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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. What are common causes of hyperestrogenism

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2. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Cystic
Trophoblasts
Kallman
PSA

3. > 35 day cycle
Hyperthyroidism - contains functional thyroid tissue
Asia - Africa - S. America - HPV - lack of circumcision
Oligomenorrhea
Placenta acreta

4. decreased estrogen production due to age linked decline in the number of ovarian follices
Meigs syndrome
Post menopausal
Menopause
Metrorrhagia

5. What is the pattern seen in leiomyoma
Testosterone
Krukenburg tumor
Whorled pattern of smooth muscle bundles
No

6. What is the treatment for preeclampsia
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Posterior lobe peripheral zone
Delivery of fetus
Yolk sac - endodermal sinus - tumor

7. HTN - proteinuria and edema
Preeclampsia
Squamous cell carcinoma
Krukenburg tumor
Brenner tumor

8. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Immature
Serous cystadenoma
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

9. What is the risk for carcinoma among patients with intraductal papilloma
Oligohydramnios
During fetal life
Slight increase - 1.5 to 2
HPV 16 - 18

10. small follicles filled with eosinphilic secretions
Fibroadenoma
Small infiltrating glands with prominent nucleoli
Testosterone
Call exner bodies

11. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Brenner tumor
Ovarian > cervical > endometrial
Mucinous cystadenocarcinoma

12. What is the prognosis for seminoma
increased AFP and hCG
Inhibition LH and FSH
Phyllodes tumor
Good - late metastasis

13. common cause of recurrent miscarriage in the 1st week
Low progesterone
Prior c section - inflammation - placenta previa
Periurethral lobes - lateral and middle
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

14. Connects ovary to lateral uterus
Preeclampsia + siezures
The semiT and the blood vessels
Ligament of the ovary
Choriocarcinoma

15. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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16. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Oligohydramnios
Estrogen overstimulation
51 yo
Fat necrosis

17. In what phase is meiosis II arrested
Round ligament of the uterus
Invasive lobular
Stimulate glandular secretions - and spiral artery development
Metaphase

18. tumor with orderly row of cells - often multiple and bilateral
Lobular carcinoma - sclerosing adenosis
Invasive lobular
1000 times
Right gonadal vein - IVC

19. Testosterone and estrogen in androgen insensitivity syndrome
Syncytiotrophoblasts of placenta
Increase (and LH)
Mammary duct epithelium or lobular glands
Intraductal papilloma

20. What does SEVEN Up stand for in regards to the pathway of sperm
PANS - pelvic nerve
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Fat necrosis
Meigs syndrome

21. What does estrogen stimulate in the endometrium
Hydatidiform mole
Down regulation
Fibromas
Proliferation

22. multilocular cyst lined by mucus secreting epi - benign - intestine like
Testosterone
Fibroadenoma - phyllodes tumor
Mucinous cystadenoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

23. What is the venous drainage of the left ovary/testis?
DES in utero (DES is a sythetic estrogen)
Left gonadal vein - left renal vein - IVC
Dysuria - frequency - urgency - low back pain
DCIS

24. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
2nd week of proliferative phase
Intraductal papilloma - breast abscess - mastitis
Posterior lobe peripheral zone

25. histo: stratified squamous epithelium - nonkeratinized
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Vagina
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Decreasing progesterone

26. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Axillary node involvement
Andogren binding protein - anti mullerian hormone
Severe bleeding iron def anemia - miscarriage

27. common cause of recurrent miscarriage in 1st trimester
Pseudohermaphroditism
Fibroadenoma - phyllodes tumor
Chromosomal abnormalities
Decreasing progesterone

28. Which androgen is responsible for the deepening of the voice
Decrease
Prior c section - inflammation - placenta previa
Testosterone
Abacterial

29. What is the most frequent benign ovarian tumor
Periurethral lobes - lateral and middle
Mature teratoma
Choriocarcinoma
Severe bleeding iron def anemia - miscarriage

30. Overexpression of which receptors is common iwht malignant breast tumors
S aureus
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Yolk sac - endodermal sinus - tumor
Visceral - somatic nerves in pudendal

31. What does progesterone do to gonadotropins
Left
Inhibition LH and FSH
Endocervix
Menopause

32. What does estrogen do to estrogen - LH and progesterone recepotrs
Fructose
Intraductal papilloma - breast abscess - mastitis
Inhibit FSH
Upregulation

33. What is mortality due to in preeclampsia
Cerebral hemorrhage and ARDS
Develop both male and female internal genitalia and male external genitalia
5 alpha reductase def
Periurethral lobes - lateral and middle

34. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Preeclampsia
Oligomenorrhea
Epithelial hyperplasia
20 to 40

35. Endometriosis is characterized By what clinical picture?
Right gonadal vein - IVC
Fallopian tube
Kallman
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

36. histo: stratified sqamous epithelium
Complete
Stimulate glandular secretions - and spiral artery development
Cardinal ligament
Ectocervix

37. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Paget's disease - breast abscess
Prior c section - inflammation - placenta previa
DRE - hard nodule and biopsy

38. Which system and nerve allow for erection in the male?
Post menopausal bleeding
Koilocytitic
Hypogondadotropic hypogonadism
PANS - pelvic nerve

39. < 21 day cycle
Axillary node involvement
Induces and maintains lactation - decreases reproductive function
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Polymenorrhea

40. Some drugs cause awesome knockers
Axillary node involvement
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Fibrcystic change - ductal cancer
Relaxation

41. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Sclerosing adenosis
DCIS
Follicular cyst
Primary hypogonadism

42. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Smoking - HTN - cocaine
Endometriosis
Malignant in males not in females
Acute mastitis

43. Arrange the androgens in order of most potent to least potent
Obdurator - exterinal iliac - hypogastic nodes
DHT - testosterone - androstenedione
Follicular cyst
Testis determining factor

44. Where does fertilization most commonly occur?
No
Congenital adrenal hyperplasia - exogenous administration of steroids
The ampulla - occurs within 1 day of ovulation
Decrease

45. What is the most common form of male pseudoHerm
Androgen insensitivity syndrome
Sertoli cell tumor
51 yo
S aureus

46. What is the most common gynecologic malignancy
increased size and tenderness with increased estrogen
Follicular cyst
Complete
Endometrial carcinoma

47. What is the genetic material in the secondary oocyte?
Malignant in males not in females
Haploid - 2N - 23 sister chromatids
Call exner bodies
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

48. What is a true hermaphrodite
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Polyhydramnios
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

49. Which cells line the seminiferous tubules and secrete inhibin
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Fallopian tube
Chromosomal abnormalities
Sertoli cells

50. What is the clinical manifestation of PCOS
Invasive lobular
Ectocervix
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Multiple sexual partners - also HIV and early sexual intercourse