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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 converts testosterone to DHT
S aureus
Myometrial tumors
5 alpha reductase - inhibited by finesteride
Testosterone secreting tumor - exogenous steroids

2. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Testis determining factor
Immature
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

3. What is a concern of early menopause
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Premature ovarian failure (Pof)
Upregulation
Left gonadal vein - left renal vein - IVC

4. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Multiple sexual partners - also HIV and early sexual intercourse
One of the centrioles
Theca cell - desmolase - androstenedione
Fibromas

5. What is the lymphatic drainage the ovaries/testis
Myometrial tumors
Para - aortic lymph nodes
17beta estradiol
Golgi

6. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
One of the centrioles
Suckling - increased oxytocin - prolactin
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Superficial inguinal lymph nodes

7. When does the secondary oocyte complete meosis II

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8. What is the common presentation of metastasis in prostate cancer
Corpus luteum cyst
2 months
Low back pain with increased serum alk phos
Stimulates sertoli cells to produce ABP and inhibin

9. tumor is ductal with caseous necrosis
Endometrial carcinoma
Comedocarcinoma
Placenta previa
Fibromas

10. endometrium within the myometrium
Invasive ductal
Adenomyosis
DIC
Fructose

11. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
One of the centrioles

12. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Whorled pattern of smooth muscle bundles
Acute mastitis
Leydig cell tumor

13. What is a potential complication of endometrial hyperplasia
50 times
Corpus luteum cyst
Endometrial carcinoma
Comedocarcinoma

14. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Obdurator - exterinal iliac - hypogastic nodes
Inhibit FSH
Lateral invasion can block ureters causing renal failure
Osteoblastic in bone

15. What is a complication of invasive carcinoma
Inhibit FSH
Lateral invasion can block ureters causing renal failure
Myometrial tumors
One of the centrioles

16. dilated vein in pampiniform plexus - bag of worms
Varicocele
Haploid - N - 23 single chromatids
Inhibition of HCG access
Stimulation of secretion - but blocks its action at the breast

17. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Testosterone
Sertoli cells - and adipose tissue via aromatase
Spermatogonia (germ cells)
Low progesterone

18. 2 sperm + 1 egg
No
Uterus
Corpus luteum - placenta - adrenal cortex - testes
Partial

19. Connects ovary to lateral uterus
Production of a thick cervical mucus
Mucinous cystadenocarcinoma
increased in total - and dec in free fraction
Ligament of the ovary

20. What complications are associated with oligohydramnios

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21. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Endometriosis
Cerebral hemorrhage and ARDS
Placenta previa
Teratoma

22. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Differentiation of penis - scrotum and prostate
Fibrocystic disease
Mucinous cystadenocarcinoma
Choriocarcinoma

23. is fibroadenoma a precursor to breast cancer
No
Granulosa cell tumor
Granulosa cell - aromatase - androstenedione - estrogen
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

24. When are phyllodes tumors most common
Ectocervix
Obdurator - exterinal iliac - hypogastic nodes
In the 6th decade of life
Alpha1 antagonists - terazosin - tamsulosin - finasteride

25. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Uterus
Asia - Africa - S. America - HPV - lack of circumcision
Puberty
PCOS

26. What are the 4 sources of progesterone
Hydrocele
Corpus luteum - placenta - adrenal cortex - testes
50 times
Theca - leutin cysts

27. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
95%
Ovary

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

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29. dx with increased testosterone and dec LH
S aureus
Develop both male and female internal genitalia and male external genitalia
SANS - hypogastric nerve
Testosterone secreting tumor - exogenous steroids

30. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
increased in total - and dec in free fraction
Oligohydramnios
Dysgerminoma
Prematurity

31. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Smooth muscle
Adrenal gland
95%

32. what structures supplies the energy to the middle piece (neck)
Mitochondria
Hyperthyroidism - contains functional thyroid tissue
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
2nd week of proliferative phase

33. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Varicocele
6
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

34. What are the 3 androgens
Testosterone - DHT - androstenedione
Ovarian > cervical > endometrial
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Complete

35. What does progesterone do for pregnancy
Medullary
Maintenance
Testicular lymphoma
PSA

36. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Endometrial > ovarian> cervical (in US)
Mucinous cystadenoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

37. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Primary hypogonadism
Sarcoma botryoides - a rhabdomyosarcoma variant
Testosterone
Fibrosis

38. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Fibroadenoma - phyllodes tumor
Abacterial
Cerebral hemorrhage and ARDS
Preeclampsia clinical

39. What hematologic condition is associated with abruptio placentae
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
DIC
6
Turner's XO

40. Which side is varicocele more common on...
Fructose
Granulosa cell - aromatase - androstenedione - estrogen
69 xxy
Left

41. What are the associated risk factors for malignant breast tumors
Inhibition of HCG access
Fallopian tube
Syncytiotrophoblasts of placenta
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

42. <0.5 L of amniotic fluid
Mammary duct epithelium or lobular glands
Complete
Oligohydramnios
DRE - hard nodule and biopsy

43. common cause of recurrent miscarriage in 2nd trimester
Prior c section - multiparity
Phyllodes tumor
Ovary
Bicornute uterus

44. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Increase in size in pregs - decrease in size meno - estrogen sens
Testosterone
Peripheral adipose tissue
Testicular lymphoma

45. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
5 alpha reductase def
Osteoblastic in bone
BPH
Androgen insensitivity syndrome - 46 XY

46. What effect does NE have on smoothe muscle in the erectile tissues
Hemorrhage
Female pseudoHerm
Prior c section - multiparity
increased Ca in - smooth muscle contraction - vasocxn - antierectile

47. testes present with non male external genitals
Male pseudoHerm
Serous cystadenoma
Fat necrosis
Krukenburg tumor

48. Where does LH work - what enzyme works there and what product is secreted
Vagina
Theca cell - desmolase - androstenedione
Calcifications
Metrorrhagia

49. Complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Abacterial
Andogren binding protein - anti mullerian hormone
Ovary

50. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Calcifications
Premature ovarian failure (Pof)
Invasive ductal
Blacks