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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. Where is the enlargement found in BPH
Endocervix
Obdurator - exterinal iliac - hypogastic nodes
Periurethral lobes - lateral and middle
Koilocytitic

2. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Myometrial tumors
Endocervix
DCIS
Sertoli cells

3. dx with decreased testosterone - increased LH
Testicular lymphoma
In the 6th decade of life
Testosterone secreting tumor - exogenous steroids
Primary hypogonadism

4. What is a concern of early menopause
Smooth muscle
Premature ovarian failure (Pof)
Bowenoid papulosis - carcinoma in situ of the penis
Increase (and LH)

5. In What age group are ovarian germ cell tumors most common
Adolescents
Ligament of the ovary
Just prior to ovulation
Dysuria - frequency - urgency - low back pain

6. What are the treatments for BPH
Spermatocele
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Feedback inhibition
Follicular cyst

7. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Inc risk for carcinoma
Myometrial invasion
Mimics LH

8. What does estrogen do to FSH and LH
Sertoli cells - and adipose tissue via aromatase
Feedback inhibition
Increase in size in pregs - decrease in size meno - estrogen sens
Develop both male and female internal genitalia and male external genitalia

9. Which cells line the seminiferous tubules and secrete inhibin
Sertoli cells
Complete
Fibroadenoma - phyllodes tumor
Inc risk for carcinoma

10. Where is SCC of the penis more common and What is it associated with
Ectopic preg
Asia - Africa - S. America - HPV - lack of circumcision
Lobular carcinoma - sclerosing adenosis
Premature ovarian failure (Pof)

11. What is the flaggelum derived from
DRE - hard nodule and biopsy
Hypogondadotropic hypogonadism
One of the centrioles
Choriocarcinoma

12. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
Testosterone
Polymenorrhea
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

13. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Just prior to ovulation
Trophoblasts
PSA
Follicular phase varies - luteal phase is 14

14. >1.5 -2 L of amniotic fluid
Mucinous cystadenoma
Klinefelter's - XXY
Polyhydramnios
SANS - hypogastric nerve

15. What does progesterone do to gonadotropins
Choriocarcinoma
Inhibition LH and FSH
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Premature ovarian failure (Pof)

16. what increases the risk of cryptorchidism
2 months
Stimulates sertoli cells to produce ABP and inhibin
Menometrorrhagia
Prematurity

17. What occurs to a fibroadenoma during pregnancy and menstruation and why
Peripheral conversion of androgens
Small infiltrating glands with prominent nucleoli
Choriocarcinoma
Inc size and tenderness with inc estrogen

18. What are risk factors for placenta acreta
Follicular cyst
Prior c section - inflammation - placenta previa
46 xx
Cystic

19. Which system and nerve are responsible for emission
GnRH from hypoTh - LH and FSH from ant pituitary
SANS - hypogastric nerve
Ovarian > cervical > endometrial
Androgen insensitivity syndrome

20. hyperplasia - not hypertrophy of the prostate gland
Inc risk for carcinoma
BPH
The semiT and the blood vessels
Peripheral adipose tissue

21. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Granulosa cell tumor
One of the centrioles
Fibrosis
1000 times

22. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Dilation and curettage and methotrexate
Insulin resistance
Complete

23. What is mortality due to in preeclampsia
Follicular phase varies - luteal phase is 14
Trophoblasts
Vagina
Cerebral hemorrhage and ARDS

24. histo: simple columnar epithelium
Whorled pattern of smooth muscle bundles
Oligohydramnios
Congenital adrenal hyperplasia - exogenous administration of steroids
Endocervix

25. heavy - irregular menstruation at irregular intervals
Comedocarcinoma
Menometrorrhagia
Prementsrual breast pain and multiple lesions
Placenta acreta

26. breast path - diseases of the terminal duct
Tubular carcinoma
Puberty
PSA
Inc size and tenderness with inc estrogen

27. hyperandrogenism due to deranged steroid synthesis by theca cells - inc LH leading to anovulation
PCOS
Fibroadenoma - phyllodes tumor
Primary hypogonadism
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

28. 2 sperm + 1 egg
Partial
Paget's disease - breast abscess
PSA
Golgi

29. What are predisposing factors for placenta previa
Prior c section - multiparity
Oligohydramnios
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

30. Where is testosterone secreted into?
Seminoma
The semiT and the blood vessels
Haploid - 2N - 23 sister chromatids
Placenta acreta

31. What are risk factors for abruptio placentae?
Theca cell - desmolase - androstenedione
Post menopausal
Smoking - HTN - cocaine
Slight increase - 1.5 to 2

32. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Preeclampsia clinical
Inc size and tenderness with inc estrogen
Dysgerminoma
SANS - hypogastric nerve

33. Complication of retained placental tissue
DIC
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
Hemorrhage
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

34. in postmenopausal women Where is androstenedione converted to estrone
Pseudohermaphroditism
Peripheral conversion of androgens
Stimulates testosterone release from leydig cells
Peripheral adipose tissue

35. dx with decreased testosterone and decreased LH
Sertoli cell tumor
Choriocarcinoma
Hypogondadotropic hypogonadism
Andogren binding protein - anti mullerian hormone

36. How long does it take for sperm to fully develop
2 months
Decreasing progesterone
Abruptio placentae
Neoplastic cells block lymphatic drainage

37. What is the presentation of fibrocystic dz
Dysuria - frequency - urgency - low back pain
Hydrocele
Prementsrual breast pain and multiple lesions
Right gonadal vein - IVC

38. What effect does NE have on smoothe muscle in the erectile tissues
In the 6th decade of life
Inc Ca in - smooth muscle contraction - vasocxn - antierectile
Feedback inhibition
Mittelschmerz syndrome

39. Uterin fundus to labia majora
17beta estradiol
Inc AFP and hCG
In the 6th decade of life
Round ligament of uterus

40. What is hydatidiform mole and precurosor of...
Choriocarcinoma
46 xx
Sclerosing adenosis
Inc in total - and dec in free fraction

41. how does BPH present
Oligohydramnios
1000 times
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Seminoma

42. histo: simple cuboidal epithelium
Choriocarcinoma
Ovary
Malignant in males not in females
Mucinous cystadenoma

43. common cause of recurrent miscarriage in 2nd trimester
Bicornute uterus
Embryonal carcinoma
Krukenburg tumor
Vagina

44. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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45. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
6
Spermatogonia (germ cells)
Paget's disease - breast abscess
Theca cell - desmolase - androstenedione

46. small - mobile - firm breast mass with sharp edges - most common in <25
Trophoblasts
Testosterone
Fibroadenoma
Fertilization 'an egg met a sperm'

47. Where does prostatic adenocarcinoma arise from?
Post menopausal
Posterior lobe peripheral zone
Choriocarcinoma
Endometriosis

48. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Round ligament of the uterus
Puberty
17beta estradiol

49. 2 sperm + empty egg
Stimulate glandular secretions - and spiral artery development
Complete
Estrogen overstimulation
Primary hypogonadism

50. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Epithelial hyperplasia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Preeclampsia
Testosterone