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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. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Ectopic preg
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
E coli
Lateral invasion can block ureters causing renal failure

2. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Syncytiotrophoblasts of placenta
Testosterone
Uterus

3. What is the typical cell change in HPV infection
Prematurity
Premature ovarian failure (Pof)
Peyronie's dz
Koilocytitic

4. What does progesterone do to smooth muscle in the uterus
Relaxation
Post menopausal
No
Sclerosing adenosis

5. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Corpus luteum - placenta - adrenal cortex - testes
6
Myometrial tumors
Placenta acreta

6. What does estrogen do to FSH and LH
Hydatidiform mole
Feedback inhibition
Paget's disease - breast abscess
Smoking - HTN - cocaine

7. When does the secondary oocyte complete meosis II

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8. List the estrogens in order of decreasing potency
Posterior lobe peripheral zone
HPV 16 - 18
Estradiol > estrone > estriol
Bicornute uterus

9. marked increased hCG - complete or partial
Good - late metastasis
DRE - hard nodule and biopsy
Sertoli cell tumor
Complete

10. What is the common presentation of metastasis in prostate cancer
Increase in size in pregs - decrease in size meno - estrogen sens
Ovary
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Low back pain with increased serum alk phos

11. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
Visceral - somatic nerves in pudendal
Teratoma
Ectopic preg

12. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Follicular cyst
IV mag sulfate - diazepam
Placenta acreta
Chocolate cyst

13. Does a leiomyoma progress to leiosarcoma
95%
No
Inhibition of HCG access
Calcifications

14. In what phase is meiosis II arrested
Metaphase
Inhibit FSH
Endometrial carcinoma
Bowenoid papulosis - carcinoma in situ of the penis

15. What metastasis is most common with prostatic adenocarcinoma
Osteoblastic in bone
Androgen insensitivity syndrome - 46 XY
Uterus
Preeclampsia

16. What are the risk factors for endometrial hyperplasia
Suspensory ligament of ovaries
Placenta previa
Hypogondadotropic hypogonadism
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

17. What do sildenafil and vardenafil do?
Metaphase
Inhibit cGMP breakdown
Axillary node involvement
Just prior to ovulation

18. Where does LH work - what enzyme works there and what product is secreted
Sarcoma botryoides - a rhabdomyosarcoma variant
Meigs syndrome
Severe bleeding iron def anemia - miscarriage
Theca cell - desmolase - androstenedione

19. What is the best test to confirm menopause
The anterior pituitary and hypothalamus
Theca - leutin cysts
Increased FSH
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

20. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Yolk sace - endodermal sinus - tumor
Suspensory ligament of ovaries
Ligament of the ovary
Ovary

21. decreased estrogen production due to age linked decline in the number of ovarian follices
Menopause
Preductal coarctication
Cervix
5 alpha reductase - inhibited by finesteride

22. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
1000 times
Fibromas
Prementsrual breast pain and multiple lesions
Spermatogonia (germ cells)

23. what metabolic disorder is assocaited with PCOS
Menometrorrhagia
Testosterone
Insulin resistance
Testosterone - DHT - androstenedione

24. when do primary oocytes begin meiosis I
During fetal life
Estrogen overstimulation
Follicular phase varies - luteal phase is 14
PSA

25. What is indicative of a poor prognosis for endometrial carcinoma
Myometrial invasion
Spermatogonia (germ cells)
Fibrcystic change - ductal cancer
In the 6th decade of life

26. What forms the blood testis barrier?
Fibroadenoma - phyllodes tumor
Tight junctions between sertoli cells
Seminoma
Granulosa cell tumor

27. Which nerve and nerve fibers control for ejaculation
Testosterone
Stimulation of secretion - but blocks its action at the breast
Hyperthyroidism - contains functional thyroid tissue
Visceral - somatic nerves in pudendal

28. Atypical cells in epithelial hyperplasia
Endometriosis
Insulin resistance
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
increased risk for carcinoma

29. histo: stratified squamous epithelium - nonkeratinized
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Vagina
Broad ligament
Paget's disease

30. What effect does NO have on smooth muscle in erectile tissues
Bowen's dz - carcinoma in situ of the penis
Complete
increased cGMP - smooth muscle relax - vasodltn - proerectile
Feedback inhibition

31. >1.5 -2 L of amniotic fluid
Ovary
The ampulla - occurs within 1 day of ovulation
Polyhydramnios
Decrease

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

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33. What are risk factors for placenta acreta
Maintenance
Left gonadal vein - left renal vein - IVC
Preductal coarctication
Prior c section - inflammation - placenta previa

34. Testosterone and estrogen in androgen insensitivity syndrome
PCOS
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Invasive lobular
Increase (and LH)

35. dx with increased testosterone and increased LH
Syncytiotrophoblasts of placenta
Defective androgen receptor
Fibrosis
Placenta previa

36. Which system and nerve are responsible for emission
Maintenance
Good - late metastasis
Menometrorrhagia
SANS - hypogastric nerve

37. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Spermatocele
Defective androgen receptor
Malignant in males not in females
Medullary

38. What is the most frequent benign ovarian tumor
Paget's disease
Hemorrhage
Mature teratoma
Round ligament of uterus

39. dx with decreased testosterone and decreased LH
E coli
Hypogondadotropic hypogonadism
Brenner tumor
Primary hypogonadism

40. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Inhibition LH and FSH
DIC
Androgen insensitivity syndrome - 46 XY
DES in utero (DES is a sythetic estrogen)

41. Dermal lymphatic invasion by breast carcinoma - peu d orange
Medullary
Increased FSH
Decreasing progesterone
Inflammatory

42. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Oligohydramnios
Preeclampsia + siezures
Increase in size in pregs - decrease in size meno - estrogen sens

43. What increase in estriol is an indicator offetal well being in pregnancy
1000 times
Neoplastic cells block lymphatic drainage
Menometrorrhagia
Syncytiotrophoblasts of placenta

44. What is the genetic material in the ovum
Intraductal papilloma - breast abscess - mastitis
Haploid - N - 23 single chromatids
Slight increase - 1.5 to 2
Varicocele

45. what structures supplies the energy to the middle piece (neck)
Mitochondria
Menometrorrhagia
Aortic bicuspid valve
Testosterone

46. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Primary hypogonadism
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Granulosa cell tumor
No

47. premature detachment of placenta from implantation site leading to fetal death
Testosterone
Squamous cell carcinoma
Abruptio placentae
Squamo - columnar jxn

48. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
GnRH from hypoTh - LH and FSH from ant pituitary
Ectocervix
Choriocarcinoma
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

49. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
Krukenburg tumor
Comedocarcinoma
50 times

50. What does inhibin do?
Peripheral conversion of androgens
Inhibit FSH
IV mag sulfate - diazepam
Sertoli cells