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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. Breast path - disease that occurs at the nipple

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2. Where does LH work - what enzyme works there and what product is secreted
IV mag sulfate - diazepam
Theca cell - desmolase - androstenedione
Prematurity
The anterior pituitary and hypothalamus

3. How does endometriosis cause infertility
Retrograde mentrual flow or ascending infection
Inhibit cGMP breakdown
Preeclampsia + siezures
Prior c section - multiparity

4. What serum markers are associated with embyronal carcinoma
increased AFP and hCG
Partial
No
Chocolate cyst

5. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Mucinous cystadenoma
Hydatidiform mole
Retrograde mentrual flow or ascending infection
Call exner bodies

6. What are the most common tumors in all females?
Blacks
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
SANS - hypogastric nerve
Myometrial tumors

7. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Intraductal papilloma - breast abscess - mastitis
increased in total - and dec in free fraction
Testis determining factor
HPV 16 - 18

8. What is HELLP syndrome
Hemolysis - elevated liver enzymes - low platelets
Menometrorrhagia
Serous cystadenocarcinoma
DIC

9. What does LH do
Stimulates testosterone release from leydig cells
Endometrial carcinoma
IV mag sulfate - diazepam
Superficial inguinal lymph nodes

10. 2 sperm + empty egg
Superficial inguinal lymph nodes
Prophase
Complete
BPH

11. Arrange the androgens in order of most potent to least potent
DHT - testosterone - androstenedione
One of the centrioles
Golgi
Vagina

12. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Serous cystadenocarcinoma
Female pseudoHerm
Klinefelter's - XXY

13. tumor is fleshy - cellular - with a lymphocytic infiltrate - good prognosis
Medullary
Call exner bodies
Yolk sac - endodermal sinus - tumor
Aortic bicuspid valve

14. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Theca - leutin cysts
Androgen insensitivity syndrome
Smooth muscle
No

15. What are the pathologic features of leiosarcoma
Congenital adrenal hyperplasia - exogenous administration of steroids
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Left
Comedocarcinoma

16. Breast path - diseeases of the lobules
Lobular carcinoma - sclerosing adenosis
Inhibition of HCG access
Inhibition LH and FSH
During fetal life

17. What is DHT responsible for in late development
Erythroplasia of Queyrat - carcinoma in situ of penis
Prostate growth - balding - and sebaceous gland activity
Male pseudoHerm
Myometrial invasion

18. What are the four functions of estrogen
E coli
Estrogen overstimulation
The ampulla - occurs within 1 day of ovulation
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL

19. dx with increased testosterone and increased LH
Defective androgen receptor
Smoking - HTN - cocaine
Testosterone
50 times

20. Connects cervix to side wall of pelvis - contains uterine vessels
Cardinal ligament
Hyperestrogenism
Fibroadenoma - phyllodes tumor
Calcifications

21. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Cystic
Good - late metastasis
Calcifications
Prior c section - multiparity

22. What is the order of events in the menstrual cycle
The ampulla - occurs within 1 day of ovulation
PCOS
Low progesterone
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

23. What is DHT responsible for in early development?
CIN 1 - 2 - 3
Differentiation of penis - scrotum and prostate
Alpha1 antagonists - terazosin - tamsulosin - finasteride
1 week - 2 weeks

24. What does progesterone do to gonadotropins
Inhibition LH and FSH
Defective androgen receptor
Complete
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

25. premature detachment of placenta from implantation site leading to fetal death
Polymenorrhea
Develop both male and female internal genitalia and male external genitalia
Abruptio placentae
Preeclampsia

26. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Differentiation of penis - scrotum and prostate
Right gonadal vein - IVC
Suspensory ligament of ovaries
Alpha1 antagonists - terazosin - tamsulosin - finasteride

27. When does spermatogenesis begin?
Puberty
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Bowenoid papulosis - carcinoma in situ of the penis
Stimulates testosterone release from leydig cells

28. What increases risk for endometrial carcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Bowen's dz - carcinoma in situ of the penis
The anterior pituitary and hypothalamus

29. histo: simple columnar epithelium - ciliated
Estradiol
Fallopian tube
Sertoli cells
Mucinous cystadenocarcinoma

30. Where is SCC of the penis more common and What is it associated with
Small infiltrating glands with prominent nucleoli
Follicular cyst
Premature ovarian failure (Pof)
Asia - Africa - S. America - HPV - lack of circumcision

31. dx with decreased testosterone - increased LH
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Serous cystadenoma
No
Primary hypogonadism

32. Uterin fundus to labia majora
Smooth muscle
4
Round ligament of uterus
Choriocarcinoma

33. hemorrhage into persistent corpus luteum
Cardinal ligament
Malignant in males not in females
GnRH from hypoTh - LH and FSH from ant pituitary
Corpus luteum cyst

34. disagreement between the phenotypic and gonadal sex
GnRH from hypoTh - LH and FSH from ant pituitary
Retrograde mentrual flow or ascending infection
increased AFP and hCG
Pseudohermaphroditism

35. What is the most frequent benign ovarian tumor
Inhibition of HCG access
The ampulla - occurs within 1 day of ovulation
Mature teratoma
Andogren binding protein - anti mullerian hormone

36. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Call exner bodies
Serous cystadenoma
increased AFP and hCG

37. Which androgen is responsible for libido
Testosterone
Meigs syndrome
Malignant in males not in females
Complete

38. What is mortality due to in preeclampsia
Sclerosing adenosis
Haploid - N - 23 single chromatids
Cerebral hemorrhage and ARDS
Male pseudoHerm

39. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
SANS - hypogastric nerve
Serous cystadenoma
BPH
Placenta previa

40. What is the clinical manifestation of PCOS
Prostatic acid phosphatase and PSA
Cerebral hemorrhage and ARDS
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Increase in size in pregs - decrease in size meno - estrogen sens

41. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
DES in utero (DES is a sythetic estrogen)
Squamo - columnar jxn
Puberty
Yolk sace - endodermal sinus - tumor

42. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
The ampulla - occurs within 1 day of ovulation
Kallman
Epithelial hyperplasia

43. What becomes the main source of hCG
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Broad ligament
Syncytiotrophoblasts of placenta
Sertoli cells - and adipose tissue via aromatase

44. Which side is varicocele more common on...
Preeclampsia
Left
Fallopian tube
Golgi

45. What percentage of testicular tumors are germ cell
95%
Andogren binding protein - anti mullerian hormone
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Fat necrosis

46. When is follicular growth the fastest?
2nd week of proliferative phase
Smooth muscle
69 xxy
Mucinous cystadenocarcinoma

47. gray - soliarty - crusty plaque - usually on the shaft of the penis or on the scrotum - peak incidence in 5th decade of life - can progress to invasive SCC in < 10% of cases

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48. Which phase varies and in length and Which is usually 14 days (menstrual cycle)
No
Fibroadenoma
Retrograde mentrual flow or ascending infection
Follicular phase varies - luteal phase is 14

49. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Whorled pattern of smooth muscle bundles
DHT - testosterone - androstenedione
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

50. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Down regulation
Preeclampsia + siezures
Bicornute uterus