Test your basic knowledge |

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. What does hCG do in the first trimester to maintain the corpus luteum
Mimics LH
Erythroplasia of Queyrat - carcinoma in situ of penis
55-65
Theca - leutin cysts

2. In what phase is meiosis I arrested
Cardinal ligament
Haploid - 2N - 23 sister chromatids
Invasive lobular
Prophase

3. How is dyslpasi and carcinoma in situ of the cervix classified
CIN 1 - 2 - 3
Develop both male and female internal genitalia and male external genitalia
PANS - pelvic nerve
Post menopausal

4. What does LH do
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Dilation and curettage and methotrexate
increased cGMP - smooth muscle relax - vasodltn - proerectile
Stimulates testosterone release from leydig cells

5. Complication of retained placental tissue
SANS - hypogastric nerve
No
Hemorrhage
Dysuria - frequency - urgency - low back pain

6. <0.5 L of amniotic fluid
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Oligohydramnios
Haploid - N - 23 single chromatids
Lobular carcinoma - sclerosing adenosis

7. common cause of recurrent miscarriage in 2nd trimester
Trophoblasts
Bicornute uterus
Paget's disease
Multiple sexual partners - also HIV and early sexual intercourse

8. What does the SRY gene do
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Defective androgen receptor
Testis determining factor
Hemolysis - elevated liver enzymes - low platelets

9. what metabolic disorder is assocaited with PCOS
5 alpha reductase - inhibited by finesteride
5 alpha reductase def
Insulin resistance
Increase

10. When are phyllodes tumors most common
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Testosterone
Bowenoid papulosis - carcinoma in situ of the penis
In the 6th decade of life

11. What is DHT responsible for in late development
Oligomenorrhea
Prostate growth - balding - and sebaceous gland activity
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
No

12. small follicles filled with eosinphilic secretions
Theca cell - desmolase - androstenedione
Call exner bodies
Inhibit FSH
Axillary node involvement

13. What does HHAVOC stand for in menopause
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Kallman
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Increase in size in pregs - decrease in size meno - estrogen sens

14. What does progesterone do to gonadotropins
Serous cystadenoma
SANS - hypogastric nerve
Inhibition LH and FSH
6

15. What sequelae are associated with leiomyoma
Visceral - somatic nerves in pudendal
Seminoma
DES in utero (DES is a sythetic estrogen)
Severe bleeding iron def anemia - miscarriage

16. Prevention of seizures and in preeclampsia
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
IV mag sulfate - diazepam
Left

17. dx with decreased testosterone and decreased LH
Inhibition LH and FSH
Fertilization 'an egg met a sperm'
Sertoli cells - and adipose tissue via aromatase
Hypogondadotropic hypogonadism

18. What estrogen does the ovary secrete
Feedback inhibition
Menometrorrhagia
S aureus
17beta estradiol

19. Which side is varicocele more common on...
Complete
Post menopausal
Premature ovarian failure (Pof)
Left

20. Which system and nerve are responsible for emission
Just prior to ovulation
Meigs syndrome
Ectocervix
SANS - hypogastric nerve

21. What is the most common cause of breast lumps from age 25 to menopause
Fibrocystic disease
Broad ligament
Estrogen/progesterone receptors - erb - B2 - HER2 an EGF receptrs
Induces and maintains lactation - decreases reproductive function

22. What does the histo show for prostate cancer
Small infiltrating glands with prominent nucleoli
Oligomenorrhea
Choriocarcinoma
Complete

23. What does estrogen do to FSH and LH
Acute mastitis
1 week - 2 weeks
Feedback inhibition
Uterus

24. Which ligament is the derivative of the gubernaculum and travels through the inguinal canal
Round ligament of the uterus
Embryonal carcinoma
increased size and tenderness with increased estrogen
Alpha1 antagonists - terazosin - tamsulosin - finasteride

25. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Increase (and LH)
Complete
IV mag sulfate - diazepam
Premature ovarian failure (Pof)

26. what structures supplies the energy to the middle piece (neck)
Mitochondria
Corpus luteum cyst
Mittelschmerz syndrome
Prior c section - multiparity

27. What are the most common tumors in all females?
Myometrial tumors
Testosterone
Complete
Estrogen overstimulation

28. Which androgen is responsible for libido
Varicocele
Testosterone
Syncytiotrophoblasts of placenta
Retrograde mentrual flow or ascending infection

29. blood containing cyst from ovarian endometriosis that varies with menstrual cycle
Suspensory ligament of ovaries
E coli
Post menopausal
Chocolate cyst

30. What does SEVEN Up stand for in regards to the pathway of sperm
Prementsrual breast pain and multiple lesions
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Cardinal ligament

31. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Fibroadenoma
Testosterone
Testosterone

32. how can struma ovarri present?
Dilation and curettage and methotrexate
Fat necrosis
Increase (and LH)
Hyperthyroidism - contains functional thyroid tissue

33. testicular masses that can be transilluminated
Osteoblastic in bone
HPV 16 - 18
Tunica vaginalis lesions
Fibroadenoma

34. What becomes the main source of hCG
Syncytiotrophoblasts of placenta
Severe bleeding iron def anemia - miscarriage
PCOS
DIC

35. What does progesterone do in the endometrium
Endocervix
Stimulate glandular secretions - and spiral artery development
Estrogen overstimulation
Small infiltrating glands with prominent nucleoli

36. Which nerve and nerve fibers control for ejaculation
Develop both male and female internal genitalia and male external genitalia
Visceral - somatic nerves in pudendal
2nd week of proliferative phase
Serous cystadenocarcinoma

37. Where is androstenedione made?
Prostatic acid phosphatase and PSA
Relaxation
Metrorrhagia
Adrenal gland

38. What are the pathologic features of leiosarcoma
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Androgen insensitivity syndrome - 46 XY
Stimulate glandular secretions - and spiral artery development
Dysgerminoma

39. Where is testosterone secreted into?
Preeclampsia
Dilation and curettage and methotrexate
The semiT and the blood vessels
Post menopausal

40. common cause of recurrent miscarriage in 1st trimester
Spermatocele
Chromosomal abnormalities
Mucinous cystadenocarcinoma
Preeclampsia

41. List the estrogens in order of decreasing potency
Just prior to ovulation
Phyllodes tumor
Estradiol > estrone > estriol
Fat necrosis

42. premature detachment of placenta from implantation site leading to fetal death
Abruptio placentae
46 xx
Low progesterone
Neoplastic cells block lymphatic drainage

43. eclampsia
Serous cystadenocarcinoma
HPV 16 - 18
Preeclampsia + siezures
Suspensory ligament of ovaries

44. What is mortality due to in preeclampsia
Stimulation of secretion - but blocks its action at the breast
Hemolysis - elevated liver enzymes - low platelets
Invasive lobular
Cerebral hemorrhage and ARDS

45. What is the pattern seen in leiomyoma
4
Call exner bodies
E coli
Whorled pattern of smooth muscle bundles

46. Breast path - diseases of the stroma
Chromosomal abnormalities
Upregulation
Good - late metastasis
Fibroadenoma - phyllodes tumor

47. Arrange the androgens in order of most potent to least potent
Increase (and LH)
Abacterial
Bowenoid papulosis - carcinoma in situ of the penis
DHT - testosterone - androstenedione

48. How does BPH present
Inhibition LH and FSH
Increase (and LH)
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Preductal coarctication

49. increased fluid secondary to incomplete fustion with processus vaginalis
Obdurator - exterinal iliac - hypogastic nodes
Periurethral lobes - lateral and middle
Hydrocele
Endocervix

50. dx with decreased testosterone - increased LH
Stimulate glandular secretions - and spiral artery development
Primary hypogonadism
5 alpha reductase - inhibited by finesteride
Paget cell