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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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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. > 35 day cycle
Dysgerminoma
Myometrial invasion
Oligomenorrhea
1000 times
2. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Tight junctions between sertoli cells
Inhibition LH and FSH
3. Which system and nerve are responsible for emission
SANS - hypogastric nerve
20 to 40
Vagina
Androgen insensitivity syndrome
4. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Female pseudoHerm
Testosterone
Andogren binding protein - anti mullerian hormone
Serous cystadenocarcinoma
5. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
No
Seminoma
Epithelial hyperplasia
6. In what phase is meiosis I arrested
Prophase
One of the centrioles
Fertilization 'an egg met a sperm'
Dysuria - frequency - urgency - low back pain
7. What does inhibin do?
Multiple sexual partners - also HIV and early sexual intercourse
Inflammatory
Peyronie's dz
Inhibit FSH
8. What becomes the main source of hCG
Syncytiotrophoblasts of placenta
Trophoblasts
increased AFP and hCG
Menopause
9. What is the flaggelum derived from
Aortic bicuspid valve
Hydatidiform mole
Endocervix
One of the centrioles
10. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
PANS - pelvic nerve
Testosterone
Complete
11. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Cervix
Suckling - increased oxytocin - prolactin
Production of a thick cervical mucus
Sarcoma botryoides - a rhabdomyosarcoma variant
12. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Acute mastitis
Medullary
Complete
Fibromas
13. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Neoplastic cells block lymphatic drainage
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
14. What is the presentation of fibrocystic dz
5 alpha reductase def
Multiple sexual partners - also HIV and early sexual intercourse
Chromosomal abnormalities
Prementsrual breast pain and multiple lesions
15. What forms the blood testis barrier?
Down regulation
Mittelschmerz syndrome
Tight junctions between sertoli cells
One of the centrioles
16. Which androgen is responsible for the deepening of the voice
Post menopausal
One of the centrioles
Epithelial hyperplasia
Testosterone
17. What are the treatments for BPH
Inhibition of HCG access
Adenomyosis
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Increase
18. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Fibroadenoma
Kallman
Peyronie's dz
19. How does endometrial hyperplasia manifest clinically
Tubular carcinoma
Theca cell - desmolase - androstenedione
Post menopausal bleeding
Invasive ductal
20. In what group are malignant breast tumors most commonly seen
1 week - 2 weeks
Yolk sac - endodermal sinus - tumor
Serous cystadenoma
Post menopausal
21. What hormones regulate sperm creation?
Polymenorrhea
DHT - testosterone - androstenedione
Call exner bodies
GnRH from hypoTh - LH and FSH from ant pituitary
22. Large cells in epidermis with clear halo
Endometriosis
Peyronie's dz
2nd week of proliferative phase
Paget cell
23. What is the clinical manifestation of PCOS
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Down regulation
Mature teratoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
24. What does the tail go onto to form
Ovarian > cervical > endometrial
The centrioles
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Prostate growth - balding - and sebaceous gland activity
25. Which cells line the seminiferous tubules and secrete inhibin
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Testosterone secreting tumor - exogenous steroids
Fibromas
Sertoli cells
26. Breast path - diseases of the major duct
Tubular carcinoma
Fibrosis
Neoplastic cells block lymphatic drainage
Fibrcystic change - ductal cancer
27. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Syncytiotrophoblasts of placenta
Testosterone
Congenital adrenal hyperplasia - exogenous administration of steroids
Epithelial hyperplasia
28. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Left gonadal vein - left renal vein - IVC
Partial
HPV 16 - 18
GnRH from hypoTh - LH and FSH from ant pituitary
29. dx with increased testosterone and increased LH
GnRH from hypoTh - LH and FSH from ant pituitary
Relaxation
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Defective androgen receptor
30. What is the typical cell change in HPV infection
Koilocytitic
Chocolate cyst
Theca cell - desmolase - androstenedione
Slight increase - 1.5 to 2
31. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Adenomyosis
increased size and tenderness with increased estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
32. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Left
Visceral - somatic nerves in pudendal
No
33. Testosterone and estrogen in androgen insensitivity syndrome
Asia - Africa - S. America - HPV - lack of circumcision
Kallman
Increase (and LH)
Obdurator - exterinal iliac - hypogastic nodes
34. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Cardinal ligament
Follicular phase varies - luteal phase is 14
35. 50% of ovarian tumors - malignant and frequently bilateral
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Serous cystadenocarcinoma
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Polyhydramnios
36. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Low back pain with increased serum alk phos
Androgen insensitivity syndrome
Theca cell - desmolase - androstenedione
Androgen insensitivity syndrome - 46 XY
37. 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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38. What is the right venous drainage of the ovary/testis
No
Hyperthyroidism - contains functional thyroid tissue
Right gonadal vein - IVC
Prior c section - inflammation - placenta previa
39. dx with increased testosterone and dec LH
Mammary duct epithelium or lobular glands
Testosterone secreting tumor - exogenous steroids
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
40. hyperplasia - not hypertrophy of the prostate gland
Upregulation - LH surge - ovulation
E coli
BPH
Testosterone - DHT - androstenedione
41. What effect does NE have on smoothe muscle in the erectile tissues
Complete
6
Feedback inhibition
increased Ca in - smooth muscle contraction - vasocxn - antierectile
42. is fibroadenoma a precursor to breast cancer
No
Teratoma
Suspensory ligament of ovaries
Menometrorrhagia
43. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Differentiation of penis - scrotum and prostate
Fructose
5 alpha reductase def
Invasive lobular
44. What increases the risk of cryptorchidism
Prematurity
Testis determining factor
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Ovary
45. What is the karyotype of a partial mole
Testis determining factor
Inhibition LH and FSH
69 xxy
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
46. When are phyllodes tumors most common
In the 6th decade of life
Multiple sexual partners - also HIV and early sexual intercourse
Develop both male and female internal genitalia and male external genitalia
Abacterial
47. What is the most common form of male pseudoHerm
The anterior pituitary and hypothalamus
Low progesterone
Androgen insensitivity syndrome
2nd week of proliferative phase
48. Where is testosterone converted to estrogen
Cerebral hemorrhage and ARDS
Chromosomal abnormalities
Premature ovarian failure (Pof)
Sertoli cells - and adipose tissue via aromatase
49. What is DHT responsible for in late development
Brenner tumor
Prostate growth - balding - and sebaceous gland activity
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Smoking - HTN - cocaine
50. In chronic prostatitis is bacterial or abacterial more common
Invasive lobular
Abacterial
Fibrcystic change - ductal cancer
Retrograde mentrual flow or ascending infection
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