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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.
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 is the source of estrogen after menopause
Peripheral conversion of androgens
Dilation and curettage and methotrexate
Ectocervix
Granulosa cell - aromatase - androstenedione - estrogen

2. Increases in which hormone are associated with BPH
Estradiol and possible growth promoting effects of DHT
Down regulation
Oligohydramnios
Vagina

3. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Just prior to ovulation
Choriocarcinoma
Bowen's dz - carcinoma in situ of the penis
HPV 16 - 18

4. triad of ovarian fibroma - ascites - hydrothorax
Superficial inguinal lymph nodes
Obdurator - exterinal iliac - hypogastic nodes
Meigs syndrome
Leydig cell tumor

5. How many days after fertilization does implantation occur?
Primary hypogonadism
6
Peripheral adipose tissue
Endometriosis

6. Connects cervix to side wall of pelvis - contains uterine vessels
DES in utero (DES is a sythetic estrogen)
Fat necrosis
Partial
Cardinal ligament

7. What serum markers are associated with embyronal carcinoma
Whorled pattern of smooth muscle bundles
Granulosa cell tumor
increased AFP and hCG
55-65

8. hyperplasia - not hypertrophy of the prostate gland
BPH
Decrease
Choriocarcinoma
Post menopausal

9. Which gynecologic tumors have the worst prognosis?
Tunica vaginalis lesions
Ovarian > cervical > endometrial
Testosterone
Metrorrhagia

10. dx with increased testosterone and dec LH
Myometrial tumors
50 times
One of the centrioles
Testosterone secreting tumor - exogenous steroids

11. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
Endocervix
Estradiol
Estrogen overstimulation

12. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Osteoblastic in bone
Paget's disease
Left

13. common cause of recurrent miscarriage in 2nd trimester
Testosterone
46 xx
Bicornute uterus
Posterior lobe peripheral zone

14. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Increased FSH
Ligament of the ovary
Sertoli cells - and adipose tissue via aromatase

15. What effect does NE have on smoothe muscle in the erectile tissues
Tubular carcinoma
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Erythroplasia of Queyrat - carcinoma in situ of penis
Sclerosing adenosis

16. What is the flaggelum derived from
Fibroadenoma
Bowen's dz - carcinoma in situ of the penis
One of the centrioles
S aureus

17. What is the venous drainage of the left ovary/testis?
Testosterone
Diploid - 4N - 46 sister chromatids
Left gonadal vein - left renal vein - IVC
Testosterone

18. What is the risk for carcinoma among patients with intraductal papilloma
Cardinal ligament
Testosterone secreting tumor - exogenous steroids
Testicular lymphoma
Slight increase - 1.5 to 2

19. Complication of retained placental tissue
Mimics LH
Cerebral hemorrhage and ARDS
Vagina
Hemorrhage

20. What are the treatments for PCOS
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Hydatidiform mole
Mammary duct epithelium or lobular glands

21. In What age group are ovarian germ cell tumors most common
Menopause
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Adolescents
Immature

22. What is the best test to confirm menopause
Cervix
Increased FSH
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Embryonal carcinoma

23. Overexpression of which receptors is common iwht malignant breast tumors
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Hemorrhage
Haploid - 2N - 23 sister chromatids
Teratoma

24. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Invasive ductal
Yolk sac - endodermal sinus - tumor
Neoplastic cells block lymphatic drainage
Haploid - 2N - 23 sister chromatids

25. What does progesterone do to smooth muscle in the uterus
Granulosa cell - aromatase - androstenedione - estrogen
Relaxation
Inhibition LH and FSH
Female pseudoHerm

26. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
4
Blacks
Metaphase
Granulosa cell - aromatase - androstenedione - estrogen

27. Some drugs cause awesome knockers
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Epithelial hyperplasia
Syncytiotrophoblasts of placenta
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

28. Complications of BPH
Induces and maintains lactation - decreases reproductive function
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Primary hypogonadism
Prophase

29. Which system and nerve are responsible for emission
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Left
SANS - hypogastric nerve
Hemolysis - elevated liver enzymes - low platelets

30. What converts testosterone to DHT
Cerebral hemorrhage and ARDS
Adenomyosis
Testicular lymphoma
5 alpha reductase - inhibited by finesteride

31. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Varicocele
The ampulla - occurs within 1 day of ovulation
Placenta previa

32. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Obdurator - exterinal iliac - hypogastic nodes
Klinefelter's - XXY
Hemolysis - elevated liver enzymes - low platelets
Estradiol

33. How many functional sperm does 1 germ cell creat?
Mucinous cystadenoma
4
Upregulation - LH surge - ovulation
Neoplastic cells block lymphatic drainage

34. What are the four functions of estrogen
Relaxation
IV mag sulfate - diazepam
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Mature teratoma

35. What are the most common cause of anovluation

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36. bundles of spindle shaped fibroblasts - pulling sensation in the groin
Cervix
Estrogen overstimulation
Malignant in males not in females
Fibromas

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

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38. What does the SRY gene do
Endometrial > ovarian> cervical (in US)
Testis determining factor
Varicocele
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

39. what usually causes endometrial hyperplasia
Estrogen overstimulation
Post menopausal bleeding
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Stimulation of secretion - but blocks its action at the breast

40. What is the most common pathogen in acute mastitis
S aureus
Uterus
Oligomenorrhea
Mammary duct epithelium or lobular glands

41. When does endometiral carcinoma usually occur
Feedback inhibition
Inflammatory
Severe bleeding iron def anemia - miscarriage
55-65

42. testes present with non male external genitals
Male pseudoHerm
Hydatidiform mole
Metaphase
Inhibition of HCG access

43. What causes preeclampsia
Ectocervix
Increase
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Hyperestrogenism

44. What increases risk for endometrial carcinoma
CIN 1 - 2 - 3
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
1000 times
Myometrial invasion

45. HTN - proteinuria and edema
Intraductal papilloma - breast abscess - mastitis
5 alpha reductase def
Preeclampsia
1 week - 2 weeks

46. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Male pseudoHerm
Call exner bodies
Develop both male and female internal genitalia and male external genitalia
Sclerosing adenosis

47. What is the single most important prognostic factor for malignant breast tumors
Axillary node involvement
Preeclampsia
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Hemorrhage

48. When is follicular growth the fastest?
Round ligament of the uterus
Myometrial invasion
2nd week of proliferative phase
Calcifications

49. gynecological tumors from highest incidence to lowest
Endometrial > ovarian> cervical (in US)
Testosterone
CIN 1 - 2 - 3
Polyhydramnios

50. What becomes the main source of hCG
Granulosa cell - aromatase - androstenedione - estrogen
Peripheral adipose tissue
Posterior lobe peripheral zone
Syncytiotrophoblasts of placenta