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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 does LH do
Stimulates testosterone release from leydig cells
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Brenner tumor
The anterior pituitary and hypothalamus

2. premature detachment of placenta from implantation site leading to fetal death
Adolescents
Granulosa cell - aromatase - androstenedione - estrogen
Endometrial > ovarian> cervical (in US)
Abruptio placentae

3. triad of ovarian fibroma - ascites - hydrothorax
Meigs syndrome
Medullary
Fibrocystic disease
Testosterone

4. Breast path - diseeases of the lobules
Intraductal papilloma
Lobular carcinoma - sclerosing adenosis
Sertoli cell tumor
Serous cystadenocarcinoma

5. tumor is ductal with caseous necrosis
Inhibit FSH
Comedocarcinoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Fibrocystic disease

6. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Mature teratoma
Mimics LH
PCOS

7. When does endometiral carcinoma usually occur
Smooth muscle
Theca cell - desmolase - androstenedione
55-65
Paget cell

8. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Preeclampsia + siezures
Primary hypogonadism
Delivery of fetus
Endometriosis

9. What is associated with sclerosing adenosis?
Asia - Africa - S. America - HPV - lack of circumcision
DIC
Feedback inhibition
Calcifications

10. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Cervix
Testicular lymphoma
Axillary node involvement
Placenta previa

11. What changes in the aorta are common in Turner's?
Osteoblastic in bone
Preductal coarctication
Tunica vaginalis lesions
Mittelschmerz syndrome

12. Where is androstenedione made?
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Adrenal gland
Visceral - somatic nerves in pudendal
Ligament of the ovary

13. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Fibrocystic disease
Leydig cell tumor
Estradiol and possible growth promoting effects of DHT
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

14. common cause of recurrent miscarriage in 1st trimester
Menometrorrhagia
50 times
Prementsrual breast pain and multiple lesions
Chromosomal abnormalities

15. What does estrogen do to FSH and LH
Intraductal papilloma - breast abscess - mastitis
DCIS
Feedback inhibition
Cervix

16. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Myometrial tumors
1000 times
Chromosomal abnormalities

17. What is the most frequent benign ovarian tumor
Mature teratoma
Corpus luteum - placenta - adrenal cortex - testes
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Decreasing progesterone

18. How is beta hCG detectable in blood or urine for a home pregnancy test
Preeclampsia + siezures
1 week - 2 weeks
Superficial inguinal lymph nodes
Trophoblasts

19. What is the most common cause of breast lumps from age 25 to menopause
Adolescents
Myometrial invasion
Choriocarcinoma
Fibrocystic disease

20. inability to convert testosterone to DHT - limited to genetic males - penis at 12
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Fibrosis
5 alpha reductase def
Hydatidiform mole

21. What is a concern of early menopause
Cerebral hemorrhage and ARDS
Premature ovarian failure (Pof)
Ovary
Leydig cell tumor

22. testicular masses that can be transilluminated
increased risk for carcinoma
Bicornute uterus
Tunica vaginalis lesions
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

23. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Stimulates testosterone release from leydig cells
Down regulation
Neoplastic cells block lymphatic drainage
Post menopausal

24. testicular atrophy - eunochoid body shape - tall - long extremities - gynecomastia - inactivated X chromosome - dysgenesis of seminiferous tubules - decreased inhibin - abnormal leydig cell function

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25. What is a complication of cryptorchidism and why does it occur
Fibroadenoma - phyllodes tumor
Decreasing progesterone
Hyperthyroidism - contains functional thyroid tissue
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

26. What effect does NE have on smoothe muscle in the erectile tissues
Premature ovarian failure (Pof)
Hydrocele
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Kallman

27. when do primary oocytes begin meiosis I
5 alpha reductase - inhibited by finesteride
Testosterone
Tubular carcinoma
During fetal life

28. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
The semiT and the blood vessels
Mucinous cystadenocarcinoma
CIN 1 - 2 - 3
Choriocarcinoma

29. Which system and nerve allow for erection in the male?
Sarcoma botryoides - a rhabdomyosarcoma variant
Low progesterone
PANS - pelvic nerve
Puberty

30. common cause of recurrent miscarriage in the 1st week
Corpus luteum cyst
Low progesterone
Androgen insensitivity syndrome
Feedback inhibition

31. increased fluid secondary to incomplete fustion with processus vaginalis
Prophase
No
Hydrocele
Estradiol > estrone > estriol

32. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Tight junctions between sertoli cells
PCOS
Feedback inhibition
Granulosa cell - aromatase - androstenedione - estrogen

33. What are the associated risk factors for malignant breast tumors
Male pseudoHerm
Broad ligament
Post menopausal bleeding
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity

34. 2 sperm + empty egg
Prementsrual breast pain and multiple lesions
Complete
Choriocarcinoma
Axillary node involvement

35. what structures supplies the energy to the middle piece (neck)
Sertoli cells - and adipose tissue via aromatase
Mitochondria
Relaxation
Axillary node involvement

36. What is the venous drainage of the left ovary/testis?
Suckling - increased oxytocin - prolactin
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Left gonadal vein - left renal vein - IVC

37. What is the prognosis for seminoma
Good - late metastasis
Testosterone
Suspensory ligament of ovaries
Prior c section - multiparity

38. Connects cervix to side wall of pelvis - contains uterine vessels
Meigs syndrome
46 xx
Cardinal ligament
Prostatic acid phosphatase and PSA

39. What does progesterone do for pregnancy
Fibrosis
5 alpha reductase - inhibited by finesteride
Cystic
Maintenance

40. small - mobile - firm breast mass with sharp edges - most common in <25
Multiple sexual partners - also HIV and early sexual intercourse
Fibrocystic disease
Fibroadenoma
increased risk for carcinoma

41. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
E coli
No
Female pseudoHerm
Increased FSH

42. Does a leiomyoma progress to leiosarcoma
No
Fibromas
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Fertilization 'an egg met a sperm'

43. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Estradiol > estrone > estriol
Androgen insensitivity syndrome - 46 XY
PANS - pelvic nerve
Granulosa cell tumor

44. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
50 times
Fibrocystic disease
Paget cell
Cystic

45. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Suspensory ligament of ovaries
Upregulation - LH surge - ovulation
Adenomyosis
Immature

46. hemorrhage into persistent corpus luteum
Asia - Africa - S. America - HPV - lack of circumcision
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Corpus luteum cyst
increased Ca in - smooth muscle contraction - vasocxn - antierectile

47. heavy - irregular menstruation at irregular intervals
Erythroplasia of Queyrat - carcinoma in situ of penis
Preductal coarctication
Menometrorrhagia
Decreasing progesterone

48. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Testis determining factor
Malignant in males not in females

49. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Small infiltrating glands with prominent nucleoli
Develop both male and female internal genitalia and male external genitalia
The ampulla - occurs within 1 day of ovulation
Sarcoma botryoides - a rhabdomyosarcoma variant

50. Which hydatidiform mole has the greater risk for malignancy
Vagina
Complete
Metaphase
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome