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1. ‫ب‬‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫سم‬
Exam 2103‫..حل‬innovation +asm
‫تجميعة‬innovation 😎🔥💡

3. 2) phases of ovarian cylcle:
1) follicular
2) ovulation
3) luteal

4. 3)

5. 4)
5)

6. 6)

7. 7)
1)

8. 2)
8)
- correspondsto the follicular phase of ovarian cycle in
which development of ovarian follicles and production of
estrogen ➡️ cells in basel end of utrine glands proliferate,
migrate to the raw surface and reconstitute the uterine
glands and the epithelial lining of the endometrium
- uterine gland appear straight with narrow empty lumen
- proliferationof C.T cells of lamina propria ➡️ growth of
endomertrium as a whole
-spiral artries elongate with lenghening of the functional
group

9. 9)

10. 10)
11)
Boundarias :
Anteriorly ➡️ medial umblical artery
Posteriorly ➡️ureter and internal iliac nerve
Laterlally ➡️ obturator nerve
Venous driange :
Pampiniformvenous plexus ➡️ ovarian vein
Right ovarian vein ➡️ IVC
Left ovarian vein ➡️ left renal vein

11. 12)
13)
1. Gingivostomatitis
2. Herps labialis
3. keratoconjunctivitis
4. Skin infection

12. 14)
15)
*Mechanism of action ➡️ act on estrogen receptors
Agonist in bone and endometrium
Antagonist in breast
 Clinical use ➡️ breat cancer in postmenopousal
patient
 Adverse effect :
1. Venous thromboembolism
2. Hot flushes
3. Nause , vomiting
4. Increase risk of endometrial cancer
...

13. 16)
1) ) indomethacin ➡️inhibit production of
prostaglandin
(2) nifedipine ➡️ ca channel blockers➡️ inhibit
entery of ca into uterine smooth muscle ➡️ its
relaxation
Indications :
1. Inhibit uterine contraction
2. Postpone delivery in case of preterm labor
3. Prolongation of pregnancy from 48 h to a
week
4. Provide time for administration of antenatal
glucocorticoids
# innovation 🔥😎💡