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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. How is beta hCG detectable in blood or urine for a home pregnancy test
Preeclampsia clinical
1 week - 2 weeks
increased cGMP - smooth muscle relax - vasodltn - proerectile
DRE - hard nodule and biopsy
2. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Dysgerminoma
Paget's disease
Alpha1 antagonists - terazosin - tamsulosin - finasteride
3. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Estradiol and possible growth promoting effects of DHT
51 yo
Choriocarcinoma
46 xx
4. What is the order of events in the menstrual cycle
Delivery of fetus
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Production of a thick cervical mucus
Congenital adrenal hyperplasia - exogenous administration of steroids
5. What does progesterone do in the endometrium
Follicular phase varies - luteal phase is 14
Fertilization 'an egg met a sperm'
Stimulate glandular secretions - and spiral artery development
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
6. What changes in the aorta are common in Turner's?
Proliferation
Embryonal carcinoma
Lobular carcinoma - sclerosing adenosis
Preductal coarctication
7. What does FSH do
Testosterone
Polyhydramnios
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Stimulates sertoli cells to produce ABP and inhibin
8. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Hemorrhage
Invasive lobular
Follicular cyst
Sarcoma botryoides - a rhabdomyosarcoma variant
9. Connects cervix to side wall of pelvis - contains uterine vessels
No
Ligament of the ovary
Cardinal ligament
Complete
10. dx with decreased testosterone - increased LH
increased size and tenderness with increased estrogen
Primary hypogonadism
Mucinous cystadenocarcinoma
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
11. Does a leiomyoma progress to leiosarcoma
Milk letdown - uterine contractions?
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
No
Fat necrosis
12. What cellular structure is the acrosome derived from?
Golgi
Testosterone - DHT - androstenedione
Chocolate cyst
Stimulation of secretion - but blocks its action at the breast
13. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Teratoma
Placenta acreta
69 xxy
Testis determining factor
14. What is the clinical manifestation of PCOS
The ampulla - occurs within 1 day of ovulation
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
increased size and tenderness with increased estrogen
One of the centrioles
15. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
Testosterone - DHT - androstenedione
Male pseudoHerm
Fibroadenoma
16. Breast path - diseases of the lactiferous sinus
Erythroplasia of Queyrat - carcinoma in situ of penis
Cervix
Ectocervix
Intraductal papilloma - breast abscess - mastitis
17. What is the prognosis for seminoma
Round ligament of the uterus
Diploid - 4N - 46 sister chromatids
Erythroplasia of Queyrat - carcinoma in situ of penis
Good - late metastasis
18. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Increased FSH
1000 times
The centrioles
19. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Oligohydramnios
increased risk for carcinoma
Prior c section - multiparity
20. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Granulosa cell - aromatase - androstenedione - estrogen
Krukenburg tumor
Squamous cell carcinoma
Spermatogonia (germ cells)
21. What do sildenafil and vardenafil do?
Preeclampsia + siezures
Immature
PSA
Inhibit cGMP breakdown
22. What is the most common gynecologic malignancy
Embryonal carcinoma
Puberty
Just prior to ovulation
Endometrial carcinoma
23. Which gynecologic tumors have the worst prognosis?
Endometrial carcinoma
Stimulates testosterone release from leydig cells
Ovarian > cervical > endometrial
Hyperthyroidism - contains functional thyroid tissue
24. Breast path - diseases of the stroma
CIN 1 - 2 - 3
Fibroadenoma - phyllodes tumor
No
increased in total - and dec in free fraction
25. How does progesterone inhibit sperm entry to uterus
Cerebral hemorrhage and ARDS
Fat necrosis
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Production of a thick cervical mucus
26. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
69 xxy
Post menopausal bleeding
HPV 16 - 18
27. What are predisposing factors for placenta previa
17beta estradiol
Serous cystadenoma
Prior c section - multiparity
Krukenburg tumor
28. What is the presentation of fibrocystic dz
Female pseudoHerm
Stimulates testosterone release from leydig cells
Prematurity
Prementsrual breast pain and multiple lesions
29. Which nerve and nerve fibers control for ejaculation
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Visceral - somatic nerves in pudendal
Cystic
Induces and maintains lactation - decreases reproductive function
30. What is the lymphatic drainage the ovaries/testis
Female pseudoHerm
Para - aortic lymph nodes
Serous cystadenoma
51 yo
31. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Spermatogonia (germ cells)
Delivery of fetus
Down regulation
Invasive ductal
32. What virus is dyslapsia and carcinoma in situ of the cervix associated with
46 xx
20 to 40
Ectocervix
HPV 16 - 18
33. What does hCG do in the first trimester to maintain the corpus luteum
Retrograde mentrual flow or ascending infection
Pseudohermaphroditism
Mimics LH
Low progesterone
34. Which side is varicocele more common on...
Left
Posterior lobe peripheral zone
Myometrial tumors
Feedback inhibition
35. What metastasis is most common with prostatic adenocarcinoma
Just prior to ovulation
Testosterone
Osteoblastic in bone
Dilation and curettage and methotrexate
36. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Klinefelter's - XXY
Upregulation - LH surge - ovulation
Fibrosis
37. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Testosterone - DHT - androstenedione
Chocolate cyst
Stimulates sertoli cells to produce ABP and inhibin
Smooth muscle
38. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Inhibit cGMP breakdown
Testicular lymphoma
Acute mastitis
39. Is fertility compromised in double Y males?
Ectocervix
Prementsrual breast pain and multiple lesions
Develop both male and female internal genitalia and male external genitalia
No
40. What increase in estriol is an indicator offetal well being in pregnancy
The ampulla - occurs within 1 day of ovulation
Upregulation
1000 times
Inhibit cGMP breakdown
41. Breast path - diseases of the terminal duct
Sertoli cells
Estradiol and possible growth promoting effects of DHT
Tubular carcinoma
Small infiltrating glands with prominent nucleoli
42. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Phyllodes tumor
Androgen insensitivity syndrome
Post menopausal
Squamo - columnar jxn
43. What percentage of testicular tumors are germ cell
Testosterone secreting tumor - exogenous steroids
Dysuria - frequency - urgency - low back pain
95%
Increase in size in pregs - decrease in size meno - estrogen sens
44. What are the 3 androgens
Erythroplasia of Queyrat - carcinoma in situ of penis
Proliferation
Testosterone - DHT - androstenedione
Inhibition LH and FSH
45. Which androgen is responsible for libido
Smoking - HTN - cocaine
Follicular phase varies - luteal phase is 14
Abacterial
Testosterone
46. 2 sperm + empty egg
Oligohydramnios
Complete
5 alpha reductase - inhibited by finesteride
20 to 40
47. What does estrogen to do prolaction
Complete
Fibromas
Stimulation of secretion - but blocks its action at the breast
Blacks
48. Risk factors for ectopic pregs
Decrease
Acute mastitis
Mitochondria
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
49. What are risk factors for abruptio placentae?
Koilocytitic
E coli
Smoking - HTN - cocaine
Fertilization 'an egg met a sperm'
50. testes present with non male external genitals
Male pseudoHerm
Andogren binding protein - anti mullerian hormone
One of the centrioles
Klinefelter's - XXY