Test your basic knowledge |

First Aid: Reproductive

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. Which gynecologic tumors have the worst prognosis?
Low back pain with increased serum alk phos
Hyperthyroidism - contains functional thyroid tissue
Endometrial carcinoma
Ovarian > cervical > endometrial

2. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
1000 times
Mittelschmerz syndrome
Testosterone - DHT - androstenedione

3. histologic type of fibrocystic with hyperplasia of breast stroma
Stimulation of secretion - but blocks its action at the breast
Fibrosis
Uterus
Bicornute uterus

4. Dermal lymphatic invasion by breast carcinoma - peu d orange
Squamous cell carcinoma
Tubular carcinoma
Inflammatory
No

5. What can happen with no sertoli cell or lack of anti mullerian hormone
Chromosomal abnormalities
Meigs syndrome
Post menopausal
Develop both male and female internal genitalia and male external genitalia

6. What is the karyotype of a partial mole
69 xxy
Myometrial invasion
Varicocele
Granulosa cell tumor

7. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Hydrocele
Endometriosis
Trophoblasts

8. dx with decreased testosterone - increased LH
Primary hypogonadism
Endocervix
Erythroplasia of Queyrat - carcinoma in situ of penis
Mucinous cystadenocarcinoma

9. What does progesterone do to myometrial excitability
Low back pain with increased serum alk phos
Decrease
Primary hypogonadism
S aureus

10. Does a leiomyoma progress to leiosarcoma
Menopause
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
No
Post menopausal bleeding

11. testicular masses that can be transilluminated
Pseudohermaphroditism
Hemorrhage
Tunica vaginalis lesions
DIC

12. What does LH do
Oligomenorrhea
Whorled pattern of smooth muscle bundles
Primary hypogonadism
Stimulates testosterone release from leydig cells

13. hemorrhage into persistent corpus luteum
PANS - pelvic nerve
Invasive ductal
Corpus luteum cyst
Tight junctions between sertoli cells

14. dx with increased testosterone and dec LH
Premature ovarian failure (Pof)
Differentiation of penis - scrotum and prostate
Testosterone secreting tumor - exogenous steroids
Preeclampsia + siezures

15. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Squamo - columnar jxn
Complete
Inhibit FSH

16. disagreement between the phenotypic and gonadal sex
Adenomyosis
Testosterone
Fibroadenoma - phyllodes tumor
Pseudohermaphroditism

17. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
Fibromas
Haploid - N - 23 single chromatids
No

18. What does progesterone do to smooth muscle in the uterus
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Relaxation
Yolk sac - endodermal sinus - tumor

19. What is a true hermaphrodite
5 alpha reductase def
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Inhibition of HCG access

20. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Golgi
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Post menopausal bleeding

21. histo: simple columnar epithelium - pseudostratified tubular glands
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Uterus
Acute mastitis
Defective androgen receptor

22. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Yolk sac - endodermal sinus - tumor
E coli
69 xxy

23. What serum markers are associated with embyronal carcinoma
increased AFP and hCG
Endometrial carcinoma
4
Yolk sace - endodermal sinus - tumor

24. histo: simple columnar epithelium
Endocervix
Preeclampsia + siezures
Testicular lymphoma
Prostatic acid phosphatase and PSA

25. what metabolic disorder is assocaited with PCOS
Insulin resistance
DIC
Post menopausal
Down regulation

26. what stimulation is required to maintain milk production and What is the pathway
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Suckling - increased oxytocin - prolactin
95%
Acute mastitis

27. Which system and nerve allow for erection in the male?
Kallman
Estradiol > estrone > estriol
PANS - pelvic nerve
Choriocarcinoma

28. gynecological tumors from highest incidence to lowest
Pseudohermaphroditism
Hyperestrogenism
Endometrial > ovarian> cervical (in US)
Granulosa cell tumor

29. histo: simple columnar epithelium - ciliated
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Choriocarcinoma
Paget's disease
Fallopian tube

30. What does gynecomastia result from?
Chromosomal abnormalities
Hyperestrogenism
Paget cell
Preeclampsia clinical

31. What is the risk for carcinoma among patients with intraductal papilloma
Koilocytitic
Leydig cell tumor
Slight increase - 1.5 to 2
Down regulation

32. What is the pattern seen in leiomyoma
Maintenance
Menopause
Whorled pattern of smooth muscle bundles
Endocervix

33. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
Decreasing progesterone
Menometrorrhagia
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

34. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Testicular lymphoma
Adenomyosis
Smooth muscle

35. What does SEVEN Up stand for in regards to the pathway of sperm
46 xx
Endometrial carcinoma
Squamous cell carcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

36. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Visceral - somatic nerves in pudendal
Fibroadenoma
Trophoblasts
Granulosa cell tumor

37. What are the useful tumor parkers in prostatic adenocarcinoma
DES in utero (DES is a sythetic estrogen)
Prostatic acid phosphatase and PSA
Vagina
Intraductal papilloma

38. What are the pathologic features of leiosarcoma
Peripheral conversion of androgens
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
The ampulla - occurs within 1 day of ovulation
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

39. From What tissues to malignant breast tumors arise?
Invasive ductal
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Mammary duct epithelium or lobular glands
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

40. Testosterone and estrogen in androgen insensitivity syndrome
Cardinal ligament
Sertoli cells
Haploid - N - 23 single chromatids
Increase (and LH)

41. Breast path - diseases of the lactiferous sinus
No
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Intraductal papilloma - breast abscess - mastitis
Increase

42. Uterin fundus to labia majora
Round ligament of uterus
Mucinous cystadenoma
Myometrial tumors
Theca cell - desmolase - androstenedione

43. histo: stratified sqamous epithelium
Testosterone
PANS - pelvic nerve
Lateral invasion can block ureters causing renal failure
Ectocervix

44. Connects ovary to lateral uterus
Ligament of the ovary
4
Polyhydramnios
Partial

45. frequent bu irregular cycles
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Metrorrhagia
46 xx
Induces and maintains lactation - decreases reproductive function

46. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Mucinous cystadenocarcinoma
Oligohydramnios
Testosterone
Just prior to ovulation

47. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
No
Preeclampsia clinical
Paget's disease
Female pseudoHerm

48. What do leydig cells secrete?
Testosterone
Metaphase
PCOS
Increase (and LH)

49. What hormones regulate sperm creation?
Stimulation of secretion - but blocks its action at the breast
5 alpha reductase - inhibited by finesteride
GnRH from hypoTh - LH and FSH from ant pituitary
Estradiol and possible growth promoting effects of DHT

50. What structures does testosterone negatively feedback on?
Mammary duct epithelium or lobular glands
69 xxy
Brenner tumor
The anterior pituitary and hypothalamus