Reproductive Jeopardy 2

Question 1

a woman is born with all of the ? that she is ever going to have

Answer 1

ovarian follicles

Question 2

what is the name of the follicle immediately following ovulation?

Answer 2

corpus luteum (makes progesterone for 8-10 weeks, then the placenta makes it for the rest of pregnancy)

Question 3

estrogens from granulosa cells exert negative feedback on what hormone?

Answer 3

FSH

Question 4

what hormone causes negative feedback on LH and stops ovulation?

Answer 4

progestin (progesterone)

Question 5

a personal history of breast cancer is a contraindication for use of which hormone?

Answer 5

estrogen

Question 6

what are the 2 most commonly used classes of tocolytics?

Answer 6

1. NSAIDs (indomethacin)
2. calcium channel blockers (nifedipine)

Question 7

what is the earliest functioning organ of an embryo?

Answer 7

heart (week 4)

Question 8

90% of twins have totally different genetic constitutions, aka as?

Answer 8

dizygotic (fraternal) twins

Question 9

expression of which gene initiates testicular development of undifferentiated gonads?

Answer 9

SRY gene (sex-determining region Y) producing testis determining factor (TDF)

Question 10

abnormalities of the parathyroid glands can be due to problems with which pharyngeal pouches?

Answer 10

pharyngeal pouches 3 & 4 (3 = inferior parathyroids; 4 = superior parathyroids)

Question 11

which sessile or pedunculated mass commonly presents with post-coital bleeding?

Answer 11

endometrial polyp

Question 12

an imperforate hymen leading to a uterus filled with blood is referred to as?

Answer 12

hematometra

Question 13

dysmenorrhea may result from what abnormal implantation of endometrial glands & stroma into the myometrium?

Answer 13

adenomyosis

Question 14

estrogen and progesterone receptors are in higher concentrations in which benign uterine mass?

Answer 14

leiomyoma

Question 15

which condition is caused by a relative excess of estrogen to progesterone and presents as abnormal vaginal bleeding?

Answer 15

endometrial hyperplasia

Question 16

what is the area of the cervix where dysplasia most commonly develops?

Answer 16

transformation zone (squamocolumnar junction [SCJ])

Question 17

which cystic tumor is derived from 2 or 3 embryologic layers and includes components such as skin, hair, bone, etc?

Answer 17

cystic teratoma (dermoid cyst)

Question 18

what is the most common bacterial STI in the US?

Answer 18

chlamydia (C. trachomatis)

Question 19

what are the 4 high risk types of HPV that may lead to cervical dysplasia and/or malignancy?

Answer 19

HPV types 16, 18, 31, and 33

Question 20

what is the name of this flagellated anaerobic protozoa?

Answer 20

trichomonas (T. vaginalis)

Question 21

which organism most commonly causes prostatitis?

Answer 21

E. coli

Question 22

what is the name of the acquired penile abnormality that is due to fibrosis of the tunica albuginea?

Answer 22

Peyronie’s disease

Question 23

which histologic type accounts for the vast majority of penile cancers?

Answer 23

squamous cell carcinoma of the penis

Question 24

what is the most common testicular tumor in childhood that often secretes alpha fetoprotein (AFP)?

Answer 24

yolk sac tumor

Question 25

which category of meds causes relaxation of prostatic and bladder neck smooth muscles?

Answer 25

alpha blockers (alpha1 adrenergic antagonists: terazosin, tamsulosin)

Question 26

in a combination oral contraceptive, which hormone works via at least 3 mechanisms of action

Answer 26

progestin (inhibits ovulation via neg. feedback on LH, thickens cervical mucus, induces endometrial atrophy)

Question 27

which hormone is used in combination with estrogen for postmenopausal symptoms if the uterus is still present?

Answer 27

progesterone

Question 28

what is the most effective emergency contraception in women with BMIs > 35?

Answer 28

IUD (copper or levonorgestrel)

Question 29

the medication that improves BPH symptoms by shrinking the prostate impacts which enzyme?

Answer 29

5alpha reductase

Question 30

which selective estrogen receptor modulator (SERM) stimulates the endometrium?

Answer 30

tamoxifen

Question 31

which benign GYN condition is often associated with ovarian cysts filled with brown “chocolate-like” material?

Answer 31

endometriosis