Test your basic knowledge |

First Aid: Reproductive

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. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Ligament of the ovary
Mittelschmerz syndrome
Premature ovarian failure (Pof)
Superficial inguinal lymph nodes

2. tumor is ductal with caseous necrosis
Mucinous cystadenocarcinoma
Inhibition LH and FSH
Comedocarcinoma
Milk letdown - uterine contractions?

3. histo: simple cuboidal epithelium
Ovary
Lobular carcinoma - sclerosing adenosis
Testosterone
Inhibit FSH

4. What common valvular abnormality is common in Turner's
Theca cell - desmolase - androstenedione
Serous cystadenoma
Develop both male and female internal genitalia and male external genitalia
Aortic bicuspid valve

5. most common testicular cancer in older men
Testis determining factor
Premature ovarian failure (Pof)
Testicular lymphoma
Endometriosis

6. Which side is varicocele more common on...
E coli
Ovarian > cervical > endometrial
Squamous cell carcinoma
Left

7. in postmenopausal women Where is androstenedione converted to estrone
Prementsrual breast pain and multiple lesions
Peripheral adipose tissue
HPV 16 - 18
Prostatic acid phosphatase and PSA

8. what usually causes endometrial hyperplasia
Prophase
Smoking - HTN - cocaine
Asia - Africa - S. America - HPV - lack of circumcision
Estrogen overstimulation

9. distention of unruptured graafian follicle
increased Ca in - smooth muscle contraction - vasocxn - antierectile
5 alpha reductase def
Follicular cyst
Menometrorrhagia

10. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Tubular carcinoma
Sclerosing adenosis
Axillary node involvement
Decreasing progesterone

11. What hormones regulate sperm creation?
Multiple sexual partners - also HIV and early sexual intercourse
GnRH from hypoTh - LH and FSH from ant pituitary
Krukenburg tumor
Stimulation of secretion - but blocks its action at the breast

12. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
CIN 1 - 2 - 3
6
Broad ligament
Peyronie's dz

13. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Hyperestrogenism
Posterior lobe peripheral zone
No

14. In what phase is meiosis I arrested
Ovary
Prophase
Multiple sexual partners - also HIV and early sexual intercourse
Calcifications

15. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
4
Intraductal papilloma - breast abscess - mastitis

16. What increases the risk of cryptorchidism
Prematurity
Oligomenorrhea
Chromosomal abnormalities
95%

17. dilated epididymal duct
Differentiation of penis - scrotum and prostate
Call exner bodies
Spermatocele
Endometrial > ovarian> cervical (in US)

18. Increases in which hormone are associated with BPH
Testis determining factor
Down regulation
Estradiol and possible growth promoting effects of DHT
increased risk for carcinoma

19. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Proliferation
Complete
Mittelschmerz syndrome
Small infiltrating glands with prominent nucleoli

20. What do leydig cells secrete?
Testosterone
Mimics LH
Haploid - 2N - 23 sister chromatids
Acute mastitis

21. Which androgen is responsible for the deepening of the voice
Cerebral hemorrhage and ARDS
Testosterone
17beta estradiol
No

22. Overexpression of which receptors is common iwht malignant breast tumors
Fat necrosis
Vagina
Induces and maintains lactation - decreases reproductive function
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

23. premature detachment of placenta from implantation site leading to fetal death
Cervix
Inhibition LH and FSH
Klinefelter's - XXY
Abruptio placentae

24. How many functional sperm does 1 germ cell creat?
Testis determining factor
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
4
Round ligament of the uterus

25. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Tight junctions between sertoli cells
In the 6th decade of life
Choriocarcinoma

26. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Mucinous cystadenocarcinoma
Embryonal carcinoma
PCOS
Theca - leutin cysts

27. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Peripheral adipose tissue
Lateral invasion can block ureters causing renal failure
Fibrosis

28. How is prostatic adenocarcinoma diagnosed
Choriocarcinoma
DRE - hard nodule and biopsy
Small infiltrating glands with prominent nucleoli
Hypogondadotropic hypogonadism

29. common cause of recurrent miscarriage in 1st trimester
Chromosomal abnormalities
Complete
Fibrosis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

30. What is the lymphatic drainage the ovaries/testis
Down regulation
Mammary duct epithelium or lobular glands
Andogren binding protein - anti mullerian hormone
Para - aortic lymph nodes

31. What structures does testosterone negatively feedback on?
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
The anterior pituitary and hypothalamus
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Dysuria - frequency - urgency - low back pain

32. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Corpus luteum cyst
Choriocarcinoma
Defective androgen receptor

33. histo: simple columnar epithelium - pseudostratified tubular glands
CIN 1 - 2 - 3
Uterus
Acute mastitis
Endometriosis

34. Breast path - diseases of the major duct
Preductal coarctication
Fibrcystic change - ductal cancer
1 week - 2 weeks
Immature

35. Breast path - diseases of the lactiferous sinus
Congenital adrenal hyperplasia - exogenous administration of steroids
E coli
Inhibit cGMP breakdown
Intraductal papilloma - breast abscess - mastitis

36. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Stimulate glandular secretions - and spiral artery development
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Estradiol
5 alpha reductase def

37. Where is testosterone secreted into?
Diploid - 4N - 46 sister chromatids
Peripheral conversion of androgens
DCIS
The semiT and the blood vessels

38. <0.5 L of amniotic fluid
Premature ovarian failure (Pof)
Hemolysis - elevated liver enzymes - low platelets
Fibromas
Oligohydramnios

39. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Sertoli cells
Epithelial hyperplasia
Develop both male and female internal genitalia and male external genitalia
Alpha1 antagonists - terazosin - tamsulosin - finasteride

40. What is the expected increase of estradiol and estrone in pregnancy
Uterus
No
50 times
Testosterone

41. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Multiple sexual partners - also HIV and early sexual intercourse
Asia - Africa - S. America - HPV - lack of circumcision
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

42. What stimulation after labor induces lactation
Decreasing progesterone
Inhibition of HCG access
Inflammatory
Obdurator - exterinal iliac - hypogastic nodes

43. What does gynecomastia result from?
5 alpha reductase def
Stimulates testosterone release from leydig cells
Hyperestrogenism
Stimulates sertoli cells to produce ABP and inhibin

44. 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
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Seminoma
DRE - hard nodule and biopsy
Testosterone

45. What are the risk factors for endometrial hyperplasia
Slight increase - 1.5 to 2
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Stimulation of secretion - but blocks its action at the breast
Andogren binding protein - anti mullerian hormone

46. How is dyslpasi and carcinoma in situ of the cervix classified
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Whorled pattern of smooth muscle bundles
CIN 1 - 2 - 3
Hemorrhage

47. What is the source of estrogen after menopause
Aortic bicuspid valve
Testis determining factor
Bicornute uterus
Peripheral conversion of androgens

48. What is a complication of invasive carcinoma
Syncytiotrophoblasts of placenta
Adenomyosis
Lateral invasion can block ureters causing renal failure
Sertoli cells - and adipose tissue via aromatase

49. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Fertilization 'an egg met a sperm'
Placenta acreta
Induces and maintains lactation - decreases reproductive function

50. What is DHT responsible for in early development?
Ovary
Whorled pattern of smooth muscle bundles
Differentiation of penis - scrotum and prostate
Bowenoid papulosis - carcinoma in situ of the penis