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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. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Follicular phase varies - luteal phase is 14
Develop both male and female internal genitalia and male external genitalia
Upregulation
Dysgerminoma

2. What is indicative of a poor prognosis for endometrial carcinoma
Calcifications
Milk letdown - uterine contractions?
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Myometrial invasion

3. Connects cervix to side wall of pelvis - contains uterine vessels
Yolk sace - endodermal sinus - tumor
The anterior pituitary and hypothalamus
Cardinal ligament
Testosterone

4. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Spermatogonia (germ cells)
Round ligament of the uterus
No

5. What do leydig cells secrete?
Decrease
Low back pain with increased serum alk phos
Testosterone
E coli

6. Where does fertilization most commonly occur?
The ampulla - occurs within 1 day of ovulation
Fibrosis
Hemolysis - elevated liver enzymes - low platelets
Cerebral hemorrhage and ARDS

7. What are the associated risk factors for malignant breast tumors
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Post menopausal bleeding
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

8. What metastasis is most common with prostatic adenocarcinoma
Testosterone secreting tumor - exogenous steroids
Upregulation - LH surge - ovulation
Osteoblastic in bone
Invasive ductal

9. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Paget's disease
Neoplastic cells block lymphatic drainage
PCOS
DCIS

10. Where is testosterone converted to estrogen
Invasive ductal
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
DIC
Sertoli cells - and adipose tissue via aromatase

11. Where is the enlargement found in BPH
Endometrial carcinoma
Periurethral lobes - lateral and middle
Cardinal ligament
IV mag sulfate - diazepam

12. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
S aureus
Placenta previa
Yolk sac - endodermal sinus - tumor
Varicocele

13. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Haploid - 2N - 23 sister chromatids
Superficial inguinal lymph nodes
Adrenal gland

14. What are risk factors for abruptio placentae?
Cerebral hemorrhage and ARDS
PCOS
Smoking - HTN - cocaine
increased in total - and dec in free fraction

15. What is the most common form of male pseudoHerm
Spermatocele
Androgen insensitivity syndrome
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Epithelial hyperplasia

16. testicular masses that can be transilluminated
Increased FSH
Theca - leutin cysts
Teratoma
Tunica vaginalis lesions

17. What are predisposing factors for placenta previa
Mammary duct epithelium or lobular glands
Brenner tumor
Prior c section - multiparity
Tubular carcinoma

18. What occurs to a fibroadenoma during pregnancy and menstruation and why
The ampulla - occurs within 1 day of ovulation
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Para - aortic lymph nodes
increased size and tenderness with increased estrogen

19. How does BPH present
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Male pseudoHerm
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Comedocarcinoma

20. histologic type of fibrocystic with hyperplasia of breast stroma
Premature ovarian failure (Pof)
Fibrosis
Prostate growth - balding - and sebaceous gland activity
Mimics LH

21. endometrium within the myometrium
Slight increase - 1.5 to 2
Squamous cell carcinoma
Immature
Adenomyosis

22. What does gynecomastia result from?
Oligomenorrhea
SANS - hypogastric nerve
Invasive ductal
Hyperestrogenism

23. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
Complete
Decrease
Multiple sexual partners - also HIV and early sexual intercourse

24. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Lateral invasion can block ureters causing renal failure
Kallman
Mucinous cystadenocarcinoma

25. What are the 4 sources of progesterone
Neoplastic cells block lymphatic drainage
One of the centrioles
Fat necrosis
Corpus luteum - placenta - adrenal cortex - testes

26. What is the single most important prognostic factor for malignant breast tumors
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
20 to 40
Preeclampsia + siezures
Axillary node involvement

27. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Small infiltrating glands with prominent nucleoli
Adenomyosis
Malignant in males not in females
Androgen insensitivity syndrome - 46 XY

28. What is the order of events in the menstrual cycle
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
HPV 16 - 18
Ectopic preg
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

29. What are causes of female pseudoHerm
17beta estradiol
55-65
Placenta previa
Congenital adrenal hyperplasia - exogenous administration of steroids

30. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Prostate growth - balding - and sebaceous gland activity
Choriocarcinoma
Stimulate glandular secretions - and spiral artery development
Female pseudoHerm

31. What can happen with no sertoli cell or lack of anti mullerian hormone
Osteoblastic in bone
Serous cystadenocarcinoma
Develop both male and female internal genitalia and male external genitalia
Puberty

32. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Menometrorrhagia
Bicornute uterus
Androgen insensitivity syndrome

33. What is the average age of onset for menopause
Testosterone
51 yo
Abruptio placentae
Haploid - 2N - 23 sister chromatids

34. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
50 times
Andogren binding protein - anti mullerian hormone
Cerebral hemorrhage and ARDS

35. What does progesterone do to gonadotropins
Small infiltrating glands with prominent nucleoli
Stimulates sertoli cells to produce ABP and inhibin
Inhibition LH and FSH
Polymenorrhea

36. What does estrogen do to estrogen - LH and progesterone recepotrs
Osteoblastic in bone
Prostate growth - balding - and sebaceous gland activity
Upregulation
4

37. Connects ovary to lateral uterus
Posterior lobe peripheral zone
Ligament of the ovary
S aureus
Asia - Africa - S. America - HPV - lack of circumcision

38. Which cells line the seminiferous tubules and secrete inhibin
Sertoli cells
Hemolysis - elevated liver enzymes - low platelets
Differentiation of penis - scrotum and prostate
Good - late metastasis

39. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Squamous cell carcinoma
DIC
increased risk for carcinoma
Peyronie's dz

40. How long does it take for sperm to fully develop
Osteoblastic in bone
Fibrcystic change - ductal cancer
2 months
Relaxation

41. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Increased FSH
Bicornute uterus
Metrorrhagia

42. Overexpression of which receptors is common iwht malignant breast tumors
Inhibition LH and FSH
Bowenoid papulosis - carcinoma in situ of the penis
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Inhibit FSH

43. How many days after fertilization does implantation occur?
Smoking - HTN - cocaine
6
Fibrocystic disease
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

44. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Upregulation - LH surge - ovulation
Dilation and curettage and methotrexate
Teratoma

45. frequent bu irregular cycles
Chocolate cyst
In the 6th decade of life
Bicornute uterus
Metrorrhagia

46. What causes preeclampsia
PANS - pelvic nerve
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Inhibition of HCG access
BPH

47. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
DCIS
Golgi
Increase in size in pregs - decrease in size meno - estrogen sens
Small infiltrating glands with prominent nucleoli

48. predisposing factor to clear cell adenocarcinoma of the vagina
Cervix
DES in utero (DES is a sythetic estrogen)
Bowenoid papulosis - carcinoma in situ of the penis
Increased FSH

49. Is fertility compromised in double Y males?
CIN 1 - 2 - 3
The anterior pituitary and hypothalamus
Spermatogonia (germ cells)
No

50. Breast path - diseases of the major duct
Meigs syndrome
Intraductal papilloma
Endometrial carcinoma
Fibrcystic change - ductal cancer