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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. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Suckling - increased oxytocin - prolactin
PCOS
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testosterone

2. What substances other than inhibin do sertoli cells produce?
Krukenburg tumor
95%
Andogren binding protein - anti mullerian hormone
Defective androgen receptor

3. What is the genetic material in the ovum
Fibrcystic change - ductal cancer
Haploid - N - 23 single chromatids
Testosterone
Phyllodes tumor

4. What are the treatments for PCOS
Fibrocystic disease
increased in total - and dec in free fraction
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Serous cystadenoma

5. increased fluid secondary to incomplete fustion with processus vaginalis
Multiple sexual partners - also HIV and early sexual intercourse
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Hydrocele
Metrorrhagia

6. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Superficial inguinal lymph nodes
HPV 16 - 18
Mature teratoma

7. Complication of retained placental tissue
Hemorrhage
Menopause
Metrorrhagia
Superficial inguinal lymph nodes

8. Risk factors for ectopic pregs
Suckling - increased oxytocin - prolactin
Fertilization 'an egg met a sperm'
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Bowen's dz - carcinoma in situ of the penis

9. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Choriocarcinoma
Induces and maintains lactation - decreases reproductive function
Krukenburg tumor
Premature ovarian failure (Pof)

10. What increases the risk of cryptorchidism
Intraductal papilloma
Prematurity
Placenta acreta
Follicular cyst

11. Breast path - disease that occurs at the nipple

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12. When does endometiral carcinoma usually occur
Invasive ductal
55-65
Androgen insensitivity syndrome - 46 XY
Estradiol > estrone > estriol

13. When does the secondary oocyte complete meosis II

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14. Arrange the androgens in order of most potent to least potent
20 to 40
DHT - testosterone - androstenedione
Granulosa cell tumor
50 times

15. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Obdurator - exterinal iliac - hypogastic nodes
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Inhibition of HCG access
Neoplastic cells block lymphatic drainage

16. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Increase
Obdurator - exterinal iliac - hypogastic nodes
In the 6th decade of life
Pseudohermaphroditism

17. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
Acute mastitis
Upregulation - LH surge - ovulation
Testosterone

18. >1.5 -2 L of amniotic fluid
Prior c section - inflammation - placenta previa
Immature
Bicornute uterus
Polyhydramnios

19. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
DHT - testosterone - androstenedione
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
The semiT and the blood vessels

20. What is the genetic material in the secondary oocyte?
Haploid - 2N - 23 sister chromatids
Estradiol and possible growth promoting effects of DHT
Haploid - N - 23 single chromatids
PSA

21. Which cells secrete beta hCG
Trophoblasts
Spermatocele
Upregulation
Preeclampsia clinical

22. What is DHT responsible for in early development?
Hydatidiform mole
Milk letdown - uterine contractions?
Differentiation of penis - scrotum and prostate
Golgi

23. What is the expected increase of estradiol and estrone in pregnancy
Placenta previa
50 times
Fat necrosis
Hydatidiform mole

24. Overexpression of which receptors is common iwht malignant breast tumors
Granulosa cell tumor
Polymenorrhea
Serous cystadenocarcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

25. What is the clinical manifestation of PCOS
Mitochondria
Serous cystadenocarcinoma
Call exner bodies
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

26. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Stimulates testosterone release from leydig cells
Fibroadenoma
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

27. Connects ovary to lateral uterus
Squamo - columnar jxn
Obdurator - exterinal iliac - hypogastic nodes
The ampulla - occurs within 1 day of ovulation
Ligament of the ovary

28. increased AFP - schiller duvel bodies - yellow mucinous
Hyperestrogenism
Metrorrhagia
Cervix
Yolk sac - endodermal sinus - tumor

29. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Corpus luteum cyst
Develop both male and female internal genitalia and male external genitalia
Sarcoma botryoides - a rhabdomyosarcoma variant
Increase in size in pregs - decrease in size meno - estrogen sens

30. What is associated with sclerosing adenosis?
Testosterone
Calcifications
Sarcoma botryoides - a rhabdomyosarcoma variant
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

31. What becomes the main source of hCG
Syncytiotrophoblasts of placenta
Sertoli cell tumor
Suspensory ligament of ovaries
Ectopic preg

32. Where is testosterone converted to estrogen
Male pseudoHerm
Placenta acreta
Sertoli cells - and adipose tissue via aromatase
Klinefelter's - XXY

33. When is follicular growth the fastest?
2nd week of proliferative phase
Mittelschmerz syndrome
Upregulation
One of the centrioles

34. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
DRE - hard nodule and biopsy
Ectopic preg
Ectocervix

35. Which teratoma - mature or immature - is aggresively malignant
Immature
Tunica vaginalis lesions
Preductal coarctication
Tubular carcinoma

36. What is the karyotype of a complete mole
Ectopic preg
46 xx
Prostatic acid phosphatase and PSA
Blacks

37. What is hydatidiform mole and precurosor of...
Complete
PANS - pelvic nerve
1 week - 2 weeks
Choriocarcinoma

38. What are causes of female pseudoHerm
Sertoli cells
Prostate growth - balding - and sebaceous gland activity
Congenital adrenal hyperplasia - exogenous administration of steroids
Varicocele

39. histo: stratified sqamous epithelium
Multiple sexual partners - also HIV and early sexual intercourse
Ectocervix
Diploid - 4N - 46 sister chromatids
Andogren binding protein - anti mullerian hormone

40. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Congenital adrenal hyperplasia - exogenous administration of steroids
1 week - 2 weeks
PSA
Teratoma

41. What forms the blood testis barrier?
Prematurity
Oligohydramnios
Tight junctions between sertoli cells
Stimulate glandular secretions - and spiral artery development

42. What is the venous drainage of the left ovary/testis?
Low progesterone
Mature teratoma
Suspensory ligament of ovaries
Left gonadal vein - left renal vein - IVC

43. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Periurethral lobes - lateral and middle
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Lateral invasion can block ureters causing renal failure

44. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
Varicocele
No
Puberty

45. triad of ovarian fibroma - ascites - hydrothorax
Embryonal carcinoma
Yolk sace - endodermal sinus - tumor
Bicornute uterus
Meigs syndrome

46. Breast path - diseases of the terminal duct
Stimulates sertoli cells to produce ABP and inhibin
Tubular carcinoma
Ectocervix
Decrease

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

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48. What is the most common pathogen in acute mastitis
S aureus
Teratoma
Mucinous cystadenocarcinoma
Yolk sac - endodermal sinus - tumor

49. when do primary oocytes complete meiosis I
Left
Just prior to ovulation
Preeclampsia clinical
Hydatidiform mole

50. What is the right venous drainage of the ovary/testis
DCIS
Right gonadal vein - IVC
Left
Seminoma