NR 507 FINAL EXAM STUDY GUIDE 1
Reproductive:
endometrial cycle and the occurrence of ovulation- the menstrual cycle consist of
three phases: the follicular/proliferative phase (postmenstrual), followed by the
luteal
...
NR 507 FINAL EXAM STUDY GUIDE 1
Reproductive:
endometrial cycle and the occurrence of ovulation- the menstrual cycle consist of
three phases: the follicular/proliferative phase (postmenstrual), followed by the
luteal/secretory phase (premenstrual), and the ischemic/menstrual phase.
*Ovarian hormones control the uterine (endometrial) events of the menstrual
cycle. During the follicular/proliferative phase of the ovarian cycle estrogen
produced by the follicle causes the endometrium to proliferate (proliferative
phase) and induces the LH surge and progesterone production in the granulosa
layer. During the luteal/secretory phase, estrogen maintains the thickened
endometrium, and progesterone causes it to develop blood vessels and secretory
glands (secretory phase). As the corpus luteum “starved” endometrium
degenerates and sloughs off, causing menstruation, the ischemic/menstrual
phase.
uterine prolapse- the descent of the cervix or entire uterus into the vaginal canal
due to weakened pelvic fascia and musculature and poor support from the
vaginal muscles and fascia.
polycystic ovarian syndrome- most common cause of anovulation and ovulatory
dysfunction in women. Defined as having at least two of the following three
features: irregular ovulation, elevated levels of androgens (e.g., testosterone),
and the appearance of polycystic ovaries on ultrasound. PCOS is associated with
metabolic dysfunction, including dyslipidemia, insulin resistance, and obesity.
One of the most common endocrine disturbances affecting women, especially
young women, and is a leading cause of infertility in the U.S. Strong genetic
component to PCOS, various features of the syndrome may be inherited. PCOS
patients are three times as likely to have insulin resistance, higher for obese
women. Tend to have increased leptin levels. Symptoms within 2 years of puberty
& include: dysfunctional bleeding or amenorrhea, hirsutism, acne, acanthosis
nigricans, and infertility. 60% are obese. Increased risk for gestational DM,
pregnancy-induced HTN, preterm birth, and perinatal mortality.
testicular cancer and conditions that increase risk- most common cancer in men,
age 15-35. Slightly more common on the right than on the left. 90% of testicular
cancers are germ cell tumors arising from the male gametes. Two types:
Seminomas-most common, least aggressive, make up 30-35% of testicular
cancers & Nonseminomas-include embryonal carcinomas, teratomas, and
choriocarcinomas, which are the most aggressive, but rare form of testicula
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