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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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1. Prevention of seizures and in preeclampsia
Osteoblastic in bone
Inhibition of HCG access
Corpus luteum - placenta - adrenal cortex - testes
IV mag sulfate - diazepam

2. How does progesterone inhibit sperm entry to uterus
Aortic bicuspid valve
Production of a thick cervical mucus
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Ligament of the ovary

3. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Induces and maintains lactation - decreases reproductive function
6
Haploid - N - 23 single chromatids
Theca - leutin cysts

4. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Theca cell - desmolase - androstenedione
Adolescents
Endocervix

5. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Serous cystadenoma
Brenner tumor
17beta estradiol
Low progesterone

6. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Primary hypogonadism
Partial
Mittelschmerz syndrome
Increase in size in pregs - decrease in size meno - estrogen sens

7. atypical cells in epithelial hyperplasia
Inc risk for carcinoma
Hydatidiform mole
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Post menopausal

8. Is fertility compromised in double Y males?
Mucinous cystadenoma
No
Krukenburg tumor
Paget's disease

9. complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Yolk sace - endodermal sinus - tumor
Smoking - HTN - cocaine

10. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Brenner tumor
Dilation and curettage and methotrexate
SANS - hypogastric nerve
Female pseudoHerm

11. What is HELLP syndrome
Inc in total - and dec in free fraction
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Seminoma
Hemolysis - elevated liver enzymes - low platelets

12. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Mittelschmerz syndrome
Dysgerminoma
Yolk sac - endodermal sinus - tumor
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors

13. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Endometrial carcinoma
Corpus luteum - placenta - adrenal cortex - testes
GnRH from hypoTh - LH and FSH from ant pituitary

14. triad of ovarian fibroma - ascites - hydrothorax
Testosterone
Aortic bicuspid valve
Hemorrhage
Meigs syndrome

15. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Cervix
Inhibit FSH
HPV 16 - 18
Corpus luteum - placenta - adrenal cortex - testes

16. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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17. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Teratoma
46 xx
Golgi
Myometrial invasion

18. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Mucinous cystadenoma
Fibroadenoma - phyllodes tumor
Oligomenorrhea
Granulosa cell tumor

19. What is the presentation of prostatitis
Endometrial carcinoma
Intraductal papilloma - breast abscess - mastitis
Testosterone
Dysuria - frequency - urgency - low back pain

20. What is a potential complication of endometrial hyperplasia
Mimics LH
Endometrial carcinoma
Post menopausal bleeding
Estradiol > estrone > estriol

21. What is the risk for carcinoma among patients with intraductal papilloma
Increased FSH
Partial
Fructose
Slight increase - 1.5 to 2

22. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Inc Ca in - smooth muscle contraction - vasocxn - antierectile
Medullary
Round ligament of the uterus

23. What is the genetic material in the secondary oocyte?
Klinefelter's - XXY
Haploid - 2N - 23 sister chromatids
No
Paget cell

24. Which teratoma - mature or immature - is aggresively malignant
Acute mastitis
Paget cell
Immature
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

25. what stimulation is required to maintain milk production and What is the pathway
S aureus
PSA
Hemolysis - elevated liver enzymes - low platelets
Suckling - inc oxytocin - prolactin

26. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Corpus luteum cyst
HPV 16 - 18
Multiple sexual partners - also HIV and early sexual intercourse
No

27. Which system and nerve are responsible for emission
Inhibit FSH
SANS - hypogastric nerve
Testosterone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

28. Where is the enlargement found in BPH
DES in utero (DES is a sythetic estrogen)
During fetal life
Mittelschmerz syndrome
Periurethral lobes - lateral and middle

29. What are the 3 androgens
Testosterone - DHT - androstenedione
Obdurator - exterinal iliac - hypogastic nodes
Differentiation of penis - scrotum and prostate
Smooth muscle

30. What metastasis is most common with prostatic adenocarcinoma
Decrease
Mitochondria
Osteoblastic in bone
Yolk sac - endodermal sinus - tumor

31. What are the associated risk factors for malignant breast tumors
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Endometrial carcinoma
Increase
Post menopausal

32. What is the best test to confirm menopause
Stimulates testosterone release from leydig cells
Increased FSH
Paget's disease
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

33. What is the treatment for preeclampsia
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Testosterone
Delivery of fetus
Male pseudoHerm

34. What happens to a leiomyoma in pregs and menopause and why
Klinefelter's - XXY
Haploid - N - 23 single chromatids
Increase in size in pregs - decrease in size meno - estrogen sens
Chocolate cyst

35. Connects ovary to lateral uterus
The ampulla - occurs within 1 day of ovulation
Testosterone
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Ligament of the ovary

36. Where is SCC of the penis more common and What is it associated with
Asia - Africa - S. America - HPV - lack of circumcision
5 alpha reductase def
Male pseudoHerm
Bowen's dz - carcinoma in situ of the penis

37. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Neoplastic cells block lymphatic drainage
DCIS
Decrease
Develop both male and female internal genitalia and male external genitalia

38. ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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39. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Prementsrual breast pain and multiple lesions
Mimics LH
Polyhydramnios

40. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Invasive ductal
Androgen insensitivity syndrome - 46 XY
Androgen insensitivity syndrome
Fibromas

41. 2 sperm + empty egg
Para - aortic lymph nodes
Complete
S aureus
Prior c section - multiparity

42. histologic type of fibrocystic with hyperplasia of breast stroma
Complete
Fibrosis
Fibrcystic change - ductal cancer
Myometrial invasion

43. small follicles filled with eosinphilic secretions
Call exner bodies
Mature teratoma
The centrioles
Low progesterone

44. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
2nd week of proliferative phase
BPH
Axillary node involvement

45. What does progesterone do to estrogen receptors
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Down regulation
Choriocarcinoma

46. histo: simple columnar epithelium
Epithelial hyperplasia
Endocervix
Low back pain with increased serum alk phos
Testis determining factor

47. testicular masses that can be transilluminated
Insulin resistance
Comedocarcinoma
Syncytiotrophoblasts of placenta
Tunica vaginalis lesions

48. >1.5 -2 L of amniotic fluid
Leydig cell tumor
Testosterone
Inc Ca in - smooth muscle contraction - vasocxn - antierectile
Polyhydramnios

49. Where is androstenedione made?
Low back pain with increased serum alk phos
Adrenal gland
Defective androgen receptor
No

50. What are the most common tumors in all females?
Dilation and curettage and methotrexate
Lateral invasion can block ureters causing renal failure
Myometrial tumors
Yolk sac - endodermal sinus - tumor