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27 Cards in this Set
- Front
- Back
Which hypothalamic nucleus is involved in ovulation?
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Arcuate Nucleus (secretes GnRH)
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What are the layers of the endometrium? Which layers are shed during menstruation?
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Stratum basalis, compactum, and spongiosum.
S. compactum and spongiosum are shed. |
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When does the basal body temperature increase occur in relation to ovulation?
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24h prior to ovulation (as P increases)
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UTERUS: excess unopposed estrogen is the main risk factor?
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Endometrial hyperplasia and CA
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UTERUS: menorrhagia with an enlarged uterus and no pelvic pain?
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Leiomyoma
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UTERUS: pelvic pain that is present only during menstruation
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Endometriosis
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UTERUS: diagnosed by endometrial biopsy in clinic
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Endometrial hyperplasia and CA
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UTERUS: definitive diagnosis and treatment is by laproscopy
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Endometriosis
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UTERUS: menstruating tissue within the myometrium
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Adenomyosis
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UTERUS: malignant tumor of the uterine smooth muscle
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Leiomyosarcoma
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UTERUS: most common gynecologic malignancy
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Endometrial CA > ovarian CA > cervical CA
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OVARY: produces AFP
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Yolk sac tumor
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OVARY: estrogen secreting --> precocious puberty
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Granulosa-thecal cell tumor
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OVARY: intraperitoneal accumulation of mucinous material
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Mucinous cystadenocarcinoma
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OVARY: testosterone secreting --> virilization
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Sertoli-Leydig cell tumor
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OVARY: psammoma bodies
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Serous cystadenocarcinoma of the ovary
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OVARY: multiple different tissue types
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Teratoma
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OVARY: lined with fallopian tube-like epithelium
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Serous cystadenocarcinoma of the ovary
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OVARY: ovarian tumor + ascites + pleural effusions
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Meigs' syndrome (of Ovarian fibroma)
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OVARY: Call-Exner bodies
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Granulosa-thecal cell tumor
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OVARY: resembles bladder epithelium
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Brenner tumor
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OVARY: elevated hCG
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Choriocarcinoma, dysgerminoma
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An obese woman presents with amenorrhea and increased levels of serum testosterone -> what is the most likely diagnosis?
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Polycystic Ovary Syndrome
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A pt with PCOS is most at risk for developing which type of cancer?
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Endometrial CA
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Why is progesterone used in combination with estrogen during estrogen replacement?
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Reduces the incidence of endometrial hyperplasia/CA
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Under what circumstances would you expect to see an elevated LH?
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-Menopause
-PCOS -normal female prior to ovulation -androgen insensitivity syndrome |
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What are the risk factors for ovarian cancer?
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Risk = ovulation
Protective = breast-feeding, OCP, pregnancy |