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4/17 Flashcards

1
Q

Most common cause precocious puberty males

A

CAH

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2
Q

Folicular phase

A

begins 1st day of menses

FSH stimulated ovarion follicle which in turn secretes estradiol

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3
Q

What does estradiol do

A

induces endometrial proliferation, further increasing FSH and LH

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4
Q

What causes ovulation in Luteal phase

A

LH surge

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5
Q

Progesterone effect on FSH and LH

A

decreases

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6
Q

what does hCG do

A

Maintains corpus lutteur and progesterone secretion

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7
Q

Amenorrhea first test

A

B-hcg

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8
Q

first question primary amenorrhea

A

is there secondary sex traits?

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9
Q

Secondary sex traits primary amenorrhea final tests

A

US and genetic analysis to determine anatomy and kayitypes

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10
Q

No secondary sex traits primary amenorrhea next test

A

FSH LH

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11
Q

No secondary sex traits primary amenorrhea low FSH and LH next test and results.

A

check prolactin to see if it’s Prolactinoma or HPA dysfunction(GnRH, etc.)

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12
Q

No secondary sex traits primary amenorrhea high FSH and LH dx

A

Gonadal Agenesis or ovarian failure

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13
Q

Secondary Amenorrhea first test

A

thyroid

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14
Q

2nd amenorrhea normal thyroid next test

A

prolactin

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15
Q

2nd amenorrhea normal thyroid, normal prolactin next test

A

progestin challenge

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16
Q

2nd amenorrhea normal thyroid, normal prolactin, - progesterone challenge, next step

A

Estrogen-progesterone challenge

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17
Q

2nd amenorrhea normal thyroid, normal prolactin, - progesterone challenge, - Estrogen-progesterone challenge dx

A

Ashermans

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18
Q

2nd amenorrhea normal thyroid, normal prolactin, - progesterone challenge, +Estrogen-progesterone challenge next test

A

FSH, LH

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19
Q

2nd amenorrhea normal thyroid, normal prolactin, - progesterone challenge, +Estrogen-progesterone challenge, High FSH and LH dx

A

Ovarian failure

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20
Q

2nd amenorrhea normal thyroid, normal prolactin, - progesterone challenge, +Estrogen-progesterone challenge, Low FSH and LH dx

A

HPA dysfuntion

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21
Q

2nd amenorrhea normal thyroid, normal prolactin, + progesterone challenge, next step

A

Is there hirsutism

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22
Q

2nd amenorrhea normal thyroid, normal prolactin, + progesterone challenge, Hirsutism dx

A

PCOS, Adrenal tumor, Cushing’s syndrome

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23
Q

2nd amenorrhea normal thyroid, normal prolactin, + progesterone challenge, NO Hirsutism dx

A

anorexia,HPA dysfunction

24
Q

most common cause of female infertility

A

endometriosis

25
when is endometriosis pain worst
1 to 2 weeks before menses
26
symmetric uterine enlargement AUB, 40+
adenomyosis
27
What is increased PCOS LH or FSH
LH
28
Testosterone PCOS
increased
29
Which genital ulcers are painless
syphylis and lymphogranularum (lymph nodes are painful for this one also buboes)
30
Which genital ulcers are painful
Chancroid, herpes
31
Folicular cyst Origin, characteristics,tx
Ovarian folicle granulose cell, may regress over menses period Observation
32
Corpus luteum cyst Origin, characteristics,tx
Corpus luteum Theca cells large and firm, more common late weeks of cycle Observation
33
Mucinous or serous cystadenoma Origin, characteristics,tx
Epithelial cells Psammoma bodies(calcification), may be extremely large unilateral sapling-oophorectomy
34
endometrioma Origin, characteristics,tx
Endometrium generalized symptoms OCP, GnRH agonist, cystectomy, oophorectomy
35
teratoma/ dermoid cystOrigin, characteristics,tx
germ cells multiple dermal tissues cystectomy maybe unilateral sapling-oophorectomy
36
stromal Origin, characteristics,tx
Granulosa, theca, ledig Precocious puberty unilateral sapling-oophorectomy
37
Ductal Carcinoma insitu characteristics and h&p
ducts only, no stromal involvement, usually asymptomatic
38
lobular insitu characteristics and h&p
lobules only, increased risk of contralateral malignancy | asymptomatic
39
invasive ductal characteristics and h&p
micro calcification, fibrotic response ,most common invasive kind. skin dimple, orange, nipple discharger
40
invasive lobular characteristics and h&p
less fibrous response, bilateral or multifocal, associated with hormone replacement same as invasive ductal signs and sx skin dimple, orange, nipple discharger
41
pagets characteristics and h&p
adenocarcinoma, scaly eczematous or ulcer on nipple, pain, itching, burning
42
inflammatory characteristics and h&p
angioinvasive, poor prognosis, pain, erythema, warmth, orange, lymphadenopathy
43
medullary characteristics and h&p
well circumscribed, rapid growth, soft
44
mucinous characteristics and h&p
well circumscribed, slow growth, gelatinous
45
tubular characteristics and h&p
tubular, asymptomatic
46
okay meds for htn pregnancy
labetalol nifedipine a-methaldopa hydralazine- fro crisis
47
where is mg excreted
kidney
48
placental abruption clinical presentation
sudden onset painful vaginal bleeding. High frequency low intensity contractions hypertonic, tender uterus
49
Most common complication chronic hypertension pregnancy
preterm labor
50
when to avoid NSAIDS in pregnancy
1st and 3rd trimester, acetaminophen is okay
51
what is Leggier Calve Perthes dz
osteonecrosis of femoral epiphysis- 7 year old
52
besides sickle shaped what other abnormal rbc sickle cell dz
Howell- Jolly- bodies
53
3 aortic stenosis auscultation findings
1. delayed, weak, slow rising carotid pulse(pulses parvus and trades. 2.single and soft S2 #. Mid to late peaking systolic murmur
54
why are klinefelters infertile
dysgenesis of seminiferous tubules
55
strep bovis association
colon cancer

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