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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. Which hydatidiform mole has the greater risk for malignancy
Granulosa cell tumor
IV mag sulfate - diazepam
Complete
Low progesterone
2. how can struma ovarri present?
Oligohydramnios
Hyperthyroidism - contains functional thyroid tissue
Klinefelter's - XXY
Spermatogonia (germ cells)
3. Uterin fundus to labia majora
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testosterone
Round ligament of uterus
Superficial inguinal lymph nodes
4. What increases risk for endometrial carcinoma
In the 6th decade of life
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Granulosa cell tumor
Adolescents
5. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
46 xx
Female pseudoHerm
Round ligament of uterus
Choriocarcinoma
6. Connects ovary to lateral uterus
Osteoblastic in bone
Visceral - somatic nerves in pudendal
Ligament of the ovary
BPH
7. Which androgen is responsible for the deepening of the voice
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testosterone
HPV 16 - 18
Sertoli cells
8. 50% of ovarian tumors - malignant and frequently bilateral
Estradiol and possible growth promoting effects of DHT
Fibrocystic disease
Phyllodes tumor
Serous cystadenocarcinoma
9. What changes in the aorta are common in Turner's?
Chocolate cyst
DES in utero (DES is a sythetic estrogen)
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Preductal coarctication
10. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Hemorrhage
Granulosa cell - aromatase - androstenedione - estrogen
Haploid - 2N - 23 sister chromatids
11. What changes are seen with total PSA and fraction of free PSA
Bowen's dz - carcinoma in situ of the penis
Corpus luteum cyst
increased in total - and dec in free fraction
Testis determining factor
12. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Spermatogonia (germ cells)
Estradiol > estrone > estriol
Diploid - 4N - 46 sister chromatids
13. common cause of recurrent miscarriage in 1st trimester
Estradiol and possible growth promoting effects of DHT
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Chromosomal abnormalities
Sarcoma botryoides - a rhabdomyosarcoma variant
14. How long does it take for sperm to fully develop
2 months
Low progesterone
Inhibit FSH
Estrogen overstimulation
15. What does SEVEN Up stand for in regards to the pathway of sperm
Mammary duct epithelium or lobular glands
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Theca - leutin cysts
Metrorrhagia
16. What is the most common cause of breast lumps from age 25 to menopause
Metaphase
Testosterone
Menopause
Fibrocystic disease
17. What percentage of testicular tumors are germ cell
Klinefelter's - XXY
Left gonadal vein - left renal vein - IVC
5 alpha reductase - inhibited by finesteride
95%
18. What are the pathologic features of leiosarcoma
50 times
1 week - 2 weeks
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
19. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Complete
Posterior lobe peripheral zone
Paget's disease
20. Which gynecologic tumors have the worst prognosis?
DRE - hard nodule and biopsy
Ovarian > cervical > endometrial
Retrograde mentrual flow or ascending infection
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
21. Breast path - diseases of the major duct
Bowen's dz - carcinoma in situ of the penis
1000 times
Fibrcystic change - ductal cancer
Stimulate glandular secretions - and spiral artery development
22. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
5 alpha reductase def
Testosterone
Adolescents
55-65
23. What are the risk factors for endometrial hyperplasia
Severe bleeding iron def anemia - miscarriage
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Dysuria - frequency - urgency - low back pain
24. What forms the blood testis barrier?
Tight junctions between sertoli cells
Placenta acreta
Smoking - HTN - cocaine
Partial
25. Breast path - diseases of the terminal duct
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Whorled pattern of smooth muscle bundles
Tubular carcinoma
2nd week of proliferative phase
26. <0.5 L of amniotic fluid
Differentiation of penis - scrotum and prostate
Oligohydramnios
Hydrocele
Uterus
27. What is HELLP syndrome
Metrorrhagia
Chromosomal abnormalities
Hemolysis - elevated liver enzymes - low platelets
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
28. List the estrogens in order of decreasing potency
Ectocervix
Estradiol > estrone > estriol
Lateral invasion can block ureters causing renal failure
Puberty
29. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Fibroadenoma - phyllodes tumor
Puberty
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Prostatic acid phosphatase and PSA
30. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Whorled pattern of smooth muscle bundles
Stimulation of secretion - but blocks its action at the breast
Yolk sace - endodermal sinus - tumor
Lobular carcinoma - sclerosing adenosis
31. What substances other than inhibin do sertoli cells produce?
Decreasing progesterone
Andogren binding protein - anti mullerian hormone
Mitochondria
Adenomyosis
32. What do leydig cells secrete?
Female pseudoHerm
Testosterone
Multiple sexual partners - also HIV and early sexual intercourse
Meigs syndrome
33. Increases in which hormone are associated with BPH
Post menopausal
95%
Testosterone
Estradiol and possible growth promoting effects of DHT
34. What is the best test to confirm menopause
Feedback inhibition
Aortic bicuspid valve
Increased FSH
Kallman
35. What cellular structure is the acrosome derived from?
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Golgi
Medullary
increased Ca in - smooth muscle contraction - vasocxn - antierectile
36. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Hydrocele
Prostate growth - balding - and sebaceous gland activity
Follicular phase varies - luteal phase is 14
increased size and tenderness with increased estrogen
37. Large cells in epidermis with clear halo
Peripheral adipose tissue
Paget cell
Preductal coarctication
Induces and maintains lactation - decreases reproductive function
38. What does gynecomastia result from?
Increased FSH
Delivery of fetus
Hyperestrogenism
Krukenburg tumor
39. In what phase is meiosis II arrested
Periurethral lobes - lateral and middle
Metaphase
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Preeclampsia + siezures
40. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Spermatocele
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Blacks
41. histo: simple columnar epithelium - ciliated
Fallopian tube
Suckling - increased oxytocin - prolactin
Yolk sace - endodermal sinus - tumor
Preeclampsia + siezures
42. What can happen with no sertoli cell or lack of anti mullerian hormone
PCOS
Develop both male and female internal genitalia and male external genitalia
Dysuria - frequency - urgency - low back pain
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
43. testes present with non male external genitals
Estrogen overstimulation
Male pseudoHerm
Female pseudoHerm
Posterior lobe peripheral zone
44. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Develop both male and female internal genitalia and male external genitalia
Choriocarcinoma
Visceral - somatic nerves in pudendal
45. What does estrogen do to estrogen - LH and progesterone recepotrs
Premature ovarian failure (Pof)
Upregulation
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Fibrocystic disease
46. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Testicular lymphoma
Posterior lobe peripheral zone
Preeclampsia + siezures
47. dilated epididymal duct
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Spermatocele
Invasive lobular
Fat necrosis
48. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
Sertoli cell tumor
The centrioles
Uterus
49. What is the most frequent benign ovarian tumor
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Mature teratoma
Asia - Africa - S. America - HPV - lack of circumcision
Tunica vaginalis lesions
50. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
SANS - hypogastric nerve
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hydatidiform mole
Squamous cell carcinoma