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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. In what phase is meiosis I arrested
Prophase
Ovarian > cervical > endometrial
Testosterone
SANS - hypogastric nerve

2. predisposing factor to clear cell adenocarcinoma of the vagina
Menopause
DES in utero (DES is a sythetic estrogen)
PANS - pelvic nerve
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

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

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4. Large bulky breast mass of connective tissue and cysts with leaf like projections
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Phyllodes tumor
Fertilization 'an egg met a sperm'
increased risk for carcinoma

5. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
Inhibit cGMP breakdown
Choriocarcinoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

6. What are the 3 androgens
Estrogen overstimulation
Good - late metastasis
Erythroplasia of Queyrat - carcinoma in situ of penis
Testosterone - DHT - androstenedione

7. What increases the risk of cryptorchidism
Prematurity
Complete
Hypogondadotropic hypogonadism
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

8. endometrium within the myometrium
Adenomyosis
Right gonadal vein - IVC
Sertoli cell tumor
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

9. What stimulation after labor induces lactation
2nd week of proliferative phase
Stimulate glandular secretions - and spiral artery development
Decreasing progesterone
Peripheral adipose tissue

10. gynecological tumors from highest incidence to lowest
Mucinous cystadenoma
Feedback inhibition
Endometrial > ovarian> cervical (in US)
increased Ca in - smooth muscle contraction - vasocxn - antierectile

11. What is the most common gynecologic malignancy
Endometrial carcinoma
Increase (and LH)
Testosterone
Medullary

12. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Fertilization 'an egg met a sperm'
HPV 16 - 18
Teratoma
Invasive lobular

13. What does inhibin do?
Inhibit FSH
Cardinal ligament
5 alpha reductase def
Sclerosing adenosis

14. What are risk factors for abruptio placentae?
Sarcoma botryoides - a rhabdomyosarcoma variant
Smoking - HTN - cocaine
Fibrosis
Syncytiotrophoblasts of placenta

15. What hematologic condition is associated with abruptio placentae
DIC
Granulosa cell - aromatase - androstenedione - estrogen
The ampulla - occurs within 1 day of ovulation
Stimulates testosterone release from leydig cells

16. What is DHT responsible for in late development
Round ligament of uterus
Invasive lobular
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Prostate growth - balding - and sebaceous gland activity

17. What does SEVEN Up stand for in regards to the pathway of sperm
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Complete
Inhibit FSH
Serous cystadenocarcinoma

18. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Invasive lobular
Endometriosis
Myometrial tumors
Left gonadal vein - left renal vein - IVC

19. What is the most common cause of breast lumps from age 25 to menopause
Develop both male and female internal genitalia and male external genitalia
Lobular carcinoma - sclerosing adenosis
Fibrocystic disease
Broad ligament

20. What estrogen does the ovary secrete
17beta estradiol
Vagina
Esophogeal/duodenal atresia - can't swallow - anencephaly
Androgen insensitivity syndrome

21. What does estrogen stimulate in the endometrium
Krukenburg tumor
2nd week of proliferative phase
Proliferation
IV mag sulfate - diazepam

22. histo: simple columnar epithelium
69 xxy
Round ligament of the uterus
Mucinous cystadenocarcinoma
Endocervix

23. What is the clinical manifestation of PCOS
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Just prior to ovulation
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

24. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Stimulates sertoli cells to produce ABP and inhibin
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Placenta acreta
Feedback inhibition

25. What is a potential complication of endometrial hyperplasia
Endometrial carcinoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Stimulates testosterone release from leydig cells
Prior c section - inflammation - placenta previa

26. Breast path - diseases of the lactiferous sinus
Intraductal papilloma - breast abscess - mastitis
Primary hypogonadism
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Prematurity

27. Which cells line the seminiferous tubules and secrete inhibin
Serous cystadenocarcinoma
E coli
Theca cell - desmolase - androstenedione
Sertoli cells

28. What is the main source of energy for spermatozoa
Osteoblastic in bone
Intraductal papilloma - breast abscess - mastitis
Induces and maintains lactation - decreases reproductive function
Fructose

29. What is hydatidiform mole and precurosor of...
Post menopausal
Neoplastic cells block lymphatic drainage
Choriocarcinoma
IV mag sulfate - diazepam

30. What happens to a leiomyoma in pregs and menopause and why
Increase in size in pregs - decrease in size meno - estrogen sens
Testosterone
Left
Seminoma

31. What does progesterone do to estrogen receptors
Testosterone
Down regulation
Testis determining factor
Bowen's dz - carcinoma in situ of the penis

32. What are the 4 sources of progesterone
Mature teratoma
Menometrorrhagia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Corpus luteum - placenta - adrenal cortex - testes

33. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Paget's disease
Endometrial carcinoma
Posterior lobe peripheral zone

34. Is fertility compromised in double Y males?
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
No
Acute mastitis
Fibrcystic change - ductal cancer

35. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
69 xxy
Upregulation - LH surge - ovulation
Mucinous cystadenoma
Serous cystadenocarcinoma

36. Risk factors for ectopic pregs
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Squamous cell carcinoma
Fibromas
No

37. Which androgen is responsible for the closing of the epiphyseal plate
Ovarian > cervical > endometrial
2nd week of proliferative phase
Testosterone
Call exner bodies

38. From What tissues to malignant breast tumors arise?
Complete
Mammary duct epithelium or lobular glands
Adrenal gland
Osteoblastic in bone

39. What is the expected increase of estradiol and estrone in pregnancy
50 times
No
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Polyhydramnios

40. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Sclerosing adenosis
No
Tight junctions between sertoli cells
Malignant in males not in females

41. dx with increased testosterone and increased LH
Embryonal carcinoma
Theca - leutin cysts
Defective androgen receptor
IV mag sulfate - diazepam

42. decreased estrogen production due to age linked decline in the number of ovarian follices
Endometriosis
Just prior to ovulation
Menopause
Smoking - HTN - cocaine

43. How is beta hCG detectable in blood or urine for a home pregnancy test
Whorled pattern of smooth muscle bundles
1 week - 2 weeks
Cardinal ligament
Andogren binding protein - anti mullerian hormone

44. What is a complication of invasive carcinoma
Develop both male and female internal genitalia and male external genitalia
Lateral invasion can block ureters causing renal failure
Fibrocystic disease
Chromosomal abnormalities

45. What complications are associated with oligohydramnios

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46. What is a concern of early menopause
The ampulla - occurs within 1 day of ovulation
Female pseudoHerm
The semiT and the blood vessels
Premature ovarian failure (Pof)

47. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Intraductal papilloma
55-65
Peripheral conversion of androgens
Haploid - 2N - 23 sister chromatids

48. Where is androstenedione made?
Adrenal gland
Round ligament of uterus
6
Squamous cell carcinoma

49. Where does fertilization most commonly occur?
4
Low progesterone
Abacterial
The ampulla - occurs within 1 day of ovulation

50. Large cells in epidermis with clear halo
Bowenoid papulosis - carcinoma in situ of the penis
Sarcoma botryoides - a rhabdomyosarcoma variant
Paget cell
Low progesterone