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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.
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. Connects ovaries to lateral pelvic wall - contains ovarian vessels
Mammary duct epithelium or lobular glands
Suspensory ligament of ovaries
Fallopian tube
Testosterone

2. What is the venous drainage of the left ovary/testis?
Embryonal carcinoma
Estrogen overstimulation
2 months
Left gonadal vein - left renal vein - IVC

3. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
Menometrorrhagia
Increase (and LH)
No

4. What is the most frequent benign ovarian tumor
Serous cystadenoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Blacks
Mature teratoma

5. in males - are mature teratomas malignant? What is the case for females
Invasive ductal
Malignant in males not in females
Primary hypogonadism
Stimulation of secretion - but blocks its action at the breast

6. What is mortality due to in preeclampsia
Endometrial carcinoma
The ampulla - occurs within 1 day of ovulation
Golgi
Cerebral hemorrhage and ARDS

7. When does spermatogenesis begin?
Tubular carcinoma
Increase (and LH)
Epithelial hyperplasia
Puberty

8. What is the lymphatic drainage the ovaries/testis
HPV 16 - 18
Para - aortic lymph nodes
Krukenburg tumor
Chromosomal abnormalities

9. Which nerve and nerve fibers control for ejaculation
Krukenburg tumor
PANS - pelvic nerve
Visceral - somatic nerves in pudendal
Pseudohermaphroditism

10. What is the average age of onset for menopause
Malignant in males not in females
Post menopausal bleeding
Dilation and curettage and methotrexate
51 yo

11. What does estrogen do to estrogen - LH and progesterone recepotrs
Hyperestrogenism
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Upregulation
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors

12. testes present with non male external genitals
Myometrial tumors
Male pseudoHerm
Testosterone
Asia - Africa - S. America - HPV - lack of circumcision

13. What percentage of testicular tumors are germ cell
Phyllodes tumor
Hemorrhage
95%
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors

14. Where does LH work - what enzyme works there and what product is secreted
Theca cell - desmolase - androstenedione
Testosterone
Placenta previa
Testosterone - DHT - androstenedione

15. What sequelae are associated with leiomyoma
Paget's disease - breast abscess
Puberty
Severe bleeding iron def anemia - miscarriage
Testosterone - DHT - androstenedione

16. What are common causes of hyperestrogenism

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17. < 21 day cycle
Just prior to ovulation
BPH
DHT - testosterone - androstenedione
Polymenorrhea

18. What are the associated risk factors for malignant breast tumors
Adenomyosis
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Differentiation of penis - scrotum and prostate

19. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Milk letdown - uterine contractions?
Broad ligament
Polymenorrhea
Cardinal ligament

20. 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
Increase (and LH)
Koilocytitic
Asia - Africa - S. America - HPV - lack of circumcision
Seminoma

21. Breast path - diseases of the terminal duct
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
Preeclampsia
Tubular carcinoma
Sarcoma botryoides - a rhabdomyosarcoma variant

22. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Diploid - 4N - 46 sister chromatids
PCOS
Testosterone
Peripheral adipose tissue

23. how can struma ovarri present?
Teratoma
Polymenorrhea
Hyperthyroidism - contains functional thyroid tissue
increased size and tenderness with increased estrogen

24. What is a true hermaphrodite
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Call exner bodies
Male pseudoHerm
increased risk for carcinoma

25. What changes in the aorta are common in Turner's?
Preductal coarctication
Prematurity
Fibrosis
Follicular cyst

26. What are predisposing factors for placenta previa
Granulosa cell - aromatase - androstenedione - estrogen
Mucinous cystadenocarcinoma
Delivery of fetus
Prior c section - multiparity

27. What serum markers are associated with embyronal carcinoma
increased AFP and hCG
Fibroadenoma
Inhibition of HCG access
Oligomenorrhea

28. Breast path - diseases of the lactiferous sinus
Intraductal papilloma - breast abscess - mastitis
Call exner bodies
The centrioles
Stimulation of secretion - but blocks its action at the breast

29. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
69 xxy
Prematurity
Lateral invasion can block ureters causing renal failure

30. what structures supplies the energy to the middle piece (neck)
Mitochondria
Yolk sac - endodermal sinus - tumor
Preeclampsia
Upregulation

31. What is a complication of invasive carcinoma
Lateral invasion can block ureters causing renal failure
During fetal life
Metrorrhagia
GnRH from hypoTh - LH and FSH from ant pituitary

32. What is the serum marker for BPH
PSA
Mimics LH
Paget's disease
Mucinous cystadenocarcinoma

33. 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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34. What does progesterone do to smooth muscle in the uterus
Para - aortic lymph nodes
Tunica vaginalis lesions
Relaxation
2nd week of proliferative phase

35. How does endometrial hyperplasia manifest clinically
Erythroplasia of Queyrat - carcinoma in situ of penis
Osteoblastic in bone
Post menopausal bleeding
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur

36. distention of unruptured graafian follicle
Granulosa cell tumor
Squamo - columnar jxn
Malignant in males not in females
Follicular cyst

37. What is the main source of energy for spermatozoa
Fructose
Increase (and LH)
Inhibit FSH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

38. What estrogen does the ovary secrete
Mature teratoma
1000 times
Fibrcystic change - ductal cancer
17beta estradiol

39. 2 sperm + 1 egg
Partial
Syncytiotrophoblasts of placenta
Dysgerminoma
Cerebral hemorrhage and ARDS

40. What is the genetic material in the primary oocyte?
Teratoma
Diploid - 4N - 46 sister chromatids
Sclerosing adenosis
The semiT and the blood vessels

41. hyperplasia - not hypertrophy of the prostate gland
Hyperestrogenism
Inhibit FSH
increased size and tenderness with increased estrogen
BPH

42. Prevention of seizures and in preeclampsia
Round ligament of uterus
Defective androgen receptor
IV mag sulfate - diazepam
Preeclampsia

43. when do primary oocytes complete meiosis I
History of infertility - salpingitis - ruptured appendix - prior tubal surgery
Polyhydramnios
6
Just prior to ovulation

44. What is the flaggelum derived from
Peripheral adipose tissue
PANS - pelvic nerve
Delivery of fetus
One of the centrioles

45. What is hydatidiform mole and precurosor of...
Stimulate glandular secretions - and spiral artery development
Choriocarcinoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Turner's XO

46. vaginal carcinoma affecting girls < 4 spindle shaped tumors cells that are desmin positive
Sarcoma botryoides - a rhabdomyosarcoma variant
Pseudohermaphroditism
increased cGMP - smooth muscle relax - vasodltn - proerectile
Theca cell - desmolase - androstenedione

47. What is the most common cause of breast lumps from age 25 to menopause
Erythroplasia of Queyrat - carcinoma in situ of penis
The semiT and the blood vessels
Fibroadenoma - phyllodes tumor
Fibrocystic disease

48. >1.5 -2 L of amniotic fluid
Endometrial carcinoma
Meigs syndrome
Polyhydramnios
Invasive ductal

49. Benign painless lump - forms as a result of injury to breast tissue - possible history of trauma
Fat necrosis
Increase in size in pregs - decrease in size meno - estrogen sens
PCOS
Insulin resistance

50. in postmenopausal women Where is androstenedione converted to estrone
Endocervix
Peripheral adipose tissue
Uterus
Metrorrhagia