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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. Which system and nerve are responsible for emission
Meigs syndrome
SANS - hypogastric nerve
Esophogeal/duodenal atresia - can't swallow - anencephaly
Intraductal papilloma
2. in males - are mature teratomas malignant? What is the case for females
Peripheral adipose tissue
Malignant in males not in females
Fibromas
No
3. Where does fertilization most commonly occur?
Complete
The ampulla - occurs within 1 day of ovulation
Testosterone secreting tumor - exogenous steroids
Alpha1 antagonists - terazosin - tamsulosin - finasteride
4. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Hypogondadotropic hypogonadism
Complete
1000 times
5. In chronic prostatitis is bacterial or abacterial more common
Abacterial
No
Post menopausal
Complete
6. What changes are seen with total PSA and fraction of free PSA
Ligament of the ovary
Intraductal papilloma
increased in total - and dec in free fraction
increased size and tenderness with increased estrogen
7. What does FSH do
Low progesterone
Theca cell - desmolase - androstenedione
Lobular carcinoma - sclerosing adenosis
Stimulates sertoli cells to produce ABP and inhibin
8. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Preeclampsia
Theca - leutin cysts
Ovarian > cervical > endometrial
Klinefelter's - XXY
9. What is the order of events in the menstrual cycle
Maintenance
Endocervix
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Slight increase - 1.5 to 2
10. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Tunica vaginalis lesions
Polyhydramnios
Teratoma
Sclerosing adenosis
11. When is follicular growth the fastest?
Androgen insensitivity syndrome - 46 XY
Testosterone - DHT - androstenedione
2nd week of proliferative phase
Adolescents
12. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Ectocervix
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Premature ovarian failure (Pof)
Teratoma
13. 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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14. Where is testosterone converted to estrogen
Round ligament of uterus
Sertoli cells - and adipose tissue via aromatase
Post menopausal bleeding
Partial
15. Breast path - diseases of the major duct
Turner's XO
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Fibrcystic change - ductal cancer
Epithelial hyperplasia
16. What is the risk for carcinoma among patients with intraductal papilloma
Adenomyosis
Post menopausal
Slight increase - 1.5 to 2
Mucinous cystadenocarcinoma
17. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck
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18. eclampsia
Increase in size in pregs - decrease in size meno - estrogen sens
Adolescents
Preeclampsia + siezures
Fertilization 'an egg met a sperm'
19. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Turner's XO
Inhibition LH and FSH
increased Ca in - smooth muscle contraction - vasocxn - antierectile
20. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Endometriosis
69 xxy
21. 50% of ovarian tumors - malignant and frequently bilateral
Differentiation of penis - scrotum and prostate
Inhibition LH and FSH
Testosterone
Serous cystadenocarcinoma
22. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Call exner bodies
Ovary
Yolk sac - endodermal sinus - tumor
Testosterone
23. dx with decreased testosterone and decreased LH
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Testosterone
Hypogondadotropic hypogonadism
Inhibition of HCG access
24. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Granulosa cell tumor
Bowenoid papulosis - carcinoma in situ of the penis
Retrograde mentrual flow or ascending infection
Visceral - somatic nerves in pudendal
25. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Turner's XO
51 yo
Squamo - columnar jxn
Complete
26. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Hemorrhage
Klinefelter's - XXY
Yolk sace - endodermal sinus - tumor
Teratoma
27. testicular masses that can be transilluminated
Endometrial carcinoma
Multiple sexual partners - also HIV and early sexual intercourse
Sarcoma botryoides - a rhabdomyosarcoma variant
Tunica vaginalis lesions
28. What structures does testosterone negatively feedback on?
Acute mastitis
The anterior pituitary and hypothalamus
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Hydrocele
29. What estrogen does the placenta secrete
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Develop both male and female internal genitalia and male external genitalia
Estradiol
Complete
30. What does inhibin do?
Testosterone
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Inhibit FSH
Adrenal gland
31. What is DHT responsible for in late development
Placenta acreta
Prostate growth - balding - and sebaceous gland activity
20 to 40
Testicular lymphoma
32. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
51 yo
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Myometrial invasion
Sertoli cell tumor
33. Overexpression of which receptors is common iwht malignant breast tumors
increased risk for carcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Small infiltrating glands with prominent nucleoli
Paget cell
34. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Inhibition LH and FSH
Androgen insensitivity syndrome - 46 XY
Mimics LH
Pseudohermaphroditism
35. When does the secondary oocyte complete meosis II
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36. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Suckling - increased oxytocin - prolactin
Intraductal papilloma
Sarcoma botryoides - a rhabdomyosarcoma variant
37. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Choriocarcinoma
Endocervix
Prior c section - inflammation - placenta previa
Cystic
38. disagreement between the phenotypic and gonadal sex
Comedocarcinoma
Pseudohermaphroditism
51 yo
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
39. What is the most common cause of breast lumps from age 25 to menopause
Increase in size in pregs - decrease in size meno - estrogen sens
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Fibrocystic disease
40. What is the common presentation of metastasis in prostate cancer
Low back pain with increased serum alk phos
increased risk for carcinoma
Choriocarcinoma
In the 6th decade of life
41. What is a complication of invasive carcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Seminoma
Phyllodes tumor
Lateral invasion can block ureters causing renal failure
42. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Production of a thick cervical mucus
6
Corpus luteum - placenta - adrenal cortex - testes
43. androblastoma from sex cord stroma
Sertoli cell tumor
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Round ligament of uterus
Mitochondria
44. What effect does NO have on smooth muscle in erectile tissues
increased cGMP - smooth muscle relax - vasodltn - proerectile
Dilation and curettage and methotrexate
Obdurator - exterinal iliac - hypogastic nodes
Testicular lymphoma
45. What are the treatments for BPH
Theca cell - desmolase - androstenedione
Pseudohermaphroditism
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Teratoma
46. What bacteria is commone in acute prostatitis
E coli
Intraductal papilloma - breast abscess - mastitis
Abacterial
Placenta acreta
47. What is the clinical manifestation of PCOS
Smoking - HTN - cocaine
Ovarian > cervical > endometrial
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
48. What is the right venous drainage of the ovary/testis
Fat necrosis
Corpus luteum cyst
Right gonadal vein - IVC
Abacterial
49. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Dysgerminoma
Corpus luteum cyst
Yolk sac - endodermal sinus - tumor
50. What does hCG do in the first trimester to maintain the corpus luteum
Mimics LH
Relaxation
Slight increase - 1.5 to 2
Ovarian > cervical > endometrial