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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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1. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Mittelschmerz syndrome
Follicular phase varies - luteal phase is 14
Testosterone

2. How many days after fertilization does implantation occur?
Prior c section - multiparity
6
Meigs syndrome
One of the centrioles

3. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Comedocarcinoma
Follicular phase varies - luteal phase is 14
Dysgerminoma

4. When does spermatogenesis begin?
Just prior to ovulation
Hemorrhage
4
Puberty

5. small - mobile - firm breast mass with sharp edges - most common in <25
Myometrial invasion
Haploid - N - 23 single chromatids
Fibroadenoma
One of the centrioles

6. When does endometiral carcinoma usually occur
Inhibition LH and FSH
Testicular lymphoma
55-65
Estradiol > estrone > estriol

7. dx with decreased testosterone - increased LH
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Primary hypogonadism
Congenital adrenal hyperplasia - exogenous administration of steroids
PCOS

8. Where does LH work - what enzyme works there and what product is secreted
Just prior to ovulation
DHT - testosterone - androstenedione
Theca cell - desmolase - androstenedione
Prematurity

9. histo: simple columnar epithelium - pseudostratified tubular glands
Prostate growth - balding - and sebaceous gland activity
GnRH from hypoTh - LH and FSH from ant pituitary
Mittelschmerz syndrome
Uterus

10. Testosterone and estrogen in androgen insensitivity syndrome
Inhibit cGMP breakdown
Choriocarcinoma
Prior c section - inflammation - placenta previa
Increase (and LH)

11. Breast path - diseases of the stroma
Fibrcystic change - ductal cancer
Fibroadenoma - phyllodes tumor
Slight increase - 1.5 to 2
Delivery of fetus

12. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Male pseudoHerm
Granulosa cell tumor
Polymenorrhea
Multiple sexual partners - also HIV and early sexual intercourse

13. What metastasis is most common with prostatic adenocarcinoma
Vagina
Osteoblastic in bone
increased risk for carcinoma
20 to 40

14. When is follicular growth the fastest?
Endometrial carcinoma
Preductal coarctication
Peyronie's dz
2nd week of proliferative phase

15. Connects ovary to lateral uterus
Premature ovarian failure (Pof)
Upregulation - LH surge - ovulation
Hydatidiform mole
Ligament of the ovary

16. gynecological tumors from highest incidence to lowest
Theca cell - desmolase - androstenedione
No
Endometrial > ovarian> cervical (in US)
Mitochondria

17. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
No
Prementsrual breast pain and multiple lesions
Seminoma
55-65

18. What is the lymphatic drainage the ovaries/testis
6
Prior c section - multiparity
Smooth muscle
Para - aortic lymph nodes

19. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Differentiation of penis - scrotum and prostate
Prior c section - inflammation - placenta previa
Abruptio placentae

20. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Preeclampsia + siezures
Proliferation
Paget cell

21. What does progesterone do to body temp
Increase
Bowen's dz - carcinoma in situ of the penis
Dysgerminoma
Endocervix

22. What does estrogen do to FSH and LH
Brenner tumor
Feedback inhibition
Fibrosis
Sarcoma botryoides - a rhabdomyosarcoma variant

23. disagreement between the phenotypic and gonadal sex
Dysuria - frequency - urgency - low back pain
Increase in size in pregs - decrease in size meno - estrogen sens
Pseudohermaphroditism
Squamo - columnar jxn

24. multilocular cyst lined by mucus secreting epi - benign - intestine like
Metaphase
6
Mucinous cystadenoma
Endometriosis

25. HTN - proteinuria and edema
Preeclampsia
Endometrial carcinoma
5 alpha reductase def
Stimulates testosterone release from leydig cells

26. tumor with orderly row of cells - often multiple and bilateral
Prematurity
Oligohydramnios
Invasive lobular
Chocolate cyst

27. In what phase is meiosis I arrested
Polymenorrhea
Increase in size in pregs - decrease in size meno - estrogen sens
Prophase
Adolescents

28. What serum markers are associated with embyronal carcinoma
Premature ovarian failure (Pof)
DIC
increased AFP and hCG
Embryonal carcinoma

29. histologic type of fibrocystic with hyperplasia of breast stroma
Myometrial invasion
Small infiltrating glands with prominent nucleoli
Upregulation - LH surge - ovulation
Fibrosis

30. What are the most common cause of anovluation

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31. Connects cervix to side wall of pelvis - contains uterine vessels
Insulin resistance
BPH
Cardinal ligament
Good - late metastasis

32. What are the treatments for BPH
1 week - 2 weeks
Alpha1 antagonists - terazosin - tamsulosin - finasteride
4
Corpus luteum - placenta - adrenal cortex - testes

33. What are the 3 androgens
Para - aortic lymph nodes
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Testosterone - DHT - androstenedione
Preductal coarctication

34. What is the presentation of prostatitis
Seminoma
Dysuria - frequency - urgency - low back pain
Decreasing progesterone
DHT - testosterone - androstenedione

35. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Stimulates sertoli cells to produce ABP and inhibin
The ampulla - occurs within 1 day of ovulation
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Krukenburg tumor

36. What is hydatidiform mole and precurosor of...
Relaxation
Choriocarcinoma
Myometrial tumors
Estradiol

37. What causes preeclampsia
Yolk sac - endodermal sinus - tumor
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Stimulates sertoli cells to produce ABP and inhibin
Myometrial invasion

38. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Posterior lobe peripheral zone
Placenta previa
PCOS
DHT - testosterone - androstenedione

39. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Delivery of fetus
Premature ovarian failure (Pof)
5 alpha reductase def
Maintenance

40. androblastoma from sex cord stroma
Sertoli cell tumor
Mittelschmerz syndrome
The semiT and the blood vessels
Polyhydramnios

41. in males - are mature teratomas malignant? What is the case for females
Cervix
Malignant in males not in females
Leydig cell tumor
Increase (and LH)

42. What is the average age of onset for menopause
51 yo
Granulosa cell tumor
Corpus luteum - placenta - adrenal cortex - testes
Cystic

43. What common valvular abnormality is common in Turner's
Fibroadenoma - phyllodes tumor
Follicular cyst
Aortic bicuspid valve
Decrease

44. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Hyperthyroidism - contains functional thyroid tissue
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Inhibit cGMP breakdown
Testosterone

45. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Right gonadal vein - IVC
Lateral invasion can block ureters causing renal failure
Serous cystadenocarcinoma

46. Which androgen is responsible for libido
Puberty
Prior c section - inflammation - placenta previa
Osteoblastic in bone
Testosterone

47. increased fluid secondary to incomplete fustion with processus vaginalis
Hydrocele
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Mammary duct epithelium or lobular glands
Preductal coarctication

48. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Stimulates sertoli cells to produce ABP and inhibin
Whorled pattern of smooth muscle bundles
Mittelschmerz syndrome
Koilocytitic

49. dx with increased testosterone and dec LH
Leydig cell tumor
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone secreting tumor - exogenous steroids
Paget's disease

50. < 21 day cycle
Estradiol and possible growth promoting effects of DHT
Polymenorrhea
Follicular phase varies - luteal phase is 14
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs