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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. Uterin fundus to labia majora
GnRH from hypoTh - LH and FSH from ant pituitary
Just prior to ovulation
Premature ovarian failure (Pof)
Round ligament of uterus

2. What complications are associated with polyhydramnios

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3. Where does fertilization most commonly occur?
Fallopian tube
The ampulla - occurs within 1 day of ovulation
Trophoblasts
Small infiltrating glands with prominent nucleoli

4. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Estrogen overstimulation
One of the centrioles

5. In what phase is meiosis II arrested
Metaphase
Mittelschmerz syndrome
Complete
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

6. breast path - diseeases of the lobules
Premature ovarian failure (Pof)
Inhibit FSH
Lobular carcinoma - sclerosing adenosis
Production of a thick cervical mucus

7. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Yolk sace - endodermal sinus - tumor
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Invasive ductal
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL

8. in chronic prostatitis is bacterial or abacterial more common
Abacterial
Fibromas
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
Complete

9. When does the secondary oocyte complete meosis II

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10. What does estrogen do to estrogen - LH and progesterone recepotrs
Fructose
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Upregulation
Maintenance

11. < 21 day cycle
Delivery of fetus
Polymenorrhea
Down regulation
Differentiation of penis - scrotum and prostate

12. How does endometrial hyperplasia manifest clinically
Post menopausal bleeding
Phyllodes tumor
Trophoblasts
Female pseudoHerm

13. When is follicular growth the fastest?
Testicular lymphoma
Testosterone
2nd week of proliferative phase
Sertoli cells - and adipose tissue via aromatase

14. Which side is varicocele more common on...
Left
Syncytiotrophoblasts of placenta
Fallopian tube
Haploid - 2N - 23 sister chromatids

15. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Fibrcystic change - ductal cancer
Superficial inguinal lymph nodes
Estrogen overstimulation

16. 2 sperm + empty egg
Increase in size in pregs - decrease in size meno - estrogen sens
Complete
Just prior to ovulation
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

17. What does progesterone do to body temp
Call exner bodies
Inhibition LH and FSH
Develop both male and female internal genitalia and male external genitalia
Increase

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

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19. A leimyoma is overgrowth of what cell
The semiT and the blood vessels
Smooth muscle
DHT - testosterone - androstenedione
Placenta previa

20. > 35 day cycle
Fibrosis
Haploid - 2N - 23 sister chromatids
Fibroadenoma - phyllodes tumor
Oligomenorrhea

21. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Prostatic acid phosphatase and PSA
Stimulates testosterone release from leydig cells
Malignant in males not in females
Krukenburg tumor

22. <0.5 L of amniotic fluid
Oligohydramnios
Lateral invasion can block ureters causing renal failure
PANS - pelvic nerve
Comedocarcinoma

23. What is the genetic material in the primary oocyte?
Diploid - 4N - 46 sister chromatids
Fibromas
Haploid - 2N - 23 sister chromatids
Choriocarcinoma

24. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Endometrial carcinoma
Choriocarcinoma
Esophogeal/duodenal atresia - can't swallow - anencephaly

25. How is beta hCG detectable in blood or urine for a home pregnancy test
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Ligament of the ovary
1 week - 2 weeks
Endometrial carcinoma

26. What is the treatment for preeclampsia
Ectopic preg
Delivery of fetus
Cerebral hemorrhage and ARDS
Decrease

27. 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
Paget's disease
Seminoma
Post menopausal
Fertilization 'an egg met a sperm'

28. 50% of ovarian tumors - malignant and frequently bilateral
Squamous cell carcinoma
Serous cystadenocarcinoma
Preeclampsia + siezures
Granulosa cell - aromatase - androstenedione - estrogen

29. benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Preeclampsia
Primary hypogonadism
Fat necrosis
Inc in total - and dec in free fraction

30. What is DHT responsible for in late development
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Prostate growth - balding - and sebaceous gland activity
Testosterone
Slight increase - 1.5 to 2

31. histologic type of fibrocystic with hyperplasia of breast stroma
Complete
Lobular carcinoma - sclerosing adenosis
Fibrosis
Puberty

32. hyperplasia - not hypertrophy of the prostate gland
BPH
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Mucinous cystadenoma
Metrorrhagia

33. What is the average age of onset for menopause
51 yo
The semiT and the blood vessels
Mucinous cystadenoma
Production of a thick cervical mucus

34. What is indicative of a poor prognosis for endometrial carcinoma
Immature
Myometrial invasion
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Fertilization 'an egg met a sperm'

35. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
Increased FSH
Lateral invasion can block ureters causing renal failure
No

36. What is the single most important prognostic factor for malignant breast tumors
Para - aortic lymph nodes
Axillary node involvement
The centrioles
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

37. how does BPH present
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Hyperestrogenism
Develop both male and female internal genitalia and male external genitalia
CIN 1 - 2 - 3

38. What does SEVEN Up stand for in regards to the pathway of sperm
SANS - hypogastric nerve
Chromosomal abnormalities
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Estradiol and possible growth promoting effects of DHT

39. Is fertility compromised in double Y males?
Koilocytitic
Theca cell - desmolase - androstenedione
No
Stimulates testosterone release from leydig cells

40. What is the presentation of prostatitis
Dysuria - frequency - urgency - low back pain
Erythroplasia of Queyrat - carcinoma in situ of penis
Haploid - N - 23 single chromatids
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

41. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Ectocervix
Endometrial carcinoma
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Female pseudoHerm

42. What stimulation after labor induces lactation
Endometrial carcinoma
DCIS
Decreasing progesterone
Increase (and LH)

43. When does spermatogenesis begin?
Sertoli cells
Hyperestrogenism
5 alpha reductase def
Puberty

44. histo: stratified sqamous epithelium
Epithelial hyperplasia
Ectocervix
Bowen's dz - carcinoma in situ of the penis
Hyperestrogenism

45. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Proliferation
Serous cystadenoma
Relaxation
Theca - leutin cysts

46. Which nerve and nerve fibers control for ejaculation
Peripheral adipose tissue
BPH
Visceral - somatic nerves in pudendal
Fibrcystic change - ductal cancer

47. Some drugs cause awesome knockers
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Testosterone
Stimulation of secretion - but blocks its action at the breast
Premature ovarian failure (Pof)

48. is fibroadenoma a precursor to breast cancer
SANS - hypogastric nerve
Fibrcystic change - ductal cancer
No
Insulin resistance

49. how can struma ovarri present?
Erythroplasia of Queyrat - carcinoma in situ of penis
Premature ovarian failure (Pof)
Squamo - columnar jxn
Hyperthyroidism - contains functional thyroid tissue

50. triad of ovarian fibroma - ascites - hydrothorax
Phyllodes tumor
Endometriosis
Meigs syndrome
Aortic bicuspid valve