DIT 5 Repro Flashcards by McKenzie Brown

nic Ach rec on body

neuromusc junc, autonomic gang, adrenal medulla

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systolic heart murmurs

MR, TR
AS, PS
mitral valve prolapse
VSD, PDA

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stress urinary incontinenee cause

weak pelvic floor

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urge urinary incontinence cause

detrusor muscle overactive

tx= antimusc

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overflow urinary incontinence cuase

inability to void normally–> over distention of bladder

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erectile dysfunc and perineal pain and numbness: nerve damaged?

(cyclists)

pudendal n

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erectile dysfunc after radical prostectomy: nerve damaged?

cavernous nerve- carry parasymp input

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erection

parasymp

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emission and ejac

symp

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testicular cancer first mets to what LN?

para aortic

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hesselbachs triangle

inferior epigastric vessels
lateral border of rectus ab
inguinal lig

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main artery of pelvis

internal iliac artery

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main nerve of pelvis

pudendal n

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murmur enhanced by squatting and expiration

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structures develop from mesonephric duct

seminal vesicles
epidydmal
ejac duct
vas deferens

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homolog of vestibular bulbs in male

corpus spongiosum

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labia minora = ?

ventral shaft

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bartholin galnds =? in males

bulbourethral glands

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urethral and paraurethral glands=? in male

prostate

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SRY gene product

testes determining factor

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anchors testes to scrotum

gubernaculum

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androgen insensitivity syndrome

defect T rec, not respond to stim
genetic male
phenotype female
no uterus or ovaries
testes in labia majora
hi T hi LE hi E

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5a reductase def

T cannot be converted to DHT
ambiguus genitalia
inc T at puberty causes normal male genitalia
normal T, E, LH

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phase 1 metabolism reactions

oxidation
reduction
hydrolysis
slightly more polar, water sol metabolites

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phase 2 metabolism reactions

acetylation sulfation glucuronidation very polar, inactive metabolites

testicular tumor of cytotrophoblast and syncytiotrophoblasts?

choriocarcinoma

testes tumor with gynecomastia intially

leydig or sertoli cell tumor

hi AFP testes tumor

yolk sac, teratoma

hi bhCG testes tumor

choriocarcinoma | embryonal carcinoma

most common testes tumor

seminoma

most common testes tumor in children up to 3 years

yolk sac

most common testes tumor in >60

testicular lymphoma

hits like koilocytes testes tumor

seminoma

hits with alveolar or tubular appearance with pupillary convolutions, testes tumor

embryonal carcinoma

histo schiller duval bodies (endodermal sinus structures)

yolk sac tumor

crystalloids of reinke testes tumor

leydig cell

androgen prod and assoc with precocious puberty testes tumor

leydig cell and sertoli cell tumor

duchenne musc dystrophy lacking protein?

dystrophin- connects muscle fibers to one another

methanol is toxic why?

menthanol--> formaldehyde - metab acid - retinal damage and blind

most common cancer in men

prostate

constant order 0 rate of elimination

phenytoin ethanol ASA

enzymes to metab alcohol

alcohol dehydrogenase acetaldehyde DH

SLE Confirmatory test

ANA Ab

hormone that relaxes uterine SM

progesterone (to prevent spot abortion)

stim endo prolif

estrogen

inhibits endo prolif

progesterone

hug same alpha subunit as?

TSH, FSH, LH

hormones to facilitate lactation

dec E and P to lose inhibition of prolactin inc prolactin- secretion inc oxytocin- ejection

anterior dislocated shoulder artery and nerve?

axillary nerve posterior circumflex a

pseudo gout what will be seen on aspiration?

calcium pyrophosphate crystals

lichen sclerosis assoc with inc risk of

SCC of vulva its thinning of the epidermis

ectocervix endocervix fall tube

non K stratified squamous mucus sec simple columnar ciliated simple columnar

DES assoc with what

clear cell adenocarcinoma of bag mullerian duct anomalies vag adenosis

most common benign tumor in women

leiomyoma

chocolate cyst of ovary

endometrioma

powder burn lesion

endometrioma

plasma cells in endometrium

chronic endometritis

cyclic pelvic pain +/- bowel and bladder symp

endometriosis

menorrhagia+ nontender enlarged uterus with irreg contours

leiomyoma

menorrhagia + tender enlarged globular uterus

adenomyosis

mal tumor that arises de novo from SM of uterus

leiomyosarcoma

ovarian cyst forms from enraptured graafian follicle

follicular cyst

assoc with hi hCG levels

theca-leutin cyst

contains tissue from multiple germ cell layers- ovarian cyst

dermoid cyst

midcycle pelvic pain assoc with ovulatiion

mittleschmerz

what neoplasm is assoc with hi LDL

dysgerminoma

psamomma bodies ovarian neoplasm

serous tumor

fried egg ovarian neo

dysgerminoma

call exner body ovarian neo

granulosa cell

ovarian tumor + ascites + hydrothorax

miegs, assoc with fibromas

teratoma--> hyperthyroid

struma ovarii

ovarian cyst assoc with molar preg

theca leutin cyst

most common loc for mets in choriocarcinoma

lung

drainage of urine from umbilicus

urachus

drainage of meconium from umbilicus

vitelline (omphalomesenteric duct)

trisomy 21 labs

low AFP hi hCG low E hi inhibin

trisomy 18 edwards labs

lo AFP lo E lo hCG normal inhibin

hi AFP due to

neural tube defects abnormal wall mutliple gestations incorrect dating

placenta covers internal cervical os

placenta previa

premature sep of placenta

placenta abruptia

abnl adherence of placenta to myometrium

placenta accreta

invasion of placenta thru myometrium and serosa

placenta precreta

presents as painless bag bleeding in late preg: placenta

placenta previa

presents as painful bag bleeding in late preg

placenta abruption

most common cause of postpartum hemm

uterine atony

Klinefelters

``` male XXY very tall testes atrophy gynecomastia ```

turners

female XO short webbed neck shield chest

most common genetic cause of intel disability

Down

most common cause overall of intel disability

fetal alc syndrome

second most common cause of intel disability

fragile X

excess Vit A can cause a headache called what

psuedotumor cerebri

most common breast mass in post meno

invasive ductal CA

most common breast mass in premeno

fibrocystic change

most common breast tumor in women

fibroadenoma

most common form of BC

invasive ductal CA

leaf like projections BC

phyllodes tumor

signet ring cells BC

LCIS | invasive lobular CA

loss of e cadherin cell adhesion | chromo 16

invasive lobular CA

firm, fibrous mass in 55 YO

invasive ductal CA

blue dome cyst in breast

fibrocystic change