Test your basic knowledge |

Reproductive

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Congenital adrenal hyperplasia - exogenous administration of steroids
Good - late metastasis
Serous cystadenocarcinoma
Krukenburg tumor

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

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183

3. What is associated with sclerosing adenosis?
Calcifications
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Invasive lobular

4. What effect does NO have on smooth muscle in erectile tissues
Lobular carcinoma - sclerosing adenosis
Delivery of fetus
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Menopause

5. What does the tail go onto to form
Testosterone - DHT - androstenedione
Pseudohermaphroditism
The centrioles
Krukenburg tumor

6. What are the 4 sources of progesterone
Granulosa cell - aromatase - androstenedione - estrogen
Sertoli cells - and adipose tissue via aromatase
Corpus luteum - placenta - adrenal cortex - testes
Post menopausal

7. From What tissues to malignant breast tumors arise?
Inc size and tenderness with inc estrogen
Testosterone - DHT - androstenedione
Mammary duct epithelium or lobular glands
Bowen's dz - carcinoma in situ of the penis

8. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Defective androgen receptor
Corpus luteum - placenta - adrenal cortex - testes
Ectocervix
Blacks

9. Overexpression of which receptors is common iwht malignant breast tumors
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Primary hypogonadism
Estrogen overstimulation

10. what structures supplies the energy to the middle piece (neck)
4
Comedocarcinoma
Mitochondria
Broad ligament

11. How is dyslpasi and carcinoma in situ of the cervix classified
Cystic
Estradiol > estrone > estriol
Menopause
CIN 1 - 2 - 3

12. tumor with orderly row of cells - often multiple and bilateral
Mature teratoma
Invasive lobular
Tight junctions between sertoli cells
Seminoma

13. Which androgen is responsible for the deepening of the voice
Neoplastic cells block lymphatic drainage
Trophoblasts
Testosterone
Serous cystadenocarcinoma

14. What is the most common cause of breast lumps from age 25 to menopause
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Vagina
Fibrocystic disease
Bowenoid papulosis - carcinoma in situ of the penis

15. common cause of recurrent miscarriage in 1st trimester
Stimulation of secretion - but blocks its action at the breast
Leydig cell tumor
Dysuria - frequency - urgency - low back pain
Chromosomal abnormalities

16. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Testosterone secreting tumor - exogenous steroids
Chocolate cyst
Varicocele
Tunica vaginalis lesions

17. What are the risk factors for endometrial hyperplasia
Down regulation
Ovary
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Placenta previa

18. What estrogen does the placenta secrete
Estradiol
Polymenorrhea
No
50 times

19. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Squamo - columnar jxn
Post menopausal bleeding
Seminoma
Teratoma

20. What are the pathologic features of leiosarcoma
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Decrease
Endocervix

21. What is a true hermaphrodite
Teratoma
Esophogeal/duodenal atresia - can't swallow - anencephaly
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Small infiltrating glands with prominent nucleoli

22. breast path - diseases of the terminal duct
Just prior to ovulation
Fertilization 'an egg met a sperm'
Tubular carcinoma
CIN 1 - 2 - 3

23. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Posterior lobe peripheral zone
Bowenoid papulosis - carcinoma in situ of the penis
Premature ovarian failure (Pof)
Ectopic preg

24. What hormones regulate sperm creation?
GnRH from hypoTh - LH and FSH from ant pituitary
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Paget's disease
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

25. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
Decreasing progesterone
Sertoli cells
Small infiltrating glands with prominent nucleoli

26. What is the genetic material in the ovum
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
DRE - hard nodule and biopsy
Haploid - N - 23 single chromatids
Increase (and LH)

27. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Induces and maintains lactation - decreases reproductive function
Ligament of the ovary
Follicular phase varies - luteal phase is 14
5 alpha reductase def

28. What substances other than inhibin do sertoli cells produce?
No
Right gonadal vein - IVC
Andogren binding protein - anti mullerian hormone
4

29. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
HPV 16 - 18
Mucinous cystadenocarcinoma
DES in utero (DES is a sythetic estrogen)

30. In what phase is meiosis II arrested
Lateral invasion can block ureters causing renal failure
Prementsrual breast pain and multiple lesions
Invasive lobular
Metaphase

31. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Polymenorrhea
Spermatocele
Mucinous cystadenocarcinoma
Multiple sexual partners - also HIV and early sexual intercourse

32. When does spermatogenesis begin?
Differentiation of penis - scrotum and prostate
Puberty
Bicornute uterus
Varicocele

33. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Aortic bicuspid valve
Medullary
Testosterone
Invasive lobular

34. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Dysgerminoma
Superficial inguinal lymph nodes
Metaphase
Prior c section - multiparity

35. Which gynecologic tumors have the worst prognosis?
Leydig cell tumor
Ovarian > cervical > endometrial
Adrenal gland
Peripheral adipose tissue

36. What is the most common form of male pseudoHerm
Inc size and tenderness with inc estrogen
Fibrosis
Stimulates sertoli cells to produce ABP and inhibin
Androgen insensitivity syndrome

37. common cause of recurrent miscarriage in the 1st week
Granulosa cell tumor
Low progesterone
Trophoblasts
95%

38. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
HPV 16 - 18
Feedback inhibition
Insulin resistance

39. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
Sertoli cells
Fibromas
CIN 1 - 2 - 3

40. How does endometrial hyperplasia manifest clinically
Fallopian tube
Tunica vaginalis lesions
Axillary node involvement
Post menopausal bleeding

41. What can happen with no sertoli cell or lack of anti mullerian hormone
Partial
Ligament of the ovary
Fibrocystic disease
Develop both male and female internal genitalia and male external genitalia

42. What percentage of testicular tumors are germ cell
Suckling - inc oxytocin - prolactin
95%
2nd week of proliferative phase
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

43. What are the four functions of estrogen
Defective androgen receptor
Prostatic acid phosphatase and PSA
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL
2 months

44. What are risk factors for abruptio placentae?
Smoking - HTN - cocaine
Calcifications
Increased FSH
Chromosomal abnormalities

45. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Myometrial invasion
Hyperthyroidism - contains functional thyroid tissue
Down regulation

46. histo: simple columnar epithelium
Obdurator - exterinal iliac - hypogastic nodes
Endocervix
Diploid - 4N - 46 sister chromatids
Maintenance

47. What forms the blood testis barrier?
Decreasing progesterone
DRE - hard nodule and biopsy
Andogren binding protein - anti mullerian hormone
Tight junctions between sertoli cells

48. Connects ovary to lateral uterus
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Bowenoid papulosis - carcinoma in situ of the penis
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Ligament of the ovary

49. What is the most frequent benign ovarian tumor
Mature teratoma
Metrorrhagia
Pseudohermaphroditism
Relaxation

50. what increases the risk of cryptorchidism
Cystic
Serous cystadenoma
Preeclampsia
Prematurity