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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.
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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 are the most common tumors in all females?
Sarcoma botryoides - a rhabdomyosarcoma variant
Right gonadal vein - IVC
Primary hypogonadism
Myometrial tumors

2. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
In the 6th decade of life
Testosterone
Polymenorrhea
Hemorrhage

3. is fibroadenoma a precursor to breast cancer
Krukenburg tumor
Peripheral conversion of androgens
No
Embryonal carcinoma

4. Breast path - diseases of the lactiferous sinus
Klinefelter's - XXY
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Intraductal papilloma - breast abscess - mastitis
Leydig cell tumor

5. > 35 day cycle
Posterior lobe peripheral zone
Oligomenorrhea
Tubular carcinoma
Cardinal ligament

6. testes present with non male external genitals
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
IV mag sulfate - diazepam
Male pseudoHerm

7. Where does LH work - what enzyme works there and what product is secreted
Calcifications
Krukenburg tumor
Premature ovarian failure (Pof)
Theca cell - desmolase - androstenedione

8. What is the right venous drainage of the ovary/testis
Fertilization 'an egg met a sperm'
Polyhydramnios
Right gonadal vein - IVC
Endometriosis

9. in males - are mature teratomas malignant? What is the case for females
The semiT and the blood vessels
Testicular lymphoma
Malignant in males not in females
Sertoli cells

10. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Post menopausal
Prostatic acid phosphatase and PSA
Mucinous cystadenocarcinoma

11. What are the 3 androgens
Choriocarcinoma
Testosterone - DHT - androstenedione
Uterus
SANS - hypogastric nerve

12. What estrogen does the ovary secrete
Adolescents
During fetal life
17beta estradiol
6

13. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Intraductal papilloma
Inhibit cGMP breakdown
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Endometriosis

14. What are the treatments for BPH
Squamous cell carcinoma
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Complete
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

15. What is the single most important prognostic factor for malignant breast tumors
Neoplastic cells block lymphatic drainage
Yolk sac - endodermal sinus - tumor
Axillary node involvement
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

16. Ecsematous patches on nipple and/or vulva - suggests underlying carcinoma

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17. What complications are associated with oligohydramnios

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18. Which nerve and nerve fibers control for ejaculation
Visceral - somatic nerves in pudendal
Tunica vaginalis lesions
Bowenoid papulosis - carcinoma in situ of the penis
Myometrial invasion

19. Connects ovary to lateral uterus
Ligament of the ovary
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Estradiol
Fibrcystic change - ductal cancer

20. When does spermatogenesis begin?
Puberty
Testosterone
Myometrial tumors
Mammary duct epithelium or lobular glands

21. What bacteria is commone in acute prostatitis
Adrenal gland
E coli
Low progesterone
Endometriosis

22. What serum markers are associated with embyronal carcinoma
5 alpha reductase def
increased AFP and hCG
DHT - testosterone - androstenedione
Serous cystadenoma

23. What does gynecomastia result from?
Andogren binding protein - anti mullerian hormone
Hyperestrogenism
Fat necrosis
Choriocarcinoma

24. What increases the risk of cryptorchidism
DRE - hard nodule and biopsy
Prematurity
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Testosterone

25. What pathologic states cause increases in hCG
Estrogen overstimulation
Testosterone - DHT - androstenedione
Milk letdown - uterine contractions?
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

26. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
2 months
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Bowen's dz - carcinoma in situ of the penis

27. increased AFP - schiller duvel bodies - yellow mucinous
No
Hyperestrogenism
Yolk sac - endodermal sinus - tumor
Hemorrhage

28. What are the 4 sources of progesterone
Corpus luteum - placenta - adrenal cortex - testes
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cells - and adipose tissue via aromatase
Stimulates sertoli cells to produce ABP and inhibin

29. What is the venous drainage of the left ovary/testis?
CIN 1 - 2 - 3
Left gonadal vein - left renal vein - IVC
95%
Bicornute uterus

30. Prevention of seizures and in preeclampsia
Preeclampsia clinical
IV mag sulfate - diazepam
Dysuria - frequency - urgency - low back pain
Embryonal carcinoma

31. What are risk factors for abruptio placentae?
Metrorrhagia
Trophoblasts
Intraductal papilloma - breast abscess - mastitis
Smoking - HTN - cocaine

32. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Visceral - somatic nerves in pudendal
Mittelschmerz syndrome
Prior c section - multiparity
Left gonadal vein - left renal vein - IVC

33. What do leydig cells secrete?
50 times
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Testosterone
Fallopian tube

34. defective decidual later allows placenta to attach to myometrium - massive bleeding after delivery
Theca - leutin cysts
Upregulation
Placenta acreta
Right gonadal vein - IVC

35. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Squamous cell carcinoma
Placenta previa
Krukenburg tumor
DHT - testosterone - androstenedione

36. What is the karyotype of a partial mole
69 xxy
Polyhydramnios
Cardinal ligament
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

37. <0.5 L of amniotic fluid
Metaphase
Spermatogonia (germ cells)
Oligohydramnios
Visceral - somatic nerves in pudendal

38. What is the most frequent benign ovarian tumor
Endometriosis
Mature teratoma
Kallman
Chromosomal abnormalities

39. Vaginal sqamous cell carcinoma is most often seconday From which site?
Choriocarcinoma
Asia - Africa - S. America - HPV - lack of circumcision
Cervix
Placenta previa

40. Which system and nerve are responsible for emission
SANS - hypogastric nerve
Whorled pattern of smooth muscle bundles
Retrograde mentrual flow or ascending infection
Menometrorrhagia

41. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
Chocolate cyst
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

42. What common valvular abnormality is common in Turner's
Aortic bicuspid valve
Female pseudoHerm
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Testosterone

43. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Adenomyosis
Chocolate cyst
Spermatogonia (germ cells)
46 xx

44. List the estrogens in order of decreasing potency
Testosterone - DHT - androstenedione
Estradiol > estrone > estriol
Ectocervix
Mittelschmerz syndrome

45. ovaries plus virilized external genitalia due to excessive and inappropriate exposure to androgenic steroids during early gestation
Differentiation of penis - scrotum and prostate
Female pseudoHerm
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Preeclampsia clinical

46. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
No
Squamous cell carcinoma
Granulosa cell tumor
Low progesterone

47. dilated epididymal duct
Spermatogonia (germ cells)
Ectocervix
Spermatocele
Suckling - increased oxytocin - prolactin

48. inability to convert testosterone to DHT - limited to genetic males - penis at 12
Testosterone
5 alpha reductase def
Suspensory ligament of ovaries
4

49. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Increased FSH
Estradiol and possible growth promoting effects of DHT
No
Broad ligament

50. < 21 day cycle
No
Polymenorrhea
Round ligament of uterus
Metrorrhagia