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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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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 is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
Kallman
Inhibit FSH
Mature teratoma

2. What is the genetic material in the primary oocyte?
PCOS
Hemolysis - elevated liver enzymes - low platelets
Diploid - 4N - 46 sister chromatids
Prematurity

3. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Increase
Complete
Acute mastitis

4. What hormones regulate sperm creation?
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
The semiT and the blood vessels
Fertilization 'an egg met a sperm'
GnRH from hypoTh - LH and FSH from ant pituitary

5. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Fibroadenoma
Develop both male and female internal genitalia and male external genitalia
Female pseudoHerm

6. What does estrogen to do prolaction
Stimulation of secretion - but blocks its action at the breast
Post menopausal bleeding
Follicular cyst
DHT - testosterone - androstenedione

7. What forms the blood testis barrier?
20 to 40
69 xxy
Tight junctions between sertoli cells
Andogren binding protein - anti mullerian hormone

8. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Embryonal carcinoma
Bowenoid papulosis - carcinoma in situ of the penis
Inhibition LH and FSH

9. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
SANS - hypogastric nerve
Testosterone
Hemolysis - elevated liver enzymes - low platelets
Andogren binding protein - anti mullerian hormone

10. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Corpus luteum - placenta - adrenal cortex - testes
Polyhydramnios
Metaphase
Chocolate cyst

11. Red velvety plaques - usually involving the glans - similar to Bowen's
Erythroplasia of Queyrat - carcinoma in situ of penis
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Differentiation of penis - scrotum and prostate
Seminoma

12. In What age group are ovarian germ cell tumors most common
Stimulates sertoli cells to produce ABP and inhibin
Adolescents
increased cGMP - smooth muscle relax - vasodltn - proerectile
Paget's disease - breast abscess

13. Breast path - disease that occurs at the nipple

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14. what usually causes endometrial hyperplasia
Endometrial carcinoma
Estrogen overstimulation
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

15. What are the 4 sources of progesterone
Testosterone - DHT - androstenedione
Peripheral conversion of androgens
Corpus luteum - placenta - adrenal cortex - testes
Meigs syndrome

16. What structures does testosterone negatively feedback on?
The anterior pituitary and hypothalamus
Obdurator - exterinal iliac - hypogastic nodes
Choriocarcinoma
Menopause

17. most common testicular cancer in older men
Intraductal papilloma
Calcifications
Epithelial hyperplasia
Testicular lymphoma

18. dx with increased testosterone and dec LH
Hyperthyroidism - contains functional thyroid tissue
Osteoblastic in bone
Maintenance
Testosterone secreting tumor - exogenous steroids

19. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Diploid - 4N - 46 sister chromatids
Fat necrosis
Sclerosing adenosis
Periurethral lobes - lateral and middle

20. Dermal lymphatic invasion by breast carcinoma - peu d orange
Inflammatory
17beta estradiol
Testosterone
HPV 16 - 18

21. Does a leiomyoma progress to leiosarcoma
Prostate growth - balding - and sebaceous gland activity
No
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
DRE - hard nodule and biopsy

22. What are predisposing factors for placenta previa
Prior c section - multiparity
Menometrorrhagia
Fibrcystic change - ductal cancer
Severe bleeding iron def anemia - miscarriage

23. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Sarcoma botryoides - a rhabdomyosarcoma variant
Small infiltrating glands with prominent nucleoli
Para - aortic lymph nodes

24. What are the most common tumors in all females?
Myometrial tumors
Inhibit cGMP breakdown
Sertoli cells - and adipose tissue via aromatase
Choriocarcinoma

25. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
46 xx
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Koilocytitic
Placenta acreta

26. What does progesterone do to gonadotropins
Inhibition LH and FSH
Tight junctions between sertoli cells
Acute mastitis
Complete

27. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Hypogondadotropic hypogonadism
50 times
Granulosa cell - aromatase - androstenedione - estrogen
S aureus

28. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
Ovarian > cervical > endometrial
Endometrial carcinoma
Severe bleeding iron def anemia - miscarriage

29. Which nerve and nerve fibers control for ejaculation
Visceral - somatic nerves in pudendal
Endometrial carcinoma
Increase in size in pregs - decrease in size meno - estrogen sens
Testosterone

30. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Serous cystadenoma
No
Stimulate glandular secretions - and spiral artery development

31. Breast path - diseeases of the lobules
Theca - leutin cysts
Endometrial carcinoma
Lobular carcinoma - sclerosing adenosis
Preeclampsia

32. testicular masses that can be transilluminated
5 alpha reductase def
Tunica vaginalis lesions
17beta estradiol
Invasive ductal

33. histologic type of fibrocystic with hyperplasia of breast stroma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Fibrosis
Endometrial carcinoma
Sertoli cells

34. What effect does NO have on smooth muscle in erectile tissues
DIC
Paget's disease
increased cGMP - smooth muscle relax - vasodltn - proerectile
Calcifications

35. What is the expected increase of estradiol and estrone in pregnancy
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
50 times
Sclerosing adenosis

36. What do leydig cells secrete?
Visceral - somatic nerves in pudendal
Axillary node involvement
Testosterone
BPH

37. dilated epididymal duct
Visceral - somatic nerves in pudendal
Spermatocele
Invasive ductal
Peyronie's dz

38. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Peripheral adipose tissue
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

39. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Proliferation
Bowenoid papulosis - carcinoma in situ of the penis
Increased FSH
Prostatic acid phosphatase and PSA

40. What does estrogen do to FSH and LH
Feedback inhibition
Superficial inguinal lymph nodes
In the 6th decade of life
Complete

41. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Oligohydramnios
Tight junctions between sertoli cells
Broad ligament
Invasive ductal

42. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Koilocytitic
Post menopausal
Androgen insensitivity syndrome - 46 XY
No

43. What is indicative of a poor prognosis for endometrial carcinoma
Testosterone
Myometrial invasion
Increase (and LH)
Inhibition of HCG access

44. What is the flaggelum derived from
Follicular cyst
Calcifications
One of the centrioles
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

45. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Inhibition of HCG access
Preeclampsia + siezures
Male pseudoHerm
Krukenburg tumor

46. What is the genetic material in the secondary oocyte?
Neoplastic cells block lymphatic drainage
Corpus luteum cyst
Haploid - 2N - 23 sister chromatids
Sertoli cells - and adipose tissue via aromatase

47. What effect does NE have on smoothe muscle in the erectile tissues
Production of a thick cervical mucus
Fibrocystic disease
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Adrenal gland

48. What is the clinical manifestation of PCOS
55-65
Slight increase - 1.5 to 2
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Smooth muscle

49. tumor with orderly row of cells - often multiple and bilateral
Hemorrhage
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Paget's disease
Invasive lobular

50. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Increase in size in pregs - decrease in size meno - estrogen sens
Mittelschmerz syndrome
Estradiol > estrone > estriol
Golgi