Test your basic knowledge |

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. How does BPH present
Testosterone
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Preeclampsia + siezures
The anterior pituitary and hypothalamus

2. What are risk factors for placenta acreta
Mucinous cystadenocarcinoma
Metrorrhagia
Premature ovarian failure (Pof)
Prior c section - inflammation - placenta previa

3. Bent penis due to acquired fibrous tissue formation

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4. dx with increased testosterone and dec LH
Visceral - somatic nerves in pudendal
Paget's disease
Testosterone secreting tumor - exogenous steroids
Estrogen overstimulation

5. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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6. What is DHT responsible for in late development
PANS - pelvic nerve
Just prior to ovulation
increased size and tenderness with increased estrogen
Prostate growth - balding - and sebaceous gland activity

7. What are causes of female pseudoHerm
Congenital adrenal hyperplasia - exogenous administration of steroids
6
Fallopian tube
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

8. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Testosterone
Stimulates sertoli cells to produce ABP and inhibin
Mucinous cystadenocarcinoma

9. What is a complication of cryptorchidism and why does it occur
46 xx
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Squamous cell carcinoma
Hypogondadotropic hypogonadism

10. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Female pseudoHerm
Ovary
Decrease
5 alpha reductase def

11. What are the treatments for BPH
Dilation and curettage and methotrexate
Hyperestrogenism
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

12. What is the most common pathogen in acute mastitis
CIN 1 - 2 - 3
Klinefelter's - XXY
S aureus
Mature teratoma

13. histo: simple cuboidal epithelium
Peripheral conversion of androgens
Obdurator - exterinal iliac - hypogastic nodes
Metrorrhagia
Ovary

14. In what group are malignant breast tumors most commonly seen
Lateral invasion can block ureters causing renal failure
Post menopausal
Neoplastic cells block lymphatic drainage
Testicular lymphoma

15. What are common causes of hyperestrogenism

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16. What does the tail go onto to form
Dysuria - frequency - urgency - low back pain
Peripheral adipose tissue
The centrioles
Asia - Africa - S. America - HPV - lack of circumcision

17. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Theca cell - desmolase - androstenedione
Trophoblasts
Female pseudoHerm

18. What is the typical cell change in HPV infection
Low back pain with increased serum alk phos
Posterior lobe peripheral zone
Koilocytitic
46 xx

19. What are the 4 sources of progesterone
Upregulation - LH surge - ovulation
Corpus luteum - placenta - adrenal cortex - testes
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
BPH

20. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Placenta acreta
increased cGMP - smooth muscle relax - vasodltn - proerectile
DRE - hard nodule and biopsy
Post menopausal

21. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Inhibit FSH
Axillary node involvement
Female pseudoHerm
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

22. What is the best test to confirm menopause
Retrograde mentrual flow or ascending infection
Increased FSH
Meigs syndrome
Post menopausal

23. How many days after fertilization does implantation occur?
Paget cell
6
Tubular carcinoma
Testosterone

24. What does LH do
Haploid - 2N - 23 sister chromatids
Stimulates testosterone release from leydig cells
Testosterone
Round ligament of the uterus

25. What does estrogen to do prolaction
DRE - hard nodule and biopsy
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Stimulation of secretion - but blocks its action at the breast
Tight junctions between sertoli cells

26. common cause of recurrent miscarriage in 2nd trimester
Metrorrhagia
Suspensory ligament of ovaries
Bicornute uterus
Inhibition LH and FSH

27. Does a leiomyoma progress to leiosarcoma
Differentiation of penis - scrotum and prostate
Cervix
Hemorrhage
No

28. common cause of recurrent miscarriage in 1st trimester
Maintenance
Hydatidiform mole
increased AFP and hCG
Chromosomal abnormalities

29. Where does fertilization most commonly occur?
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
The ampulla - occurs within 1 day of ovulation
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
During fetal life

30. dx with decreased testosterone - increased LH
Esophogeal/duodenal atresia - can't swallow - anencephaly
Multiple sexual partners - also HIV and early sexual intercourse
Prophase
Primary hypogonadism

31. Endometriosis is characterized By what clinical picture?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Severe bleeding iron def anemia - miscarriage
increased size and tenderness with increased estrogen
DRE - hard nodule and biopsy

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

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33. Where is testosterone secreted into?
E coli
Androgen insensitivity syndrome
The semiT and the blood vessels
One of the centrioles

34. premature detachment of placenta from implantation site leading to fetal death
Hemolysis - elevated liver enzymes - low platelets
Abruptio placentae
Bowen's dz - carcinoma in situ of the penis
Theca - leutin cysts

35. common cause of recurrent miscarriage in the 1st week
Comedocarcinoma
During fetal life
Low progesterone
Preeclampsia clinical

36. What is the genetic material in the ovum
Cerebral hemorrhage and ARDS
Endometriosis
Testosterone
Haploid - N - 23 single chromatids

37. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Preeclampsia clinical
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Multiple sexual partners - also HIV and early sexual intercourse
Suckling - increased oxytocin - prolactin

38. Which cells secrete beta hCG
Premature ovarian failure (Pof)
Trophoblasts
Fibromas
Hypogondadotropic hypogonadism

39. What is the order of events in the menstrual cycle
Follicular cyst
Complete
Kallman
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

40. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Fibroadenoma
Follicular cyst
Increase in size in pregs - decrease in size meno - estrogen sens

41. HTN - proteinuria and edema
Preeclampsia
Ovary
Polymenorrhea
1 week - 2 weeks

42. When does spermatogenesis begin?
Puberty
E coli
Para - aortic lymph nodes
Partial

43. What is the treatment for preeclampsia
Abacterial
Defective androgen receptor
Proliferation
Delivery of fetus

44. multilocular cyst lined by mucus secreting epi - benign - intestine like
Mucinous cystadenoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Preeclampsia clinical
Small infiltrating glands with prominent nucleoli

45. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Inhibit cGMP breakdown
Endometrial > ovarian> cervical (in US)
Aortic bicuspid valve
Granulosa cell - aromatase - androstenedione - estrogen

46. What bacteria is commone in acute prostatitis
Menometrorrhagia
Granulosa cell tumor
E coli
Sertoli cell tumor

47. What percentage of testicular tumors are germ cell
Milk letdown - uterine contractions?
Medullary
95%
The anterior pituitary and hypothalamus

48. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Prior c section - inflammation - placenta previa
Delivery of fetus
Bowenoid papulosis - carcinoma in situ of the penis
Oligomenorrhea

49. What is the average age of onset for menopause
Follicular phase varies - luteal phase is 14
DIC
Smoking - HTN - cocaine
51 yo

50. >1.5 -2 L of amniotic fluid
Just prior to ovulation
Whorled pattern of smooth muscle bundles
Chocolate cyst
Polyhydramnios