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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. decreased estrogen production due to age linked decline in the number of ovarian follices
Estradiol > estrone > estriol
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Primary hypogonadism
Menopause
2. when do primary oocytes begin meiosis I
Tight junctions between sertoli cells
Acute mastitis
Good - late metastasis
During fetal life
3. In what phase is meiosis I arrested
Estradiol
Prophase
Choriocarcinoma
Primary hypogonadism
4. What is the most common form of male pseudoHerm
95%
Increase (and LH)
Cardinal ligament
Androgen insensitivity syndrome
5. What is the lymphatic drainage the ovaries/testis
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Para - aortic lymph nodes
Tight junctions between sertoli cells
69 xxy
6. How does endometriosis cause infertility
Intraductal papilloma
Retrograde mentrual flow or ascending infection
Sclerosing adenosis
Suckling - increased oxytocin - prolactin
7. A leimyoma is overgrowth of what cell
Paget cell
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Smooth muscle
Hyperthyroidism - contains functional thyroid tissue
8. multilocular cyst lined by mucus secreting epi - benign - intestine like
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Ectocervix
Mucinous cystadenoma
Koilocytitic
9. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
increased in total - and dec in free fraction
Yolk sace - endodermal sinus - tumor
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Choriocarcinoma
10. How is prostatic adenocarcinoma diagnosed
Oligohydramnios
Cystic
DRE - hard nodule and biopsy
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
11. What is the most common gynecologic malignancy
Endometrial carcinoma
Severe bleeding iron def anemia - miscarriage
Comedocarcinoma
Down regulation
12. histo: simple columnar epithelium - pseudostratified tubular glands
Cardinal ligament
Uterus
Testosterone
SANS - hypogastric nerve
13. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Testosterone secreting tumor - exogenous steroids
Fat necrosis
Hyperestrogenism
Increased FSH
14. What happens to a leiomyoma in pregs and menopause and why
PSA
Chromosomal abnormalities
Increase in size in pregs - decrease in size meno - estrogen sens
Alpha1 antagonists - terazosin - tamsulosin - finasteride
15. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
PCOS
Decrease
Leydig cell tumor
Multiple sexual partners - also HIV and early sexual intercourse
16. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Invasive ductal
Fat necrosis
Stimulate glandular secretions - and spiral artery development
17. dilated epididymal duct
Spermatocele
Prior c section - multiparity
PSA
Develop both male and female internal genitalia and male external genitalia
18. What do leydig cells secrete?
Low back pain with increased serum alk phos
Increase
Testosterone
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
19. What is the genetic material in the secondary oocyte?
Mature teratoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Haploid - 2N - 23 sister chromatids
Good - late metastasis
20. Breast path - diseases of the major duct
Androgen insensitivity syndrome
DES in utero (DES is a sythetic estrogen)
Tunica vaginalis lesions
Fibrcystic change - ductal cancer
21. Where is SCC of the penis more common and What is it associated with
Hydrocele
Asia - Africa - S. America - HPV - lack of circumcision
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
22. What does estrogen do to estrogen - LH and progesterone recepotrs
Maintenance
Mucinous cystadenocarcinoma
Upregulation
Male pseudoHerm
23. Which system and nerve are responsible for emission
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Estradiol and possible growth promoting effects of DHT
Corpus luteum cyst
SANS - hypogastric nerve
24. bundles of spindle shaped fibroblasts - pulling sensation in the groin
The centrioles
Bicornute uterus
Fibromas
Testosterone
25. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Endocervix
Klinefelter's - XXY
1000 times
Cystic
26. small - mobile - firm breast mass with sharp edges - most common in <25
Fibroadenoma
46 xx
Acute mastitis
Paget cell
27. What does hCG do in the first trimester to maintain the corpus luteum
Retrograde mentrual flow or ascending infection
Mimics LH
69 xxy
Post menopausal
28. What are the useful tumor parkers in prostatic adenocarcinoma
Hemorrhage
Uterus
Vagina
Prostatic acid phosphatase and PSA
29. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Obdurator - exterinal iliac - hypogastic nodes
Mittelschmerz syndrome
Invasive ductal
Asia - Africa - S. America - HPV - lack of circumcision
30. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Oligomenorrhea
Choriocarcinoma
Complete
Ectopic preg
31. is fibroadenoma a precursor to breast cancer
Develop both male and female internal genitalia and male external genitalia
Hypogondadotropic hypogonadism
No
5 alpha reductase - inhibited by finesteride
32. What are the treatments for PCOS
Cardinal ligament
Adolescents
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Low progesterone
33. > 35 day cycle
Immature
Trophoblasts
Oligomenorrhea
Para - aortic lymph nodes
34. <0.5 L of amniotic fluid
Squamous cell carcinoma
Oligohydramnios
One of the centrioles
Abacterial
35. Which side is varicocele more common on...
Phyllodes tumor
BPH
Premature ovarian failure (Pof)
Left
36. List the estrogens in order of decreasing potency
No
Obdurator - exterinal iliac - hypogastic nodes
Estradiol > estrone > estriol
Myometrial tumors
37. What is the clinical manifestation of PCOS
Intraductal papilloma
HPV 16 - 18
increased cGMP - smooth muscle relax - vasodltn - proerectile
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
38. What is associated with sclerosing adenosis?
The ampulla - occurs within 1 day of ovulation
Calcifications
Post menopausal bleeding
Down regulation
39. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Myometrial invasion
Stimulation of secretion - but blocks its action at the breast
40. What is the presentation of fibrocystic dz
Oligohydramnios
Prementsrual breast pain and multiple lesions
Dysuria - frequency - urgency - low back pain
Fibromas
41. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
HPV 16 - 18
Neoplastic cells block lymphatic drainage
Bowenoid papulosis - carcinoma in situ of the penis
Hypogondadotropic hypogonadism
42. Which androgen is responsible for the closing of the epiphyseal plate
S aureus
Defective androgen receptor
Teratoma
Testosterone
43. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
increased size and tenderness with increased estrogen
Upregulation - LH surge - ovulation
Mittelschmerz syndrome
Andogren binding protein - anti mullerian hormone
44. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Squamous cell carcinoma
Premature ovarian failure (Pof)
Krukenburg tumor
Aortic bicuspid valve
45. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Serous cystadenocarcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Spermatogonia (germ cells)
Haploid - N - 23 single chromatids
46. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Testosterone
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Premature ovarian failure (Pof)
Endometrial carcinoma
47. What are the 4 sources of progesterone
2 months
PANS - pelvic nerve
CIN 1 - 2 - 3
Corpus luteum - placenta - adrenal cortex - testes
48. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Serous cystadenocarcinoma
HPV 16 - 18
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
49. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Cerebral hemorrhage and ARDS
Hyperthyroidism - contains functional thyroid tissue
Invasive ductal
Brenner tumor
50. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Chromosomal abnormalities
Cerebral hemorrhage and ARDS
5 alpha reductase - inhibited by finesteride