Test your basic knowledge |

First Aid: Reproductive

Subjects : health-sciences, 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. Bent penis due to acquired fibrous tissue formation

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2. endometrium within the myometrium
5 alpha reductase def
Adenomyosis
Testosterone
Sclerosing adenosis

3. In what group are malignant breast tumors most commonly seen
Tubular carcinoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
IV mag sulfate - diazepam
Post menopausal

4. Connects ovary to lateral uterus
Feedback inhibition
Ligament of the ovary
Vagina
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

5. Which teratoma - mature or immature - is aggresively malignant
Immature
Post menopausal bleeding
Increase in size in pregs - decrease in size meno - estrogen sens
2nd week of proliferative phase

6. What are predisposing factors for placenta previa
5 alpha reductase def
Prior c section - multiparity
Call exner bodies
Milk letdown - uterine contractions?

7. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Comedocarcinoma
Delivery of fetus
The centrioles
Upregulation - LH surge - ovulation

8. <0.5 L of amniotic fluid
Fructose
Oligohydramnios
Estradiol and possible growth promoting effects of DHT
Corpus luteum - placenta - adrenal cortex - testes

9. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Hyperthyroidism - contains functional thyroid tissue
Peripheral conversion of androgens
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

10. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Testosterone
Male pseudoHerm
Leydig cell tumor
Cerebral hemorrhage and ARDS

11. Does a leiomyoma progress to leiosarcoma
Choriocarcinoma
No
During fetal life
increased Ca in - smooth muscle contraction - vasocxn - antierectile

12. From What tissues to malignant breast tumors arise?
One of the centrioles
Trophoblasts
Spermatogonia (germ cells)
Mammary duct epithelium or lobular glands

13. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Down regulation
Testosterone
One of the centrioles

14. When is follicular growth the fastest?
Ectopic preg
2nd week of proliferative phase
Proliferation
Hypogondadotropic hypogonadism

15. What converts testosterone to DHT
Increase
5 alpha reductase - inhibited by finesteride
PANS - pelvic nerve
Para - aortic lymph nodes

16. What does estrogen stimulate in the endometrium
Haploid - 2N - 23 sister chromatids
Premature ovarian failure (Pof)
Teratoma
Proliferation

17. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Stimulation of secretion - but blocks its action at the breast
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Uterus
Choriocarcinoma

18. Arrange the androgens in order of most potent to least potent
Testosterone
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
DHT - testosterone - androstenedione
Intraductal papilloma - breast abscess - mastitis

19. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Theca cell - desmolase - androstenedione
Lobular carcinoma - sclerosing adenosis
Slight increase - 1.5 to 2

20. Which nerve and nerve fibers control for ejaculation
Inhibition of HCG access
Visceral - somatic nerves in pudendal
Follicular phase varies - luteal phase is 14
GnRH from hypoTh - LH and FSH from ant pituitary

21. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Neoplastic cells block lymphatic drainage
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Upregulation - LH surge - ovulation
Polymenorrhea

22. Which androgen is responsible for the deepening of the voice
Testosterone
Leydig cell tumor
Mucinous cystadenoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

23. frequent bu irregular cycles
Corpus luteum - placenta - adrenal cortex - testes
Fibrocystic disease
Low progesterone
Metrorrhagia

24. Where is testosterone converted to estrogen
Small infiltrating glands with prominent nucleoli
Sertoli cells - and adipose tissue via aromatase
Teratoma
SANS - hypogastric nerve

25. Uterin fundus to labia majora
Round ligament of uterus
Dysuria - frequency - urgency - low back pain
increased in total - and dec in free fraction
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

26. What are the four functions of estrogen
Peyronie's dz
Adrenal gland
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Epithelial hyperplasia

27. triad of ovarian fibroma - ascites - hydrothorax
Just prior to ovulation
Meigs syndrome
Metaphase
Peyronie's dz

28. 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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29. disagreement between the phenotypic and gonadal sex
Ectocervix
Low back pain with increased serum alk phos
Pseudohermaphroditism
Stimulates testosterone release from leydig cells

30. What is HELLP syndrome
95%
Fibroadenoma - phyllodes tumor
Hemolysis - elevated liver enzymes - low platelets
PCOS

31. Vaginal sqamous cell carcinoma is most often seconday From which site?
Choriocarcinoma
Blacks
Endocervix
Cervix

32. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Preeclampsia clinical
One of the centrioles
Follicular phase varies - luteal phase is 14
S aureus

33. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Slight increase - 1.5 to 2
Sclerosing adenosis
Proliferation
Osteoblastic in bone

34. How does endometriosis cause infertility
Cardinal ligament
Retrograde mentrual flow or ascending infection
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Placenta acreta

35. common cause of recurrent miscarriage in 1st trimester
Ectocervix
Chromosomal abnormalities
Ovarian > cervical > endometrial
Sclerosing adenosis

36. What is the best test to confirm menopause
Increased FSH
Erythroplasia of Queyrat - carcinoma in situ of penis
Preductal coarctication
Squamo - columnar jxn

37. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
Yolk sace - endodermal sinus - tumor
Menopause
Sertoli cell tumor

38. small - mobile - firm breast mass with sharp edges - most common in <25
Fibroadenoma
Superficial inguinal lymph nodes
Choriocarcinoma
4

39. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Choriocarcinoma
Inhibition of HCG access
46 xx
Mucinous cystadenocarcinoma

40. hemorrhage into persistent corpus luteum
Decrease
Chromosomal abnormalities
Turner's XO
Corpus luteum cyst

41. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
55-65
Endometrial > ovarian> cervical (in US)
Serous cystadenoma
Hyperthyroidism - contains functional thyroid tissue

42. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Complete
Varicocele
Endocervix

43. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
GnRH from hypoTh - LH and FSH from ant pituitary
Golgi
Placenta acreta
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

44. >1.5 -2 L of amniotic fluid
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Female pseudoHerm
Post menopausal
Polyhydramnios

45. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Serous cystadenoma
The ampulla - occurs within 1 day of ovulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

46. What is a complication of cryptorchidism and why does it occur
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Relaxation
Proliferation
Yolk sac - endodermal sinus - tumor

47. Which side is varicocele more common on...
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Good - late metastasis
Left
Polyhydramnios

48. What do sildenafil and vardenafil do?
Tunica vaginalis lesions
Inhibit cGMP breakdown
Hydatidiform mole
Dysuria - frequency - urgency - low back pain

49. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Choriocarcinoma
No
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

50. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Multiple sexual partners - also HIV and early sexual intercourse
Suspensory ligament of ovaries
Testosterone - DHT - androstenedione