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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. dx with increased testosterone and dec LH
2 months
Fibroadenoma
Polyhydramnios
Testosterone secreting tumor - exogenous steroids

2. Where is androstenedione made?
Adrenal gland
Smoking - HTN - cocaine
Endometriosis
Ovary

3. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Increase in size in pregs - decrease in size meno - estrogen sens
Tight junctions between sertoli cells
Inhibit cGMP breakdown
Upregulation - LH surge - ovulation

4. Breast path - diseases of the lactiferous sinus
Fibrocystic disease
Intraductal papilloma - breast abscess - mastitis
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Left

5. histo: stratified sqamous epithelium
Sarcoma botryoides - a rhabdomyosarcoma variant
Paget cell
Ectocervix
Feedback inhibition

6. 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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7. triad of ovarian fibroma - ascites - hydrothorax
increased cGMP - smooth muscle relax - vasodltn - proerectile
Meigs syndrome
Osteoblastic in bone
Polyhydramnios

8. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Granulosa cell - aromatase - androstenedione - estrogen
Visceral - somatic nerves in pudendal
Testosterone
Preductal coarctication

9. What changes are seen with total PSA and fraction of free PSA
5 alpha reductase - inhibited by finesteride
Andogren binding protein - anti mullerian hormone
1000 times
increased in total - and dec in free fraction

10. What is the lymphatic drainage the ovaries/testis
Prior c section - multiparity
Milk letdown - uterine contractions?
Pseudohermaphroditism
Para - aortic lymph nodes

11. In chronic prostatitis is bacterial or abacterial more common
Testosterone
Post menopausal
Embryonal carcinoma
Abacterial

12. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Periurethral lobes - lateral and middle
Stimulation of secretion - but blocks its action at the breast
Prostatic acid phosphatase and PSA

13. Some drugs cause awesome knockers
Granulosa cell - aromatase - androstenedione - estrogen
Prior c section - multiparity
Testosterone
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

14. When is follicular growth the fastest?
2nd week of proliferative phase
Mimics LH
Mature teratoma
E coli

15. Which side is varicocele more common on...
Aortic bicuspid valve
Left
Myometrial tumors
No

16. What does the tail go onto to form
The centrioles
Complete
Granulosa cell tumor
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

17. Increases in which hormone are associated with BPH
Intraductal papilloma
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Estradiol and possible growth promoting effects of DHT
Corpus luteum cyst

18. What are the effects of prolactin?
Intraductal papilloma - breast abscess - mastitis
Induces and maintains lactation - decreases reproductive function
4
Cervix

19. in postmenopausal women Where is androstenedione converted to estrone
No
Peripheral adipose tissue
Call exner bodies
Peyronie's dz

20. What increases risk for endometrial carcinoma
Polyhydramnios
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Placenta previa
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

21. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
69 xxy
Prostatic acid phosphatase and PSA
Mucinous cystadenocarcinoma

22. What substances other than inhibin do sertoli cells produce?
One of the centrioles
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Andogren binding protein - anti mullerian hormone
Multiple sexual partners - also HIV and early sexual intercourse

23. Breast path - diseeases of the lobules
Estradiol
Preductal coarctication
DHT - testosterone - androstenedione
Lobular carcinoma - sclerosing adenosis

24. What structures does testosterone negatively feedback on?
Inhibition LH and FSH
Testosterone - DHT - androstenedione
95%
The anterior pituitary and hypothalamus

25. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Preeclampsia clinical
Mature teratoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Esophogeal/duodenal atresia - can't swallow - anencephaly

26. What does estrogen to do prolaction
20 to 40
Stimulation of secretion - but blocks its action at the breast
5 alpha reductase def
DCIS

27. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Broad ligament
Primary hypogonadism
1000 times
Paget's disease - breast abscess

28. What does estrogen do to estrogen - LH and progesterone recepotrs
Round ligament of the uterus
Insulin resistance
Bowen's dz - carcinoma in situ of the penis
Upregulation

29. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Whorled pattern of smooth muscle bundles
Dysgerminoma
Tubular carcinoma
Male pseudoHerm

30. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
Erythroplasia of Queyrat - carcinoma in situ of penis
DRE - hard nodule and biopsy
Acute mastitis

31. What changes in the aorta are common in Turner's?
Suspensory ligament of ovaries
Tight junctions between sertoli cells
increased in total - and dec in free fraction
Preductal coarctication

32. What are the treatments for PCOS
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Ovary
Prematurity
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

33. What does progesterone do for pregnancy
Mittelschmerz syndrome
Maintenance
Testosterone
Milk letdown - uterine contractions?

34. eclampsia
Dilation and curettage and methotrexate
Placenta acreta
Peyronie's dz
Preeclampsia + siezures

35. How does progesterone inhibit sperm entry to uterus
Prior c section - inflammation - placenta previa
Prior c section - multiparity
Production of a thick cervical mucus
Granulosa cell tumor

36. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
1 week - 2 weeks
Good - late metastasis
Granulosa cell tumor
Peyronie's dz

37. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Endometriosis
Severe bleeding iron def anemia - miscarriage
Induces and maintains lactation - decreases reproductive function

38. How is beta hCG detectable in blood or urine for a home pregnancy test
Sertoli cells - and adipose tissue via aromatase
Bicornute uterus
Endometriosis
1 week - 2 weeks

39. Complication of retained placental tissue
Post menopausal bleeding
Calcifications
Retrograde mentrual flow or ascending infection
Hemorrhage

40. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Down regulation
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

41. What virus is dyslapsia and carcinoma in situ of the cervix associated with
Stimulate glandular secretions - and spiral artery development
Low progesterone
HPV 16 - 18
Estradiol > estrone > estriol

42. endometrium within the myometrium
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Testosterone
Inhibition LH and FSH
Adenomyosis

43. What does the SRY gene do
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
69 xxy
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testis determining factor

44. How many functional sperm does 1 germ cell creat?
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
4
Fibromas
Prophase

45. Where is testosterone secreted into?
Upregulation
Brenner tumor
17beta estradiol
The semiT and the blood vessels

46. Which hydatidiform mole has the greater risk for malignancy
Cystic
Hemolysis - elevated liver enzymes - low platelets
Complete
Vagina

47. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Upregulation - LH surge - ovulation
increased size and tenderness with increased estrogen
Differentiation of penis - scrotum and prostate

48. most common testicular cancer in older men
Testosterone
Testicular lymphoma
Proliferation
Klinefelter's - XXY

49. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Prophase
Mittelschmerz syndrome
Haploid - 2N - 23 sister chromatids
Oligohydramnios

50. What is the treatment for preeclampsia
Kallman
Low back pain with increased serum alk phos
Delivery of fetus
Squamo - columnar jxn