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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. What do sildenafil and vardenafil do?
The anterior pituitary and hypothalamus
Mucinous cystadenocarcinoma
Inhibit cGMP breakdown
Para - aortic lymph nodes

2. marked increased hCG - complete or partial
Premature ovarian failure (Pof)
increased AFP and hCG
Complete
95%

3. Endometriosis is characterized By what clinical picture?
Mimics LH
Inhibit cGMP breakdown
Mucinous cystadenoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

4. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
Phyllodes tumor
Erythroplasia of Queyrat - carcinoma in situ of penis
Yolk sace - endodermal sinus - tumor

5. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Mucinous cystadenocarcinoma
Teratoma
Insulin resistance

6. What percentage of testicular tumors are germ cell
Stimulates testosterone release from leydig cells
Decreasing progesterone
95%
Left gonadal vein - left renal vein - IVC

7. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Estrogen overstimulation
Prior c section - inflammation - placenta previa
Serous cystadenoma
Choriocarcinoma

8. What is the most common form of male pseudoHerm
Kallman
Squamous cell carcinoma
Androgen insensitivity syndrome
69 xxy

9. What are predisposing factors for placenta previa
Prior c section - multiparity
Retrograde mentrual flow or ascending infection
Call exner bodies
Prementsrual breast pain and multiple lesions

10. increased AFP - schiller duvel bodies - yellow mucinous
HPV 16 - 18
Congenital adrenal hyperplasia - exogenous administration of steroids
Stimulates testosterone release from leydig cells
Yolk sac - endodermal sinus - tumor

11. How is prostatic adenocarcinoma diagnosed
Prostatic acid phosphatase and PSA
Choriocarcinoma
Prostate growth - balding - and sebaceous gland activity
DRE - hard nodule and biopsy

12. What is the prognosis for seminoma
Good - late metastasis
Choriocarcinoma
Spermatocele
increased in total - and dec in free fraction

13. What is associated with sclerosing adenosis?
Stimulation of secretion - but blocks its action at the breast
Calcifications
Immature
Low back pain with increased serum alk phos

14. What are the risk factors for endometrial hyperplasia
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Hydrocele
Immature
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

15. HTN - proteinuria and edema
Abruptio placentae
DIC
Hyperthyroidism - contains functional thyroid tissue
Preeclampsia

16. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Corpus luteum - placenta - adrenal cortex - testes
Peripheral conversion of androgens
Paget cell

17. What is the karyotype of a complete mole
Lobular carcinoma - sclerosing adenosis
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Vagina
46 xx

18. How is beta hCG detectable in blood or urine for a home pregnancy test
1 week - 2 weeks
Fallopian tube
DIC
Androgen insensitivity syndrome

19. What sequelae are associated with leiomyoma
Corpus luteum - placenta - adrenal cortex - testes
Severe bleeding iron def anemia - miscarriage
Prior c section - multiparity
Diploid - 4N - 46 sister chromatids

20. How many functional sperm does 1 germ cell creat?
Proliferation
Inhibition of HCG access
Hypogondadotropic hypogonadism
4

21. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Inhibition LH and FSH
Smooth muscle
Female pseudoHerm
Cardinal ligament

22. >1.5 -2 L of amniotic fluid
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
increased risk for carcinoma
Polyhydramnios
Superficial inguinal lymph nodes

23. Which system and nerve are responsible for emission
Good - late metastasis
Suspensory ligament of ovaries
SANS - hypogastric nerve
E coli

24. Where is androstenedione made?
Bicornute uterus
increased risk for carcinoma
Cerebral hemorrhage and ARDS
Adrenal gland

25. What are the associated risk factors for malignant breast tumors
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Sarcoma botryoides - a rhabdomyosarcoma variant
Visceral - somatic nerves in pudendal

26. What increase in estriol is an indicator offetal well being in pregnancy
Fructose
Hyperthyroidism - contains functional thyroid tissue
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
1000 times

27. How does progesterone inhibit sperm entry to uterus
Sarcoma botryoides - a rhabdomyosarcoma variant
Production of a thick cervical mucus
Sertoli cell tumor
Peripheral adipose tissue

28. What increases risk for endometrial carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Multiple sexual partners - also HIV and early sexual intercourse
46 xx

29. What does progesterone do to myometrial excitability
Squamous cell carcinoma
Leydig cell tumor
Polyhydramnios
Decrease

30. What converts testosterone to DHT
Post menopausal
Kallman
5 alpha reductase - inhibited by finesteride
Prostatic acid phosphatase and PSA

31. How long does it take for sperm to fully develop
Primary hypogonadism
2 months
Oligomenorrhea
Hyperthyroidism - contains functional thyroid tissue

32. What are the pathologic features of leiosarcoma
Haploid - 2N - 23 sister chromatids
Menometrorrhagia
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

33. Some drugs cause awesome knockers
Hemolysis - elevated liver enzymes - low platelets
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Prior c section - inflammation - placenta previa
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

34. Breast path - diseeases of the lobules
Preeclampsia + siezures
Lobular carcinoma - sclerosing adenosis
69 xxy
Mucinous cystadenoma

35. What is the right venous drainage of the ovary/testis
Right gonadal vein - IVC
Placenta acreta
Ectopic preg
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

36. In what group are malignant breast tumors most commonly seen
Post menopausal
Calcifications
Leydig cell tumor
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

37. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Premature ovarian failure (Pof)
Epithelial hyperplasia
Suspensory ligament of ovaries
The centrioles

38. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Upregulation - LH surge - ovulation
Chocolate cyst
Testosterone
HPV 16 - 18

39. What does progesterone do to body temp
Adolescents
Increase
Fibrosis
Polymenorrhea

40. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
In the 6th decade of life
Preeclampsia clinical
Epithelial hyperplasia
Prostatic acid phosphatase and PSA

41. What is the most common pathogen in acute mastitis
S aureus
Increased FSH
Slight increase - 1.5 to 2
Tunica vaginalis lesions

42. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
6
Partial
Krukenburg tumor
Squamo - columnar jxn

43. What is the most common gynecologic malignancy
Choriocarcinoma
Meigs syndrome
Endometriosis
Endometrial carcinoma

44. In chronic prostatitis is bacterial or abacterial more common
Teratoma
Abacterial
S aureus
IV mag sulfate - diazepam

45. What cellular structure is the acrosome derived from?
No
Golgi
Oligohydramnios
Bowen's dz - carcinoma in situ of the penis

46. What is the source of estrogen after menopause
Whorled pattern of smooth muscle bundles
Peripheral conversion of androgens
Smoking - HTN - cocaine
Down regulation

47. 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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48. What substances other than inhibin do sertoli cells produce?
Peripheral conversion of androgens
Andogren binding protein - anti mullerian hormone
Down regulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

49. What changes in the aorta are common in Turner's?
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Preductal coarctication
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
DES in utero (DES is a sythetic estrogen)

50. What is the genetic material in the primary oocyte?
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Esophogeal/duodenal atresia - can't swallow - anencephaly
Diploid - 4N - 46 sister chromatids
Immature