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125 Cards in this Set
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- 3rd side (hint)
What are the functions of the False Pelvis?
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It's bounded by Iliac Wings & Supports Intestines.
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List the 4 bones of the Pelvic Girdle.
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Sacrum
Coccyx 2 Innominate bones Acetabulum (hip bone): Ilium, Ishium, & pubic bone |
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What's another name for the "True Pelvis"?
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"Lesser Pelvis"
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What are functions of the Female Pelvis?
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Weight bearing bridge
Directs pathway for fetal head Protects organs of reproduction |
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What's another name for "The greater Pelvis" and is it above or below the imaginary plane?
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False Pelvis: It's above the imaginary plane
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What is another name for the female pelvis & how many bones is it composed of?
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"Osseous Pelvis" or Pelvic Girdle
It's made up of 4 bones. |
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List the 4 Pelvic Ligaments.
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Cardinal Ligament
Broad (lateral) Sacro-Uterine Ligament Round Ligament |
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What bones form the posterior wall of the pelvis?
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Tailbone or "Sacrum & Coccyx"
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Which pelvic ligament provides bilateral support for the uterus? Is like bilateral wings for uterus?
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Broad (lateral) ligament
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Which pelvic ligament attaches the broad ligament to the ovary?
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Mesovarium
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What is the "lesser ligament" and list its function/location?
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Cardinal Ligament: Primary support for the uterus, located in the lower part of the uterus.
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Which pelvic ligament is located anterior to the tubes, btwn the layers of the broad ligament, & give anterior support to the uterus?
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Round ligament
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Which pelvic ligament surrounds tubes, ovaries, blood vessels and nerves?
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Broad ligament
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Which ligament attaches the uterus to the pelvic sidewall?
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Broad (lateral) ligament
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What is the primary support for the uterus at the vagina level?
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Cardinal LIgament
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List the 3 Abdominopelvic Muscles.
(includes abd & false pelvic muscles) |
Rectus Abdominus, Psoas Major, & Iliacus.
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Which muscle merges with the Psoas Major Muscle to form the Pelvic Sidewall
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Iliacus Muscle
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What are the "Hammock" muscles and what muscles form this?
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Levator Ani Muscles:
Coccygeus, Ileococcygeus, & Pubococcygeus. |
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Which pelvic muscle forms the anterior abd/pelvic wall?
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Rectus Abdominus
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This True pelvis muscle is found along the pelvic sidewall, is posterior/lateral in position, & originates at the sacrum inserting into Femur.
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Piriformis - one of hammock muscles.
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What is a triangular muscle that forms the lateral wall of the pelvis, is seen with Cephalic Angulation, & is often mistaken for ovaries transversly?
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OIMS: Obturator Internus Muscle
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Which pelvic muscle forms the Anterior & lateral pelvic wall?
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Psoas Major Muscle
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What 3 vessels make up the Pelvic Vasculature?
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Common Iliac Arteries (IIA),
Uterine Arteries Ovarian (gonadal) Arteries |
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What accessory organ is surrounded by the "Internal Urethral Sphincter" and allows for urine excretion?
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The Urethra
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What inserts posterior to the bladder wall?
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Ureters
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What is the muscular tube extending from the cervix to the external opening of the vagina?
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The Vagina
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List the functions of the bladder.
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To collect & store urine emptying through the urethra.
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List the 3 layers of the bladder wall.
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Epithelial, Muscularis, & Mucosal
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Blood supply to the pelvic cavity primarily through this artery.
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IIA: Common/Internal Iliac Arteries
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What is a saclike structure that lies btwn the Vagina & Pubic Symphasis?
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Urinary Bladder
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List the 3 main Pelvic Organs.
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Urinary Bladder, Uterus, & Vagina.
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Blood supply to the uterus, vagina, & cervix & originates at the IIA. Usually can't see due to gas.
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Uterine Arteries
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Blood supply to the ovaries & merges with the uterine artery.
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Ovarian (gonadal) arteries
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What type muscles is the Vagina composed of?
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Smooth & elastic muscle
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Anterior to the rectum, posterior to pubic bone, bladder, & Urethra.
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Vagina
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List the 2 regions of the Vagina.
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Anterior & Posterior Fornix
(anterior & posterior to internal cervix) |
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A pear-shaped organ suspended by ligaments & covered by peritoneum.
(also has alot of Arcuate arteries, very vascular) |
The Uterus
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Is the Uterus in the True Pelvis or False Pelvis?
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True Pelvis
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What are the 4 sections of the Uterus?
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Fundus, Body, Isthmus (LUS), & Cervix.
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Size varies, Smooth outer contour.
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The Uterus
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bordered anteriorly by the bladder, & Posteriorly by the Colon/Rectum.
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The Uterus
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What is the size of the Uterus?
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7x5x2cm, 1.2cm in full term preg.;
PreMenarche: 3cm (length), Cervix 2/3 uterine length. Menarche: 8cm (length) Menopause: 3.5-5.5cm (length) |
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What are the 4 positions of the Uterus.
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Anteverted, Anteflexed, Retroverted, & Retroflexed.
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Posterior to bladder; Anchored to bladder by parametrium.
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Cervix
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Distal to uterus; continuous with Vaginal Canal from cervix.
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External Os of cervix
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Another name for Corpus.
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Body of uterus
(largest part of the Uterus) |
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Superior Aspect of the uterus above the insertion of the tubes
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Fundus of Uterus
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Is measured to test for pre-term delivery
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Cervix
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Proximal to Uterus, continuous with uterine cavity
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Internal Os of Cervix
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This part of the uterus contains the endometrium, widest part of the cervix, and the narrowest part of the cervix.
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Body or Corpus
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What is the most common position of the uterus where the uterus and cervix form a 90 degree angle to the vagina anteriorly?
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Anteverted
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What is the opening from the uterine cavity to the Fallopian Tubes?
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Cornu
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Located in uterus where it narrows between the body and cervix.
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Isthmus Transition
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The bending posteriorly of the body of the uterus towards the cervix but the cervix is in a normal position.
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Retroflexed
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Tilting forward of both the Uterus & Cervix; bending of an organ, Angulation or curvature of the cervix is seen.
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Anteflexed Uterus
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With this position of the uterus you can visualize "dropout Phenomenon" simulating a fibroid.
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Retroverted Uterus
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This layer of the uterus has the Zona Functionalis & basilis.
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Endometrium
(Mucous layer) |
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What are the 3 layers of the Uterus?
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Endometrium (Mucous Layer)
Myometrium (Muscularis)Perimetrium (Serosa Layer) |
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Forward tipping of the uterus, not bent.
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Anteverted Uterus
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Tipping of the entire uterus posteriorly & cannot visualize the endometrium TAS very well.
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Retroverted UTerus.
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This layer of the uterus forms 3 pouches or potential spaces.. what are they?
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Vesico Uterine Pouch (Anterior cul-de-sac),
Recto-Uterine Pouch (Poster cds), Space of Rezius (potential space for fluid to collect) |
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Extends into the fallopian tubes varying btwn 1-7mm in a menarchal uterus.
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Endometrium
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Continous with the fallopian tubes, vagina, ovarian, & round ligaments, contains arcuate arteries, is contractile, and the bulk of the uterus.
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Myometrium
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Inner layer in Endometrium that varies in thickness as cycle runs and is expelled each month.
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Zona Functionalis.
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Oval or almond shaped intraperitoneal organs
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Ovaries
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Inner layer of the Ovary that contains vessels/connective tissue.
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Stroma or Medulla
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What are microscopic egg sacs that develop to produce 1 single egg?
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Follicles
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Outer layer of Endometrium that stays the same not changing with the cycle. It has a white outer rim.
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Zona Basilis
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Pelvic organ that is medial to the IIA & anterior to the ureters?
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Ovaries
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What is "Waldeyer Epithelium"?
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Cortex of the ovaries
(outer layer of ovaries that contain follicles) |
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The outermost peritoneal covering of the uterus which encases the fundus and most of the uterine body.
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Perimetrium or Serosal layer of Uterus.
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What's the only organ of the pelvis NOT covered by peritoneum?
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The ovary
(nude ovary,. it's suspended in peritoneal cavity but has no lining) |
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What are the size of maturing follicles in women of childbearing age?
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<10-15mm
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What's a double layer of peritoneum that attaches the ovaries to the broad ligament?
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Mesovarium
(the blood supply is provided by the ovarian artery) |
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What are the size of mature follicles in women of childbearing age?
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18-25mm
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What has dimensions 4cm x 2cmx 1cm and varies with the menstrual cycle?
(volume measurement may be taken) |
Ovaries
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What are the size of immature follicles in women of childbearing age?
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<10mm
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a.k.a. "Reproductive Cell"?
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Ovum or Oocyte
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How many mm a day should the dominant follicle grow and how large will it get by ovulation?
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2mm per day to reach 2.0 to 2.5cm in size
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How many mature follicles are released each cycle?
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1
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Name 3 functions of the Ovary.
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To produce an Ovum, To produce hormones that prepare the uterus for implantation or fertilized egg, Development of Mammary glands.
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What kind of hormone injections help hormones to release the egg from the ovary?
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Projesterone Injections
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What size follicle is a dominant follicle that becomes the Corpus Luteum?
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>11mm
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What is the name of the follicle that is destined to ovulate?
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Graafian Follicle
("The dominant Follicle") |
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What ovarian hormone is secreted by the Corpus Luteum?
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Progesterone
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What hormone released by the follicles in the ovary increase as you ovulate & decrease after ovulation?
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Estrogen
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Trumpet shaped open end of the tube into the peritoneal cavity, adjacent to ovary.
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Infundibulum
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An ectopic is usually implanted here and is less then 1cm long.
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Intramural or Interstitial part of fallopian tube.
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Part of f.tube that is 2cm long.
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Isthmus
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Extends from the Cornua of uterus laterally to the ovary.
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Fallopian Tubes
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The fallopian tubes are covered with what and how are they seen on ultrasound?
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F.Tubes are covered with peritoneum and are seen on u/s only if hydro-, pyo-, and hematoSalpinx.
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List the 4 regions of the fallopian tubes.
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Intramural (Interstitial), Isthmus, Ampulla, Infundibulum.
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When the ovaries become stress depreived what does this cause the ovaries to do?
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Become smaller/denser,
loss of folliculogenesis, More difficult to see on u/s. |
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Narrowest part of tube where it passes into the uterine wall?
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Intramural or Interstitial
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8-14cm in length, 1-4mm in diameter
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Size of Fallopian Tubes
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What are the 3 layers of the fallopian tube?
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Serosal, Muscularis, Mucosal
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Another name for Cornis?
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Horn
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Another name for Collis?
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Cervix
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What causes Cervical Stenosis?
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Radiation, Old age, scar tissue
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What uterine malformation causes mild indentation of uterine fundus?
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Arcuate Uterus
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"trapped blood" in uterus in postmenopausal & preteens. Cervix cannot open.
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Hematometra
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2 seperate uterine cavities with extra tissue on the myometrium & highest incidence of fertility problems.
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Subseptate or septate Uterus
(normal uterine contour, no cleft) |
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A birth defect when the uterine cervix is closed or absent & may or may not have a vagina?
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Cervical Atrasia
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Complete duplication of uterus
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Didelphic Uterus
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A collection of watery or mucoid fluid in the uterus.
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Hematometra
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Cigar shaped uterus deviated to 1 side that's related to infertility; the cervix gives out from weight of the uterus.
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Unicornate Uterus
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What causes Hematometra?
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Cervical Stenosis & Imperforate Hymen
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Fluid trapped in the vaginal canal with septum-like closures.
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Hematocolpos
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Normal uterine size seen externally but internally very narrow, irreg endo contour.
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T-shaped uterus
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Born without a uterus?
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Uterine Agenesis
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What are 4 vaginal anomolies?
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Vaginal Atresia, Septa, duplication, Hermaphroditism, and Precocious Puberty.
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a.k.a "fundal cleft" "heart shaped" uterus. Fundus dips down into abnormal shape.
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Bicornuate uterus
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(related to infertility)
creates abnormal outer shape to uterus. Allows top of uterus to fuse with cervix. |
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a.k.a. "Hermaphroditism" thats caused by "congenital adrenal hyperplasia"
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Ambiguous Genitalia
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How is vaginal atresia diagnosed?
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hydrocolpos, hydrometrocolpos, & hematometrocolpos
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What occurs with ovulation b4 age 8, caused by problems with the pituitary or hypothalamus?
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Precocious Puberty
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The pituitary gland releases what hormones & what days of the cycle?
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FSH & LH
(days 8-14) |
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What does Estrogen cause to occur during Menstruation?
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Proliferation of endometrium, secretion of mucous near ovulation, breast growth, female body contour, libido, bone growth, heart health.
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What hormones are stimulated by the Hypothalamus for the Endocrine Cycle?
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FSHRF & LHRF
(days 1-7, starts the cycle) |
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When is the 3-line sign evident in the endometrium?
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Just before ovulation in the late proliferative phase.
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What are the 2 ovarian phases of the Menstrual cycle?
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Follicular & Luteal
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What hormones are released by the ovaries in the menstrual cycle?
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Estrogen & Progesterone
(days 15-28, after ovulation) |
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Why is Progesterone needed in the menstrual cycle?
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Secreted by the Corpus Luteum, prepares the endo- for implantation of the fertilized egg, cervical/vaginal mucus, increases body temp.
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What hormone causes ovulation,. or maturation of follicle & Ovum?
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LH
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What stimulates follicular growth causing estrogen levels to rise?
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FSH
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What does the term Luteinization mean?
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Formation of Corpus Luteum (yellow body)
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