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
Bent penis secondary to acquired fibrous tissue formation (fibromatosis of the Buck's fascia)
Peynoire's Disease
25
Most common cause of testicular enlargement in adult males
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
Conplete absence of breast, costal cartilage and rib defects, hypoplasia of chest wall, brachysyndactly
Poland's Syndrome
27
Accessory glands in areola
Montgomery's tubercles
28
Tietze’s syndrome
Nerve compression (T4 level) by surrounding muscle can cause breast pain
29
Accessory glands in areola
Montgomery's tubercles
30
Tietze’s syndrome
Nerve compression (T4 level) by surrounding muscle can cause breast pain
31
Makes up the Pelvic Brim
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
Perineal body
Convergence of: Bulbospongiosus Ext anal sphincter Superficial/Deep tranverse perineal muscles *Ischicavernosus cannot be cut during episiotomy
33
Delineates deep and supericial perineal pouches
Perineal membrane
34
perineal gland in Superficial perineal pouch
Greater vestibular gland *bulbourethral gland - deep pouch
35
Binding and penetration of what layer of te ovum triggers acrosome reaction leading to release of acrosin
Zona pellucida
36
Storage and maturation of sperm cells
Epididymis
37
Ejaculatory duct
Seminal vesicle(duct) + Vas Deferens *Opens into Prostatic urethra
38
Stratum functionale
Stratum spongiosum | Stratum compactum
39
Layer not cut during Vasectomy
Tunica Vaginalis | continuation of the Parietal Peritoneum