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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. How many days after fertilization does implantation occur?
Hydatidiform mole
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
6

2. gynecological tumors from highest incidence to lowest
Superficial inguinal lymph nodes
Inflammatory
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Endometrial > ovarian> cervical (in US)

3. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Fibrosis
The ampulla - occurs within 1 day of ovulation
Meigs syndrome
Intraductal papilloma

4. tumor is ductal with caseous necrosis
The semiT and the blood vessels
Golgi
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Comedocarcinoma

5. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
No
Yolk sace - endodermal sinus - tumor
Meigs syndrome
Malignant in males not in females

6. inc fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Suspensory ligament of ovaries
Inhibition of HCG access
PCOS

7. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Menopause
During fetal life
Chocolate cyst
Defective androgen receptor

8. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Low progesterone
Trophoblasts
Stimulates testosterone release from leydig cells

9. What is the most common form of male pseudoHerm
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Visceral - somatic nerves in pudendal
Androgen insensitivity syndrome
Testosterone

10. In what group are malignant breast tumors most commonly seen
Post menopausal
Hydatidiform mole
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

11. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Inc size and tenderness with inc estrogen
Bowenoid papulosis - carcinoma in situ of the penis
Tunica vaginalis lesions
Choriocarcinoma

12. When is the peak occurrence of leiomyoma
Increase in size in pregs - decrease in size meno - estrogen sens
Induces and maintains lactation - decreases reproductive function
Ectocervix
20 to 40

13. What common valvular abnormality is common in Turner's
Broad ligament
Placenta previa
Aortic bicuspid valve
Bowen's dz - carcinoma in situ of the penis

14. What does progesterone do to smooth muscle in the uterus
Cardinal ligament
Relaxation
Upregulation
Pseudohermaphroditism

15. how does BPH present
Cervix
Increase
Androgen insensitivity syndrome - 46 XY
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

16. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Yolk sac - endodermal sinus - tumor
Cystic
HPV 16 - 18
Menometrorrhagia

17. What are the 4 sources of progesterone
Bowenoid papulosis - carcinoma in situ of the penis
Andogren binding protein - anti mullerian hormone
Pseudohermaphroditism
Corpus luteum - placenta - adrenal cortex - testes

18. What estrogen does the placenta secrete
Maintenance
Estradiol
2 months
Bowen's dz - carcinoma in situ of the penis

19. malignant - inc hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Squamo - columnar jxn
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL
No

20. breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Turner's XO
DCIS

21. Which hydatidiform mole has the greater risk for malignancy
Blacks
Congenital adrenal hyperplasia - exogenous administration of steroids
Inhibition of HCG access
Complete

22. decreased estrogen production due to age linked decline in the number of ovarian follices
Mimics LH
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Menopause
Prostate growth - balding - and sebaceous gland activity

23. histo: stratified sqamous epithelium
Ectocervix
Polymenorrhea
Androgen insensitivity syndrome
Klinefelter's - XXY

24. Prevention of seizures and in preeclampsia
1 week - 2 weeks
Whorled pattern of smooth muscle bundles
IV mag sulfate - diazepam
Hemolysis - elevated liver enzymes - low platelets

25. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
Invasive lobular
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Follicular phase varies - luteal phase is 14

26. triad of ovarian fibroma - ascites - hydrothorax
Cystic
Theca cell - desmolase - androstenedione
Meigs syndrome
Menopause

27. What does progesterone do for pregnancy
Menometrorrhagia
Retrograde mentrual flow or ascending infection
Adrenal gland
Maintenance

28. when do primary oocytes begin meiosis I
Post menopausal
Hydrocele
During fetal life
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

29. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Testosterone
Bicornute uterus
Obdurator - exterinal iliac - hypogastic nodes
Varicocele

30. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Squamous cell carcinoma
Oligomenorrhea
Left
Cervix

31. most common testicular cancer in older men
Testicular lymphoma
Peripheral conversion of androgens
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Primary hypogonadism

32. What is the flaggelum derived from
Comedocarcinoma
Ligament of the ovary
Peripheral adipose tissue
One of the centrioles

33. is fibroadenoma a precursor to breast cancer
No
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
69 xxy
Immature

34. Which nerve and nerve fibers control for ejaculation
Premature ovarian failure (Pof)
Visceral - somatic nerves in pudendal
Axillary node involvement
Bowen's dz - carcinoma in situ of the penis

35. What cellular structure is the acrosome derived from?
Golgi
Decreasing progesterone
Sertoli cells
Fertilization 'an egg met a sperm'

36. premature detachment of placenta from implantation site leading to fetal death
Production of a thick cervical mucus
Prior c section - inflammation - placenta previa
Abruptio placentae
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

37. What is the prognosis for seminoma
Corpus luteum cyst
Proliferation
Good - late metastasis
Aortic bicuspid valve

38. Where does LH work - what enzyme works there and what product is secreted
Inc size and tenderness with inc estrogen
Theca cell - desmolase - androstenedione
Ectopic preg
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

39. Where is testosterone secreted into?
Comedocarcinoma
Upregulation - LH surge - ovulation
Yolk sace - endodermal sinus - tumor
The semiT and the blood vessels

40. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Placenta acreta
69 xxy
DCIS
Kallman

41. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Asia - Africa - S. America - HPV - lack of circumcision
Induces and maintains lactation - decreases reproductive function
Embryonal carcinoma
Low progesterone

42. In What age group are ovarian germ cell tumors most common
Dysuria - frequency - urgency - low back pain
Ligament of the ovary
Male pseudoHerm
Adolescents

43. 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
Erythroplasia of Queyrat - carcinoma in situ of penis
Seminoma
Low progesterone
Myometrial invasion

44. >1.5 -2 L of amniotic fluid
Chromosomal abnormalities
Fallopian tube
S aureus
Polyhydramnios

45. What pathologic states cause increases in hCG
Placenta previa
Posterior lobe peripheral zone
Dilation and curettage and methotrexate
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

46. What is the common presentation of metastasis in prostate cancer
Mucinous cystadenoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Medullary
Low back pain with increased serum alk phos

47. What occurs to a fibroadenoma during pregnancy and menstruation and why
IV mag sulfate - diazepam
Inc risk for carcinoma
Adrenal gland
Inc size and tenderness with inc estrogen

48. tumor with orderly row of cells - often multiple and bilateral
Invasive lobular
No
Placenta acreta
Estradiol

49. What is associated with sclerosing adenosis?
Calcifications
Metaphase
Theca cell - desmolase - androstenedione
Turner's XO

50. Which gynecologic tumors have the worst prognosis?
Complete
Mitochondria
Pseudohermaphroditism
Ovarian > cervical > endometrial