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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 does the tail go onto to form
Call exner bodies
Left
The centrioles
Ovarian > cervical > endometrial

2. Which nerve and nerve fibers control for ejaculation
Down regulation
Sarcoma botryoides - a rhabdomyosarcoma variant
Visceral - somatic nerves in pudendal
Comedocarcinoma

3. What is a complication of invasive carcinoma
Preeclampsia clinical
Puberty
Lateral invasion can block ureters causing renal failure
Good - late metastasis

4. Which androgen is responsible for the deepening of the voice
Testosterone
Endometrial carcinoma
Upregulation - LH surge - ovulation
Pseudohermaphroditism

5. when do primary oocytes complete meiosis I
Fertilization 'an egg met a sperm'
Cystic
5 alpha reductase def
Just prior to ovulation

6. What does progesterone do in the endometrium
Stimulate glandular secretions - and spiral artery development
Sertoli cells - and adipose tissue via aromatase
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Sertoli cell tumor

7. What do leydig cells secrete?
Inhibit cGMP breakdown
Testosterone
Choriocarcinoma
Bowen's dz - carcinoma in situ of the penis

8. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Prostatic acid phosphatase and PSA
Theca - leutin cysts
Mature teratoma
Inhibition of HCG access

9. Which system and nerve are responsible for emission
Diploid - 4N - 46 sister chromatids
SANS - hypogastric nerve
Increase in size in pregs - decrease in size meno - estrogen sens
Ectopic preg

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

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11. in postmenopausal women Where is androstenedione converted to estrone
Peripheral adipose tissue
BPH
Prostatic acid phosphatase and PSA
51 yo

12. What converts testosterone to DHT
5 alpha reductase - inhibited by finesteride
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Inhibit FSH
Asia - Africa - S. America - HPV - lack of circumcision

13. Which side is varicocele more common on...
Medullary
Left
PCOS
Menopause

14. premature detachment of placenta from implantation site leading to fetal death
PCOS
Adrenal gland
Abruptio placentae
Hyperthyroidism - contains functional thyroid tissue

15. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Stimulation of secretion - but blocks its action at the breast
Premature ovarian failure (Pof)
Endometrial > ovarian> cervical (in US)
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

16. 90% of ovarian germ cells tumors - contains cells from 2 or 3 germ layers
Ovary
In the 6th decade of life
Insulin resistance
Teratoma

17. increased fluid secondary to incomplete fustion with processus vaginalis
Aortic bicuspid valve
Hydrocele
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
20 to 40

18. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Complete
Cystic
Choriocarcinoma
Ectocervix

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

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20. When is the peak occurrence of leiomyoma
Inhibit FSH
Complete
Stimulate glandular secretions - and spiral artery development
20 to 40

21. What are the associated risk factors for malignant breast tumors
Down regulation
Fibrcystic change - ductal cancer
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Menopause

22. List the estrogens in order of decreasing potency
Aortic bicuspid valve
Estradiol > estrone > estriol
Abacterial
Prematurity

23. What is a concern of early menopause
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Post menopausal bleeding
Primary hypogonadism
Premature ovarian failure (Pof)

24. What occurs to a fibroadenoma during pregnancy and menstruation and why
1000 times
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Proliferation
increased size and tenderness with increased estrogen

25. What is HELLP syndrome
Hemolysis - elevated liver enzymes - low platelets
The anterior pituitary and hypothalamus
Cardinal ligament
Yolk sace - endodermal sinus - tumor

26. What is the pattern seen in leiomyoma
DRE - hard nodule and biopsy
Whorled pattern of smooth muscle bundles
Oligohydramnios
Severe bleeding iron def anemia - miscarriage

27. What happens to a leiomyoma in pregs and menopause and why
Call exner bodies
Increase in size in pregs - decrease in size meno - estrogen sens
Oligohydramnios
Fertilization 'an egg met a sperm'

28. Risk factors for ectopic pregs
In the 6th decade of life
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
GnRH from hypoTh - LH and FSH from ant pituitary
Theca cell - desmolase - androstenedione

29. 50% of ovarian tumors - malignant and frequently bilateral
Prostate growth - balding - and sebaceous gland activity
Serous cystadenocarcinoma
Menometrorrhagia
Superficial inguinal lymph nodes

30. In what group are malignant breast tumors most commonly seen
Just prior to ovulation
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Post menopausal

31. in males - are mature teratomas malignant? What is the case for females
Malignant in males not in females
increased AFP and hCG
Serous cystadenoma
Intraductal papilloma - breast abscess - mastitis

32. defect in androgen receptor resulting in normal appearing female - rudimentry vagina - no uterus or uterine tubes
Androgen insensitivity syndrome - 46 XY
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Broad ligament
DES in utero (DES is a sythetic estrogen)

33. What is a true hermaphrodite
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Hyperthyroidism - contains functional thyroid tissue
Severe bleeding iron def anemia - miscarriage

34. A leimyoma is overgrowth of what cell
Bicornute uterus
Intraductal papilloma
Complete
Smooth muscle

35. What estrogen does the placenta secrete
Estradiol
Prostatic acid phosphatase and PSA
S aureus
Premature ovarian failure (Pof)

36. endometrium within the myometrium
Decreasing progesterone
6
Adenomyosis
Kallman

37. What forms the blood testis barrier?
Endometriosis
BPH
Oligohydramnios
Tight junctions between sertoli cells

38. What virus is dyslapsia and carcinoma in situ of the cervix associated with
HPV 16 - 18
Corpus luteum - placenta - adrenal cortex - testes
Fibromas
Erythroplasia of Queyrat - carcinoma in situ of penis

39. When is follicular growth the fastest?
Chocolate cyst
Preeclampsia + siezures
2nd week of proliferative phase
Down regulation

40. What is the most common cause of breast lumps from age 25 to menopause
Defective androgen receptor
Hydrocele
Fibrocystic disease
Cystic

41. What is the karyotype of a partial mole
69 xxy
Female pseudoHerm
Follicular cyst
Polymenorrhea

42. Which system and nerve allow for erection in the male?
PANS - pelvic nerve
Suspensory ligament of ovaries
Upregulation
5 alpha reductase - inhibited by finesteride

43. gynecological tumors from highest incidence to lowest
Serous cystadenocarcinoma
Endometrial > ovarian> cervical (in US)
Testosterone
Testosterone secreting tumor - exogenous steroids

44. What is the most common form of male pseudoHerm
Mimics LH
Androgen insensitivity syndrome
Puberty
The centrioles

45. In What age group are ovarian germ cell tumors most common
Granulosa cell - aromatase - androstenedione - estrogen
Small infiltrating glands with prominent nucleoli
Adolescents
Meigs syndrome

46. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
Round ligament of uterus
Placenta acreta
Serous cystadenoma
Chocolate cyst

47. What causes preeclampsia
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Oligomenorrhea
Left

48. What are causes of female pseudoHerm
Myometrial tumors
Low progesterone
Congenital adrenal hyperplasia - exogenous administration of steroids
Mittelschmerz syndrome

49. Complication of retained placental tissue
The anterior pituitary and hypothalamus
Increase
Hemorrhage
Preeclampsia clinical

50. hemorrhage into persistent corpus luteum
Corpus luteum cyst
Ligament of the ovary
Hypogondadotropic hypogonadism
Yolk sac - endodermal sinus - tumor

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First Aid: Reproductive

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