COMLEX random Flashcards
Ligament that connects the uterus, fallopian tubes, and ovaries to the pelvic side wall; also contains the ovaries, fallopian tubes, and round ligament of uterus
Broad ligament
Ligament that connects the ovaries to the lateral pelvic wall and contains the ovarian vessels
Suspensory ligament of the ovaries (aka infundibulopelvic ligament)
Ligament that connects the cervix to the side wall of the pelvis and contains the uterine vessels
Cardinal ligament
LH stimulates the theca cells to do what?
Produce androgens, androstenedione, and testosterone
FSH stimulates the granulosa cells to do what?
Convert androstenedione to estriadol via aromatase
What is the funtion of the corpus luteum after implantation
Produce progesterone to maintain the pregnancy until the syncytiotrophoblast takes over around 8-10 weeks
Menorrhagia, dysmenorrhea, pelvic pain, ENLARGED UTERUS
adenomysiosis (endomotrium within the myometrium)
Ovarian tumor composed of thyroid-like follicles
Struma ovarii
Can partial moles have a heartbeat?
Yes
Drug that can treat both breast cancer and osteoporosis
Raloxifene
Bilateral adnexal cysts in someone with multiple gestations, trophoblastic disease, ovarian hyperstimulation, or pregnancy complicated by fetal hydrops is most likely what
Theca-lutein cysts
What causes the formation of theca-lutein cysts?
Leutinization and hypertrophy of the theca-interna cells due to excessive B-hCG stimulation
Ovarian tumor associated with ascites and pleural effusions
Fibromas; this is known as Meig’s syndrome
Are BRCA1 and 2 tumor suppressors or oncogenes?
Tumor suppressors
Serum levels of what are used to confirm menopause?
Increased FSH
Why is FSH increased in menopause?
Loss of negative feedback from decreased levels of estrogen
If someone has galactorrhea from antipsychotic medications, what is your first step in tx?
Adjust the doses of antipsychotics, don’t want to give DA agonists as that may worsen schizophrenia
What is a threatened abortion?
Uterine bleeding within the first 20 weeks of gestation
What is an inevitable abortion?
Uterine bleeding, lack of fetal heart tones, and a dilated cervix
In the 3 main congenital adrenal hyperplasias (17a-hydroxylase, 21-hydroxylase, and 11B-hydroxylase deficiencies), what hormone is decreased in all 3 cases?
Cortisol
Female neonate with masculinization and HTN
11B-hydroxylase deficiency
Lab values in 11B-hydroxylase deficiency
Decreased alsoterone, increased 11-deoxycorticosterone (what causes the HTN in this case), decreased cortisol, increased sex hormones (what causes the virilization)
Most common area to find boob cancer
Upper outer quadrant
Freely moveable, well marginated mass beneath the areola that produces a serous effusion from the nipple
Intraductal papilloma