repro DIT Flashcards

1
Q

cardinal ligament

A

cervix to the pelvic side wall
uterine vessels in here

(c and c for cardinal and cervix)

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2
Q

infundibulopelvic ligament

A
suspensory ligament of ovary
ovary to pelvic side wall
ovarian vessels
(ovaries are fun but may get suspended)
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3
Q

ovarian ligament

A

ovary to the uterus

from gubernaculum

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4
Q

round ligament of the uterus

A

from gubernaculum

uterus through the inguinal cancal, to labia majora

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5
Q

broad ligament

A

covers uterus, fallop tubes, ovaries to pelvic wall

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6
Q

S2-4 pudendal nerve innervation to pelcis

A

sensation to perineum and genitals
motor to perineal muscles
muscle base ofpenis, external anal sphincter, external uretral sphincter

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7
Q

lesion to pudendal nerve

A

gential numb and pain
fecal incontinence
urinary incont
ED

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8
Q

what can get injured during prostectetomy

A

inferior hypogastric plexus–>prostatic plexus–>cavernous nerves (parasyp to penis for erection)

ED

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9
Q

varocelole is dilation of what

A

panpiniform plexus

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10
Q

lymphatic drainage of ovaries and testes

A

para arotic LNs

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11
Q

external and internal iliac nodes (hypogastric) drain what

A

upper 2/3 vagina
uterus
cervix
prostate

UPUC is ILL

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12
Q

superficial inguinal nodes drain what

A

lower 1/3 vagina, vulva, scrotum

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13
Q

indirect inguinal hernia is failure of

A

closre of procesus vaginalis

can lead to hydrocele

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14
Q

direct inguinal hernia

A

weakening of ab wall in hesslebachs triangle

medial to epigastrifc vessels and out of superficial ring

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15
Q

external meatus on ventral side of penis

A

hypospadias

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16
Q

opening of meatus on dorsal penis and associated with extropshy of bladder

A

epispadias

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17
Q

homologs

corpus spongiosum and corpus cavernosum

A

vestibular bulbs (thing vestibular bulge)

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18
Q

homologs

bulbourethral glands

A

greater vestibular (bartholin) glands in female

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19
Q

homologs

prostate

A

urethral and paraurtehral glands

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20
Q

ventral shaft of penis homolog

A

labia minor

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21
Q

homolog

scrotum

A

labia majora

22
Q

flutamide

A

nonsteroidal competitive inhibitor

23
Q

clomifphene

A

treats infertility due to anovulation
binds estrogen receptors in hypothalamus and prevents endogenous estrogens from binding
blocks negative feedback and increases FSH and LH

24
Q

testicular tumors

most common
age 15-30
fired egg epeparance with large cells with watery cytoplasm
good prognosis

A

seminoma

25
Q

test tumors: malignant, glandular with pappilary morphology
AFP normal
HcG may be elevated
painful tumor

A

embryonal carcinoma (doing EC can be painful sometimes)

26
Q

testicular tumors

common in kids under 3
appear yellow
schiller duval bodies
increased AFP

A

yolk sac tumor

27
Q

test tumors

malignant
increased hCg
hematogenous metast
syncytiotrophoblast

A

choriocarcinoma

28
Q

teratoma

mature ones in males means

A

malignant

29
Q

what would be increased in teratoma in males

A

hcg and AFP in 50% of cases

30
Q

TEST tumors

lipofusin pigment and rodlike crystal shaped structures
androgen and sometimes estrogen producing
endocrine symptoms
golden brown color tumor

A

leydig cell tumor

reinke crystals

31
Q

testicular tumor with virulization or feminizing symptoms

A

leydig cell tumor

32
Q

test tumor

secretes estrogen (gynecomastia), assocaited with peutz jeghers and carney syndrome

A

sertoli cell tumor

33
Q

tadalafil can be used for what besides ED

A

BPH

tada my prostate is all better

34
Q

grey solitary crusty plaque in 5th decasde of life, occasionally progreses to SCC

A

bowen diseas

think color of bruce bowen ( he kinda grey/ashy/crusty)

35
Q

bowenoid disease

A

younger, papular lesions

36
Q

peyronie disese

A

angulation of penis, painful erections

inflamation and fibrous tunica albugeina

37
Q

inflammation of glans penis

A

balanitis

38
Q

what is the graafian follicle

A

dominant follicle

releases oocyte

39
Q

corpus luteum

A

rest of ruptured graafian follicle
secretes progesterone
if preg occurs HcG keeps it alive so continued progesterone secretion

40
Q

estrogen and hdl and ldl

A

increases HDL

decreases LDL

41
Q

what inhibits milk secretion

A

estrogen and progesterone

42
Q

pagets disease of vulva

A

intraepithelial cancer

red, looks like eczema, cancer cells within skin

43
Q

DES

A

columnar epihtelium on ectocervix

44
Q

endometritis

acute cause
chronic cause
diagnostic

A

inflammation of endometrium
acute: postpartum
chronic: PID, reatined foreign bodies
plasma cell in endometrium diagnostic

45
Q

treatment of endometritis

A

gentamycin and clindamycin

46
Q

treatment of endometriosis

A

leuprolide
nsaids, ocps, progesstins
danazol

47
Q

danazol

A

synthetic androgen
partial agonist at androgen receptors which inhibits rlease of FSH and LH

AE: acne, hirtuism, deep voice, weight gain, low HDL, hot flashes

48
Q

endometrial tissue in the myometrium

A

adenomusosis

49
Q

PCOS elevated ratio

A

LH to FSH over 2:1

50
Q

pcos endocrine levels

A

lh to FSH over 2:1
elevated insulin bc of insulin resistance
increased estrone (prevents ovulartory cycle)
increased androgens
decresed SHBG = more free hormaones floating around

51
Q

PCOS has increased risk for what

A

endometrial hyperplasia

52
Q

3 symptoms for PCOS 2 to diagnose

A

oligo ovulation or anovulation
hyperandrgoenism (acne, hirsutism) no virulization
polycistic string or pear sign on US