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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. How is beta hCG detectable in blood or urine for a home pregnancy test
Theca - leutin cysts
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Sarcoma botryoides - a rhabdomyosarcoma variant
1 week - 2 weeks

2. How many days after fertilization does implantation occur?
The ampulla - occurs within 1 day of ovulation
Whorled pattern of smooth muscle bundles
6
Prostatic acid phosphatase and PSA

3. Benign - looks like bladder
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Brenner tumor
The semiT and the blood vessels
Asia - Africa - S. America - HPV - lack of circumcision

4. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Menometrorrhagia
Premature ovarian failure (Pof)
Androgen insensitivity syndrome - 46 XY
Inhibit FSH

5. What is the source of estrogen after menopause
Menometrorrhagia
Milk letdown - uterine contractions?
Peripheral conversion of androgens
E coli

6. increased fluid secondary to incomplete fustion with processus vaginalis
6
Down regulation
Inhibition LH and FSH
Hydrocele

7. What is the genetic material in the ovum
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Haploid - N - 23 single chromatids
Menometrorrhagia
IV mag sulfate - diazepam

8. Histological subtype of fibrocystic with increased number of epithelial cell lauers in terminal duct lobule - women over 30
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Prostate growth - balding - and sebaceous gland activity
Epithelial hyperplasia
Adolescents

9. In what group are malignant breast tumors most commonly seen
Prostatic acid phosphatase and PSA
In the 6th decade of life
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Post menopausal

10. In what phase is meiosis II arrested
Metaphase
Increase
Neoplastic cells block lymphatic drainage
Aortic bicuspid valve

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

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12. When does spermatogenesis begin?
Paget cell
50 times
Inhibition of HCG access
Puberty

13. < 21 day cycle
Endometrial carcinoma
Polymenorrhea
46 xx
Increase in size in pregs - decrease in size meno - estrogen sens

14. What is the expected increase of estradiol and estrone in pregnancy
Upregulation
Suckling - increased oxytocin - prolactin
Paget cell
50 times

15. What is the common presentation of metastasis in prostate cancer
DCIS
Low back pain with increased serum alk phos
Haploid - N - 23 single chromatids
Inhibit FSH

16. What is HELLP syndrome
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Mitochondria
Mature teratoma
Hemolysis - elevated liver enzymes - low platelets

17. What does progesterone do to smooth muscle in the uterus
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Choriocarcinoma
Stimulation of secretion - but blocks its action at the breast
Relaxation

18. What does progesterone do for pregnancy
Theca - leutin cysts
Maintenance
4
Spermatogonia (germ cells)

19. What does progesterone do to gonadotropins
Inhibition LH and FSH
Varicocele
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Comedocarcinoma

20. predisposing factor to clear cell adenocarcinoma of the vagina
DES in utero (DES is a sythetic estrogen)
Fibroadenoma
Serous cystadenoma
95%

21. Breast path - diseases of the stroma
Complete
Fibroadenoma - phyllodes tumor
Serous cystadenoma
Seminoma

22. Where is the enlargement found in BPH
Metaphase
Cardinal ligament
Periurethral lobes - lateral and middle
Inhibit cGMP breakdown

23. malignancy in ovaries - testis - sacrococcygeal area of young children - yellow friable solid masses with 50% having schiller - duval bodies
Yolk sace - endodermal sinus - tumor
Spermatogonia (germ cells)
Mitochondria
Intraductal papilloma - breast abscess - mastitis

24. endometrium within the myometrium
Adenomyosis
Fibrosis
Tight junctions between sertoli cells
Immature

25. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Female pseudoHerm
DCIS
Hydatidiform mole
Round ligament of the uterus

26. What does progesterone do to myometrial excitability
Decrease
Placenta acreta
HPV 16 - 18
Paget cell

27. What is the flaggelum derived from
One of the centrioles
Round ligament of the uterus
Ovarian > cervical > endometrial
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

28. What does progesterone do to estrogen receptors
Bowen's dz - carcinoma in situ of the penis
Increased FSH
50 times
Down regulation

29. What is the most common cause of breast lumps from age 25 to menopause
Mature teratoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Syncytiotrophoblasts of placenta
Fibrocystic disease

30. 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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31. what stimulation is required to maintain milk production and What is the pathway
Suckling - increased oxytocin - prolactin
Cystic
The semiT and the blood vessels
Inhibition of HCG access

32. triad of ovarian fibroma - ascites - hydrothorax
Meigs syndrome
Follicular cyst
Endometrial carcinoma
Inflammatory

33. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
Andogren binding protein - anti mullerian hormone
Partial
Hemolysis - elevated liver enzymes - low platelets

34. Where is testosterone converted to estrogen
Meigs syndrome
Upregulation
increased size and tenderness with increased estrogen
Sertoli cells - and adipose tissue via aromatase

35. What happens to a leiomyoma in pregs and menopause and why
HPV 16 - 18
Increase in size in pregs - decrease in size meno - estrogen sens
Complete
55-65

36. testicular masses that can be transilluminated
Tubular carcinoma
Tunica vaginalis lesions
Multiple sexual partners - also HIV and early sexual intercourse
Testosterone - DHT - androstenedione

37. When does endometiral carcinoma usually occur
55-65
Invasive ductal
Smoking - HTN - cocaine
Sertoli cell tumor

38. What is a concern of early menopause
Seminoma
Partial
Premature ovarian failure (Pof)
46 xx

39. disagreement between the phenotypic and gonadal sex
Inhibition LH and FSH
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Pseudohermaphroditism
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa

40. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
Sclerosing adenosis
Testosterone
Andogren binding protein - anti mullerian hormone

41. What are the effects of prolactin?
Cerebral hemorrhage and ARDS
Erythroplasia of Queyrat - carcinoma in situ of penis
Induces and maintains lactation - decreases reproductive function
Sertoli cells - and adipose tissue via aromatase

42. What is the most common gynecologic malignancy
Adenomyosis
Maintenance
Ovary
Endometrial carcinoma

43. histo: simple cuboidal epithelium
Left gonadal vein - left renal vein - IVC
Theca - leutin cysts
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Ovary

44. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Myometrial tumors
Theca - leutin cysts
Endometrial > ovarian> cervical (in US)
Prementsrual breast pain and multiple lesions

45. What increases risk for endometrial carcinoma
Metaphase
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Adenomyosis
Fibrosis

46. Wher does dysplasia and carcinoma in situ of the cervix usually begin
Squamo - columnar jxn
Partial
In the 6th decade of life
Inhibit cGMP breakdown

47. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Krukenburg tumor
Yolk sac - endodermal sinus - tumor
Comedocarcinoma
Sclerosing adenosis

48. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Abruptio placentae
Left gonadal vein - left renal vein - IVC
Dysgerminoma
Fallopian tube

49. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Tubular carcinoma
Choriocarcinoma
Just prior to ovulation

50. histologic type of fibrocystic with hyperplasia of breast stroma
Blacks
Haploid - 2N - 23 sister chromatids
Fibrosis
Estradiol