15. DIT day 10 Repro I
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Created by:
francyface on May 31, 2012
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60 terms
Terms | Definitions |
|---|---|
 What are the layers of the endometrium? | Stratum basalis stratum spongiosum stratum compactum |
| Which layers of the endometrium are shed during menstruation? | Stratum spongiosum stratum compactum |
| When does the basal body temperature increase occur in relation to ovulation? | 24 hours after ovulation when progesterone increases |
| What uterine pathology is a/w excess unopposed estrogen is the main risk factor? | endometrial hyperplasia or carcinoma |
| What uterine pathology is a/w menorrhagia with an enlarged uterus and no pelvic pain? | Leiomyoma |
| What uterine pathology is a/w pelvic pain that is present only during menstruation? | Endometriosis |
| What uterine pathology is a/w dx by endometrial biopsy in the clinic? | Endometrial hyperplasia or carcinoma |
| What uterine pathology is a/w definitive diagnosis and treatment by laproscopy? | Endometriosis |
| What uterine pathology is a/w menstruating tissue within the myometrium? | Adenomyosis |
| What uterine pathology is a/w malignant tumor of the uterine smooth muscle? | Leiomyosarcoma |
| What uterine pathology is a/w most common gynecologic malignancy? | Endometrial carcinoma |
| What ovarian tumor is a/w production of AFP? | Yolk Sac Tumor |
| What ovarian tumor is a/w estrogen secretion causing precocious puberty? | Granulosa Cell Tumor |
| What ovarian tumor is a/w intraperitoneal accumulation of mucinous material? | Mucinous Cystadenocarcinoma |
| What ovarian tumor is a/w testosterone secretion causing virilization? | Serotoli Leydig Cell Tumor |
| What ovarian tumor is a/w Psammoma Bodies? | Serous Cystadenocarcinoma |
| What ovarian tumor is a/w multiple different tissue types? | Teratoma |
| What ovarian tumor is a/w a lining that is fallopian-tube like epithelium? | Serous cystadenoma |
| What ovarian tumor is a/w ovarian tumor + ascites + pleural effusions? | Fibromas |
| What ovarian tumor is a/w Call-Exner bodies? | Granulosa Cell Tumor |
| What ovarian tumor is a/w resembling of a bladder epithelium? | Brenner Tumor |
| What ovarian tumor is a/w elevated beta hCG? | Dysergiminoma Choriocarcinoma |
| An obese woman presents with amenorrhea and increased levels of serum testosterone; what is the dx? | Polycystic ovarian syndrome |
| A pt with polycystic ovarian disease is most at risk to developing what cancer? | Endometrial |
| Why is progesterone given in combo with estrogen replacement? | Decrease risk of endometrial cancer |
| A pregnant woman with a previous c-section is at increased risk for what? | Scarring can lead to a placenta previa or accreta |
| Pregnant woman at 16 weeks gestation presents with atypically large abdomen and HTN; what abnormality may be seen on blood test and the disorder? | beta hCG in a molar pregnancy |
| A 23 yo female on Rifampin for TB prophylaxis and on birth control (estrogen) gets pregnant, why? | Rifampin increases CP-450 causing an increased metabolism of estrogen leading to less effective birth control. |
| Best option for birth control in a mentally retarded patient? | IM Medroxyprogesterone |
| What is abruptio placentae? | Painful bleeding in 3rd trimester due to abrupt detachment leading to fetal death. A/w DIC; smoking; cocaine; HTN; spousal abuse |
| What is Placenta accreta? | Massive bleeding after delivery; no separation of placenta after birth. Defective decidual layer allows placenta to attach to myometrium. A/w prior c section |
| What is placenta previa? | Painless bleeding in any trimester. Attachment of placenta to lower uterine segment. May occlude internal os a/w prio c section |
| What is an ectopic pregnancy? | Earliest complication. Pain with or without bleeding. Most often in fallopian tubes. Suspect in increased hCG and sudden lower abdominal pain; mistaken for appendicitis. |
| Most common breast tumor in women under 25? | Fibroadenoma |
| Most common breast tumor in postmenopausal women? | Invasive Ductal Carcinoma |
| Most common breast tumor in premenopausal women? | Fibrocystic Change of Breast |
| Most common form of breast cancer? | Invasive Ductal Carcinoma |
| What breast pathology is a/w small, mobile, firm mass with sharp edges in a 24 yo woman? | Fibroadenoma |
| What breast pathology is a/w leaf like projections histologically? | Phyllodes Tumor |
| What breast pathology is a/w signet ring cells? | Lobular Carcinoma in situ Invasive lobular cancer |
| What breast pathology is a/w the loss of e-cadherin cell adhesion gene on chromosome 16? | Invasive lobular carcinoma |
| What breast pathology is a/w ER(+) and PR(+)? | Lobular Carcinoma in situ |
| What breast pathology presents with nipple discharge? | Intraductal Papilloma |
| What breast pathology is a/w eczematous patches on the nipple? | Paget's disease |
| What breast pathology is a/w multiple bacterial fluid filled lesions with diffuse breast pain? | Fibrocystic changes of breast |
| What breast pathology is a/w a firm, fibrous mass in a 55 yo woman? | Invasive Ductal Carcinoma |
| A 58 yo postmenopausal woman is on Tamoxifen; what is she at increased risk of acquiring? | Endometrial Carcinoma |
| What is the two-cell theory of estradiol production? | Theca Cells make androstenedione stimulated by LH Granulosa cells make estradiol from androstenedione stimulated by FSH |
| What are the target cells of LH? | Leydig Cells Theca Cells |
| What are the target cells of FSH? | Sertoli Cells Granulosa Cells |
| Production of thick mucus that inhibits entry of sperm into uterus, progesterone or estrogen? | Progesterone |
| Induces LH surge, progesterone or estrogen? | Estrogen |
| Uterine smooth muscle relaxaition, progesterone or estrogen? | Progesterone |
| Follicle growth, progesterone or estrogen? | Estrogen |
| Maintenance of pregnancy, progesterone or estrogen? | Progesterone |
| Hepatic synthesis of transport proteins, progesterone or estrogen? | Estrogen |
| Withdrawal leads to menstruation, progesterone or estrogen? | Progesterone |
| Drug to inhibit prolactin secretion? | Bromocriptine |
| When does beta hCG appear in urine during pregnancy? | 2 weeks post conception 4 weeks after last menstrual period |
| What hormonal changes are seen during menopause? | Decreased estrogen leading to Increased FSH, LH, and GnRH |
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