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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. What hematologic condition is associated with abruptio placentae
Sertoli cells
DIC
Sclerosing adenosis
Testosterone

2. Complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
1 week - 2 weeks
Upregulation
Broad ligament

3. What is a complication of invasive carcinoma
Decreasing progesterone
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Endometrial carcinoma
Lateral invasion can block ureters causing renal failure

4. When does the secondary oocyte complete meosis II

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5. > 35 day cycle
Oligomenorrhea
In the 6th decade of life
S aureus
51 yo

6. Short stature - ovarian dysgenesis - shield chest - no barr body - webbing of the neck

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7. Which system and nerve are responsible for emission
Estradiol
Serous cystadenoma
Left gonadal vein - left renal vein - IVC
SANS - hypogastric nerve

8. What estrogen does the ovary secrete
17beta estradiol
Inhibit FSH
Left gonadal vein - left renal vein - IVC
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

9. What increases risk for endometrial carcinoma
CIN 1 - 2 - 3
Cystic
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
5 alpha reductase - inhibited by finesteride

10. Arrange the androgens in order of most potent to least potent
Paget's disease
Bowen's dz - carcinoma in situ of the penis
DHT - testosterone - androstenedione
No

11. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Inflammatory
Decrease
Fibrocystic disease

12. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
No
PCOS
Obdurator - exterinal iliac - hypogastic nodes

13. gynecological tumors from highest incidence to lowest
Endometrial > ovarian> cervical (in US)
Sertoli cells - and adipose tissue via aromatase
Superficial inguinal lymph nodes
Testicular lymphoma

14. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Oligomenorrhea
Yolk sace - endodermal sinus - tumor
increased AFP and hCG
Upregulation - LH surge - ovulation

15. what structures supplies the energy to the middle piece (neck)
Mitochondria
Alpha1 antagonists - terazosin - tamsulosin - finasteride
5 alpha reductase - inhibited by finesteride
Estradiol and possible growth promoting effects of DHT

16. How does BPH present
Androgen insensitivity syndrome
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Cerebral hemorrhage and ARDS
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

17. Does a leiomyoma progress to leiosarcoma
Complete
Hydrocele
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
No

18. disagreement between the phenotypic and gonadal sex
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Production of a thick cervical mucus
Pseudohermaphroditism
Stimulates testosterone release from leydig cells

19. What happens to a leiomyoma in pregs and menopause and why
IV mag sulfate - diazepam
Invasive ductal
Increase in size in pregs - decrease in size meno - estrogen sens
Lobular carcinoma - sclerosing adenosis

20. marked increased hCG - complete or partial
1 week - 2 weeks
Fat necrosis
Decrease
Complete

21. <0.5 L of amniotic fluid
Klinefelter's - XXY
S aureus
Oligohydramnios
Prostate growth - balding - and sebaceous gland activity

22. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
One of the centrioles
Leydig cell tumor
Adolescents
Choriocarcinoma

23. What is DHT responsible for in late development
Complete
Golgi
Uterus
Prostate growth - balding - and sebaceous gland activity

24. When are phyllodes tumors most common
In the 6th decade of life
Retrograde mentrual flow or ascending infection
Inhibit cGMP breakdown
Decrease

25. List the estrogens in order of decreasing potency
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Left gonadal vein - left renal vein - IVC
Estradiol > estrone > estriol
Yolk sac - endodermal sinus - tumor

26. increased fluid secondary to incomplete fustion with processus vaginalis
Posterior lobe peripheral zone
Vagina
Hydrocele
Tubular carcinoma

27. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Comedocarcinoma
Intraductal papilloma
50 times
Pseudohermaphroditism

28. How does progesterone inhibit sperm entry to uterus
Oligomenorrhea
Corpus luteum - placenta - adrenal cortex - testes
Calcifications
Production of a thick cervical mucus

29. What increase in estriol is an indicator offetal well being in pregnancy
Immature
Lobular carcinoma - sclerosing adenosis
Axillary node involvement
1000 times

30. histo: simple cuboidal epithelium
Suckling - increased oxytocin - prolactin
Right gonadal vein - IVC
Complete
Ovary

31. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Follicular phase varies - luteal phase is 14
Stimulation of secretion - but blocks its action at the breast
Visceral - somatic nerves in pudendal
Smooth muscle

32. What is the right venous drainage of the ovary/testis
Female pseudoHerm
Right gonadal vein - IVC
Placenta previa
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

33. Where does fertilization most commonly occur?
Yolk sac - endodermal sinus - tumor
Ovarian > cervical > endometrial
Myometrial invasion
The ampulla - occurs within 1 day of ovulation

34. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
The ampulla - occurs within 1 day of ovulation
Malignant in males not in females
Fibroadenoma

35. HTN - proteinuria and edema
Abruptio placentae
Round ligament of the uterus
Golgi
Preeclampsia

36. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Mature teratoma
Stimulation of secretion - but blocks its action at the breast
Theca - leutin cysts
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

37. What is the presentation of fibrocystic dz
Myometrial tumors
Prementsrual breast pain and multiple lesions
Down regulation
Broad ligament

38. Which cells line the seminiferous tubules and secrete inhibin
Endometrial carcinoma
Posterior lobe peripheral zone
Sertoli cells
Proliferation

39. What is a complication of cryptorchidism and why does it occur
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Upregulation
Placenta previa
Andogren binding protein - anti mullerian hormone

40. How does endometrial hyperplasia manifest clinically
Decreasing progesterone
Post menopausal bleeding
Myometrial invasion
Serous cystadenocarcinoma

41. Which teratoma - mature or immature - is aggresively malignant
Immature
Choriocarcinoma
Milk letdown - uterine contractions?
HPV 16 - 18

42. small - mobile - firm breast mass with sharp edges - most common in <25
Obdurator - exterinal iliac - hypogastic nodes
Fibroadenoma
Testosterone
Menopause

43. Large bulky breast mass of connective tissue and cysts with leaf like projections
Phyllodes tumor
Induces and maintains lactation - decreases reproductive function
Erythroplasia of Queyrat - carcinoma in situ of penis
Calcifications

44. Which system and nerve allow for erection in the male?
Female pseudoHerm
Ligament of the ovary
PANS - pelvic nerve
Preeclampsia + siezures

45. How many days after fertilization does implantation occur?
17beta estradiol
6
51 yo
Round ligament of the uterus

46. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Testicular lymphoma
Yolk sace - endodermal sinus - tumor
Kallman
Krukenburg tumor

47. What are predisposing factors for placenta previa
Androgen insensitivity syndrome
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Paget's disease
Prior c section - multiparity

48. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Ectopic preg
50 times
Vagina
Slight increase - 1.5 to 2

49. In what phase is meiosis II arrested
Stimulation of secretion - but blocks its action at the breast
No
Aortic bicuspid valve
Metaphase

50. What do sildenafil and vardenafil do?
Inhibit cGMP breakdown
PSA
Granulosa cell tumor
Prior c section - inflammation - placenta previa