Test your basic knowledge |

First Aid: Reproductive

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. Some drugs cause awesome knockers
Right gonadal vein - IVC
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Call exner bodies
50 times

2. What happens to a leiomyoma in pregs and menopause and why
Brenner tumor
Preeclampsia
50 times
Increase in size in pregs - decrease in size meno - estrogen sens

3. Breast path - disease that occurs at the nipple

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4. Connects cervix to side wall of pelvis - contains uterine vessels
Oligomenorrhea
Cardinal ligament
Complete
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

5. Vaginal sqamous cell carcinoma is most often seconday From which site?
Preeclampsia
Cervix
No
In the 6th decade of life

6. What is the karyotype of a complete mole
Inhibition LH and FSH
46 xx
Estradiol > estrone > estriol
Severe bleeding iron def anemia - miscarriage

7. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Polyhydramnios
Fallopian tube
Female pseudoHerm
Krukenburg tumor

8. What does hCG do in the first trimester to maintain the corpus luteum
Increase (and LH)
Invasive ductal
Tight junctions between sertoli cells
Mimics LH

9. What can happen with no sertoli cell or lack of anti mullerian hormone
increased cGMP - smooth muscle relax - vasodltn - proerectile
increased size and tenderness with increased estrogen
Develop both male and female internal genitalia and male external genitalia
Primary hypogonadism

10. What does progesterone do to estrogen receptors
Axillary node involvement
Down regulation
Immature
Suckling - increased oxytocin - prolactin

11. How does endometriosis cause infertility
Bicornute uterus
Retrograde mentrual flow or ascending infection
Right gonadal vein - IVC
Suspensory ligament of ovaries

12. Endometriosis is characterized By what clinical picture?
1 week - 2 weeks
Ectopic preg
Squamous cell carcinoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

13. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Severe bleeding iron def anemia - miscarriage
Theca - leutin cysts
Vagina
Peripheral conversion of androgens

14. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Ectocervix
Teratoma
Pseudohermaphroditism
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

15. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Prior c section - inflammation - placenta previa
Bowenoid papulosis - carcinoma in situ of the penis
Androgen insensitivity syndrome - 46 XY
Acute mastitis

16. Which hydatidiform mole has the greater risk for malignancy
Differentiation of penis - scrotum and prostate
Right gonadal vein - IVC
Complete
Androgen insensitivity syndrome - 46 XY

17. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Mucinous cystadenocarcinoma
Premature ovarian failure (Pof)
Serous cystadenoma

18. Breast path - diseases of the lactiferous sinus
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Phyllodes tumor
DES in utero (DES is a sythetic estrogen)
Intraductal papilloma - breast abscess - mastitis

19. Where does prostatic adenocarcinoma arise from?
Testosterone - DHT - androstenedione
Posterior lobe peripheral zone
Smoking - HTN - cocaine
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

20. endometrium within the myometrium
Adenomyosis
Increase
During fetal life
Delivery of fetus

21. Uterin fundus to labia majora
2 months
Round ligament of uterus
The anterior pituitary and hypothalamus
Retrograde mentrual flow or ascending infection

22. What effect does NO have on smooth muscle in erectile tissues
Vagina
Female pseudoHerm
increased cGMP - smooth muscle relax - vasodltn - proerectile
Cervix

23. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Endometrial > ovarian> cervical (in US)
Increase in size in pregs - decrease in size meno - estrogen sens

24. When is follicular growth the fastest?
2nd week of proliferative phase
Posterior lobe peripheral zone
Fibrosis
Paget's disease - breast abscess

25. What are the most common cause of anovluation

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26. marked increased hCG - complete or partial
Complete
Increased FSH
5 alpha reductase def
Estradiol and possible growth promoting effects of DHT

27. What does LH do
Ovary
Stimulates testosterone release from leydig cells
Dysuria - frequency - urgency - low back pain
Abacterial

28. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Cerebral hemorrhage and ARDS
HPV 16 - 18
Granulosa cell tumor

29. What effect does NE have on smoothe muscle in the erectile tissues
Stimulates sertoli cells to produce ABP and inhibin
Sertoli cell tumor
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

30. What is a concern of early menopause
20 to 40
Estrogen overstimulation
Premature ovarian failure (Pof)
Fibrocystic disease

31. What complications are associated with oligohydramnios

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32. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Andogren binding protein - anti mullerian hormone
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Brenner tumor

33. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Ovarian > cervical > endometrial
Slight increase - 1.5 to 2
PCOS
Peripheral conversion of androgens

34. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
PANS - pelvic nerve
Chocolate cyst
No
Testosterone

35. What is the serum marker for BPH
PANS - pelvic nerve
Varicocele
Menometrorrhagia
PSA

36. Which teratoma - mature or immature - is aggresively malignant
Increased FSH
Immature
Para - aortic lymph nodes
PSA

37. What is the common presentation of metastasis in prostate cancer
Low back pain with increased serum alk phos
Premature ovarian failure (Pof)
Milk letdown - uterine contractions?
Testosterone

38. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
One of the centrioles
Androgen insensitivity syndrome - 46 XY
Neoplastic cells block lymphatic drainage

39. histo: simple columnar epithelium - ciliated
Fallopian tube
Mucinous cystadenoma
Differentiation of penis - scrotum and prostate
Corpus luteum cyst

40. Which androgen is responsible for libido
Testosterone
S aureus
Production of a thick cervical mucus
Asia - Africa - S. America - HPV - lack of circumcision

41. How many functional sperm does 1 germ cell creat?
Invasive lobular
Inhibition LH and FSH
4
Testosterone secreting tumor - exogenous steroids

42. >1.5 -2 L of amniotic fluid
DCIS
Polyhydramnios
Granulosa cell tumor
Inhibit FSH

43. Breast path - diseases of the major duct
Abruptio placentae
Fibrcystic change - ductal cancer
20 to 40
Testosterone secreting tumor - exogenous steroids

44. what usually causes endometrial hyperplasia
Adolescents
Lobular carcinoma - sclerosing adenosis
Estrogen overstimulation
Endocervix

45. what metabolic disorder is assocaited with PCOS
Insulin resistance
Upregulation
Call exner bodies
Adenomyosis

46. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Milk letdown - uterine contractions?
Superficial inguinal lymph nodes
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
5 alpha reductase def

47. What estrogen does the ovary secrete
17beta estradiol
Estradiol > estrone > estriol
Mimics LH
Ligament of the ovary

48. What is the most common pathogen in acute mastitis
Vagina
HPV 16 - 18
S aureus
Follicular phase varies - luteal phase is 14

49. Where does fertilization most commonly occur?
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Proliferation
E coli
The ampulla - occurs within 1 day of ovulation

50. What occurs to a fibroadenoma during pregnancy and menstruation and why
Primary hypogonadism
Intraductal papilloma - breast abscess - mastitis
increased size and tenderness with increased estrogen
Testosterone