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Test your basic knowledge |
First Aid: Reproductive
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Subjects
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health-sciences
,
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. List the estrogens in order of decreasing potency
Myometrial invasion
Maintenance
Estradiol > estrone > estriol
HPV 16 - 18
2. Bent penis due to acquired fibrous tissue formation
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3. What are the most common cause of anovluation
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4. What does the SRY gene do
Immature
Female pseudoHerm
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Testis determining factor
5. What hormones regulate sperm creation?
Increase (and LH)
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
GnRH from hypoTh - LH and FSH from ant pituitary
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
6. frequent bu irregular cycles
51 yo
Sertoli cells
Metrorrhagia
Trophoblasts
7. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Vagina
No
GnRH from hypoTh - LH and FSH from ant pituitary
8. What is the most frequent benign ovarian tumor
Mature teratoma
Endometrial > ovarian> cervical (in US)
Teratoma
Preeclampsia
9. what structures supplies the energy to the middle piece (neck)
Bowenoid papulosis - carcinoma in situ of the penis
Bicornute uterus
Mitochondria
Endometrial carcinoma
10. What complications are associated with oligohydramnios
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11. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Chocolate cyst
Invasive lobular
Erythroplasia of Queyrat - carcinoma in situ of penis
Placenta previa
12. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Testis determining factor
Endometrial carcinoma
Premature ovarian failure (Pof)
Teratoma
13. What are the 3 androgens
Smoking - HTN - cocaine
Testosterone - DHT - androstenedione
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Prior c section - inflammation - placenta previa
14. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
Golgi
Female pseudoHerm
Axillary node involvement
15. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
No
6
Choriocarcinoma
16. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Endometrial carcinoma
Endometrial carcinoma
Placenta acreta
Inhibition of HCG access
17. dx with increased testosterone and increased LH
Posterior lobe peripheral zone
Increase in size in pregs - decrease in size meno - estrogen sens
Intraductal papilloma - breast abscess - mastitis
Defective androgen receptor
18. Which cells line the seminiferous tubules and secrete inhibin
The semiT and the blood vessels
Round ligament of uterus
Invasive lobular
Sertoli cells
19. What does progesterone do to smooth muscle in the uterus
Relaxation
increased risk for carcinoma
Decrease
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
20. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
DIC
Estradiol > estrone > estriol
Neoplastic cells block lymphatic drainage
21. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
increased size and tenderness with increased estrogen
Myometrial invasion
Oligomenorrhea
22. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
Maintenance
46 xx
Cystic
23. What is associated with sclerosing adenosis?
S aureus
Calcifications
Blacks
Maintenance
24. histo: stratified sqamous epithelium
Seminoma
Ectocervix
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Brenner tumor
25. triad of ovarian fibroma - ascites - hydrothorax
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Abacterial
Meigs syndrome
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
26. multilocular cyst lined by mucus secreting epi - benign - intestine like
Mucinous cystadenoma
Kallman
Mucinous cystadenocarcinoma
Syncytiotrophoblasts of placenta
27. < 21 day cycle
Inhibit FSH
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Para - aortic lymph nodes
Polymenorrhea
28. What do leydig cells secrete?
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testosterone
17beta estradiol
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
29. What is indicative of a poor prognosis for endometrial carcinoma
Stimulates sertoli cells to produce ABP and inhibin
Vagina
HPV 16 - 18
Myometrial invasion
30. Some drugs cause awesome knockers
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Testosterone
Prior c section - inflammation - placenta previa
31. Benign - looks like bladder
Brenner tumor
50 times
Fibrcystic change - ductal cancer
Endometrial carcinoma
32. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Tunica vaginalis lesions
Invasive ductal
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
33. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Chocolate cyst
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
During fetal life
Krukenburg tumor
34. Does a leiomyoma progress to leiosarcoma
No
Intraductal papilloma - breast abscess - mastitis
Tunica vaginalis lesions
2nd week of proliferative phase
35. What is mortality due to in preeclampsia
Upregulation
Polymenorrhea
Severe bleeding iron def anemia - miscarriage
Cerebral hemorrhage and ARDS
36. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Peripheral adipose tissue
Inhibition LH and FSH
Neoplastic cells block lymphatic drainage
Yolk sace - endodermal sinus - tumor
37. What occurs to a fibroadenoma during pregnancy and menstruation and why
Ectocervix
increased size and tenderness with increased estrogen
Mammary duct epithelium or lobular glands
Serous cystadenoma
38. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
No
Upregulation - LH surge - ovulation
Klinefelter's - XXY
Trophoblasts
39. What are the effects of prolactin?
Fibroadenoma
Left
Ovary
Induces and maintains lactation - decreases reproductive function
40. histo: stratified squamous epithelium - nonkeratinized
Dysuria - frequency - urgency - low back pain
Suspensory ligament of ovaries
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Vagina
41. What is the order of events in the menstrual cycle
Preeclampsia + siezures
Hydrocele
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Decreasing progesterone
42. Breast path - diseases of the lactiferous sinus
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Intraductal papilloma - breast abscess - mastitis
Upregulation
increased size and tenderness with increased estrogen
43. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Broad ligament
Smooth muscle
Differentiation of penis - scrotum and prostate
44. What changes are seen with total PSA and fraction of free PSA
Tight junctions between sertoli cells
increased in total - and dec in free fraction
BPH
Induces and maintains lactation - decreases reproductive function
45. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Prematurity
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
DRE - hard nodule and biopsy
Medullary
46. What is DHT responsible for in late development
Low progesterone
Mature teratoma
Asia - Africa - S. America - HPV - lack of circumcision
Prostate growth - balding - and sebaceous gland activity
47. > 35 day cycle
Proliferation
Inflammatory
Oligomenorrhea
Corpus luteum cyst
48. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Preeclampsia
49. gynecological tumors from highest incidence to lowest
Puberty
Endometrial > ovarian> cervical (in US)
Prematurity
17beta estradiol
50. What does estrogen do to estrogen - LH and progesterone recepotrs
Choriocarcinoma
Upregulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Post menopausal bleeding
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