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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. dilated vein in pampiniform plexus - bag of worms
Estrogen overstimulation
Round ligament of uterus
1000 times
Varicocele

2. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Hemorrhage
Develop both male and female internal genitalia and male external genitalia
Corpus luteum - placenta - adrenal cortex - testes

3. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Ectocervix
Acute mastitis
Testosterone

4. What complications are associated with polyhydramnios

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5. What does progesterone do in the endometrium
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Call exner bodies
Round ligament of uterus
Stimulate glandular secretions - and spiral artery development

6. small follicles filled with eosinphilic secretions
Call exner bodies
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Androgen insensitivity syndrome - 46 XY
Congenital adrenal hyperplasia - exogenous administration of steroids

7. What is the right venous drainage of the ovary/testis
Fructose
Right gonadal vein - IVC
Medullary
20 to 40

8. inc fluid secondary to incomplete fustion with processus vaginalis
Inc size and tenderness with inc estrogen
Hydrocele
Esophogeal/duodenal atresia - can't swallow - anencephaly
Call exner bodies

9. large cells in epidermis with clear halo
Testis determining factor
Hemorrhage
Paget cell
Feedback inhibition

10. What is the most frequent benign ovarian tumor
Mature teratoma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Placenta previa
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

11. Uterin fundus to labia majora
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Corpus luteum cyst
Round ligament of uterus
46 xx

12. connects cervix to side wall of pelvis - contains uterine vessels
Peyronie's dz
Cardinal ligament
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Partial

13. premature detachment of placenta from implantation site leading to fetal death
Decreasing progesterone
Abruptio placentae
Intraductal papilloma
Cerebral hemorrhage and ARDS

14. What estrogen does the ovary secrete
Low progesterone
17beta estradiol
Esophogeal/duodenal atresia - can't swallow - anencephaly
Partial

15. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
DIC
Varicocele
Severe bleeding iron def anemia - miscarriage

16. What percentage of testicular tumors are germ cell
Uterus
Squamous cell carcinoma
95%
Hemolysis - elevated liver enzymes - low platelets

17. What are risk factors for placenta acreta
Estradiol and possible growth promoting effects of DHT
PCOS
Prior c section - inflammation - placenta previa
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

18. What forms the blood testis barrier?
Adrenal gland
Metaphase
Female pseudoHerm
Tight junctions between sertoli cells

19. Connects ovaries to lateral pelvic wall - contains ovarian vessels
BPH
Suspensory ligament of ovaries
Menometrorrhagia
Spermatogonia (germ cells)

20. What does estrogen do to estrogen - LH and progesterone recepotrs
Mammary duct epithelium or lobular glands
Malignant in males not in females
Immature
Upregulation

21. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
HPV 16 - 18
Estrogen overstimulation
Serous cystadenoma
Endocervix

22. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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23. Is fertility compromised in double Y males?
Sertoli cells - and adipose tissue via aromatase
Testis determining factor
Dysgerminoma
No

24. hyperplasia - not hypertrophy of the prostate gland
Stimulation of secretion - but blocks its action at the breast
2 months
BPH
Inc estrogen - inc total nunmber of cycles - older age at 1st live birth - obesity

25. What is the typical cell change in HPV infection
Koilocytitic
Corpus luteum - placenta - adrenal cortex - testes
Turner's XO
Obdurator - exterinal iliac - hypogastic nodes

26. What does inhibin do?
Sertoli cells
Inhibit FSH
SANS - hypogastric nerve
Follicular phase varies - luteal phase is 14

27. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
Cerebral hemorrhage and ARDS
6
Peripheral conversion of androgens

28. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Epithelial hyperplasia
Phyllodes tumor
Klinefelter's - XXY
Bowenoid papulosis - carcinoma in situ of the penis

29. dx with increased testosterone and dec LH
Fertilization 'an egg met a sperm'
Granulosa cell tumor
Theca cell - desmolase - androstenedione
Testosterone secreting tumor - exogenous steroids

30. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Inflammatory
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Cystic
Metaphase

31. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Periurethral lobes - lateral and middle
5 alpha reductase def
Theca cell - desmolase - androstenedione
Fibromas

32. Prevention of seizures and in preeclampsia
Testosterone
Paget cell
Androgen insensitivity syndrome
IV mag sulfate - diazepam

33. What does LH do
Stimulates testosterone release from leydig cells
Ectopic preg
One of the centrioles
Preeclampsia clinical

34. Which androgen is responsible for libido
Preeclampsia clinical
Ovary
Testosterone
Good - late metastasis

35. What sequelae are associated with leiomyoma
Decreasing progesterone
69 xxy
Inhibit cGMP breakdown
Severe bleeding iron def anemia - miscarriage

36. how can struma ovarri present?
Complete
Hyperthyroidism - contains functional thyroid tissue
1 week - 2 weeks
Inhibit cGMP breakdown

37. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Koilocytitic
Osteoblastic in bone
Theca - leutin cysts
Axillary node involvement

38. What is the flaggelum derived from
Hemorrhage
The anterior pituitary and hypothalamus
One of the centrioles
PSA

39. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Krukenburg tumor
Testosterone
Oligohydramnios
Female pseudoHerm

40. Where does prostatic adenocarcinoma arise from?
Preeclampsia clinical
Abruptio placentae
Premature ovarian failure (Pof)
Posterior lobe peripheral zone

41. common cause of recurrent miscarriage in the 1st week
Superficial inguinal lymph nodes
DIC
Inc in total - and dec in free fraction
Low progesterone

42. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Left gonadal vein - left renal vein - IVC
Fallopian tube
Kallman
Spermatogonia (germ cells)

43. What effect does NE have on smoothe muscle in the erectile tissues
Hemorrhage
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Post menopausal
Inc Ca in - smooth muscle contraction - vasocxn - antierectile

44. dx with decreased testosterone - increased LH
Primary hypogonadism
Milk letdown - uterine contractions?
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Testosterone

45. Which system and nerve allow for erection in the male?
Stimulate glandular secretions - and spiral artery development
One of the centrioles
PANS - pelvic nerve
DHT - testosterone - androstenedione

46. hemorrhage into persistent corpus luteum
Stimulate glandular secretions - and spiral artery development
Paget's disease - breast abscess
1 week - 2 weeks
Corpus luteum cyst

47. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Prementsrual breast pain and multiple lesions
Androgen insensitivity syndrome - 46 XY
Retrograde mentrual flow or ascending infection
Feedback inhibition

48. tumor is ductal with caseous necrosis
Smooth muscle
Comedocarcinoma
Menometrorrhagia
Stimulates sertoli cells to produce ABP and inhibin

49. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Bicornute uterus
Testosterone
Chocolate cyst
Myometrial tumors

50. How does exogenous testosterone create azoospermia
Testicular lymphoma
Estradiol and possible growth promoting effects of DHT
Spermatogonia (germ cells)
Inhibition of HCG access