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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
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. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
Dysgerminoma
Prophase
Testicular lymphoma

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

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3. androblastoma from sex cord stroma
Mature teratoma
Sertoli cell tumor
Dysuria - frequency - urgency - low back pain
Low progesterone

4. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Upregulation - LH surge - ovulation
Spermatogonia (germ cells)
Periurethral lobes - lateral and middle

5. Connects cervix to side wall of pelvis - contains uterine vessels
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Relaxation
Cardinal ligament
Klinefelter's - XXY

6. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Increase in size in pregs - decrease in size meno - estrogen sens
During fetal life
Theca - leutin cysts
Serous cystadenoma

7. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Feedback inhibition
S aureus
Suspensory ligament of ovaries
Down regulation

8. Increases in which hormone are associated with BPH
Estradiol and possible growth promoting effects of DHT
Bowen's dz - carcinoma in situ of the penis
Ectopic preg
Spermatocele

9. Breast path - diseases of the terminal duct
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Preeclampsia clinical
46 xx
Tubular carcinoma

10. What does FSH do
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Puberty
Stimulates sertoli cells to produce ABP and inhibin
Placenta previa

11. What are the four functions of estrogen
Round ligament of the uterus
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Varicocele
Invasive ductal

12. What are the associated risk factors for malignant breast tumors
GnRH from hypoTh - LH and FSH from ant pituitary
Suspensory ligament of ovaries
Abruptio placentae
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

13. when do primary oocytes begin meiosis I
Prophase
During fetal life
Androgen insensitivity syndrome - 46 XY
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

14. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Follicular cyst
Fibromas
Develop both male and female internal genitalia and male external genitalia
Hyperestrogenism

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

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16. What does estrogen do to estrogen - LH and progesterone recepotrs
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Fibrocystic disease
Smoking - HTN - cocaine
Upregulation

17. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Hypogondadotropic hypogonadism
Corpus luteum cyst
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Teratoma

18. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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19. Large bulky breast mass of connective tissue and cysts with leaf like projections
DRE - hard nodule and biopsy
Increase (and LH)
SANS - hypogastric nerve
Phyllodes tumor

20. heavy - irregular menstruation at irregular intervals
Inflammatory
Menometrorrhagia
46 xx
Increase

21. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
Periurethral lobes - lateral and middle
Delivery of fetus
Asia - Africa - S. America - HPV - lack of circumcision

22. dx with increased testosterone and dec LH
Left gonadal vein - left renal vein - IVC
Testosterone secreting tumor - exogenous steroids
Spermatocele
DCIS

23. what metabolic disorder is assocaited with PCOS
2nd week of proliferative phase
Prior c section - inflammation - placenta previa
Insulin resistance
Estrogen overstimulation

24. disagreement between the phenotypic and gonadal sex
Pseudohermaphroditism
Prostatic acid phosphatase and PSA
DIC
Metrorrhagia

25. What does progesterone do to body temp
Esophogeal/duodenal atresia - can't swallow - anencephaly
Stimulates sertoli cells to produce ABP and inhibin
Hemolysis - elevated liver enzymes - low platelets
Increase

26. Dermal lymphatic invasion by breast carcinoma - peu d orange
increased risk for carcinoma
HPV 16 - 18
Metrorrhagia
Inflammatory

27. hyperplasia - not hypertrophy of the prostate gland
Lateral invasion can block ureters causing renal failure
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone
BPH

28. small follicles filled with eosinphilic secretions
Call exner bodies
Good - late metastasis
Male pseudoHerm
Dilation and curettage and methotrexate

29. Which nerve and nerve fibers control for ejaculation
Puberty
Visceral - somatic nerves in pudendal
Calcifications
The ampulla - occurs within 1 day of ovulation

30. What becomes the main source of hCG
Hyperestrogenism
Adolescents
Syncytiotrophoblasts of placenta
increased AFP and hCG

31. eclampsia
1000 times
Hyperestrogenism
Preeclampsia + siezures
Slight increase - 1.5 to 2

32. Is fertility compromised in double Y males?
Endocervix
17beta estradiol
1000 times
No

33. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
46 xx
Cerebral hemorrhage and ARDS
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Epithelial hyperplasia

34. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Androgen insensitivity syndrome
DIC
Testicular lymphoma
Granulosa cell - aromatase - androstenedione - estrogen

35. How many functional sperm does 1 germ cell creat?
Post menopausal bleeding
Spermatocele
Yolk sace - endodermal sinus - tumor
4

36. endometrium within the myometrium
Adenomyosis
During fetal life
Endometriosis
Diploid - 4N - 46 sister chromatids

37. HTN - proteinuria and edema
Preeclampsia
Stimulates sertoli cells to produce ABP and inhibin
Male pseudoHerm
Esophogeal/duodenal atresia - can't swallow - anencephaly

38. In what group are malignant breast tumors most commonly seen
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Ovary
Decrease
Post menopausal

39. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Testosterone secreting tumor - exogenous steroids
Spermatogonia (germ cells)
Endometrial carcinoma
Asia - Africa - S. America - HPV - lack of circumcision

40. What can happen with no sertoli cell or lack of anti mullerian hormone
Androgen insensitivity syndrome
Develop both male and female internal genitalia and male external genitalia
Slight increase - 1.5 to 2
Sclerosing adenosis

41. What is a concern of early menopause
Androgen insensitivity syndrome - 46 XY
Premature ovarian failure (Pof)
Complete
Hemorrhage

42. Vaginal sqamous cell carcinoma is most often seconday From which site?
E coli
Preeclampsia
Cervix
Esophogeal/duodenal atresia - can't swallow - anencephaly

43. What serum markers are associated with embyronal carcinoma
SANS - hypogastric nerve
increased AFP and hCG
Maintenance
increased cGMP - smooth muscle relax - vasodltn - proerectile

44. What is a complication of cryptorchidism and why does it occur
Asia - Africa - S. America - HPV - lack of circumcision
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Fibroadenoma
Low back pain with increased serum alk phos

45. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Koilocytitic
Granulosa cell tumor
Mucinous cystadenoma
Stimulates testosterone release from leydig cells

46. What is the presentation of prostatitis
Choriocarcinoma
Dysuria - frequency - urgency - low back pain
Prementsrual breast pain and multiple lesions
Peyronie's dz

47. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
PANS - pelvic nerve
Ovary
Low progesterone

48. What is the presentation of fibrocystic dz
Severe bleeding iron def anemia - miscarriage
Dilation and curettage and methotrexate
Prementsrual breast pain and multiple lesions
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

49. multilocular cyst lined by mucus secreting epi - benign - intestine like
Dilation and curettage and methotrexate
51 yo
Ovarian > cervical > endometrial
Mucinous cystadenoma

50. What does inhibin do?
Vagina
Hydatidiform mole
Medullary
Inhibit FSH