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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. Increases in which hormone are associated with BPH
Estradiol and possible growth promoting effects of DHT
Brenner tumor
No
Krukenburg tumor
2. Which gynecologic tumors have the worst prognosis?
Adolescents
Left gonadal vein - left renal vein - IVC
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ovarian > cervical > endometrial
3. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
Retrograde mentrual flow or ascending infection
Slight increase - 1.5 to 2
Increase in size in pregs - decrease in size meno - estrogen sens
4. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
DCIS
GnRH from hypoTh - LH and FSH from ant pituitary
Haploid - N - 23 single chromatids
Dysgerminoma
5. What are the functions of oxytocin - maybe
Dysuria - frequency - urgency - low back pain
Endometrial carcinoma
Milk letdown - uterine contractions?
Corpus luteum cyst
6. What complications are associated with oligohydramnios
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7. small - mobile - firm breast mass with sharp edges - most common in <25
Fibroadenoma
Estradiol and possible growth promoting effects of DHT
Just prior to ovulation
Placenta acreta
8. histologic type of fibrocystic with hyperplasia of breast stroma
Testis determining factor
Erythroplasia of Queyrat - carcinoma in situ of penis
Fibrosis
Kallman
9. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
One of the centrioles
Spermatogonia (germ cells)
Bicornute uterus
Varicocele
10. Complications of BPH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Prematurity
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Krukenburg tumor
11. What sequelae are associated with leiomyoma
Male pseudoHerm
Severe bleeding iron def anemia - miscarriage
In the 6th decade of life
Choriocarcinoma
12. What does progesterone do to myometrial excitability
Decrease
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Blacks
Trophoblasts
13. Breast path - diseases of the stroma
Fibroadenoma - phyllodes tumor
Mucinous cystadenoma
Slight increase - 1.5 to 2
Varicocele
14. What structures does testosterone negatively feedback on?
Milk letdown - uterine contractions?
The anterior pituitary and hypothalamus
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Corpus luteum - placenta - adrenal cortex - testes
15. Breast path - disease that occurs at the nipple
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16. What are the most common tumors in all females?
Mittelschmerz syndrome
Myometrial tumors
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Hypogondadotropic hypogonadism
17. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Seminoma
Round ligament of uterus
Estrogen overstimulation
18. What is the treatment for preeclampsia
Delivery of fetus
Right gonadal vein - IVC
Preeclampsia + siezures
One of the centrioles
19. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Golgi
CIN 1 - 2 - 3
Smoking - HTN - cocaine
20. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
2 months
Invasive lobular
Fibroadenoma
21. dx with increased testosterone and increased LH
Androgen insensitivity syndrome - 46 XY
Suspensory ligament of ovaries
Blacks
Defective androgen receptor
22. What is the most common gynecologic malignancy
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Endometrial carcinoma
Testosterone secreting tumor - exogenous steroids
Fibroadenoma - phyllodes tumor
23. What is a true hermaphrodite
4
Dilation and curettage and methotrexate
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Paget's disease - breast abscess
24. What serum markers are associated with embyronal carcinoma
Endometrial > ovarian> cervical (in US)
increased AFP and hCG
Fructose
No
25. Which cells secrete beta hCG
Trophoblasts
DES in utero (DES is a sythetic estrogen)
Choriocarcinoma
No
26. Which system and nerve are responsible for emission
Leydig cell tumor
SANS - hypogastric nerve
Male pseudoHerm
Smoking - HTN - cocaine
27. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Menopause
Peyronie's dz
Myometrial invasion
Female pseudoHerm
28. Which nerve and nerve fibers control for ejaculation
Testosterone
Visceral - somatic nerves in pudendal
Mitochondria
50 times
29. What does inhibin do?
Peripheral adipose tissue
Inhibit FSH
Blacks
Stimulates testosterone release from leydig cells
30. What stimulation after labor induces lactation
DIC
Decreasing progesterone
Estrogen overstimulation
PANS - pelvic nerve
31. What does progesterone do to smooth muscle in the uterus
Osteoblastic in bone
Granulosa cell - aromatase - androstenedione - estrogen
Relaxation
Partial
32. common cause of recurrent miscarriage in 2nd trimester
Sertoli cell tumor
Bicornute uterus
Inflammatory
DRE - hard nodule and biopsy
33. decreased estrogen production due to age linked decline in the number of ovarian follices
Stimulation of secretion - but blocks its action at the breast
Menopause
Kallman
Hydrocele
34. Is fertility compromised in double Y males?
increased risk for carcinoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Phyllodes tumor
No
35. dilated epididymal duct
Spermatocele
Round ligament of the uterus
Meigs syndrome
Aortic bicuspid valve
36. What is the common presentation of metastasis in prostate cancer
Haploid - 2N - 23 sister chromatids
DRE - hard nodule and biopsy
Low back pain with increased serum alk phos
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
37. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Menopause
Peripheral adipose tissue
Paget's disease - breast abscess
38. What becomes the main source of hCG
Smooth muscle
Syncytiotrophoblasts of placenta
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Delivery of fetus
39. What is a concern of early menopause
Premature ovarian failure (Pof)
Whorled pattern of smooth muscle bundles
Just prior to ovulation
Insulin resistance
40. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Prostate growth - balding - and sebaceous gland activity
Choriocarcinoma
Milk letdown - uterine contractions?
41. histo: stratified sqamous epithelium
Testosterone
Pseudohermaphroditism
Slight increase - 1.5 to 2
Ectocervix
42. What hematologic condition is associated with abruptio placentae
DIC
Preeclampsia clinical
E coli
increased AFP and hCG
43. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Ectopic preg
Invasive ductal
Down regulation
44. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Choriocarcinoma
Puberty
Cystic
Upregulation - LH surge - ovulation
45. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Fibroadenoma
Acute mastitis
Placenta previa
46. histo: simple columnar epithelium
Defective androgen receptor
Mimics LH
Endocervix
Chromosomal abnormalities
47. What is the karyotype of a partial mole
Dysgerminoma
Aortic bicuspid valve
Inhibit FSH
69 xxy
48. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Oligohydramnios
Syncytiotrophoblasts of placenta
Chromosomal abnormalities
Dysgerminoma
49. dx with decreased testosterone and decreased LH
69 xxy
Hypogondadotropic hypogonadism
Hydrocele
Fibrocystic disease
50. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Relaxation
Complete
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