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Test your basic knowledge |
Reproductive
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Subject
:
health-sciences
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. What does the tail go onto to form
Ectopic preg
Chocolate cyst
Hypogondadotropic hypogonadism
The centrioles
2. What serum markers are associated with embyronal carcinoma
E coli
Yolk sace - endodermal sinus - tumor
Testosterone secreting tumor - exogenous steroids
Inc AFP and hCG
3. What structures does testosterone negatively feedback on?
PCOS
Malignant in males not in females
The anterior pituitary and hypothalamus
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
4. 2 sperm + 1 egg
Hypogondadotropic hypogonadism
Partial
Complete
Mammary duct epithelium or lobular glands
5. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Slight increase - 1.5 to 2
Upregulation
Increased FSH
6. gynecological tumors from highest incidence to lowest
Aortic bicuspid valve
Testis determining factor
Endometrial > ovarian> cervical (in US)
Milk letdown - uterine contractions?
7. When does the secondary oocyte complete meosis II
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8. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Testosterone
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Androgen insensitivity syndrome - 46 XY
Production of a thick cervical mucus
9. What is the most common pathogen in acute mastitis
Mucinous cystadenoma
Abruptio placentae
Left
S aureus
10. hyperandrogenism due to deranged steroid synthesis by theca cells - inc LH leading to anovulation
PCOS
Teratoma
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Invasive ductal
11. dilated vein in pampiniform plexus - bag of worms
Broad ligament
Inhibition LH and FSH
Estradiol
Varicocele
12. increases in which hormone are associated with BPH
Paget's disease
Estradiol and possible growth promoting effects of DHT
DCIS
Multiple sexual partners - also HIV and early sexual intercourse
13. Which teratoma - mature or immature - is aggresively malignant
Good - late metastasis
Immature
Syncytiotrophoblasts of placenta
Squamous cell carcinoma
14. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
Squamous cell carcinoma
Posterior lobe peripheral zone
Female pseudoHerm
15. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Myometrial invasion
Hyperthyroidism - contains functional thyroid tissue
In the 6th decade of life
16. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Klinefelter's - XXY
Follicular phase varies - luteal phase is 14
Dysgerminoma
Proliferation
17. when do primary oocytes complete meiosis I
Tunica vaginalis lesions
Just prior to ovulation
Mucinous cystadenocarcinoma
Intraductal papilloma - breast abscess - mastitis
18. frequent bu irregular cycles
The centrioles
Increase (and LH)
Metrorrhagia
Just prior to ovulation
19. Which cells secrete beta hCG
Granulosa cell - aromatase - androstenedione - estrogen
Prostatic acid phosphatase and PSA
Increase in size in pregs - decrease in size meno - estrogen sens
Trophoblasts
20. inc fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Neoplastic cells block lymphatic drainage
Tunica vaginalis lesions
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
21. Which cells line the seminiferous tubules and secrete inhibin
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Sertoli cells
2nd week of proliferative phase
Inhibition of HCG access
22. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Adrenal gland
Endometriosis
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
DHT - testosterone - androstenedione
23. Which androgen is responsible for the deepening of the voice
Testosterone
Golgi
Inc Ca in - smooth muscle contraction - vasocxn - antierectile
Tight junctions between sertoli cells
24. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
Testosterone - DHT - androstenedione
Fat necrosis
During fetal life
25. Where is testosterone secreted into?
Embryonal carcinoma
Immature
The semiT and the blood vessels
Lateral invasion can block ureters causing renal failure
26. What is the main source of energy for spermatozoa
4
Paget's disease
Polymenorrhea
Fructose
27. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Fibrosis
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Invasive ductal
Superficial inguinal lymph nodes
28. breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL
Acute mastitis
Puberty
29. malignant - inc hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Milk letdown - uterine contractions?
Choriocarcinoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Inhibition of HCG access
30. Large bulky breast mass of connective tissue and cysts with leaf like projections
DRE - hard nodule and biopsy
Corpus luteum - placenta - adrenal cortex - testes
50 times
Phyllodes tumor
31. When are phyllodes tumors most common
Yolk sac - endodermal sinus - tumor
Mucinous cystadenocarcinoma
In the 6th decade of life
Hemolysis - elevated liver enzymes - low platelets
32. What is the order of events in the menstrual cycle
DCIS
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Male pseudoHerm
Round ligament of the uterus
33. How does endometrial hyperplasia manifest clinically
Medullary
Post menopausal bleeding
Inc in total - and dec in free fraction
Comedocarcinoma
34. what structures supplies the energy to the middle piece (neck)
Mitochondria
Periurethral lobes - lateral and middle
5 alpha reductase def
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
35. What is the prognosis for seminoma
Good - late metastasis
Cervix
Adrenal gland
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
36. atypical cells in epithelial hyperplasia
Testosterone
Inc risk for carcinoma
Ectocervix
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
37. What is indicative of a poor prognosis for endometrial carcinoma
Prementsrual breast pain and multiple lesions
Fat necrosis
Comedocarcinoma
Myometrial invasion
38. 2 sperm + empty egg
Corpus luteum - placenta - adrenal cortex - testes
Complete
Metaphase
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
39. What does hCG do in the first trimester to maintain the corpus luteum
Krukenburg tumor
Hydatidiform mole
Mimics LH
Menometrorrhagia
40. When is follicular growth the fastest?
S aureus
Smooth muscle
2nd week of proliferative phase
Fibroadenoma
41. What are the associated risk factors for malignant breast tumors
The anterior pituitary and hypothalamus
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Estradiol and possible growth promoting effects of DHT
Prostate growth - balding - and sebaceous gland activity
42. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Granulosa cell tumor
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Tight junctions between sertoli cells
43. How is dyslpasi and carcinoma in situ of the cervix classified
Estrogen overstimulation
CIN 1 - 2 - 3
Lateral invasion can block ureters causing renal failure
Theca - leutin cysts
44. small follicles filled with eosinphilic secretions
Round ligament of uterus
Estradiol
Call exner bodies
Pseudohermaphroditism
45. A leimyoma is overgrowth of what cell
Smooth muscle
Milk letdown - uterine contractions?
Fibroadenoma - phyllodes tumor
Decreasing progesterone
46. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Increase (and LH)
The centrioles
Stimulates testosterone release from leydig cells
47. Which system and nerve are responsible for emission
Prostatic acid phosphatase and PSA
PANS - pelvic nerve
Small infiltrating glands with prominent nucleoli
SANS - hypogastric nerve
48. What is a complication of invasive carcinoma
Invasive ductal
Ovary
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Lateral invasion can block ureters causing renal failure
49. What does progesterone do to body temp
Increase
Estrogen overstimulation
Bicornute uterus
Choriocarcinoma
50. is fibroadenoma a precursor to breast cancer
Sarcoma botryoides - a rhabdomyosarcoma variant
55-65
Endometrial carcinoma
No
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