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Test your basic knowledge |
First Aid: Reproductive
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Subjects
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health-sciences
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first-aid
Instructions:
Answer 50 questions in 15 minutes.
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study here
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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 does SEVEN Up stand for in regards to the pathway of sperm
Theca - leutin cysts
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Chromosomal abnormalities
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
2. Where is the enlargement found in BPH
Bicornute uterus
Increase in size in pregs - decrease in size meno - estrogen sens
Delivery of fetus
Periurethral lobes - lateral and middle
3. small - mobile - firm breast mass with sharp edges - most common in <25
6
55-65
Fibroadenoma
Testosterone secreting tumor - exogenous steroids
4. What are risk factors for placenta acreta
Endometrial carcinoma
Female pseudoHerm
Prior c section - inflammation - placenta previa
Post menopausal
5. Which cells secrete beta hCG
Posterior lobe peripheral zone
Testosterone secreting tumor - exogenous steroids
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Trophoblasts
6. What is the right venous drainage of the ovary/testis
Andogren binding protein - anti mullerian hormone
Right gonadal vein - IVC
PCOS
Preeclampsia + siezures
7. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Puberty
Tunica vaginalis lesions
Fertilization 'an egg met a sperm'
Sarcoma botryoides - a rhabdomyosarcoma variant
8. Which androgen is responsible for libido
Testosterone
Post menopausal bleeding
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Fibroadenoma - phyllodes tumor
9. When does the secondary oocyte complete meosis II
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10. In what phase is meiosis II arrested
Post menopausal bleeding
Metaphase
5 alpha reductase def
Posterior lobe peripheral zone
11. What structures does testosterone negatively feedback on?
Invasive ductal
Fibromas
The anterior pituitary and hypothalamus
Endometrial carcinoma
12. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Paget's disease - breast abscess
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Round ligament of the uterus
Preeclampsia clinical
13. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Multiple sexual partners - also HIV and early sexual intercourse
Spermatocele
Serous cystadenoma
Granulosa cell tumor
14. What is the best test to confirm menopause
Choriocarcinoma
Increased FSH
Dilation and curettage and methotrexate
Mammary duct epithelium or lobular glands
15. What is the genetic material in the primary oocyte?
Paget's disease
Diploid - 4N - 46 sister chromatids
Right gonadal vein - IVC
Abacterial
16. Which teratoma - mature or immature - is aggresively malignant
Immature
Metaphase
Chromosomal abnormalities
Serous cystadenoma
17. What is the expected increase of estradiol and estrone in pregnancy
Myometrial invasion
Seminoma
50 times
Maintenance
18. in males - are mature teratomas malignant? What is the case for females
Estradiol
Brenner tumor
Left
Malignant in males not in females
19. What serum markers are associated with embyronal carcinoma
increased AFP and hCG
Androgen insensitivity syndrome
Endometrial carcinoma
Fibrosis
20. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Inhibition LH and FSH
Endometriosis
Phyllodes tumor
21. Which nerve and nerve fibers control for ejaculation
Choriocarcinoma
Kallman
95%
Visceral - somatic nerves in pudendal
22. > 35 day cycle
Tubular carcinoma
Peyronie's dz
Increased FSH
Oligomenorrhea
23. What does estrogen do to FSH and LH
DRE - hard nodule and biopsy
Adolescents
Feedback inhibition
Fibrosis
24. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Testosterone
Tubular carcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Theca - leutin cysts
25. decreased estrogen production due to age linked decline in the number of ovarian follices
Primary hypogonadism
Complete
Testosterone
Menopause
26. dx with decreased testosterone - increased LH
Ovarian > cervical > endometrial
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Primary hypogonadism
Stimulation of secretion - but blocks its action at the breast
27. What is the single most important prognostic factor for malignant breast tumors
Dilation and curettage and methotrexate
Brenner tumor
Axillary node involvement
increased Ca in - smooth muscle contraction - vasocxn - antierectile
28. What pathologic states cause increases in hCG
Prostatic acid phosphatase and PSA
Primary hypogonadism
Prementsrual breast pain and multiple lesions
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
29. What is the lymphatic drainage the ovaries/testis
Mammary duct epithelium or lobular glands
Para - aortic lymph nodes
Sertoli cells
Fibroadenoma
30. Where does LH work - what enzyme works there and what product is secreted
No
Female pseudoHerm
Oligomenorrhea
Theca cell - desmolase - androstenedione
31. Breast path - diseases of the stroma
Turner's XO
Decrease
increased cGMP - smooth muscle relax - vasodltn - proerectile
Fibroadenoma - phyllodes tumor
32. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Ectopic preg
Adrenal gland
Insulin resistance
Intraductal papilloma
33. Some drugs cause awesome knockers
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Posterior lobe peripheral zone
Endometrial > ovarian> cervical (in US)
Sarcoma botryoides - a rhabdomyosarcoma variant
34. Which androgen is responsible for the closing of the epiphyseal plate
Yolk sace - endodermal sinus - tumor
Partial
Testosterone
Male pseudoHerm
35. Breast path - diseases of the major duct
Axillary node involvement
Tunica vaginalis lesions
Fibrcystic change - ductal cancer
Suckling - increased oxytocin - prolactin
36. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
DCIS
Fibrosis
Varicocele
Cystic
37. histo: simple columnar epithelium - pseudostratified tubular glands
Uterus
Neoplastic cells block lymphatic drainage
1000 times
Phyllodes tumor
38. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
Blacks
Retrograde mentrual flow or ascending infection
Oligomenorrhea
39. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
DCIS
Fibrosis
Round ligament of the uterus
Placenta previa
40. What is the average age of onset for menopause
Peyronie's dz
51 yo
Sertoli cells
Endometriosis
41. Testosterone and estrogen in androgen insensitivity syndrome
Immature
Acute mastitis
Increase (and LH)
Oligomenorrhea
42. When is follicular growth the fastest?
Klinefelter's - XXY
Endometrial carcinoma
2nd week of proliferative phase
Abacterial
43. Vaginal sqamous cell carcinoma is most often seconday From which site?
Myometrial invasion
Turner's XO
Hydatidiform mole
Cervix
44. What are causes of female pseudoHerm
Fibrcystic change - ductal cancer
Preductal coarctication
Congenital adrenal hyperplasia - exogenous administration of steroids
Golgi
45. Where is androstenedione made?
Adrenal gland
Theca cell - desmolase - androstenedione
Acute mastitis
DRE - hard nodule and biopsy
46. What is the karyotype of a complete mole
2 months
Post menopausal bleeding
Choriocarcinoma
46 xx
47. What does progesterone do to gonadotropins
Inhibition LH and FSH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Hyperthyroidism - contains functional thyroid tissue
20 to 40
48. Arrange the androgens in order of most potent to least potent
Dysuria - frequency - urgency - low back pain
Prostate growth - balding - and sebaceous gland activity
Broad ligament
DHT - testosterone - androstenedione
49. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Choriocarcinoma
Decreasing progesterone
Epithelial hyperplasia
Teratoma
50. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Preeclampsia + siezures
Prior c section - multiparity
Intraductal papilloma - breast abscess - mastitis
PCOS
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