Q-bank Flashcards
The Right Testicular Artery is a direct branch off of which artery?
Aorta!!!
Which nerve supplies the perineum?
Pudendal Nerve
During which phase of the menstrual cycle is Progesterone the highest?
Luteal Phase
During which phase of the menstrual cycle is Estrogen the highest?
Pre-ovulatory phase
What is the definitive tx for Preeclampsia?
Termination of pregnancy; Delivery
What is the triad for Preeclampsia?
HTN, proteinuria, and edema
How is Eclampsia diff from Preeclampsia?
Seizures w/ Eclampsia
What is the most common cause of Pelvic Inflamm. Disease?
Chlamydia
What kind of Inflamm. response is mediated aga. Chlamydia?
Obligate intracellular organism–> Cell-mediated cytotoxicity
How to visualize Chlamydia?
Iodine, Giemsa, Fluorescent-Ab
What can cause Painful, Soft ulcer on genitals?
Haemophilus ducreyi
Where can Actinomyces cause infection?
Gingival crevices (cervico-facial), female reproductive tract, and GI
What kind of infection is common in pts with and IUD?
Actinomyces israelli
**For high grade CIN, what is the prognosis? (%s)
60% Persist, 30% Regress, 10% Progress to Invasive carcinoma
What is seen on biopsy of Breast Fat Necrosis?
Calcifications, Giant cells, and Lipid-laden histiocytes
Which lymph nodes to testicular masses metastasize to first?
Para-aortic lymph nodes
What is Adenomyosis?
Extension of endometrium into myometrium
What is the main phenotypic difference b/t Androgen insensitivity and 5a-Reductase Deficiency?
Androgen Insens- failure of development of BOTH internal and external organs
5a-Reductase- Normal Internal organs
Which Drug can cause external genitalia abnormalities in male fetuses?
Finasteride
Granulosa Cell Tumors of the ovary can lead to what pathology in the endomentrium?
Endometrial hyperplasia–> uterine bleeding
What is a common cause of dysfunctional uterine bleeding?
Anovulatory cycle
Can fibrocystic breast changes be seen in men?
NO!
What cellular marker(s) are elevated in Seminomas?
placental ALP
What is the most worrisome complication of Cryptorchidism?
Cancer
What is Meigs Syndrome of Ovarian Fibroma?
Ovarian Tumor, Ascites, and Pleural effusion
What is the underlying cause of Acute Mastitis?
Breast-feeding
Compare the Karyotype of a Complete mole to a Partial mole.
Complete: Diploid
Partial: Triploid
What are the components of Complete and Partial Mole?
Complete: Usually Enucleated egg+ 1/2 sperm
Partial: 2 sperm + 1 Normal egg
What molecule is produced by the Trophoblast?
Beta-hCG
What molecule is produced by the Yolk sac?
Alpha-Fetoprotein
Describe the hormonal changes in LH, FSH, androgens, and GnRH levels in PCOS.
Increased GnRH, Increase LH:FSH ratio, Increase Estrogen, Increase Androgens and Testosterone
What is the most common symptom of Leiomyomas?
Abnormal uterine bleeding
How do you test for/confirm Anovulation?
Progestin challenge–> triggers mentruation
Decreases in which hormones can lead to repeated spontaneous abortions?
Progesterone, hCG
Symptoms of Preeclampsia before 20 weeks gestation are highly suggestive of what?
Molar pregnancy
How do you treat Maternal Syphilis?
Penicillin (or Tetracycline or Doxyclycline)
How do Beta-2 and Alpha-1 Receptors affect Uterine contractions?
Beta-2: Decrease uterine contractions
Alpha 1: Increase uterine contractions
What do you use Acyclovir and Gancyclovir for, respectively?
Acyclovir: HSV
Gancyclovir: CMV
What do you expect to find histologically in Paget’s Disease of the breast?
Isolated adenocarcinoma cells in the epidermis
What does Paget’s Disease of the breast suggest?
Underlying carcinoma
What is the underlying mechanism of an ectopic pregnancy?
Delayed transport of the blastocyst
What is the mechanism of Acyclovir?
Inhibition of viral DNA polymerase
What is the initial event in the pathogenesis of preeclampsia?
Placental ischemia
When does Abruptio placcentae occur?
3rd timester
What is the #1 cause of spontaneous abortions?
Chromosomal abnormalities
What is the mechanism of Ceftriaxone?
Inhibitionn of peptidoglycan synthesis
What should you suspect in a women who has had recurrent spontaneous abortions in the 1st trimester?
Robertsonian translocation