Reproductive Flashcards

0
Q

Lens dislocation seen where? Positions?

A

Homocysteinuria - infero-nasal

Marfan’s - supero-temporal

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1
Q

Enzyme converting testosterone to DHT

A

5 £ reductase

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2
Q

Most common precursor of choriocarcinoma?

Characterisic appearance?

A

Hydatidiform Mole

‘cluster of grapes’ or ‘honeycomb uteus’

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3
Q

Most common gynecologic malignancy

Prognosis?

A
Cervical cancer (worldwide)
Endometrial carcinoma (US)
Peak @ 55-65

Worst prognosis: ovarian > cervical > endometrial

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4
Q

Most common of all tumors in females?

Progression to malignancy?
Characteristic appearance?

A

Leiomyoma (fibroid)

  • Estrogen sensitive
  • 20-40 years old
  • Do not progress to Leiomyosarcoma

Whorled pattern with smooth muscle bundles

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5
Q

Most common ovarian mass in young women

A

Follicular ovarian cysts

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6
Q

Where do you find Schiller Duval bodies

A

Yolc sac ( Endodermal sinus) tumor

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7
Q

Characteristic feature of Yolkc sac Endodermal sinus tumor resembling glomeruli

A

Schiller Duval Bodies

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8
Q

Most common (90%) ovarian germ cell tumor

Benign? Malignant?

A

Mature Teratoma

Benign

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9
Q

Characteristic bodies in Serous cystadenocarcinoma

A

Psammoma bodies

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10
Q

What gynecologic pathology do you see Pseudomyxoma peritonei?

A

Mucinous Cystadenocarcinoma (ovarian non germ cell tumor)

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11
Q

Meig’s Syndrome

A

Ovarian Fibroma
Ascites
Hydrothorax

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12
Q

Call Exner Bodies

A

Granulosa Cell Tumor

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13
Q

Characteristic feature of Granulosa Cell Tumor

A

Call Exner Bodies

- small follicles filled with eosinophilic secretions

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14
Q

Mucin-secreting Signet Cell Adenocarcinoma

A

Krukenberg Tumor

  • GI malignancy that metastasizes to ovaries
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15
Q

Single most important prognostic factor in breast malignancy

A

Axillary LN involvemment

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16
Q

Most common (76%) of all breast CA

A

Invasive Ductal Breast CA

worst prognosis
Most invasive

17
Q

Breast CA with characteristic ‘Indian file’ order of cells

A

Invasive Lobular Breast CA

18
Q

Causes of Gynecomastia

A
Klinefelter's syndrome
Drugs:
estrogen, marijuana, heroin, psychoactive
Spirinolactone
Digoxin
Cimetidine
Alcohol 
Ketoconazole
19
Q

Prostate CA location

A

Posterior lobe (Peripheral zone) of Prostate gland

20
Q

Drugs for BPH

A

£1 antagonists ( terazosin, tamaulosin)

5-£ reductase inhibitor (Finasteride)

21
Q

Most common (~95%) of all testicular tumor

A
Seminoma
painless
'fried egg' appearance
high Placental Alk Phisphatase (PLAP)
excellent prognosis
22
Q

Most common testicular tumor among elderly men (over age of 60)

A

Testicular Lymphoma

agressive Non hodgkin Lymphomas

23
Q

Peynoire’s Disease

A

Bent penis due to acquired fibrous tissue formation (fibromatosis of the Buck’s fascia)

24
Q

Bent penis secondary to acquired fibrous tissue formation (fibromatosis of the Buck’s fascia)

A

Peynoire’s Disease

25
Q

Most common cause of testicular enlargement in adult males

A

Varicocoele

  • dilated veins of the pampiniform plexus
  • Left>Right (90’ angle entrance of Left spermatic vein to Left Renal cein thus less continuous – increase resistance)
26
Q

Conplete absence of breast, costal cartilage and rib defects, hypoplasia of chest wall, brachysyndactly

A

Poland’s Syndrome

27
Q

Accessory glands in areola

A

Montgomery’s tubercles

28
Q

Tietze’s syndrome

A

Nerve compression (T4 level) by surrounding muscle can cause breast pain

29
Q

Accessory glands in areola

A

Montgomery’s tubercles

30
Q

Tietze’s syndrome

A

Nerve compression (T4 level) by surrounding muscle can cause breast pain

31
Q

Makes up the Pelvic Brim

A

Pelvic brim=Pelvic Inlet
Ant- symphisis pubis
Lat-iliopectineal line
Post- sacral promontory

Pelvic outlet
Ant-pubic arch
Lat-ischial tuberosities
Post-tip o coccyx

32
Q

Perineal body

A

Convergence of:
Bulbospongiosus
Ext anal sphincter
Superficial/Deep tranverse perineal muscles

*Ischicavernosus cannot be cut during episiotomy

33
Q

Delineates deep and supericial perineal pouches

A

Perineal membrane

34
Q

perineal gland in Superficial perineal pouch

A

Greater vestibular gland

*bulbourethral gland - deep pouch

35
Q

Binding and penetration of what layer of te ovum triggers acrosome reaction leading to release of acrosin

A

Zona pellucida

36
Q

Storage and maturation of sperm cells

A

Epididymis

37
Q

Ejaculatory duct

A

Seminal vesicle(duct) + Vas Deferens

*Opens into Prostatic urethra

38
Q

Stratum functionale

A

Stratum spongiosum

Stratum compactum

39
Q

Layer not cut during Vasectomy

A

Tunica Vaginalis

continuation of the Parietal Peritoneum