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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. 2 sperm + 1 egg
Sclerosing adenosis
Left
Partial
The anterior pituitary and hypothalamus

2. What structures does testosterone negatively feedback on?
Lobular carcinoma - sclerosing adenosis
The anterior pituitary and hypothalamus
Mature teratoma
Granulosa cell tumor

3. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Suckling - increased oxytocin - prolactin
Ectopic preg
Good - late metastasis

4. What is the right venous drainage of the ovary/testis
Polymenorrhea
Bicornute uterus
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Right gonadal vein - IVC

5. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
20 to 40
Polymenorrhea
Multiple sexual partners - also HIV and early sexual intercourse
Smoking - HTN - cocaine

6. How many days after fertilization does implantation occur?
Low progesterone
increased Ca in - smooth muscle contraction - vasocxn - antierectile
DRE - hard nodule and biopsy
6

7. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Paget cell
Ovarian > cervical > endometrial
CIN 1 - 2 - 3

8. What substances other than inhibin do sertoli cells produce?
Andogren binding protein - anti mullerian hormone
Oligomenorrhea
Puberty
Invasive lobular

9. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
IV mag sulfate - diazepam
Intraductal papilloma - breast abscess - mastitis
Choriocarcinoma

10. What does progesterone do for pregnancy
Chromosomal abnormalities
Maintenance
Metaphase
PCOS

11. What is the most common cause of breast lumps from age 25 to menopause
Stimulate glandular secretions - and spiral artery development
Mammary duct epithelium or lobular glands
Fibrocystic disease
Golgi

12. What does hCG do in the first trimester to maintain the corpus luteum
Myometrial tumors
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Complete
Mimics LH

13. How does endometriosis cause infertility
Chromosomal abnormalities
Smooth muscle
Retrograde mentrual flow or ascending infection
Fibrocystic disease

14. What percentage of testicular tumors are germ cell
Metrorrhagia
95%
Sclerosing adenosis
Krukenburg tumor

15. What does HHAVOC stand for in menopause
Proliferation
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Testosterone

16. Which teratoma - mature or immature - is aggresively malignant
increased size and tenderness with increased estrogen
Sclerosing adenosis
Immature
Testosterone

17. frequent bu irregular cycles
increased risk for carcinoma
Acute mastitis
Estrogen overstimulation
Metrorrhagia

18. histo: stratified squamous epithelium - nonkeratinized
Upregulation
Squamo - columnar jxn
Menopause
Vagina

19. What does progesterone do to smooth muscle in the uterus
Cerebral hemorrhage and ARDS
Relaxation
Inhibit FSH
Epithelial hyperplasia

20. Is fertility compromised in double Y males?
No
Fibrcystic change - ductal cancer
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Complete

21. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Round ligament of the uterus
Suspensory ligament of ovaries
Obdurator - exterinal iliac - hypogastic nodes
95%

22. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Smooth muscle
Serous cystadenoma
Invasive ductal
Inhibit FSH

23. What does progesterone do in the endometrium
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Placenta acreta
Vagina
Stimulate glandular secretions - and spiral artery development

24. What is the expected increase of estradiol and estrone in pregnancy
Haploid - N - 23 single chromatids
50 times
Theca cell - desmolase - androstenedione
Develop both male and female internal genitalia and male external genitalia

25. What are the functions of oxytocin - maybe
Adenomyosis
Congenital adrenal hyperplasia - exogenous administration of steroids
Follicular cyst
Milk letdown - uterine contractions?

26. Which androgen is responsible for the closing of the epiphyseal plate
Immature
Ectocervix
Sertoli cells
Testosterone

27. What is a concern of early menopause
Premature ovarian failure (Pof)
Ovarian > cervical > endometrial
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Calcifications

28. what metabolic disorder is assocaited with PCOS
Granulosa cell - aromatase - androstenedione - estrogen
Para - aortic lymph nodes
Sclerosing adenosis
Insulin resistance

29. When does spermatogenesis begin?
Smoking - HTN - cocaine
95%
Good - late metastasis
Puberty

30. eclampsia
Multiple sexual partners - also HIV and early sexual intercourse
Preeclampsia + siezures
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Good - late metastasis

31. Which nerve and nerve fibers control for ejaculation
Obdurator - exterinal iliac - hypogastic nodes
Visceral - somatic nerves in pudendal
Estradiol > estrone > estriol
17beta estradiol

32. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
CIN 1 - 2 - 3
SANS - hypogastric nerve
Hemolysis - elevated liver enzymes - low platelets

33. What is the most common form of male pseudoHerm
Spermatocele
Androgen insensitivity syndrome
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Leydig cell tumor

34. Dermal lymphatic invasion by breast carcinoma - peu d orange
Inhibit cGMP breakdown
Seminoma
Inflammatory
Myometrial invasion

35. How does endometrial hyperplasia manifest clinically
Tight junctions between sertoli cells
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
46 xx
Post menopausal bleeding

36. Uterin fundus to labia majora
2nd week of proliferative phase
Round ligament of uterus
Increase (and LH)
69 xxy

37. Bent penis due to acquired fibrous tissue formation

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38. What metastasis is most common with prostatic adenocarcinoma
Premature ovarian failure (Pof)
Prementsrual breast pain and multiple lesions
Osteoblastic in bone
Upregulation

39. In what phase is meiosis II arrested
Testosterone
Inhibition of HCG access
Metrorrhagia
Metaphase

40. Overexpression of which receptors is common iwht malignant breast tumors
Dysuria - frequency - urgency - low back pain
4
Endometriosis
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

41. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Testis determining factor
Androgen insensitivity syndrome - 46 XY
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

42. small follicles filled with eosinphilic secretions
Call exner bodies
Hypogondadotropic hypogonadism
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
BPH

43. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Epithelial hyperplasia
Inhibit cGMP breakdown
Ectopic preg
Fibroadenoma - phyllodes tumor

44. what structures supplies the energy to the middle piece (neck)
Prior c section - multiparity
DES in utero (DES is a sythetic estrogen)
Mitochondria
Paget's disease - breast abscess

45. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Comedocarcinoma
Prostatic acid phosphatase and PSA
Congenital adrenal hyperplasia - exogenous administration of steroids
Yolk sace - endodermal sinus - tumor

46. What are the most common cause of anovluation

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47. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
increased cGMP - smooth muscle relax - vasodltn - proerectile
Hydrocele
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Chocolate cyst

48. Which androgen is responsible for libido
Testosterone
PSA
The semiT and the blood vessels
Bowen's dz - carcinoma in situ of the penis

49. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Retrograde mentrual flow or ascending infection
Puberty
Prior c section - inflammation - placenta previa

50. What is the treatment for preeclampsia
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Squamo - columnar jxn
Endometrial carcinoma
Delivery of fetus