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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 does endometrial hyperplasia manifest clinically
Haploid - N - 23 single chromatids
Theca - leutin cysts
Myometrial tumors
Post menopausal bleeding

2. Where is testosterone converted to estrogen
Mitochondria
Sertoli cells - and adipose tissue via aromatase
Good - late metastasis
51 yo

3. histo: stratified sqamous epithelium
Phyllodes tumor
Ectocervix
5 alpha reductase - inhibited by finesteride
Bowen's dz - carcinoma in situ of the penis

4. What does estrogen do to estrogen - LH and progesterone recepotrs
Metrorrhagia
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Upregulation
Testosterone

5. What is HELLP syndrome
Stimulation of secretion - but blocks its action at the breast
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Hemolysis - elevated liver enzymes - low platelets
E coli

6. Breast path - diseases of the terminal duct
Post menopausal
Serous cystadenocarcinoma
E coli
Tubular carcinoma

7. Breast path - diseeases of the lobules
Choriocarcinoma
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Mittelschmerz syndrome
Lobular carcinoma - sclerosing adenosis

8. Complications of BPH
5 alpha reductase def
Theca cell - desmolase - androstenedione
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Premature ovarian failure (Pof)

9. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Fibrosis
Intraductal papilloma
Mittelschmerz syndrome

10. tumor is ductal with caseous necrosis
DHT - testosterone - androstenedione
Comedocarcinoma
Mittelschmerz syndrome
Spermatogonia (germ cells)

11. What metastasis is most common with prostatic adenocarcinoma
Testosterone secreting tumor - exogenous steroids
Low back pain with increased serum alk phos
Menometrorrhagia
Osteoblastic in bone

12. What complications are associated with oligohydramnios

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13. marked increased hCG - complete or partial
Primary hypogonadism
Complete
Meigs syndrome
Adolescents

14. Which cells line the seminiferous tubules and maintain germ pool and produce primary spermatocytes
Fibromas
4
Stimulates sertoli cells to produce ABP and inhibin
Spermatogonia (germ cells)

15. What effect does NO have on smooth muscle in erectile tissues
Corpus luteum cyst
increased cGMP - smooth muscle relax - vasodltn - proerectile
Prior c section - inflammation - placenta previa
Preeclampsia

16. What is the treatment for hydatidiform mole
Dilation and curettage and methotrexate
Down regulation
Krukenburg tumor
DHT - testosterone - androstenedione

17. Breast path - diseases of the stroma
increased cGMP - smooth muscle relax - vasodltn - proerectile
Testosterone
Fibroadenoma - phyllodes tumor
The anterior pituitary and hypothalamus

18. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Inhibit FSH
DRE - hard nodule and biopsy
Serous cystadenoma
No

19. Which cells secrete beta hCG
E coli
Inhibit cGMP breakdown
In the 6th decade of life
Trophoblasts

20. What is the lymphatic drainage the ovaries/testis
Para - aortic lymph nodes
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Follicular cyst

21. What bacteria is commone in acute prostatitis
Fertilization 'an egg met a sperm'
E coli
Round ligament of the uterus
Dysgerminoma

22. What are the associated risk factors for malignant breast tumors
Fibroadenoma
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
increased size and tenderness with increased estrogen
Dysgerminoma

23. What does FSH do
Intraductal papilloma
Stimulates sertoli cells to produce ABP and inhibin
Multiple sexual partners - also HIV and early sexual intercourse
No

24. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Serous cystadenoma
Proliferation
Just prior to ovulation
Round ligament of the uterus

25. What is a complication of cryptorchidism and why does it occur
Medullary
Round ligament of the uterus
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Erythroplasia of Queyrat - carcinoma in situ of penis

26. What is the genetic material in the secondary oocyte?
Haploid - 2N - 23 sister chromatids
17beta estradiol
Stimulates sertoli cells to produce ABP and inhibin
No

27. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Corpus luteum - placenta - adrenal cortex - testes
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Preeclampsia + siezures

28. Uterin fundus to labia majora
Adrenal gland
17beta estradiol
Round ligament of uterus
Calcifications

29. Complication of retained placental tissue
Sarcoma botryoides - a rhabdomyosarcoma variant
Premature ovarian failure (Pof)
Small infiltrating glands with prominent nucleoli
Hemorrhage

30. How does exogenous testosterone create azoospermia
Round ligament of the uterus
Adrenal gland
Inhibition of HCG access
Phyllodes tumor

31. tumor with orderly row of cells - often multiple and bilateral
Asia - Africa - S. America - HPV - lack of circumcision
Haploid - 2N - 23 sister chromatids
Invasive lobular
Klinefelter's - XXY

32. small - mobile - firm breast mass with sharp edges - most common in <25
Mittelschmerz syndrome
Fibroadenoma
Fat necrosis
Sertoli cell tumor

33. multilocular cyst lined by mucus secreting epi - benign - intestine like
Prostate growth - balding - and sebaceous gland activity
Sarcoma botryoides - a rhabdomyosarcoma variant
Mucinous cystadenoma
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

34. 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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35. what stimulation is required to maintain milk production and What is the pathway
Metaphase
The ampulla - occurs within 1 day of ovulation
Suckling - increased oxytocin - prolactin
2 months

36. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Squamo - columnar jxn
Sclerosing adenosis
Ovary
Low progesterone

37. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
Ovarian > cervical > endometrial
Sarcoma botryoides - a rhabdomyosarcoma variant

38. headache - blurred vision - abdominal pain - edema of face and extremeties - altered mentation - hyperreflexia in pregnancy
Fallopian tube
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Mucinous cystadenoma
Preeclampsia clinical

39. What occurs to a fibroadenoma during pregnancy and menstruation and why
Oligomenorrhea
increased size and tenderness with increased estrogen
Phyllodes tumor
Immature

40. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
Preductal coarctication
Tunica vaginalis lesions
Fibroadenoma

41. What increases the risk of cryptorchidism
Adrenal gland
Prematurity
Ligament of the ovary
Aortic bicuspid valve

42. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Round ligament of uterus
Multiple sexual partners - also HIV and early sexual intercourse
Cervix
Broad ligament

43. What is the karyotype of a complete mole
Klinefelter's - XXY
Prementsrual breast pain and multiple lesions
46 xx
Asia - Africa - S. America - HPV - lack of circumcision

44. common cause of recurrent miscarriage in 1st trimester
Whorled pattern of smooth muscle bundles
Endocervix
Testicular lymphoma
Chromosomal abnormalities

45. Bent penis due to acquired fibrous tissue formation

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46. What does progesterone do to body temp
Hemorrhage
Tubular carcinoma
Increase
Estrogen overstimulation

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

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48. Vaginal sqamous cell carcinoma is most often seconday From which site?
Cervix
Varicocele
Esophogeal/duodenal atresia - can't swallow - anencephaly
Malignant in males not in females

49. What are the treatments for BPH
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Good - late metastasis
Premature ovarian failure (Pof)

50. What estrogen does the placenta secrete
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Estradiol
Ectocervix
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