SFA MODULE 4 (REPRODUCTIVE SYSTEM) Flashcards
dyspareunia
painful intercourse
exogenous
growing/originating from outside an organism
gynecomastia
enlargement of breast tissues in men
hirtuism
dark/course hair growth in a male-like pattern on women
lactation
secretion of milk by the mammary glands
luchorrhea
natural secretions that are released from the vagina
meatus
a passage or opening leading to the interior of the body.
menarche
the first occurrence of menstruation.
located behind the bladder, provide a secretion the includes fructose to nourish the sperm
seminal vesicles
surrounds the urethra at the base of the bladder, adds an alkaline fluid to provide optimal pH of around 6 for fertilization
prostate gland
situated near the base of the penis, secrete an alkaline mucus which neutralizes any residual urine in the urethra
bulbourethral gland (cowper’s glands)
Total volume of semen ejaculated at one time
2mL - 5mL
hormone that initiates spermatogenesis
Follicle Stimulating Hormone (FSH)
Hormone that stimulates testosterone production by the interstitial cells(Leydig Cells) in the testes
Luteinizing Hormone (LH)
Functions of Testosterone
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
Urethral opening on the dorsal surface of the penis, proximal to the glands
Can cause incontinence if involving the urinary sphincter
Epispadias
exstrophy of the bladder
failure of the abdominal wall to form across the midline
urethral opening on he ventral surface of the penis
if occurs proximal, can result in chordee (ventral curvature of the penis)
Hypospadias
Disease from the formation of fibrous scar tissue on the the penis that causes a significant bend and pain
Peyronies Disease
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
Full term pregnancy
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
both develop in the fetus as a result of hormonal stimulation
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
Malignant Epithelial Ovarian tumor
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
laparoscopic surgery
Which of the following terms describes surgical fixation of the uterus in a suspended position?
Hysterectomy
Hysterodesis
Hysteropexy
Hysteroscopy
hysteropexy
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
cesarian section
Which of the following are mucus-producing glands located on each side of the vaginal opening?
Bartholin’s
Bulbourethral
Corpus leutem
Adrenal
Bartholin’s
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
through the perineum
A 5 year old girl presents with foul smelling vaginal discharge, most likely cause is:
Foreign body
Candidiasis
Trichomoniasis
Vesicorectal fistula
trichomoniasis
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
amniotic fluid volume
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
fundus, body, isthmus, cervix
Males hormones are produced by which of the following?
Glans penis
Prostate
Testes
Vas deferens
testes
Colporrhaphy is the repair of the:
Bladder
Uterus
Vagina
Intestines
vagina
Which of the following is the term for abnormally large breasts in men?
Gynecomania
Gynecomastia
Gynephobia
Gynander
gynecomastia
The following hormone is not produced by the placenta:
HCG
HPL
Prolactin
Estriol
prolactin
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
all of the above
The most likely site of implantation of endometriosis is:
Small bowel serosa
Omentum
Appendix
Peritoneum of Cul-de-sac
peritoneum of cul-de-sac
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
round
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
increase in PSA levels is one of the diagnostic features
Name the hormone that stimulates the conversion from primordial to primary follicles and subsequent follicular development:
LH
Estrogen
FSH
Progesterone
FSH
The patient’s complaint of painful menstrual periods will be documented in the medical record as:
Dysmenorrhea
Amenorrhea
Menorrhagia
Metorrhagia
Dysmenorrhea
this structure suspends the ovary from the posterior leaf of the broad ligament.
Mesovarium
Parietal peritoneum
Ovarian ligament
Uterus
mesovarium
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
Bulbourethral glands, prostate gland, seminal vesicles
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
Provides an environment conducive to fertilization
The spermatic cord contains which of the following?
Ductus deferens
Testicular artery and vein
Vas deferens
All of the above
all of the above
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
rectal mucosa
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.
the vertex is in a transverse position
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
meiosis, primordial follicles
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
early menopause
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
prostate
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
Cremaster muscle
Fertilization of an ovum by a spermatozoon occurs in the:
Cervix
Fallopian tube
Ovary
Uterus
fallopian tube
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
all of the above
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
seminoma
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
loss of estrogen in menopausal period
