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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. How long does it take for sperm to fully develop
Esophogeal/duodenal atresia - can't swallow - anencephaly
Neoplastic cells block lymphatic drainage
2 months
Upregulation - LH surge - ovulation

2. Where does fertilization most commonly occur?
The ampulla - occurs within 1 day of ovulation
Mitochondria
Diploid - 4N - 46 sister chromatids
Neoplastic cells block lymphatic drainage

3. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Paget cell
Peyronie's dz
Estradiol
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

4. What does inhibin do?
Cerebral hemorrhage and ARDS
Increased FSH
Inhibit FSH
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

5. What does HHAVOC stand for in menopause
Koilocytitic
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Increase in size in pregs - decrease in size meno - estrogen sens
Just prior to ovulation

6. What can happen with no sertoli cell or lack of anti mullerian hormone
Granulosa cell - aromatase - androstenedione - estrogen
Puberty
Tunica vaginalis lesions
Develop both male and female internal genitalia and male external genitalia

7. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Seminoma
Invasive ductal
Fibroadenoma - phyllodes tumor
Tight junctions between sertoli cells

8. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Squamous cell carcinoma
Corpus luteum - placenta - adrenal cortex - testes
IV mag sulfate - diazepam
Obdurator - exterinal iliac - hypogastic nodes

9. What hematologic condition is associated with abruptio placentae
Yolk sace - endodermal sinus - tumor
DIC
Hemolysis - elevated liver enzymes - low platelets
increased cGMP - smooth muscle relax - vasodltn - proerectile

10. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Placenta previa
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Low back pain with increased serum alk phos
increased risk for carcinoma

11. dx with decreased testosterone - increased LH
Theca cell - desmolase - androstenedione
Primary hypogonadism
Congenital adrenal hyperplasia - exogenous administration of steroids
Endometrial carcinoma

12. What is the treatment for preeclampsia
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Dilation and curettage and methotrexate
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Delivery of fetus

13. What does FSH do
Round ligament of the uterus
Stimulates sertoli cells to produce ABP and inhibin
Small infiltrating glands with prominent nucleoli
Polyhydramnios

14. What effect does NE have on smoothe muscle in the erectile tissues
Relaxation
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Female pseudoHerm
Differentiation of penis - scrotum and prostate

15. What is the source of estrogen after menopause
Peripheral conversion of androgens
Preeclampsia clinical
Inhibit FSH
Sertoli cell tumor

16. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Prior c section - multiparity
Follicular phase varies - luteal phase is 14
Medullary
Testosterone

17. most common testicular cancer in older men
Sertoli cells - and adipose tissue via aromatase
Testicular lymphoma
Whorled pattern of smooth muscle bundles
Bicornute uterus

18. What is the right venous drainage of the ovary/testis
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Right gonadal vein - IVC
Increase (and LH)
Chocolate cyst

19. when do primary oocytes complete meiosis I
Just prior to ovulation
Preductal coarctication
Asia - Africa - S. America - HPV - lack of circumcision
95%

20. How is prostatic adenocarcinoma diagnosed
DRE - hard nodule and biopsy
Multiple sexual partners - also HIV and early sexual intercourse
Relaxation
DES in utero (DES is a sythetic estrogen)

21. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Menometrorrhagia
Dysgerminoma
Proliferation
Low back pain with increased serum alk phos

22. histo: simple columnar epithelium - ciliated
20 to 40
Mucinous cystadenocarcinoma
Develop both male and female internal genitalia and male external genitalia
Fallopian tube

23. Breast path - disease that occurs at the nipple

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24. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Peripheral adipose tissue
Lateral invasion can block ureters causing renal failure
Endometrial carcinoma

25. What are the associated risk factors for malignant breast tumors
Increase (and LH)
Testosterone secreting tumor - exogenous steroids
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Phyllodes tumor

26. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Epithelial hyperplasia
Peripheral adipose tissue
GnRH from hypoTh - LH and FSH from ant pituitary
Round ligament of uterus

27. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
PSA
Complete
Left

28. What is the karyotype of a partial mole
Post menopausal bleeding
Squamo - columnar jxn
69 xxy
Squamous cell carcinoma

29. What increases the risk of cryptorchidism
Prematurity
Proliferation
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

30. Prevention of seizures and in preeclampsia
Yolk sac - endodermal sinus - tumor
IV mag sulfate - diazepam
Choriocarcinoma
E coli

31. Which teratoma - mature or immature - is aggresively malignant
Tight junctions between sertoli cells
Increase in size in pregs - decrease in size meno - estrogen sens
Immature
Aortic bicuspid valve

32. gynecological tumors from highest incidence to lowest
Myometrial tumors
Endometrial > ovarian> cervical (in US)
Testicular lymphoma
Lobular carcinoma - sclerosing adenosis

33. >1.5 -2 L of amniotic fluid
Polyhydramnios
Inhibition of HCG access
Ovarian > cervical > endometrial
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

34. histo: stratified sqamous epithelium
Post menopausal
Endocervix
GnRH from hypoTh - LH and FSH from ant pituitary
Ectocervix

35. dx with increased testosterone and increased LH
Peripheral adipose tissue
Embryonal carcinoma
Primary hypogonadism
Defective androgen receptor

36. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Lobular carcinoma - sclerosing adenosis
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Spermatogonia (germ cells)

37. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Sarcoma botryoides - a rhabdomyosarcoma variant
Granulosa cell tumor
Ligament of the ovary
Testosterone

38. Complication of retained placental tissue
Severe bleeding iron def anemia - miscarriage
Adolescents
Hemorrhage
Low progesterone

39. Which system and nerve allow for erection in the male?
Haploid - 2N - 23 sister chromatids
Squamous cell carcinoma
Dysgerminoma
PANS - pelvic nerve

40. What is a complication of invasive carcinoma
Cystic
Intraductal papilloma
Lateral invasion can block ureters causing renal failure
Tunica vaginalis lesions

41. What is the order of events in the menstrual cycle
Cerebral hemorrhage and ARDS
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Estradiol
Mitochondria

42. What are the most common cause of anovluation

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43. what usually causes endometrial hyperplasia
Estrogen overstimulation
Smoking - HTN - cocaine
Testosterone
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

44. Which gynecologic tumors have the worst prognosis?
20 to 40
Tunica vaginalis lesions
Maintenance
Ovarian > cervical > endometrial

45. what structures supplies the energy to the middle piece (neck)
46 xx
Mammary duct epithelium or lobular glands
Andogren binding protein - anti mullerian hormone
Mitochondria

46. marked increased hCG - complete or partial
Complete
Placenta previa
46 xx
Periurethral lobes - lateral and middle

47. Which hydatidiform mole has the greater risk for malignancy
DIC
Suspensory ligament of ovaries
Complete
Fat necrosis

48. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Peyronie's dz
Lobular carcinoma - sclerosing adenosis
Preductal coarctication
Choriocarcinoma

49. What are the 3 androgens
Adenomyosis
SANS - hypogastric nerve
Testosterone - DHT - androstenedione
Osteoblastic in bone

50. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Inhibit FSH
Sertoli cells - and adipose tissue via aromatase
Blacks
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis