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Reproductive
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Study First
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 hematologic condition is associated with abruptio placentae
Fibrocystic disease
DIC
IV mag sulfate - diazepam
Squamous cell carcinoma
2. What metastasis is most common with prostatic adenocarcinoma
Hemorrhage
Ovary
Cerebral hemorrhage and ARDS
Osteoblastic in bone
3. Endometriosis is characterized By what clinical picture?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Partial
Endocervix
4. What is the best test to confirm menopause
Obdurator - exterinal iliac - hypogastic nodes
Increased FSH
Increase
Fibrosis
5. Some drugs cause awesome knockers
Invasive ductal
Brenner tumor
17beta estradiol
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
6. What does progesterone do to body temp
Upregulation
Increase
Sarcoma botryoides - a rhabdomyosarcoma variant
Endometrial > ovarian> cervical (in US)
7. What effect does NO have on smooth muscle in erectile tissues
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Bowenoid papulosis - carcinoma in situ of the penis
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Fructose
8. Bent penis due to acquired fibrous tissue formation
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9. What is the risk for carcinoma among patients with intraductal papilloma
Testosterone
Fibrcystic change - ductal cancer
Slight increase - 1.5 to 2
Aortic bicuspid valve
10. disagreement between the phenotypic and gonadal sex
Polymenorrhea
Pseudohermaphroditism
Inc in total - and dec in free fraction
Choriocarcinoma
11. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Maintenance
Stimulates sertoli cells to produce ABP and inhibin
Squamo - columnar jxn
4
12. connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Inhibit FSH
Calcifications
Induces and maintains lactation - decreases reproductive function
13. What does estrogen to do prolaction
20 to 40
Mucinous cystadenoma
Stimulation of secretion - but blocks its action at the breast
Adolescents
14. What does the histo show for prostate cancer
Testosterone - DHT - androstenedione
Small infiltrating glands with prominent nucleoli
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Erythroplasia of Queyrat - carcinoma in situ of penis
15. pain with or without bleeding - inc in hCG - sudden lower abdominal pain - mistaken for appendicitis
2 months
Preeclampsia + siezures
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Ectopic preg
16. 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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17. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Testosterone - DHT - androstenedione
Asia - Africa - S. America - HPV - lack of circumcision
Placenta acreta
Placenta previa
18. what stimulation is required to maintain milk production and What is the pathway
Suckling - inc oxytocin - prolactin
PANS - pelvic nerve
Bicornute uterus
Theca cell - desmolase - androstenedione
19. What is the presentation of fibrocystic dz
Kallman
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Testosterone
Prementsrual breast pain and multiple lesions
20. What becomes the main source of hCG
Syncytiotrophoblasts of placenta
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone - DHT - androstenedione
Corpus luteum cyst
21. malignant - inc hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
S aureus
Endometriosis
Choriocarcinoma
Malignant in males not in females
22. What does progesterone do to estrogen receptors
Chromosomal abnormalities
Down regulation
95%
Good - late metastasis
23. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Inc in total - and dec in free fraction
Vagina
24. in postmenopausal women Where is androstenedione converted to estrone
Inflammatory
Androgen insensitivity syndrome
Peripheral adipose tissue
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
25. What is the most common pathogen in acute mastitis
S aureus
Inflammatory
Visceral - somatic nerves in pudendal
The centrioles
26. What is the single most important prognostic factor for malignant breast tumors
4
Testosterone
Syncytiotrophoblasts of placenta
Axillary node involvement
27. List the estrogens in order of decreasing potency
DIC
Estradiol > estrone > estriol
Phyllodes tumor
Seminoma
28. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Induces and maintains lactation - decreases reproductive function
Fibromas
Ectocervix
29. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
SANS - hypogastric nerve
Uterus
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
30. What is the treatment for preeclampsia
Low progesterone
Stimulates testosterone release from leydig cells
Delivery of fetus
Just prior to ovulation
31. breast path - diseases of the major duct
Inc AFP and hCG
Fibrcystic change - ductal cancer
Invasive ductal
Premature ovarian failure (Pof)
32. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Medullary
Endometriosis
Yolk sace - endodermal sinus - tumor
Broad ligament
33. ecsematous patches on nipple and/or vulva - suggests underlying carcinoma
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34. What is the genetic material in the secondary oocyte?
Premature ovarian failure (Pof)
Haploid - 2N - 23 sister chromatids
Sertoli cell tumor
No
35. What is the genetic material in the ovum
Turner's XO
Haploid - N - 23 single chromatids
Leydig cell tumor
Good - late metastasis
36. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sertoli cell tumor
Sarcoma botryoides - a rhabdomyosarcoma variant
Posterior lobe peripheral zone
Low progesterone
37. Which cells secrete beta hCG
Tubular carcinoma
Embryonal carcinoma
Trophoblasts
Whorled pattern of smooth muscle bundles
38. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Inhibit FSH
Fibrcystic change - ductal cancer
39. dilated epididymal duct
Fertilization 'an egg met a sperm'
PCOS
Feedback inhibition
Spermatocele
40. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Klinefelter's - XXY
Maintenance
HPV 16 - 18
CIN 1 - 2 - 3
41. Arrange the androgens in order of most potent to least potent
Klinefelter's - XXY
Hyperthyroidism - contains functional thyroid tissue
DHT - testosterone - androstenedione
Uterus
42. In what group are malignant breast tumors most commonly seen
Post menopausal
Just prior to ovulation
Varicocele
Calcifications
43. common cause of recurrent miscarriage in the 1st week
Ectocervix
Good - late metastasis
Low progesterone
Prior c section - multiparity
44. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Peripheral conversion of androgens
Ectopic preg
Fibrcystic change - ductal cancer
45. frequent bu irregular cycles
Delivery of fetus
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Metrorrhagia
46. What is DHT responsible for in early development?
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Differentiation of penis - scrotum and prostate
Mucinous cystadenoma
Trophoblasts
47. Where is testosterone converted to estrogen
Koilocytitic
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Granulosa cell - aromatase - androstenedione - estrogen
Sertoli cells - and adipose tissue via aromatase
48. common cause of recurrent miscarriage in 1st trimester
Preductal coarctication
Chromosomal abnormalities
Multiple sexual partners - also HIV and early sexual intercourse
Fallopian tube
49. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Broad ligament
CIN 1 - 2 - 3
50. dx with increased testosterone and inc LH
Intraductal papilloma
Suspensory ligament of ovaries
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Defective androgen receptor
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