Block 7 Reproduction Creighton Univ W Xpl Pt 3
- 1.Which of the following is an action shared by estrogen and progesterone?
- A.
Maintenance of pregnancy
- B.
Positive feedback on FSH and LH
- C.
Development of secondary sex characteristics
- 2.Which of the following glands does not contribute to semen?
- A.
Prostate
- B.
Epididymis
- C.
Seminal vesicles
- D.
Bulbourethral
- E.
Actually, all the above contribute fluid to semen
- 3.Histologically, which of the following appears the closest to normal prostate tissue?
- A.
Epididymis
- B.
Seminal vesicles
- C.
Ductus deferens
- D.
Rete testis
- E.
Seminiferous tubules
- 4.
![The structure in the center of the picture below is most likely:
- ProProfs]( "The structure in the center of the picture below is most likely:")
The structure in the center of the picture below is most likely:- A.
Primordial follicle
- B.
Early primary follicle
- C.
Late primary follicle
- D.
Graafian follicle
- E.
Secondary follicle
- F.
Artery
- 5.
![This structure found in the cortex of an ovary is most likely in which stage of division:
- ProProfs]( "This structure found in the cortex of an ovary is most likely in which stage of division:")
This structure found in the cortex of an ovary is most likely in which stage of division:- A.
Mitosis
- B.
Prophase I
- C.
Metaphase I
- D.
Metaphase II
- E.
The cell is not dividing since it just completed meiosis II
- 6.A 25 year old man presents with gynecomastia. Which of the following tumors is most likely to produce this effect?
- A.
Leydig cell tumor
- B.
Teratoma
- C.
Spermatocytic seminoma
- D.
Choriocarcinoma
- 7.Which of the following is not a feature of adenocarcinoma of the prostate?
- A.
Crowded glands
- B.
Bone metastasis
- C.
Perineural invasion
- D.
Absence of basal cells
- E.
PSA > 4ng/mL
- F.
Actually, all of the above are true
- 8.You are advising a couple on ways to increase fertility. Which of the following would provide the highest likelihood of pregnancy?
- A.
Intercourse 4-5 days before ovulation
- B.
Intercourse 1-3 days before ovulation
- C.
Intercourse on the day of ovulation
- D.
Intercourse 1-3 days after ovulation
- 9.A patient comes to your office seeking birth control pills. She is in overall good heath but says she is currently being treated for epilepsy. Which of the following is appropriate to say to this patient?
- A.
Anti-epileptic drugs do not affect birth control pills
- B.
A birth control pill may be more because of her anti-epileptic medications
- C.
A birth control pill may be less because of her anti-epileptic medications
- D.
Birth control pills are unsafe with her condition. Natural family planning methods should be explored
- 10.Which of the following is not an effect of monophasic birth control consisting of estrogen and progestin?
- A.
Inhibition of LH surge
- B.
Inhibition of FSH
- C.
Altered lipid profile
- D.
Induction of PTH
- E.
Decreased antithrombin III
- 11.Which of the following conditions of a patient contraindicates the use of oral contraceptives?
- A.
Obesity
- B.
Smoking
- C.
Hypertension
- D.
Melanoma
- E.
None of the above
- 12.Which of the following is incompatible with a female conceiving in the future?
- A.
Vasectomy in male partner
- B.
Bilateral salpingectomy
- C.
Intrauterine device
- D.
15 years of oral contraceptive use
- 13.A Pap smear reveals cervical intraepithelial neoplasia grade I (CIN I). Progression to carcinoma in situ (CIN III) is
- A.
Unlikely if the patient has HPV 11
- B.
Almost certain if the patient has HPV 16
- C.
Almost certain regardless of which HPV she has
- D.
Avoidable if vaccinated with Gardasil®
- 14.A 27 year old woman presents to the emergency room with extreme abdominal pain. The pain came on suddenly, beginning in the lower left quadrant. She has been in a monogamous sexual relationship for 2 years. She denies any trauma. She says her last menstrual period was about 6 weeks ago. She is afebrile, BP 90/50 and dropping, heart rate 100. Which of the following is the most likely diagnosis?
- A.
Pelvic inflammatory disease
- B.
Appendicitis
- C.
Toxemia of pregnancy
- D.
Fallopian tube rupture from ectopic pregnancy
- E.
Fibroma-thecoma
- 15.A 24 year old primipara woman is in her 35th week of pregnancy. She claims to have had a persistent headache for the last 5 days. She is afebrile, but is hypertensive and is found to have 2+ proteinuria and edema. Which of the following is not true of her condition?
- A.
She is at risk for developing seizures
- B.
Her kidneys would likely show fibrin deposits
- C.
This condition often occurs at any stage in pregnancy
- D.
She is at risk for developing DIC
- E.
She will likely improve upon delivering the baby
- 16.Regarding the two layers of the endometrium, the functionalis differs from the basalis in that:
- A.
The functionalis does not breakdown during menses
- B.
The functionalis is largely unresponsive to estrogen
- C.
The functionalis produces estrogen
- D.
The functionalis is more responsive to estrogen
- 17.Endometrial hyperplasia and excessive bleeding during and between menses can be caused by anovulatory cycles. How do anovulatory cycles produce these effects?
- A.
Prolonged stimulation of the endometrium by estrogen
- B.
Prolonged stimulation of the endometrium by progesterone
- C.
Prolonged stimulation of the endometrium by estrogen and progesterone
- D.
Lack of stimulation of the endometrium
- 18.Compared to a 60 year old post-menopausal woman, how is a 30 year old woman different?
- A.
Increased HDL, increased LDL, increased lipoproteins
- B.
Increased HDL, increased LDL, decreased lipoproteins
- C.
Increased HDL, decreased LDL, decreased lipoproteins
- D.
Decreased HDL, decreased LDL, decreased lipoproteins
- E.
Decreased HDL, decreased LDL, increased lipoproteins
- 19.Teriparatide is a human recombinant parathyroid hormone (rhPTH) used to prevent bone loss. Which of the following explains why terparatide is given as a daily subcutaneous injection?
- A.
PTH normally stimulates bone resorption, but intermittent PTH stimulates bone formation
- B.
PTH normally stimulates bone formation, and daily injections keep plasma PTH levels continually elevated
- C.
PTH normally stimulates bone resorption, but intermittent PTH causes inhibition of calcitonin
- D.
PTH antagonizes vitamin D excretion, causing increased bone formation
- 20.The finding on a Pap smear which is most indicative of invasive squamous carcinoma is
- A.
Koilocytes with two nuclei
- B.
Hyperchromic nuclei with little cytoplasm
- C.
CIN III on two consecutive Pap smears
- D.
Spindle cells in the presence of CIN III
- E.
All of the above are highly indicative of invasive squamous carcinoma
.JPG "The structure in the center of the picture below is most likely:")
.JPG "This structure found in the cortex of an ovary is most likely in which stage of division:")
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