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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. What are predisposing factors for placenta previa
Blacks
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
E coli
Prior c section - multiparity
2. Connects cervix to side wall of pelvis - contains uterine vessels
Round ligament of the uterus
Tight junctions between sertoli cells
Cardinal ligament
Kallman
3. multilocular cyst lined by mucus secreting epi - benign - intestine like
Mucinous cystadenoma
Blacks
The ampulla - occurs within 1 day of ovulation
Adrenal gland
4. Breast path - diseeases of the lobules
Choriocarcinoma
Lobular carcinoma - sclerosing adenosis
DES in utero (DES is a sythetic estrogen)
Inhibit FSH
5. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Dilation and curettage and methotrexate
Maintenance
Post menopausal bleeding
5 alpha reductase def
6. What is associated with sclerosing adenosis?
Defective androgen receptor
PCOS
Calcifications
Premature ovarian failure (Pof)
7. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Post menopausal bleeding
Prior c section - multiparity
Choriocarcinoma
Follicular phase varies - luteal phase is 14
8. Where is testosterone converted to estrogen
Left gonadal vein - left renal vein - IVC
Metrorrhagia
Preeclampsia clinical
Sertoli cells - and adipose tissue via aromatase
9. Which teratoma - mature or immature - is aggresively malignant
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Sarcoma botryoides - a rhabdomyosarcoma variant
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Immature
10. Which gynecologic tumors have the worst prognosis?
Ovarian > cervical > endometrial
2nd week of proliferative phase
Myometrial tumors
Posterior lobe peripheral zone
11. How does exogenous testosterone create azoospermia
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Inhibition of HCG access
Malignant in males not in females
Stimulates sertoli cells to produce ABP and inhibin
12. distention of unruptured graafian follicle
Follicular phase varies - luteal phase is 14
Testosterone
Follicular cyst
Inflammatory
13. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
DIC
Upregulation - LH surge - ovulation
Paget's disease
14. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
5 alpha reductase - inhibited by finesteride
Krukenburg tumor
Fibrcystic change - ductal cancer
Para - aortic lymph nodes
15. Breast path - disease that occurs at the nipple
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16. tumor is ductal with caseous necrosis
Comedocarcinoma
Male pseudoHerm
Fibroadenoma
Left
17. 50% of ovarian tumors - malignant and frequently bilateral
Osteoblastic in bone
Serous cystadenocarcinoma
Testosterone
Myometrial invasion
18. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
No
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Tunica vaginalis lesions
19. What are the 3 androgens
Testosterone - DHT - androstenedione
Theca cell - desmolase - androstenedione
Small infiltrating glands with prominent nucleoli
51 yo
20. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Malignant in males not in females
Multiple sexual partners - also HIV and early sexual intercourse
20 to 40
Serous cystadenoma
21. In what phase is meiosis I arrested
Follicular cyst
Prophase
Acute mastitis
Kallman
22. Breast path - diseases of the stroma
Male pseudoHerm
Haploid - 2N - 23 sister chromatids
Fibroadenoma - phyllodes tumor
Broad ligament
23. frequent bu irregular cycles
Tunica vaginalis lesions
Metrorrhagia
Sertoli cell tumor
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
24. What does estrogen do to estrogen - LH and progesterone recepotrs
Fructose
Adolescents
Upregulation
Suckling - increased oxytocin - prolactin
25. heavy - irregular menstruation at irregular intervals
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Stimulates testosterone release from leydig cells
Menometrorrhagia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
26. What are risk factors for abruptio placentae?
Sarcoma botryoides - a rhabdomyosarcoma variant
Smoking - HTN - cocaine
Metrorrhagia
Hemolysis - elevated liver enzymes - low platelets
27. disagreement between the phenotypic and gonadal sex
Placenta acreta
Pseudohermaphroditism
Feedback inhibition
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
28. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Testosterone
Low back pain with increased serum alk phos
Testis determining factor
29. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Testosterone
Androgen insensitivity syndrome - 46 XY
Upregulation
Inhibition of HCG access
30. When is follicular growth the fastest?
95%
2nd week of proliferative phase
Smoking - HTN - cocaine
Menopause
31. What is indicative of a poor prognosis for endometrial carcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Myometrial invasion
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
32. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
The ampulla - occurs within 1 day of ovulation
Aortic bicuspid valve
GnRH from hypoTh - LH and FSH from ant pituitary
33. what usually causes endometrial hyperplasia
IV mag sulfate - diazepam
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Estrogen overstimulation
Tight junctions between sertoli cells
34. triad of ovarian fibroma - ascites - hydrothorax
The centrioles
CIN 1 - 2 - 3
Inhibit cGMP breakdown
Meigs syndrome
35. histologic type of fibrocystic with hyperplasia of breast stroma
Milk letdown - uterine contractions?
Fibrosis
During fetal life
Uterus
36. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Dysgerminoma
Prostatic acid phosphatase and PSA
Ectopic preg
37. dilated epididymal duct
Spermatocele
Fibrocystic disease
Bowenoid papulosis - carcinoma in situ of the penis
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
38. What estrogen does the ovary secrete
Kallman
Comedocarcinoma
17beta estradiol
Visceral - somatic nerves in pudendal
39. What is mortality due to in preeclampsia
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Puberty
Teratoma
Cerebral hemorrhage and ARDS
40. Arrange the androgens in order of most potent to least potent
Ectocervix
Peripheral adipose tissue
DHT - testosterone - androstenedione
Hydrocele
41. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Premature ovarian failure (Pof)
Brenner tumor
Increase in size in pregs - decrease in size meno - estrogen sens
42. What does hCG do in the first trimester to maintain the corpus luteum
increased risk for carcinoma
Testis determining factor
Mimics LH
CIN 1 - 2 - 3
43. What hematologic condition is associated with abruptio placentae
Sarcoma botryoides - a rhabdomyosarcoma variant
DIC
Round ligament of uterus
No
44. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
Andogren binding protein - anti mullerian hormone
Aortic bicuspid valve
Testosterone
45. what structures supplies the energy to the middle piece (neck)
Mitochondria
Corpus luteum cyst
Relaxation
Slight increase - 1.5 to 2
46. What complications are associated with polyhydramnios
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47. endometrium within the myometrium
Adenomyosis
Fructose
Severe bleeding iron def anemia - miscarriage
Inhibit FSH
48. When does spermatogenesis begin?
Puberty
Axillary node involvement
Low back pain with increased serum alk phos
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
49. Where is testosterone secreted into?
The semiT and the blood vessels
Intraductal papilloma
6
Slight increase - 1.5 to 2
50. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Adolescents
Ectopic preg
Spermatogonia (germ cells)
Fallopian tube