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Test your basic knowledge |
First Aid: Reproductive
Start Test
Study First
Subjects
:
health-sciences
,
first-aid
Instructions:
Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can
study here
.
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 effect does NO have on smooth muscle in erectile tissues
Malignant in males not in females
PANS - pelvic nerve
Fallopian tube
increased cGMP - smooth muscle relax - vasodltn - proerectile
2. in postmenopausal women Where is androstenedione converted to estrone
DRE - hard nodule and biopsy
Increase in size in pregs - decrease in size meno - estrogen sens
Peripheral adipose tissue
Complete
3. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Endometrial > ovarian> cervical (in US)
Phyllodes tumor
Dilation and curettage and methotrexate
4. What does estrogen do to FSH and LH
Inhibition of HCG access
Invasive ductal
Mimics LH
Feedback inhibition
5. What does the SRY gene do
Testis determining factor
Sclerosing adenosis
Corpus luteum cyst
Endometriosis
6. premature detachment of placenta from implantation site leading to fetal death
HPV 16 - 18
Severe bleeding iron def anemia - miscarriage
Abruptio placentae
Fallopian tube
7. decreased estrogen production due to age linked decline in the number of ovarian follices
Obdurator - exterinal iliac - hypogastic nodes
Menopause
Just prior to ovulation
Sertoli cells - and adipose tissue via aromatase
8. common cause of recurrent miscarriage in the 1st week
Low progesterone
Retrograde mentrual flow or ascending infection
In the 6th decade of life
Testosterone
9. What are the useful tumor parkers in prostatic adenocarcinoma
Prostatic acid phosphatase and PSA
5 alpha reductase - inhibited by finesteride
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Defective androgen receptor
10. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Feedback inhibition
Preeclampsia
Sarcoma botryoides - a rhabdomyosarcoma variant
11. What sequelae are associated with leiomyoma
5 alpha reductase def
Severe bleeding iron def anemia - miscarriage
Complete
Comedocarcinoma
12. small - mobile - firm breast mass with sharp edges - most common in <25
PANS - pelvic nerve
Fibroadenoma
Fibrosis
Fibroadenoma - phyllodes tumor
13. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Induces and maintains lactation - decreases reproductive function
Mittelschmerz syndrome
Sclerosing adenosis
Fat necrosis
14. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
S aureus
Seminoma
Maintenance
Ligament of the ovary
15. What are the treatments for BPH
Pseudohermaphroditism
Smooth muscle
Decreasing progesterone
Alpha1 antagonists - terazosin - tamsulosin - finasteride
16. Which cells secrete beta hCG
Spermatocele
Post menopausal bleeding
Hemorrhage
Trophoblasts
17. small follicles filled with eosinphilic secretions
Call exner bodies
Develop both male and female internal genitalia and male external genitalia
IV mag sulfate - diazepam
Ovary
18. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Cerebral hemorrhage and ARDS
Partial
increased AFP and hCG
Chocolate cyst
19. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases
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20. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Multiple sexual partners - also HIV and early sexual intercourse
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Testosterone
increased risk for carcinoma
21. What is the common presentation of metastasis in prostate cancer
Prior c section - multiparity
Fat necrosis
Low back pain with increased serum alk phos
Differentiation of penis - scrotum and prostate
22. What converts testosterone to DHT
2nd week of proliferative phase
Intraductal papilloma
5 alpha reductase - inhibited by finesteride
Testis determining factor
23. In what phase is meiosis II arrested
Visceral - somatic nerves in pudendal
Estradiol and possible growth promoting effects of DHT
Metaphase
Koilocytitic
24. What complications are associated with oligohydramnios
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25. marked increased hCG - complete or partial
Low progesterone
46 xx
Complete
Invasive lobular
26. A leimyoma is overgrowth of what cell
Obdurator - exterinal iliac - hypogastic nodes
Smooth muscle
Low back pain with increased serum alk phos
Trophoblasts
27. Which system and nerve are responsible for emission
Testosterone
Myometrial invasion
SANS - hypogastric nerve
No
28. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Right gonadal vein - IVC
Differentiation of penis - scrotum and prostate
Paget's disease
Androgen insensitivity syndrome - 46 XY
29. What stimulation after labor induces lactation
Mucinous cystadenoma
Corpus luteum - placenta - adrenal cortex - testes
Decreasing progesterone
Maintenance
30. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Estradiol
Asia - Africa - S. America - HPV - lack of circumcision
Cystic
Neoplastic cells block lymphatic drainage
31. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Squamo - columnar jxn
Dilation and curettage and methotrexate
2nd week of proliferative phase
IV mag sulfate - diazepam
32. What are predisposing factors for placenta previa
5 alpha reductase def
increased size and tenderness with increased estrogen
Stimulation of secretion - but blocks its action at the breast
Prior c section - multiparity
33. what stimulation is required to maintain milk production and What is the pathway
Syncytiotrophoblasts of placenta
Bicornute uterus
Suckling - increased oxytocin - prolactin
Abacterial
34. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Choriocarcinoma
2 months
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Lateral invasion can block ureters causing renal failure
35. What becomes the main source of hCG
Leydig cell tumor
Syncytiotrophoblasts of placenta
Lobular carcinoma - sclerosing adenosis
Smoking - HTN - cocaine
36. What occurs to a fibroadenoma during pregnancy and menstruation and why
Fibromas
increased size and tenderness with increased estrogen
Fibrcystic change - ductal cancer
Menometrorrhagia
37. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Insulin resistance
Decrease
Teratoma
Mittelschmerz syndrome
38. When is follicular growth the fastest?
1 week - 2 weeks
46 xx
2nd week of proliferative phase
Testosterone
39. Where is SCC of the penis more common and What is it associated with
6
increased size and tenderness with increased estrogen
Granulosa cell tumor
Asia - Africa - S. America - HPV - lack of circumcision
40. Which hydatidiform mole has the greater risk for malignancy
Peripheral conversion of androgens
Klinefelter's - XXY
Delivery of fetus
Complete
41. testicular masses that can be transilluminated
Relaxation
Calcifications
Tunica vaginalis lesions
Aortic bicuspid valve
42. List the estrogens in order of decreasing potency
Fibrocystic disease
Metaphase
Mimics LH
Estradiol > estrone > estriol
43. What is the single most important prognostic factor for malignant breast tumors
Prophase
Inhibit cGMP breakdown
Axillary node involvement
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
44. What are the most common cause of anovluation
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45. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Stimulates testosterone release from leydig cells
Golgi
Fertilization 'an egg met a sperm'
46. androblastoma from sex cord stroma
Increase in size in pregs - decrease in size meno - estrogen sens
Para - aortic lymph nodes
Hemorrhage
Sertoli cell tumor
47. increased AFP - schiller duvel bodies - yellow mucinous
Male pseudoHerm
Uterus
Tight junctions between sertoli cells
Yolk sac - endodermal sinus - tumor
48. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
Testicular lymphoma
In the 6th decade of life
Multiple sexual partners - also HIV and early sexual intercourse
49. What are the 3 androgens
Malignant in males not in females
Testosterone - DHT - androstenedione
Neoplastic cells block lymphatic drainage
Round ligament of the uterus
50. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Granulosa cell tumor
Spermatocele
Preductal coarctication