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Test your basic knowledge |
First Aid: Reproductive
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Subjects
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health-sciences
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first-aid
Instructions:
Answer 50 questions in 15 minutes.
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study here
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Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.
This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.
1. What happens to a leiomyoma in pregs and menopause and why
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Prior c section - inflammation - placenta previa
Increase in size in pregs - decrease in size meno - estrogen sens
Testosterone
2. What is the treatment for hydatidiform mole
Paget cell
Fibrcystic change - ductal cancer
Dilation and curettage and methotrexate
Suspensory ligament of ovaries
3. histologic type of fibrocystic with hyperplasia of breast stroma
Testosterone
Choriocarcinoma
Fibrosis
Neoplastic cells block lymphatic drainage
4. dx with decreased testosterone and decreased LH
Upregulation
Bicornute uterus
Hypogondadotropic hypogonadism
Peyronie's dz
5. What are the treatments for PCOS
Periurethral lobes - lateral and middle
Sclerosing adenosis
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
6. dilated vein in pampiniform plexus - bag of worms
17beta estradiol
Prior c section - inflammation - placenta previa
Para - aortic lymph nodes
Varicocele
7. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sertoli cell tumor
The centrioles
Sarcoma botryoides - a rhabdomyosarcoma variant
1000 times
8. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Fibroadenoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Puberty
Granulosa cell tumor
9. What is the expected increase of estradiol and estrone in pregnancy
Ectocervix
Smooth muscle
50 times
increased Ca in - smooth muscle contraction - vasocxn - antierectile
10. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Testosterone
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
11. What does gynecomastia result from?
Hyperestrogenism
Kallman
Choriocarcinoma
Preeclampsia clinical
12. What does estrogen do to FSH and LH
Puberty
1 week - 2 weeks
Mammary duct epithelium or lobular glands
Feedback inhibition
13. in males - are mature teratomas malignant? What is the case for females
Golgi
Para - aortic lymph nodes
Follicular phase varies - luteal phase is 14
Malignant in males not in females
14. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Bowen's dz - carcinoma in situ of the penis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
The semiT and the blood vessels
Granulosa cell - aromatase - androstenedione - estrogen
15. Breast path - disease that occurs at the nipple
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16. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Cardinal ligament
Erythroplasia of Queyrat - carcinoma in situ of penis
17. What pathologic states cause increases in hCG
Maintenance
Milk letdown - uterine contractions?
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Serous cystadenocarcinoma
18. What are the most common tumors in all females?
Myometrial tumors
Lateral invasion can block ureters causing renal failure
Theca - leutin cysts
Intraductal papilloma
19. What effect does NE have on smoothe muscle in the erectile tissues
Fat necrosis
Suckling - increased oxytocin - prolactin
Stimulates testosterone release from leydig cells
increased Ca in - smooth muscle contraction - vasocxn - antierectile
20. What does inhibin do?
Hemolysis - elevated liver enzymes - low platelets
Inhibit FSH
Hyperthyroidism - contains functional thyroid tissue
Testicular lymphoma
21. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Asia - Africa - S. America - HPV - lack of circumcision
46 xx
Sclerosing adenosis
Theca cell - desmolase - androstenedione
22. What does progesterone do to smooth muscle in the uterus
Choriocarcinoma
Relaxation
Trophoblasts
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
23. What is the serum marker for BPH
The semiT and the blood vessels
PSA
Ectocervix
1000 times
24. What is the most frequent benign ovarian tumor
Stimulate glandular secretions - and spiral artery development
Testosterone
Mucinous cystadenoma
Mature teratoma
25. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Increase
Obdurator - exterinal iliac - hypogastic nodes
Cerebral hemorrhage and ARDS
Neoplastic cells block lymphatic drainage
26. What is the most common form of male pseudoHerm
Tubular carcinoma
Androgen insensitivity syndrome
BPH
Stimulates sertoli cells to produce ABP and inhibin
27. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Upregulation - LH surge - ovulation
Increased FSH
Leydig cell tumor
Severe bleeding iron def anemia - miscarriage
28. What becomes the main source of hCG
Primary hypogonadism
Just prior to ovulation
Hyperestrogenism
Syncytiotrophoblasts of placenta
29. What is the most common pathogen in acute mastitis
S aureus
Para - aortic lymph nodes
Fallopian tube
Fat necrosis
30. What estrogen does the placenta secrete
Estradiol
Low back pain with increased serum alk phos
Fallopian tube
Androgen insensitivity syndrome - 46 XY
31. How many functional sperm does 1 germ cell creat?
Sclerosing adenosis
95%
Testis determining factor
4
32. heavy - irregular menstruation at irregular intervals
Testosterone
Menometrorrhagia
Vagina
Estradiol and possible growth promoting effects of DHT
33. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
E coli
Choriocarcinoma
Preeclampsia clinical
Multiple sexual partners - also HIV and early sexual intercourse
34. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
DES in utero (DES is a sythetic estrogen)
PSA
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
35. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Testis determining factor
Fertilization 'an egg met a sperm'
36. What is a true hermaphrodite
Testis determining factor
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Fibroadenoma - phyllodes tumor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
37. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Puberty
Low back pain with increased serum alk phos
Adenomyosis
38. Which androgen is responsible for the deepening of the voice
Decreasing progesterone
Testosterone
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Smooth muscle
39. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Inflammatory
Placenta previa
Mature teratoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
40. What is the pattern seen in leiomyoma
Metaphase
Whorled pattern of smooth muscle bundles
Delivery of fetus
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
41. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Bowenoid papulosis - carcinoma in situ of the penis
Fibrcystic change - ductal cancer
Fibroadenoma - phyllodes tumor
42. What is the average age of onset for menopause
Posterior lobe peripheral zone
Polyhydramnios
51 yo
Mature teratoma
43. what usually causes endometrial hyperplasia
Bowenoid papulosis - carcinoma in situ of the penis
Fibroadenoma - phyllodes tumor
Estrogen overstimulation
Periurethral lobes - lateral and middle
44. Which gynecologic tumors have the worst prognosis?
Ovarian > cervical > endometrial
Maintenance
Partial
Immature
45. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Testicular lymphoma
Insulin resistance
Choriocarcinoma
Peripheral adipose tissue
46. What does LH do
DES in utero (DES is a sythetic estrogen)
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Cerebral hemorrhage and ARDS
Stimulates testosterone release from leydig cells
47. Where is SCC of the penis more common and What is it associated with
Ligament of the ovary
The semiT and the blood vessels
Asia - Africa - S. America - HPV - lack of circumcision
Just prior to ovulation
48. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Dysuria - frequency - urgency - low back pain
Myometrial tumors
Teratoma
Endometriosis
49. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Spermatogonia (germ cells)
Mitochondria
Down regulation
50. Is fertility compromised in double Y males?
Fibroadenoma
No
Testosterone secreting tumor - exogenous steroids
Esophogeal/duodenal atresia - can't swallow - anencephaly
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