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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. 50% of ovarian tumors - malignant and frequently bilateral
Bowenoid papulosis - carcinoma in situ of the penis
Theca - leutin cysts
Serous cystadenocarcinoma
Primary hypogonadism

2. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
The semiT and the blood vessels
Leydig cell tumor
Intraductal papilloma
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

3. When is follicular growth the fastest?
Leydig cell tumor
Spermatogonia (germ cells)
2nd week of proliferative phase
Varicocele

4. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Peripheral conversion of androgens
Oligomenorrhea
2 months
Yolk sace - endodermal sinus - tumor

5. In What age group are ovarian germ cell tumors most common
increased in total - and dec in free fraction
4
Adolescents
Teratoma

6. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Decreasing progesterone
HPV 16 - 18
17beta estradiol
Fertilization 'an egg met a sperm'

7. How does exogenous testosterone create azoospermia
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Inhibition of HCG access
No
95%

8. In what group are malignant breast tumors most commonly seen
Chromosomal abnormalities
Post menopausal
Induces and maintains lactation - decreases reproductive function
95%

9. When are phyllodes tumors most common
Theca cell - desmolase - androstenedione
In the 6th decade of life
Koilocytitic
Follicular cyst

10. What is the serum marker for BPH
Lateral invasion can block ureters causing renal failure
Cerebral hemorrhage and ARDS
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
PSA

11. What is DHT responsible for in late development
Oligomenorrhea
Prostate growth - balding - and sebaceous gland activity
Uterus
Suspensory ligament of ovaries

12. When does endometiral carcinoma usually occur
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
55-65
Peripheral adipose tissue
Krukenburg tumor

13. Which system and nerve allow for erection in the male?
Squamo - columnar jxn
Upregulation
PANS - pelvic nerve
Maintenance

14. A leimyoma is overgrowth of what cell
Complete
Paget's disease - breast abscess
Smooth muscle
Chocolate cyst

15. Where is testosterone converted to estrogen
Sertoli cells - and adipose tissue via aromatase
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Polyhydramnios
In the 6th decade of life

16. From What tissues to malignant breast tumors arise?
Testosterone
Mammary duct epithelium or lobular glands
Dilation and curettage and methotrexate
Brenner tumor

17. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Embryonal carcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Oligomenorrhea

18. in postmenopausal women Where is androstenedione converted to estrone
51 yo
Retrograde mentrual flow or ascending infection
Peripheral adipose tissue
Mucinous cystadenoma

19. Endometriosis is characterized By what clinical picture?
Trophoblasts
Estrogen overstimulation
Corpus luteum cyst
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

20. What is the presentation of fibrocystic dz
Retrograde mentrual flow or ascending infection
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Prementsrual breast pain and multiple lesions
Paget's disease

21. What is the treatment for hydatidiform mole
Blacks
DCIS
Dilation and curettage and methotrexate
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

22. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
Suspensory ligament of ovaries
PANS - pelvic nerve
Right gonadal vein - IVC

23. Where does prostatic adenocarcinoma arise from?
Varicocele
Posterior lobe peripheral zone
Granulosa cell tumor
Obdurator - exterinal iliac - hypogastic nodes

24. dx with decreased testosterone - increased LH
Tight junctions between sertoli cells
Serous cystadenocarcinoma
50 times
Primary hypogonadism

25. 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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26. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Fertilization 'an egg met a sperm'
Superficial inguinal lymph nodes
Placenta previa
Endometrial > ovarian> cervical (in US)

27. What is hydatidiform mole and precurosor of...
Choriocarcinoma
Uterus
Stimulation of secretion - but blocks its action at the breast
Peyronie's dz

28. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Left gonadal vein - left renal vein - IVC
Call exner bodies
Axillary node involvement

29. List the estrogens in order of decreasing potency
GnRH from hypoTh - LH and FSH from ant pituitary
Turner's XO
Estradiol > estrone > estriol
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

30. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Placenta acreta
Fibroadenoma - phyllodes tumor
Cervix

31. Where is androstenedione made?
Female pseudoHerm
Adenomyosis
Dysgerminoma
Adrenal gland

32. What does progesterone do to body temp
Endocervix
Dysgerminoma
Increase
Relaxation

33. What is a concern of early menopause
Choriocarcinoma
Premature ovarian failure (Pof)
Ectocervix
Metaphase

34. Risk factors for ectopic pregs
Bowenoid papulosis - carcinoma in situ of the penis
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Abacterial
Osteoblastic in bone

35. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Choriocarcinoma
Estrogen overstimulation
Ovarian > cervical > endometrial
Cerebral hemorrhage and ARDS

36. How many days after fertilization does implantation occur?
6
PANS - pelvic nerve
Prophase
Serous cystadenocarcinoma

37. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Theca cell - desmolase - androstenedione
Golgi
4

38. Breast path - disease that occurs at the nipple

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39. What is the clinical manifestation of PCOS
Squamo - columnar jxn
Vagina
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Haploid - N - 23 single chromatids

40. What is the karyotype of a complete mole
Whorled pattern of smooth muscle bundles
Low progesterone
Prostatic acid phosphatase and PSA
46 xx

41. predisposing factor to clear cell adenocarcinoma of the vagina
Decrease
Proliferation
Increase (and LH)
DES in utero (DES is a sythetic estrogen)

42. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
increased cGMP - smooth muscle relax - vasodltn - proerectile
Hyperestrogenism
Invasive ductal
Hydatidiform mole

43. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Fibromas
Calcifications
Post menopausal
Endometriosis

44. What are the most common cause of anovluation

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45. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Peripheral adipose tissue
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
DCIS
Erythroplasia of Queyrat - carcinoma in situ of penis

46. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Kallman
Serous cystadenocarcinoma
Insulin resistance
No

47. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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48. What is the source of estrogen after menopause
Peripheral conversion of androgens
Testosterone
Estradiol and possible growth promoting effects of DHT
Serous cystadenocarcinoma

49. What is the genetic material in the secondary oocyte?
The centrioles
Haploid - 2N - 23 sister chromatids
Cardinal ligament
Superficial inguinal lymph nodes

50. What does progesterone do to estrogen receptors
Cardinal ligament
Blacks
Down regulation
Endometrial carcinoma