DIT 5 Repro Flashcards

1
Q

nic Ach rec on body

A

neuromusc junc, autonomic gang, adrenal medulla

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2
Q

systolic heart murmurs

A

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

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3
Q

stress urinary incontinenee cause

A

weak pelvic floor

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4
Q

urge urinary incontinence cause

A

detrusor muscle overactive

tx= antimusc

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5
Q

overflow urinary incontinence cuase

A

inability to void normally–> over distention of bladder

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6
Q

erectile dysfunc and perineal pain and numbness: nerve damaged?

(cyclists)

A

pudendal n

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7
Q

erectile dysfunc after radical prostectomy: nerve damaged?

A

cavernous nerve- carry parasymp input

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8
Q

erection

A

parasymp

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9
Q

emission and ejac

A

symp

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10
Q

testicular cancer first mets to what LN?

A

para aortic

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11
Q

hesselbachs triangle

A

inferior epigastric vessels
lateral border of rectus ab
inguinal lig

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12
Q

main artery of pelvis

A

internal iliac artery

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13
Q

main nerve of pelvis

A

pudendal n

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14
Q

murmur enhanced by squatting and expiration

A

MR

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15
Q

structures develop from mesonephric duct

A

seminal vesicles
epidydmal
ejac duct
vas deferens

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16
Q

homolog of vestibular bulbs in male

A

corpus spongiosum

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17
Q

labia minora = ?

A

ventral shaft

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18
Q

bartholin galnds =? in males

A

bulbourethral glands

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19
Q

urethral and paraurethral glands=? in male

A

prostate

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20
Q

SRY gene product

A

testes determining factor

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21
Q

anchors testes to scrotum

A

gubernaculum

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22
Q

androgen insensitivity syndrome

A
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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23
Q

5a reductase def

A

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

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24
Q

phase 1 metabolism reactions

A

oxidation
reduction
hydrolysis
slightly more polar, water sol metabolites

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25
Q

phase 2 metabolism reactions

A

acetylation
sulfation
glucuronidation
very polar, inactive metabolites

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26
Q

testicular tumor of cytotrophoblast and syncytiotrophoblasts?

A

choriocarcinoma

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27
Q

testes tumor with gynecomastia intially

A

leydig or sertoli cell tumor

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28
Q

hi AFP testes tumor

A

yolk sac, teratoma

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29
Q

hi bhCG testes tumor

A

choriocarcinoma

embryonal carcinoma

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30
Q

most common testes tumor

A

seminoma

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31
Q

most common testes tumor in children up to 3 years

A

yolk sac

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32
Q

most common testes tumor in >60

A

testicular lymphoma

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33
Q

hits like koilocytes testes tumor

A

seminoma

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34
Q

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

A

embryonal carcinoma

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35
Q

histo schiller duval bodies (endodermal sinus structures)

A

yolk sac tumor

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36
Q

crystalloids of reinke testes tumor

A

leydig cell

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37
Q

androgen prod and assoc with precocious puberty testes tumor

A

leydig cell and sertoli cell tumor

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38
Q

duchenne musc dystrophy lacking protein?

A

dystrophin- connects muscle fibers to one another

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39
Q

methanol is toxic why?

A

menthanol–> formaldehyde

  • metab acid
  • retinal damage and blind
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40
Q

most common cancer in men

A

prostate

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41
Q

constant order 0 rate of elimination

A

phenytoin
ethanol
ASA

42
Q

enzymes to metab alcohol

A

alcohol dehydrogenase

acetaldehyde DH

43
Q

SLE Confirmatory test

A

ANA Ab

44
Q

hormone that relaxes uterine SM

A

progesterone (to prevent spot abortion)

45
Q

stim endo prolif

A

estrogen

46
Q

inhibits endo prolif

A

progesterone

47
Q

hug same alpha subunit as?

A

TSH, FSH, LH

48
Q

hormones to facilitate lactation

A

dec E and P to lose inhibition of prolactin

inc prolactin- secretion

inc oxytocin- ejection

49
Q

anterior dislocated shoulder

artery and nerve?

A

axillary nerve

posterior circumflex a

50
Q

pseudo gout what will be seen on aspiration?

A

calcium pyrophosphate crystals

51
Q

lichen sclerosis assoc with inc risk of

A

SCC of vulva

its thinning of the epidermis

52
Q

ectocervix

endocervix

fall tube

A

non K stratified squamous

mucus sec simple columnar

ciliated simple columnar

53
Q

DES assoc with what

A

clear cell adenocarcinoma of bag

mullerian duct anomalies

vag adenosis

54
Q

most common benign tumor in women

A

leiomyoma

55
Q

chocolate cyst of ovary

A

endometrioma

56
Q

powder burn lesion

A

endometrioma

57
Q

plasma cells in endometrium

A

chronic endometritis

58
Q

cyclic pelvic pain +/- bowel and bladder symp

A

endometriosis

59
Q

menorrhagia+ nontender enlarged uterus with irreg contours

A

leiomyoma

60
Q

menorrhagia + tender enlarged globular uterus

A

adenomyosis

61
Q

mal tumor that arises de novo from SM of uterus

A

leiomyosarcoma

62
Q

ovarian cyst forms from enraptured graafian follicle

A

follicular cyst

63
Q

assoc with hi hCG levels

A

theca-leutin cyst

64
Q

contains tissue from multiple germ cell layers- ovarian cyst

A

dermoid cyst

65
Q

midcycle pelvic pain assoc with ovulatiion

A

mittleschmerz

66
Q

what neoplasm is assoc with hi LDL

A

dysgerminoma

67
Q

psamomma bodies ovarian neoplasm

A

serous tumor

68
Q

fried egg ovarian neo

A

dysgerminoma

69
Q

call exner body ovarian neo

A

granulosa cell

70
Q

ovarian tumor + ascites + hydrothorax

A

miegs, assoc with fibromas

71
Q

teratoma–> hyperthyroid

A

struma ovarii

72
Q

ovarian cyst assoc with molar preg

A

theca leutin cyst

73
Q

most common loc for mets in choriocarcinoma

A

lung

74
Q

drainage of urine from umbilicus

A

urachus

75
Q

drainage of meconium from umbilicus

A

vitelline (omphalomesenteric duct)

76
Q

trisomy 21 labs

A

low AFP
hi hCG
low E
hi inhibin

77
Q

trisomy 18 edwards labs

A

lo AFP
lo E
lo hCG
normal inhibin

78
Q

hi AFP due to

A

neural tube defects
abnormal wall
mutliple gestations
incorrect dating

79
Q

placenta covers internal cervical os

A

placenta previa

80
Q

premature sep of placenta

A

placenta abruptia

81
Q

abnl adherence of placenta to myometrium

A

placenta accreta

82
Q

invasion of placenta thru myometrium and serosa

A

placenta precreta

83
Q

presents as painless bag bleeding in late preg: placenta

A

placenta previa

84
Q

presents as painful bag bleeding in late preg

A

placenta abruption

85
Q

most common cause of postpartum hemm

A

uterine atony

86
Q

Klinefelters

A
male
XXY
very tall
testes atrophy
gynecomastia
87
Q

turners

A

female
XO
short webbed neck
shield chest

88
Q

most common genetic cause of intel disability

A

Down

89
Q

most common cause overall of intel disability

A

fetal alc syndrome

90
Q

second most common cause of intel disability

A

fragile X

91
Q

excess Vit A can cause a headache called what

A

psuedotumor cerebri

92
Q

most common breast mass in post meno

A

invasive ductal CA

93
Q

most common breast mass in premeno

A

fibrocystic change

94
Q

most common breast tumor in women

A

fibroadenoma

95
Q

most common form of BC

A

invasive ductal CA

96
Q

leaf like projections BC

A

phyllodes tumor

97
Q

signet ring cells BC

A

LCIS

invasive lobular CA

98
Q

loss of e cadherin cell adhesion

chromo 16

A

invasive lobular CA

99
Q

firm, fibrous mass in 55 YO

A

invasive ductal CA

100
Q

blue dome cyst in breast

A

fibrocystic change