Obgyn Chapter 37 Hirsutism And Virilization

Front 1

Which of the following is a common cause of hirsutism and virilization?

Back 1

Polycystic ovarian disorder

Front 2

Hirsutism and virilization are characterized as

Back 2

androgen-excess disorders

Front 3

Which of the following is a major function of androgens in women?

Back 3

Precursor for estrogen biosynthesis

Front 4

The treatment for androgen-excess disorders is directed at

Back 4

suppression of source of androgen

Front 5

What histologic structure is characteristic of teh hilus cell tumor?

Back 5

Reinke crystalloid

Front 6

Hirsutism is most frequently associated with

Back 6

development of acne

Front 7

Which is the first event usually associated with virilization?

Back 7

Enlargement of the clitoris

Front 8

In adipose tissue, there is extraglandular production of testosterone from

Back 8

androstenedione

Front 9

In hair follicles, dihydrotestosterone is produced by the local action of 5-alpha-reductase on

Back 9

testosterone

Front 10

What percent of testosterone is not bound to sex hormone-binding globulin (SHBG)?

Back 10

1 to 3%

Front 11

The hepatic production of sex hormon-binding globulin is stimulated by

Back 11

estrogen

Front 12

In women, the most common cause of hirsutism associated with androgen excess is

Back 12

polycystic ovarian disease

Front 13

Which of the following is inconsistent with the diagnosis of polycystic ovarian disease?

Back 13

Virilization

Front 14

Which of the following is a characteristic finding in women with polycystic ovarian disease?

Back 14

Androstenedione at the upper limits of normal or increased

Front 15

Successful treatment of polycystic ovarian syndrome with oral contraceptives should result in

Back 15

decreased ovarian androgen secretion

Front 16

An example of virilization caused by polycystic ovarian syndrome is

Back 16

acanthosis nigricans

Front 17

Sertoli-Leydig cell tumors are characterized by increased

Back 17

testosterone secretion

Front 18

Patients with Sertoli-Leydig cell tumors typically have

Back 18

an elevated level of testosterone

Front 19

The surgical removal of a unilateral Sertoli-Leydig cell tumor should result in the reveral of which symptom?

Back 19

Amenorrhea

Front 20

Which of the following is characteristic of gynandroblastoma?

Back 20

Granulosa cell and arrhenoblastoma components

Front 21

Which of the following is characteristic of lipid (lipoid) cell tumors?

Back 21

Small tumor containing sheets of round, clear, pale staining cells

Front 22

Which of the following is most likely to be positively affected following medical treatment of adrenal hyperplasia with prednisone?

Back 22

Ovulation

Front 23

Which of the following is characteristic of 11 beta-hydroxylas deficiency?

Back 23

Increased serum desoxycorticosterone

Front 24

Women with constitutional hirsutism are characterized by

Back 24

greater activity of 5-alpha-reductase

Front 25

The potent metabolite of testosterone that is produced in genital skin and hair follicles is

Back 25

dihydrotestosterone DHT

Front 26

Which of the following is associated with hirsutism?

Back 26

Excess body hair

Front 27

An elevated 24-hour-free cortisol level is suggestive of what condition?

Back 27

Cushing disease