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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. 2 sperm + empty egg
Good - late metastasis
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
The anterior pituitary and hypothalamus
Complete

2. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Peyronie's dz
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Endometriosis
Production of a thick cervical mucus

3. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Sclerosing adenosis
Fibrcystic change - ductal cancer
Develop both male and female internal genitalia and male external genitalia

4. What is the order of events in the menstrual cycle
69 xxy
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Para - aortic lymph nodes
Golgi

5. In What age group are ovarian germ cell tumors most common
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Call exner bodies
Adolescents

6. What are predisposing factors for placenta previa
Sertoli cells - and adipose tissue via aromatase
Prior c section - multiparity
Syncytiotrophoblasts of placenta
Ectocervix

7. What increases the risk of cryptorchidism
Seminoma
Round ligament of uterus
20 to 40
Prematurity

8. What is the venous drainage of the left ovary/testis?
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Hydatidiform mole
Post menopausal
Left gonadal vein - left renal vein - IVC

9. What are the 3 androgens
Abacterial
5 alpha reductase - inhibited by finesteride
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Testosterone - DHT - androstenedione

10. What does HHAVOC stand for in menopause
No
Maintenance
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Sclerosing adenosis

11. histo: simple columnar epithelium
Endocervix
DHT - testosterone - androstenedione
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Adenomyosis

12. tumor is ductal with caseous necrosis
PANS - pelvic nerve
Vagina
Comedocarcinoma
The semiT and the blood vessels

13. How does endometrial hyperplasia manifest clinically
Severe bleeding iron def anemia - miscarriage
Post menopausal bleeding
Differentiation of penis - scrotum and prostate
DCIS

14. Large cells in epidermis with clear halo
Slight increase - 1.5 to 2
Paget cell
Down regulation
Abruptio placentae

15. When does spermatogenesis begin?
Leydig cell tumor
Puberty
Immature
Mimics LH

16. Which cells secrete beta hCG
Theca cell - desmolase - androstenedione
Trophoblasts
20 to 40
Insulin resistance

17. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Testosterone
Preeclampsia clinical
Mature teratoma

18. What is the typical cell change in HPV infection
Koilocytitic
DES in utero (DES is a sythetic estrogen)
Calcifications
Testosterone - DHT - androstenedione

19. What increases risk for endometrial carcinoma
Testosterone
Seminoma
Cerebral hemorrhage and ARDS
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

20. hyperplasia - not hypertrophy of the prostate gland
Feedback inhibition
Relaxation
BPH
Androgen insensitivity syndrome

21. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Broad ligament
Kallman

22. What are risk factors for abruptio placentae?
Decrease
Smoking - HTN - cocaine
Increase in size in pregs - decrease in size meno - estrogen sens
Fibroadenoma

23. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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24. decreased estrogen production due to age linked decline in the number of ovarian follices
increased risk for carcinoma
Inhibit FSH
Left
Menopause

25. Uterin fundus to labia majora
Fibroadenoma - phyllodes tumor
Low back pain with increased serum alk phos
Kallman
Round ligament of uterus

26. Connects cervix to side wall of pelvis - contains uterine vessels
Teratoma
DHT - testosterone - androstenedione
IV mag sulfate - diazepam
Cardinal ligament

27. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Testosterone
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Premature ovarian failure (Pof)
Kallman

28. what metabolic disorder is assocaited with PCOS
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Insulin resistance
Endometrial carcinoma
Induces and maintains lactation - decreases reproductive function

29. What is the most common gynecologic malignancy
Testis determining factor
Endometrial carcinoma
Placenta previa
Lateral invasion can block ureters causing renal failure

30. When does the secondary oocyte complete meosis II

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31. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
In the 6th decade of life
Relaxation
Acute mastitis
Krukenburg tumor

32. What do sildenafil and vardenafil do?
Androgen insensitivity syndrome
Preeclampsia
Increase
Inhibit cGMP breakdown

33. What is a complication of invasive carcinoma
Testis determining factor
No
Lateral invasion can block ureters causing renal failure
2 months

34. What is the expected increase of estradiol and estrone in pregnancy
Partial
Placenta acreta
50 times
In the 6th decade of life

35. In what phase is meiosis I arrested
1 week - 2 weeks
Prophase
Mature teratoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

36. What forms the blood testis barrier?
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Tight junctions between sertoli cells
Invasive ductal
Follicular phase varies - luteal phase is 14

37. <0.5 L of amniotic fluid
DCIS
No
Polymenorrhea
Oligohydramnios

38. How many days after fertilization does implantation occur?
Yolk sac - endodermal sinus - tumor
Andogren binding protein - anti mullerian hormone
Medullary
6

39. What structures does testosterone negatively feedback on?
The anterior pituitary and hypothalamus
No
Small infiltrating glands with prominent nucleoli
Erythroplasia of Queyrat - carcinoma in situ of penis

40. What occurs to a fibroadenoma during pregnancy and menstruation and why
Invasive lobular
increased size and tenderness with increased estrogen
Haploid - N - 23 single chromatids
Preeclampsia

41. What estrogen does the ovary secrete
17beta estradiol
Acute mastitis
Follicular phase varies - luteal phase is 14
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

42. common cause of recurrent miscarriage in 2nd trimester
Bicornute uterus
Choriocarcinoma
Fibroadenoma - phyllodes tumor
Metaphase

43. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Obdurator - exterinal iliac - hypogastic nodes
Complete
Whorled pattern of smooth muscle bundles
Endometrial carcinoma

44. How many functional sperm does 1 germ cell creat?
Haploid - N - 23 single chromatids
4
Serous cystadenoma
Testicular lymphoma

45. Some drugs cause awesome knockers
Intraductal papilloma - breast abscess - mastitis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Female pseudoHerm
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

46. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Cerebral hemorrhage and ARDS
Smoking - HTN - cocaine
Preeclampsia clinical
Menopause

47. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Inhibit cGMP breakdown
Broad ligament
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Develop both male and female internal genitalia and male external genitalia

48. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
Androgen insensitivity syndrome - 46 XY
Inhibition LH and FSH
In the 6th decade of life

49. What is the risk for carcinoma among patients with intraductal papilloma
Cardinal ligament
5 alpha reductase - inhibited by finesteride
The semiT and the blood vessels
Slight increase - 1.5 to 2

50. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Haploid - 2N - 23 sister chromatids
5 alpha reductase def
Diploid - 4N - 46 sister chromatids
PCOS

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First Aid: Reproductive

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