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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 is the serum marker for BPH
PSA
Severe bleeding iron def anemia - miscarriage
increased AFP and hCG
Broad ligament

2. Connects ovary to lateral uterus
Ligament of the ovary
Invasive ductal
4
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

3. What are the most common cause of anovluation

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4. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
During fetal life
Bowenoid papulosis - carcinoma in situ of the penis
Haploid - 2N - 23 sister chromatids
Metaphase

5. What estrogen does the placenta secrete
Estradiol
Paget's disease - breast abscess
Bicornute uterus
Maintenance

6. <0.5 L of amniotic fluid
Prophase
Oligohydramnios
Fibroadenoma - phyllodes tumor
Myometrial tumors

7. What does hCG do in the first trimester to maintain the corpus luteum
Ectopic preg
Androgen insensitivity syndrome
Testicular lymphoma
Mimics LH

8. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
Congenital adrenal hyperplasia - exogenous administration of steroids
Increase
Stimulates sertoli cells to produce ABP and inhibin

9. small follicles filled with eosinphilic secretions
Call exner bodies
Preeclampsia + siezures
Androgen insensitivity syndrome
Cystic

10. Connects cervix to side wall of pelvis - contains uterine vessels
Dysuria - frequency - urgency - low back pain
Ligament of the ovary
CIN 1 - 2 - 3
Cardinal ligament

11. How is dyslpasi and carcinoma in situ of the cervix classified
Delivery of fetus
Obdurator - exterinal iliac - hypogastic nodes
CIN 1 - 2 - 3
Medullary

12. What estrogen does the ovary secrete
17beta estradiol
Fibromas
51 yo
Small infiltrating glands with prominent nucleoli

13. In chronic prostatitis is bacterial or abacterial more common
Polymenorrhea
Abacterial
Sertoli cells
Serous cystadenocarcinoma

14. Breast path - diseases of the lactiferous sinus
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Intraductal papilloma - breast abscess - mastitis
Serous cystadenocarcinoma
Mammary duct epithelium or lobular glands

15. Which androgen is responsible for the closing of the epiphyseal plate
Peripheral adipose tissue
Testosterone
Retrograde mentrual flow or ascending infection
Ovary

16. What is hydatidiform mole and precurosor of...
Sarcoma botryoides - a rhabdomyosarcoma variant
17beta estradiol
Mitochondria
Choriocarcinoma

17. What is indicative of a poor prognosis for endometrial carcinoma
Round ligament of uterus
Myometrial invasion
increased size and tenderness with increased estrogen
Hydrocele

18. What is a complication of invasive carcinoma
Androgen insensitivity syndrome - 46 XY
Granulosa cell - aromatase - androstenedione - estrogen
Lateral invasion can block ureters causing renal failure
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

19. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Krukenburg tumor
55-65
Polyhydramnios
DIC

20. What are causes of female pseudoHerm
Androgen insensitivity syndrome - 46 XY
Inflammatory
Hemorrhage
Congenital adrenal hyperplasia - exogenous administration of steroids

21. endometrium within the myometrium
Adenomyosis
Prematurity
Good - late metastasis
GnRH from hypoTh - LH and FSH from ant pituitary

22. What is DHT responsible for in late development
Just prior to ovulation
Medullary
The ampulla - occurs within 1 day of ovulation
Prostate growth - balding - and sebaceous gland activity

23. Where does prostatic adenocarcinoma arise from?
Proliferation
Posterior lobe peripheral zone
Aortic bicuspid valve
Chocolate cyst

24. How does exogenous testosterone create azoospermia
Inhibition of HCG access
Serous cystadenocarcinoma
Pseudohermaphroditism
Bicornute uterus

25. gynecological tumors from highest incidence to lowest
Mucinous cystadenocarcinoma
Osteoblastic in bone
Endometrial > ovarian> cervical (in US)
DES in utero (DES is a sythetic estrogen)

26. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Menopause
DCIS
Invasive ductal
Estradiol > estrone > estriol

27. 50% of ovarian tumors - malignant and frequently bilateral
Myometrial tumors
Ovary
Serous cystadenocarcinoma
Inhibition LH and FSH

28. When is follicular growth the fastest?
Posterior lobe peripheral zone
Partial
Metrorrhagia
2nd week of proliferative phase

29. > 35 day cycle
Granulosa cell - aromatase - androstenedione - estrogen
4
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Oligomenorrhea

30. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
Down regulation
Preductal coarctication
95%
Obdurator - exterinal iliac - hypogastic nodes

31. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Upregulation
Superficial inguinal lymph nodes
GnRH from hypoTh - LH and FSH from ant pituitary
Haploid - 2N - 23 sister chromatids

32. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Production of a thick cervical mucus
Post menopausal
increased cGMP - smooth muscle relax - vasodltn - proerectile
Chocolate cyst

33. Which cells secrete beta hCG
Trophoblasts
Embryonal carcinoma
In the 6th decade of life
Round ligament of the uterus

34. When does the secondary oocyte complete meosis II

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35. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Mittelschmerz syndrome
Increased FSH
Endometriosis

36. Risk factors for ectopic pregs
Round ligament of the uterus
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
46 xx
Low back pain with increased serum alk phos

37. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Develop both male and female internal genitalia and male external genitalia
Asia - Africa - S. America - HPV - lack of circumcision
Serous cystadenoma
5 alpha reductase def

38. eclampsia
Preeclampsia + siezures
S aureus
Koilocytitic
DES in utero (DES is a sythetic estrogen)

39. common cause of recurrent miscarriage in 1st trimester
Kallman
Left gonadal vein - left renal vein - IVC
Superficial inguinal lymph nodes
Chromosomal abnormalities

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

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41. Prevention of seizures and in preeclampsia
IV mag sulfate - diazepam
Ovary
Complete
Round ligament of the uterus

42. dx with increased testosterone and dec LH
Krukenburg tumor
Kallman
Testosterone secreting tumor - exogenous steroids
Acute mastitis

43. common cause of recurrent miscarriage in 2nd trimester
Testosterone
Bicornute uterus
Male pseudoHerm
Leydig cell tumor

44. heavy - irregular menstruation at irregular intervals
Menometrorrhagia
Just prior to ovulation
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Blacks

45. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
Small infiltrating glands with prominent nucleoli
One of the centrioles
Invasive ductal

46. Vaginal sqamous cell carcinoma is most often seconday From which site?
Kallman
Hydrocele
Cervix
Production of a thick cervical mucus

47. common cause of recurrent miscarriage in the 1st week
Low progesterone
Puberty
Choriocarcinoma
50 times

48. Where is androstenedione made?
DRE - hard nodule and biopsy
Adrenal gland
Endometriosis
Meigs syndrome

49. dilated epididymal duct
Preductal coarctication
Periurethral lobes - lateral and middle
Spermatocele
Invasive lobular

50. Which side is varicocele more common on...
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Left
Ectocervix
increased Ca in - smooth muscle contraction - vasocxn - antierectile