
female sexual responses
Activity of these glands lubricate the vestibule and facilitates entry of the penis
vestibular glands
accompanied by muscle tension, increase in pulse rate and blood pressure, and rhythmical contractions of the uterus is
an orgasm
Genetic sex is determined by the sex chromosomes that each _____ contains
gamete
What are the two sex chromosomes?
X and Y
Females have ______ sex chromosome(s)
2
What are the mens sex chromosomes?
1 - X
1 - Y
All eggs have an ____ chromosome; half the sperm have an ____ and the other half a _____.
all eggs - X
1/2 sperm X other 1/2 Y
This gene iniates testes development and determines maleness
A single gene on the Y chromosome; SRY gene
a secondary oocyte can be fertilized for a/b how long after ovulation?
24 hours
sperm remain viable for how long inside the female reproductive tract?
48 hours
when can intercourse result in fertilization?
there is a/b a 3 day window for fertilization to occur.
2 days before ovulation
1 day after ovulation
where does fertilization usually take place?
the outer 1/3 of the uterine tube
can occur in the abdominal cavity
functional change sperm undergo in the female tract
capacitation
capacitation
functional change sperm undergo in the female tract.

membr. around acrosome becomes fragile and its enzymes are released.
this prevents premature release of enzymes and autolysis of sperm in the male tract.
dizygotic twins
fraternal twins

occurs when two seperate eggs are ovulated
maybe different sexes
monozygotic twins
identical twins

occurs when a single egg is fertilized but dividing cells break into two groups and develop into two individuals.
genetically identical.
outer layer of cells of the blastocyst
trophoblast
fluid filled cavity of blastocyst
blastocele
blastocyst structure
outer layer of cells - trophoblast
inner cell mass
fluid filled cavity - blastocele
forms the embryo
most of the inner cell mass of trophoblast
forms membranes of fetal portion of placenta
trophoblast and part of the inner cell mass
implantation
blastocyst remains free in uterus for a short time, during which the zona pellucida disintegrates.
blastocyst is nourished by glycogen for endometrium glands.
a/b 6 days after ovulation, blastocyst implants - orients cell mass towards endometrium and secretes enzymes which allow it to penetrate, or digest, the endometrium wall.
this nourishes blastocyst for a/b 1 wk after implantation.
where can implantation occur?
uterus, uterine tube, cervix, abdominal cavity

implantation anywhere outside the uterus is called an ectopic pregnancy.
hCG
human chorionic gonadotropin

blastocyst begins to secrete hCG 8-12 days after fertilization
what is the function of hCG?
keeps the corpus luteum active until the placenta can produce estrogens and progesterone.

precense of hCG is basis for pregnancy test.
inner cell mass forms what 2 cavities?
yolk sac
amniotic cavity
yolk sac
1 of 2 inner cell mass cavities

produces blood cells and future sex cells
amniotic cavity
1 of 2 inner cell mass cavities

the cavity in which the embryo floats.
fluid is prod'd from fetal urine, secretions from the skin, respiratory tract, and amniotic membr's.
embryonic disc
in b/t the yolk sac and amniotic cavity.
gives rise to 3 primary germ layers: endoderm, mesoderm, ectoderm
gestation period
divided into 3 trimesters
by day 35 the heart is beating and eye and limb buds are present.
placenta is functioning by end of third month.
first trimester of gestation period
individual begins as a zygote, then morula, blastocyst, and after implantation is an embryo.
embryonic phase of development lasts from fertilization to 8th wk of gestation, when it becomes a fetus.
the placenta
the chorion develops into the fetal part of the placenta.
the chorionic villi connect the fetal circulation to the placenta.
composed of both fetal and maternal tissue
functions of the placenta
transfer gases
transport nutrients
excretion of wastes
hormone production - a temporary endocrine organ - estrogen and progesterone
formation of an incomplete, selective barrier - alcohol, steroids, narcotics, anasthetics, some antibiotic and some organisms can cross.
effects of pregnancy on the mother
reprod. organs become incr. vascular (chadwick's sign)
incr. levels of estrogen and progesterone can cause nausea and vomiting.
human placental lactogen prepares breast for lactation
glucose-sparing effect.
human chorionic thyrotropin incr. maternal metabolism.
parathyroid hormone and vit. D levels incr., incr. intake of calcium.
B.V. incr. 25-40%
quickening
first movement of the fetus felt by the mother.
usually during 4th or 5th mo of preg.
during last mo, fetus becomes less active, probably due to lack of space.
intermittent, painless contractions the uterus undergoes coming a/b 10-20 minutes apart:
Braxton-Hicks contractions
Braxton-Hicks contractions
intermittent, painless contractions the uterus undergoes coming a/b 10-20 minutes apart
b/c more frequent as gestiation progresses and can be mistaken for onset of labor.
cervix begins to thin and dilate.
rising levels of fetal cortisol cause what?
placenta to release estrogen.
what triggers the inflammatory response in the cervix?
surfactant protein A
near labor, estrogen stimulates what?
myometrial cells to form oxytocin receptors
antagonizes quieting effect of progesterone
fetal cells prod oxytocin and placenta prod progesterone
parturition
labor
labor - stage 1
the period from the onset of true labor contractions until the cervix is completely dilated at 10 cm.
The uterine contractions cause the cervix to dilate, and the amniotic sac may rupture.
Usually lasts 6 – 24 hours depending on the number of previous deliveries.
labor - stage 2
period from maximal cervical dilation until birth of baby.
contractions b/c more frequent and intense.
labor - stage 3
The expulsion of the placenta.
Usually occurs within 15 minutes after the birth of the baby, but can range from 5 to 60 minutes.
birth process mechanism
fetal head is forces toward cervix.
cervix is stretched.
stretch receptors are stimulated.
reflex is elicited that causes stronger uterine contractions.
fetus is moved downward.
ICF composes what percent of total water volume?
63%
ECF composes what % total water volume?
Of this, how much is interstitial and plasma?
37%, a/b 1/3
interstitial fluid - 80% of ECF
blood plasma - 20% of ECF
the pressure of fluids is:
hydrostatic pressure
the avg. adult takes in a/b how much water/day?
2500mL/day
what keeps us from taking in too much water?
wetting of the mouth and stretching of the stomach or intestines decreases thirst.
what effect does water absorbtion have on blood osmotic pressure?
decrease
regulation of water output
Through regulating urine formation
ADH – production stimulated by ↑ blood tonicity of decrease in volume.
Acts on distal convoluted tubules and collecting ducts of kidney – permits reabsorption of water
Aldosterone – production is stimulated by angiotensin II through renin production
Causes sodium ( and water) to be reabsorbed
ANP – causes sodium (and water) loss when pressure in right atrium is too high
water imbalance
Dehydration is the imbalance seen most often.
Prolonged diarrhea or vomiting
Excessive sweating
hypotonic hydration
also water toxicity

If lose water by sweating, we also lose sodium.
Rapidly drinking large quantities of water decreases plasma sodium concentration initially, then see decrease in ISF as well.
Water is drawn into cells
This increases ISF tonicity, and water is drawn from blood
Add salt when replacing fluids like this!
overhydration
Can occur if I.V. fluids are given too rapidly or in too large amounts.
Extra fluid puts strain on heart
a decrease in blood proteins can be caused by:
Dietary deficiency in proteins
Liver failure
Blockage of lymphatic system
Increased capillary permeability
-Burns, infection
water movement back into capillaries depends on:
concentration of plasma proteins
edema
large amounts of fluid in intercellular spaces
of the 3 main fluid compartments (IVF, ICF, ISF) which varies the most?
interstitial fluid (ISF)
edema can be caused by:
Decrease in plasma proteins
Retention of electrolytes, esp. Na+
Increase in capillary blood pressure
electrolyte balance
Cations – positively charged ions
Anions – negatively charged ions
Body fluids also contain charged organic molecules
Only a small percentage of molecules in fluids are non-electrolytes: glucose, urea, creatinine
functions of electrolytes
Certain ions control the osmosis of water between body compartments
Ions help maintain the acid-base balance necessary for cellular activity
Ions carry electric current, which allows for action potentials and secretion of neurotransmitters
Several ions are cofactors needed for the optimal activity of enzymes
sources of electrolyte intake
Food and water
Produced by metabolism
Salt craving
sources of electrolyte loss
Sweat
Feces
Urine
osmolarity
The total concentration of dissolved particles determines osmolarity.
Glucose – one dissolved particle
NaCl – dissolves into two particles
One mole of NaCl = 2 osmoles
Osmoles/L = osmolarity of solution
sodium (Na+)
90 % of extracellular cations and half the osmolarity of extracellular solutions
Necessary for action potentials in nerve & muscle cells
Aldosterone increases reabsorption from DCT and collecting ducts
↓ blood volume, ↓ extracellular Na+ ,↑ extracellular K+
ANP causes loss of Na+
potassium (K+)
Most numerous intracellular cation
Membrane potential and repolarization
Controlled by aldosterone – causes loss of K+ in urine
calcium (Ca++)
Part of bone, most abundant mineral in body. 98% of Ca is in bone
Extracellular cation
Needed for blood clotting, nerve and muscle function
PTH causes reabsorption of bone and increases reabsorption from G.I tract and glomerular filtrate
Calcitonin inhibits osteoclasts and stimulates osteoblast, so calcium is removed from blood
chloride (Cl-)
Most common extracellular anions
Cl- diffuses easily between compartments – can help balance charges (RBC’s)
Parietal cells in stomach secrete Cl- & H+
Aldosterone indirectly adjusts Cl- when it increases the reabsorption of Na+ - Cl- follows the Na+
bicarbonate (HCO3-)
Part of the body’s chief buffer and transports CO2 in blood stream.
CO2 + H2O ↔H2CO3 ↔ H+ + HCO3-
The kidneys are the main regulators of bicarbonate: they form bicarb when levels are low and excrete it when levels are high.
phosphate (PO4)
Like calcium, most of the phosphate is found in the bones.
15% is ionized
Found in combination with lipids, proteins, carbohydrates, nucleic acids and ATP.
Three different forms
Part of the phosphate buffer system
PTH causes phosphate to be released from bones and to be excreted by the kidneys. Calcitonin removes phosphate by encouraging bone formation.
acid-base balance
pH – negative log of H+ concentration
Affects functioning of proteins (enzymes)
Can affect concentrations of other ions
Modify hormone actions (proteins)
acid intake
foods
cellular metabolism
strenghts of acids and bases
Acids and bases that ionize (break apart) completely are strong acids and bases. (HCl; NaOH)
Acids and bases that do not completely dissociate in solution are weak acids and bases. (lactic acid, carbonic acid)
Remember, blood needs to stay between 7.35 and 7.45 for the body to function properly.
Since more acids than bases are formed, pH balance is mainly a matter of controlling excess H+.
control of acid-base balance
Buffer systems
Exhalation of carbon dioxide
Kidney excretion
buffers
Are pairs of chemical substances that prevent a sharp change in the pH of a solution.
Buffers exchange strong acids for weaker acids that do not release as much H+ and thus change the pH less
bicarbonate buffer system
NaHCO3 + H2CO3
sodium bicarbonate carbonic acid

Addition of a strong acid:

HCl + NaHCO3 → H2CO3 + NaCl
Carbonic acid does not dissociate completely, and pH is changed much less.
Addition of a strong base:
NaOH + H2CO3 → NaHCO3 + H2O

Water dissociates very little, and pH remains nearly the same.
bicarbonate ion:carbonic acid buffer
Usually the body is called upon to buffer weaker organic acids, such as lactic acid.
Carbonic acid is formed, and amount of bicarbonate ion decreases.
Blood needs to maintain a 20:1 ratio of bicarbonate ion : carbonic acid.
H+ concentration increases slightly
pH drops slightly
carbonic acid
Carbonic acid is the most abundant acid in the body because it is constantly being formed by buffering fixed acids and by:

H2O + CO2 ↔ H2CO3 ↔ H+ + HCO3-
phosphate buffer system
Is present in extracellular and intracellular fluids, most important in intracellular fluids and renal tubules.
H+ + HPO42- → H2PO4-
monohydrogen dihydrogen
phosphate phosphate
OH- + H2PO4- → H2O + HPO42-
protein buffer system
The most abundant in body cells and plasma.
Carboxyl group -COOH ↔ -COO- + H+

Amino group –NH2 ↔ -NH3+

Amphoteric molecules
Hemoglobin also acts as a buffer
respiratory mechanisms - exhalation of CO2
Because carbonic acid can be eliminated by breathing out CO2 it is called a volatile acid.
Body pH can be adjusted this way in about 1-3 minutes
pH also affects breathing rate
Powerful eliminator of acid, but can only deal with carbonic acid.
kidney excretion of H+
Metabolic reactions produce large amounts of fixed acids.
Kidneys can eliminate larger amounts of acids than the lungs
Can also excrete bases
Can excrete acids while conserving bicarbonate ion
Can produce more bicarbonate ion
Kidneys are the most effective regulators of pH; if kidneys fail, pH balance fails
acid/base regulators work at different rates. which works the fastest, slowest?
Buffers are the first line of defense because they work almost instantaneously.
Secondary defenses take longer to work:
Respiratory mechanisms take several minutes to hours
Renal mechanisms may take several days
pH imbalances
The normal blood pH range is 7.35 – 7.45
Any pH below this range is considered to be a condition of acidosis
Any pH above this range is considered to be a condition of alkalosis
The body response to acid-base imbalance is called compensation: Compensation may be complete if the blood pH is brought back to normal, or partial if it is still outside the norms.
compensation
The body response to acid-base imbalance is called compensation: Compensation may be complete if the blood pH is brought back to normal, or partial if it is still outside the norms.
respiratory problems
Respiratory acidosis is a carbonic acid excess (blood CO2 is too high)
Respiratory alkalosis is a carbonic acid deficit (blood CO2 is too low)
Compensation would occur through the kidneys
metabolic problems
Metabolic acidosis is a bicarbonate deficit
Metabolic alkalosis is a bicarbonate excess
Compensation would occur through changes in the depth and rate of respiration.