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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. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Squamous cell carcinoma
Invasive ductal
Trophoblasts
Partial

2. What are risk factors for placenta acreta
Fibrosis
Smooth muscle
Theca - leutin cysts
Prior c section - inflammation - placenta previa

3. Which nerve and nerve fibers control for ejaculation
Mimics LH
Low back pain with increased serum alk phos
69 xxy
Visceral - somatic nerves in pudendal

4. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Diploid - 4N - 46 sister chromatids
Bowenoid papulosis - carcinoma in situ of the penis
Osteoblastic in bone
Induces and maintains lactation - decreases reproductive function

5. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Abacterial
increased size and tenderness with increased estrogen
Androgen insensitivity syndrome - 46 XY
Cervix

6. malignant - painless homogenous testicular enlargement - most common testicular tumor - affecting males ages 15 to 3 - large cells in lobules with watery cytoplasm and a 'fried egg' appearnace
Peripheral conversion of androgens
Esophogeal/duodenal atresia - can't swallow - anencephaly
Seminoma
Round ligament of uterus

7. premature detachment of placenta from implantation site leading to fetal death
Prior c section - inflammation - placenta previa
Oligomenorrhea
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Abruptio placentae

8. Benign - looks like bladder
Polyhydramnios
Brenner tumor
Intraductal papilloma
20 to 40

9. Which hydatidiform mole has the greater risk for malignancy
Mucinous cystadenoma
Myometrial invasion
Endometrial carcinoma
Complete

10. What does inhibin do?
Polyhydramnios
Differentiation of penis - scrotum and prostate
Choriocarcinoma
Inhibit FSH

11. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Prementsrual breast pain and multiple lesions
Syncytiotrophoblasts of placenta
One of the centrioles
Round ligament of the uterus

12. Breast path - diseases of the major duct
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Fibrcystic change - ductal cancer
Myometrial invasion
Low back pain with increased serum alk phos

13. dx with increased testosterone and increased LH
No
Defective androgen receptor
Axillary node involvement
Fat necrosis

14. Breast path - diseeases of the lobules
Cardinal ligament
Severe bleeding iron def anemia - miscarriage
Lobular carcinoma - sclerosing adenosis
Periurethral lobes - lateral and middle

15. Which side is varicocele more common on...
Left
Develop both male and female internal genitalia and male external genitalia
Mucinous cystadenoma
Inhibit cGMP breakdown

16. Which androgen is responsible for the deepening of the voice
Testosterone
Differentiation of penis - scrotum and prostate
Asia - Africa - S. America - HPV - lack of circumcision
Golgi

17. How many functional sperm does 1 germ cell creat?
Adolescents
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
4
Superficial inguinal lymph nodes

18. marked increased hCG - complete or partial
Preductal coarctication
Corpus luteum - placenta - adrenal cortex - testes
Complete
Menometrorrhagia

19. When does endometiral carcinoma usually occur
Maintenance
Para - aortic lymph nodes
Call exner bodies
55-65

20. tumor with orderly row of cells - often multiple and bilateral
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Invasive lobular
Fibromas
Low back pain with increased serum alk phos

21. dilated vein in pampiniform plexus - bag of worms
Varicocele
Dysuria - frequency - urgency - low back pain
Axillary node involvement
Dysgerminoma

22. What estrogen does the placenta secrete
Round ligament of the uterus
Estradiol
Cervix
Mammary duct epithelium or lobular glands

23. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Peyronie's dz
Blacks
Andogren binding protein - anti mullerian hormone
Mammary duct epithelium or lobular glands

24. What estrogen does the ovary secrete
Superficial inguinal lymph nodes
Fallopian tube
17beta estradiol
Suckling - increased oxytocin - prolactin

25. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Low back pain with increased serum alk phos
Granulosa cell tumor
Acute mastitis
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

26. What does the SRY gene do
Preeclampsia
Testis determining factor
Hydatidiform mole
Polymenorrhea

27. What complications are associated with oligohydramnios

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28. What is the source of estrogen after menopause
Chocolate cyst
Adolescents
Peripheral conversion of androgens
Klinefelter's - XXY

29. What does FSH do
Stimulates sertoli cells to produce ABP and inhibin
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
During fetal life
Immature

30. common cause of recurrent miscarriage in the 1st week
Premature ovarian failure (Pof)
Kallman
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Low progesterone

31. < 21 day cycle
Increase (and LH)
Polymenorrhea
Lateral invasion can block ureters causing renal failure
The centrioles

32. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Increased FSH
Fallopian tube
Suspensory ligament of ovaries

33. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
Mittelschmerz syndrome
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Theca - leutin cysts
Choriocarcinoma

34. disagreement between the phenotypic and gonadal sex
Male pseudoHerm
Trophoblasts
Pseudohermaphroditism
Partial

35. 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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36. dx with increased testosterone and dec LH
Testosterone secreting tumor - exogenous steroids
During fetal life
increased in total - and dec in free fraction
Obdurator - exterinal iliac - hypogastic nodes

37. How many days after fertilization does implantation occur?
55-65
6
Krukenburg tumor
Sertoli cell tumor

38. What forms the blood testis barrier?
Tight junctions between sertoli cells
Feedback inhibition
Tubular carcinoma
Delivery of fetus

39. testicular masses that can be transilluminated
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Increased FSH
Tunica vaginalis lesions
Increase in size in pregs - decrease in size meno - estrogen sens

40. What is the most frequent benign ovarian tumor
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Mature teratoma
Sarcoma botryoides - a rhabdomyosarcoma variant
Smoking - HTN - cocaine

41. histo: stratified squamous epithelium - nonkeratinized
Vagina
Peyronie's dz
Premature ovarian failure (Pof)
Meigs syndrome

42. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Squamo - columnar jxn
Krukenburg tumor
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Testosterone

43. Atypical cells in epithelial hyperplasia
Preductal coarctication
increased risk for carcinoma
Cerebral hemorrhage and ARDS
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs

44. What structures does testosterone negatively feedback on?
Post menopausal
Androgen insensitivity syndrome
The anterior pituitary and hypothalamus
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

45. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
Testosterone
Puberty
Fibroadenoma - phyllodes tumor

46. What is the genetic material in the secondary oocyte?
Medullary
Hydrocele
5 alpha reductase - inhibited by finesteride
Haploid - 2N - 23 sister chromatids

47. What does estrogen do to FSH and LH
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Feedback inhibition
Blacks
Medullary

48. 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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49. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Mittelschmerz syndrome
increased cGMP - smooth muscle relax - vasodltn - proerectile
Yolk sac - endodermal sinus - tumor
Cystic

50. What is the typical cell change in HPV infection
Increased FSH
Choriocarcinoma
Inhibition LH and FSH
Koilocytitic