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WorksheetsUrin dan Hormon
Total questions: 105
Worksheet time: 58mins
Mr. K complains dark yellow urine. The color of urine is determined mainly by:
Diet
Filtration rate
By products of red blood cell breakdown
Filtration efficiency
By products of albumin breakdown
Sinta complains frequently voiding all days. She suffers diabetes insipidus. Diabetes insipidus is caused by:
Insulin deficiency
ADH deficiency
Renin deficiency
Aldosterone deficiency
Erythropoietin deficiency
Ibu M, mengalami keluhan sering buang air kecil terutama saat malam hari. Pada pemeriksaan reduksi urine, ditemukan:
Protein
Perubahan warna tersebut disebabkan oleh adanya:
Glukosa
Bilirubin
Eritrosit
Dalam kondisi normal, urine mengandung:
Urobilin
Bilirubin
Glukosa
Albumin
Fibrinogen
Ibu L, mengalami diabetes mellitus. Ibu L mengalami polyuria akibat diabetes mellitus tersebut. Pernyataan berikut ini yang benar adalah:
Polyuria terjadi akibat peningkatan sekresi natrium
Polyuria terjadi akibat peningkatan kontraksi otot detrusor vesica urinaria
Polyuria terjadi akibat peristiwa osmosis glukosa
Polyuria terjadi akibat sekresi glukosa
Polyuria terjadi akibat glucose-water exchange
Which of these beverages does not have diuretic effect?
Tea
Coffee
Alcohol
Wine
Milk
Hormon aldosterone memberikan efek pada ginjal berupa:
Peningkatan sekresi kalium
Peningkatan sekresi natrium
Peningkatan sekresi air
Peningkatan sekresi ureum
Peningkatan sekresi kalsium
Senyawa berikut yang tidak termasuk buffer (dapar) cairan tubuh adalah:
Bikarbonat-asam bikarbonat
Hemoglobin
Ureum
Fosfat
Protein plasma
Mekanisme buang air kecil melalui:
Renal stretch reflex
Bladder stretch reflex
Ureter stretch reflex
Urethral stretch reflex
Abdominal stretch reflex
Stimulasi system saraf simpatis mengakibatkan:
Kontraksi otot detrusor vesica urinaria
Kontraksi spinchter urethra interna
Kontraksi ureter
Kontraksi pelvis renalis
Kontraksi urethra
Rumus Cockroft-Gault untuk menghitung GFR tidak berlaku bila:
Usia lanjut
Ras / etnis tertentu
Atrofi otot
Obesitas
Kadar kreatinin tinggi
Zat yang mengalami sekresi di tubulus adalah:
Albumin
Glukosa
Urea
Air
Kalsium
Bapak X mengalami gagal ginjal kronis. Hasil pemeriksaan akan menunjukkan:
Jumlah eritrosit berkurang dari normal
Tekanan darah berkurang dari normal
Kadar ureum berkurang dari normal
Kadar kreatinin berkurang dari normal
Kadar air berkurang dari normal
Hormon oxytocin ditemukan juga pada laki-laki. Fungsi hormone ini adalah:
Memperbesar penis
Memperbesar prostat
Meningkatkan gerak spermatozoa
Meningkatkan gerak peristaltik vas deferen
Meningkatkan jumlah spermatozoa
Seorang perempuan berusia 29 tahun menduga kalau dirinya hamil, sebab tidak mengalami menstruasi selama 8 minggu sejak menstruasi terakhir. Hasil tes kehamilan (strip test) menunjukkan positif. Apa hormone di urine yang membuat tes kehamilan positif?
Estradiol
Progesteron
LH
hCG
FSH
Seorang perempuan berusia 25 tahun mempunyai siklus menstruasi normal. Pola hormone yang terjadi pada hari ke-19 (hari ke-1 adalah hari pertama siklus menstruasi)?
Estrogen progesterone FSH LH Inhibin ↑ ↓ ↓ ↓ ↑
↑ ↑ ↓ ↓ ↑
↓ ↑ ↓ ↓ ↑
↑ ↑ ↑ ↓ ↓
↓ ↓ ↑ ↑ ↓
Pada seorang perempuan yang mengalami menopause, hormone yang berada di sirkulasi menunjukkan:
In a woman experiencing menopause, the hormones in circulation show:
Estrogen
Progesterone
FSH
LH
Inhibin
Mr. A suspects he is experiencing infertility. The doctor suggests testing for testosterone hormone. This hormone is primarily produced in:
Leydig cells
Sertoli cells
Seminiferous tubules
Epididymis
Vas deferens
The process of ejaculation in males is caused by nerve innervation:
Sympathetic
Parasympathetic
Somatic
Central
Cutaneous
A 25-year-old man experiences atrophy (shrinkage) of the seminiferous tubules. The hormone in the blood when examined will show:
FSH
LH
Testosterone
Inhibin
A 45-year-old man underwent a vasectomy because he has had 5 children. Sperm will not be present in the part:
Testis
Epididymis
Seminiferous tubules
Ejaculatory duct
Vas deferens
A bodybuilder uses anabolic steroid hormones chronically. Hormone examination will show:
FSH
LH
GnRH
The source of estrogen and progesterone hormones at 2 months of pregnancy is:
Ovary
Placenta
Corpus luteum
Anterior pituitary
Posterior pituitary
The source of estrogen and progesterone hormones at 7 months of pregnancy is:
Ovary
Placenta
Corpus luteum
Anterior pituitary
Posterior pituitary
Observe the following graph. Ovulation occurs at point:
A
B
C
D
E
Observe the following graph. If the menstrual cycle lasts 28 days, point A occurs during the phase:
Menstruation (bleeding)
Maturation of corpus luteum
Beginning of proliferation
Secretory
Ovulation
A 26-year-old man with Klinefelter syndrome experiences dysgenesis of the seminiferous tubules. Sertoli cells are located in the seminiferous tubules. The function of Sertoli cells is:
Secretion of FSH into the lumen of the tubules
Secretion of testosterone into the lumen of the tubules
Creating blood-testis barrier
Synthesis of testosterone before puberty
Expression of LH receptors
The hormone that plays a role in the development of ovarian follicles before ovulation is:
Estrogen
hCG
FSH
LH
Progesterone
The administration of exogenous estrogen to a woman results in:
Limitation of ovarian follicle growth
Cyclic changes in the vagina and endometrium of the uterus
Cervical mucus becoming thick and acidic
Inhibition of mammary gland proliferation
Reduction of bone density
A woman who is not pregnant does not secrete breast milk because the secretion of prolactin hormone is inhibited by:
Estrogen
Progesterone
Dopamine
Thyroxine
Gonadotropin
If a woman is not pregnant, she does not secrete breast milk because the secretion of the hormone prolactin is inhibited by:
Estrogen
Progesterone
Dopamine
Thyroxine
Gonadotropin
The covering that also acts as a fixer for the kidneys and adrenal glands to remain in place is:
Fibrous capsule
Adipose capsule
Renal fascia
Pararenal fat
Extraperitoneal fat
The embryological duct of the urogenital system organs, gonads, ducts, and their accessory glands is:
Lateral mesoderm
Intermediate mesoderm
Paraxial mesoderm
Head mesoderm
Neuroectoderm
The structure located most anteriorly at the renal hilum is:
Renal artery
Renal pelvis
Iliohypogastric nerve
Quadratus lumborum muscle
Renal vein
The position of the kidneys and adrenal glands relative to the peritoneum is as follows:
Intraperitoneal
Subperitoneal
Secondary retroperitoneal
Primary retroperitoneal
Preperitoneal
The right gonadal vein drains into the following vein:
Right renal vein
Inferior vena cava
Right inferior phrenic vein
Right suprarenal vein
Inferior mesenteric vein
The part of the urinary tract that embryologically originates from the ureter bud is:
Collecting tubule
Distal convoluted tubule
Proximal convoluted tubule
Henle's loop
Bowman's capsule
The right renal hilum is anteriorly related to the following structure:
Pancreatic tail
Stomach
Spleen
Colon
Descending part of the duodenum
The relationship of the lower part of the right kidney's lower pole posteriorly is with this structure:
External oblique muscle
Rectus abdominis muscle
Rib XII
Internal oblique muscle
Stomach + spleen
The posterior surface of the kidney is related to the following structures:
External + internal oblique muscles
Transversus abdominis muscle
Rectus abdominis muscle
Pyramidalis muscle
Rib IX
The anterior relationship of the left ureter is with the following structures:
Terminal ileum
Mesenteric root
Ileocolic vessels
Colon & sigmoid mesocolon
Duodenum
The site of constriction of the ureter in the middle is due to the following:
Just after the renal pelvis
Bending at the pelvic margin
Crossing with the ischial spine
Crossing with the vas deferens
Crossing with the uterine artery
The male ureter just before draining into the urinary bladder is crossed by this structure:
Common iliac artery
External iliac artery
Internal iliac artery
Vas deferens
Superior vesical artery
The branches of the interlobar artery at the boundary of the renal medulla and cortex are:
Segmental arteries
Interlobular arteries
Arcuate arteries
Afferent arterioles
Glomerular capillaries
The following is related to the vas deferens:
Starts as a continuation of the epididymis head
Crosses the internal iliac artery
Runs within the inguinal ligament
Laterally located posterior to the base of the urinary bladder against the seminal vesicle
Continuation of the epididymis duct
The early urinary tract that can be seen macroscopically after the renal pyramids is:
Minor calyx
Major calyx
Renal pelvis
Ureter
Renal column (Bertini)
The nephron is a tubular microstructure that is the functional unit of the kidney that originates from:
Urogenital sinus
Ectoderm
Neuroectoderm
Metanephros cap
Endoderm
The vascular component of the nephron found inside the renal corpuscle is:
Glomerulus
Afferent arteriole
Peritubular capillaries
Interlobular artery
Interlobular vein
The ureter runs almost vertically to the caudal abdominal cavity just anterior to this structure:
(a)
Ureter berjalan hampir vertikal ke caudalis cavum abdomen tepat di anterior dari struktur ini:
Musculus psoas minor
Musculus quadratus lumborum
Musculus transversus abdominis
Musculus rectus abdominis
Musculus psoas major
Batu ureter yg tersangkut pada bagian tengah ureter sering menimbulkan nyeri pada regio ini:
Regio lumbalis
Regio umbilicus
Regio inguinalis
Testis
Scrotum
Vesica urinaria mempunyai ciri umum sebagai berikut:
Pada anak2 bila tidak/kurang berisi urine terdapat di dalam cavum pelvis saja
Kapasitas maksimal pada orang dewasa sekitar 300ml
Urine tertahan oleh aktivitas m. sphincter urethrae externum pada collum vesicae
Relaksasi musc. detrusor pada dinding membantu berkemih
Pada orang dewasa dalam keadaan terisi banyak tetap ada dalam cavum pelvis
Aliran limfatik yang berasal dari ren + ureter pars cranialis menuju ke arah:
Lnn. celiaca
Lnn. mesenterica superior
Lnn. mesenterica inferior
Lnn. paraaortica/lumbalis/aortica lateralis
Lnn. iliacae
Apex vesicae berhubungan dgn umbilicus di bidang median oleh jaringan ikat sisa dari:
Arteria umbilicalis
Urachus
Vena umbilicalis
Vv.parumbilicalis
Vv.epigastrica superior & inferior
Vesica urinaria perempuan berelasi di cranialis dengan struktur berikut:
Rectum
Vagina
Corpus uteri
Diaphragma urogenitalia
Mm.levator ani + obturator internus.
Aliran limfatik vesica urinaria & prostat menuju ke:
Lnn. iliaca interna & externa
Lnn. iliaca communis
Lnn. inguinalis profunda
Lnn. inguinalis superfisialis yang horisontalis
Lnn. inguinalis superfisialis yang vertikalis
Pengaruh saraf parasimpatis untuk vesica urinaria menyebabkan terjadinya:
Kontraksi m. detrusor + kontraksi m.sphincter
Kontraksi m. sphincter
Relaksasi m. detrusor
Relaksasi m. detrusor + relaksasi m.sphincter
Kontraksi m. detrusor.
Bagian urethra pars prostatica yg letak cranialis dari muara ductus ejaculatorius embriologis dari:
Mesoderma
Endoderma
Sinus urogenitalis
Ectoderma
Neuroectoderma
Diaphragma urogenitalis terdiri dari otot berikut ini:
Musculus levator ani
Musculus obturator internus
Musculus obturator externus
Musculus sphincter urethrae externus
Musculus sphincter urethrae internus
Proses mictio/berkemih selain oleh otot dinding kandung kemih, juga dibantu oleh otot ini:
Mm. dinding anterior abdomen
Musculus levator ani
Musculus obturator internus
Musculus obturator externus
Musculus sphincter urethrae externus
Musc.cremasterica yg turut membungkus vas deferens dengan funiculus spermaticus berasal dari:
Musculus obliqus abdominis externus
Musculus obliqus abdominis internus
Musculus transversus abdominis
Fascia transversalis
Peritoneum
Limfe scrotum dialirkan menuju ke limfonodi berikut ini:
Lnn. iliaca interna
Lnn. iliaca externa
Lnn. inguinalis superfisialis kelompok horisontalis
Lnn. inguinalis superfisialis kelompok vertikalis
Lnn. inguinalis superfisialis kelompok profundus.
Seorang mahasiswa kedokteran mengamati sediaan mikroskopis organ ginjal. Ciri histologis organ tersebut adalah…
Lumennya berbentuk seperti bintang
Tunika muskularisnya merupakan lapisan paling tebal
Tampak renal corpuscle pada bagian korteks
Memiliki portal triad
Memiliki divertikula
Suatu sel memproduksi eritropoeitin pada ginjal. Sel yang dimaksud adalah:
Sel juxta glomerular
Sel mesangial
Sel extraglomerular mesangial
Sel podosit
Sel epitel macula densa
A cell produces erythropoietin in the kidney. The cell in question is:
Juxtaglomerular cell
Mesangial cell
Extraglomerular mesangial cell
Podocyte
Macula densa epithelial cell
Blood pressure regulation is related to the production of a substance by a cell in the kidney. The cell in question is:
Juxtaglomerular cell
Mesangial cell
Extraglomerular mesangial cell
Podocyte
Macula densa epithelial cell
Blood pressure regulation is related to the production of a substance by a cell in the kidney. The cell in question is located at:
Filtration slit
Macula Densa
Medullary rays
Juxtaglomerular apparatus
Parietal layer of Bowman's capsule
A medical student observes the ureter organ. The main histological feature of this organ is:
Its lumen is star-shaped
Its muscularis tunica is the thickest layer
Renal corpuscle is visible in the cortex
It has a portal triad
It has diverticula
The ureter has a mucosal tunica as the outermost layer. This mucosal tunica is composed of what type of epithelium?
Stratified squamous epithelium
Simple squamous epithelium
Simple cuboidal epithelium
Ciliated columnar epithelium
Transitional epithelium
A student observes a preparation of the urinary bladder under a microscope. One of the histological features of this organ is:
Its lumen is star-shaped
Its muscularis tunica is the thickest layer
Renal corpuscle is visible in the cortex
It has a portal triad
It has diverticula
Medullary rays are one of the structures that can be seen microscopically in the kidney. What are medullary rays?
A collection of labyrinth in the cortex
Projections of tubules from the medulla into the cortex
A collection of renal corpuscles
Interdigitations of podocyte cells in the glomerulus
A collection of dark TC II epithelial nuclei
Proximal convoluted tubule is one of the structures visible in the kidney. This structure has the following histological features:
Its epithelium is simple squamous
Starts from the vascular pole
Large, pale nuclei and few in number
Located in the renal medulla
Ends at the vascular pole
Collecting ducts are one of the structures visible in the kidney. This structure has the following histological features:
Cell boundaries are unclear
Its epithelium has a brush border
Continuation of TC I
Continuation of TC II
Located in the renal cortex
Histologically, there are differences between human kidneys and those of lower mammals. What is the difference?
The smallest functional unit of the human kidney is the lobule
Lower mammals have unilobar kidneys
Human kidneys have medullary rays
The kidney lobes of lower mammals consist of 1 pyramid and cortex that follows
The lobule of lower mammal kidneys has 1 medullary ray
A woman comes to the doctor with a complaint of delayed menstruation for 2 months. From the examination, the woman is declared to be pregnant. The part of the woman's endometrium that does not have contact with the embryo is called…
Decidua basalis
Decidua capsularis
Decidua parietalis
Chorion laeve
Chorion frondosum
The placenta is formed by tissue from the fetus and tissue from the mother's uterus. Which tissue contributes to the placenta that comes from the mother's endometrium?
Decidua basalis
Decidua capsularis
Decidua parietalis
Chorion laeve
Chorion frondosum
A histological structure of the placenta will disappear after the 10th week of pregnancy. Which structure is it?
Syncytiotrophoblast cells
Cytotrophoblast cells
Hoffbauer cells
Basal plate
Chorionic plate
The placenta will disappear after the 10th week of pregnancy. Which structure is it?
Syncytiotrophoblast
Cytotrophoblast
Hoffbauer cells
Basal plate
Chorionic plate
Sinus lactiferus is one of the spaces that can be observed in the histological examination of breast tissue in lactating women. What type of epithelium lines this sinus?
Simple squamous
Simple cuboidal
Simple columnar
Stratified columnar
Stratified non-keratinized squamous
The septum placenta is one of the structures that can be observed in microscopic preparations of the placenta. What is the septum placenta actually?
A barrier that separates maternal and fetal circulation
The terminal end of chorionic villi embedded in the basal plate
Remnants of the basal plate in the form of protrusions
Remnants of decidual tissue that did not participate in implantation
The base of the villus that comes from the chorionic plate
Peg cells are one of the cells that can be observed in the mucosa of the uterine tube. What type of cell are peg cells?
Macrophage
Secretory cell
Ciliated cell
Principal cell
Squamous cell
Leiomyoma is a benign tumor of the smooth muscle of the uterus in women. Which layer of the uterus can become the site of this tumor's development?
Endometrium
Myometrium
Perimetrium
Broad ligament
Peritoneum
The vaginal portion is one of the parts of the female reproductive organ. What is the vaginal portion?
Transition of epithelium from the cervix uteri to the vagina
Transition of epithelium from the corpus uteri to the cervix uteri
Transition of epithelium from the vagina to the labia minora
Located outside the cervical canal
Epithelial changes occur gradually
The labia minora can appear similar to the vagina upon a quick histological examination of both specimens. Which of the following can be used to histologically differentiate the mucosa of the labia minora from the vagina?
Presence of sweat glands
Presence of hair follicles
Presence of pigment in the basal area
Presence of a high lamina propria
Epithelial is stratified squamous keratinized
A hormone is needed to maintain the corpus luteum left by the ovum. What is that hormone?
Estrogen
Progesterone
Testosterone
HCG
LH
Testosterone is produced in the male testis. Which cell in the testis produces this hormone?
Sertoli cell nucleus
Leydig interstitial cell
Spermatogonium
Primary spermatocyte
Secondary spermatocyte
The ductus deferens is a channel in the male reproductive organ that has histological characteristics different from other channels. Which of the following is a histological characteristic of the lumen of the ductus deferens?
Irregular lumen
Ciliated columnar epithelium
Star-shaped lumen
Surrounded by seminiferous tubules
Mucosa is folded and branched
A medical student observes a testis specimen under a microscope. He is observing a seminiferous tubule. Which of the following is a histological characteristic of that tubule?
Spermatogonium is located near the lumen
Sertoli cell nucleus is located near the lumen
Spermatogonium is the largest cell
Primary spermatocyte is the largest cell
Secondary spermatocyte can be easily observed
Spermatogenesis consists of several stages. One stage results in the reduction of the number of chromosomes by half. From one cell to another, at which point does this chromosomal reduction occur?
Spermatogonium to primary spermatocyte
Primary spermatocyte to secondary spermatocyte
Secondary spermatocyte to spermatid
Spermatid to spermatozoa
Young spermatozoa to mature spermatozoa
A specimen of the male reproductive organ is observed under a microscope. The lumen is lined by interstitial epithelium.
What is the preparation observed under the microscope that has a lumen lined by a single layer of cuboidal or cylindrical epithelium with many folds?
Seminal vesicle
Ductuli efferentes
Ductus deferens
Bulbo-urethral gland
Prostate gland
What gland surrounds the urethra in the cavernous part of the penis and secretes mucous?
Prostate
Seminal vesicle
Tyson
Litre
Bulbo-urethral gland
What is the channel in the male reproductive organ observed under the microscope that is a network of channels and has a lumen lined with low cuboidal or flat epithelium?
Tubuli recti
Rete testis
Ductuli efferentes
Ductus epididimis
Ductus deferens
Which duct is intervened in the procedure of vasectomy?
Tubuli recti
Rete testis
Ductuli efferentes
Ductus epididimis
Ductus deferens
Which of the following is not included in the vulva?
Labia minora
Clitoris
External urethral orifice
Vaginal orifice
External uterine ostium
Which of the following is included in the internal genitalia of females?
Clitoris
Fallopian tubes
Distal 1/3 vagina
Proximal 2/3 vagina
Bartholin's gland
What is true about the infundibulopelvic ligament/suspensory ligament of the ovary?
Another name for the round ligament of the uterus
Suspends the ovary
Contains uterine arteries and veins
Suspends the fallopian tube
Attaches to the lateral part of the uterus
What is true about the broad ligament?
Special suspender for the ovary
Also called parametrium
Also called Mackenrodt ligament
Part of the peritoneum
Suspends the sigmoid colon
Where does the left ovarian vein drain?
Superficial inguinal veins
Deep inguinal veins
External iliac veins
Renal veins
Internal iliac veins
Which part of the fallopian tube is narrowed?
Ampulla
Infundibulum
Isthmus
Interstitial part
Fimbriae
What is the thickening of the pelvic fascia that binds the internal female genitalia to the posterior surface of the pubic bone?
Cardinal ligament
Pubocervical ligament
Broad ligament
Round ligament of the uterus
Suspensory ligament of the uterus
What connective tissue ends at the labia majora?
Proper ovarian ligament
Suspensory ligament of the ovary
Round ligament
Cardinal ligament
Broad ligament
Which ligament also contains arteries and veins, thus having a vascularization function?
Transverse cervical ligament
Suspensory ligament of the ovary
Sacrocervical ligament
Pubocervical ligament
Round ligament
What are the bones found at the mid-pelvic inlet?
Inferior margin of the pubic symphysis
Pubic arch
Ischial tuberosity
Caudal end of the sacrum
Ischial spine
