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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.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

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. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Mimics LH
Hydatidiform mole
Complete
Tubular carcinoma

2. When does endometiral carcinoma usually occur
Trophoblasts
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
55-65
E coli

3. What changes in the aorta are common in Turner's?
Preductal coarctication
increased risk for carcinoma
Broad ligament
Adenomyosis

4. What happens to a leiomyoma in pregs and menopause and why
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Increase in size in pregs - decrease in size meno - estrogen sens
Adenomyosis
increased size and tenderness with increased estrogen

5. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Tight junctions between sertoli cells
Obdurator - exterinal iliac - hypogastic nodes
Fructose
Seminoma

6. What is the karyotype of a complete mole
Post menopausal bleeding
Diploid - 4N - 46 sister chromatids
Hyperthyroidism - contains functional thyroid tissue
46 xx

7. What are the associated risk factors for malignant breast tumors
PSA
Comedocarcinoma
Dilation and curettage and methotrexate
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

8. What hormones regulate sperm creation?
Left
GnRH from hypoTh - LH and FSH from ant pituitary
Inhibit cGMP breakdown
Myometrial tumors

9. tumor with orderly row of cells - often multiple and bilateral
Myometrial tumors
Invasive lobular
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Oligohydramnios

10. What complications are associated with oligohydramnios

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11. List the estrogens in order of decreasing potency
Hyperthyroidism - contains functional thyroid tissue
Estradiol > estrone > estriol
Male pseudoHerm
Tight junctions between sertoli cells

12. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Testosterone - DHT - androstenedione
Bowenoid papulosis - carcinoma in situ of the penis
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Puberty

13. Which system and nerve allow for erection in the male?
Increase in size in pregs - decrease in size meno - estrogen sens
PANS - pelvic nerve
6
69 xxy

14. common cause of recurrent miscarriage in the 1st week
Testosterone
Low progesterone
Lateral invasion can block ureters causing renal failure
Inhibit cGMP breakdown

15. What is the most common form of male pseudoHerm
2nd week of proliferative phase
Androgen insensitivity syndrome
Feedback inhibition
In the 6th decade of life

16. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
5 alpha reductase - inhibited by finesteride
Small infiltrating glands with prominent nucleoli
Dysgerminoma
Complete

17. 2 sperm + empty egg
Complete
increased risk for carcinoma
Severe bleeding iron def anemia - miscarriage
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

18. histo: simple columnar epithelium - pseudostratified tubular glands
Peyronie's dz
Testosterone
Uterus
Menopause

19. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Andogren binding protein - anti mullerian hormone
Fibrosis
Increased FSH
Ectopic preg

20. From What tissues to malignant breast tumors arise?
5 alpha reductase def
Insulin resistance
DHT - testosterone - androstenedione
Mammary duct epithelium or lobular glands

21. How does exogenous testosterone create azoospermia
Right gonadal vein - IVC
Low back pain with increased serum alk phos
Inhibition of HCG access
Increased FSH

22. disagreement between the phenotypic and gonadal sex
Pseudohermaphroditism
Neoplastic cells block lymphatic drainage
Testosterone
PANS - pelvic nerve

23. What does FSH do
55-65
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Sarcoma botryoides - a rhabdomyosarcoma variant
Stimulates sertoli cells to produce ABP and inhibin

24. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Retrograde mentrual flow or ascending infection
Hydrocele
HPV 16 - 18
Testosterone

25. What does progesterone do to smooth muscle in the uterus
Relaxation
Puberty
Proliferation
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

26. Which teratoma - mature or immature - is aggresively malignant
Increase in size in pregs - decrease in size meno - estrogen sens
69 xxy
Immature
Post menopausal

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

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28. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Mitochondria
Delivery of fetus
Choriocarcinoma

29. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Fibroadenoma - phyllodes tumor
In the 6th decade of life
Preeclampsia + siezures

30. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
Prostate growth - balding - and sebaceous gland activity
Complete
PSA

31. Is fertility compromised in double Y males?
No
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Fertilization 'an egg met a sperm'
Fallopian tube

32. What does SEVEN Up stand for in regards to the pathway of sperm
Metrorrhagia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Increase in size in pregs - decrease in size meno - estrogen sens
Theca - leutin cysts

33. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Testosterone
Preeclampsia clinical
SANS - hypogastric nerve
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

34. What are common causes of hyperestrogenism

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35. What does progesterone do to body temp
6
Tunica vaginalis lesions
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Increase

36. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Syncytiotrophoblasts of placenta
Low back pain with increased serum alk phos
Blacks
Testosterone

37. What is the pattern seen in leiomyoma
Bowen's dz - carcinoma in situ of the penis
Broad ligament
Whorled pattern of smooth muscle bundles
HPV 16 - 18

38. What does estrogen stimulate in the endometrium
Endocervix
CIN 1 - 2 - 3
Proliferation
Sertoli cells

39. What is the single most important prognostic factor for malignant breast tumors
Prematurity
Axillary node involvement
1 week - 2 weeks
Testosterone

40. What bacteria is commone in acute prostatitis
Tight junctions between sertoli cells
E coli
Hydrocele
Hypogondadotropic hypogonadism

41. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Insulin resistance
Round ligament of the uterus
69 xxy
Abruptio placentae

42. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
Chromosomal abnormalities
Call exner bodies
Leydig cell tumor

43. What is the main source of energy for spermatozoa
Endometrial carcinoma
Fructose
Prior c section - multiparity
increased risk for carcinoma

44. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Turner's XO
Abruptio placentae
Krukenburg tumor
Choriocarcinoma

45. What is DHT responsible for in early development?
The ampulla - occurs within 1 day of ovulation
Feedback inhibition
Differentiation of penis - scrotum and prostate
Fibrocystic disease

46. histo: stratified squamous epithelium - nonkeratinized
Vagina
The anterior pituitary and hypothalamus
Preeclampsia clinical
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

47. marked increased hCG - complete or partial
Theca - leutin cysts
Fibromas
Complete
The anterior pituitary and hypothalamus

48. In what group are malignant breast tumors most commonly seen
Metrorrhagia
Embryonal carcinoma
Post menopausal
Corpus luteum cyst

49. Large cells in epidermis with clear halo
Paget's disease - breast abscess
Bowen's dz - carcinoma in situ of the penis
Paget cell
No

50. Where does LH work - what enzyme works there and what product is secreted
Cardinal ligament
Testosterone
Theca cell - desmolase - androstenedione
Andogren binding protein - anti mullerian hormone