Flashcards in Repro1c Deck (21):
Cause of erectile dysfunction for which Viagra doesn't work?
No cavernosal nerve. Any nervous problem.
What are the risk factors for testicular cancer?
b. family Hx
c. personal Hx
d. intratubular germ cell neoplasia
What are the tumor serology markers?
pure seminoma: never AFP
yolk sac: AFP
embryonal: secretes both bHCG and AFP
How do McCune-Albright happen?
Autonomous ovarian function of the FSH receptors.
LH acts on what to make what?
Theca cells to make androgen from cholesterol.
FSH works on what to make what?
Works on granulosa cells to make estrogen out of androgen.
What are the classifications of contraception?
d. hysteroscopic sterilization
What are other benefits to OCPs?
a. acne control
b. lowered risk of colon, endometrial and ovarian cancer
c. increase bone density
d. treats pelvic pain
e. decrease PID
What are the risks of OCPs?
a. increase in venous thrombosis
Absolute contraindications to OCPs?
a. Hx of thromboembolism
b. Hx of breast cancer
c. smoker > 35y/o
d. diabetes with vessel damage
e. uncontrolled HTN
f. severe hyperlipidemia
g. migraines with aura
h. > 6 week post partum
What are 5 causes of primary amenorrhea?
c. Imperforate hymen
d. Vaginal septum
What is the most common cause of primary amenorrhea?
Where do the hormones act?
protein: cell surface
steroid: internal receptors and act as transcription factors
What patients won't you kill by giving HRT? What are the indications?
Young women who receive HRT at the onset of menopause may have a reduce CVD. Women with premature menopause can use HRT at least until the age of natural menopause (51 y/o). It is appropriate to use as prevention against osteoporosis in women under 60 or within 10 years of menopause.
What are the 4 stages of labor?
1. onset- dilation 10cm
2. fully dilated to delivery- should be no more than 3-4 hours
3. delivery of baby to delivery of placenta- ~30mins
4. recovery- 6-8 weeks
What drug increases libido in men, and can also be used in women?
Clomiphene Citrate. It's an estrogen receptor blocker.
What is the primary imagine modality for female reproductive tract?
US. It has no ionizing radiation.
What are the characteristics of a hemorrhagic ovarian cyst?
Lace-like echogenic pattern of fibrin strands
What increase the risk of ectopic pregnancy?
Previous tubal or abdominal surgery, previous ectopic pregnancy, PID, infertility, current smoker.
**IUDs don't increase chance of ectopic, but if you get pregnant, it is more likely to be ectopic.**
What are the signs of pre-eclampsia?
b. HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets)