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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 lymphatic drainage of the proximal 2/3 of the vagina/uterus
CIN 1 - 2 - 3
Obdurator - exterinal iliac - hypogastic nodes
E coli
Serous cystadenoma
2. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
BPH
Fibrocystic disease
5 alpha reductase def
3. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
55-65
Prementsrual breast pain and multiple lesions
Preeclampsia + siezures
4. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Peripheral adipose tissue
Obdurator - exterinal iliac - hypogastic nodes
Fibromas
Adolescents
5. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Cerebral hemorrhage and ARDS
Ectocervix
Menometrorrhagia
6. What are the useful tumor parkers in prostatic adenocarcinoma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Prostatic acid phosphatase and PSA
Post menopausal bleeding
Androgen insensitivity syndrome
7. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Andogren binding protein - anti mullerian hormone
Round ligament of the uterus
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Intraductal papilloma - breast abscess - mastitis
8. What percentage of testicular tumors are germ cell
Theca cell - desmolase - androstenedione
95%
Congenital adrenal hyperplasia - exogenous administration of steroids
1000 times
9. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Lobular carcinoma - sclerosing adenosis
S aureus
10. What is the typical cell change in HPV infection
increased AFP and hCG
Differentiation of penis - scrotum and prostate
Koilocytitic
Theca cell - desmolase - androstenedione
11. Arrange the androgens in order of most potent to least potent
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Granulosa cell - aromatase - androstenedione - estrogen
DHT - testosterone - androstenedione
Upregulation - LH surge - ovulation
12. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Phyllodes tumor
Bowenoid papulosis - carcinoma in situ of the penis
Invasive lobular
Stimulation of secretion - but blocks its action at the breast
13. Red velvety plaques - usually involving the glans - similar to Bowen's
Erythroplasia of Queyrat - carcinoma in situ of penis
Uterus
PSA
Testosterone
14. What is the main source of energy for spermatozoa
Fructose
Complete
Squamo - columnar jxn
Periurethral lobes - lateral and middle
15. What is HELLP syndrome
Squamo - columnar jxn
Hemolysis - elevated liver enzymes - low platelets
Phyllodes tumor
Low back pain with increased serum alk phos
16. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Epithelial hyperplasia
Oligohydramnios
Increase
Granulosa cell - aromatase - androstenedione - estrogen
17. List the estrogens in order of decreasing potency
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
The anterior pituitary and hypothalamus
Estradiol > estrone > estriol
SANS - hypogastric nerve
18. What is a concern of early menopause
Complete
Premature ovarian failure (Pof)
Delivery of fetus
Prophase
19. What is indicative of a poor prognosis for endometrial carcinoma
Bicornute uterus
Milk letdown - uterine contractions?
Myometrial invasion
Decreasing progesterone
20. testes present with non male external genitals
Mucinous cystadenocarcinoma
Mittelschmerz syndrome
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Male pseudoHerm
21. What is the pattern seen in leiomyoma
Whorled pattern of smooth muscle bundles
Prophase
Andogren binding protein - anti mullerian hormone
Prior c section - inflammation - placenta previa
22. What does progesterone do to myometrial excitability
Decrease
Osteoblastic in bone
Superficial inguinal lymph nodes
Premature ovarian failure (Pof)
23. histo: simple columnar epithelium
Endometrial carcinoma
Endocervix
Preductal coarctication
Paget's disease
24. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Testosterone
Follicular phase varies - luteal phase is 14
Comedocarcinoma
25. What structures does testosterone negatively feedback on?
DHT - testosterone - androstenedione
The anterior pituitary and hypothalamus
IV mag sulfate - diazepam
GnRH from hypoTh - LH and FSH from ant pituitary
26. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
increased risk for carcinoma
Invasive ductal
Hypogondadotropic hypogonadism
PANS - pelvic nerve
27. What does inhibin do?
Testicular lymphoma
Haploid - 2N - 23 sister chromatids
Inhibit FSH
Corpus luteum - placenta - adrenal cortex - testes
28. What is the most frequent benign ovarian tumor
The centrioles
Mature teratoma
Proliferation
Haploid - 2N - 23 sister chromatids
29. Where is SCC of the penis more common and What is it associated with
Aortic bicuspid valve
Sclerosing adenosis
Paget cell
Asia - Africa - S. America - HPV - lack of circumcision
30. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
4
Vagina
50 times
31. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Medullary
Epithelial hyperplasia
Mitochondria
Klinefelter's - XXY
32. When does spermatogenesis begin?
Puberty
Inhibit FSH
In the 6th decade of life
Hypogondadotropic hypogonadism
33. Vaginal sqamous cell carcinoma is most often seconday From which site?
Syncytiotrophoblasts of placenta
Decrease
Cervix
Suspensory ligament of ovaries
34. disagreement between the phenotypic and gonadal sex
Premature ovarian failure (Pof)
Broad ligament
Acute mastitis
Pseudohermaphroditism
35. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
BPH
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Congenital adrenal hyperplasia - exogenous administration of steroids
Seminoma
36. What does gynecomastia result from?
Right gonadal vein - IVC
Left gonadal vein - left renal vein - IVC
Prior c section - multiparity
Hyperestrogenism
37. What do sildenafil and vardenafil do?
Serous cystadenocarcinoma
Axillary node involvement
Endometrial carcinoma
Inhibit cGMP breakdown
38. tumor with orderly row of cells - often multiple and bilateral
Maintenance
Develop both male and female internal genitalia and male external genitalia
increased cGMP - smooth muscle relax - vasodltn - proerectile
Invasive lobular
39. dx with decreased testosterone - increased LH
Cervix
Myometrial tumors
Primary hypogonadism
Dysgerminoma
40. Testosterone and estrogen in androgen insensitivity syndrome
Mittelschmerz syndrome
Increase (and LH)
PANS - pelvic nerve
6
41. multilocular cyst lined by mucus secreting epi - benign - intestine like
Periurethral lobes - lateral and middle
Para - aortic lymph nodes
Whorled pattern of smooth muscle bundles
Mucinous cystadenoma
42. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Alpha1 antagonists - terazosin - tamsulosin - finasteride
46 xx
Develop both male and female internal genitalia and male external genitalia
43. Where does LH work - what enzyme works there and what product is secreted
Inhibit cGMP breakdown
Theca cell - desmolase - androstenedione
increased size and tenderness with increased estrogen
1000 times
44. What effect does NO have on smooth muscle in erectile tissues
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
The anterior pituitary and hypothalamus
increased cGMP - smooth muscle relax - vasodltn - proerectile
Krukenburg tumor
45. What increases risk for endometrial carcinoma
Suckling - increased oxytocin - prolactin
Complete
Metaphase
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
46. Is fertility compromised in double Y males?
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
No
5 alpha reductase - inhibited by finesteride
Differentiation of penis - scrotum and prostate
47. What is the expected increase of estradiol and estrone in pregnancy
Medullary
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Serous cystadenocarcinoma
50 times
48. common cause of recurrent miscarriage in 1st trimester
Upregulation
Just prior to ovulation
Preductal coarctication
Chromosomal abnormalities
49. What does estrogen stimulate in the endometrium
Proliferation
Retrograde mentrual flow or ascending infection
IV mag sulfate - diazepam
HPV 16 - 18
50. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
No
Serous cystadenoma
PCOS
increased in total - and dec in free fraction
Sorry!:) No result found.
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