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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 does progesterone do to gonadotropins
Hemorrhage
IV mag sulfate - diazepam
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Inhibition LH and FSH

2. Testosterone and estrogen in androgen insensitivity syndrome
55-65
PANS - pelvic nerve
Metaphase
Increase (and LH)

3. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
DHT - testosterone - androstenedione
Mature teratoma
Alpha1 antagonists - terazosin - tamsulosin - finasteride

4. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
Cardinal ligament
Relaxation
Fibromas

5. What is the genetic material in the ovum
Serous cystadenocarcinoma
The ampulla - occurs within 1 day of ovulation
Haploid - N - 23 single chromatids
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

6. Where is testosterone secreted into?
Fat necrosis
Adenomyosis
The semiT and the blood vessels
S aureus

7. Arrange the androgens in order of most potent to least potent
Spermatocele
Stimulates sertoli cells to produce ABP and inhibin
DHT - testosterone - androstenedione
Tubular carcinoma

8. Prevention of seizures and in preeclampsia
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Ligament of the ovary
Ectopic preg
IV mag sulfate - diazepam

9. How does exogenous testosterone create azoospermia
Female pseudoHerm
Estradiol
Call exner bodies
Inhibition of HCG access

10. premature detachment of placenta from implantation site leading to fetal death
50 times
Koilocytitic
Female pseudoHerm
Abruptio placentae

11. What bacteria is commone in acute prostatitis
Smoking - HTN - cocaine
Testicular lymphoma
Teratoma
E coli

12. How long does it take for sperm to fully develop
Theca - leutin cysts
2 months
Mammary duct epithelium or lobular glands
Androgen insensitivity syndrome

13. dx with increased testosterone and increased LH
Epithelial hyperplasia
Defective androgen receptor
Yolk sace - endodermal sinus - tumor
Seminoma

14. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Granulosa cell tumor
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Polymenorrhea

15. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Abruptio placentae
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
DRE - hard nodule and biopsy

16. What is indicative of a poor prognosis for endometrial carcinoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Myometrial invasion
Polyhydramnios
Cerebral hemorrhage and ARDS

17. What does estrogen do to estrogen - LH and progesterone recepotrs
Stimulation of secretion - but blocks its action at the breast
Upregulation
Cystic
Suspensory ligament of ovaries

18. How many days after fertilization does implantation occur?
Fibromas
6
Myometrial tumors
Ectopic preg

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

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20. Which androgen is responsible for libido
Placenta previa
Mitochondria
1 week - 2 weeks
Testosterone

21. what structures supplies the energy to the middle piece (neck)
95%
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Mitochondria
Cervix

22. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Brenner tumor
Testosterone
Partial
Increase

23. What hematologic condition is associated with abruptio placentae
DIC
Prementsrual breast pain and multiple lesions
Primary hypogonadism
Bicornute uterus

24. In What age group are ovarian germ cell tumors most common
Myometrial tumors
Endometrial carcinoma
Adolescents
During fetal life

25. What does progesterone do to body temp
Squamous cell carcinoma
Ectocervix
Induces and maintains lactation - decreases reproductive function
Increase

26. Endometriosis is characterized By what clinical picture?
Multiple sexual partners - also HIV and early sexual intercourse
Fibrosis
Estradiol and possible growth promoting effects of DHT
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

27. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Estradiol
SANS - hypogastric nerve
Squamo - columnar jxn
Mimics LH

28. What pathologic states cause increases in hCG
increased AFP and hCG
The ampulla - occurs within 1 day of ovulation
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Andogren binding protein - anti mullerian hormone

29. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Choriocarcinoma
Estradiol
Post menopausal bleeding

30. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Peyronie's dz
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Retrograde mentrual flow or ascending infection

31. most common testicular cancer in older men
Testicular lymphoma
Smoking - HTN - cocaine
S aureus
Just prior to ovulation

32. What are the treatments for PCOS
Low back pain with increased serum alk phos
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testis determining factor
The centrioles

33. What is a true hermaphrodite
Testosterone
Prior c section - multiparity
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
2nd week of proliferative phase

34. How does endometrial hyperplasia manifest clinically
Prostatic acid phosphatase and PSA
Decreasing progesterone
Meigs syndrome
Post menopausal bleeding

35. small follicles filled with eosinphilic secretions
Cervix
Call exner bodies
PANS - pelvic nerve
increased Ca in - smooth muscle contraction - vasocxn - antierectile

36. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Acute mastitis
Mimics LH
Uterus
DHT - testosterone - androstenedione

37. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Theca - leutin cysts
Superficial inguinal lymph nodes
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Yolk sace - endodermal sinus - tumor

38. What changes in the aorta are common in Turner's?
Diploid - 4N - 46 sister chromatids
Preductal coarctication
Myometrial invasion
Just prior to ovulation

39. What increases risk for endometrial carcinoma
Whorled pattern of smooth muscle bundles
Calcifications
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Low progesterone

40. What is the prognosis for seminoma
Estradiol
Mammary duct epithelium or lobular glands
Good - late metastasis
Left gonadal vein - left renal vein - IVC

41. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Severe bleeding iron def anemia - miscarriage
Prostatic acid phosphatase and PSA
Increase (and LH)

42. Uterin fundus to labia majora
Bowen's dz - carcinoma in situ of the penis
Suckling - increased oxytocin - prolactin
Round ligament of uterus
Testosterone

43. histo: simple columnar epithelium
Follicular phase varies - luteal phase is 14
Posterior lobe peripheral zone
Endocervix
Down regulation

44. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
HPV 16 - 18
Placenta previa
Fibrocystic disease

45. What is the most frequent benign ovarian tumor
Mature teratoma
Insulin resistance
HPV 16 - 18
5 alpha reductase def

46. Dermal lymphatic invasion by breast carcinoma - peu d orange
Congenital adrenal hyperplasia - exogenous administration of steroids
Puberty
Inflammatory
Theca - leutin cysts

47. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Spermatogonia (germ cells)
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Axillary node involvement
Intraductal papilloma

48. In what phase is meiosis I arrested
Slight increase - 1.5 to 2
Fibrcystic change - ductal cancer
Testosterone secreting tumor - exogenous steroids
Prophase

49. What is mortality due to in preeclampsia
Abruptio placentae
Cerebral hemorrhage and ARDS
Complete
Round ligament of the uterus

50. hyperplasia - not hypertrophy of the prostate gland
BPH
Invasive ductal
Testosterone
Spermatocele