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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. Which nerve and nerve fibers control for ejaculation
PANS - pelvic nerve
Visceral - somatic nerves in pudendal
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Testosterone

2. Where does LH work - what enzyme works there and what product is secreted
Theca cell - desmolase - androstenedione
Paget's disease
Golgi
Mammary duct epithelium or lobular glands

3. What hematologic condition is associated with abruptio placentae
Bowen's dz - carcinoma in situ of the penis
Hyperestrogenism
DIC
Prostatic acid phosphatase and PSA

4. most common testicular cancer in older men
Testosterone
Haploid - 2N - 23 sister chromatids
95%
Testicular lymphoma

5. histo: stratified squamous epithelium - nonkeratinized
Immature
Choriocarcinoma
Vagina
Preeclampsia + siezures

6. What forms the blood testis barrier?
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Invasive lobular
Tight junctions between sertoli cells
Para - aortic lymph nodes

7. What do sildenafil and vardenafil do?
Serous cystadenocarcinoma
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Milk letdown - uterine contractions?
Inhibit cGMP breakdown

8. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism
50 times
Cystic

9. What complications are associated with oligohydramnios

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10. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Hyperestrogenism
Blacks
Complete
Peripheral conversion of androgens

11. Prevention of seizures and in preeclampsia
PSA
IV mag sulfate - diazepam
Prostate growth - balding - and sebaceous gland activity
Serous cystadenocarcinoma

12. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Sertoli cells - and adipose tissue via aromatase
20 to 40
Increase in size in pregs - decrease in size meno - estrogen sens
Theca - leutin cysts

13. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Sclerosing adenosis
Turner's XO
One of the centrioles
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

14. Complication of retained placental tissue
Dilation and curettage and methotrexate
Hemorrhage
Chocolate cyst
Squamo - columnar jxn

15. What are the risk factors for endometrial hyperplasia
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Primary hypogonadism
Squamo - columnar jxn
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor

16. What is the presentation of prostatitis
Proliferation
Stimulates testosterone release from leydig cells
51 yo
Dysuria - frequency - urgency - low back pain

17. What are the four functions of estrogen
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Upregulation - LH surge - ovulation
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Proliferation

18. What is the prognosis for seminoma
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Aortic bicuspid valve
95%
Good - late metastasis

19. what metabolic disorder is assocaited with PCOS
20 to 40
Insulin resistance
Smoking - HTN - cocaine
2 months

20. common cause of recurrent miscarriage in the 1st week
Defective androgen receptor
Low progesterone
Post menopausal
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

21. What cellular structure is the acrosome derived from?
Golgi
Follicular cyst
Menopause
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

22. androblastoma from sex cord stroma
Mature teratoma
Invasive ductal
Sertoli cell tumor
Para - aortic lymph nodes

23. What does SEVEN Up stand for in regards to the pathway of sperm
Brenner tumor
Ovarian > cervical > endometrial
Cervix
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis

24. inability to convert testosterone to DHT - limited to genetic males - penis at 12
5 alpha reductase def
E coli
Sarcoma botryoides - a rhabdomyosarcoma variant
Mittelschmerz syndrome

25. In what group are malignant breast tumors most commonly seen
Abacterial
PSA
PANS - pelvic nerve
Post menopausal

26. What pathologic states cause increases in hCG
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Mimics LH
Complete
Testosterone

27. What are risk factors for placenta acreta
Prior c section - inflammation - placenta previa
Differentiation of penis - scrotum and prostate
Mitochondria
The ampulla - occurs within 1 day of ovulation

28. When does spermatogenesis begin?
Puberty
Corpus luteum - placenta - adrenal cortex - testes
Suspensory ligament of ovaries
Cardinal ligament

29. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
No
Corpus luteum - placenta - adrenal cortex - testes
Choriocarcinoma
Oligomenorrhea

30. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Inhibit cGMP breakdown
Premature ovarian failure (Pof)
Lateral invasion can block ureters causing renal failure
Immature

31. histo: simple columnar epithelium - ciliated
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Testosterone
Bowenoid papulosis - carcinoma in situ of the penis
Fallopian tube

32. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Chocolate cyst
Periurethral lobes - lateral and middle
Right gonadal vein - IVC
Ligament of the ovary

33. Where does fertilization most commonly occur?
Complete
Androgen insensitivity syndrome
Lateral invasion can block ureters causing renal failure
The ampulla - occurs within 1 day of ovulation

34. What estrogen does the ovary secrete
Tubular carcinoma
17beta estradiol
Androgen insensitivity syndrome
Posterior lobe peripheral zone

35. what usually causes endometrial hyperplasia
Fallopian tube
Prior c section - inflammation - placenta previa
Estrogen overstimulation
Adenomyosis

36. What does progesterone do to smooth muscle in the uterus
Prematurity
Paget's disease
Relaxation
Serous cystadenocarcinoma

37. What hormones regulate sperm creation?
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
GnRH from hypoTh - LH and FSH from ant pituitary
Dysuria - frequency - urgency - low back pain
increased Ca in - smooth muscle contraction - vasocxn - antierectile

38. blood from ruptured follicle causing peritoneal irritation that can mimic appendicitis
The centrioles
Sclerosing adenosis
Mittelschmerz syndrome
Myometrial invasion

39. increased AFP - schiller duvel bodies - yellow mucinous
Yolk sac - endodermal sinus - tumor
Lobular carcinoma - sclerosing adenosis
Suspensory ligament of ovaries
Sarcoma botryoides - a rhabdomyosarcoma variant

40. What are the 4 sources of progesterone
Epithelial hyperplasia
Round ligament of uterus
The anterior pituitary and hypothalamus
Corpus luteum - placenta - adrenal cortex - testes

41. malignant - painful - often glandular/papillary morphology testicular germ cell tumor that can differentiate into other tumors
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
No
Complete
Embryonal carcinoma

42. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Stimulate glandular secretions - and spiral artery development
Preeclampsia + siezures

43. < 21 day cycle
Brenner tumor
Delivery of fetus
Menopause
Polymenorrhea

44. When are phyllodes tumors most common
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
In the 6th decade of life
Partial
Chocolate cyst

45. in males - are mature teratomas malignant? What is the case for females
Stimulates sertoli cells to produce ABP and inhibin
Malignant in males not in females
CIN 1 - 2 - 3
Neoplastic cells block lymphatic drainage

46. How is prostatic adenocarcinoma diagnosed
Delivery of fetus
DRE - hard nodule and biopsy
Preeclampsia + siezures
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

47. When does the secondary oocyte complete meosis II

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48. What changes are seen with total PSA and fraction of free PSA
Puberty
increased in total - and dec in free fraction
Testosterone
Invasive lobular

49. What is associated with sclerosing adenosis?
Sarcoma botryoides - a rhabdomyosarcoma variant
Calcifications
Teratoma
Sertoli cells - and adipose tissue via aromatase

50. GI malignancy that metastasizes to ovaries causing a mucin secreting signet cell adenocarcinoma
Cervix
Sertoli cells
Krukenburg tumor
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome

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First Aid: Reproductive

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