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Reproductive Buzz words
Buzzwords in reproductive Phys and Pathophys for Step 1
84
Medical
Graduate
05/30/2010

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Cards

Term
Order of maturation of sex cells
Definition
spermato/oogonium -> primary spermato/oocyte -> secondary spermato/oocyte -> spermatid/ovum -> spermatozoan
Term
Barr Body
Definition
Kleinfelter's Syndrome (XXY)
Inactivated X chromosome
Term
Preductal coarctation of the aorta
Definition
Turner's Syndrome (XO)
Term
MCC of primary ammenorrhea
Definition
Turner's Syndrome
Term
Penis at 12
Definition
5-alpha reductase deficiency
Term
cluster of grapes
Definition
hydatiform mole
Term
honey-combed uterus
Definition
hydatiform mole
Term
etiology of a hydatiform mole
Definition
2 sperm fertilze an empty egg (46 XX or XY)
Term
etiology of partial mole
Definition
2 sperm fertilize 1 egg (69 XXY)
Term
Painful bleeding in 3rd trimester
Definition
abruptio placenta
Term
Painless bleeding at any point during pregnancy
Definition
placenta previa
Term
Pain during pregnancy w/o bleeding
Definition
ectopic pregnancy
Term
Massive bleeding after pregnancy
Definition
Placenta Accreta
Term
Amniotic fluid abnormality associated w/ anencephaly
Definition
polyhydramnios
Term
Amniotic fluid abnormality associated w/ esophageal or duodenal atresia
Definition
polyhydramnios (can't swallow amniotic fluid)
Term
Potter's sequence
Definition
potential outcome of oligohydramnios
limb and facial abnormalities and pulmonary hypoplasia
Term
Amniotic fluid abnormality associated w/ maternal diabetes
Definition
polyhydramnios
Term
Amniotic fluid abnormality assoc w/ renal agenesis or posterior urethral valves
Definition
oligohydramnios
Term
Chocolate cysts
Definition
Endometriosis
Term
MC gynecologic malignancy
Definition
Endometrial cancer
Term
MC tumor in females
Definition
Leiomyoma/fibroid
Term
Whorled pattern of smooth muscle bundles
Definition
Leiomyoma
Term
hCG as tumor marker
Definition
Dysgerminoma
Choriocarcinoma
Term
Schiller Duval Bodies
Definition
Endodermal Sinus tumor in boys and girls
glomeruloid formation
Term
LDH as tumor marker
Definition
dysgerminomas
Term
"fish flesh" appearance
Definition
Dysgerminomas- uniform appearance.
Term
General Tumor marker for ovarian tumors
Definition
CA-125
Term
Ovarian tumor w/ fallopian tube-type epith
Definition
serous cystadenocarcinoma
Term
Ovarian Tumor w/ endocervical type epith
Definition
mucinous cystadenocarcinoa
secretes mucus
Term
Ovarian tumor associated w/ pseudomyxoma peritonei
Definition
Mucinous cystadenocarcinoma
intraperitoneal accumulation of mucinous material
Term
Ovarian tumor w/ transitional epith
Definition
Brenner Tumor (benign)
Benign looks like bladder
Term
Psammoma Bodies
Definition
Laminated calcifications (PSaMMoma):
1. Papillary Thyroid Cancer
2. Serous cystadenocarcinoma of the ovary (malignant)
3. Meningioma
4. Malignant Mesothelioma
Term
Meig's Syndrome
Definition
Fibroma (benign Sex chord tumor)
Triad of ovarian fibroma, ascites, and hydrothorax
Term
Ovarian tumor w/ bundles of spindle shaped fibroblasts
Definition
fibroma (benign)
Term
Ovarian tumor(s) that secretes-estrogen
Definition
Granulosa Cell Tumor (malignant)
Thecoma (benign)
Term
Call-Exner bodies
Definition
Granulosa Cell tumor (malignant)
small follicules filled with eosinophilic secretions that form rosettes
Term
Cancer assoc. w/ DES exposure in utero
Definition
Vaginal clear cell adenocarcinoma
Term
Vagninal Small blue cell tumor of childhood
Definition
Sarcoma Botryoides/embryonoal rhabdomyosarcoma
Term
grape-like masses portrude from the vagina of a child < 5 yo
Definition
Sarcoma Botryoides
Term
Desmin positive tumor w/ skeletal muscle differentiation
Definition
Sarcoma botryoides
Term
Cancer assoc. w/ painless post-coital bleeding
Definition
Squamous Cell carcinoma of the vagina
Term
MC breast tumor in females < 25 yo
Definition
Fibroadenoma (benign)
Term
mobile, firm mass w/ sharp edges in breast
Definition
fibroadenoma (benign)
Term
tumor that grows in the lactiferous ducts
Definition
intraductal papilloma (benign)
Term
Serous or bloody discharge from nipple
Definition
Intraductal papilloma (benign)
Term
"Leaf-like" projections on breast
Definition
Phyllodes tumor (benign)
6th decade
Term
Most important prognostic factor in malignant breast tumors
Definition
Axillary lymph node involvement
Term
MC malignant breast cancer and presentation
Definition
Invasive Ductal
presents as a painless mass
Term
Peau d'orange
Definition
Inflammaory carcinoma of the breast
appearance caused by dermal lymphatic invasion
Term
Breast carcinoma that exhibits caseous necrosis
Definition
Comedocarcinoma
ductal carcinoma
Term
Eczematous pathes on nipple
Definition
Paget's dz
suggests underlying carcinoma
Term
MCC of breast lumps ages 25-menopause
Definition
benign fibrocystic dz
usually tender
Term
MC pathogen in acute mastitis
Definition
S. Aureus
Term
Painless lump in breast
Definition
1. fat necrosis (benign)- forms as a result of injury to breast tissue
2. Invasive Ductal carcinmoa (malignant)
Term
area of prostate affected by BPH
Definition
periurethral lobes
Term
area of prostate most affected by prostate adenocarcinoma
Definition
peripheral zone/posterior lobe
Term
MC site of metastasis of prostate cancer
Definition
bone (osteoblastic) (lumbar spine)
indicated by increased serum alkaline phosphatase
Term
tumor marker for prostate cancer
Definition
PSA: Incrased total, decrease free
Term
Types of tumors at increase risk w/ cryptorchid testes
Definition
germ cell tumors
Term
RF for cryptorchidism
Definition
prematurity
Term
MC testicular tumor
Definition
Seminoma (malignant)
Term
"fried egg" appearance
Definition
1. Seminoma
2. Oligodendroglioma
Term
Painless testicular enlargement
Definition
1. seminoma
Term
Precocious puberty in boys and girls
Definition
1. Leydig Cell tumor in boys
2. granulosa cell tumor in girls
Term
MC testicular cancer in older men
Definition
testicular lymphoma
Term
Bowen's Dz
Definition
Gray, solitary, crusty plaque on the shaft of the penis or scrotum
Peak incidence = 5th decade
may progress to SCC
Term
Erythroplasia of Queyart
Definition
red velvety plaques, usually on the glans
peak incidence in 5th decade
may progress to SCC
Term
papular lesions on penis
Definition
Bowenoid papulosis
affects younger age group than Bowen's or Queyart
usually does not bcome invasive
Term
bent up penis
Definition
Peyronie's Dz
from acquared fibrous tissue
Term
bag of worms
Definition
varicosele
dilated vein in pampiniform plexus
Term
incomplete fusion of the processus vaginalis
Definition
hydrocele
allows peritoneal fluid to leak into scrotum
Term
Hematologic changes in pregnancy
Definition
Increase blood volume (mostly in 2nd tri) and fibrinogen (hypercoagulable)
decrease Hb, hct, and RBC
Term
Renal changes in pregnancy
Definition
Increase RPF, GFR and urinary output
Decrease BUN and Creatinine clearance
Term
Red, crusty vulvar lesion
Definition
Paget's dz of the vulva (extramammary)
Term
intraepithelial adenocarcinoma
Definition
Paget's dz of the vulva (extramammary)
Term
Pathogenesis Kallmann's Syndrome
Definition
Failure of migration of GnRH secreting neurons from olfactory bulb to hypthalamus
Term
Sx of Kallmann's Syndrome
Definition
Delayed puberty, anosmia and maybe midline defects.
Term
FIrst signs of puberty in dudes and chicks
Definition
dudes: balls growth (by age 14)
Chicks: boob growth (by age 12)
Term
difference b/w flutamide and finasteride
Definition
Flutamide prevents binding of testo/DHT w/ their receptors
Finasteride inhibits 5 alpha-reductase which converts testo -> DHT
Term
effects of anorexia on gonadotropins and sex hormones
Definition
↓ FSH, LH and estradiol and estrone
Term
Hypogonadism + small firm testes + elongated limbs + gynecomastia
Definition
Kleinfelter's Syndrome 47 XXY
Term
infertility w/ normal hormon profile and low sperm count
Definition
Outflow obstruction in sperm tract
Term
Normal LH and Test, but increased FSH and low sperm count
Definition
Cryptorchidism, or damage to seminiferous tubules like orchitis
B/c interstintial (Leydig cells) are ok, but the sertoli cells in the tubules are selective or disproportionately damaged.
Term
AFP tumor marker
Definition
1. endodermal sinus/yolk sac turmor (ovary or testes)
2. HCC
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