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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 does progesterone do for pregnancy
Maintenance
Intraductal papilloma - breast abscess - mastitis
Adrenal gland
Trophoblasts

2. What does progesterone do to myometrial excitability
Decrease
Turner's XO
2 months
Female pseudoHerm

3. dx with increased testosterone and dec LH
1000 times
Blacks
Testosterone secreting tumor - exogenous steroids
Hemorrhage

4. What is the treatment for preeclampsia
E coli
Delivery of fetus
Smooth muscle
Sertoli cells - and adipose tissue via aromatase

5. What complications are associated with oligohydramnios

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6. Which nerve and nerve fibers control for ejaculation
Turner's XO
Visceral - somatic nerves in pudendal
Testosterone
Theca cell - desmolase - androstenedione

7. Prevention of seizures and in preeclampsia
Theca cell - desmolase - androstenedione
IV mag sulfate - diazepam
Paget's disease
Call exner bodies

8. What structures does testosterone negatively feedback on?
Right gonadal vein - IVC
Tight junctions between sertoli cells
The anterior pituitary and hypothalamus
Fertilization 'an egg met a sperm'

9. How does progesterone inhibit sperm entry to uterus
Mucinous cystadenoma
Invasive lobular
Vagina
Production of a thick cervical mucus

10. In what phase is meiosis I arrested
Testosterone
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
CIN 1 - 2 - 3
Prophase

11. 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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12. What is the right venous drainage of the ovary/testis
Increase in size in pregs - decrease in size meno - estrogen sens
Right gonadal vein - IVC
Endometrial carcinoma
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

13. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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14. in postmenopausal women Where is androstenedione converted to estrone
69 xxy
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Peripheral adipose tissue
During fetal life

15. What are the treatments for PCOS
Phyllodes tumor
Seminoma
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Prior c section - inflammation - placenta previa

16. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
Suckling - increased oxytocin - prolactin
Fibrosis
Prostatic acid phosphatase and PSA

17. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
Round ligament of the uterus
Adenomyosis
Placenta previa

18. premature detachment of placenta from implantation site leading to fetal death
Suckling - increased oxytocin - prolactin
Abruptio placentae
CIN 1 - 2 - 3
Neoplastic cells block lymphatic drainage

19. common cause of recurrent miscarriage in the 1st week
Granulosa cell tumor
Pseudohermaphroditism
Low progesterone
Mucinous cystadenoma

20. Endometriosis is characterized By what clinical picture?
increased size and tenderness with increased estrogen
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Immature
Spermatogonia (germ cells)

21. in males - are mature teratomas malignant? What is the case for females
Brenner tumor
Stimulate glandular secretions - and spiral artery development
Malignant in males not in females
During fetal life

22. endometrium within the myometrium
Syncytiotrophoblasts of placenta
Adenomyosis
Asia - Africa - S. America - HPV - lack of circumcision
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

23. Risk factors for ectopic pregs
Myometrial tumors
Fibrocystic disease
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Call exner bodies

24. What is the treatment for hydatidiform mole
46 xx
Osteoblastic in bone
Dilation and curettage and methotrexate
Develop both male and female internal genitalia and male external genitalia

25. Some drugs cause awesome knockers
Differentiation of penis - scrotum and prostate
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Theca cell - desmolase - androstenedione
Sarcoma botryoides - a rhabdomyosarcoma variant

26. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
increased size and tenderness with increased estrogen
Para - aortic lymph nodes
Testosterone
Acute mastitis

27. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Spermatogonia (germ cells)
Upregulation - LH surge - ovulation
Ectopic preg
Retrograde mentrual flow or ascending infection

28. What complications are associated with polyhydramnios

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29. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Corpus luteum - placenta - adrenal cortex - testes
Prostate growth - balding - and sebaceous gland activity
Granulosa cell - aromatase - androstenedione - estrogen
Mature teratoma

30. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
69 xxy
Granulosa cell tumor
Paget's disease - breast abscess
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY

31. What does progesterone do to body temp
Tight junctions between sertoli cells
Increase
Down regulation
Estrogen overstimulation

32. What are the four functions of estrogen
Down regulation
Klinefelter's - XXY
Prematurity
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

33. What is the average age of onset for menopause
51 yo
Preeclampsia clinical
Oligohydramnios
No

34. HTN - proteinuria and edema
Inhibit cGMP breakdown
Slight increase - 1.5 to 2
Preeclampsia
Bowenoid papulosis - carcinoma in situ of the penis

35. How many days after fertilization does implantation occur?
6
Granulosa cell - aromatase - androstenedione - estrogen
Testosterone
IV mag sulfate - diazepam

36. dilated epididymal duct
Down regulation
Spermatocele
20 to 40
During fetal life

37. testicular masses that can be transilluminated
Embryonal carcinoma
increased in total - and dec in free fraction
Choriocarcinoma
Tunica vaginalis lesions

38. small breast tumor that grows in lactiferous ducts - typically beneath the areola with serous or bloody nipple discharge
Asia - Africa - S. America - HPV - lack of circumcision
Corpus luteum - placenta - adrenal cortex - testes
Intraductal papilloma
Spermatogonia (germ cells)

39. Does a leiomyoma progress to leiosarcoma
Bowenoid papulosis - carcinoma in situ of the penis
No
Periurethral lobes - lateral and middle
Small infiltrating glands with prominent nucleoli

40. When is follicular growth the fastest?
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
2nd week of proliferative phase
Inhibit cGMP breakdown
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

41. eclampsia
Just prior to ovulation
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Decreasing progesterone
Preeclampsia + siezures

42. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Seminoma
Epithelial hyperplasia
Hypogondadotropic hypogonadism
Prophase

43. androblastoma from sex cord stroma
Induces and maintains lactation - decreases reproductive function
S aureus
Para - aortic lymph nodes
Sertoli cell tumor

44. What cellular structure is the acrosome derived from?
Golgi
Inhibit cGMP breakdown
Mimics LH
Round ligament of the uterus

45. What hormones regulate sperm creation?
Cardinal ligament
GnRH from hypoTh - LH and FSH from ant pituitary
Haploid - N - 23 single chromatids
Neoplastic cells block lymphatic drainage

46. Which system and nerve are responsible for emission
Hemorrhage
Placenta acreta
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
SANS - hypogastric nerve

47. Increases in which hormone are associated with BPH
Smoking - HTN - cocaine
Corpus luteum - placenta - adrenal cortex - testes
Invasive lobular
Estradiol and possible growth promoting effects of DHT

48. > 35 day cycle
increased size and tenderness with increased estrogen
Oligomenorrhea
Partial
Theca cell - desmolase - androstenedione

49. dx with increased testosterone and increased LH
Mittelschmerz syndrome
Defective androgen receptor
Medullary
DIC

50. In what phase is meiosis II arrested
Asia - Africa - S. America - HPV - lack of circumcision
Sertoli cell tumor
Metaphase
Lateral invasion can block ureters causing renal failure