repro path q

[MudPhud20XX]

A 35 yr old female presents to her primary care physician stating she has lumps in both her breasts. She states that they become more tender during the middle of her cycle. A biopsy is taken of her breast and shows increased acini and intralobular fibrosis. Which of the following is the most likely diagnosis?

A. Fibroadenoma
B. Fibrocystic change: epithelial (ductal) hyperplasia
C. Fibrocystic change: fibrosis
D. Fibrocystic change: cystic
E. Fibrocystic change: sclerosing adenosis

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[MudPhud20XX]

Why not C, fibrosis?

 

[aspiringmd1015]

No increased in glands

 

[MudPhud20XX]

Here is another q. Many thanks in advance.

A 29 yr old woman comes to her physician for counseling about her difficulty in becoming pregnant. She has kept records of her menstrual periods for six months; they show menses at 28 day intervals. Her most recent menses began 12 days before her office visit. Which of the following cellular events is most likely occuring at the present time?

A. Granulosa cells begin to express aromatase
B. Granulosa cells begin to express FSH receptors
C. Granulosa cells begin to express LH receptors
D. Theca cells begin to express LH receptors
E. Theca cells begin to express side-chain cleavage enzyme

 

[Keto]

Here is another q. Many thanks in advance.

A 29 yr old woman comes to her physician for counseling about her difficulty in becoming pregnant. She has kept records of her menstrual periods for six months; they show menses at 28 day intervals. Her most recent menses began 12 days before her office visit. Which of the following cellular events is most likely occuring at the present time?

A. Granulosa cells begin to express aromatase
B. Granulosa cells begin to express FSH receptors
C. Granulosa cells begin to express LH receptors
D. Theca cells begin to express LH receptors
E. Theca cells begin to express side-chain cleavage enzyme

I would go with A:
FSH stimulates granulosa cells to increase aromatase expression in order to create Estradiol.

What are your thoughts?

Here a quick review:

 

[MudPhud20XX]

I would go with A:
FSH stimulates granulosa cells to increase aromatase expression in order to create Estradiol.

What are your thoughts?

Here a quick review:

Thanks for the feedback. Anyone else?