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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. What is the common presentation of metastasis in prostate cancer
Inhibit FSH
Low back pain with increased serum alk phos
Obdurator - exterinal iliac - hypogastic nodes
Haploid - 2N - 23 sister chromatids

2. What does estrogen do to estrogen - LH and progesterone recepotrs
Ovary
Yolk sace - endodermal sinus - tumor
17beta estradiol
Upregulation

3. What changes in the aorta are common in Turner's?
GnRH from hypoTh - LH and FSH from ant pituitary
Preductal coarctication
In the 6th decade of life
Increase (and LH)

4. In what group are malignant breast tumors most commonly seen
Complete
Metaphase
Post menopausal
Leydig cell tumor

5. What is DHT responsible for in early development?
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Axillary node involvement
Hypogondadotropic hypogonadism
Differentiation of penis - scrotum and prostate

6. histo: simple columnar epithelium - pseudostratified tubular glands
5 alpha reductase - inhibited by finesteride
Uterus
increased in total - and dec in free fraction
Ligament of the ovary

7. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Down regulation
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

8. When is follicular growth the fastest?
Choriocarcinoma
Defective androgen receptor
2nd week of proliferative phase
51 yo

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

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10. What is a complication of invasive carcinoma
Posterior lobe peripheral zone
CIN 1 - 2 - 3
Lateral invasion can block ureters causing renal failure
Premature ovarian failure (Pof)

11. Complication of retained placental tissue
Hemorrhage
Endocervix
95%
Kallman

12. What is the presentation of fibrocystic dz
Prementsrual breast pain and multiple lesions
Squamous cell carcinoma
Granulosa cell - aromatase - androstenedione - estrogen
Testosterone

13. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Mammary duct epithelium or lobular glands
Choriocarcinoma
Dysgerminoma
BPH

14. What is the right venous drainage of the ovary/testis
DHT - testosterone - androstenedione
Complete
Andogren binding protein - anti mullerian hormone
Right gonadal vein - IVC

15. Breast path - diseases of the major duct
Fibrcystic change - ductal cancer
Develop both male and female internal genitalia and male external genitalia
Serous cystadenoma
Paget's disease

16. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Granulosa cell - aromatase - androstenedione - estrogen
Lobular carcinoma - sclerosing adenosis
increased AFP and hCG
Myometrial invasion

17. common cause of recurrent miscarriage in 1st trimester
Increased FSH
Placenta previa
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Chromosomal abnormalities

18. > 35 day cycle
Fructose
Chromosomal abnormalities
Oligomenorrhea
Mammary duct epithelium or lobular glands

19. What is the expected increase of estradiol and estrone in pregnancy
Dilation and curettage and methotrexate
50 times
Bowenoid papulosis - carcinoma in situ of the penis
No

20. What does progesterone do to estrogen receptors
increased AFP and hCG
Endometriosis
Retrograde mentrual flow or ascending infection
Down regulation

21. What does the histo show for prostate cancer
Intraductal papilloma - breast abscess - mastitis
Paget cell
Small infiltrating glands with prominent nucleoli
Female pseudoHerm

22. What is the best test to confirm menopause
Endocervix
20 to 40
Left
Increased FSH

23. What does inhibin do?
Inhibit FSH
Obdurator - exterinal iliac - hypogastic nodes
Para - aortic lymph nodes
Golgi

24. What does LH do
Testicular lymphoma
Mucinous cystadenoma
Stimulates testosterone release from leydig cells
51 yo

25. What is the serum marker for BPH
Endometriosis
PSA
GnRH from hypoTh - LH and FSH from ant pituitary
Puberty

26. What does estrogen do to FSH and LH
The semiT and the blood vessels
Androgen insensitivity syndrome - 46 XY
Feedback inhibition
Complete

27. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Preeclampsia + siezures
Round ligament of the uterus
Syncytiotrophoblasts of placenta
DCIS

28. histo: simple columnar epithelium - ciliated
Fallopian tube
1000 times
Trophoblasts
Testosterone

29. What do sildenafil and vardenafil do?
Develop both male and female internal genitalia and male external genitalia
PANS - pelvic nerve
Inhibit cGMP breakdown
Puberty

30. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
The semiT and the blood vessels
Medullary
Choriocarcinoma
Ligament of the ovary

31. triad of ovarian fibroma - ascites - hydrothorax
Spermatocele
Aortic bicuspid valve
Induces and maintains lactation - decreases reproductive function
Meigs syndrome

32. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
69 xxy
Stimulate glandular secretions - and spiral artery development
Granulosa cell tumor
Preeclampsia

33. hemorrhage into persistent corpus luteum
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Estradiol
Corpus luteum cyst
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

34. What does progesterone do to smooth muscle in the uterus
51 yo
Relaxation
PSA
Endometrial > ovarian> cervical (in US)

35. When does spermatogenesis begin?
Visceral - somatic nerves in pudendal
Puberty
Congenital adrenal hyperplasia - exogenous administration of steroids
Suspensory ligament of ovaries

36. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Dysgerminoma
Prostatic acid phosphatase and PSA
Premature ovarian failure (Pof)
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

37. Endometriosis is characterized By what clinical picture?
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
No
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Abacterial

38. Risk factors for ectopic pregs
Metrorrhagia
Endometrial > ovarian> cervical (in US)
Ovarian > cervical > endometrial
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

39. Which gynecologic tumors have the worst prognosis?
Syncytiotrophoblasts of placenta
Complete
Ovarian > cervical > endometrial
2 months

40. What does progesterone do to myometrial excitability
Fertilization 'an egg met a sperm'
DHT - testosterone - androstenedione
Decrease
Lobular carcinoma - sclerosing adenosis

41. What are the 3 androgens
Testosterone - DHT - androstenedione
Fibrosis
Esophogeal/duodenal atresia - can't swallow - anencephaly
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

42. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Estradiol > estrone > estriol
No
Pseudohermaphroditism

43. histo: stratified squamous epithelium - nonkeratinized
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Develop both male and female internal genitalia and male external genitalia
DES in utero (DES is a sythetic estrogen)
Vagina

44. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sarcoma botryoides - a rhabdomyosarcoma variant
Prophase
SANS - hypogastric nerve
Golgi

45. <0.5 L of amniotic fluid
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Oligohydramnios
DRE - hard nodule and biopsy
Adrenal gland

46. What are the most common cause of anovluation

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47. histo: stratified sqamous epithelium
Endocervix
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Ectocervix
Male pseudoHerm

48. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
SANS - hypogastric nerve
Yolk sace - endodermal sinus - tumor
Stimulate glandular secretions - and spiral artery development
Insulin resistance

49. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Increase (and LH)
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Adolescents

50. Testosterone and estrogen in androgen insensitivity syndrome
Tight junctions between sertoli cells
No
Menometrorrhagia
Increase (and LH)