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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. When are phyllodes tumors most common
Seminoma
Endometrial carcinoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
In the 6th decade of life
2. Uterin fundus to labia majora
Epithelial hyperplasia
Androgen insensitivity syndrome - 46 XY
Round ligament of uterus
No
3. Does a leiomyoma progress to leiosarcoma
Lateral invasion can block ureters causing renal failure
Stimulates testosterone release from leydig cells
No
Malignant in males not in females
4. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
Vagina
Preductal coarctication
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
5. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Cerebral hemorrhage and ARDS
Fructose
Immature
6. 50% of ovarian tumors - malignant and frequently bilateral
Cystic
Serous cystadenocarcinoma
DIC
Increase
7. Where is androstenedione made?
Adrenal gland
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Fibrcystic change - ductal cancer
Paget's disease - breast abscess
8. What pathologic states cause increases in hCG
Obdurator - exterinal iliac - hypogastic nodes
Krukenburg tumor
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
9. What occurs to a fibroadenoma during pregnancy and menstruation and why
increased size and tenderness with increased estrogen
Adenomyosis
Leydig cell tumor
Chromosomal abnormalities
10. HTN - proteinuria and edema
Stimulate glandular secretions - and spiral artery development
Preeclampsia
Testicular lymphoma
increased in total - and dec in free fraction
11. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Mammary duct epithelium or lobular glands
Theca - leutin cysts
Upregulation - LH surge - ovulation
HPV 16 - 18
12. What does estrogen do to FSH and LH
Feedback inhibition
Complete
Maintenance
Estradiol and possible growth promoting effects of DHT
13. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Endometrial carcinoma
Axillary node involvement
Decreasing progesterone
14. Which teratoma - mature or immature - is aggresively malignant
Serous cystadenoma
Immature
Golgi
Calcifications
15. histo: simple columnar epithelium - pseudostratified tubular glands
Prematurity
Peripheral conversion of androgens
Testosterone
Uterus
16. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Comedocarcinoma
Complete
Choriocarcinoma
Delivery of fetus
17. Which side is varicocele more common on...
Koilocytitic
Left
Increase in size in pregs - decrease in size meno - estrogen sens
Hyperestrogenism
18. What changes in the aorta are common in Turner's?
Metrorrhagia
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Stimulation of secretion - but blocks its action at the breast
Preductal coarctication
19. is fibroadenoma a precursor to breast cancer
Fibroadenoma
No
Increase in size in pregs - decrease in size meno - estrogen sens
Preeclampsia + siezures
20. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Left
The anterior pituitary and hypothalamus
DIC
21. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Fibrocystic disease
Feedback inhibition
Metaphase
Chocolate cyst
22. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Testosterone - DHT - androstenedione
Embryonal carcinoma
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
23. What changes are seen with total PSA and fraction of free PSA
Prementsrual breast pain and multiple lesions
Myometrial tumors
increased in total - and dec in free fraction
Granulosa cell tumor
24. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Ectopic preg
Esophogeal/duodenal atresia - can't swallow - anencephaly
Inhibition LH and FSH
Neoplastic cells block lymphatic drainage
25. What do leydig cells secrete?
Ligament of the ovary
Multiple sexual partners - also HIV and early sexual intercourse
Testosterone
Defective androgen receptor
26. Complications of BPH
Differentiation of penis - scrotum and prostate
Adolescents
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Left
27. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Left gonadal vein - left renal vein - IVC
Post menopausal bleeding
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
28. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Increased FSH
Follicular phase varies - luteal phase is 14
Left
29. What is the average age of onset for menopause
51 yo
Preeclampsia + siezures
Whorled pattern of smooth muscle bundles
Inflammatory
30. What is the most frequent benign ovarian tumor
Stimulates sertoli cells to produce ABP and inhibin
Peripheral conversion of androgens
Severe bleeding iron def anemia - miscarriage
Mature teratoma
31. What is the typical cell change in HPV infection
Estradiol > estrone > estriol
Mittelschmerz syndrome
Koilocytitic
17beta estradiol
32. What are the treatments for PCOS
Endometrial > ovarian> cervical (in US)
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
DCIS
Chocolate cyst
33. What does hCG do in the first trimester to maintain the corpus luteum
Delivery of fetus
Mimics LH
Embryonal carcinoma
2 months
34. How is dyslpasi and carcinoma in situ of the cervix classified
Invasive lobular
CIN 1 - 2 - 3
Esophogeal/duodenal atresia - can't swallow - anencephaly
Chocolate cyst
35. Risk factors for ectopic pregs
Testosterone
Testis determining factor
Complete
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
36. Bent penis due to acquired fibrous tissue formation
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37. increased fluid secondary to incomplete fustion with processus vaginalis
Osteoblastic in bone
5 alpha reductase - inhibited by finesteride
Fibromas
Hydrocele
38. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Low progesterone
Round ligament of the uterus
SANS - hypogastric nerve
Sertoli cells
39. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
Squamo - columnar jxn
Theca - leutin cysts
Slight increase - 1.5 to 2
40. What are the useful tumor parkers in prostatic adenocarcinoma
Ectopic preg
Dilation and curettage and methotrexate
Prostatic acid phosphatase and PSA
Invasive ductal
41. What is the main source of energy for spermatozoa
Esophogeal/duodenal atresia - can't swallow - anencephaly
Suckling - increased oxytocin - prolactin
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Fructose
42. Where is SCC of the penis more common and What is it associated with
Asia - Africa - S. America - HPV - lack of circumcision
Decreasing progesterone
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Yolk sace - endodermal sinus - tumor
43. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Diploid - 4N - 46 sister chromatids
55-65
Testosterone
Production of a thick cervical mucus
44. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sarcoma botryoides - a rhabdomyosarcoma variant
Mature teratoma
Estradiol
Premature ovarian failure (Pof)
45. What stimulation after labor induces lactation
Mucinous cystadenocarcinoma
Chromosomal abnormalities
Decreasing progesterone
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
46. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Left
Fibroadenoma - phyllodes tumor
1000 times
47. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Mature teratoma
Choriocarcinoma
Complete
Cerebral hemorrhage and ARDS
48. Red velvety plaques - usually involving the glans - similar to Bowen's
Left gonadal vein - left renal vein - IVC
Erythroplasia of Queyrat - carcinoma in situ of penis
Bicornute uterus
DCIS
49. How many functional sperm does 1 germ cell creat?
Ectocervix
Abacterial
4
Granulosa cell - aromatase - androstenedione - estrogen
50. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Preductal coarctication
Hydrocele
Peripheral conversion of androgens
Squamo - columnar jxn