SFA MODULE 4 (REPRODUCTIVE SYSTEM)

Question 1

dyspareunia

Answer 1

painful intercourse

Question 2

exogenous

Answer 2

growing/originating from outside an organism

Question 3

gynecomastia

Answer 3

enlargement of breast tissues in men

Question 4

hirtuism

Answer 4

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

Question 5

lactation

Answer 5

secretion of milk by the mammary glands

Question 6

luchorrhea

Answer 6

natural secretions that are released from the vagina

Question 7

meatus

Answer 7

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

Question 8

menarche

Answer 8

the first occurrence of menstruation.

Question 9

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

Answer 9

seminal vesicles

Question 10

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

Answer 10

prostate gland

Question 11

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

Answer 11

bulbourethral gland (cowper’s glands)

Question 12

Total volume of semen ejaculated at one time

Answer 12

2mL - 5mL

Question 13

hormone that initiates spermatogenesis

Answer 13

Follicle Stimulating Hormone (FSH)

Question 14

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

Answer 14

Luteinizing Hormone (LH)

Question 15

Functions of Testosterone

Answer 15

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

Question 16

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

Can cause incontinence if involving the urinary sphincter

Answer 16

Epispadias

Question 17

exstrophy of the bladder

Answer 17

failure of the abdominal wall to form across the midline

Question 18

urethral opening on he ventral surface of the penis

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

Answer 18

Hypospadias

Question 19

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

Answer 19

Peyronies Disease

Question 20

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

Answer 20

Full term pregnancy

Question 21

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

Answer 21

both develop in the fetus as a result of hormonal stimulation

Question 22

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

Answer 22

Malignant Epithelial Ovarian tumor

Question 23

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

Answer 23

laparoscopic surgery

Question 24

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

Hysterectomy

Hysterodesis

Hysteropexy

Hysteroscopy

Answer 24

hysteropexy

Question 25

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

Answer 25

cesarian section

Question 26

Which of the following are mucus-producing glands located on each side of the vaginal opening? Bartholin's Bulbourethral Corpus leutem Adrenal

Answer 26

Bartholin's

Question 27

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

Answer 27

through the perineum

Question 28

A 5 year old girl presents with foul smelling vaginal discharge, most likely cause is: Foreign body Candidiasis Trichomoniasis Vesicorectal fistula

Answer 28

trichomoniasis

Question 29

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

Answer 29

amniotic fluid volume

Question 30

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

Answer 30

fundus, body, isthmus, cervix

Question 31

Males hormones are produced by which of the following? Glans penis Prostate Testes Vas deferens

Answer 31

testes

Question 32

Colporrhaphy is the repair of the: Bladder Uterus Vagina Intestines

Answer 32

vagina

Question 33

Which of the following is the term for abnormally large breasts in men? Gynecomania Gynecomastia Gynephobia Gynander

Answer 33

gynecomastia

Question 34

The following hormone is not produced by the placenta: HCG HPL Prolactin Estriol

Answer 34

prolactin

Question 35

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

Answer 35

all of the above

Question 36

The most likely site of implantation of endometriosis is: Small bowel serosa Omentum Appendix Peritoneum of Cul-de-sac

Answer 36

peritoneum of cul-de-sac

Question 37

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

Answer 37

round

Question 38

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

Answer 38

increase in PSA levels is one of the diagnostic features

Question 39

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

Answer 39

FSH

Question 40

The patient's complaint of painful menstrual periods will be documented in the medical record as: Dysmenorrhea Amenorrhea Menorrhagia Metorrhagia

Answer 40

Dysmenorrhea

Question 41

this structure suspends the ovary from the posterior leaf of the broad ligament. Mesovarium Parietal peritoneum Ovarian ligament Uterus

Answer 41

mesovarium

Question 42

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

Answer 42

Bulbourethral glands, prostate gland, seminal vesicles

Question 43

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

Answer 43

Provides an environment conducive to fertilization

Question 44

The spermatic cord contains which of the following? Ductus deferens Testicular artery and vein Vas deferens All of the above

Answer 44

all of the above

Question 45

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

Answer 45

rectal mucosa

Question 46

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.

Answer 46

the vertex is in a transverse position

Question 47

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

Answer 47

meiosis, primordial follicles

Question 48

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

Answer 48

early menopause

Question 49

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

Answer 49

prostate

Question 50

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

Answer 50

Cremaster muscle

Question 51

Fertilization of an ovum by a spermatozoon occurs in the: Cervix Fallopian tube Ovary Uterus

Answer 51

fallopian tube

Question 52

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

Answer 52

all of the above

Question 53

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

Answer 53

seminoma

Question 54

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

Answer 54

loss of estrogen in menopausal period