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. What is DHT responsible for in late development
Embryonal carcinoma
69 xxy
Prostate growth - balding - and sebaceous gland activity
Round ligament of the uterus

2. From What tissues to malignant breast tumors arise?
Periurethral lobes - lateral and middle
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
PSA
Mammary duct epithelium or lobular glands

3. What do leydig cells secrete?
Testosterone
Axillary node involvement
Para - aortic lymph nodes
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

4. What is the flaggelum derived from
Testis determining factor
Osteoblastic in bone
Phyllodes tumor
One of the centrioles

5. Atypical cells in epithelial hyperplasia
Alpha1 antagonists - terazosin - tamsulosin - finasteride
IV mag sulfate - diazepam
increased risk for carcinoma
Stimulates testosterone release from leydig cells

6. Breast path - diseases of the major duct
Calcifications
Fibrcystic change - ductal cancer
Haploid - N - 23 single chromatids
Primary hypogonadism

7. What is the most common gynecologic malignancy
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Lateral invasion can block ureters causing renal failure
Endometrial carcinoma
Increase in size in pregs - decrease in size meno - estrogen sens

8. What is the karyotype of a complete mole
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
46 xx
Severe bleeding iron def anemia - miscarriage
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

9. most common testicular cancer in older men
Invasive lobular
Insulin resistance
Testicular lymphoma
Fat necrosis

10. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Granulosa cell - aromatase - androstenedione - estrogen
Vagina
Decrease

11. Arrange the androgens in order of most potent to least potent
51 yo
E coli
DHT - testosterone - androstenedione
Prophase

12. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Down regulation
Lateral invasion can block ureters causing renal failure
Round ligament of the uterus
Low progesterone

13. dx with increased testosterone and increased LH
Superficial inguinal lymph nodes
Defective androgen receptor
Invasive ductal
Endocervix

14. Some drugs cause awesome knockers
Diploid - 4N - 46 sister chromatids
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
20 to 40
Yolk sace - endodermal sinus - tumor

15. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Down regulation
Kallman
No
Mittelschmerz syndrome

16. What are the 3 androgens
Turner's XO
Testosterone - DHT - androstenedione
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Trophoblasts

17. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Whorled pattern of smooth muscle bundles
46 xx
Cystic
increased Ca in - smooth muscle contraction - vasocxn - antierectile

18. What are risk factors for abruptio placentae?
Teratoma
Smoking - HTN - cocaine
Puberty
Paget cell

19. premature detachment of placenta from implantation site leading to fetal death
increased cGMP - smooth muscle relax - vasodltn - proerectile
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Abruptio placentae
Inhibition LH and FSH

20. What are the treatments for BPH
Sarcoma botryoides - a rhabdomyosarcoma variant
Dysgerminoma
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Dysuria - frequency - urgency - low back pain

21. Which system and nerve are responsible for emission
Upregulation
SANS - hypogastric nerve
Vagina
DRE - hard nodule and biopsy

22. What does FSH do
Stimulates sertoli cells to produce ABP and inhibin
Testosterone
Lateral invasion can block ureters causing renal failure
Round ligament of uterus

23. How does progesterone inhibit sperm entry to uterus
Teratoma
Production of a thick cervical mucus
Good - late metastasis
Smooth muscle

24. histo: stratified squamous epithelium - nonkeratinized
SANS - hypogastric nerve
Vagina
Complete
Serous cystadenoma

25. what stimulation is required to maintain milk production and What is the pathway
Hyperthyroidism - contains functional thyroid tissue
Suckling - increased oxytocin - prolactin
Preeclampsia + siezures
Syncytiotrophoblasts of placenta

26. What is the single most important prognostic factor for malignant breast tumors
Klinefelter's - XXY
Axillary node involvement
During fetal life
Spermatocele

27. distention of unruptured graafian follicle
Myometrial invasion
Follicular cyst
Estradiol > estrone > estriol
CIN 1 - 2 - 3

28. Does a leiomyoma progress to leiosarcoma
Epithelial hyperplasia
No
Testosterone
2nd week of proliferative phase

29. What are the useful tumor parkers in prostatic adenocarcinoma
Chromosomal abnormalities
Prostatic acid phosphatase and PSA
Bowenoid papulosis - carcinoma in situ of the penis
Endometriosis

30. What is a concern of early menopause
Testosterone
Premature ovarian failure (Pof)
Post menopausal bleeding
Trophoblasts

31. What are causes of female pseudoHerm
Congenital adrenal hyperplasia - exogenous administration of steroids
Round ligament of uterus
Upregulation - LH surge - ovulation
Post menopausal bleeding

32. What are the most common tumors in all females?
Hyperthyroidism - contains functional thyroid tissue
Down regulation
Severe bleeding iron def anemia - miscarriage
Myometrial tumors

33. heavy - irregular menstruation at irregular intervals
55-65
Klinefelter's - XXY
Female pseudoHerm
Menometrorrhagia

34. What common valvular abnormality is common in Turner's
Premature ovarian failure (Pof)
Mitochondria
Aortic bicuspid valve
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

35. What is the prognosis for seminoma
Cardinal ligament
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Dysuria - frequency - urgency - low back pain
Good - late metastasis

36. Breast path - diseases of the stroma
51 yo
Differentiation of penis - scrotum and prostate
Klinefelter's - XXY
Fibroadenoma - phyllodes tumor

37. In What age group are ovarian germ cell tumors most common
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
PANS - pelvic nerve
Adolescents
Upregulation - LH surge - ovulation

38. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
increased in total - and dec in free fraction
Brenner tumor
Follicular cyst

39. multilocular cyst lined by mucus secreting epi - benign - intestine like
Relaxation
Stimulation of secretion - but blocks its action at the breast
Mucinous cystadenoma
Partial

40. Vaginal sqamous cell carcinoma is most often seconday From which site?
The semiT and the blood vessels
Estradiol > estrone > estriol
Maintenance
Cervix

41. What is the genetic material in the primary oocyte?
Proliferation
Diploid - 4N - 46 sister chromatids
Retrograde mentrual flow or ascending infection
Myometrial tumors

42. How does endometrial hyperplasia manifest clinically
Testosterone secreting tumor - exogenous steroids
PCOS
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Post menopausal bleeding

43. What is the treatment for preeclampsia
Endometriosis
Fallopian tube
Delivery of fetus
increased cGMP - smooth muscle relax - vasodltn - proerectile

44. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Oligomenorrhea
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
PCOS
Tunica vaginalis lesions

45. Which gynecologic tumors have the worst prognosis?
Inhibition of HCG access
Good - late metastasis
Ectocervix
Ovarian > cervical > endometrial

46. What is the expected increase of estradiol and estrone in pregnancy
Prostate growth - balding - and sebaceous gland activity
50 times
Preeclampsia clinical
Differentiation of penis - scrotum and prostate

47. What are the treatments for PCOS
DES in utero (DES is a sythetic estrogen)
Stimulates sertoli cells to produce ABP and inhibin
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Polyhydramnios

48. What converts testosterone to DHT
Post menopausal
5 alpha reductase - inhibited by finesteride
Spermatocele
Round ligament of uterus

49. Dermal lymphatic invasion by breast carcinoma - peu d orange
Oligohydramnios
Abruptio placentae
Inflammatory
Obdurator - exterinal iliac - hypogastic nodes

50. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Choriocarcinoma
Sertoli cells
5 alpha reductase def
Fallopian tube