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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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1. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Right gonadal vein - IVC
Obdurator - exterinal iliac - hypogastic nodes
Follicular cyst
Uterus

2. What changes in the aorta are common in Turner's?
Preductal coarctication
Placenta previa
DRE - hard nodule and biopsy
SANS - hypogastric nerve

3. What does estrogen do to estrogen - LH and progesterone recepotrs
Fallopian tube
Upregulation
Spermatocele
Tunica vaginalis lesions

4. in males - are mature teratomas malignant? What is the case for females
Prementsrual breast pain and multiple lesions
Menopause
Malignant in males not in females
2nd week of proliferative phase

5. Breast path - disease that occurs at the nipple

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6. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
Endometrial carcinoma
Primary hypogonadism
Paget's disease - breast abscess

7. What does progesterone do to body temp
Uterus
Increase
Haploid - N - 23 single chromatids
Suckling - increased oxytocin - prolactin

8. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Choriocarcinoma
Fibroadenoma - phyllodes tumor
Mucinous cystadenocarcinoma
Chocolate cyst

9. When is follicular growth the fastest?
Left gonadal vein - left renal vein - IVC
Induces and maintains lactation - decreases reproductive function
2nd week of proliferative phase
During fetal life

10. multilocular cyst lined by mucus secreting epi - benign - intestine like
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Mucinous cystadenoma
Erythroplasia of Queyrat - carcinoma in situ of penis
Increase (and LH)

11. 50% of ovarian tumors - malignant and frequently bilateral
Serous cystadenocarcinoma
Immature
Metaphase
Fibrosis

12. How many days after fertilization does implantation occur?
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
6
Mittelschmerz syndrome
Testosterone

13. What are the pathologic features of leiosarcoma
Testosterone - DHT - androstenedione
Preeclampsia + siezures
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Lateral invasion can block ureters causing renal failure

14. dx with increased testosterone and dec LH
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Abruptio placentae
Testosterone secreting tumor - exogenous steroids
Differentiation of penis - scrotum and prostate

15. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
PANS - pelvic nerve
Epithelial hyperplasia
2nd week of proliferative phase

16. What is hydatidiform mole and precurosor of...
Asia - Africa - S. America - HPV - lack of circumcision
Inhibition LH and FSH
Menopause
Choriocarcinoma

17. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
Varicocele
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

18. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Squamo - columnar jxn
Choriocarcinoma
Cardinal ligament
Paget's disease

19. What is the genetic material in the ovum
Stimulation of secretion - but blocks its action at the breast
Haploid - N - 23 single chromatids
Prophase
Para - aortic lymph nodes

20. histo: stratified sqamous epithelium
Insulin resistance
Intraductal papilloma
Ectocervix
55-65

21. What increase in estriol is an indicator offetal well being in pregnancy
Endometriosis
1000 times
Sertoli cell tumor
Prematurity

22. What do sildenafil and vardenafil do?
Follicular cyst
Inhibit cGMP breakdown
Pseudohermaphroditism
69 xxy

23. eclampsia
Trophoblasts
Preeclampsia + siezures
Smooth muscle
Production of a thick cervical mucus

24. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Andogren binding protein - anti mullerian hormone
Inhibition LH and FSH
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
DCIS

25. What does inhibin do?
Peyronie's dz
Inhibit FSH
Testosterone
2 months

26. Which system and nerve allow for erection in the male?
Seminoma
Estradiol and possible growth promoting effects of DHT
Increase
PANS - pelvic nerve

27. What is the serum marker for BPH
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
PSA
Prostate growth - balding - and sebaceous gland activity

28. what usually causes endometrial hyperplasia
Estrogen overstimulation
Follicular phase varies - luteal phase is 14
Blacks
Stimulate glandular secretions - and spiral artery development

29. What does progesterone do for pregnancy
Maintenance
Hyperestrogenism
Hypogondadotropic hypogonadism
Choriocarcinoma

30. Connects ovary to lateral uterus
Ligament of the ovary
Endometrial > ovarian> cervical (in US)
Ectopic preg
The anterior pituitary and hypothalamus

31. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
DCIS
Androgen insensitivity syndrome
Superficial inguinal lymph nodes

32. How is dyslpasi and carcinoma in situ of the cervix classified
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Feedback inhibition
Preeclampsia clinical
CIN 1 - 2 - 3

33. What bacteria is commone in acute prostatitis
Paget cell
E coli
Paget's disease - breast abscess
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

34. What is the karyotype of a complete mole
Phyllodes tumor
Visceral - somatic nerves in pudendal
46 xx
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

35. What is the clinical manifestation of PCOS
Corpus luteum cyst
Just prior to ovulation
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Prementsrual breast pain and multiple lesions

36. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Hyperestrogenism
Sertoli cells - and adipose tissue via aromatase
IV mag sulfate - diazepam

37. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
increased in total - and dec in free fraction
69 xxy
Hemolysis - elevated liver enzymes - low platelets
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

38. What estrogen does the ovary secrete
Intraductal papilloma
Cystic
Cerebral hemorrhage and ARDS
17beta estradiol

39. Which gynecologic tumors have the worst prognosis?
Increase (and LH)
Lateral invasion can block ureters causing renal failure
Peripheral conversion of androgens
Ovarian > cervical > endometrial

40. List the estrogens in order of decreasing potency
Seminoma
Hyperthyroidism - contains functional thyroid tissue
Milk letdown - uterine contractions?
Estradiol > estrone > estriol

41. What does progesterone do to gonadotropins
Inhibition LH and FSH
5 alpha reductase def
Prior c section - multiparity
Increased FSH

42. What is the presentation of prostatitis
Abacterial
Premature ovarian failure (Pof)
Endometrial carcinoma
Dysuria - frequency - urgency - low back pain

43. What are causes of female pseudoHerm
Congenital adrenal hyperplasia - exogenous administration of steroids
CIN 1 - 2 - 3
Good - late metastasis
PANS - pelvic nerve

44. Is fertility compromised in double Y males?
Estradiol
DES in utero (DES is a sythetic estrogen)
No
Right gonadal vein - IVC

45. What is mortality due to in preeclampsia
Posterior lobe peripheral zone
Polymenorrhea
Cerebral hemorrhage and ARDS
Acute mastitis

46. Large bulky breast mass of connective tissue and cysts with leaf like projections
Erythroplasia of Queyrat - carcinoma in situ of penis
Golgi
Krukenburg tumor
Phyllodes tumor

47. What is a potential complication of endometrial hyperplasia
DES in utero (DES is a sythetic estrogen)
Peripheral adipose tissue
Endometrial carcinoma
Endocervix

48. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Theca - leutin cysts
Yolk sac - endodermal sinus - tumor
6

49. increased AFP - schiller duvel bodies - yellow mucinous
Blacks
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Yolk sac - endodermal sinus - tumor
95%

50. most common testicular cancer in older men
Alpha1 antagonists - terazosin - tamsulosin - finasteride
In the 6th decade of life
Peripheral conversion of androgens
Testicular lymphoma

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First Aid: Reproductive

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