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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. multilocular cyst lined by mucus secreting epi - benign - intestine like
Mucinous cystadenoma
Peyronie's dz
Yolk sace - endodermal sinus - tumor
Abacterial

2. hyperplasia - not hypertrophy of the prostate gland
Squamous cell carcinoma
BPH
Low back pain with increased serum alk phos
Insulin resistance

3. frequent bu irregular cycles
Metrorrhagia
Malignant in males not in females
Relaxation
2nd week of proliferative phase

4. How does endometrial hyperplasia manifest clinically
Testosterone
Acute mastitis
Post menopausal bleeding
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

5. What does LH do
Complete
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Stimulates testosterone release from leydig cells
GnRH from hypoTh - LH and FSH from ant pituitary

6. What is hydatidiform mole and precurosor of...
17beta estradiol
Choriocarcinoma
Spermatocele
Testis determining factor

7. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Testosterone
During fetal life
Develop both male and female internal genitalia and male external genitalia
Defective androgen receptor

8. Which androgen is responsible for the deepening of the voice
Testosterone
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Follicular phase varies - luteal phase is 14
Koilocytitic

9. What effect does NE have on smoothe muscle in the erectile tissues
Stimulates testosterone release from leydig cells
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Prementsrual breast pain and multiple lesions
Intraductal papilloma - breast abscess - mastitis

10. what metabolic disorder is assocaited with PCOS
Oligomenorrhea
95%
Fallopian tube
Insulin resistance

11. What are the four functions of estrogen
Endocervix
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Mitochondria
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

12. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
Fibroadenoma
No
Klinefelter's - XXY

13. 2 sperm + 1 egg
Partial
Primary hypogonadism
Corpus luteum cyst
Visceral - somatic nerves in pudendal

14. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Yolk sac - endodermal sinus - tumor
Granulosa cell - aromatase - androstenedione - estrogen
Diploid - 4N - 46 sister chromatids
51 yo

15. Testosterone and estrogen in androgen insensitivity syndrome
Comedocarcinoma
Increase (and LH)
Cerebral hemorrhage and ARDS
Mitochondria

16. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Peyronie's dz
Menometrorrhagia
Placenta acreta
Axillary node involvement

17. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Mucinous cystadenocarcinoma
increased size and tenderness with increased estrogen
CIN 1 - 2 - 3
Testosterone

18. Why does the skin resemble an orange peel in inflammatory type of maligantn breast tumor
Neoplastic cells block lymphatic drainage
Puberty
Phyllodes tumor
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

19. 2 sperm + empty egg
Complete
Intraductal papilloma
Intraductal papilloma - breast abscess - mastitis
Serous cystadenocarcinoma

20. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Fructose
5 alpha reductase - inhibited by finesteride
Testis determining factor
Endometriosis

21. Atypical cells in epithelial hyperplasia
Slight increase - 1.5 to 2
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
increased risk for carcinoma
Estradiol > estrone > estriol

22. What substances other than inhibin do sertoli cells produce?
Mucinous cystadenoma
Congenital adrenal hyperplasia - exogenous administration of steroids
Premature ovarian failure (Pof)
Andogren binding protein - anti mullerian hormone

23. dilated vein in pampiniform plexus - bag of worms
Right gonadal vein - IVC
Stimulates sertoli cells to produce ABP and inhibin
Paget's disease - breast abscess
Varicocele

24. How many days after fertilization does implantation occur?
6
Fibroadenoma
Complete
Premature ovarian failure (Pof)

25. What forms the blood testis barrier?
Theca - leutin cysts
69 xxy
Tight junctions between sertoli cells
Stimulates sertoli cells to produce ABP and inhibin

26. marked increased hCG - complete or partial
Complete
Vagina
Theca cell - desmolase - androstenedione
Follicular phase varies - luteal phase is 14

27. In chronic prostatitis is bacterial or abacterial more common
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
increased cGMP - smooth muscle relax - vasodltn - proerectile
Abacterial
Haploid - 2N - 23 sister chromatids

28. What are predisposing factors for placenta previa
46 xx
Vagina
Mature teratoma
Prior c section - multiparity

29. What are the associated risk factors for malignant breast tumors
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Decreasing progesterone
Andogren binding protein - anti mullerian hormone
Testis determining factor

30. androblastoma from sex cord stroma
Serous cystadenoma
Sertoli cell tumor
Hemolysis - elevated liver enzymes - low platelets
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

31. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
17beta estradiol
Intraductal papilloma

32. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Right gonadal vein - IVC
Corpus luteum cyst
Spermatogonia (germ cells)

33. histo: stratified sqamous epithelium
Ectocervix
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Malignant in males not in females
GnRH from hypoTh - LH and FSH from ant pituitary

34. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
Partial
Smooth muscle
Relaxation

35. most common testicular cancer in older men
Testicular lymphoma
Fat necrosis
The anterior pituitary and hypothalamus
Induces and maintains lactation - decreases reproductive function

36. histo: stratified squamous epithelium - nonkeratinized
Polyhydramnios
Klinefelter's - XXY
Uterus
Vagina

37. What is the karyotype of a partial mole
69 xxy
Left
Testosterone
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

38. What is the treatment for hydatidiform mole
Hypogondadotropic hypogonadism
Dilation and curettage and methotrexate
Meigs syndrome
Mammary duct epithelium or lobular glands

39. What is the genetic material in the secondary oocyte?
Preeclampsia + siezures
Hydatidiform mole
Haploid - 2N - 23 sister chromatids
Seminoma

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

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41. What is the most frequent benign ovarian tumor
Theca - leutin cysts
Production of a thick cervical mucus
Invasive ductal
Mature teratoma

42. histo: simple columnar epithelium
2 months
Paget's disease
Spermatocele
Endocervix

43. What is the risk for carcinoma among patients with intraductal papilloma
Slight increase - 1.5 to 2
Placenta previa
IV mag sulfate - diazepam
Myometrial tumors

44. tumor with orderly row of cells - often multiple and bilateral
5 alpha reductase def
Invasive lobular
Tight junctions between sertoli cells
Adolescents

45. What is the clinical manifestation of PCOS
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Lobular carcinoma - sclerosing adenosis
Varicocele
increased risk for carcinoma

46. predisposing factor to clear cell adenocarcinoma of the vagina
Intraductal papilloma - breast abscess - mastitis
DES in utero (DES is a sythetic estrogen)
Erythroplasia of Queyrat - carcinoma in situ of penis
Adrenal gland

47. What do sildenafil and vardenafil do?
Squamous cell carcinoma
Spermatocele
Haploid - 2N - 23 sister chromatids
Inhibit cGMP breakdown

48. is fibroadenoma a precursor to breast cancer
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
No
Fertilization 'an egg met a sperm'
During fetal life

49. What pathologic states cause increases in hCG
Estrogen overstimulation
Hydrocele
Meigs syndrome
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

50. What are the most common tumors in all females?
Axillary node involvement
E coli
increased AFP and hCG
Myometrial tumors