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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. How does BPH present
Severe bleeding iron def anemia - miscarriage
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Prophase

2. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Hyperestrogenism
Teratoma
Obdurator - exterinal iliac - hypogastic nodes
95%

3. dilated epididymal duct
Prior c section - multiparity
Cervix
Spermatocele
Sertoli cells - and adipose tissue via aromatase

4. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Peyronie's dz
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Dysgerminoma

5. What are the treatments for PCOS
DES in utero (DES is a sythetic estrogen)
Aortic bicuspid valve
S aureus
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery

6. What complications are associated with oligohydramnios

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7. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
CIN 1 - 2 - 3
Placenta acreta
Estrogen overstimulation

8. What is a concern of early menopause
Hypogondadotropic hypogonadism
Premature ovarian failure (Pof)
IV mag sulfate - diazepam
Fibroadenoma

9. What is DHT responsible for in early development?
Differentiation of penis - scrotum and prostate
Dilation and curettage and methotrexate
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
1000 times

10. What is the average age of onset for menopause
Hyperthyroidism - contains functional thyroid tissue
51 yo
Right gonadal vein - IVC
Periurethral lobes - lateral and middle

11. Which nerve and nerve fibers control for ejaculation
Seminoma
Dysuria - frequency - urgency - low back pain
Visceral - somatic nerves in pudendal
Fibromas

12. What effect does NE have on smoothe muscle in the erectile tissues
increased Ca in - smooth muscle contraction - vasocxn - antierectile
The centrioles
Dysgerminoma
Haploid - N - 23 single chromatids

13. Which hydatidiform mole has the greater risk for malignancy
Female pseudoHerm
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Polymenorrhea
Complete

14. androblastoma from sex cord stroma
Cystic
Endometrial carcinoma
Sertoli cell tumor
Tubular carcinoma

15. What is a potential complication of endometrial hyperplasia
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Turner's XO
Cardinal ligament
Endometrial carcinoma

16. List the estrogens in order of decreasing potency
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Increase in size in pregs - decrease in size meno - estrogen sens
HPV 16 - 18
Estradiol > estrone > estriol

17. 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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18. How many days after fertilization does implantation occur?
Complete
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Lateral invasion can block ureters causing renal failure
6

19. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Cystic
Broad ligament
Post menopausal bleeding
increased size and tenderness with increased estrogen

20. What does SEVEN Up stand for in regards to the pathway of sperm
Serous cystadenocarcinoma
Comedocarcinoma
Stimulates sertoli cells to produce ABP and inhibin
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

21. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Ovarian > cervical > endometrial
Round ligament of the uterus
Chocolate cyst

22. What can happen with no sertoli cell or lack of anti mullerian hormone
Develop both male and female internal genitalia and male external genitalia
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Increase in size in pregs - decrease in size meno - estrogen sens
Prostate growth - balding - and sebaceous gland activity

23. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
Prostate growth - balding - and sebaceous gland activity
Erythroplasia of Queyrat - carcinoma in situ of penis
Prementsrual breast pain and multiple lesions

24. What does the SRY gene do
Follicular cyst
Testis determining factor
Adenomyosis
Androgen insensitivity syndrome - 46 XY

25. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Kallman
Oligohydramnios
Increase in size in pregs - decrease in size meno - estrogen sens
Spermatocele

26. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
E coli
Upregulation
Multiple sexual partners - also HIV and early sexual intercourse

27. < 21 day cycle
Small infiltrating glands with prominent nucleoli
During fetal life
Polymenorrhea
Good - late metastasis

28. dx with decreased testosterone and decreased LH
1000 times
Hypogondadotropic hypogonadism
Peripheral conversion of androgens
Testicular lymphoma

29. What are risk factors for placenta acreta
Bowenoid papulosis - carcinoma in situ of the penis
Prior c section - inflammation - placenta previa
Tunica vaginalis lesions
6

30. What estrogen does the ovary secrete
4
No
Smoking - HTN - cocaine
17beta estradiol

31. What effect does NO have on smooth muscle in erectile tissues
Round ligament of uterus
Blacks
increased cGMP - smooth muscle relax - vasodltn - proerectile
Krukenburg tumor

32. What is the main source of energy for spermatozoa
DES in utero (DES is a sythetic estrogen)
Ovary
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Fructose

33. What bacteria is commone in acute prostatitis
Prior c section - multiparity
Ovarian > cervical > endometrial
E coli
Slight increase - 1.5 to 2

34. inability to convert testosterone to DHT - limited to genetic males - penis at 12
The centrioles
Adrenal gland
Chromosomal abnormalities
5 alpha reductase def

35. Risk factors for ectopic pregs
Differentiation of penis - scrotum and prostate
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Stimulate glandular secretions - and spiral artery development
Broad ligament

36. when do primary oocytes complete meiosis I
Testosterone - DHT - androstenedione
Just prior to ovulation
increased in total - and dec in free fraction
The centrioles

37. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Abruptio placentae
Testosterone
Esophogeal/duodenal atresia - can't swallow - anencephaly
Neoplastic cells block lymphatic drainage

38. eclampsia
Preeclampsia
1 week - 2 weeks
Acute mastitis
Preeclampsia + siezures

39. Complication of retained placental tissue
Cardinal ligament
Increase
Hemorrhage
Erythroplasia of Queyrat - carcinoma in situ of penis

40. What are the most common cause of anovluation

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41. Increases in which hormone are associated with BPH
No
Estradiol and possible growth promoting effects of DHT
Intraductal papilloma
Spermatocele

42. What pathologic states cause increases in hCG
Relaxation
Polymenorrhea
Small infiltrating glands with prominent nucleoli
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

43. in males - are mature teratomas malignant? What is the case for females
Ovary
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Theca - leutin cysts
Malignant in males not in females

44. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Female pseudoHerm
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
PCOS
increased in total - and dec in free fraction

45. histo: stratified squamous epithelium - nonkeratinized
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Feedback inhibition
Vagina
Upregulation - LH surge - ovulation

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

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47. Where is testosterone secreted into?
Cerebral hemorrhage and ARDS
Seminoma
Menopause
The semiT and the blood vessels

48. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Round ligament of the uterus
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Cystic

49. Which androgen is responsible for libido
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
increased AFP and hCG
Testosterone
Pseudohermaphroditism

50. What are the most common tumors in all females?
Myometrial tumors
Testosterone
Testosterone
Hydrocele