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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. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Sertoli cell tumor
Male pseudoHerm
Esophogeal/duodenal atresia - can't swallow - anencephaly
2. What effect does NO have on smooth muscle in erectile tissues
BPH
Malignant in males not in females
increased cGMP - smooth muscle relax - vasodltn - proerectile
2 months
3. What forms the blood testis barrier?
Tight junctions between sertoli cells
Androgen insensitivity syndrome - 46 XY
Female pseudoHerm
Bowenoid papulosis - carcinoma in situ of the penis
4. What are risk factors for abruptio placentae?
Slight increase - 1.5 to 2
Cystic
Smoking - HTN - cocaine
Axillary node involvement
5. What converts testosterone to DHT
Left gonadal vein - left renal vein - IVC
Ovarian > cervical > endometrial
1000 times
5 alpha reductase - inhibited by finesteride
6. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Testosterone
Haploid - 2N - 23 sister chromatids
Testosterone secreting tumor - exogenous steroids
Tubular carcinoma
7. Where is androstenedione made?
Krukenburg tumor
Theca - leutin cysts
Premature ovarian failure (Pof)
Adrenal gland
8. What is the most frequent benign ovarian tumor
Defective androgen receptor
Mature teratoma
Calcifications
Suspensory ligament of ovaries
9. histo: stratified squamous epithelium - nonkeratinized
Myometrial tumors
Vagina
Tight junctions between sertoli cells
increased risk for carcinoma
10. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Partial
Squamous cell carcinoma
Seminoma
11. What is hydatidiform mole and precurosor of...
Primary hypogonadism
Multiple sexual partners - also HIV and early sexual intercourse
Upregulation - LH surge - ovulation
Choriocarcinoma
12. What happens to a leiomyoma in pregs and menopause and why
Estrogen overstimulation
Relaxation
1000 times
Increase in size in pregs - decrease in size meno - estrogen sens
13. Where is testosterone secreted into?
Meigs syndrome
SANS - hypogastric nerve
Neoplastic cells block lymphatic drainage
The semiT and the blood vessels
14. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Sarcoma botryoides - a rhabdomyosarcoma variant
Corpus luteum - placenta - adrenal cortex - testes
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
15. endometrium within the myometrium
Mature teratoma
Androgen insensitivity syndrome
Adenomyosis
Whorled pattern of smooth muscle bundles
16. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Blacks
Fibroadenoma
1000 times
17. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Suspensory ligament of ovaries
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Dilation and curettage and methotrexate
Spermatogonia (germ cells)
18. What is a potential complication of endometrial hyperplasia
Delivery of fetus
BPH
S aureus
Endometrial carcinoma
19. 50% of ovarian tumors - malignant and frequently bilateral
Corpus luteum - placenta - adrenal cortex - testes
Tubular carcinoma
Serous cystadenocarcinoma
Inhibition LH and FSH
20. What is the risk for carcinoma among patients with intraductal papilloma
IV mag sulfate - diazepam
Slight increase - 1.5 to 2
Calcifications
Corpus luteum - placenta - adrenal cortex - testes
21. frequent bu irregular cycles
Choriocarcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Call exner bodies
Metrorrhagia
22. Large bulky breast mass of connective tissue and cysts with leaf like projections
Increase
Visceral - somatic nerves in pudendal
Menometrorrhagia
Phyllodes tumor
23. What are the pathologic features of leiosarcoma
Sertoli cells - and adipose tissue via aromatase
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Ectocervix
Theca - leutin cysts
24. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
DRE - hard nodule and biopsy
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Suspensory ligament of ovaries
25. What are predisposing factors for placenta previa
Prior c section - multiparity
5 alpha reductase def
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Relaxation
26. When does endometiral carcinoma usually occur
Metaphase
Polyhydramnios
55-65
increased size and tenderness with increased estrogen
27. What occurs to a fibroadenoma during pregnancy and menstruation and why
Delivery of fetus
Down regulation
increased size and tenderness with increased estrogen
Metrorrhagia
28. What virus is dyslapsia and carcinoma in situ of the cervix associated with
The semiT and the blood vessels
Polyhydramnios
Mittelschmerz syndrome
HPV 16 - 18
29. How does progesterone inhibit sperm entry to uterus
Inhibition LH and FSH
Fibrcystic change - ductal cancer
Ligament of the ovary
Production of a thick cervical mucus
30. Where does LH work - what enzyme works there and what product is secreted
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Theca cell - desmolase - androstenedione
Post menopausal
31. Benign - looks like bladder
Brenner tumor
DIC
Hypogondadotropic hypogonadism
Periurethral lobes - lateral and middle
32. What is the prognosis for seminoma
Superficial inguinal lymph nodes
Testosterone - DHT - androstenedione
Good - late metastasis
Golgi
33. predisposing factor to clear cell adenocarcinoma of the vagina
DHT - testosterone - androstenedione
Turner's XO
Fat necrosis
DES in utero (DES is a sythetic estrogen)
34. What does gynecomastia result from?
Lateral invasion can block ureters causing renal failure
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Testosterone - DHT - androstenedione
Hyperestrogenism
35. What structures does testosterone negatively feedback on?
Neoplastic cells block lymphatic drainage
Endometrial carcinoma
The anterior pituitary and hypothalamus
Production of a thick cervical mucus
36. What common valvular abnormality is common in Turner's
Haploid - 2N - 23 sister chromatids
Squamo - columnar jxn
Aortic bicuspid valve
Male pseudoHerm
37. What is the most common pathogen in acute mastitis
Multiple sexual partners - also HIV and early sexual intercourse
S aureus
Oligomenorrhea
Mimics LH
38. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Obdurator - exterinal iliac - hypogastic nodes
Female pseudoHerm
Increased FSH
39. Which androgen is responsible for the closing of the epiphyseal plate
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Mucinous cystadenocarcinoma
Testosterone
Tubular carcinoma
40. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Theca - leutin cysts
Preeclampsia + siezures
Posterior lobe peripheral zone
Peripheral conversion of androgens
41. What pathologic states cause increases in hCG
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
DES in utero (DES is a sythetic estrogen)
Brenner tumor
42. What changes are seen with total PSA and fraction of free PSA
Spermatogonia (germ cells)
increased in total - and dec in free fraction
Sclerosing adenosis
increased AFP and hCG
43. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
Tight junctions between sertoli cells
Chocolate cyst
Whorled pattern of smooth muscle bundles
44. What increases the risk of cryptorchidism
Testosterone secreting tumor - exogenous steroids
Prematurity
Female pseudoHerm
69 xxy
45. When is follicular growth the fastest?
Right gonadal vein - IVC
2nd week of proliferative phase
Feedback inhibition
increased size and tenderness with increased estrogen
46. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Sertoli cells
Leydig cell tumor
Prior c section - inflammation - placenta previa
DCIS
47. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Mammary duct epithelium or lobular glands
Delivery of fetus
During fetal life
48. What is the karyotype of a complete mole
Whorled pattern of smooth muscle bundles
46 xx
Ectopic preg
DCIS
49. Which hydatidiform mole has the greater risk for malignancy
55-65
Turner's XO
Choriocarcinoma
Complete
50. When are phyllodes tumors most common
Increased FSH
increased risk for carcinoma
SANS - hypogastric nerve
In the 6th decade of life