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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. large - hyperchromatic syncytiotrophoblasts cells - inc freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Choriocarcinoma
Prostatic acid phosphatase and PSA
Epithelial hyperplasia
Visceral - somatic nerves in pudendal

2. breast path - diseases of the lactiferous sinus
Acute mastitis
Smoking - HTN - cocaine
Bowenoid papulosis - carcinoma in situ of the penis
Intraductal papilloma - breast abscess - mastitis

3. breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
17beta estradiol
Intraductal papilloma - breast abscess - mastitis
Acute mastitis
Aortic bicuspid valve

4. What is the treatment for preeclampsia
Visceral - somatic nerves in pudendal
Differentiation of penis - scrotum and prostate
Delivery of fetus
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

5. What serum markers are associated with embyronal carcinoma
Inc AFP and hCG
S aureus
1000 times
Ligament of the ovary

6. benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Posterior lobe peripheral zone
No
Proliferation

7. Large bulky breast mass of connective tissue and cysts with leaf like projections
Sarcoma botryoides - a rhabdomyosarcoma variant
Premature ovarian failure (Pof)
Phyllodes tumor
Abacterial

8. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Fibroadenoma - phyllodes tumor
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Fallopian tube

9. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Stimulate glandular secretions - and spiral artery development
Vagina
Granulosa cell - aromatase - androstenedione - estrogen
Peripheral conversion of androgens

10. What is the presentation of fibrocystic dz
Hyperestrogenism
The centrioles
Prementsrual breast pain and multiple lesions
Ovarian > cervical > endometrial

11. In what group are malignant breast tumors most commonly seen
Post menopausal
Haploid - N - 23 single chromatids
Prementsrual breast pain and multiple lesions
Delivery of fetus

12. Which androgen is responsible for libido
Testosterone
Cervix
Smooth muscle
Erythroplasia of Queyrat - carcinoma in situ of penis

13. What effect does NO have on smooth muscle in erectile tissues
Fibrosis
Vagina
Inc cGMP - smooth muscle relax - vasodltn - proerectile
Kallman

14. What is mortality due to in preeclampsia
Intraductal papilloma
Testosterone
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Cerebral hemorrhage and ARDS

15. testicular masses that can be transilluminated
Tunica vaginalis lesions
Inhibition of HCG access
Testosterone
Prostate growth - balding - and sebaceous gland activity

16. when do primary oocytes begin meiosis I
55-65
Medullary
During fetal life
Kallman

17. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Vagina
Teratoma
Increased FSH
The semiT and the blood vessels

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

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19. What does LH do
Inc AFP and hCG
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Whorled pattern of smooth muscle bundles
Stimulates testosterone release from leydig cells

20. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Kallman
Cerebral hemorrhage and ARDS
Fat necrosis
Mimics LH

21. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Meigs syndrome
Mucinous cystadenocarcinoma
Cystic
5 alpha reductase def

22. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Inc in total - and dec in free fraction
Severe bleeding iron def anemia - miscarriage
DCIS

23. hyperandrogenism due to deranged steroid synthesis by theca cells - inc LH leading to anovulation
Puberty
Good - late metastasis
PCOS
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

24. When does endometiral carcinoma usually occur
55-65
Trophoblasts
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Stimulation of secretion - but blocks its action at the breast

25. 2 sperm + empty egg
Complete
No
Post menopausal
Primary hypogonadism

26. Which system and nerve allow for erection in the male?
Invasive ductal
Placenta previa
Choriocarcinoma
PANS - pelvic nerve

27. breast path - diseases of the terminal duct
Tubular carcinoma
Placenta acreta
PCOS
Adenomyosis

28. disagreement between the phenotypic and gonadal sex
Bicornute uterus
Prostatic acid phosphatase and PSA
Tubular carcinoma
Pseudohermaphroditism

29. What does estrogen do to FSH and LH
Preeclampsia
Invasive lobular
Hypogondadotropic hypogonadism
Feedback inhibition

30. How does exogenous testosterone create azoospermia
Inhibition of HCG access
Fertilization 'an egg met a sperm'
2nd week of proliferative phase
IV mag sulfate - diazepam

31. What does progesterone do to gonadotropins
Estradiol > estrone > estriol
Bowenoid papulosis - carcinoma in situ of the penis
Dysgerminoma
Inhibition LH and FSH

32. Which side is varicocele more common on...
Stimulates sertoli cells to produce ABP and inhibin
Complete
Left
Decreasing progesterone

33. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Fibroadenoma
Inc risk for carcinoma
Medullary
Low back pain with increased serum alk phos

34. What is the common presentation of metastasis in prostate cancer
Tight junctions between sertoli cells
Low back pain with increased serum alk phos
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Placenta acreta

35. When is the peak occurrence of leiomyoma
Comedocarcinoma
One of the centrioles
20 to 40
HPV 16 - 18

36. What does SEVEN Up stand for in regards to the pathway of sperm
Malignant in males not in females
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Premature ovarian failure (Pof)

37. How is beta hCG detectable in blood or urine for a home pregnancy test
Sertoli cells - and adipose tissue via aromatase
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Blacks
1 week - 2 weeks

38. histo: simple columnar epithelium
Inhibit cGMP breakdown
Endocervix
Stimulates sertoli cells to produce ABP and inhibin
Polyhydramnios

39. What is the flaggelum derived from
During fetal life
Decrease
One of the centrioles
Suckling - inc oxytocin - prolactin

40. predisposing factor to clear cell adenocarcinoma of the vagina
Smoking - HTN - cocaine
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Ovary
DES in utero (DES is a sythetic estrogen)

41. Dermal lymphatic invasion by breast carcinoma - peu d orange
Brenner tumor
Testosterone secreting tumor - exogenous steroids
Hydrocele
Inflammatory

42. What are the 4 sources of progesterone
Preeclampsia clinical
Estradiol
Complete
Corpus luteum - placenta - adrenal cortex - testes

43. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Pseudohermaphroditism
Haploid - N - 23 single chromatids
Increase (and LH)

44. 50% of ovarian tumors - malignant and frequently bilateral
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Endometrial > ovarian> cervical (in US)
Serous cystadenocarcinoma
Malignant in males not in females

45. when do primary oocytes complete meiosis I
Neoplastic cells block lymphatic drainage
50 times
Trophoblasts
Just prior to ovulation

46. testes present with non male external genitals
Mucinous cystadenocarcinoma
Male pseudoHerm
Oligomenorrhea
Dysuria - frequency - urgency - low back pain

47. How many days after fertilization does implantation occur?
Yolk sace - endodermal sinus - tumor
Granulosa cell - aromatase - androstenedione - estrogen
6
Chocolate cyst

48. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
DIC
Squamo - columnar jxn
DHT - testosterone - androstenedione

49. What does progesterone do for pregnancy
Adenomyosis
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Maintenance
HPV 16 - 18

50. Breast path - disease that occurs at the nipple

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