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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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1. What do leydig cells secrete?
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Down regulation
Testosterone
Round ligament of uterus

2. disagreement between the phenotypic and gonadal sex
Follicular phase varies - luteal phase is 14
Adrenal gland
Pseudohermaphroditism
Mucinous cystadenocarcinoma

3. dx with increased testosterone and increased LH
DCIS
Klinefelter's - XXY
Defective androgen receptor
PANS - pelvic nerve

4. what usually causes endometrial hyperplasia
Weight loss - OCP - gonadotropin analogs - clomiphene - sprinolactone - surgery
Estrogen overstimulation
Left
Testosterone

5. What is the right venous drainage of the ovary/testis
Adenomyosis
69 xxy
Right gonadal vein - IVC
Ovarian > cervical > endometrial

6. Which cells secrete beta hCG
Prior c section - inflammation - placenta previa
Multiple sexual partners - also HIV and early sexual intercourse
Trophoblasts
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

7. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Prophase
6
Immature

8. What is the genetic material in the ovum
Meigs syndrome
Haploid - N - 23 single chromatids
Prostate growth - balding - and sebaceous gland activity
Epithelial hyperplasia

9. What are the effects of prolactin?
Induces and maintains lactation - decreases reproductive function
17beta estradiol
Testosterone secreting tumor - exogenous steroids
No

10. What is the prognosis for seminoma
Preeclampsia + siezures
Visceral - somatic nerves in pudendal
Post menopausal
Good - late metastasis

11. What pathologic states cause increases in hCG
Sertoli cell tumor
Pseudohermaphroditism
Slight increase - 1.5 to 2
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

12. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Bicornute uterus
Andogren binding protein - anti mullerian hormone
Fat necrosis
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

13. what structures supplies the energy to the middle piece (neck)
Induces and maintains lactation - decreases reproductive function
1 week - 2 weeks
Mitochondria
DHT - testosterone - androstenedione

14. In what phase is meiosis I arrested
Andogren binding protein - anti mullerian hormone
Prophase
Severe bleeding iron def anemia - miscarriage
Menometrorrhagia

15. Is fertility compromised in double Y males?
Differentiation of penis - scrotum and prostate
Adolescents
Just prior to ovulation
No

16. common cause of recurrent miscarriage in the 1st week
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
95%
Low progesterone
Follicular cyst

17. Connects ovaries to lateral pelvic wall - contains ovarian vessels
DIC
Suspensory ligament of ovaries
The ampulla - occurs within 1 day of ovulation
Paget cell

18. Some drugs cause awesome knockers
Cervix
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Yolk sac - endodermal sinus - tumor
Vagina

19. histo: simple cuboidal epithelium
Post menopausal
Fibrosis
Ovary
Bowenoid papulosis - carcinoma in situ of the penis

20. equivalent to seminoma in the ovary and forms a sheet of uniform cells - marked by hCG and LDH
Testosterone
Dysgerminoma
Male pseudoHerm
Small infiltrating glands with prominent nucleoli

21. What does estrogen to do prolaction
Malignant in males not in females
Stimulation of secretion - but blocks its action at the breast
Fibrosis
Fertilization 'an egg met a sperm'

22. Breast abscess - during breast feeding with increased risk of bacterial infxn through cracks in the nipple
Acute mastitis
Whorled pattern of smooth muscle bundles
Testosterone
Corpus luteum cyst

23. Where is SCC of the penis more common and What is it associated with
Myometrial tumors
Asia - Africa - S. America - HPV - lack of circumcision
Adrenal gland
increased in total - and dec in free fraction

24. hyperplasia - not hypertrophy of the prostate gland
Prior c section - inflammation - placenta previa
Phyllodes tumor
BPH
Cystic

25. What does estrogen do to estrogen - LH and progesterone recepotrs
Stimulates testosterone release from leydig cells
Metaphase
Upregulation
DCIS

26. What is a concern of early menopause
Upregulation - LH surge - ovulation
Cardinal ligament
Premature ovarian failure (Pof)
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

27. Breast path - diseeases of the lobules
During fetal life
Lobular carcinoma - sclerosing adenosis
Lateral invasion can block ureters causing renal failure
Premature ovarian failure (Pof)

28. <0.5 L of amniotic fluid
Broad ligament
The ampulla - occurs within 1 day of ovulation
Placenta previa
Oligohydramnios

29. histo: stratified sqamous epithelium
Testosterone
Lobular carcinoma - sclerosing adenosis
Ectocervix
Mucinous cystadenocarcinoma

30. Which side is varicocele more common on...
Chromosomal abnormalities
Left
Asia - Africa - S. America - HPV - lack of circumcision
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

31. How does exogenous testosterone create azoospermia
Inhibition of HCG access
Fibrcystic change - ductal cancer
Testosterone secreting tumor - exogenous steroids
Vagina

32. What is the number 1 risk factor for cervical dysplasia or carcinoma in situ
Multiple sexual partners - also HIV and early sexual intercourse
Defective androgen receptor
Andogren binding protein - anti mullerian hormone
Peyronie's dz

33. How many functional sperm does 1 germ cell creat?
55-65
Myometrial tumors
Left gonadal vein - left renal vein - IVC
4

34. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
51 yo
Testosterone
Visceral - somatic nerves in pudendal
Blacks

35. What serum markers are associated with embyronal carcinoma
Chromosomal abnormalities
increased AFP and hCG
Paget cell
Para - aortic lymph nodes

36. What is the order of events in the menstrual cycle
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Partial
Prophase

37. What sequelae are associated with leiomyoma
Severe bleeding iron def anemia - miscarriage
Sclerosing adenosis
Prostate growth - balding - and sebaceous gland activity
PSA

38. testicular masses that can be transilluminated
Tunica vaginalis lesions
Right gonadal vein - IVC
Testosterone
increased AFP and hCG

39. How does progesterone inhibit sperm entry to uterus
Testis determining factor
Production of a thick cervical mucus
Fructose
Cardinal ligament

40. What is the typical cell change in HPV infection
Complete
Mucinous cystadenocarcinoma
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Koilocytitic

41. What is DHT responsible for in late development
Develop both male and female internal genitalia and male external genitalia
Prostate growth - balding - and sebaceous gland activity
Alpha1 antagonists - terazosin - tamsulosin - finasteride
The ampulla - occurs within 1 day of ovulation

42. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Low back pain with increased serum alk phos
Preeclampsia clinical
Theca cell - desmolase - androstenedione
Endometriosis

43. What is the most common gynecologic malignancy
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Endometrial carcinoma
Good - late metastasis
Increase

44. What is the venous drainage of the left ovary/testis?
Oligohydramnios
increased in total - and dec in free fraction
Paget's disease - breast abscess
Left gonadal vein - left renal vein - IVC

45. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Puberty
Increased FSH

46. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Fallopian tube
Yolk sace - endodermal sinus - tumor
Estrogen overstimulation
Androgen insensitivity syndrome - 46 XY

47. What can happen with no sertoli cell or lack of anti mullerian hormone
Erythroplasia of Queyrat - carcinoma in situ of penis
Develop both male and female internal genitalia and male external genitalia
increased size and tenderness with increased estrogen
Paget cell

48. premature detachment of placenta from implantation site leading to fetal death
Testis determining factor
Tubular carcinoma
Abruptio placentae
Sertoli cell tumor

49. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Axillary node involvement
Round ligament of the uterus
Seminoma
The anterior pituitary and hypothalamus

50. What is a complication of invasive carcinoma
Smooth muscle
Lateral invasion can block ureters causing renal failure
Insulin resistance
PSA

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First Aid: Reproductive

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