SFA MODULE 4 (REPRODUCTIVE SYSTEM) Flashcards

1
Q

dyspareunia

A

painful intercourse

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2
Q

exogenous

A

growing/originating from outside an organism

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3
Q

gynecomastia

A

enlargement of breast tissues in men

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4
Q

hirtuism

A

dark/course hair growth in a male-like pattern on women

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5
Q

lactation

A

secretion of milk by the mammary glands

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6
Q

luchorrhea

A

natural secretions that are released from the vagina

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7
Q

meatus

A

a passage or opening leading to the interior of the body.

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8
Q

menarche

A

the first occurrence of menstruation.

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9
Q

located behind the bladder, provide a secretion the includes fructose to nourish the sperm

A

seminal vesicles

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10
Q

surrounds the urethra at the base of the bladder, adds an alkaline fluid to provide optimal pH of around 6 for fertilization

A

prostate gland

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11
Q

situated near the base of the penis, secrete an alkaline mucus which neutralizes any residual urine in the urethra

A

bulbourethral gland (cowper’s glands)

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12
Q

Total volume of semen ejaculated at one time

A

2mL - 5mL

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13
Q

hormone that initiates spermatogenesis

A

Follicle Stimulating Hormone (FSH)

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14
Q

Hormone that stimulates testosterone production by the interstitial cells(Leydig Cells) in the testes

A

Luteinizing Hormone (LH)

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15
Q

Functions of Testosterone

A

Maturation of Sperm

Negative Feedback to control gonadotropin secretions

development and maintenance of secondary sex characteristics : male hair, deeper voice, external genitalia

Anabolic steroid that promotes protein metabolism and skeletal muscle development

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16
Q

Urethral opening on the dorsal surface of the penis, proximal to the glands

Can cause incontinence if involving the urinary sphincter

A

Epispadias

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17
Q

exstrophy of the bladder

A

failure of the abdominal wall to form across the midline

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18
Q

urethral opening on he ventral surface of the penis

if occurs proximal, can result in chordee (ventral curvature of the penis)

A

Hypospadias

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19
Q

Disease from the formation of fibrous scar tissue on the the penis that causes a significant bend and pain

A

Peyronies Disease

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20
Q

A case of gestational trophoblastic neoplasia belongs to high risk group if the disease develops after:

Hydatidiform mole

Full term pregnancy

Spontaneous abortion

Ectopic pregnancy

A

Full term pregnancy

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21
Q

Which of the following statements concerning the male and female reproductive systems is false?

Both are homologous

Both are cyclic

Both develop in the fetus as a result of hormonal stimulation

Both secrete testosterone

A

both develop in the fetus as a result of hormonal stimulation

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22
Q

A 45 yr old female is having bilateral ovarian mass, ascites and omental caking on CT scan. There is high possibility that the patient is having:

Benign Ovarian Tumor

Malignant Epithelial Ovarian tumor

Dysgerminoma of ovary

Lymphoma of ovary

A

Malignant Epithelial Ovarian tumor

23
Q

A hemodynamically stale nulliparous patient with ectopic pregnancy has adnexal mass of 2.5 x 3cm and beta HCG titre of 150 miu/ml. What modality treatment is suitable for her?

Conservation management

Medical management

Laparoscopic surgery

Laparotomy

A

laparoscopic surgery

24
Q

Which of the following terms describes surgical fixation of the uterus in a suspended position?

Hysterectomy

Hysterodesis

Hysteropexy

Hysteroscopy

A

hysteropexy

25
Q

A primigravida at 37th week of gestation reported to labor room with central placenta praevia with heavy bleeding per vaginum. The fetal heart rate was normal at the time of examination. The best management option for her:

Expectant treatment

Caesarian Section

Induction and vaginal delivery

Induction and forceps delivery

A

cesarian section

26
Q

Which of the following are mucus-producing glands located on each side of the vaginal opening?

Bartholin’s

Bulbourethral

Corpus leutem

Adrenal

A

Bartholin’s

27
Q

A laboring patient has progressed through labor without any analgesia. She pushes effectively and brings the vertex to the perineum. effective anesthesia will be needed for episiotomy and repair. Where should the needle be placed?

Through the perineum

Into the hypogastric plexus

Into the utero sacral ligament

Through the sacrospinous ligament

A

through the perineum

28
Q

A 5 year old girl presents with foul smelling vaginal discharge, most likely cause is:

Foreign body

Candidiasis

Trichomoniasis

Vesicorectal fistula

A

trichomoniasis

29
Q

A woman in her 1st pregnancy reports that she smokes 1 pack of cigarettes per day. An USG is ordered at 32nd week of gestation to evaluate the following:

Amniotic fluid volume

Fetal size

Fetal anomalies

Fetal motion

A

amniotic fluid volume

30
Q

From superior to inferior, the structural parts of the uterus are:

Cervix, isthmus, body, fundus

Fundus, body, isthmus, cervix

Body, fundus, cervix, isthmus

Isthmus, fundus, body, cervix

A

fundus, body, isthmus, cervix

31
Q

Males hormones are produced by which of the following?

Glans penis

Prostate

Testes

Vas deferens

A

testes

32
Q

Colporrhaphy is the repair of the:

Bladder

Uterus

Vagina

Intestines

A

vagina

33
Q

Which of the following is the term for abnormally large breasts in men?

Gynecomania

Gynecomastia

Gynephobia

Gynander

A

gynecomastia

34
Q

The following hormone is not produced by the placenta:

HCG

HPL

Prolactin

Estriol

A

prolactin

35
Q

Which of the following describes the uterine tube?

Lining is ciliated and nonciliated columnar epithelium

Concentric layers of smooth muscle surround the mucosa

Ciliary movement and peristaltic contractions of the walls transport the ovum

All of the above

A

all of the above

36
Q

The most likely site of implantation of endometriosis is:

Small bowel serosa

Omentum

Appendix

Peritoneum of Cul-de-sac

A

peritoneum of cul-de-sac

37
Q

these ligaments travel in the upper part of the broad ligaments below and in front of the fallopian tubes, passing over the vesicle vessels and nerve.

Cardinal

Uterosacral

Round

Pubofemoral

A

round

38
Q

All of the following about BPH are true EXCEPT:

decreased force & caliber of the urinary stream is the usually presenting feature

Increase in PSA levels is one of the diagnostics features

Dynamic uro flowmetry is one of the diagnostic modalities

Incidence is age related

A

increase in PSA levels is one of the diagnostic features

39
Q

Name the hormone that stimulates the conversion from primordial to primary follicles and subsequent follicular development:

LH

Estrogen

FSH

Progesterone

A

FSH

40
Q

The patient’s complaint of painful menstrual periods will be documented in the medical record as:

Dysmenorrhea

Amenorrhea

Menorrhagia

Metorrhagia

A

Dysmenorrhea

41
Q

this structure suspends the ovary from the posterior leaf of the broad ligament.

Mesovarium

Parietal peritoneum

Ovarian ligament

Uterus

A

mesovarium

42
Q

Important accessory glands of the male reproductive system include:

Epididymis, ductus deferens, seminal vesicles

Prostrate gland, adrenal glands, seminal vesicles

Bulbourethral glands, prostate gland, seminal vesicles

Bulbourethral glands, prostate gland, adrenal glands

A

Bulbourethral glands, prostate gland, seminal vesicles

43
Q

Which of the following NOT a function of the vagina?

Serves as a passageway for eliminating menstrual fluids

Provides an environment conducive to fertilization

Receives the penis during sexual intercourse

Lubrication

A

Provides an environment conducive to fertilization

44
Q

The spermatic cord contains which of the following?

Ductus deferens

Testicular artery and vein

Vas deferens

All of the above

A

all of the above

45
Q

A woman delivers a 9 lb baby with midline episiotomy and develops a 3rd degree tear. Inspection shows that the following structures are intact.

Anal sphincter

Perineal body

Rectal mucosa

Perineal muscles

A

rectal mucosa

46
Q

Engagement is said to occur when:

The biparietal diameter of the fetal head is through the plan of the inlet

The fetal head is within the maternal pelvis

The presenting part is just above the level of ischial spines

The vertex is in a transverse position.

A

the vertex is in a transverse position

47
Q

Egg cell production, or __________, occurs on a monthly basis as part of the ovarian cycle, within specialized structures called ______.

Ovulation, primary oocytes

Meiosis, primordial follicles

Ovulogenesis, tertiary follicles

Oogenesis, ovarian follicles

A

meiosis, primordial follicles

48
Q

All of the following are the known risk factors for the development of endometrial carcinoma EXCEPT:

Obesity

Family history

Use of hormone replacement therapy

Early menopause

A

early menopause

49
Q

In men, which of the following structures is located at the neck of the bladder and surrounds the urethra?

Epididymis

Seminal vesicle

Vas deferens

Prostate

A

prostate

50
Q

The testes are moved away from or toward the body in order to maintain the acceptable temperature for normal sperm development by the:

Vas deferens

Cremaster muscle

Dartos muscle

Tunica vaginalis

A

Cremaster muscle

51
Q

Fertilization of an ovum by a spermatozoon occurs in the:

Cervix

Fallopian tube

Ovary

Uterus

A

fallopian tube

52
Q

Which of the following is true of both the female clitoris and the male penis?

Has an exposed glans

Has a prepuce and a crura

Has corpora cavernose erectile tissue

All of the above

A

all of the above

53
Q

A 28 year old man presents with a single descended testis and a 6cm solid mass seen by CT. The most likely diagnosis is:

Metastatic prostate cancer

Teratoma

Seminoma

Hyper plastic cryporchid testis

A

seminoma

54
Q

The most important anomaly in the urethra and bladder that leads to stress incontinence is:

Loss of estrogen in menopausal period

Loss of urethral sphincter

Prolapse uterus

Loss of posterior urethrovesicle angle

A

loss of estrogen in menopausal period