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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. > 35 day cycle
Prementsrual breast pain and multiple lesions
Squamo - columnar jxn
Oligomenorrhea
Production of a thick cervical mucus
2. What is the karyotype of a partial mole
Mammary duct epithelium or lobular glands
The ampulla - occurs within 1 day of ovulation
69 xxy
Ectocervix
3. What common valvular abnormality is common in Turner's
Dysuria - frequency - urgency - low back pain
Aortic bicuspid valve
Testis determining factor
S aureus
4. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Estradiol > estrone > estriol
Androgen insensitivity syndrome - 46 XY
Kallman
Invasive lobular
5. androblastoma from sex cord stroma
Sertoli cell tumor
Androgen insensitivity syndrome - 46 XY
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Bicornute uterus
6. What is HELLP syndrome
Aortic bicuspid valve
Spermatogonia (germ cells)
Hemolysis - elevated liver enzymes - low platelets
One of the centrioles
7. How does endometrial hyperplasia manifest clinically
Blacks
Post menopausal bleeding
Mature teratoma
Mammary duct epithelium or lobular glands
8. increased fluid secondary to incomplete fustion with processus vaginalis
Obdurator - exterinal iliac - hypogastic nodes
Follicular cyst
Stimulate glandular secretions - and spiral artery development
Hydrocele
9. What is the source of estrogen after menopause
Peripheral conversion of androgens
Left
Seminoma
increased cGMP - smooth muscle relax - vasodltn - proerectile
10. 2 sperm + empty egg
Paget's disease
Left
Complete
Right gonadal vein - IVC
11. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
No
increased size and tenderness with increased estrogen
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
12. histo: simple columnar epithelium
Endometrial carcinoma
Uterus
Tight junctions between sertoli cells
Endocervix
13. What does SEVEN Up stand for in regards to the pathway of sperm
Cerebral hemorrhage and ARDS
Ovary
Estradiol > estrone > estriol
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
14. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Upregulation - LH surge - ovulation
increased in total - and dec in free fraction
Theca cell - desmolase - androstenedione
15. List the estrogens in order of decreasing potency
Post menopausal
Estradiol > estrone > estriol
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
PANS - pelvic nerve
16. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
2nd week of proliferative phase
Haploid - 2N - 23 sister chromatids
Premature ovarian failure (Pof)
BPH
17. What percentage of testicular tumors are germ cell
Fat necrosis
Increase in size in pregs - decrease in size meno - estrogen sens
95%
Endometriosis
18. What is the main source of energy for spermatozoa
SANS - hypogastric nerve
Fructose
Fertilization 'an egg met a sperm'
Bicornute uterus
19. What is the venous drainage of the left ovary/testis?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Left gonadal vein - left renal vein - IVC
Andogren binding protein - anti mullerian hormone
Smooth muscle
20. What are the pathologic features of leiosarcoma
Testis determining factor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Round ligament of the uterus
Metaphase
21. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
increased risk for carcinoma
Golgi
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Superficial inguinal lymph nodes
22. is fibroadenoma a precursor to breast cancer
Call exner bodies
Intraductal papilloma
Squamo - columnar jxn
No
23. common cause of recurrent miscarriage in 2nd trimester
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Bicornute uterus
Esophogeal/duodenal atresia - can't swallow - anencephaly
Endocervix
24. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Placenta acreta
Tunica vaginalis lesions
25. What are the most common cause of anovluation
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26. when do primary oocytes complete meiosis I
Invasive ductal
Syncytiotrophoblasts of placenta
Just prior to ovulation
Feedback inhibition
27. hemorrhage into persistent corpus luteum
Periurethral lobes - lateral and middle
Corpus luteum cyst
E coli
Serous cystadenoma
28. heavy - irregular menstruation at irregular intervals
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Placenta acreta
Menometrorrhagia
The semiT and the blood vessels
29. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
SANS - hypogastric nerve
Ligament of the ovary
Differentiation of penis - scrotum and prostate
30. What changes are seen with total PSA and fraction of free PSA
increased in total - and dec in free fraction
Milk letdown - uterine contractions?
Calcifications
Teratoma
31. What does inhibin do?
Corpus luteum - placenta - adrenal cortex - testes
Inhibit FSH
69 xxy
Smoking - HTN - cocaine
32. What are the treatments for PCOS
Endometrial carcinoma
Intraductal papilloma - breast abscess - mastitis
Erythroplasia of Queyrat - carcinoma in situ of penis
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
33. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
The semiT and the blood vessels
DCIS
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Prostatic acid phosphatase and PSA
34. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Invasive ductal
Hyperestrogenism
Estrogen overstimulation
35. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Brenner tumor
Preeclampsia clinical
Endometrial carcinoma
Smooth muscle
36. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
HPV 16 - 18
Invasive ductal
Intraductal papilloma
Prostate growth - balding - and sebaceous gland activity
37. What does progesterone do in the endometrium
Endometrial > ovarian> cervical (in US)
Stimulate glandular secretions - and spiral artery development
Ligament of the ovary
increased size and tenderness with increased estrogen
38. What can happen with no sertoli cell or lack of anti mullerian hormone
Estrogen overstimulation
Develop both male and female internal genitalia and male external genitalia
Testosterone
Left gonadal vein - left renal vein - IVC
39. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
increased size and tenderness with increased estrogen
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
One of the centrioles
Kallman
40. Red velvety plaques - usually involving the glans - similar to Bowen's
Erythroplasia of Queyrat - carcinoma in situ of penis
In the 6th decade of life
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
During fetal life
41. Where does LH work - what enzyme works there and what product is secreted
Fructose
Suckling - increased oxytocin - prolactin
Bicornute uterus
Theca cell - desmolase - androstenedione
42. common cause of recurrent miscarriage in the 1st week
Teratoma
Androgen insensitivity syndrome
Low progesterone
5 alpha reductase - inhibited by finesteride
43. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
Prementsrual breast pain and multiple lesions
DIC
HPV 16 - 18
44. What is the right venous drainage of the ovary/testis
95%
Right gonadal vein - IVC
Phyllodes tumor
Visceral - somatic nerves in pudendal
45. dx with increased testosterone and increased LH
Endocervix
Call exner bodies
Defective androgen receptor
SANS - hypogastric nerve
46. Where is SCC of the penis more common and What is it associated with
increased size and tenderness with increased estrogen
Asia - Africa - S. America - HPV - lack of circumcision
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Pseudohermaphroditism
47. What causes preeclampsia
Defective androgen receptor
Prior c section - inflammation - placenta previa
Proliferation
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
48. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Left
Broad ligament
Squamo - columnar jxn
Spermatocele
49. What is the most common gynecologic malignancy
Left gonadal vein - left renal vein - IVC
Testosterone secreting tumor - exogenous steroids
E coli
Endometrial carcinoma
50. How is dyslpasi and carcinoma in situ of the cervix classified
Milk letdown - uterine contractions?
Mucinous cystadenocarcinoma
GnRH from hypoTh - LH and FSH from ant pituitary
CIN 1 - 2 - 3