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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 many functional sperm does 1 germ cell creat?
Testosterone secreting tumor - exogenous steroids
Sclerosing adenosis
4
Bowen's dz - carcinoma in situ of the penis
2. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Whorled pattern of smooth muscle bundles
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Medullary
3. gynecological tumors from highest incidence to lowest
Testosterone - DHT - androstenedione
Prior c section - inflammation - placenta previa
Preeclampsia clinical
Endometrial > ovarian> cervical (in US)
4. tumor with orderly row of cells - often multiple and bilateral
Partial
Fallopian tube
Increase in size in pregs - decrease in size meno - estrogen sens
Invasive lobular
5. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Stimulates sertoli cells to produce ABP and inhibin
Lateral invasion can block ureters causing renal failure
Intraductal papilloma - breast abscess - mastitis
Androgen insensitivity syndrome - 46 XY
6. Where is the enlargement found in BPH
Mature teratoma
Squamo - columnar jxn
Testis determining factor
Periurethral lobes - lateral and middle
7. In what phase is meiosis II arrested
Stimulate glandular secretions - and spiral artery development
Milk letdown - uterine contractions?
Metaphase
Granulosa cell - aromatase - androstenedione - estrogen
8. increased fluid secondary to incomplete fustion with processus vaginalis
The anterior pituitary and hypothalamus
Sertoli cells - and adipose tissue via aromatase
Hydrocele
Myometrial tumors
9. Increases in which hormone are associated with BPH
Increase (and LH)
Placenta acreta
Estradiol and possible growth promoting effects of DHT
50 times
10. disagreement between the phenotypic and gonadal sex
Broad ligament
Defective androgen receptor
The anterior pituitary and hypothalamus
Pseudohermaphroditism
11. dx with decreased testosterone and decreased LH
Estradiol
Hypogondadotropic hypogonadism
Cervix
Male pseudoHerm
12. What cellular structure is the acrosome derived from?
Fibrocystic disease
Golgi
Mucinous cystadenoma
Periurethral lobes - lateral and middle
13. Breast path - diseases of the terminal duct
Low back pain with increased serum alk phos
Tubular carcinoma
Whorled pattern of smooth muscle bundles
Paget cell
14. Breast path - diseeases of the lobules
Peyronie's dz
Differentiation of penis - scrotum and prostate
Estradiol and possible growth promoting effects of DHT
Lobular carcinoma - sclerosing adenosis
15. Where does LH work - what enzyme works there and what product is secreted
Koilocytitic
Theca cell - desmolase - androstenedione
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Stimulates testosterone release from leydig cells
16. What is the most common pathogen in acute mastitis
Lateral invasion can block ureters causing renal failure
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
S aureus
Menometrorrhagia
17. when do primary oocytes complete meiosis I
Hemolysis - elevated liver enzymes - low platelets
Hypogondadotropic hypogonadism
Just prior to ovulation
Axillary node involvement
18. How is dyslpasi and carcinoma in situ of the cervix classified
Phyllodes tumor
CIN 1 - 2 - 3
Blacks
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
19. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Tight junctions between sertoli cells
Erythroplasia of Queyrat - carcinoma in situ of penis
Medullary
20. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Right gonadal vein - IVC
Suspensory ligament of ovaries
Spermatogonia (germ cells)
Upregulation
21. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Varicocele
Proliferation
increased cGMP - smooth muscle relax - vasodltn - proerectile
22. Where does fertilization most commonly occur?
Testosterone
BPH
The ampulla - occurs within 1 day of ovulation
Congenital adrenal hyperplasia - exogenous administration of steroids
23. What does gynecomastia result from?
Hyperestrogenism
CIN 1 - 2 - 3
Testosterone
Upregulation - LH surge - ovulation
24. Breast path - diseases of the stroma
Granulosa cell tumor
Stimulates sertoli cells to produce ABP and inhibin
Fibroadenoma - phyllodes tumor
increased Ca in - smooth muscle contraction - vasocxn - antierectile
25. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma
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26. What is the order of events in the menstrual cycle
Puberty
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Yolk sace - endodermal sinus - tumor
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
27. What are the treatments for PCOS
Increased FSH
Leydig cell tumor
Intraductal papilloma
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
28. What do sildenafil and vardenafil do?
Adolescents
Inhibit cGMP breakdown
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
DCIS
29. How does endometrial hyperplasia manifest clinically
Serous cystadenoma
Paget's disease
Post menopausal bleeding
PCOS
30. distention of unruptured graafian follicle
IV mag sulfate - diazepam
Posterior lobe peripheral zone
1000 times
Follicular cyst
31. what metabolic disorder is assocaited with PCOS
Estrogen overstimulation
Insulin resistance
Aortic bicuspid valve
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
32. What does estrogen do to FSH and LH
Feedback inhibition
Just prior to ovulation
Chromosomal abnormalities
Paget cell
33. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
The semiT and the blood vessels
1 week - 2 weeks
Polyhydramnios
Obdurator - exterinal iliac - hypogastic nodes
34. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sarcoma botryoides - a rhabdomyosarcoma variant
Bowenoid papulosis - carcinoma in situ of the penis
Embryonal carcinoma
Maintenance
35. What occurs to a fibroadenoma during pregnancy and menstruation and why
Bowenoid papulosis - carcinoma in situ of the penis
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Smooth muscle
increased size and tenderness with increased estrogen
36. What does progesterone do to estrogen receptors
DRE - hard nodule and biopsy
Induces and maintains lactation - decreases reproductive function
Prior c section - multiparity
Down regulation
37. When is follicular growth the fastest?
95%
Endocervix
Milk letdown - uterine contractions?
2nd week of proliferative phase
38. What is the prognosis for seminoma
2nd week of proliferative phase
Good - late metastasis
DRE - hard nodule and biopsy
Polyhydramnios
39. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Inhibition LH and FSH
Metaphase
Preeclampsia clinical
Blacks
40. What does estrogen do to estrogen - LH and progesterone recepotrs
increased AFP and hCG
Upregulation
Sertoli cells - and adipose tissue via aromatase
increased Ca in - smooth muscle contraction - vasocxn - antierectile
41. dilated epididymal duct
Prior c section - multiparity
Theca cell - desmolase - androstenedione
51 yo
Spermatocele
42. frequent bu irregular cycles
Metrorrhagia
Corpus luteum - placenta - adrenal cortex - testes
Hypogondadotropic hypogonadism
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
43. What happens to a leiomyoma in pregs and menopause and why
Paget cell
Adolescents
IV mag sulfate - diazepam
Increase in size in pregs - decrease in size meno - estrogen sens
44. What is a complication of invasive carcinoma
Lobular carcinoma - sclerosing adenosis
Lateral invasion can block ureters causing renal failure
Severe bleeding iron def anemia - miscarriage
Choriocarcinoma
45. histologic type of fibrocystic with hyperplasia of breast stroma
Brenner tumor
Left
Whorled pattern of smooth muscle bundles
Fibrosis
46. Arrange the androgens in order of most potent to least potent
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
DHT - testosterone - androstenedione
Peripheral conversion of androgens
Round ligament of uterus
47. What is the karyotype of a partial mole
Testis determining factor
Axillary node involvement
69 xxy
Milk letdown - uterine contractions?
48. What does estrogen to do prolaction
Low back pain with increased serum alk phos
Induces and maintains lactation - decreases reproductive function
Stimulation of secretion - but blocks its action at the breast
Paget cell
49. In What age group are ovarian germ cell tumors most common
Immature
Female pseudoHerm
Adolescents
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
50. How does progesterone inhibit sperm entry to uterus
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Production of a thick cervical mucus
Increase
Male pseudoHerm