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Reproductive

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. What do leydig cells secrete?
Left gonadal vein - left renal vein - IVC
Metaphase
20 to 40
Testosterone

2. What does HHAVOC stand for in menopause
Invasive lobular
Pseudohermaphroditism
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Polyhydramnios

3. What are risk factors for abruptio placentae?
Menometrorrhagia
Brenner tumor
Smoking - HTN - cocaine
Decreasing progesterone

4. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Squamo - columnar jxn
Decrease
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

5. What are the treatments for PCOS
Theca - leutin cysts
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Hypogondadotropic hypogonadism
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

6. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Fat necrosis
4
Prementsrual breast pain and multiple lesions

7. in males - are mature teratomas malignant? What is the case for females
Inhibition LH and FSH
Malignant in males not in females
Round ligament of uterus
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

8. What are the functions of oxytocin - maybe
Acute mastitis
Fibrosis
Stimulate glandular secretions - and spiral artery development
Milk letdown - uterine contractions?

9. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
The semiT and the blood vessels
Placenta previa
Ovarian > cervical > endometrial
DHT - testosterone - androstenedione

10. What is the serum marker for BPH
PSA
Polyhydramnios
Preeclampsia clinical
Stimulates sertoli cells to produce ABP and inhibin

11. What is the treatment for hydatidiform mole
Phyllodes tumor
Sertoli cells - and adipose tissue via aromatase
Dilation and curettage and methotrexate
69 xxy

12. Where does LH work - what enzyme works there and what product is secreted
Uterus
Theca cell - desmolase - androstenedione
17beta estradiol
Tight junctions between sertoli cells

13. inc fluid secondary to incomplete fustion with processus vaginalis
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Round ligament of uterus
Koilocytitic
Hydrocele

14. Which androgen is responsible for libido
Sertoli cells
Prementsrual breast pain and multiple lesions
Testosterone
51 yo

15. How is dyslpasi and carcinoma in situ of the cervix classified
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Spermatogonia (germ cells)
Syncytiotrophoblasts of placenta
CIN 1 - 2 - 3

16. Which system and nerve allow for erection in the male?
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
PANS - pelvic nerve
Testis determining factor
Estradiol > estrone > estriol

17. What is the average age of onset for menopause
Haploid - N - 23 single chromatids
Fat necrosis
51 yo
Placenta previa

18. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Placenta acreta
Intraductal papilloma - breast abscess - mastitis
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

19. small follicles filled with eosinphilic secretions
One of the centrioles
Testosterone
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Call exner bodies

20. What does FSH do
Tubular carcinoma
Inhibition LH and FSH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Stimulates sertoli cells to produce ABP and inhibin

21. What does progesterone do to smooth muscle in the uterus
Multiple sexual partners - also HIV and early sexual intercourse
Haploid - N - 23 single chromatids
Adrenal gland
Relaxation

22. What does the SRY gene do
Congenital adrenal hyperplasia - exogenous administration of steroids
Prementsrual breast pain and multiple lesions
Testis determining factor
Fibromas

23. Connects ovaries to lateral pelvic wall - contains ovarian vessels
BPH
Fibroadenoma - phyllodes tumor
Lobular carcinoma - sclerosing adenosis
Suspensory ligament of ovaries

24. breast path - diseases of the stroma
Tight junctions between sertoli cells
Fibroadenoma - phyllodes tumor
Ligament of the ovary
Abruptio placentae

25. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
Testosterone
Cardinal ligament
Placenta acreta

26. What is the source of estrogen after menopause
Phyllodes tumor
Peripheral conversion of androgens
Turner's XO
Testosterone

27. Where is testosterone secreted into?
The semiT and the blood vessels
Testosterone
Klinefelter's - XXY
Hemorrhage

28. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Haploid - 2N - 23 sister chromatids
Krukenburg tumor
Diploid - 4N - 46 sister chromatids
Obdurator - exterinal iliac - hypogastic nodes

29. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Alpha1 antagonists - terazosin - tamsulosin - finasteride
E coli
Adenomyosis

30. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Squamo - columnar jxn
Choriocarcinoma
Inc size and tenderness with inc estrogen
Inc cGMP - smooth muscle relax - vasodltn - proerectile

31. What percentage of testicular tumors are germ cell
95%
Broad ligament
Invasive ductal
Calcifications

32. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Paget cell
Neoplastic cells block lymphatic drainage
69 xxy
Fibroadenoma

33. Dermal lymphatic invasion by breast carcinoma - peu d orange
No
Inflammatory
Blacks
Prior c section - multiparity

34. complications of BPH
Cerebral hemorrhage and ARDS
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Down regulation
Malignant in males not in females

35. dx with decreased testosterone - increased LH
Hemolysis - elevated liver enzymes - low platelets
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Sclerosing adenosis
Primary hypogonadism

36. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Increase
Inc risk for carcinoma
Brenner tumor

37. eclampsia
Preeclampsia + siezures
IV mag sulfate - diazepam
The ampulla - occurs within 1 day of ovulation
Oligomenorrhea

38. What cellular structure is the acrosome derived from?
Golgi
Metrorrhagia
Testosterone
Decreasing progesterone

39. Is fertility compromised in double Y males?
Increase
No
Golgi
Periurethral lobes - lateral and middle

40. Which cells line the seminiferous tubules and secrete inhibin
Squamous cell carcinoma
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cells
Spermatogonia (germ cells)

41. pain with or without bleeding - inc in hCG - sudden lower abdominal pain - mistaken for appendicitis
Proliferation
Ectopic preg
Hypogondadotropic hypogonadism
Broad ligament

42. What changes are seen with total PSA and fraction of free PSA
69 xxy
Just prior to ovulation
Dysgerminoma
Inc in total - and dec in free fraction

43. Which androgen is responsible for the deepening of the voice
Slight increase - 1.5 to 2
Testosterone
Fibrcystic change - ductal cancer
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity

44. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Follicular phase varies - luteal phase is 14
Preeclampsia clinical
Peripheral adipose tissue
Post menopausal bleeding

45. What does estrogen do to estrogen - LH and progesterone recepotrs
Comedocarcinoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Premature ovarian failure (Pof)
Upregulation

46. What complications are associated with oligohydramnios

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47. Red velvety plaques - usually involving the glans - similar to Bowen's
DIC
Tunica vaginalis lesions
Erythroplasia of Queyrat - carcinoma in situ of penis
Fibroadenoma - phyllodes tumor

48. Some drugs cause awesome knockers
Down regulation
Testosterone
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Stimulation of secretion - but blocks its action at the breast

49. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Upregulation
Stimulate glandular secretions - and spiral artery development
Bowenoid papulosis - carcinoma in situ of the penis
The centrioles

50. decreased estrogen - inc FSH - LH - signs of menopause after puberty but before 40
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Increase (and LH)
DRE - hard nodule and biopsy
Premature ovarian failure (Pof)