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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. What does the histo show for prostate cancer
Embryonal carcinoma
Ovarian > cervical > endometrial
Estrogen overstimulation
Small infiltrating glands with prominent nucleoli
2. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Primary hypogonadism
DCIS
DRE - hard nodule and biopsy
3. in males - are mature teratomas malignant? What is the case for females
Posterior lobe peripheral zone
Haploid - 2N - 23 sister chromatids
Malignant in males not in females
Androgen insensitivity syndrome - 46 XY
4. What is the typical cell change in HPV infection
Koilocytitic
Blacks
Multiple sexual partners - also HIV and early sexual intercourse
Pseudohermaphroditism
5. Where is testosterone converted to estrogen
Blacks
Adolescents
Puberty
Sertoli cells - and adipose tissue via aromatase
6. What is the serum marker for BPH
Right gonadal vein - IVC
Fat necrosis
PSA
Preeclampsia
7. What is a complication of invasive carcinoma
increased AFP and hCG
Hemolysis - elevated liver enzymes - low platelets
Mitochondria
Lateral invasion can block ureters causing renal failure
8. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Fibrosis
Asia - Africa - S. America - HPV - lack of circumcision
DHT - testosterone - androstenedione
Sarcoma botryoides - a rhabdomyosarcoma variant
9. What is a concern of early menopause
Mucinous cystadenoma
Premature ovarian failure (Pof)
PANS - pelvic nerve
Prementsrual breast pain and multiple lesions
10. What is the common presentation of metastasis in prostate cancer
Low back pain with increased serum alk phos
Myometrial invasion
Bowen's dz - carcinoma in situ of the penis
Varicocele
11. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Prostatic acid phosphatase and PSA
Hemolysis - elevated liver enzymes - low platelets
Intraductal papilloma
55-65
12. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Squamous cell carcinoma
Fibroadenoma - phyllodes tumor
Whorled pattern of smooth muscle bundles
Para - aortic lymph nodes
13. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Round ligament of uterus
5 alpha reductase - inhibited by finesteride
Dysuria - frequency - urgency - low back pain
14. Where is androstenedione made?
Endometrial carcinoma
Adrenal gland
Increase (and LH)
Testis determining factor
15. How is dyslpasi and carcinoma in situ of the cervix classified
The anterior pituitary and hypothalamus
CIN 1 - 2 - 3
Menometrorrhagia
Malignant in males not in females
16. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
The centrioles
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Ectopic preg
17. increased AFP - schiller duvel bodies - yellow mucinous
Ectopic preg
Prostate growth - balding - and sebaceous gland activity
Preeclampsia clinical
Yolk sac - endodermal sinus - tumor
18. What can happen with no sertoli cell or lack of anti mullerian hormone
Varicocele
Develop both male and female internal genitalia and male external genitalia
Hydrocele
Sertoli cell tumor
19. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Whorled pattern of smooth muscle bundles
Invasive ductal
Mimics LH
Adenomyosis
20. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Prior c section - inflammation - placenta previa
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Seminoma
21. What is the prognosis for seminoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Good - late metastasis
Endometrial carcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
22. Which gynecologic tumors have the worst prognosis?
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Multiple sexual partners - also HIV and early sexual intercourse
Ovarian > cervical > endometrial
Testosterone - DHT - androstenedione
23. What is the pattern seen in leiomyoma
Yolk sace - endodermal sinus - tumor
Whorled pattern of smooth muscle bundles
Cardinal ligament
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
24. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
69 xxy
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Good - late metastasis
25. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function
26. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
During fetal life
Brenner tumor
Bowenoid papulosis - carcinoma in situ of the penis
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
27. What are risk factors for placenta acreta
Adenomyosis
20 to 40
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Prior c section - inflammation - placenta previa
28. What does the SRY gene do
Dysgerminoma
Osteoblastic in bone
Metaphase
Testis determining factor
29. histo: simple columnar epithelium - ciliated
Mucinous cystadenoma
Fallopian tube
Left gonadal vein - left renal vein - IVC
Androgen insensitivity syndrome - 46 XY
30. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Testosterone secreting tumor - exogenous steroids
Medullary
Induces and maintains lactation - decreases reproductive function
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
31. What does progesterone do in the endometrium
Follicular phase varies - luteal phase is 14
Testosterone
Stimulate glandular secretions - and spiral artery development
Inhibit FSH
32. What does estrogen to do prolaction
Blacks
DES in utero (DES is a sythetic estrogen)
Stimulation of secretion - but blocks its action at the breast
Koilocytitic
33. What is the venous drainage of the left ovary/testis?
Multiple sexual partners - also HIV and early sexual intercourse
Left gonadal vein - left renal vein - IVC
Defective androgen receptor
Sertoli cells - and adipose tissue via aromatase
34. >1.5 -2 L of amniotic fluid
Granulosa cell tumor
Round ligament of the uterus
Induces and maintains lactation - decreases reproductive function
Polyhydramnios
35. Overexpression of which receptors is common iwht malignant breast tumors
Testosterone - DHT - androstenedione
Decreasing progesterone
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Peripheral adipose tissue
36. What is HELLP syndrome
Hemolysis - elevated liver enzymes - low platelets
Testosterone
2nd week of proliferative phase
Inhibit cGMP breakdown
37. What is the most common gynecologic malignancy
Kallman
Uterus
Endometrial carcinoma
Granulosa cell - aromatase - androstenedione - estrogen
38. What becomes the main source of hCG
Complete
Testosterone
Syncytiotrophoblasts of placenta
Androgen insensitivity syndrome - 46 XY
39. What is the best test to confirm menopause
Bowen's dz - carcinoma in situ of the penis
Choriocarcinoma
Increased FSH
Krukenburg tumor
40. 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
Seminoma
The anterior pituitary and hypothalamus
Premature ovarian failure (Pof)
Myometrial tumors
41. Which cells secrete beta hCG
Hydatidiform mole
Trophoblasts
Slight increase - 1.5 to 2
Suckling - increased oxytocin - prolactin
42. What happens to a leiomyoma in pregs and menopause and why
Theca - leutin cysts
Preeclampsia
Increase in size in pregs - decrease in size meno - estrogen sens
Metrorrhagia
43. What is a potential complication of endometrial hyperplasia
Maintenance
Ligament of the ovary
Smoking - HTN - cocaine
Endometrial carcinoma
44. What are the treatments for BPH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone secreting tumor - exogenous steroids
Production of a thick cervical mucus
Alpha1 antagonists - terazosin - tamsulosin - finasteride
45. What are the most common cause of anovluation
46. What does progesterone do to smooth muscle in the uterus
Testosterone - DHT - androstenedione
Decrease
Relaxation
5 alpha reductase - inhibited by finesteride
47. Prevention of seizures and in preeclampsia
Asia - Africa - S. America - HPV - lack of circumcision
Serous cystadenoma
Endocervix
IV mag sulfate - diazepam
48. 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
49. What substances other than inhibin do sertoli cells produce?
Golgi
Andogren binding protein - anti mullerian hormone
Female pseudoHerm
Chromosomal abnormalities
50. histo: stratified sqamous epithelium
Ovarian > cervical > endometrial
Tight junctions between sertoli cells
Ectocervix
Blacks