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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 does estrogen do to estrogen - LH and progesterone recepotrs
Neoplastic cells block lymphatic drainage
Peripheral conversion of androgens
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Upregulation
2. What does progesterone do to smooth muscle in the uterus
Preeclampsia + siezures
Mucinous cystadenocarcinoma
Post menopausal
Relaxation
3. What is the order of events in the menstrual cycle
Kallman
Uterus
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Inflammatory
4. Which cells line the seminiferous tubules and secrete inhibin
Syncytiotrophoblasts of placenta
Fructose
Sertoli cells
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
5. in males - are mature teratomas malignant? What is the case for females
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Malignant in males not in females
Menometrorrhagia
Retrograde mentrual flow or ascending infection
6. dx with decreased testosterone and decreased LH
2nd week of proliferative phase
Peripheral conversion of androgens
Calcifications
Hypogondadotropic hypogonadism
7. What complications are associated with oligohydramnios
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8. What causes preeclampsia
Production of a thick cervical mucus
Sertoli cells
Choriocarcinoma
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
9. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Embryonal carcinoma
Smoking - HTN - cocaine
DCIS
10. Where does prostatic adenocarcinoma arise from?
Endocervix
Broad ligament
Aortic bicuspid valve
Posterior lobe peripheral zone
11. What is the karyotype of a complete mole
Testosterone
95%
46 xx
Ovary
12. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Ovarian > cervical > endometrial
4
Hypogondadotropic hypogonadism
13. Where is SCC of the penis more common and What is it associated with
Dysgerminoma
Asia - Africa - S. America - HPV - lack of circumcision
Proliferation
DRE - hard nodule and biopsy
14. What is the venous drainage of the left ovary/testis?
Premature ovarian failure (Pof)
Left gonadal vein - left renal vein - IVC
Androgen insensitivity syndrome
Brenner tumor
15. What is the most common form of male pseudoHerm
Fibrocystic disease
Androgen insensitivity syndrome
Tunica vaginalis lesions
69 xxy
16. What is the expected increase of estradiol and estrone in pregnancy
Good - late metastasis
Varicocele
Endometrial carcinoma
50 times
17. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Cerebral hemorrhage and ARDS
Yolk sace - endodermal sinus - tumor
The centrioles
Follicular cyst
18. what metabolic disorder is assocaited with PCOS
Insulin resistance
Invasive lobular
Erythroplasia of Queyrat - carcinoma in situ of penis
Myometrial invasion
19. How is dyslpasi and carcinoma in situ of the cervix classified
Prostate growth - balding - and sebaceous gland activity
Maintenance
Blacks
CIN 1 - 2 - 3
20. What is the lymphatic drainage the ovaries/testis
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
The centrioles
Para - aortic lymph nodes
Adenomyosis
21. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Peyronie's dz
Prior c section - inflammation - placenta previa
Testosterone
22. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
increased in total - and dec in free fraction
Squamo - columnar jxn
Abruptio placentae
23. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
The centrioles
Fibrocystic disease
Upregulation - LH surge - ovulation
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
24. In What age group are ovarian germ cell tumors most common
increased size and tenderness with increased estrogen
Adolescents
Testicular lymphoma
Testis determining factor
25. eclampsia
Placenta acreta
17beta estradiol
Preeclampsia + siezures
Left gonadal vein - left renal vein - IVC
26. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Diploid - 4N - 46 sister chromatids
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
27. What is a complication of invasive carcinoma
5 alpha reductase - inhibited by finesteride
Lateral invasion can block ureters causing renal failure
Neoplastic cells block lymphatic drainage
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
28. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
No
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Kallman
95%
29. How is prostatic adenocarcinoma diagnosed
Partial
DRE - hard nodule and biopsy
Spermatogonia (germ cells)
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
30. dx with decreased testosterone - increased LH
Primary hypogonadism
Serous cystadenocarcinoma
Partial
Granulosa cell tumor
31. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Granulosa cell tumor
Milk letdown - uterine contractions?
Develop both male and female internal genitalia and male external genitalia
Haploid - N - 23 single chromatids
32. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
increased size and tenderness with increased estrogen
Choriocarcinoma
Endocervix
33. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Puberty
Premature ovarian failure (Pof)
Testosterone
Retrograde mentrual flow or ascending infection
34. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Endometrial carcinoma
Differentiation of penis - scrotum and prostate
Prematurity
Placenta acreta
35. What are the risk factors for endometrial hyperplasia
Teratoma
Serous cystadenoma
Inhibit FSH
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
36. Benign - looks like bladder
Adolescents
Brenner tumor
S aureus
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
37. What effect does NE have on smoothe muscle in the erectile tissues
Preeclampsia
Squamous cell carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Golgi
38. What are risk factors for placenta acreta
Varicocele
The centrioles
Prior c section - inflammation - placenta previa
Alpha1 antagonists - terazosin - tamsulosin - finasteride
39. What is the average age of onset for menopause
Estrogen overstimulation
2 months
51 yo
Severe bleeding iron def anemia - miscarriage
40. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
SANS - hypogastric nerve
Peripheral conversion of androgens
Decreasing progesterone
41. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Peripheral conversion of androgens
Dysgerminoma
GnRH from hypoTh - LH and FSH from ant pituitary
42. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Complete
Klinefelter's - XXY
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Ectopic preg
43. What does progesterone do to estrogen receptors
Estradiol and possible growth promoting effects of DHT
6
Inflammatory
Down regulation
44. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Broad ligament
Embryonal carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Suspensory ligament of ovaries
45. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
Krukenburg tumor
Chocolate cyst
Prior c section - inflammation - placenta previa
46. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Fibromas
Choriocarcinoma
Hydrocele
Hemolysis - elevated liver enzymes - low platelets
47. What forms the blood testis barrier?
No
Tight junctions between sertoli cells
Just prior to ovulation
Spermatogonia (germ cells)
48. Large bulky breast mass of connective tissue and cysts with leaf like projections
Ectopic preg
Suspensory ligament of ovaries
Phyllodes tumor
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
49. Arrange the androgens in order of most potent to least potent
Bicornute uterus
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Good - late metastasis
DHT - testosterone - androstenedione
50. What is the treatment for hydatidiform mole
Peripheral conversion of androgens
Smooth muscle
Dilation and curettage and methotrexate
increased AFP and hCG