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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 is the most common gynecologic malignancy
Right gonadal vein - IVC
Endometrial carcinoma
Ectocervix
Myometrial invasion
2. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases
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3. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Theca - leutin cysts
Obdurator - exterinal iliac - hypogastic nodes
Just prior to ovulation
Aortic bicuspid valve
4. > 35 day cycle
1000 times
Oligomenorrhea
Granulosa cell - aromatase - androstenedione - estrogen
Defective androgen receptor
5. multilocular cyst lined by mucus secreting epi - benign - intestine like
The ampulla - occurs within 1 day of ovulation
Mucinous cystadenoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Multiple sexual partners - also HIV and early sexual intercourse
6. what structures supplies the energy to the middle piece (neck)
Blacks
Turner's XO
Posterior lobe peripheral zone
Mitochondria
7. common cause of recurrent miscarriage in 1st trimester
Right gonadal vein - IVC
Medullary
Chromosomal abnormalities
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
8. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Mittelschmerz syndrome
Andogren binding protein - anti mullerian hormone
69 xxy
PCOS
9. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Cerebral hemorrhage and ARDS
Sclerosing adenosis
Comedocarcinoma
S aureus
10. What forms the blood testis barrier?
Testicular lymphoma
SANS - hypogastric nerve
Tight junctions between sertoli cells
Varicocele
11. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Hypogondadotropic hypogonadism
Fallopian tube
Immature
Invasive ductal
12. When does the secondary oocyte complete meosis II
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13. what metabolic disorder is assocaited with PCOS
increased size and tenderness with increased estrogen
Insulin resistance
Suspensory ligament of ovaries
Spermatogonia (germ cells)
14. What is the most frequent benign ovarian tumor
Inhibit FSH
5 alpha reductase def
Mature teratoma
Yolk sac - endodermal sinus - tumor
15. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
50 times
Round ligament of the uterus
Serous cystadenocarcinoma
Endocervix
16. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Fibrocystic disease
Corpus luteum cyst
Choriocarcinoma
17. What are the useful tumor parkers in prostatic adenocarcinoma
Prostatic acid phosphatase and PSA
Dilation and curettage and methotrexate
increased in total - and dec in free fraction
Complete
18. What cellular structure is the acrosome derived from?
Complete
Upregulation - LH surge - ovulation
Golgi
Differentiation of penis - scrotum and prostate
19. Which cells secrete beta hCG
Neoplastic cells block lymphatic drainage
Trophoblasts
Superficial inguinal lymph nodes
Spermatogonia (germ cells)
20. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Testicular lymphoma
Inhibit cGMP breakdown
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
21. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma
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22. What does hCG do in the first trimester to maintain the corpus luteum
No
Acute mastitis
50 times
Mimics LH
23. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Inhibit FSH
Complete
Defective androgen receptor
Upregulation - LH surge - ovulation
24. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Fibromas
Mittelschmerz syndrome
Defective androgen receptor
Cerebral hemorrhage and ARDS
25. >1.5 -2 L of amniotic fluid
Polyhydramnios
Suspensory ligament of ovaries
Prophase
Polymenorrhea
26. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Preeclampsia + siezures
Squamo - columnar jxn
Abruptio placentae
27. What changes are seen with total PSA and fraction of free PSA
The ampulla - occurs within 1 day of ovulation
Stimulates sertoli cells to produce ABP and inhibin
Production of a thick cervical mucus
increased in total - and dec in free fraction
28. How is prostatic adenocarcinoma diagnosed
Testosterone
Acute mastitis
DRE - hard nodule and biopsy
Lobular carcinoma - sclerosing adenosis
29. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Estradiol
Alpha1 antagonists - terazosin - tamsulosin - finasteride
55-65
30. In what phase is meiosis II arrested
Phyllodes tumor
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
20 to 40
Metaphase
31. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Male pseudoHerm
Menopause
PANS - pelvic nerve
DCIS
32. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hypogondadotropic hypogonadism
Hydatidiform mole
Mucinous cystadenocarcinoma
Spermatogonia (germ cells)
33. What is the treatment for preeclampsia
Theca cell - desmolase - androstenedione
Low progesterone
5 alpha reductase - inhibited by finesteride
Delivery of fetus
34. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Choriocarcinoma
Follicular cyst
Abacterial
35. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Female pseudoHerm
The anterior pituitary and hypothalamus
Testosterone
Stimulation of secretion - but blocks its action at the breast
36. Which androgen is responsible for libido
increased AFP and hCG
Placenta acreta
Slight increase - 1.5 to 2
Testosterone
37. What are risk factors for abruptio placentae?
Abacterial
Erythroplasia of Queyrat - carcinoma in situ of penis
Choriocarcinoma
Smoking - HTN - cocaine
38. In what phase is meiosis I arrested
Prophase
Hemolysis - elevated liver enzymes - low platelets
increased cGMP - smooth muscle relax - vasodltn - proerectile
Axillary node involvement
39. What is the presentation of fibrocystic dz
Seminoma
Prementsrual breast pain and multiple lesions
Left gonadal vein - left renal vein - IVC
Preeclampsia
40. What sequelae are associated with leiomyoma
Sclerosing adenosis
Severe bleeding iron def anemia - miscarriage
One of the centrioles
Serous cystadenocarcinoma
41. When are phyllodes tumors most common
Prior c section - inflammation - placenta previa
PSA
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
In the 6th decade of life
42. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Preeclampsia + siezures
Intraductal papilloma
Granulosa cell - aromatase - androstenedione - estrogen
Stimulates sertoli cells to produce ABP and inhibin
43. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Endometrial > ovarian> cervical (in US)
Varicocele
Abacterial
Obdurator - exterinal iliac - hypogastic nodes
44. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
increased AFP and hCG
increased size and tenderness with increased estrogen
Golgi
45. in males - are mature teratomas malignant? What is the case for females
Complete
IV mag sulfate - diazepam
Klinefelter's - XXY
Malignant in males not in females
46. What does inhibin do?
increased cGMP - smooth muscle relax - vasodltn - proerectile
Preeclampsia clinical
Inhibit FSH
Testosterone
47. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Multiple sexual partners - also HIV and early sexual intercourse
The centrioles
Calcifications
Fibromas
48. when do primary oocytes begin meiosis I
Corpus luteum - placenta - adrenal cortex - testes
During fetal life
50 times
Serous cystadenoma
49. Dermal lymphatic invasion by breast carcinoma - peu d orange
Corpus luteum - placenta - adrenal cortex - testes
Inflammatory
Testosterone
Fertilization 'an egg met a sperm'
50. What is the venous drainage of the left ovary/testis?
No
Trophoblasts
Maintenance
Left gonadal vein - left renal vein - IVC