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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 increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Testosterone
Upregulation - LH surge - ovulation
E coli
Myometrial tumors
2. histo: simple columnar epithelium - pseudostratified tubular glands
Ovary
Uterus
Induces and maintains lactation - decreases reproductive function
Hydatidiform mole
3. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Milk letdown - uterine contractions?
Sertoli cell tumor
Round ligament of the uterus
Stimulate glandular secretions - and spiral artery development
4. premature detachment of placenta from implantation site leading to fetal death
The anterior pituitary and hypothalamus
Abruptio placentae
Syncytiotrophoblasts of placenta
Fibrocystic disease
5. What is the genetic material in the primary oocyte?
Diploid - 4N - 46 sister chromatids
Small infiltrating glands with prominent nucleoli
Milk letdown - uterine contractions?
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
6. Which cells line the seminiferous tubules and secrete inhibin
Estradiol and possible growth promoting effects of DHT
In the 6th decade of life
Sertoli cells
GnRH from hypoTh - LH and FSH from ant pituitary
7. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Ovary
PCOS
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Tunica vaginalis lesions
8. What does progesterone do to myometrial excitability
Embryonal carcinoma
Decrease
Sertoli cells - and adipose tissue via aromatase
Endometrial carcinoma
9. histo: stratified sqamous epithelium
Ectocervix
Relaxation
Down regulation
Hyperthyroidism - contains functional thyroid tissue
10. How does exogenous testosterone create azoospermia
Inhibition of HCG access
Epithelial hyperplasia
Insulin resistance
Periurethral lobes - lateral and middle
11. Which hydatidiform mole has the greater risk for malignancy
Fibroadenoma - phyllodes tumor
Complete
Dysuria - frequency - urgency - low back pain
Para - aortic lymph nodes
12. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Posterior lobe peripheral zone
SANS - hypogastric nerve
Endometrial carcinoma
13. Vaginal sqamous cell carcinoma is most often seconday From which site?
Preductal coarctication
Embryonal carcinoma
Cervix
Suspensory ligament of ovaries
14. What changes are seen with total PSA and fraction of free PSA
Calcifications
increased in total - and dec in free fraction
Low progesterone
Meigs syndrome
15. heavy - irregular menstruation at irregular intervals
Post menopausal bleeding
Yolk sace - endodermal sinus - tumor
Congenital adrenal hyperplasia - exogenous administration of steroids
Menometrorrhagia
16. Is fertility compromised in double Y males?
Dysuria - frequency - urgency - low back pain
Estradiol
No
Testis determining factor
17. Benign - looks like bladder
Brenner tumor
increased risk for carcinoma
Testicular lymphoma
Call exner bodies
18. What is DHT responsible for in early development?
Tight junctions between sertoli cells
Differentiation of penis - scrotum and prostate
Fibroadenoma - phyllodes tumor
Abruptio placentae
19. How many functional sperm does 1 germ cell creat?
Broad ligament
Haploid - 2N - 23 sister chromatids
Esophogeal/duodenal atresia - can't swallow - anencephaly
4
20. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Haploid - 2N - 23 sister chromatids
Preeclampsia clinical
DHT - testosterone - androstenedione
Sertoli cells
21. What percentage of testicular tumors are germ cell
S aureus
50 times
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
95%
22. Where does fertilization most commonly occur?
No
Post menopausal bleeding
Abacterial
The ampulla - occurs within 1 day of ovulation
23. What does progesterone do for pregnancy
Choriocarcinoma
Theca - leutin cysts
Maintenance
55-65
24. What hematologic condition is associated with abruptio placentae
The centrioles
Endocervix
Cystic
DIC
25. Breast path - diseases of the lactiferous sinus
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Testosterone - DHT - androstenedione
Intraductal papilloma - breast abscess - mastitis
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
26. What is a concern of early menopause
Dysgerminoma
Testosterone
Endometrial carcinoma
Premature ovarian failure (Pof)
27. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Hemorrhage
Induces and maintains lactation - decreases reproductive function
28. Increases in which hormone are associated with BPH
Theca cell - desmolase - androstenedione
Dilation and curettage and methotrexate
Estradiol and possible growth promoting effects of DHT
Hypogondadotropic hypogonadism
29. > 35 day cycle
51 yo
Andogren binding protein - anti mullerian hormone
Oligomenorrhea
Uterus
30. What does hCG do in the first trimester to maintain the corpus luteum
Defective androgen receptor
Testicular lymphoma
Puberty
Mimics LH
31. gynecological tumors from highest incidence to lowest
Endometrial > ovarian> cervical (in US)
Superficial inguinal lymph nodes
Intraductal papilloma - breast abscess - mastitis
Koilocytitic
32. Connects cervix to side wall of pelvis - contains uterine vessels
Peripheral conversion of androgens
Cardinal ligament
Prostate growth - balding - and sebaceous gland activity
Choriocarcinoma
33. What metastasis is most common with prostatic adenocarcinoma
Premature ovarian failure (Pof)
Ectocervix
Osteoblastic in bone
20 to 40
34. What does progesterone do in the endometrium
Endometriosis
Stimulate glandular secretions - and spiral artery development
Estradiol > estrone > estriol
Testosterone
35. Where is testosterone converted to estrogen
Mittelschmerz syndrome
5 alpha reductase def
Polyhydramnios
Sertoli cells - and adipose tissue via aromatase
36. disagreement between the phenotypic and gonadal sex
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Pseudohermaphroditism
Periurethral lobes - lateral and middle
Hypogondadotropic hypogonadism
37. dx with decreased testosterone - increased LH
Primary hypogonadism
Corpus luteum - placenta - adrenal cortex - testes
Invasive lobular
Polymenorrhea
38. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
DIC
Estrogen overstimulation
Testosterone
39. When is the peak occurrence of leiomyoma
Whorled pattern of smooth muscle bundles
Koilocytitic
20 to 40
Fibrocystic disease
40. In chronic prostatitis is bacterial or abacterial more common
Theca - leutin cysts
Erythroplasia of Queyrat - carcinoma in situ of penis
increased risk for carcinoma
Abacterial
41. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Round ligament of uterus
Menometrorrhagia
Hydatidiform mole
Fructose
42. What is the average age of onset for menopause
20 to 40
2 months
51 yo
Corpus luteum cyst
43. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function
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44. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Malignant in males not in females
Just prior to ovulation
Visceral - somatic nerves in pudendal
Chocolate cyst
45. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Increase in size in pregs - decrease in size meno - estrogen sens
Prior c section - inflammation - placenta previa
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Spermatogonia (germ cells)
46. What is the karyotype of a complete mole
Left
Prostatic acid phosphatase and PSA
46 xx
Oligomenorrhea
47. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
The centrioles
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Intraductal papilloma
Cystic
48. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
Upregulation
Fibroadenoma
Left gonadal vein - left renal vein - IVC
49. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Haploid - 2N - 23 sister chromatids
Fallopian tube
Kallman
Serous cystadenoma
50. <0.5 L of amniotic fluid
Corpus luteum - placenta - adrenal cortex - testes
Abacterial
Oligohydramnios
Insulin resistance