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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. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
51 yo
PANS - pelvic nerve
Hyperthyroidism - contains functional thyroid tissue

2. Where does LH work - what enzyme works there and what product is secreted
Superficial inguinal lymph nodes
Theca cell - desmolase - androstenedione
Tubular carcinoma
Prior c section - multiparity

3. tumor is ductal with caseous necrosis
Comedocarcinoma
CIN 1 - 2 - 3
Yolk sace - endodermal sinus - tumor
Increase

4. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Call exner bodies
Cerebral hemorrhage and ARDS
The ampulla - occurs within 1 day of ovulation
Placenta previa

5. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Tubular carcinoma
Obdurator - exterinal iliac - hypogastic nodes
No
Post menopausal

6. What substances other than inhibin do sertoli cells produce?
Smooth muscle
Congenital adrenal hyperplasia - exogenous administration of steroids
Andogren binding protein - anti mullerian hormone
Left gonadal vein - left renal vein - IVC

7. Which androgen is responsible for libido
Testosterone
Preeclampsia clinical
Spermatogonia (germ cells)
DIC

8. What are the four functions of estrogen
Erythroplasia of Queyrat - carcinoma in situ of penis
Proliferation
Fibroadenoma
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL

9. >1.5 -2 L of amniotic fluid
Just prior to ovulation
Polyhydramnios
Primary hypogonadism
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

10. What does progesterone do to smooth muscle in the uterus
Estradiol
Vagina
In the 6th decade of life
Relaxation

11. What changes in the aorta are common in Turner's?
Testosterone
Turner's XO
Preductal coarctication
Adenomyosis

12. in males - are mature teratomas malignant? What is the case for females
HPV 16 - 18
Epithelial hyperplasia
Malignant in males not in females
Down regulation

13. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
50 times
Placenta previa
Myometrial invasion
Invasive ductal

14. Which teratoma - mature or immature - is aggresively malignant
Immature
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors
46 xx
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

15. What is the most common gynecologic malignancy
Calcifications
Superficial inguinal lymph nodes
Endometrial carcinoma
DRE - hard nodule and biopsy

16. What does LH do
Trophoblasts
Haploid - 2N - 23 sister chromatids
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Stimulates testosterone release from leydig cells

17. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
69 xxy
Upregulation
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

18. What are the most common tumors in all females?
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
1000 times
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Myometrial tumors

19. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Sertoli cells
Multiple sexual partners - also HIV and early sexual intercourse
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

20. What are the most common cause of anovluation

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21. What increase in estriol is an indicator offetal well being in pregnancy
BPH
Granulosa cell tumor
Right gonadal vein - IVC
1000 times

22. What metastasis is most common with prostatic adenocarcinoma
Production of a thick cervical mucus
Osteoblastic in bone
Varicocele
Female pseudoHerm

23. What is a complication of cryptorchidism and why does it occur
Cerebral hemorrhage and ARDS
Decreasing progesterone
Smooth muscle
Lack of spermatogenesis due to inc temp of testis inside body and associated risk of germ cell tumors

24. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Kallman
Bowenoid papulosis - carcinoma in situ of the penis
Invasive ductal
Adenomyosis

25. common cause of recurrent miscarriage in the 1st week
Hemolysis - elevated liver enzymes - low platelets
Low progesterone
Hydrocele
Androgen insensitivity syndrome - 46 XY

26. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Sclerosing adenosis
Low back pain with increased serum alk phos
Alpha1 antagonists - terazosin - tamsulosin - finasteride

27. What effect does NO have on smooth muscle in erectile tissues
PSA
Yolk sace - endodermal sinus - tumor
Phyllodes tumor
Inc cGMP - smooth muscle relax - vasodltn - proerectile

28. Which androgen is responsible for the closing of the epiphyseal plate
Testosterone
Prementsrual breast pain and multiple lesions
Choriocarcinoma
Decrease

29. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Upregulation - LH surge - ovulation
Stimulates testosterone release from leydig cells
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

30. What are the 3 androgens
Calcifications
No
Complete
Testosterone - DHT - androstenedione

31. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Menometrorrhagia
Suspensory ligament of ovaries
Osteoblastic in bone
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

32. hyperandrogenism due to deranged steroid synthesis by theca cells - inc LH leading to anovulation
Diploid - 4N - 46 sister chromatids
Malignant in males not in females
PCOS
Syncytiotrophoblasts of placenta

33. What is the expected increase of estradiol and estrone in pregnancy
50 times
1 week - 2 weeks
Adrenal gland
Testosterone

34. What does HHAVOC stand for in menopause
Testosterone
Paget cell
Feedback inhibition
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

35. in chronic prostatitis is bacterial or abacterial more common
Granulosa cell - aromatase - androstenedione - estrogen
Peyronie's dz
DHT - testosterone - androstenedione
Abacterial

36. HTN - proteinuria and edema
DRE - hard nodule and biopsy
Visceral - somatic nerves in pudendal
Squamo - columnar jxn
Preeclampsia

37. What is the karyotype of a partial mole
The ampulla - occurs within 1 day of ovulation
Superficial inguinal lymph nodes
69 xxy
DHT - testosterone - androstenedione

38. How many functional sperm does 1 germ cell creat?
Endometrial carcinoma
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
4
Testosterone

39. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Increased FSH
Meigs syndrome
Placenta previa
Androgen insensitivity syndrome - 46 XY

40. What does the tail go onto to form
Abacterial
The anterior pituitary and hypothalamus
The centrioles
Serous cystadenocarcinoma

41. What does inhibin do?
Polymenorrhea
GnRH from hypoTh - LH and FSH from ant pituitary
Smoking - HTN - cocaine
Inhibit FSH

42. 2 sperm + 1 egg
Estradiol and possible growth promoting effects of DHT
Partial
Myometrial tumors
Testosterone

43. malignant - inc hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Down regulation
Choriocarcinoma
Prophase
Broad ligament

44. What is the genetic material in the ovum
Haploid - N - 23 single chromatids
Tubular carcinoma
Blacks
Choriocarcinoma

45. What are the functions of oxytocin - maybe
Comedocarcinoma
Milk letdown - uterine contractions?
Hydrocele
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

46. what increases the risk of cryptorchidism
Mucinous cystadenocarcinoma
Prematurity
Prophase
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

47. decreased estrogen production due to age linked decline in the number of ovarian follices
Pseudohermaphroditism
Menopause
Squamo - columnar jxn
Haploid - 2N - 23 sister chromatids

48. Which androgen is responsible for the deepening of the voice
Endometrial carcinoma
Ligament of the ovary
No
Testosterone

49. What is the main source of energy for spermatozoa
Fructose
Periurethral lobes - lateral and middle
The semiT and the blood vessels
Mucinous cystadenocarcinoma

50. testicular masses that can be transilluminated
Haploid - N - 23 single chromatids
Tunica vaginalis lesions
Krukenburg tumor
Stimulation of secretion - but blocks its action at the breast