SUBJECTS
|
BROWSE
|
CAREER CENTER
|
POPULAR
|
JOIN
|
LOGIN
Business Skills
|
Soft Skills
|
Basic Literacy
|
Certifications
About
|
Help
|
Privacy
|
Terms
|
Email
Search
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. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Mucinous cystadenoma
Stimulation of secretion - but blocks its action at the breast
Testosterone
2. What pathologic states cause increases in hCG
Fructose
Axillary node involvement
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Dilation and curettage and methotrexate
3. When is follicular growth the fastest?
5 alpha reductase def
2nd week of proliferative phase
46 xx
Preeclampsia clinical
4. decreased estrogen production due to age linked decline in the number of ovarian follices
50 times
Medullary
6
Menopause
5. heavy - irregular menstruation at irregular intervals
Epithelial hyperplasia
DES in utero (DES is a sythetic estrogen)
Fibrosis
Menometrorrhagia
6. Where does LH work - what enzyme works there and what product is secreted
Theca cell - desmolase - androstenedione
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Prostatic acid phosphatase and PSA
Testis determining factor
7. List the estrogens in order of decreasing potency
Delivery of fetus
HPV 16 - 18
Para - aortic lymph nodes
Estradiol > estrone > estriol
8. Complication of retained placental tissue
Complete
Hemorrhage
Sertoli cell tumor
46 xx
9. Connects ovary to lateral uterus
Menometrorrhagia
Peyronie's dz
Sertoli cell tumor
Ligament of the ovary
10. Where does fertilization most commonly occur?
The ampulla - occurs within 1 day of ovulation
Calcifications
CIN 1 - 2 - 3
Phyllodes tumor
11. What does estrogen stimulate in the endometrium
Primary hypogonadism
Increase
Decrease
Proliferation
12. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Tight junctions between sertoli cells
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Para - aortic lymph nodes
13. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Fibrocystic disease
Serous cystadenoma
Myometrial tumors
14. What does estrogen do to FSH and LH
Seminoma
Puberty
Feedback inhibition
Androgen insensitivity syndrome - 46 XY
15. What is the average age of onset for menopause
Epithelial hyperplasia
DRE - hard nodule and biopsy
51 yo
IV mag sulfate - diazepam
16. histo: simple columnar epithelium - ciliated
Fallopian tube
Testis determining factor
Endometriosis
20 to 40
17. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
During fetal life
Low back pain with increased serum alk phos
Mature teratoma
Blacks
18. Increases in which hormone are associated with BPH
Round ligament of the uterus
Estradiol and possible growth promoting effects of DHT
Obdurator - exterinal iliac - hypogastic nodes
Slight increase - 1.5 to 2
19. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Hydrocele
Cervix
Stimulate glandular secretions - and spiral artery development
20. What are the pathologic features of leiosarcoma
Increase (and LH)
The semiT and the blood vessels
Endometrial carcinoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
21. How is prostatic adenocarcinoma diagnosed
DRE - hard nodule and biopsy
Obdurator - exterinal iliac - hypogastic nodes
Posterior lobe peripheral zone
Ligament of the ovary
22. small - mobile - firm breast mass with sharp edges - most common in <25
Estradiol and possible growth promoting effects of DHT
Fibroadenoma
50 times
DHT - testosterone - androstenedione
23. What are risk factors for abruptio placentae?
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
The anterior pituitary and hypothalamus
Smoking - HTN - cocaine
Adenomyosis
24. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Superficial inguinal lymph nodes
The centrioles
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Placenta acreta
25. How does endometrial hyperplasia manifest clinically
Dilation and curettage and methotrexate
Preductal coarctication
Post menopausal bleeding
Serous cystadenoma
26. Where is the enlargement found in BPH
Stimulation of secretion - but blocks its action at the breast
Menometrorrhagia
Periurethral lobes - lateral and middle
CIN 1 - 2 - 3
27. Which teratoma - mature or immature - is aggresively malignant
Andogren binding protein - anti mullerian hormone
Immature
Endometrial > ovarian> cervical (in US)
Testis determining factor
28. What increases risk for endometrial carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Preeclampsia
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cell tumor
29. histo: stratified squamous epithelium - nonkeratinized
Vagina
Good - late metastasis
Low progesterone
Syncytiotrophoblasts of placenta
30. What serum markers are associated with embyronal carcinoma
Premature ovarian failure (Pof)
Prematurity
increased AFP and hCG
Intraductal papilloma
31. Which androgen is responsible for the deepening of the voice
Estradiol
Testosterone
Ovary
Intraductal papilloma
32. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Tight junctions between sertoli cells
Endometriosis
Round ligament of the uterus
Androgen insensitivity syndrome
33. Breast path - diseases of the terminal duct
Preeclampsia + siezures
Endometrial carcinoma
Follicular phase varies - luteal phase is 14
Tubular carcinoma
34. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
Brenner tumor
Small infiltrating glands with prominent nucleoli
6
35. What structures does testosterone negatively feedback on?
Congenital adrenal hyperplasia - exogenous administration of steroids
Acute mastitis
In the 6th decade of life
The anterior pituitary and hypothalamus
36. dx with increased testosterone and dec LH
Stimulates testosterone release from leydig cells
Partial
Testosterone secreting tumor - exogenous steroids
Retrograde mentrual flow or ascending infection
37. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Bicornute uterus
Theca - leutin cysts
5 alpha reductase - inhibited by finesteride
Inhibit cGMP breakdown
38. Complications of BPH
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ligament of the ovary
During fetal life
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
39. What are the functions of oxytocin - maybe
Placenta acreta
Hemorrhage
HPV 16 - 18
Milk letdown - uterine contractions?
40. What is the genetic material in the primary oocyte?
Estradiol > estrone > estriol
Prior c section - inflammation - placenta previa
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Diploid - 4N - 46 sister chromatids
41. What increase in estriol is an indicator offetal well being in pregnancy
Spermatogonia (germ cells)
Defective androgen receptor
1000 times
Ovary
42. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Pseudohermaphroditism
Hydrocele
The centrioles
Follicular phase varies - luteal phase is 14
43. What does progesterone do to gonadotropins
HPV 16 - 18
Small infiltrating glands with prominent nucleoli
Post menopausal
Inhibition LH and FSH
44. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Theca - leutin cysts
Suckling - increased oxytocin - prolactin
Teratoma
Lobular carcinoma - sclerosing adenosis
45. What does HHAVOC stand for in menopause
Yolk sac - endodermal sinus - tumor
Hydrocele
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Spermatocele
46. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Bowen's dz - carcinoma in situ of the penis
SANS - hypogastric nerve
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
47. What does the SRY gene do
Fertilization 'an egg met a sperm'
DRE - hard nodule and biopsy
Testis determining factor
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
48. gynecological tumors from highest incidence to lowest
HPV 16 - 18
Maintenance
Myometrial tumors
Endometrial > ovarian> cervical (in US)
49. how can struma ovarri present?
4
Ectopic preg
Hyperthyroidism - contains functional thyroid tissue
S aureus
50. What are risk factors for placenta acreta
Adolescents
55-65
Prior c section - inflammation - placenta previa
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor