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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. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Myometrial invasion
Mucinous cystadenocarcinoma
Endometrial carcinoma
Visceral - somatic nerves in pudendal

2. How many days after fertilization does implantation occur?
Prior c section - multiparity
6
2nd week of proliferative phase
Lobular carcinoma - sclerosing adenosis

3. What is the presentation of prostatitis
Ectocervix
Dysuria - frequency - urgency - low back pain
Fertilization 'an egg met a sperm'
Androgen insensitivity syndrome - 46 XY

4. decreased estrogen production due to age linked decline in the number of ovarian follices
Sertoli cells
Paget cell
Menopause
Serous cystadenocarcinoma

5. When does the secondary oocyte complete meosis II

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6. What does FSH do
Asia - Africa - S. America - HPV - lack of circumcision
Stimulates sertoli cells to produce ABP and inhibin
Fallopian tube
Inc risk for carcinoma

7. 2 sperm + 1 egg
Partial
Testis determining factor
Smoking - HTN - cocaine
Sarcoma botryoides - a rhabdomyosarcoma variant

8. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Testosterone
Preeclampsia clinical
Hemorrhage
Differentiation of penis - scrotum and prostate

9. common cause of recurrent miscarriage in 1st trimester
Fat necrosis
Prior c section - inflammation - placenta previa
Congenital adrenal hyperplasia - exogenous administration of steroids
Chromosomal abnormalities

10. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Inhibit FSH
Bowenoid papulosis - carcinoma in situ of the penis
Tubular carcinoma

11. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
DES in utero (DES is a sythetic estrogen)
Metrorrhagia
Embryonal carcinoma
Inc freq of urination - nocturia - difficulty starting/stopping urination - dysuria

12. pain with or without bleeding - inc in hCG - sudden lower abdominal pain - mistaken for appendicitis
Stimulates sertoli cells to produce ABP and inhibin
Klinefelter's - XXY
Ectopic preg
PSA

13. androblastoma from sex cord stroma
Testosterone secreting tumor - exogenous steroids
Spermatogonia (germ cells)
Follicular cyst
Sertoli cell tumor

14. when do primary oocytes begin meiosis I
Theca - leutin cysts
During fetal life
Estradiol and possible growth promoting effects of DHT
Choriocarcinoma

15. What forms the blood testis barrier?
Fructose
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Mimics LH
Tight junctions between sertoli cells

16. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Post menopausal bleeding
Prostatic acid phosphatase and PSA
Squamo - columnar jxn

17. What are the treatments for PCOS
GnRH from hypoTh - LH and FSH from ant pituitary
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Call exner bodies
Dysgerminoma

18. In what phase is meiosis II arrested
Mature teratoma
Estradiol > estrone > estriol
Metaphase
Fibrocystic disease

19. How long does it take for sperm to fully develop
2 months
50 times
Defective androgen receptor
Yolk sace - endodermal sinus - tumor

20. < 21 day cycle
Superficial inguinal lymph nodes
Yolk sac - endodermal sinus - tumor
Stimulation of secretion - but blocks its action at the breast
Polymenorrhea

21. How is beta hCG detectable in blood or urine for a home pregnancy test
Testosterone
Superficial inguinal lymph nodes
1 week - 2 weeks
Sertoli cells

22. What is the flaggelum derived from
Testosterone
One of the centrioles
Sarcoma botryoides - a rhabdomyosarcoma variant
Maintenance

23. Overexpression of which receptors is common iwht malignant breast tumors
Erythroplasia of Queyrat - carcinoma in situ of penis
The anterior pituitary and hypothalamus
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Whorled pattern of smooth muscle bundles

24. When does spermatogenesis begin?
Acute mastitis
Differentiation of penis - scrotum and prostate
DCIS
Puberty

25. histologic type of fibrocystic with hyperplasia of breast stroma
Fibrosis
One of the centrioles
Dilation and curettage and methotrexate
Intraductal papilloma

26. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Upregulation
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Axillary node involvement
Hydatidiform mole

27. What is the karyotype of a partial mole
Inhibition of HCG access
69 xxy
Hydrocele
PSA

28. What is the expected increase of estradiol and estrone in pregnancy
Leydig cell tumor
Estradiol
50 times
Inc in total - and dec in free fraction

29. When is the peak occurrence of leiomyoma
Peyronie's dz
20 to 40
Estrogen overstimulation
Puberty

30. distention of unruptured graafian follicle
Follicular cyst
Visceral - somatic nerves in pudendal
Leydig cell tumor
Down regulation

31. What is the venous drainage of the left ovary/testis?
Cardinal ligament
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Left gonadal vein - left renal vein - IVC
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

32. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Myometrial tumors
Haploid - 2N - 23 sister chromatids
Prostatic acid phosphatase and PSA
Dysgerminoma

33. What is the karyotype of a complete mole
Left
Decreasing progesterone
46 xx
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

34. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Myometrial invasion
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and inc transport proteins like SHBG inc HDL and dec LDL
Leydig cell tumor

35. histo: simple cuboidal epithelium
Ovary
Mittelschmerz syndrome
Embryonal carcinoma
Choriocarcinoma

36. Testosterone and estrogen in androgen insensitivity syndrome
Peripheral conversion of androgens
Turner's XO
Increase (and LH)
Mucinous cystadenocarcinoma

37. What complications are associated with polyhydramnios

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38. Where is testosterone converted to estrogen
Testosterone - DHT - androstenedione
Testis determining factor
Decrease
Sertoli cells - and adipose tissue via aromatase

39. How many functional sperm does 1 germ cell creat?
Left
4
Induces and maintains lactation - decreases reproductive function
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

40. What common valvular abnormality is common in Turner's
Chromosomal abnormalities
Fibroadenoma - phyllodes tumor
Aortic bicuspid valve
Mammary duct epithelium or lobular glands

41. What does estrogen to do prolaction
Low progesterone
Just prior to ovulation
Stimulation of secretion - but blocks its action at the breast
Chromosomal abnormalities

42. What does progesterone do to smooth muscle in the uterus
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Adrenal gland
Tunica vaginalis lesions
Relaxation

43. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Estradiol
Prostate growth - balding - and sebaceous gland activity
Broad ligament

44. What is a complication of invasive carcinoma
PCOS
DCIS
Lateral invasion can block ureters causing renal failure
Abruptio placentae

45. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Male pseudoHerm
Ectopic preg
Suspensory ligament of ovaries
Cardinal ligament

46. breast path - diseeases of the lobules
Erythroplasia of Queyrat - carcinoma in situ of penis
Peyronie's dz
Lobular carcinoma - sclerosing adenosis
PCOS

47. Where is testosterone secreted into?
The semiT and the blood vessels
DRE - hard nodule and biopsy
Paget cell
Chromosomal abnormalities

48. What is the prognosis for seminoma
Cardinal ligament
Good - late metastasis
Male pseudoHerm
Sarcoma botryoides - a rhabdomyosarcoma variant

49. marked increased hCG - complete or partial
Increased FSH
Testosterone
Yolk sace - endodermal sinus - tumor
Complete

50. What are the most common cause of anovluation

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