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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. Where does fertilization most commonly occur?
Slight increase - 1.5 to 2
Estradiol > estrone > estriol
Chromosomal abnormalities
The ampulla - occurs within 1 day of ovulation
2. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
Post menopausal
Differentiation of penis - scrotum and prostate
Yolk sace - endodermal sinus - tumor
3. common cause of recurrent miscarriage in 2nd trimester
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Bicornute uterus
Smooth muscle
1 week - 2 weeks
4. small follicles filled with eosinphilic secretions
Call exner bodies
51 yo
Inhibition of HCG access
increased cGMP - smooth muscle relax - vasodltn - proerectile
5. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
1 week - 2 weeks
Inhibition LH and FSH
Yolk sac - endodermal sinus - tumor
6. What is DHT responsible for in early development?
Teratoma
Differentiation of penis - scrotum and prostate
Inhibition of HCG access
Sertoli cells - and adipose tissue via aromatase
7. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Post menopausal bleeding
Serous cystadenocarcinoma
Sclerosing adenosis
8. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases
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9. What does the tail go onto to form
PSA
Testosterone
Squamo - columnar jxn
The centrioles
10. Where is androstenedione made?
Adrenal gland
Medullary
46 xx
Endocervix
11. What is the typical cell change in HPV infection
Phyllodes tumor
Low progesterone
Koilocytitic
increased cGMP - smooth muscle relax - vasodltn - proerectile
12. Where does prostatic adenocarcinoma arise from?
Just prior to ovulation
Posterior lobe peripheral zone
Phyllodes tumor
Embryonal carcinoma
13. What serum markers are associated with embyronal carcinoma
95%
Prior c section - inflammation - placenta previa
Malignant in males not in females
increased AFP and hCG
14. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Stimulates testosterone release from leydig cells
Adrenal gland
Endometriosis
Ovary
15. What increases the risk of cryptorchidism
Invasive ductal
Congenital adrenal hyperplasia - exogenous administration of steroids
Prematurity
Suspensory ligament of ovaries
16. What is the expected increase of estradiol and estrone in pregnancy
Ectocervix
Placenta previa
50 times
Fibroadenoma - phyllodes tumor
17. When does the secondary oocyte complete meosis II
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18. marked increased hCG - complete or partial
GnRH from hypoTh - LH and FSH from ant pituitary
Complete
During fetal life
Testosterone
19. What complications are associated with oligohydramnios
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20. tumor is ductal with caseous necrosis
Round ligament of the uterus
IV mag sulfate - diazepam
Increased FSH
Comedocarcinoma
21. What are the 3 androgens
Testosterone - DHT - androstenedione
46 xx
During fetal life
Stimulates testosterone release from leydig cells
22. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
Defective androgen receptor
Ectopic preg
Dysgerminoma
23. What is the karyotype of a partial mole
BPH
Squamo - columnar jxn
69 xxy
Complete
24. Testosterone and estrogen in androgen insensitivity syndrome
Granulosa cell tumor
Increase (and LH)
Milk letdown - uterine contractions?
Primary hypogonadism
25. What is the genetic material in the primary oocyte?
Visceral - somatic nerves in pudendal
5 alpha reductase - inhibited by finesteride
The centrioles
Diploid - 4N - 46 sister chromatids
26. What complications are associated with polyhydramnios
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27. What is the order of events in the menstrual cycle
Lobular carcinoma - sclerosing adenosis
Defective androgen receptor
PCOS
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
28. 2 sperm + empty egg
Complete
Placenta acreta
Diploid - 4N - 46 sister chromatids
Broad ligament
29. What percentage of testicular tumors are germ cell
95%
Severe bleeding iron def anemia - miscarriage
Para - aortic lymph nodes
Choriocarcinoma
30. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Krukenburg tumor
Lobular carcinoma - sclerosing adenosis
Embryonal carcinoma
31. predisposing factor to clear cell adenocarcinoma of the vagina
Polyhydramnios
Dysuria - frequency - urgency - low back pain
DES in utero (DES is a sythetic estrogen)
Choriocarcinoma
32. What common valvular abnormality is common in Turner's
Hypogondadotropic hypogonadism
Medullary
17beta estradiol
Aortic bicuspid valve
33. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Stimulation of secretion - but blocks its action at the breast
PCOS
Corpus luteum - placenta - adrenal cortex - testes
34. Which gynecologic tumors have the worst prognosis?
Ovarian > cervical > endometrial
Obdurator - exterinal iliac - hypogastic nodes
Fibrosis
GnRH from hypoTh - LH and FSH from ant pituitary
35. What is the serum marker for BPH
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Lateral invasion can block ureters causing renal failure
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
PSA
36. What is the most common pathogen in acute mastitis
Increased FSH
S aureus
DES in utero (DES is a sythetic estrogen)
Placenta acreta
37. When is the peak occurrence of leiomyoma
Hyperestrogenism
Tubular carcinoma
20 to 40
Estradiol and possible growth promoting effects of DHT
38. What is the karyotype of a complete mole
Complete
Puberty
46 xx
Prior c section - inflammation - placenta previa
39. Where is testosterone secreted into?
Call exner bodies
The semiT and the blood vessels
Round ligament of uterus
2nd week of proliferative phase
40. Does a leiomyoma progress to leiosarcoma
Cerebral hemorrhage and ARDS
Krukenburg tumor
Sertoli cell tumor
No
41. What is the risk for carcinoma among patients with intraductal papilloma
Superficial inguinal lymph nodes
Complete
Tubular carcinoma
Slight increase - 1.5 to 2
42. What increases risk for endometrial carcinoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Tunica vaginalis lesions
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Inhibit FSH
43. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Adrenal gland
Fibromas
Proliferation
Peripheral adipose tissue
44. What are the 4 sources of progesterone
Suspensory ligament of ovaries
Corpus luteum - placenta - adrenal cortex - testes
Feedback inhibition
Granulosa cell - aromatase - androstenedione - estrogen
45. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Suspensory ligament of ovaries
Endometrial carcinoma
Abacterial
DCIS
46. What sequelae are associated with leiomyoma
Testosterone - DHT - androstenedione
Mammary duct epithelium or lobular glands
Malignant in males not in females
Severe bleeding iron def anemia - miscarriage
47. What forms the blood testis barrier?
Tight junctions between sertoli cells
Myometrial invasion
SANS - hypogastric nerve
Superficial inguinal lymph nodes
48. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Left gonadal vein - left renal vein - IVC
Embryonal carcinoma
The anterior pituitary and hypothalamus
Prostate growth - balding - and sebaceous gland activity
49. What does progesterone do to body temp
Female pseudoHerm
69 xxy
Cervix
Increase
50. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Prophase
Obdurator - exterinal iliac - hypogastic nodes
Acute mastitis
Seminoma