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Test your basic knowledge |
First Aid: Reproductive
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Subjects
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health-sciences
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first-aid
Instructions:
Answer 50 questions in 15 minutes.
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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 frequent benign ovarian tumor
Preeclampsia
Oligohydramnios
Mature teratoma
Metrorrhagia
2. histo: stratified sqamous epithelium
Ectocervix
Hyperestrogenism
The semiT and the blood vessels
Menopause
3. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Stimulates sertoli cells to produce ABP and inhibin
95%
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Testosterone
4. how can struma ovarri present?
Androgen insensitivity syndrome
95%
Hyperthyroidism - contains functional thyroid tissue
Fibrocystic disease
5. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Adrenal gland
Congenital adrenal hyperplasia - exogenous administration of steroids
Oligomenorrhea
6. What is mortality due to in preeclampsia
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Endometrial carcinoma
Cerebral hemorrhage and ARDS
increased size and tenderness with increased estrogen
7. How does progesterone inhibit sperm entry to uterus
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Production of a thick cervical mucus
HPV 16 - 18
Oligohydramnios
8. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Estradiol
Suspensory ligament of ovaries
Endocervix
Smooth muscle
9. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Fibroadenoma
The centrioles
Koilocytitic
10. Which teratoma - mature or immature - is aggresively malignant
Sarcoma botryoides - a rhabdomyosarcoma variant
Hyperthyroidism - contains functional thyroid tissue
Adolescents
Immature
11. What is the karyotype of a complete mole
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Hypogondadotropic hypogonadism
46 xx
Milk letdown - uterine contractions?
12. dx with increased testosterone and dec LH
Acute mastitis
Testosterone secreting tumor - exogenous steroids
Polyhydramnios
Vagina
13. marked increased hCG - complete or partial
Prostatic acid phosphatase and PSA
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Complete
PCOS
14. From What tissues to malignant breast tumors arise?
Mammary duct epithelium or lobular glands
Peripheral adipose tissue
Low back pain with increased serum alk phos
Seminoma
15. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Ovary
E coli
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
16. Where does prostatic adenocarcinoma arise from?
Hyperestrogenism
Testosterone secreting tumor - exogenous steroids
Periurethral lobes - lateral and middle
Posterior lobe peripheral zone
17. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Ectopic preg
Granulosa cell tumor
Mucinous cystadenocarcinoma
DCIS
18. What are risk factors for placenta acreta
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Prior c section - inflammation - placenta previa
Round ligament of uterus
19. HTN - proteinuria and edema
Preeclampsia
Esophogeal/duodenal atresia - can't swallow - anencephaly
Koilocytitic
1 week - 2 weeks
20. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Right gonadal vein - IVC
Vagina
21. What is the most common form of male pseudoHerm
6
Dilation and curettage and methotrexate
Androgen insensitivity syndrome
No
22. What is a concern of early menopause
Post menopausal
Premature ovarian failure (Pof)
Lateral invasion can block ureters causing renal failure
Myometrial tumors
23. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Smoking - HTN - cocaine
Good - late metastasis
Cerebral hemorrhage and ARDS
Fat necrosis
24. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Stimulation of secretion - but blocks its action at the breast
Choriocarcinoma
Prior c section - inflammation - placenta previa
25. Complications of BPH
Para - aortic lymph nodes
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cells
Golgi
26. What hematologic condition is associated with abruptio placentae
DIC
Relaxation
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Leydig cell tumor
27. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Endometrial carcinoma
Prior c section - multiparity
Theca - leutin cysts
28. What estrogen does the ovary secrete
Esophogeal/duodenal atresia - can't swallow - anencephaly
17beta estradiol
Fat necrosis
Mammary duct epithelium or lobular glands
29. What is a complication of cryptorchidism and why does it occur
Choriocarcinoma
Turner's XO
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hydatidiform mole
30. eclampsia
Abacterial
Round ligament of uterus
Whorled pattern of smooth muscle bundles
Preeclampsia + siezures
31. most common testicular cancer in older men
Prophase
Estradiol > estrone > estriol
Round ligament of the uterus
Testicular lymphoma
32. What changes in the aorta are common in Turner's?
Meigs syndrome
Testosterone secreting tumor - exogenous steroids
Preductal coarctication
Invasive ductal
33. when do primary oocytes complete meiosis I
The anterior pituitary and hypothalamus
Prior c section - inflammation - placenta previa
Smooth muscle
Just prior to ovulation
34. What are the effects of prolactin?
Suckling - increased oxytocin - prolactin
Erythroplasia of Queyrat - carcinoma in situ of penis
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Induces and maintains lactation - decreases reproductive function
35. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma
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36. What is the serum marker for BPH
Congenital adrenal hyperplasia - exogenous administration of steroids
PSA
Fibromas
Delivery of fetus
37. testes present with non male external genitals
Metaphase
Male pseudoHerm
Choriocarcinoma
Endometrial carcinoma
38. histo: simple cuboidal epithelium
Broad ligament
Meigs syndrome
Ovary
Testicular lymphoma
39. What does the SRY gene do
Hemolysis - elevated liver enzymes - low platelets
Testis determining factor
Testosterone - DHT - androstenedione
Prophase
40. Vaginal sqamous cell carcinoma is most often seconday From which site?
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Cervix
Defective androgen receptor
Inflammatory
41. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Superficial inguinal lymph nodes
PCOS
Bicornute uterus
Yolk sace - endodermal sinus - tumor
42. small follicles filled with eosinphilic secretions
Corpus luteum - placenta - adrenal cortex - testes
Bowenoid papulosis - carcinoma in situ of the penis
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Call exner bodies
43. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Squamo - columnar jxn
Sarcoma botryoides - a rhabdomyosarcoma variant
Hydatidiform mole
Abacterial
44. When does spermatogenesis begin?
Puberty
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Decrease
Teratoma
45. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hydatidiform mole
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Post menopausal
46. Uterin fundus to labia majora
HPV 16 - 18
Cystic
Round ligament of uterus
Round ligament of the uterus
47. What does progesterone do to body temp
Delivery of fetus
Inhibition LH and FSH
Increase
Round ligament of uterus
48. dx with increased testosterone and increased LH
Teratoma
Defective androgen receptor
Klinefelter's - XXY
Neoplastic cells block lymphatic drainage
49. What does estrogen stimulate in the endometrium
Serous cystadenoma
Syncytiotrophoblasts of placenta
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Proliferation
50. What are the associated risk factors for malignant breast tumors
Squamous cell carcinoma
Seminoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Hypogondadotropic hypogonadism
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