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88 Cards in this Set

  • Front
  • Back
How many sperm each day?
200 million
How many sperm/ ejaculate?
40-500 million
avg. 180 million
How many sperm make it to the uterus? the oviduct? the egg?
<1,000,000 make it to the uterus
100-1000 reach oviduct
20-200 reach egg
Fertility Index:
# sperm/ml?
% able to swim?
% normal shape and size?
20 million sperm/ml
40% able to swim
60% normal shape/size
Sperm size?
40-250 micrometers
Seminal plasma:
secreted by?
components?
purpose?
secreted by accessory glands
prostaglandin+citric acid + bicarbonates+ fructose +zinc +ATP
--> maintenance maturation and transport of sperm
Where does fertilization of ovum by sperm occur?
ampullary-isthmic junction
Sperm transport in Oviduct:
Estrogen purpose?
Progesterone purpose?
Estrogen = increase cilia #
Progesterone = increase cilia beating and egg transport
Oviduct: Ridges vs. Recesses?
Sperm travel in recesses
Ova travel along ridges

cilia in recesses beat towards ovary
--> move sperm
cilia in ridges beat toward uterus
--> move egg
Sperm Capacitation =
during journey through female tract, sperm matures:
gains the ability to fertilize eggs
increases tail movements
Fertilization:
7 steps
1. Sperm passage through cumulus oophorus
2. Sperm passage through zona pellucida
3. Sperm attachment to egg plasma membrane
4. Sperm penetration of egg
5. Cortical reaction
6. Completion of 2nd meiotic division of egg
7. Formation/fusion of sperm and egg pronuclei
Cumulus oophorus
layer of loosely packed follicle surround ovum
Hyaluronidase
As sperm enters cumulus oophorus, this enzyme dissolves the cementing material b/wn cells (hyaluronic acid) and allows sperm to reach the zona pellucida
Zona pellucida
extracellular matrix
composed of three glycoproteins
Acrosomal reaction
hydrolytic enzymes released from acrosome degrade zona pellucida and create a tunnel for sperm to move through
What happens when sperm penetrates the egg?
Calcium ions are released into egg cytoplasm which triggers egg activation and completion of 2nd stage of meiosis in egg
Cortical Reaction =
sperm penetrates egg --> cortical granules --> enzymes debilitate ZP3 and 2 --> prevents attachment of additional sperms --> prevents polyspermy
Egg activation
1. Cortical reaction
2. Completion of meiosis 2
3. increase egg metabolism
4. synthesis of protein, RNA and DNA
2 haploid genomes merge and form a........?
diploid zygote --> divides mitotically --> two celled preembryo --> 2 identical daughter cells (blastomeres)
How many mitochondria come from sperm? what happens to them? Where do the rest of mitochondria come from?
100 mitochondria from sperm
disappear soon after fertilization
all other mitochondria from mothers
Preembryo which weeks?
Embryo which weeks?
Fetus which weeks?
Preembryo = Wk 1-2
Embryo = Wk 3-8
Fetus = Wk 9-birth
Biological Age
avg time is 38 wks from fertilization/conception to birth
divided into 3 trimesters
Gestational Age
avg 40 wks
"duration since day 1 of last menstrual period"
~ 2 weeks longer than duration since conception
Onset of pregnancy =
Bio Def?
Clinical Med?
General Public?
Bio = conception
Clinical Med= 2 weeks BEFORE conception
Gen Pub = (1-2 days after missed period) 2 weeks AFTER conception
Human chorionic gonadotropin is produced by what?
Where is it detected?
hCG= produced by blastocyst and placenta of embryo
Detected in blood and urine
Preembryonic Sequence:
Day 0
Day 1
Day 3
0 = conception, zygote formation
1 = blastomere (2 cells)
3 = morula (8-32 cells)
Preembryonic Sequence:
Day 4
Day 5
Day 6
4= early blastocyst
5 = late blastocyst
6 = blastocyst attaches to endometrium
Preembryonic Sequence:
Day 7
Day 8
Day 9
Day 10
7= implantation begins
8 = amniotic cavity and embryonic disc form
9= uterine sinusoids develop
10 = implantation complete
Preembryonic Sequence:
Day 15
15= first missed period/positive pregnancy test
How many days after fertilization does preembryo move to uterus?
3-4 days after fertilization
What is the single outer layer of the blastocyst called? surrounding fluid filled cavity?
single outer layer = trophoblast
fluid filled cavity = blastoceol
How long does the blastocyst rest freely in the uterine cavity?
2-3 days
What does the uterus secrete 6 days after conception? what does this enzyme do?
Secretes protease enzyme which dissolves the zona pellucida
Progesterone, secreted by the corpus luteum primes the uterus and makes endometrium more vascular. It also stimulates the uterus to secrete this...
Protease.
What does protease do in the uterus?
dissolves z.p. surrounding the blastocyst. When it is completely dissolved the inner mass of cells in the blastocyst attaches to the uterine wall and penetrates the endometrium
Synctiotrophoblast
= outer layer of trophoblast
secretes protease
sinusoids w/ maternal blood form w/in it
By the end of week 2, early embryonic development starts and the cell mass becomes a........
bilaminar embryonic disc
What are the two layers of the embryonic disc? What are their functions?
Hypoblast --> development of extraembryonic membranes
Epiblast--> ectoderm, medoderm, and endoderm layer
What do the three layers of the epiblast (of the embryonic disc) form into?
Ectoderm = NS, epidermis of skin
Mesoderm= skeleton, vertebrae, muscles, heart, circ sys, kidneys, gonads
Endoderm= digestive tube, liver, gall bladder, pancreas, respiratory tube
What are the 3 extraembryonic membranes that are formed from the inner cell mass?
1. Yolk sac
2. Allantois
3. Amnion
What extraembryonic membrane is formed from the cytotrophoblast?
Chorion = important component of placenta
What is the purpose of amniotic fluid?
protects fetus against mechanical shock and provides water
At what rate is amniotic fluid secreted and absorbed?
max rate = 300-600 ml
How much amniotic fluid is there at 8 weeks? 20 weeks? 38 weeks? 40 weeks?
8) 5-10 ml
20) 250 ml
38) 1000-1500ml
40) 500-1000ml
What is the function of the placenta?
delivers O2, glucose, growth factors etc. TO fetus.
eliminates CO2 and other waste products FROM fetus
How much of the uterine wall does the placenta cover at week 4?
20%
How much of U wall does placenta cover at week 20 and how much does it weigh?
50% of wall, weighs 200g (fetus = 500g)
How much does the placenta weigh at week 40? how much blood is passing through it
weighs = 700 g, 285 liters of blood
What is the diameter and length of the umbilical cord at birth?
diameter = .3 to 1 inches
length = 20 -22 inches
Dizygotic twins have how many placentas, chorions and amnions?
2placentas, 2chorions, 2 amnions,
unless implant close together, then may have 1 placenta and fused chorions
Monozygotic twins have how many placentas, chorions, and amnions?
1 placenta , 1 chorion , 2 amnionic sacs
What are the major developments during WEEK 3 of embryonic development?
trilaminar disc --> sausage shape
Neural tube develops
What are the major developments during WEEK 4 of embryonic development?
C shape
Eyes begin to form on head, inner ear, tiny arm and leg buds
Heart forms and begins beating.
What are the major developments during WEEK 5 of embryonic development?
Rapid brain growth
Hands become paddle shaped
What are the major developments during WEEK 6 of embryonic development?
Eyes pigmented
Exterior ears
Leg buds become paddle shaped
Hand rays --> position of digits
What are the major developments during WEEK 7 of embryonic development?
Toe Rays --> position of digits
Rapid development of gut tube
Tail diminished
What are the major developments during WEEK 8 of embryonic development?
Eyelids grow and meet each other --> closed
Fingers and toes seen, thin webbing still
Tail disappeared
Brain, spinal cord, and peripheral nerves
What are the major developments during WEEK 9 to birth of embryonic development?
Organ systems established
Period of rapid growth
When does the tail disapper?
Week 8
When does the heart start beating?
Week 4
When does the embryo begin to look human?
Week 8
When can the fetal heart rate be heard w/ stethoscope?
Week 12
When can the mom feel fetus moving?
Month 4-5
What is the skin covered with by the end of month 6?
verniz caseosa = protective layer of fatty secretions
lanugo = down hair
What happens during months 7,8,9 of the fetal period?
fetus adds layers of fat, loses wrinkled appearance, lungs mature
How much urine/day is produced by fetal kidneys during fetal period?
450 ml/day
What is the function of the ductus arteriosis?
allows fetal blood to by pass the lungs
What is the function of the ductus venosus?
shunts blood around the liver
What is the function of the foramen ovale?
allows blood to go from the right atrium to the left atrium
What percentage of preembryos/embryos die w/in the first 3 weeks of life?
50%
What percent of confirmed pregnancies miscarry?
15-20%
What percentage of spontaneously aborted fetuses are accounted for by chromosomal abnormalities?
42%
Teratogens and mutagens such as mercury, lead, alcohol, and tobacco have main effects during which weeks?
4th through 7th week of gestation
Multiple serum marker test?
from maternal blood
hCG, alpha-fetoprotein, estriol levels
estimate likelihood of downsyndrome
What is an Amniocentesis and when is it performed?
b/wn 14th and 16th week of pregnancy
cells and amniotic fluid evaluated for chromosomal abnormalities
What is chorionic villus sampling and when is it performed?
Performed 8th-10th week
Needle through vagina cervix, into uterine cavity
Chorionic cells removed from placenta and analyzed
What percentage of induced abortions in the USA are in the 1st trimester?
87%
What are four things that the placenta secretes?
1. Progesterone
2. Hormones similar to ones produced by the pituitary gland
3. Human placental lactogen (hPL)
4. Relaxin
What is the function of hPL?
helps prime mammary glands for milk production
What is the function of Relaxin?
Relaxes connective tissue connecting pubic bones (pubic symphysis)
Prepares cervix to soften and dilate
What is the fetal ejection reflex?
stimulation of oxytocin release by mechanical stimulation of uterus, cervis, or vagina --> further uterine contractions
What three things can cause a baby to be delivered EARLIER?
1. if it is Male
2. shorter follicular phases/menstrual cycles
3. excercise through pregnancy
What is cervical effacement?
Initiation of effacement?
Progression of effacement?
=thinning of normally thick cervical walls and retraction of cervix upwards

Initiation = cervical mucus plug dislodged and small amt of blood
Progression = amniotic sac weakend, may break and release amniotic fluid
What is the Deciduoma response?
cells of uterine stroma multiply rapidy form cap over blastocyst

Implantation is complete
Acrosomal reaction occurs as sperm penetrates?
Zona pellucida
Sperm head releases hyaluronic acid as it penetrates?
Cumulus oophorus
The cortical reaction is initiated when sperm penetrates?
Egg plasma membrane
Which is NOT a characteristic of preeclampsia in pregnant women?
High blood sugar

(Edeam, high blood pressure, and proteinuria ARE characteristics)