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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. Where does LH work - what enzyme works there and what product is secreted
Uterus
Male pseudoHerm
Theca cell - desmolase - androstenedione
Endocervix
2. What effect does NE have on smoothe muscle in the erectile tissues
Phyllodes tumor
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Decreasing progesterone
Hypogondadotropic hypogonadism
3. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Sertoli cells
Prophase
Ovarian > cervical > endometrial
4. Connects ovary to lateral uterus
Lateral invasion can block ureters causing renal failure
Ectocervix
Ligament of the ovary
Production of a thick cervical mucus
5. In what group are malignant breast tumors most commonly seen
Just prior to ovulation
CIN 1 - 2 - 3
Stimulates testosterone release from leydig cells
Post menopausal
6. What hematologic condition is associated with abruptio placentae
Serous cystadenoma
55-65
2nd week of proliferative phase
DIC
7. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Paget cell
Hyperestrogenism
Sarcoma botryoides - a rhabdomyosarcoma variant
Small infiltrating glands with prominent nucleoli
8. dx with decreased testosterone - increased LH
Feedback inhibition
Primary hypogonadism
Increase in size in pregs - decrease in size meno - estrogen sens
Periurethral lobes - lateral and middle
9. What cellular structure is the acrosome derived from?
Golgi
Turner's XO
Phyllodes tumor
Upregulation - LH surge - ovulation
10. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Haploid - N - 23 single chromatids
Oligomenorrhea
Increase
11. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Fibroadenoma - phyllodes tumor
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Preeclampsia + siezures
12. What is the single most important prognostic factor for malignant breast tumors
Congenital adrenal hyperplasia - exogenous administration of steroids
Periurethral lobes - lateral and middle
Ovarian > cervical > endometrial
Axillary node involvement
13. marked increased hCG - complete or partial
Para - aortic lymph nodes
Complete
One of the centrioles
GnRH from hypoTh - LH and FSH from ant pituitary
14. When is the peak occurrence of leiomyoma
Right gonadal vein - IVC
20 to 40
Post menopausal bleeding
Metrorrhagia
15. androblastoma from sex cord stroma
DRE - hard nodule and biopsy
5 alpha reductase def
Sertoli cell tumor
Call exner bodies
16. What is the average age of onset for menopause
Hemorrhage
51 yo
No
Phyllodes tumor
17. What effect does NO have on smooth muscle in erectile tissues
increased cGMP - smooth muscle relax - vasodltn - proerectile
6
Decreasing progesterone
Estradiol and possible growth promoting effects of DHT
18. What is the right venous drainage of the ovary/testis
Syncytiotrophoblasts of placenta
Hydrocele
Right gonadal vein - IVC
Sarcoma botryoides - a rhabdomyosarcoma variant
19. How does endometriosis cause infertility
Congenital adrenal hyperplasia - exogenous administration of steroids
Prostate growth - balding - and sebaceous gland activity
Retrograde mentrual flow or ascending infection
Fat necrosis
20. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Bowenoid papulosis - carcinoma in situ of the penis
Squamous cell carcinoma
Bicornute uterus
21. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Dysgerminoma
Testicular lymphoma
Complete
22. What are the effects of prolactin?
Epithelial hyperplasia
Induces and maintains lactation - decreases reproductive function
Myometrial invasion
Prementsrual breast pain and multiple lesions
23. Which system and nerve allow for erection in the male?
Immature
Prophase
Klinefelter's - XXY
PANS - pelvic nerve
24. Which hydatidiform mole has the greater risk for malignancy
Paget cell
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Complete
increased size and tenderness with increased estrogen
25. eclampsia
Partial
Cervix
Adenomyosis
Preeclampsia + siezures
26. What converts testosterone to DHT
In the 6th decade of life
Inhibit FSH
Placenta acreta
5 alpha reductase - inhibited by finesteride
27. What are the most common tumors in all females?
Myometrial tumors
Female pseudoHerm
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Just prior to ovulation
28. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Lateral invasion can block ureters causing renal failure
Mucinous cystadenocarcinoma
Insulin resistance
Hydrocele
29. most common testicular cancer in older men
Neoplastic cells block lymphatic drainage
Testicular lymphoma
Paget cell
Hyperthyroidism - contains functional thyroid tissue
30. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Paget's disease
Epithelial hyperplasia
Suckling - increased oxytocin - prolactin
31. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Male pseudoHerm
No
Decrease
Androgen insensitivity syndrome - 46 XY
32. in postmenopausal women Where is androstenedione converted to estrone
Ovarian > cervical > endometrial
Peripheral adipose tissue
Spermatogonia (germ cells)
Feedback inhibition
33. List the estrogens in order of decreasing potency
Hyperestrogenism
Partial
Embryonal carcinoma
Estradiol > estrone > estriol
34. What is the karyotype of a partial mole
Adenomyosis
Choriocarcinoma
69 xxy
Smoking - HTN - cocaine
35. Bent penis due to acquired fibrous tissue formation
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36. What is associated with sclerosing adenosis?
Androgen insensitivity syndrome - 46 XY
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Calcifications
Myometrial tumors
37. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Bowenoid papulosis - carcinoma in situ of the penis
Hyperestrogenism
38. What are common causes of hyperestrogenism
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39. 2 sperm + 1 egg
increased cGMP - smooth muscle relax - vasodltn - proerectile
Menopause
Partial
Myometrial invasion
40. What is a complication of invasive carcinoma
Ovarian > cervical > endometrial
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Estradiol
Lateral invasion can block ureters causing renal failure
41. What serum markers are associated with embyronal carcinoma
95%
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Milk letdown - uterine contractions?
increased AFP and hCG
42. What are risk factors for abruptio placentae?
DES in utero (DES is a sythetic estrogen)
Lobular carcinoma - sclerosing adenosis
Smoking - HTN - cocaine
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
43. What is the flaggelum derived from
GnRH from hypoTh - LH and FSH from ant pituitary
Placenta acreta
One of the centrioles
95%
44. A leimyoma is overgrowth of what cell
Choriocarcinoma
Squamo - columnar jxn
DRE - hard nodule and biopsy
Smooth muscle
45. What common valvular abnormality is common in Turner's
Severe bleeding iron def anemia - miscarriage
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Follicular phase varies - luteal phase is 14
Aortic bicuspid valve
46. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Corpus luteum - placenta - adrenal cortex - testes
Spermatogonia (germ cells)
Abacterial
Bicornute uterus
47. What does estrogen do to estrogen - LH and progesterone recepotrs
Vagina
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Preductal coarctication
Upregulation
48. What do sildenafil and vardenafil do?
2nd week of proliferative phase
Inhibit cGMP breakdown
Fibrocystic disease
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
49. histo: stratified sqamous epithelium
Estrogen overstimulation
Ectocervix
Multiple sexual partners - also HIV and early sexual intercourse
Primary hypogonadism
50. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Preeclampsia clinical
Fibroadenoma - phyllodes tumor
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant