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473 Cards in this Set

  • Front
  • Back

Embryonic period?

Week 3-8

Heart beat by?

Week 4

External genitalia female/male characteristics by week?

10

Morula by?

Day 3

Blastocyst by?

Day 5

Agenesis?

Absent organ due to absent primordia

Aplasia?

No organ despite primordia being present

Hypoplasia?

Incomplete organ despite primordia being present

FAS mechanism?

Failure of cell migration

FAS mechanism?

Failure of cell migration

Vitelline duct closed by?

Week 7

Recurrent laryngeal nerves loop around ....aortic arch derivatives?

On right 4th


On left 6th

Ductus arteriosus derived from ....aortic arch?

Left 6th

Paramesonephric duct gives rise to?

Fallopian tubes


Uterus


Upper portion of vagina

Lower portion of vagina from?

Urogenital sinus

Mesonephric gives rise to?

SEED


Seminal vesicles


Ejaculatory ducts


Epididymis


Ductus deferens

Mesonephric duct remanent in females?

Gartner duct

Female remnants of gubernaculum?

Ovarian ligament


Round ligament

Associations of hypospadias?

Inguinal hernia


Cryptorchidism


Chordee

Severe form features of FAS?

Heart-lung fistula


Holoprosencephaly

Syncytiotrophoblast characteristics?

1. Secrets hcg


2. Secrets HPL


3. Lacks MHC 1

Fetal component of placenta?

Cytotrophoblast


Syncytiotrophoblast

Maternal components of placenta?

Decidua basalis

Fetal component of placenta covered by?

Chorionic plate

Umbilical arteries & vein derived from?

Allantois

Urachal cyst lined by?

Uroepithelium

Increased risk of.... with urachal cyst?

Adenocarcinoma


Infection

Allantois formed in week?

3rd from yolk sac

Blood testis barrier formed by?

Sertoli cells

Blood testis barrier formed by?

Sertoli cells

Inc temperature effect on spermatogenesis?

Dec sperm production


Dec inhibin

Sertoli homologous in female?

Female granulosa cells

Inc hcg in?

Multiple pregnancies


Hydatidiform mole


Choriocarcinoma


Down syndrome

Inc hcg in?

Multiple pregnancies


Hydatidiform mole


Choriocarcinoma


Down syndrome

Dec HCG in?

Failing pregnancy


Edward syndrome


Patau syndrome

Complications of hydatidiform mole?

Hyperemesis gravidum


Hyperthyroidism


Theca-lutein cyst

Gestational hypertension?

140/90 after 20th week of gestation

Rx of gestational hypertension?

NAHL


Nifedipine


Æ methyldopa


Hydralazine


Labetalol

HELLP syndrome leading to hypotension.mechanism?

Hepatic subcapsular hematoma =>rupture=>severe hypotension

Rx HELLP syndrome?

Immediate delivery

Complications of hydatidiform mole?

Hyperemesis gravidum


Hyperthyroidism


Theca-lutein cyst

Gestational hypertension?

140/90 after 20th week of gestation

Rx of gestational hypertension?

NAHL


Nifedipine


Æ methyldopa


Hydralazine


Labetalol

HELLP syndrome leading to hypotension.mechanism?

Hepatic subcapsular hematoma =>rupture=>severe hypotension

Rx HELLP syndrome?

Immediate delivery

Cause of maternal death in eclampsia?

Stroke


Intracranial haemorrhage


ARDS

Associations of follicular cyst?

Endometrial hyperplasia


Hyperestrogenism

Estrogen of menopausal woman?

Estrone

Prevention of Blood clotting in menstrual blood by?

Plasmin

Associations of theca-lutein cyst?

Choriocarcinoma


Hydatidiform mole

Bartholin gland in females analogous to .....In male?

Bulbourethral gland of cowper

Painful nodule on labia majora?

Papillary hiradenoma

Organism responsible for acidic ph in vagina?

Lactobacillus (gm +ve rod)

Substances that inc SHBG?

Estrogen

Substances dec SHBG?

Androgen


Obesity


Hypothyroidism

LH & FSH findings in menopause?

Increased

Estrogen of non pregnant women?

Estradiol

Estrogen of pregnant women?

Estriol

Cause of oophoritis?

Mumps


PID

Thyroid gland origin from which surface epithelium?

Endoderm

Rx endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Outer quadrant of breast lymphatic drainage?

Axillary lymph nodes

Inner quadrant lymphatic drainage?

Internal mammary nodes

Rx of acute mastitis caused by non MRSA?

Dicloxacillin


Cephalexin

Acute mastitis caused by MRSA?

TMP-SMX

Benign calcifications in breast?

Sclerosing adenosis


Traumatic fat necrosis

Sex hormone profile in cryptorchidism?

Dec inhibin


Inc FSH


Normal LH

Rx endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Outer quadrant of breast lymphatic drainage?

Axillary lymph nodes

Inner quadrant lymphatic drainage?

Internal mammary nodes

Rx of acute mastitis caused by non MRSA?

Dicloxacillin


Cephalexin

Acute mastitis caused by MRSA?

TMP-SMX

Benign calcifications in breast?

Sclerosing adenosis


Traumatic fat necrosis

Sex hormone profile in cryptorchidism?

Dec inhibin


Inc LH


Inc FSH

Testicular germ cell tumour risk factors?

Cryptorchidism


Klinefelter syndrome

GnRH from which hypothalamic nuclei?

Preoptic


Arcuate

Genes for lengthening of limbs?

FGF gene

Genes for lengthening of limbs?

FGF gene

Genes for craniocaudal arrangement of embryo?

Homeobox gene

Genes for lengthening of limbs?

FGF gene

Genes for craniocaudal arrangement of embryo?

Homeobox gene

Genes Produced at base of limbs?

Sonic hedgehog gene

Genes expressed at apical ectodermal ridge?

Wnt-7 gene

Genes expressed at apical ectodermal ridge?

Wnt-7 gene


FGF gene

Hox codes for?

Transcription factors

2 vessel umbilical cord associated with ?

Edward's


Esophageal atresia

Umbilical arteries arise from!

Internal iliac arteries

What give rise to umbilical arteries & veins?

Allantois

Yolk sac into allantois in which week?

3

Lymphatic drainage of prostate?

Internal iliac nodes

Blood testis barrier formed by?

Sertoli cells

Blood testis barrier formed by?

Sertoli cells

Temperature sensitive cells of testis?

Sertoli cells

Blood testis barrier formed by?

Sertoli cells

Temperature sensitive cells of testis?

Sertoli cells

Inc temperature effect on testis?

Dec sperm production


Dec inhibin

Pudendal root?

S2-S4

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Pudendal root?

S2-S4

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Maternal DM teratogenesis?

Caudal regression syn


Transposition of great vessels

Pudendal root?

S2-S4

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Maternal DM teratogenesis?

Caudal regression syn


Transposition of great vessels

ADHD teratogenesis associated with?

Smoking

Mechanism of FAS?

Failure of cell migration

Pudendal root?

S2-S4

Fetal-fetal transfusion syndrome associated with?

Monochorionic diamniotic

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Maternal DM teratogenesis?

Caudal regression syn


Transposition of great vessels

ADHD teratogenesis associated with?

Smoking

Mechanism of FAS?

Failure of cell migration

Pudendal root?

S2-S4

Fetal-fetal transfusion syndrome associated with?

Monochorionic diamniotic

Tangling of umbilical cord in?

Monocho-monoamnio

Fraternal twins?

Dizygotic

Maternal component if placenta?

Decidua basalis

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Maternal DM teratogenesis?

Caudal regression syn


Transposition of great vessels

ADHD teratogenesis associated with?

Smoking

Mechanism of FAS?

Failure of cell migration

Pudendal root?

S2-S4

Fetal-fetal transfusion syndrome associated with?

Monochorionic diamniotic

Tangling of umbilical cord in?

Monocho-monoamnio

Fraternal twins?

Dizygotic

Maternal component if placenta?

Decidua basalis

Decidua basalis derived from?

Endometrium

Umbilical a & v derived from?

Allantois

Urachus abnormality lined by uroepithelium?

Urachus cyst

Pudendal sensory?

Genitalia+skin around anus & perineum

Motor of pudendal to?

Pelvic floor


Urethral sphincter


Anal sphincter

hCG secretion begins?

Around implantation of blastocyst

Week 2?

Epiblast


Hypoblast

Teratogenesis principle before week 3?

All/ none

Teratogenesis principle after week 8?

Growth & function affected

Maternal DM teratogenesis?

Caudal regression syn


Transposition of great vessels

ADHD teratogenesis associated with?

Smoking

Mechanism of FAS?

Failure of cell migration

B clefts derived from?

Ectoderm

Cardiac defects associated with Digeorge?

Conotruncal anomalies

Cleft lip?

Failure of fusion of maxillary & medial nasal processes

Cleft lip is failure of?

Formation of primary palate

Lymph drainage of prostate?

Internal iliac nodes

Uterus ,proximal vagina lymph drainage?

HOE


Hypogastric


Obturator


External iliac

Dx of uterine tenderness 1 week after delivery,no response to anti biotics?

Ovarian vein thrombosis

Round ligament connects?

Uterine fundus to lab majora

Round ligament associations?

Passes above to artery if sampson

Derivatives of gubernaculum in females?

Round ligament


Ovarian ligament

Ovarian vessels in?

Infundibulopelvic/suspensory ligament of ovary

Branchial arches derived from?

Mesoderm=>muscles+arteries


Neural crest=>bone+cartilage

Uterine vessels in?

Cardinal ligament

Posterior urethra?

Prostatic


Membranous

Anterior urethra?

Bulbous+ penile

Posterior urethra causes leakage of urine in?

Retropubic space

Anterior urethra damage causes urine leakage in?

Deep buck’s fascia

If ant urethra damaged & buck fascia also damaged urine leakage to ?

Superficial perineal space

Somniferous tubules lined by?

Spermatogonia


Sertoli cells

Leydig cells present in?

In interstitium outside somniferous tubules

Blood testis barrier formed by?

Sertoli cells

Estrogen types & sources?

Estradiol=>ovary


Estrone=>fat


Estriol=>placenta

Pouches derived ftom?

Endoderm

Changes in estrogen levels in pregnancy?

50 fold in -diol & -rone


1000 fold in estriol

Transport proteins affected by estrogen?

Inc SHBG & HDL


dec LDL

Ferning of cervical mucus associated with?

Estrogen

Egg at which cell cycle stage before ovulation?

prOphase 1

Egg at which cell cycle stage at ovulation?

Metaphase 2

Early DHT effect?

Differentiation of prostate,scrotum,penis

Late DHT effect?

Prostate growth


Balding


Sebaceous activity

HELLP syn=>hypotension.moa?

Hepatic subcapsular hematoma =>rupture=> hypotension

Triad of vasa previa?

FM P


Fetal bradycardia


Membrane rupture


Painless vaginal bleeding

1st cleft derivative?

Ex auditory meatus

2-4 cleft form?

Temporary cervical sinus

Persistent cervical sinus symptoms?

Branchial cleft cyst between angle of mandible & SCM

1st pouch derivatives?

Mid ear cavity


Mastoid air cells


Eustachian tube

2nd pouch derivatives?

Endodermal lining of palatine tonsils

3 pouch derivatives?

Dorsal wing=>inf parathyroid


Ventral wing=> thymus

4 pouch derivatives?

Superior parathyroid

B clefts derived from?

Ectoderm

Cardiac defects associated with Digeorge?

Conotruncal anomalies

Cleft lip?

Failure of fusion of maxillary & medial nasal processes

Cleft lip is failure of?

Formation of primary palate

Lymph drainage of prostate?

Internal iliac nodes

Uterus ,proximal vagina lymph drainage?

HOE


Hypogastric


Obturator


External iliac

Dx of uterine tenderness 1 week after delivery,no response to anti biotics?

Ovarian vein thrombosis

Round ligament connects?

Uterine fundus to lab majora

Round ligament associations?

Passes above to artery if sampson

Derivatives of gubernaculum in females?

Round ligament


Ovarian ligament

Ovarian vessels in?

Infundibulopelvic/suspensory ligament of ovary

Branchial arches derived from?

Mesoderm=>muscles+arteries


Neural crest=>bone+cartilage

Uterine vessels in?

Cardinal ligament

Posterior urethra?

Prostatic


Membranous

Anterior urethra?

Bulbous+ penile

Posterior urethra causes leakage of urine in?

Retropubic space

Anterior urethra damage causes urine leakage in?

Deep buck’s fascia

If ant urethra damaged & buck fascia also damaged urine leakage to ?

Superficial perineal space

Somniferous tubules lined by?

Spermatogonia


Sertoli cells

Leydig cells present in?

In interstitium outside somniferous tubules

Blood testis barrier formed by?

Sertoli cells

Estrogen types & sources?

Estradiol=>ovary


Estrone=>fat


Estriol=>placenta

Pouches derived ftom?

Endoderm

Changes in estrogen levels in pregnancy?

50 fold in -diol & -rone


1000 fold in estriol

Transport proteins affected by estrogen?

Inc SHBG & HDL


dec LDL

Ferning of cervical mucus associated with?

Estrogen

Egg at which cell cycle stage before ovulation?

prOphase 1

Egg at which cell cycle stage at ovulation?

Metaphase 2

Early DHT effect?

Differentiation of prostate,scrotum,penis

Late DHT effect?

Prostate growth


Balding


Sebaceous activity

HELLP syn=>hypotension.moa?

Hepatic subcapsular hematoma =>rupture=> hypotension

Triad of vasa previa?

FM P


Fetal bradycardia


Membrane rupture


Painless vaginal bleeding

Fetal bradycardia?

<110 bpm

1st cleft derivative?

Ex auditory meatus

2-4 cleft form?

Temporary cervical sinus

Persistent cervical sinus symptoms?

Branchial cleft cyst between angle of mandible & SCM

1st pouch derivatives?

Mid ear cavity


Mastoid air cells


Eustachian tube

2nd pouch derivatives?

Endodermal lining of palatine tonsils

3 pouch derivatives?

Dorsal wing=>inf parathyroid


Ventral wing=> thymus

4 pouch derivatives?

Superior parathyroid

Associations of vasa previa?

Velamentous UC

Polyhydramnios?

>1.5-2 L of amniotic fluid

Gynaecological tumor incidence?

Endomet>ovarian >cervical

Worst prognosis of gynaecological ca?

Ovarian >cervical >endometrial

Worst prognosis of gynaecological ca?

Ovarian >cervical >endometrial

Polyhydramnios?

>1.5-2 L

Worst prognosis of gynaecological ca?

Ovarian >cervical >endometrial

Polyhydramnios?

>1.5-2 L

Oligohydramnios?

<.5 L

Pathophys of polyhydramnios?

Inc urine production


Dec swallowing

Rx of neonatal abstinence?

Morphine+methadone

Vaginal adenosis? Associations?

Persistence of columnar epithelium In vagina


Precursor to clear cell adeno ca

HPV 1-4 strains?

Skin warts

HPV 1-4 strains?

Skin warts

HPV 6,11?

Genital warts

HPV 1-4 strains?

Skin warts

HPV 6,11?

Genital warts

HPV 16,18?

Cervical, vaginal, vulvar ,anal dysplasia

HPV 1-4 strains?

Skin warts

HPV 6,11?

Genital warts

HPV 16,18?

Cervical, vaginal, vulvar ,anal dysplasia=>ca

Pap smear in IUD users?

Actinimycese-like organism

Inc risk of .....ca in PCOS?

Endometrial

Immature teratoma contains?

Embryonic-like neural tissue

Leiomyoma(fibroid) candidate?

Black female 20-40 years

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Fibrosis in FCC?

Hyperplasia of stroma

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Fibrosis in FCC?

Hyperplasia of stroma

Sclerosing adenosis ?

Inc acini


Intralobular fibrosis

Physiologic gynaecomastia?

At birth


Puberty


Old age

Gynaecomastia drugs?

Some Drugs Create Awesome Knockers


Spironolactone


Digoxin


Cimetidine


Alcohol


Ketoconazole

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Fibrosis in FCC?

Hyperplasia of stroma

Sclerosing adenosis ?

Inc acini


Intralobular fibrosis

Physiologic gynaecomastia?

At birth


Puberty


Old age

Gynaecomastia drugs?

Some Drugs Create Awesome Knockers


Spironolactone


Digoxin


Cimetidine


Alcohol


Ketoconazole

Rx of lactational mastitis?

Dicloxacillin=>continue feeding

Most malignant breast ca arise from?

Terminal ducts


Upper outer quadrant

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

c-erbB2 encodes?

HER2/Neu => EGF receptor

Breast ca associated with blacks?

Triple negative

ER PR +ve respond to?

Tamoxifen


Aromatase inhibitors

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Fibrosis in FCC?

Hyperplasia of stroma

Sclerosing adenosis ?

Inc acini


Intralobular fibrosis

Physiologic gynaecomastia?

At birth


Puberty


Old age

Gynaecomastia drugs?

Some Drugs Create Awesome Knockers


Spironolactone


Digoxin


Cimetidine


Alcohol


Ketoconazole

Rx of lactational mastitis?

Dicloxacillin=>continue feeding

Most malignant breast ca arise from?

Terminal ducts


Upper outer quadrant

Rx of endometritis?

CAG


Clindamycin


Ampicillin


Gentamicin

c-erbB2 encodes?

HER2/Neu => EGF receptor

Breast ca associated with blacks?

Triple negative

ER PR +ve respond to?

Tamoxifen


Aromatase inhibitors

Her2/Neu positive responds to?

Trastuzumab

Breast duct epithelium?

Cuboidal cells lined by myoepithelial cells

Benign breast lesions in premenopausal?

Fibroadenoma=>est sensitive


Intraductal papilloma=>bloody discharge

Benign breast lesion of 5th decade?

Phylloides

Fibrosis in FCC?

Hyperplasia of stroma

Sclerosing adenosis ?

Inc acini


Intralobular fibrosis

Physiologic gynaecomastia?

At birth


Puberty


Old age

Gynaecomastia drugs?

Some Drugs Create Awesome Knockers


Spironolactone


Digoxin


Cimetidine


Alcohol


Ketoconazole

Rx of lactational mastitis?

Dicloxacillin=>continue feeding

Most malignant breast ca arise from?

Terminal ducts


Upper outer quadrant

Paget cells?

Large cells in epidermis with clear halo

Mutation associated with invasive ductal?

ERBB2

Paget cells?

Large cells in epidermis with clear halo

Mutation associated with invasive ductal?

ERBB2

Mutation associated with invasive lobular?

Dec E-cadherin expression

Lymphocytic infiltrate in?

Medullary ca

Paget cells?

Large cells in epidermis with clear halo

Mutation associated with invasive ductal?

ERBB2

Mutation associated with invasive lobular?

Dec E-cadherin expression

Lymphocytic infiltrate in?

Medullary ca

Dermal lymphatic invasion?

Inflammatory

Mucinous subtype histo?

Neoplastic cells surrounded by extracellular mucin

Extra gonadal germ cell tumors in adults?

Supra cellar


Pineal


Madiastinum


Retroperitoneum

Mucinous subtype histo?

Neoplastic cells surrounded by extracellular mucin

Extra gonadal germ cell tumors in adults?

Supra cellar


Pineal


Madiastinum


Retroperitoneum

Extragonadal germ cell tumor in child?

Sacrococcygeal area

Mucinous subtype histo?

Neoplastic cells surrounded by extracellular mucin

Extra gonadal germ cell tumors in adults?

Supra cellar


Pineal


Madiastinum


Retroperitoneum

Extragonadal germ cell tumor in child?

Sacrococcygeal area

Seminona candidate?

3rd decade

Mucinous subtype histo?

Neoplastic cells surrounded by extracellular mucin

Extra gonadal germ cell tumors in adults?

Supra cellar


Pineal


Madiastinum


Retroperitoneum

Extragonadal germ cell tumor in child?

Sacrococcygeal area

Seminona candidate?

3rd decade

YS tumor candidate?

<3 years old

MC testicular ca in child?

Yolk sac

MC testicular ca in child?

Yolk sac

MC testicular ca in adults?

Seminoma

MC testicular ca in child?

Yolk sac

MC testicular ca in adults?

Seminoma

MC testicular ca in older men?

Testicular lymphoma(mets)

Reinke crystals in?

Leydig cell ca

Reinke crystals in?

Leydig cell ca

Reinke histo?

Eosinophilic cytoplasmic inclusions

Reinke crystals in?

Leydig cell ca

Reinke histo?

Eosinophilic cytoplasmic inclusions

Leydig gross?

Golden brown tumor

Reinke crystals in?

Leydig cell ca

Reinke histo?

Eosinophilic cytoplasmic inclusions

Leydig gross?

Golden brown tumor

BPH involves.....lobes of prostate?

Lateral & middle

Reinke crystals in?

Leydig cell ca

Reinke histo?

Eosinophilic cytoplasmic inclusions

Leydig gross?

Golden brown tumor

BPH involves.....lobes of prostate?

Lateral & middle

Rx of BPH?

æ1 antagonist


5æ reductase inhibitors


PDEs inhibitors

Acute prostitis in <35 years old?

N.gonorrhea


C.trachomatis

Acute prostitis in <35 years old?

N.gonorrhea


C.trachomatis

Acute prostitis in >35 years old?

Ecoli


P.aeruginosa


Serratia

Prostate lobe involved in prostate adeno ca?

Posterior lobe

Markers associated with prostate adeno ca?

Prostate acid phosphatase


PSA


Inc ALP(due to mets)

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Symptoms in lumbar mets?

Inc ALP & PSA


lower back pain

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Symptoms in lumbar mets?

Inc ALP & PSA


lower back pain

Inc free PSA?

BPH

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Symptoms in lumbar mets?

Inc ALP & PSA


lower back pain

Inc free PSA?

BPH

Dec free & inc total PSA?

Ca

Pain relief with testicular elevation.dx?

Epididymitis

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Symptoms in lumbar mets?

Inc ALP & PSA


lower back pain

Inc free PSA?

BPH

Dec free & inc total PSA?

Ca

Pain relief with testicular elevation.dx?

Epididymitis

Absent cremasteric reflex?

Testicular torsion

Nerve damaged in prostate surgery?

Cavernous nerve=>corpus cavernous


Damaged =>erectile dysfunction

Adenomyosis pathophys?

Hyperplasia of basal layer of endometrium

Type of mets of prostatic ca to lumbar spine?

Osteoblastic

Symptoms in lumbar mets?

Inc ALP & PSA


lower back pain

Inc free PSA?

BPH

Dec free & inc total PSA?

Ca

Pain relief with testicular elevation.dx?

Epididymitis

Absent cremasteric reflex?

Testicular torsion

Nerve damaged in prostate surgery?

Cavernous nerve=>corpus cavernous


Damaged =>erectile dysfunction

Adenomyosis pathophys?

Hyperplasia of basal layer of endometrium

Ovarian ca presentation?

Adnexal mass


Abdominal distension


Bowel obstruction


Pleural effusion

Pudendal nerve block land marks?

Ischial spine


Sacrospinal ligament

Structures superior to piriformis?

Sup gluteal nerves & arteries

Structures superior to piriformis?

Sup gluteal nerves & arteries

Structures inferior to piriformis?

Inf gluteal nerves & arteries


Pudendal nerve


Sciatic nerve

Levator anii muscles?

PIP


Pubococcygeus


Illiococcygeus


Puborectalis

Levator anii muscles?

PIP


Pubococcygeus


Illiococcygeus


Puborectalis

Injury to levator ani muscles?

Organ prolapse


Stress incontinence

Levator anii muscles?

PIP


Pubococcygeus


Illiococcygeus


Puborectalis

Injury to levator ani muscles?

Organ prolapse


Stress incontinence

1st pouch derivatives?

Middle ear


Mastoid air cells


Eustachian tube

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

Superior parathyroid develops from?

Dorsal wing of 4th pouch

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

Superior parathyroid develops from?

Dorsal wing of 4th pouch

Inferior parathyroid develop from?

Dorsal wing of 3 pouch

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

Superior parathyroid develops from?

Dorsal wing of 4th pouch

Inferior parathyroid develop from?

Dorsal wing of 3 pouch

Pregnancy in Turner syndrome?

Oocyte dontion


Exogenous estradiol


Progesterone

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

Superior parathyroid develops from?

Dorsal wing of 4th pouch

Inferior parathyroid develop from?

Dorsal wing of 3 pouch

Pregnancy in Turner syndrome?

Oocyte dontion


Exogenous estradiol


Progesterone

Precursor lesion of vaginal clear cell adenocarcinoma?

Vaginal adenosis

2nd pouch derivatives?

Epithelial Lining of palatine tonsils

Superior parathyroid develops from?

Dorsal wing of 4th pouch

Inferior parathyroid develop from?

Dorsal wing of 3 pouch

Pregnancy in Turner syndrome?

Oocyte dontion


Exogenous estradiol


Progesterone

Precursor lesion of vaginal clear cell adenocarcinoma?

Vaginal adenosis

Vaginal adenosis?

Persistence of columnar epithelium in vagina

Actinomyces like organisms on PAP smear. Dx?

IUD

Ovarian tumors with inc estrogen?

Thecoma


Granulosa

Transabdominal portion of testicular descent hormone?

MIS

Transabdominal portion of testicular descent hormone?

MIS

Transinguinal portion of testicular descent hormone?

Androgen


hCG

Spermatocele? On physical exam?

Cystic dilatation of epididymal duct/rete testis


Para testicular fluctuant nodule

Dyspareunia associated with?

Endometrioma

Dyspareunia associated with?

Endometrioma

Dysmenorrhea associated with?

Adenomyosis

Fibrocystic histological types?

Fibrosis


Cyst


Sclerosing adenosis


Epithelial hyperplasia

Dyspareunia associated with?

Endometrioma

Dysmenorrhea associated with?

Adenomyosis

Fibrocystic histological types?

Fibrosis


Cyst


Sclerosing adenosis


Epithelial hyperplasia

Fibrocystic types with inc risk of cancer?

Sclerosing adenosis


Epithelial hyperplasia

Dyspareunia associated with?

Endometrioma

Dysmenorrhea associated with?

Adenomyosis

Fibrocystic histological types?

Fibrosis


Cyst


Sclerosing adenosis


Epithelial hyperplasia

Fibrocystic types with inc risk of cancer?

Sclerosing adenosis


Epithelial hyperplasia

Fibrocystic types with calcification?

Sclerosing adenosis

Meds associated with priapism?

Sildenafil


Trazodone

....correlates with size of placenta?

HPL

Female with mullerian abnormalities have?

unilateral renal agenesis

MC genotype of complete mole? Mechanism?

46 XX


Enucleated egg fertilised by single sperm=>duplication of paternal chromosomes

Genotype of incomplete mole? Mechanism?

69 XXX


69 XXY


69 XYY


Single egg+2 sperms

Mc ovarian overall ca?malignant ca?


Risk factors for ovarian cancers dec with?

Serous cystadenoma


Serous cystadenocarcinoma


Prev preg


Breast feeding


OCP


tubal ligation

Adenomyosis caused by? Symptoms?

Hyperplasia of basal layer of endometrium=>gland in myometrium


Dysmenorrhea,menorrhagia, globular uterus

Endometriosis symptoms?

Dyspareunia


dysmenorrhia


Dyschezia

Bloody nipple discharge dd?

Intraductal papilloma


Ductal ca

Endometriosis symptoms?

Dyspareunia


dysmenorrhia


Dyschezia

Bloody nipple discharge dd?

Intraductal papilloma


Ductal ca

Greenish brown discharge in?

Mammary duct ectasia

Periductal mastitis?

In smokers=> def of vit A=> sub areolar mass with nipple retraction

Conditions associated with African American women in gynae?

Triple negative breast ca


Fibroids

Condyloma accuminatum viruses?

Hpv 6>11

Endometriosis symptoms?

Dyspareunia


dysmenorrhia


Dyschezia

Bloody nipple discharge dd?

Intraductal papilloma


Ductal ca

Greenish brown discharge in?

Mammary duct ectasia

Periductal mastitis?

In smokers=> def of vit A=> sub areolar mass with nipple retraction

Conditions associated with African American women in gynae?

Triple negative breast ca


Fibroids

Condyloma accuminatum viruses?

Hpv 6>11

Malignant Breast ca ?

Inv Ductal=>mc,rock hard,stellate shaped on gross


Inv lobular=> E-cad loss


Medullary =>lymphocytic infiltrate


Inflamm=>skin lymph obstruction =>peau de orange

BPH histo?

Stromal hyperplasia in periurethral zone


Glandular hyperplasia in transition zone