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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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study here
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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. How does endometriosis cause infertility
Androgen insensitivity syndrome - 46 XY
Call exner bodies
Retrograde mentrual flow or ascending infection
Delivery of fetus
2. small - mobile - firm breast mass with sharp edges - most common in <25
In the 6th decade of life
Fibroadenoma
Ligament of the ovary
Placenta acreta
3. small follicles filled with eosinphilic secretions
Call exner bodies
Fibroadenoma
Teratoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
4. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Complete
Androgen insensitivity syndrome
BPH
5. Some drugs cause awesome knockers
Down regulation
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Fibromas
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
6. What does progesterone do to estrogen receptors
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Post menopausal
Down regulation
Androgen insensitivity syndrome
7. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Prior c section - inflammation - placenta previa
Fibrocystic disease
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
8. in males - are mature teratomas malignant? What is the case for females
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Paget's disease
Small infiltrating glands with prominent nucleoli
Malignant in males not in females
9. common cause of recurrent miscarriage in 1st trimester
Sertoli cells - and adipose tissue via aromatase
Vagina
Bowenoid papulosis - carcinoma in situ of the penis
Chromosomal abnormalities
10. When does endometiral carcinoma usually occur
Ectopic preg
55-65
Testosterone
Oligohydramnios
11. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Oligomenorrhea
Neoplastic cells block lymphatic drainage
Teratoma
Tubular carcinoma
12. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Increased FSH
Fallopian tube
Broad ligament
13. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
20 to 40
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Estradiol > estrone > estriol
Yolk sace - endodermal sinus - tumor
14. What is the presentation of fibrocystic dz
46 xx
Choriocarcinoma
Dilation and curettage and methotrexate
Prementsrual breast pain and multiple lesions
15. hemorrhage into persistent corpus luteum
Corpus luteum cyst
Fallopian tube
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Testis determining factor
16. Breast path - diseeases of the lobules
Dilation and curettage and methotrexate
Lobular carcinoma - sclerosing adenosis
Paget's disease - breast abscess
Syncytiotrophoblasts of placenta
17. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Brenner tumor
Just prior to ovulation
46 xx
18. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Uterus
Endometrial carcinoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
19. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Obdurator - exterinal iliac - hypogastic nodes
S aureus
Polyhydramnios
5 alpha reductase - inhibited by finesteride
20. what usually causes endometrial hyperplasia
Krukenburg tumor
The ampulla - occurs within 1 day of ovulation
Estrogen overstimulation
Milk letdown - uterine contractions?
21. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
50 times
2nd week of proliferative phase
Estradiol and possible growth promoting effects of DHT
Round ligament of the uterus
22. what stimulation is required to maintain milk production and What is the pathway
Fibrocystic disease
Calcifications
Suckling - increased oxytocin - prolactin
Fallopian tube
23. Dermal lymphatic invasion by breast carcinoma - peu d orange
Estradiol and possible growth promoting effects of DHT
Inflammatory
Neoplastic cells block lymphatic drainage
Left
24. What bacteria is commone in acute prostatitis
Prementsrual breast pain and multiple lesions
Cardinal ligament
Just prior to ovulation
E coli
25. What are the functions of oxytocin - maybe
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
One of the centrioles
Superficial inguinal lymph nodes
Milk letdown - uterine contractions?
26. What is the most common pathogen in acute mastitis
Hyperestrogenism
S aureus
Just prior to ovulation
Estradiol
27. What percentage of testicular tumors are germ cell
Inhibition of HCG access
Proliferation
Haploid - 2N - 23 sister chromatids
95%
28. Complication of retained placental tissue
Mimics LH
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Esophogeal/duodenal atresia - can't swallow - anencephaly
Hemorrhage
29. How long does it take for sperm to fully develop
Stimulates sertoli cells to produce ABP and inhibin
2 months
Female pseudoHerm
Increase in size in pregs - decrease in size meno - estrogen sens
30. What is the risk for carcinoma among patients with intraductal papilloma
Granulosa cell - aromatase - androstenedione - estrogen
46 xx
Slight increase - 1.5 to 2
increased Ca in - smooth muscle contraction - vasocxn - antierectile
31. histo: stratified sqamous epithelium
Smoking - HTN - cocaine
51 yo
Seminoma
Ectocervix
32. What cellular structure is the acrosome derived from?
Choriocarcinoma
DES in utero (DES is a sythetic estrogen)
Kallman
Golgi
33. Red velvety plaques - usually involving the glans - similar to Bowen's
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
PANS - pelvic nerve
Erythroplasia of Queyrat - carcinoma in situ of penis
HPV 16 - 18
34. What does estrogen do to FSH and LH
Decrease
Abacterial
Feedback inhibition
Menometrorrhagia
35. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Sarcoma botryoides - a rhabdomyosarcoma variant
Granulosa cell tumor
Ovary
36. What is the single most important prognostic factor for malignant breast tumors
Lobular carcinoma - sclerosing adenosis
increased AFP and hCG
Acute mastitis
Axillary node involvement
37. What is mortality due to in preeclampsia
Inhibit cGMP breakdown
Fructose
Cerebral hemorrhage and ARDS
Golgi
38. List the estrogens in order of decreasing potency
Estradiol > estrone > estriol
Myometrial tumors
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Corpus luteum cyst
39. HTN - proteinuria and edema
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
PSA
Preeclampsia
Prophase
40. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Fibroadenoma
Placenta acreta
Granulosa cell - aromatase - androstenedione - estrogen
Broad ligament
41. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Down regulation
5 alpha reductase def
2 months
42. What is the expected increase of estradiol and estrone in pregnancy
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
increased in total - and dec in free fraction
50 times
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
43. when do primary oocytes begin meiosis I
Hemorrhage
Cerebral hemorrhage and ARDS
During fetal life
Corpus luteum cyst
44. Which teratoma - mature or immature - is aggresively malignant
Milk letdown - uterine contractions?
Hyperthyroidism - contains functional thyroid tissue
Immature
Invasive ductal
45. dilated vein in pampiniform plexus - bag of worms
Post menopausal bleeding
Yolk sac - endodermal sinus - tumor
Testosterone
Varicocele
46. What is the average age of onset for menopause
Placenta acreta
Kallman
51 yo
Call exner bodies
47. Connects cervix to side wall of pelvis - contains uterine vessels
Turner's XO
Cardinal ligament
Metrorrhagia
Follicular phase varies - luteal phase is 14
48. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Broad ligament
Immature
Testosterone
49. Where is testosterone secreted into?
The semiT and the blood vessels
Stimulate glandular secretions - and spiral artery development
Call exner bodies
Androgen insensitivity syndrome - 46 XY
50. What do leydig cells secrete?
Upregulation
Testosterone
Endometrial carcinoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
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