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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. What complications are associated with polyhydramnios

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2. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Kallman
Dilation and curettage and methotrexate
Smooth muscle

3. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Lobular carcinoma - sclerosing adenosis
Periurethral lobes - lateral and middle
55-65

4. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Primary hypogonadism
6
Choriocarcinoma

5. What is the genetic material in the secondary oocyte?
Testosterone - DHT - androstenedione
69 xxy
Seminoma
Haploid - 2N - 23 sister chromatids

6. What becomes the main source of hCG
Choriocarcinoma
Fibrcystic change - ductal cancer
Asia - Africa - S. America - HPV - lack of circumcision
Syncytiotrophoblasts of placenta

7. eclampsia
Squamo - columnar jxn
Low back pain with increased serum alk phos
Preeclampsia + siezures
6

8. What is the treatment for preeclampsia
Hyperthyroidism - contains functional thyroid tissue
SANS - hypogastric nerve
Defective androgen receptor
Delivery of fetus

9. In what phase is meiosis I arrested
Paget's disease - breast abscess
Choriocarcinoma
6
Prophase

10. Wher does dysplasia and carcinoma in situ of the cervix usually begin
51 yo
Just prior to ovulation
Premature ovarian failure (Pof)
Squamo - columnar jxn

11. In What age group are ovarian germ cell tumors most common
Adolescents
Follicular cyst
Abruptio placentae
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

12. multilocular cyst lined by mucus secreting epi - benign - intestine like
Lobular carcinoma - sclerosing adenosis
No
PSA
Mucinous cystadenoma

13. What hematologic condition is associated with abruptio placentae
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
DRE - hard nodule and biopsy
Testosterone
DIC

14. Atypical cells in epithelial hyperplasia
Preeclampsia clinical
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
increased risk for carcinoma
Cardinal ligament

15. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Fallopian tube
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Female pseudoHerm
increased size and tenderness with increased estrogen

16. Breast path - diseases of the major duct
Endometrial carcinoma
Cerebral hemorrhage and ARDS
Testosterone secreting tumor - exogenous steroids
Fibrcystic change - ductal cancer

17. Where is androstenedione made?
HPV 16 - 18
Increased FSH
Adrenal gland
Haploid - N - 23 single chromatids

18. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
increased size and tenderness with increased estrogen
Paget cell
S aureus

19. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Smoking - HTN - cocaine
Testosterone
Seminoma
Testis determining factor

20. What are the four functions of estrogen
Estradiol > estrone > estriol
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Yolk sace - endodermal sinus - tumor
Testis determining factor

21. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Placenta previa
Theca cell - desmolase - androstenedione

22. What is the most frequent benign ovarian tumor
Mature teratoma
Cystic
Complete
Testosterone

23. When does spermatogenesis begin?
Estradiol and possible growth promoting effects of DHT
Puberty
Multiple sexual partners - also HIV and early sexual intercourse
Defective androgen receptor

24. What causes preeclampsia
Yolk sace - endodermal sinus - tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
The anterior pituitary and hypothalamus
Male pseudoHerm

25. What stimulation after labor induces lactation
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Superficial inguinal lymph nodes
Bicornute uterus
Decreasing progesterone

26. What are risk factors for abruptio placentae?
Sertoli cells - and adipose tissue via aromatase
Adolescents
Multiple sexual partners - also HIV and early sexual intercourse
Smoking - HTN - cocaine

27. List the estrogens in order of decreasing potency
Estradiol > estrone > estriol
BPH
Prior c section - multiparity
Endometrial carcinoma

28. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Increased FSH
Dysgerminoma
Granulosa cell - aromatase - androstenedione - estrogen
46 xx

29. histo: simple columnar epithelium - pseudostratified tubular glands
Post menopausal bleeding
Follicular cyst
Insulin resistance
Uterus

30. Large bulky breast mass of connective tissue and cysts with leaf like projections
Esophogeal/duodenal atresia - can't swallow - anencephaly
Follicular cyst
Post menopausal bleeding
Phyllodes tumor

31. What does progesterone do to smooth muscle in the uterus
Relaxation
Cervix
Testosterone
20 to 40

32. histo: stratified sqamous epithelium
Partial
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Decrease
Ectocervix

33. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
Theca cell - desmolase - androstenedione
Left gonadal vein - left renal vein - IVC
Preeclampsia

34. Where does LH work - what enzyme works there and what product is secreted
Intraductal papilloma
Fructose
Slight increase - 1.5 to 2
Theca cell - desmolase - androstenedione

35. What pathologic states cause increases in hCG
Krukenburg tumor
During fetal life
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Paget's disease

36. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Good - late metastasis
Develop both male and female internal genitalia and male external genitalia
The centrioles

37. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Phyllodes tumor
Placenta previa
Golgi
Delivery of fetus

38. What does HHAVOC stand for in menopause
Seminoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Periurethral lobes - lateral and middle
Androgen insensitivity syndrome

39. Which androgen is responsible for libido
50 times
Testosterone
Low back pain with increased serum alk phos
Menometrorrhagia

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

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41. In what group are malignant breast tumors most commonly seen
Corpus luteum - placenta - adrenal cortex - testes
Varicocele
Fibromas
Post menopausal

42. testicular masses that can be transilluminated
Theca cell - desmolase - androstenedione
Primary hypogonadism
Tunica vaginalis lesions
Sertoli cell tumor

43. What is a complication of invasive carcinoma
46 xx
Lateral invasion can block ureters causing renal failure
Fibroadenoma
Low progesterone

44. What are the pathologic features of leiosarcoma
Fibroadenoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
The anterior pituitary and hypothalamus
2 months

45. What are the functions of oxytocin - maybe
Peripheral conversion of androgens
Milk letdown - uterine contractions?
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

46. small follicles filled with eosinphilic secretions
Call exner bodies
Comedocarcinoma
55-65
Theca cell - desmolase - androstenedione

47. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
No
Milk letdown - uterine contractions?
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

48. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
Defective androgen receptor
Milk letdown - uterine contractions?
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

49. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Klinefelter's - XXY
46 xx
Para - aortic lymph nodes
Sarcoma botryoides - a rhabdomyosarcoma variant

50. What is the order of events in the menstrual cycle
Inflammatory
Posterior lobe peripheral zone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Just prior to ovulation