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Reproductive
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Study First
Subject
:
health-sciences
Instructions:
Answer 50 questions in 15 minutes.
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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. What are the four functions of estrogen
Invasive lobular
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL
Decreasing progesterone
Inhibition LH and FSH
2. Where is SCC of the penis more common and What is it associated with
Increase (and LH)
Comedocarcinoma
Asia - Africa - S. America - HPV - lack of circumcision
2nd week of proliferative phase
3. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Multiple sexual partners - also HIV and early sexual intercourse
Yolk sac - endodermal sinus - tumor
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
4. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Spermatogonia (germ cells)
One of the centrioles
Haploid - N - 23 single chromatids
5. How many functional sperm does 1 germ cell creat?
4
Serous cystadenoma
Varicocele
Complete
6. Testosterone and estrogen in androgen insensitivity syndrome
PCOS
Increase (and LH)
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Intraductal papilloma
7. What is hydatidiform mole and precurosor of...
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cells
Hypogondadotropic hypogonadism
Choriocarcinoma
8. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Blacks
Periurethral lobes - lateral and middle
Embryonal carcinoma
Calcifications
9. endometrium within the myometrium
Adenomyosis
Hydrocele
Dysuria - frequency - urgency - low back pain
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
10. What converts testosterone to DHT
Estradiol > estrone > estriol
Low back pain with increased serum alk phos
5 alpha reductase - inhibited by finesteride
Hypogondadotropic hypogonadism
11. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Tunica vaginalis lesions
Theca - leutin cysts
Tubular carcinoma
Smooth muscle
12. disagreement between the phenotypic and gonadal sex
Milk letdown - uterine contractions?
Pseudohermaphroditism
Induces and maintains lactation - decreases reproductive function
69 xxy
13. What are the treatments for PCOS
Sertoli cell tumor
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Complete
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
14. What does SEVEN Up stand for in regards to the pathway of sperm
Phyllodes tumor
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Left gonadal vein - left renal vein - IVC
15. What sequelae are associated with leiomyoma
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity
Fibrocystic disease
Tunica vaginalis lesions
Severe bleeding iron def anemia - miscarriage
16. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
During fetal life
Mucinous cystadenoma
Meigs syndrome
17. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Endocervix
Fibromas
Meigs syndrome
18. how does BPH present
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Left gonadal vein - left renal vein - IVC
Hydatidiform mole
Inhibition of HCG access
19. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Choriocarcinoma
Feedback inhibition
Sarcoma botryoides - a rhabdomyosarcoma variant
Cardinal ligament
20. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Kallman
Induces and maintains lactation - decreases reproductive function
Smooth muscle
Paget's disease
21. What is the clinical manifestation of PCOS
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Prior c section - inflammation - placenta previa
Yolk sace - endodermal sinus - tumor
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
22. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
PANS - pelvic nerve
Proliferation
Just prior to ovulation
23. > 35 day cycle
Preeclampsia clinical
Oligohydramnios
Increase (and LH)
Oligomenorrhea
24. eclampsia
Testosterone - DHT - androstenedione
Vagina
Preeclampsia + siezures
Sertoli cells
25. What is the treatment for hydatidiform mole
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Dilation and curettage and methotrexate
Peripheral conversion of androgens
Myometrial tumors
26. Which cells secrete beta hCG
Inc size and tenderness with inc estrogen
Golgi
Trophoblasts
No
27. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Andogren binding protein - anti mullerian hormone
Round ligament of the uterus
Phyllodes tumor
Hyperestrogenism
28. Uterin fundus to labia majora
Phyllodes tumor
Neoplastic cells block lymphatic drainage
Round ligament of uterus
Premature ovarian failure (Pof)
29. What is the genetic material in the secondary oocyte?
Testosterone
Haploid - 2N - 23 sister chromatids
Smoking - HTN - cocaine
Leydig cell tumor
30. Prevention of seizures and in preeclampsia
Mucinous cystadenoma
Vagina
IV mag sulfate - diazepam
Fat necrosis
31. How many days after fertilization does implantation occur?
6
Female pseudoHerm
2nd week of proliferative phase
Tunica vaginalis lesions
32. What does estrogen do to estrogen - LH and progesterone recepotrs
Endometrial carcinoma
SANS - hypogastric nerve
Follicular cyst
Upregulation
33. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
1 week - 2 weeks
Estradiol and possible growth promoting effects of DHT
Broad ligament
Complete
34. What does the histo show for prostate cancer
Adenomyosis
Tight junctions between sertoli cells
Decrease
Small infiltrating glands with prominent nucleoli
35. What causes preeclampsia
Premature ovarian failure (Pof)
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Follicular cyst
IV mag sulfate - diazepam
36. when do primary oocytes complete meiosis I
Left
Just prior to ovulation
Paget cell
Cardinal ligament
37. connects cervix to side wall of pelvis - contains uterine vessels
Premature ovarian failure (Pof)
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Mammary duct epithelium or lobular glands
Cardinal ligament
38. How is beta hCG detectable in blood or urine for a home pregnancy test
Inc in total - and dec in free fraction
Paget's disease
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
1 week - 2 weeks
39. what structures supplies the energy to the middle piece (neck)
Polymenorrhea
Hydatidiform mole
Mitochondria
Metrorrhagia
40. What is a potential complication of endometrial hyperplasia
Estradiol and possible growth promoting effects of DHT
Endocervix
DHT - testosterone - androstenedione
Endometrial carcinoma
41. What does the SRY gene do
Estradiol and possible growth promoting effects of DHT
Testis determining factor
Delivery of fetus
Mucinous cystadenoma
42. inc AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Sertoli cells
Smoking - HTN - cocaine
Right gonadal vein - IVC
43. Which side is varicocele more common on...
Left
Retrograde mentrual flow or ascending infection
Sarcoma botryoides - a rhabdomyosarcoma variant
Oligohydramnios
44. Where does fertilization most commonly occur?
Preeclampsia + siezures
The ampulla - occurs within 1 day of ovulation
Insulin resistance
Inflammatory
45. What occurs to a fibroadenoma during pregnancy and menstruation and why
Stimulates sertoli cells to produce ABP and inhibin
Inc size and tenderness with inc estrogen
Smoking - HTN - cocaine
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
46. What is the main source of energy for spermatozoa
Inhibit cGMP breakdown
Peripheral conversion of androgens
Fructose
Invasive ductal
47. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Milk letdown - uterine contractions?
Fibromas
Endometriosis
Maintenance
48. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
Chromosomal abnormalities
Erythroplasia of Queyrat - carcinoma in situ of penis
Abacterial
49. What is the flaggelum derived from
One of the centrioles
Inc AFP and hCG
46 xx
Varicocele
50. How is dyslpasi and carcinoma in situ of the cervix classified
Tunica vaginalis lesions
Mucinous cystadenoma
CIN 1 - 2 - 3
Immature
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