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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. histologic type of fibrocystic with fluid filled - blue dome and ductal dilation
DES in utero (DES is a sythetic estrogen)
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Cystic
Increase

2. Which system and nerve allow for erection in the male?
Sertoli cells - and adipose tissue via aromatase
Hemolysis - elevated liver enzymes - low platelets
PANS - pelvic nerve
Pseudohermaphroditism

3. tumor that fills ductal lumen - arises from ductal hyperplasia - early malignancy without BM penetration
Acute mastitis
Ovarian > cervical > endometrial
DCIS
Testosterone - DHT - androstenedione

4. dx with decreased testosterone and decreased LH
Seminoma
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Endocervix
Hypogondadotropic hypogonadism

5. reinke crystals - androgen producing - gynecomastia in men - precocious puberty in boys - golden brown color
Leydig cell tumor
Adolescents
Klinefelter's - XXY
17beta estradiol

6. what usually causes endometrial hyperplasia
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Trophoblasts
Estrogen overstimulation
Haploid - 2N - 23 sister chromatids

7. When does the secondary oocyte complete meosis II

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8. What is the genetic material in the primary oocyte?
Aortic bicuspid valve
Diploid - 4N - 46 sister chromatids
increased risk for carcinoma
Adenomyosis

9. which cysts results from gonadotropin stimulation and is associated with choriocarcinoma and moles
Abacterial
Estradiol > estrone > estriol
Theca - leutin cysts
Testicular lymphoma

10. What does progesterone do to gonadotropins
Placental insufficiency - bilateral renal agenesis - posterior urethral valves - potter's syndrome
S aureus
Inhibition LH and FSH
Oligohydramnios

11. Which gynecologic tumors have the worst prognosis?
increased Ca in - smooth muscle contraction - vasocxn - antierectile
Ovarian > cervical > endometrial
Fibroadenoma - phyllodes tumor
CIN 1 - 2 - 3

12. What estrogen does the placenta secrete
Estradiol
Androgen insensitivity syndrome - 46 XY
5 alpha reductase def
Polyhydramnios

13. What stimulation after labor induces lactation
Fructose
Testosterone
Decreasing progesterone
Stimulate glandular secretions - and spiral artery development

14. What is the genetic material in the secondary oocyte?
Haploid - 2N - 23 sister chromatids
Inhibition of HCG access
SANS - hypogastric nerve
The semiT and the blood vessels

15. What are the four functions of estrogen
Metaphase
Prostate growth - balding - and sebaceous gland activity
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Peripheral conversion of androgens

16. What substances other than inhibin do sertoli cells produce?
Invasive ductal
Syncytiotrophoblasts of placenta
Andogren binding protein - anti mullerian hormone
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

17. What does estrogen stimulate in the endometrium
Fibrocystic disease
Proliferation
Preeclampsia + siezures
Lateral invasion can block ureters causing renal failure

18. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Upregulation - LH surge - ovulation
Endometrial carcinoma
Whorled pattern of smooth muscle bundles
Milk letdown - uterine contractions?

19. Where does prostatic adenocarcinoma arise from?
Posterior lobe peripheral zone
Prostatic acid phosphatase and PSA
Testosterone
Low back pain with increased serum alk phos

20. small follicles filled with eosinphilic secretions
Metrorrhagia
Call exner bodies
Multiple sexual partners - also HIV and early sexual intercourse
Complete

21. Breast path - diseases of the lactiferous sinus
Intraductal papilloma - breast abscess - mastitis
Mammary duct epithelium or lobular glands
Dilation and curettage and methotrexate
No

22. What complications are associated with polyhydramnios

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23. List the estrogens in order of decreasing potency
Estradiol > estrone > estriol
Myometrial tumors
E coli
Hemolysis - elevated liver enzymes - low platelets

24. tumor is ductal with caseous necrosis
Testosterone
Mitochondria
The ampulla - occurs within 1 day of ovulation
Comedocarcinoma

25. What is the main source of energy for spermatozoa
Preeclampsia + siezures
Fructose
DIC
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

26. dilated vein in pampiniform plexus - bag of worms
DES in utero (DES is a sythetic estrogen)
increased risk for carcinoma
Bowen's dz - carcinoma in situ of the penis
Varicocele

27. What is the lymphatic drainage of the distal 1/3 of the vagina/scrotum/vulva
Superficial inguinal lymph nodes
DIC
Blacks
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria

28. What does SEVEN Up stand for in regards to the pathway of sperm
Partial
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Intraductal papilloma - breast abscess - mastitis
Visceral - somatic nerves in pudendal

29. histo: simple columnar epithelium - ciliated
Fallopian tube
Seminoma
Sertoli cells
Comedocarcinoma

30. What are the functions of oxytocin - maybe
Milk letdown - uterine contractions?
No
Cardinal ligament
51 yo

31. how can struma ovarri present?
Paget cell
Relaxation
Cystic
Hyperthyroidism - contains functional thyroid tissue

32. What is the source of estrogen after menopause
Yolk sac - endodermal sinus - tumor
Metrorrhagia
Lateral invasion can block ureters causing renal failure
Peripheral conversion of androgens

33. What are risk factors for abruptio placentae?
Granulosa cell tumor
Smoking - HTN - cocaine
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Neoplastic cells block lymphatic drainage

34. multilocular cyst lined by mucus secreting epi - benign - intestine like
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Mucinous cystadenoma
Hypogondadotropic hypogonadism
Abruptio placentae

35. < 21 day cycle
Testosterone
Tight junctions between sertoli cells
Slight increase - 1.5 to 2
Polymenorrhea

36. In chronic prostatitis is bacterial or abacterial more common
Abacterial
Increased FSH
Paget cell
5 alpha reductase - inhibited by finesteride

37. What does progesterone do in the endometrium
PANS - pelvic nerve
Prior c section - multiparity
Testosterone
Stimulate glandular secretions - and spiral artery development

38. What are the most common tumors in all females?
Pseudohermaphroditism
Superficial inguinal lymph nodes
Prophase
Myometrial tumors

39. What is associated with sclerosing adenosis?
Calcifications
Fallopian tube
Paget's disease - breast abscess
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff

40. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
The centrioles
Post menopausal bleeding
Phyllodes tumor

41. When is follicular growth the fastest?
Preeclampsia + siezures
Smooth muscle
IV mag sulfate - diazepam
2nd week of proliferative phase

42. Which cells line the seminiferous tubules and secrete inhibin
Sertoli cells - and adipose tissue via aromatase
Post menopausal
Prophase
Sertoli cells

43. histo: stratified squamous epithelium - nonkeratinized
Choriocarcinoma
Vagina
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Estrogen - LH surge - ovulation - progesterone from CL - menstruation

44. What increases risk for endometrial carcinoma
17beta estradiol
Testosterone
Seminoma
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause

45. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Klinefelter's - XXY
Granulosa cell tumor
Choriocarcinoma
Enlarged bilateral cystic ovaries - amenorrhea - infertility - obesity - and hirsutism

46. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Dysgerminoma
Chocolate cyst
Stimulates testosterone release from leydig cells
Andogren binding protein - anti mullerian hormone

47. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Choriocarcinoma
Granulosa cell - aromatase - androstenedione - estrogen
Kallman
Chromosomal abnormalities

48. What does progesterone do to smooth muscle in the uterus
Suckling - increased oxytocin - prolactin
Relaxation
Superficial inguinal lymph nodes
Develop both male and female internal genitalia and male external genitalia

49. Which androgen is responsible for the deepening of the voice
increased cGMP - smooth muscle relax - vasodltn - proerectile
Endometrial carcinoma
CIN 1 - 2 - 3
Testosterone

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

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