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44- Ee
its testosteron
circulating testosteron give negative feedback to both hypothalamus and ant pitutary to regulate LH secretion.
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45 - endometrioma or endometriosis
Functioning glands and stroma are located outside the uterus.
Pathogenesis
Reverse menses through fallopian tubes (most common)
Coelomic metaplasia, vascular or lymphatic spread
Cyclic bleeding of gland and stromal implants
Common sites
Ovaries (most common), rectal pouch, fallopian tubes, intestine
Clinical findings
Dysmenorrhea
Painful stooling during menses
Implants located in rectal pouch
Intestinal obstruction and bleeding during menses
Increased risk for ectopic pregnancy
Enlargement of ovaries
Blood-filled cysts
Laparoscopy useful for diagnosis and treatment
Implants have a "powder burn" appearance
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46---Ff
Seminiferous tubules where synthesis of sperms occurs are very selective for testostron source. They use testo which is produced by leydig cells.
Exogenous supplied testo will inhibit the ant pitutary to secrete LH as LH is low no testo secreted in leydig cells ;as a result seminiferous tubule atrophy and no spermatogenesis -azoospermia,
Rx -we can rx with synthetic LH
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47--bb steroid harmones -
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48- type II DM--due to resistance to insulin same as downregulation of receptar
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49--AA
exogenous steroid suppliment gives negative feedback to ant pitutaray so ACTH is decreased so - no stimulaion to adrenal gland --result atrophy of gland [same concept as Q 46]
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DRONA CAN U PLZZZ EXPLAIN MORE OF Q 40 PLZZZZ??
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@drona99
4.D it is minimal change disease,because proteinuria>3.5 and no hypertention.
it is anephrotic
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yes agree 41 DD== we shud have editing option in this forum..