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Reproductive

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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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 ligament is the derivative of the gubernaculum and travels through the inguinal canal
Bicornute uterus
Lateral invasion can block ureters causing renal failure
Round ligament of the uterus
Preeclampsia + siezures

2. What is the prognosis for seminoma
Suckling - inc oxytocin - prolactin
Good - late metastasis
Oligomenorrhea
Spermatogonia (germ cells)

3. how does BPH present
Chocolate cyst
Squamo - columnar jxn
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Mature teratoma

4. What complications are associated with oligohydramnios

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5. Which system and nerve are responsible for emission
Chocolate cyst
BPH
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
SANS - hypogastric nerve

6. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Testosterone
Adenomyosis
Immature
Asia - Africa - S. America - HPV - lack of circumcision

7. What are the functions of oxytocin - maybe
Oligohydramnios
Milk letdown - uterine contractions?
Uterus
Prostate growth - balding - and sebaceous gland activity

8. Bent penis due to acquired fibrous tissue formation

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9. Large bulky breast mass of connective tissue and cysts with leaf like projections
Differentiation of penis - scrotum and prostate
Paget's disease - breast abscess
Spermatocele
Phyllodes tumor

10. What is the pattern seen in leiomyoma
Whorled pattern of smooth muscle bundles
Peyronie's dz
Invasive ductal
Oligohydramnios

11. What hormones regulate sperm creation?
Endometrial carcinoma
GnRH from hypoTh - LH and FSH from ant pituitary
Oligomenorrhea
CIN 1 - 2 - 3

12. Where is testosterone secreted into?
The semiT and the blood vessels
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
S aureus
Alpha1 antagonists - terazosin - tamsulosin - finasteride

13. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Inc AFP and hCG
Suspensory ligament of ovaries
Congenital adrenal hyperplasia - exogenous administration of steroids
Testicular lymphoma

14. inc fluid secondary to incomplete fustion with processus vaginalis
Hypogondadotropic hypogonadism
Suckling - inc oxytocin - prolactin
Post menopausal bleeding
Hydrocele

15. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Stimulate glandular secretions - and spiral artery development
Premature ovarian failure (Pof)

16. What is the karyotype of a complete mole
Kallman
46 xx
Varicocele
Premature ovarian failure (Pof)

17. Testosterone and estrogen in androgen insensitivity syndrome
Prematurity
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Estradiol
Increase (and LH)

18. What does estrogen stimulate in the endometrium
Proliferation
Squamous cell carcinoma
Increase in size in pregs - decrease in size meno - estrogen sens
Increased FSH

19. What are predisposing factors for placenta previa
Prior c section - multiparity
Placenta acreta
During fetal life
Alpha1 antagonists - terazosin - tamsulosin - finasteride

20. What is the most common pathogen in acute mastitis
Serous cystadenocarcinoma
Inc cGMP - smooth muscle relax - vasodltn - proerectile
S aureus
Paget cell

21. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
Epithelial hyperplasia
No
Endometrial carcinoma

22. When does spermatogenesis begin?
Yolk sace - endodermal sinus - tumor
Puberty
Testosterone
Embryonal carcinoma

23. What is the presentation of fibrocystic dz
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Prementsrual breast pain and multiple lesions
HPV 16 - 18
Prostate growth - balding - and sebaceous gland activity

24. What is the best test to confirm menopause
Increased FSH
Estradiol > estrone > estriol
Testosterone
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

25. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
Prostatic acid phosphatase and PSA
Low progesterone
Mammary duct epithelium or lobular glands

26. dilated epididymal duct
Spermatocele
Good - late metastasis
Production of a thick cervical mucus
S aureus

27. inc AFP - schiller duvel bodies - yellow mucinous
BPH
Primary hypogonadism
Yolk sac - endodermal sinus - tumor
Sertoli cell tumor

28. What does progesterone do to smooth muscle in the uterus
Tubular carcinoma
Testosterone secreting tumor - exogenous steroids
Ovarian > cervical > endometrial
Relaxation

29. What effect does NE have on smoothe muscle in the erectile tissues
Menopause
Mammary duct epithelium or lobular glands
Mucinous cystadenoma
Inc Ca in - smooth muscle contraction - vasocxn - antierectile

30. dx with increased testosterone and inc LH
Acute mastitis
Complete
Defective androgen receptor
Mucinous cystadenocarcinoma

31. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Endocervix
Paget cell
Haploid - N - 23 single chromatids

32. distention of unruptured graafian follicle
Tunica vaginalis lesions
Bicornute uterus
Follicular cyst
Yolk sac - endodermal sinus - tumor

33. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Severe bleeding iron def anemia - miscarriage
Testosterone
Medullary
Invasive lobular

34. 2 sperm + empty egg
Complete
The centrioles
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

35. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
Paget cell
Mimics LH
Puberty

36. HTN - proteinuria and edema
Preeclampsia
Proliferation
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Comedocarcinoma

37. What is the clinical manifestation of PCOS
Round ligament of the uterus
Fructose
Mitochondria
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

38. Which teratoma - mature or immature - is aggresively malignant
Immature
Prior c section - inflammation - placenta previa
Teratoma
Small infiltrating glands with prominent nucleoli

39. What is a complication of cryptorchidism and why does it occur
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
Testosterone
Right gonadal vein - IVC

40. What does progesterone do to body temp
Increase
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Mucinous cystadenocarcinoma
Mittelschmerz syndrome

41. most common testicular cancer in older men
Malignant in males not in females
Testicular lymphoma
Low progesterone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

42. histo: simple cuboidal epithelium
Fibrocystic disease
Ovary
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Paget's disease - breast abscess

43. multilocular cyst lined by mucus secreting epi - benign - intestine like
Endometrial > ovarian> cervical (in US)
Chromosomal abnormalities
Mucinous cystadenoma
Upregulation

44. What are the useful tumor parkers in prostatic adenocarcinoma
Preeclampsia
GnRH from hypoTh - LH and FSH from ant pituitary
Estradiol > estrone > estriol
Prostatic acid phosphatase and PSA

45. Where is testosterone converted to estrogen
Paget's disease
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
Sertoli cells - and adipose tissue via aromatase
Estrogen overstimulation

46. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
The ampulla - occurs within 1 day of ovulation
Para - aortic lymph nodes
Prophase

47. Some drugs cause awesome knockers
Feedback inhibition
Inc size and tenderness with inc estrogen
Choriocarcinoma
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

48. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Sertoli cells
Smoking - HTN - cocaine
Sarcoma botryoides - a rhabdomyosarcoma variant

49. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Choriocarcinoma
Fibrocystic disease
Medullary
Chocolate cyst

50. triad of ovarian fibroma - ascites - hydrothorax
Meigs syndrome
Upregulation - LH surge - ovulation
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Maintenance