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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.
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. Breast path - diseases of the major duct
Spermatocele
Fibrcystic change - ductal cancer
Complete
Axillary node involvement

2. dx with decreased testosterone - increased LH
Primary hypogonadism
Small infiltrating glands with prominent nucleoli
95%
Brenner tumor

3. histo: simple columnar epithelium - ciliated
Fallopian tube
Estrogen overstimulation
Fibroadenoma - phyllodes tumor
No

4. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Lateral invasion can block ureters causing renal failure
Intraductal papilloma
Follicular cyst
Granulosa cell - aromatase - androstenedione - estrogen

5. What are risk factors for placenta acreta
Ovary
Turner's XO
Myometrial tumors
Prior c section - inflammation - placenta previa

6. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
Estradiol and possible growth promoting effects of DHT
Adolescents
Chromosomal abnormalities
Follicular phase varies - luteal phase is 14

7. What is the expected increase of estradiol and estrone in pregnancy
50 times
Malignant in males not in females
DIC
Granulosa cell - aromatase - androstenedione - estrogen

8. < 21 day cycle
HPV 16 - 18
Inhibition of HCG access
Polymenorrhea
Bicornute uterus

9. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Kallman
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Krukenburg tumor

10. When is follicular growth the fastest?
Hemolysis - elevated liver enzymes - low platelets
Andogren binding protein - anti mullerian hormone
2nd week of proliferative phase
increased risk for carcinoma

11. how can struma ovarri present?
Whorled pattern of smooth muscle bundles
Hyperthyroidism - contains functional thyroid tissue
Squamous cell carcinoma
PSA

12. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Dilation and curettage and methotrexate
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Cystic
Endometrial carcinoma

13. Breast path - diseases of the terminal duct
95%
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Brenner tumor
Tubular carcinoma

14. marked increased hCG - complete or partial
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Adrenal gland
Complete
Testicular lymphoma

15. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Placenta previa
Serous cystadenocarcinoma
Fibrcystic change - ductal cancer

16. What is the lymphatic drainage the ovaries/testis
Pseudohermaphroditism
Para - aortic lymph nodes
Call exner bodies
Partial

17. When is the peak occurrence of leiomyoma
20 to 40
Decrease
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Ectocervix

18. What is the genetic material in the primary oocyte?
Teratoma
Diploid - 4N - 46 sister chromatids
Estradiol > estrone > estriol
46 xx

19. What is DHT responsible for in late development
Induces and maintains lactation - decreases reproductive function
Menopause
Prostate growth - balding - and sebaceous gland activity
Fibrocystic disease

20. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Dilation and curettage and methotrexate
No
Decrease
Yolk sace - endodermal sinus - tumor

21. Where is the enlargement found in BPH
Axillary node involvement
Periurethral lobes - lateral and middle
increased size and tenderness with increased estrogen
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

22. distention of unruptured graafian follicle
Hyperthyroidism - contains functional thyroid tissue
Female pseudoHerm
Good - late metastasis
Follicular cyst

23. Where does LH work - what enzyme works there and what product is secreted
Para - aortic lymph nodes
Theca cell - desmolase - androstenedione
Male pseudoHerm
Upregulation - LH surge - ovulation

24. How does endometriosis cause infertility
Stimulate glandular secretions - and spiral artery development
Retrograde mentrual flow or ascending infection
Menopause
Stimulates testosterone release from leydig cells

25. What are risk factors for abruptio placentae?
Metaphase
Smoking - HTN - cocaine
DES in utero (DES is a sythetic estrogen)
GnRH from hypoTh - LH and FSH from ant pituitary

26. small follicles filled with eosinphilic secretions
Call exner bodies
17beta estradiol
2 months
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

27. hemorrhage into persistent corpus luteum
Increase in size in pregs - decrease in size meno - estrogen sens
Corpus luteum cyst
51 yo
Periurethral lobes - lateral and middle

28. dx with increased testosterone and dec LH
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Blacks
Testosterone secreting tumor - exogenous steroids
Insulin resistance

29. Prevention of seizures and in preeclampsia
Left gonadal vein - left renal vein - IVC
Post menopausal bleeding
Suckling - increased oxytocin - prolactin
IV mag sulfate - diazepam

30. What does hCG do in the first trimester to maintain the corpus luteum
Delivery of fetus
Testosterone
Mimics LH
Erythroplasia of Queyrat - carcinoma in situ of penis

31. What increases risk for endometrial carcinoma
Milk letdown - uterine contractions?
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
BPH
Erythroplasia of Queyrat - carcinoma in situ of penis

32. What is the prognosis for seminoma
Visceral - somatic nerves in pudendal
Intraductal papilloma - breast abscess - mastitis
Good - late metastasis
Koilocytitic

33. What is hydatidiform mole and precurosor of...
Dilation and curettage and methotrexate
Osteoblastic in bone
No
Choriocarcinoma

34. What does progesterone do to gonadotropins
Sclerosing adenosis
Fibroadenoma
Visceral - somatic nerves in pudendal
Inhibition LH and FSH

35. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Mammary duct epithelium or lobular glands
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Syncytiotrophoblasts of placenta

36. What complications are associated with oligohydramnios

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37. What is the venous drainage of the left ovary/testis?
Left gonadal vein - left renal vein - IVC
Hemolysis - elevated liver enzymes - low platelets
Paget's disease - breast abscess
Cervix

38. Where is SCC of the penis more common and What is it associated with
increased Ca in - smooth muscle contraction - vasocxn - antierectile
The ampulla - occurs within 1 day of ovulation
Metaphase
Asia - Africa - S. America - HPV - lack of circumcision

39. >1.5 -2 L of amniotic fluid
Post menopausal
Polymenorrhea
increased size and tenderness with increased estrogen
Polyhydramnios

40. What are the most common cause of anovluation

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41. Which system and nerve are responsible for emission
Choriocarcinoma
SANS - hypogastric nerve
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Prementsrual breast pain and multiple lesions

42. histo: simple cuboidal epithelium
Ovary
Stimulation of secretion - but blocks its action at the breast
Milk letdown - uterine contractions?
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

43. From What tissues to malignant breast tumors arise?
Squamous cell carcinoma
Mammary duct epithelium or lobular glands
Fibrcystic change - ductal cancer
Fibrocystic disease

44. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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45. What are the treatments for BPH
Induces and maintains lactation - decreases reproductive function
Hypogondadotropic hypogonadism
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Call exner bodies

46. dx with increased testosterone and increased LH
Defective androgen receptor
Visceral - somatic nerves in pudendal
BPH
Low back pain with increased serum alk phos

47. is fibroadenoma a precursor to breast cancer
Testosterone
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
No
51 yo

48. common cause of recurrent miscarriage in 2nd trimester
Male pseudoHerm
Bicornute uterus
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Prostatic acid phosphatase and PSA

49. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Sertoli cells
Placenta previa
Mammary duct epithelium or lobular glands
Yolk sac - endodermal sinus - tumor

50. common cause of recurrent miscarriage in 1st trimester
Metrorrhagia
Spermatogonia (germ cells)
Defective androgen receptor
Chromosomal abnormalities