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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.
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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 most common form of male pseudoHerm
Fibromas
Androgen insensitivity syndrome
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
increased size and tenderness with increased estrogen

2. Breast path - diseases of the stroma
Visceral - somatic nerves in pudendal
Fibroadenoma - phyllodes tumor
CIN 1 - 2 - 3
DES in utero (DES is a sythetic estrogen)

3. marked increased hCG - complete or partial
Stimulates testosterone release from leydig cells
Complete
Left gonadal vein - left renal vein - IVC
Preeclampsia

4. increased AFP - schiller duvel bodies - yellow mucinous
Invasive ductal
Fibrosis
Yolk sac - endodermal sinus - tumor
Myometrial invasion

5. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Calcifications
Ovary
BPH

6. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Spermatogonia (germ cells)
S aureus
Dysgerminoma
Premature ovarian failure (Pof)

7. 50% of ovarian tumors - malignant and frequently bilateral
Mimics LH
Serous cystadenocarcinoma
Testosterone
Severe bleeding iron def anemia - miscarriage

8. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Fat necrosis
Low progesterone
Phyllodes tumor

9. Which teratoma - mature or immature - is aggresively malignant
Invasive lobular
Hydrocele
Hypogondadotropic hypogonadism
Immature

10. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Ligament of the ovary
Stimulation of secretion - but blocks its action at the breast
Cystic
Cerebral hemorrhage and ARDS

11. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Preeclampsia clinical
Mature teratoma
Hyperestrogenism

12. What does progesterone do to estrogen receptors
In the 6th decade of life
Stimulation of secretion - but blocks its action at the breast
Down regulation
DIC

13. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Decrease
Mucinous cystadenocarcinoma
Complete
Relaxation

14. What hematologic condition is associated with abruptio placentae
DHT - testosterone - androstenedione
Prematurity
Hypogondadotropic hypogonadism
DIC

15. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Asia - Africa - S. America - HPV - lack of circumcision
46 xx
Prophase
Multiple sexual partners - also HIV and early sexual intercourse

16. Connects cervix to side wall of pelvis - contains uterine vessels
Adrenal gland
Oligomenorrhea
Placenta previa
Cardinal ligament

17. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Prementsrual breast pain and multiple lesions
Squamo - columnar jxn
Esophogeal/duodenal atresia - can't swallow - anencephaly
Delivery of fetus

18. What is the average age of onset for menopause
Prementsrual breast pain and multiple lesions
Stimulate glandular secretions - and spiral artery development
Choriocarcinoma
51 yo

19. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Increase (and LH)
HPV 16 - 18
Neoplastic cells block lymphatic drainage
Adenomyosis

20. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Prementsrual breast pain and multiple lesions
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Krukenburg tumor
increased risk for carcinoma

21. premature detachment of placenta from implantation site leading to fetal death
Uterus
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Prophase
Abruptio placentae

22. Which cells line the seminiferous tubules and secrete inhibin
Down regulation
Testosterone
Sertoli cells
Dilation and curettage and methotrexate

23. When does spermatogenesis begin?
Spermatocele
Endometrial > ovarian> cervical (in US)
Hemorrhage
Puberty

24. 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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25. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
HPV 16 - 18
Follicular cyst
Blacks
Whorled pattern of smooth muscle bundles

26. What does SEVEN Up stand for in regards to the pathway of sperm
Upregulation
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Peripheral adipose tissue
Feedback inhibition

27. When is follicular growth the fastest?
Induces and maintains lactation - decreases reproductive function
2nd week of proliferative phase
Hyperestrogenism
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

28. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Increase in size in pregs - decrease in size meno - estrogen sens
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Immature
In the 6th decade of life

29. Which androgens are responsible for the growth spurt of the penis - seminal vesicles - sperm - muscle - RBCs
Mitochondria
Haploid - N - 23 single chromatids
Fibromas
Testosterone

30. List the estrogens in order of decreasing potency
Acute mastitis
Estradiol > estrone > estriol
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Stimulate glandular secretions - and spiral artery development

31. Breast path - diseases of the terminal duct
Differentiation of penis - scrotum and prostate
Tubular carcinoma
Defective androgen receptor
Whorled pattern of smooth muscle bundles

32. is fibroadenoma a precursor to breast cancer
Testosterone
4
Dysuria - frequency - urgency - low back pain
No

33. What does progesterone do to gonadotropins
Premature ovarian failure (Pof)
Lobular carcinoma - sclerosing adenosis
Inhibition LH and FSH
Theca - leutin cysts

34. How many days after fertilization does implantation occur?
increased AFP and hCG
Squamous cell carcinoma
Cerebral hemorrhage and ARDS
6

35. Atypical cells in epithelial hyperplasia
increased risk for carcinoma
Abruptio placentae
Metrorrhagia
CIN 1 - 2 - 3

36. endometrium within the myometrium
Adenomyosis
Post menopausal
Premature ovarian failure (Pof)
Suckling - increased oxytocin - prolactin

37. What does HHAVOC stand for in menopause
Congenital adrenal hyperplasia - exogenous administration of steroids
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Inflammatory
Just prior to ovulation

38. What is the main source of energy for spermatozoa
Fructose
Ligament of the ovary
Hydatidiform mole
Bowenoid papulosis - carcinoma in situ of the penis

39. Is fertility compromised in double Y males?
PANS - pelvic nerve
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
No
Chromosomal abnormalities

40. What is the order of events in the menstrual cycle
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Lateral invasion can block ureters causing renal failure
SANS - hypogastric nerve
Partial

41. Which nerve and nerve fibers control for ejaculation
Testosterone
Visceral - somatic nerves in pudendal
Prematurity
Diploid - 4N - 46 sister chromatids

42. common cause of recurrent miscarriage in 2nd trimester
Erythroplasia of Queyrat - carcinoma in situ of penis
Bicornute uterus
Preeclampsia clinical
Epithelial hyperplasia

43. Which cells secrete beta hCG
Choriocarcinoma
Hypogondadotropic hypogonadism
Female pseudoHerm
Trophoblasts

44. What are the functions of oxytocin - maybe
HPV 16 - 18
Milk letdown - uterine contractions?
Endometrial carcinoma
Left gonadal vein - left renal vein - IVC

45. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Chocolate cyst
Partial
Testosterone

46. How many functional sperm does 1 germ cell creat?
Induces and maintains lactation - decreases reproductive function
4
GnRH from hypoTh - LH and FSH from ant pituitary
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

47. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Fertilization 'an egg met a sperm'
Prior c section - inflammation - placenta previa
Prostatic acid phosphatase and PSA
Upregulation - LH surge - ovulation

48. Where does fertilization most commonly occur?
Andogren binding protein - anti mullerian hormone
Androgen insensitivity syndrome - 46 XY
Peripheral adipose tissue
The ampulla - occurs within 1 day of ovulation

49. small - mobile - firm breast mass with sharp edges - most common in <25
Phyllodes tumor
Mucinous cystadenocarcinoma
Fibroadenoma
Serous cystadenoma

50. >1.5 -2 L of amniotic fluid
Prostate growth - balding - and sebaceous gland activity
Polyhydramnios
Teratoma
Neoplastic cells block lymphatic drainage