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First Aid: Reproductive

Subjects : health-sciences, first-aid

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Answer 50 questions in 15 minutes.
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Match each statement with the correct term.
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1. Red velvety plaques - usually involving the glans - similar to Bowen's
Chromosomal abnormalities
20 to 40
Erythroplasia of Queyrat - carcinoma in situ of penis
Andogren binding protein - anti mullerian hormone

2. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Cystic
Bowenoid papulosis - carcinoma in situ of the penis
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

3. How does endometriosis cause infertility
Prematurity
Paget's disease
The anterior pituitary and hypothalamus
Retrograde mentrual flow or ascending infection

4. What changes in the aorta are common in Turner's?
Premature ovarian failure (Pof)
Prementsrual breast pain and multiple lesions
Preductal coarctication
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

5. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Polyhydramnios
increased size and tenderness with increased estrogen
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Ectopic preg

6. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Adrenal gland
Decreasing progesterone
Suspensory ligament of ovaries

7. when do primary oocytes complete meiosis I
51 yo
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Just prior to ovulation
Fibrcystic change - ductal cancer

8. 2 sperm + 1 egg
Induces and maintains lactation - decreases reproductive function
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Partial
Testosterone

9. Breast path - diseases of the major duct
Upregulation
Fibrcystic change - ductal cancer
Oligomenorrhea
Neoplastic cells block lymphatic drainage

10. What virus is dyslapsia and carcinoma in situ of the cervix associated with
5 alpha reductase def
HPV 16 - 18
Stimulates testosterone release from leydig cells
Fibrocystic disease

11. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Estradiol and possible growth promoting effects of DHT
Dilation and curettage and methotrexate
Follicular phase varies - luteal phase is 14
Diploid - 4N - 46 sister chromatids

12. How does BPH present
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Metaphase
GnRH from hypoTh - LH and FSH from ant pituitary
Upregulation

13. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
17beta estradiol
Inhibit FSH
DRE - hard nodule and biopsy
Embryonal carcinoma

14. Connects cervix to side wall of pelvis - contains uterine vessels
Mitochondria
Adolescents
Cardinal ligament
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

15. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
No
6
Osteoblastic in bone

16. What sequelae are associated with leiomyoma
Broad ligament
Severe bleeding iron def anemia - miscarriage
Theca - leutin cysts
Corpus luteum - placenta - adrenal cortex - testes

17. is fibroadenoma a precursor to breast cancer
No
Paget's disease - breast abscess
Aortic bicuspid valve
Prostatic acid phosphatase and PSA

18. What does FSH do
Stimulates sertoli cells to produce ABP and inhibin
Paget's disease
Granulosa cell - aromatase - androstenedione - estrogen
50 times

19. Endometriosis is characterized By what clinical picture?
Premature ovarian failure (Pof)
Testosterone secreting tumor - exogenous steroids
Kallman
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

20. in postmenopausal women Where is androstenedione converted to estrone
Low progesterone
Peripheral adipose tissue
Relaxation
Hemorrhage

21. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Spermatogonia (germ cells)
17beta estradiol
DHT - testosterone - androstenedione
Chocolate cyst

22. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Trophoblasts
Blacks
Serous cystadenoma

23. What does the histo show for prostate cancer
Choriocarcinoma
Prophase
PANS - pelvic nerve
Small infiltrating glands with prominent nucleoli

24. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Upregulation - LH surge - ovulation
CIN 1 - 2 - 3
Mature teratoma

25. In chronic prostatitis is bacterial or abacterial more common
Abacterial
17beta estradiol
Polyhydramnios
Erythroplasia of Queyrat - carcinoma in situ of penis

26. What structures does testosterone negatively feedback on?
Spermatocele
Neoplastic cells block lymphatic drainage
The anterior pituitary and hypothalamus
Testosterone

27. marked increased hCG - complete or partial
Complete
DIC
Puberty
Syncytiotrophoblasts of placenta

28. What is the single most important prognostic factor for malignant breast tumors
Fertilization 'an egg met a sperm'
Axillary node involvement
Follicular cyst
Small infiltrating glands with prominent nucleoli

29. Which gynecologic tumors have the worst prognosis?
Dilation and curettage and methotrexate
Myometrial invasion
Left gonadal vein - left renal vein - IVC
Ovarian > cervical > endometrial

30. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
Develop both male and female internal genitalia and male external genitalia
Post menopausal bleeding
S aureus

31. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Sclerosing adenosis
Fibroadenoma
Down regulation

32. What changes are seen with total PSA and fraction of free PSA
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Left
Feedback inhibition
increased in total - and dec in free fraction

33. How is beta hCG detectable in blood or urine for a home pregnancy test
Serous cystadenocarcinoma
1 week - 2 weeks
20 to 40
Dysgerminoma

34. testicular masses that can be transilluminated
SANS - hypogastric nerve
Tunica vaginalis lesions
Mittelschmerz syndrome
Low back pain with increased serum alk phos

35. When does the secondary oocyte complete meosis II

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36. most common testicular cancer in older men
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Testicular lymphoma
The anterior pituitary and hypothalamus
Stimulate glandular secretions - and spiral artery development

37. What is the expected increase of estradiol and estrone in pregnancy
Inhibit cGMP breakdown
increased in total - and dec in free fraction
50 times
In the 6th decade of life

38. What hematologic condition is associated with abruptio placentae
DIC
Yolk sace - endodermal sinus - tumor
Dilation and curettage and methotrexate
Uterus

39. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Multiple sexual partners - also HIV and early sexual intercourse
Upregulation
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Good - late metastasis

40. Which side is varicocele more common on...
Chocolate cyst
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Mucinous cystadenocarcinoma
Left

41. hemorrhage into persistent corpus luteum
Slight increase - 1.5 to 2
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Corpus luteum cyst
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

42. multilocular cyst lined by mucus secreting epi - benign - intestine like
Syncytiotrophoblasts of placenta
Mucinous cystadenoma
increased size and tenderness with increased estrogen
Whorled pattern of smooth muscle bundles

43. What can happen with no sertoli cell or lack of anti mullerian hormone
Bicornute uterus
Leydig cell tumor
Develop both male and female internal genitalia and male external genitalia
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

44. when do primary oocytes begin meiosis I
Polyhydramnios
Mitochondria
Turner's XO
During fetal life

45. What are the risk factors for endometrial hyperplasia
Malignant in males not in females
Fertilization 'an egg met a sperm'
Peyronie's dz
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

46. histo: stratified sqamous epithelium
Retrograde mentrual flow or ascending infection
Ectocervix
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Preeclampsia + siezures

47. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Inhibition LH and FSH
Yolk sace - endodermal sinus - tumor
Dysgerminoma
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

48. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Estradiol and possible growth promoting effects of DHT
Maintenance
Granulosa cell tumor
Periurethral lobes - lateral and middle

49. testes present with non male external genitals
Endometriosis
No
Prior c section - inflammation - placenta previa
Male pseudoHerm

50. What is hydatidiform mole and precurosor of...
Cardinal ligament
Vagina
Choriocarcinoma
Multiple sexual partners - also HIV and early sexual intercourse

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First Aid: Reproductive

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