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First Aid: Reproductive

Subjects : health-sciences, first-aid

Instructions:

Answer 50 questions in 15 minutes.
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1. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
Partial
Vagina
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

2. How many days after fertilization does implantation occur?
Paget cell
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
6
Koilocytitic

3. What are causes of female pseudoHerm
Intraductal papilloma
Congenital adrenal hyperplasia - exogenous administration of steroids
Erythroplasia of Queyrat - carcinoma in situ of penis
Menometrorrhagia

4. What is associated with sclerosing adenosis?
Calcifications
Esophogeal/duodenal atresia - can't swallow - anencephaly
Defective androgen receptor
Sertoli cells - and adipose tissue via aromatase

5. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Prementsrual breast pain and multiple lesions
Krukenburg tumor
Estradiol and possible growth promoting effects of DHT
Defective androgen receptor

6. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Invasive lobular
2nd week of proliferative phase
BPH

7. How many functional sperm does 1 germ cell creat?
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Theca cell - desmolase - androstenedione
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
4

8. Where is the enlargement found in BPH
Periurethral lobes - lateral and middle
5 alpha reductase def
Lobular carcinoma - sclerosing adenosis
50 times

9. What does the SRY gene do
Embryonal carcinoma
Increase
Slight increase - 1.5 to 2
Testis determining factor

10. What is the most common form of male pseudoHerm
Estradiol > estrone > estriol
Corpus luteum cyst
Androgen insensitivity syndrome
Golgi

11. What are risk factors for placenta acreta
Superficial inguinal lymph nodes
Testosterone
Prior c section - multiparity
Prior c section - inflammation - placenta previa

12. Which cells secrete beta hCG
Peyronie's dz
Trophoblasts
Androgen insensitivity syndrome
Relaxation

13. Which hydatidiform mole has the greater risk for malignancy
Complete
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Paget's disease - breast abscess
Call exner bodies

14. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Mammary duct epithelium or lobular glands
Bowenoid papulosis - carcinoma in situ of the penis
Whorled pattern of smooth muscle bundles
Broad ligament

15. Where is testosterone secreted into?
Low back pain with increased serum alk phos
Menometrorrhagia
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
The semiT and the blood vessels

16. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Androgen insensitivity syndrome - 46 XY
Myometrial tumors
Mimics LH

17. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Androgen insensitivity syndrome - 46 XY
Fibromas
Mucinous cystadenocarcinoma
Diploid - 4N - 46 sister chromatids

18. What does inhibin do?
Inhibit FSH
Stimulation of secretion - but blocks its action at the breast
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Multiple sexual partners - also HIV and early sexual intercourse

19. How is dyslpasi and carcinoma in situ of the cervix classified
Upregulation
CIN 1 - 2 - 3
Mittelschmerz syndrome
Milk letdown - uterine contractions?

20. What are the treatments for PCOS
Mucinous cystadenoma
Round ligament of the uterus
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Feedback inhibition

21. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Fibrcystic change - ductal cancer
Choriocarcinoma
Inflammatory
51 yo

22. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
increased cGMP - smooth muscle relax - vasodltn - proerectile
Ectopic preg
S aureus
Delivery of fetus

23. Connects cervix to side wall of pelvis - contains uterine vessels
Epithelial hyperplasia
Cardinal ligament
Trophoblasts
Fat necrosis

24. What is the most common cause of breast lumps from age 25 to menopause
Hemolysis - elevated liver enzymes - low platelets
Fibrocystic disease
Endocervix
Axillary node involvement

25. Bent penis due to acquired fibrous tissue formation

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26. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Ligament of the ovary
5 alpha reductase def
PSA
Preductal coarctication

27. What is the risk for carcinoma among patients with intraductal papilloma
Testosterone
Estradiol > estrone > estriol
Slight increase - 1.5 to 2
Hypogondadotropic hypogonadism

28. What is the genetic material in the secondary oocyte?
One of the centrioles
Haploid - 2N - 23 sister chromatids
Comedocarcinoma
Call exner bodies

29. HTN - proteinuria and edema
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Preeclampsia
Brenner tumor
Congenital adrenal hyperplasia - exogenous administration of steroids

30. Which androgen is responsible for libido
Placenta previa
Good - late metastasis
Female pseudoHerm
Testosterone

31. What does SEVEN Up stand for in regards to the pathway of sperm
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Cerebral hemorrhage and ARDS

32. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
Intraductal papilloma - breast abscess - mastitis
Erythroplasia of Queyrat - carcinoma in situ of penis
Hyperestrogenism

33. From What tissues to malignant breast tumors arise?
Mammary duct epithelium or lobular glands
Low back pain with increased serum alk phos
Dilation and curettage and methotrexate
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

34. What does progesterone do for pregnancy
Mitochondria
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Maintenance
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

35. Large bulky breast mass of connective tissue and cysts with leaf like projections
Round ligament of uterus
Choriocarcinoma
Phyllodes tumor
Acute mastitis

36. increased fluid secondary to incomplete fustion with processus vaginalis
55-65
Menometrorrhagia
Brenner tumor
Hydrocele

37. What occurs to a fibroadenoma during pregnancy and menstruation and why
Small infiltrating glands with prominent nucleoli
Esophogeal/duodenal atresia - can't swallow - anencephaly
increased size and tenderness with increased estrogen
Polyhydramnios

38. dilated epididymal duct
Spermatocele
Mature teratoma
Haploid - 2N - 23 sister chromatids
Cerebral hemorrhage and ARDS

39. What is the typical cell change in HPV infection
Fibrosis
Just prior to ovulation
Koilocytitic
Feedback inhibition

40. What can happen with no sertoli cell or lack of anti mullerian hormone
increased AFP and hCG
Develop both male and female internal genitalia and male external genitalia
Acute mastitis
Down regulation

41. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Hydatidiform mole
Invasive ductal
Upregulation - LH surge - ovulation
Round ligament of the uterus

42. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Placenta acreta
Esophogeal/duodenal atresia - can't swallow - anencephaly
Lobular carcinoma - sclerosing adenosis

43. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Cardinal ligament
Serous cystadenoma
Menopause
One of the centrioles

44. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Prostate growth - balding - and sebaceous gland activity
Round ligament of the uterus
Hydrocele
Lobular carcinoma - sclerosing adenosis

45. What estrogen does the placenta secrete
Sertoli cells - and adipose tissue via aromatase
Estradiol
Fertilization 'an egg met a sperm'
Myometrial invasion

46. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
Post menopausal bleeding
Estradiol and possible growth promoting effects of DHT
Milk letdown - uterine contractions?

47. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Kallman
Choriocarcinoma
Metaphase

48. What is the presentation of fibrocystic dz
Hydatidiform mole
Uterus
Prementsrual breast pain and multiple lesions
Testicular lymphoma

49. Testosterone and estrogen in androgen insensitivity syndrome
Testosterone
Male pseudoHerm
No
Increase (and LH)

50. What is HELLP syndrome
Hemolysis - elevated liver enzymes - low platelets
Feedback inhibition
Ovarian > cervical > endometrial
CIN 1 - 2 - 3

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First Aid: Reproductive

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