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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 is the pattern seen in leiomyoma
Whorled pattern of smooth muscle bundles
Sertoli cell tumor
Choriocarcinoma
Estradiol and possible growth promoting effects of DHT

2. In what phase is meiosis II arrested
Fibrcystic change - ductal cancer
Haploid - 2N - 23 sister chromatids
Metaphase
Increase

3. What pathologic states cause increases in hCG
During fetal life
Hydatidiform moles - choriocarcinoma - gestational trophoblastic tumors
Decrease
Down regulation

4. What are the risk factors for endometrial hyperplasia
Prostate growth - balding - and sebaceous gland activity
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Prostatic acid phosphatase and PSA

5. 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
Squamous cell carcinoma
Seminoma
Abacterial
Inflammatory

6. dx with decreased testosterone and decreased LH
Hypogondadotropic hypogonadism
DES in utero (DES is a sythetic estrogen)
Andogren binding protein - anti mullerian hormone
Haploid - 2N - 23 sister chromatids

7. Multiple papular lesions on the penis - affects younger age group - usually does not become invasive
Bowenoid papulosis - carcinoma in situ of the penis
Slight increase - 1.5 to 2
Phyllodes tumor
Peripheral adipose tissue

8. When are phyllodes tumors most common
Defective androgen receptor
In the 6th decade of life
Testosterone - DHT - androstenedione
Acute mastitis

9. Where is testosterone secreted into?
Hemorrhage
Testis determining factor
Relaxation
The semiT and the blood vessels

10. What are common causes of hyperestrogenism

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11. common cause of recurrent miscarriage in 1st trimester
Ectopic preg
Increase in size in pregs - decrease in size meno - estrogen sens
Chromosomal abnormalities
50 times

12. What are the useful tumor parkers in prostatic adenocarcinoma
Estradiol and possible growth promoting effects of DHT
Adrenal gland
Stimulate glandular secretions - and spiral artery development
Prostatic acid phosphatase and PSA

13. What are risk factors for placenta acreta
Retrograde mentrual flow or ascending infection
Fat necrosis
Inhibit FSH
Prior c section - inflammation - placenta previa

14. What is DHT responsible for in late development
Prostate growth - balding - and sebaceous gland activity
During fetal life
Prostatic acid phosphatase and PSA
Increase (and LH)

15. < 21 day cycle
Testicular lymphoma
One of the centrioles
Testosterone
Polymenorrhea

16. non neoplastic endometrial glands/stroma in abnormal locations outsdie the uterus
Endometriosis
Sertoli cells - and adipose tissue via aromatase
In the 6th decade of life
Adrenal gland

17. 2 sperm + 1 egg
Pseudohermaphroditism
Theca cell - desmolase - androstenedione
Partial
Theca - leutin cysts

18. When is the peak occurrence of leiomyoma
Neoplastic cells block lymphatic drainage
Smoking - HTN - cocaine
Left
20 to 40

19. Which side is varicocele more common on...
Hyperestrogenism
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Brenner tumor
Left

20. What is the common presentation of metastasis in prostate cancer
Male pseudoHerm
DES in utero (DES is a sythetic estrogen)
During fetal life
Low back pain with increased serum alk phos

21. What are the most common cause of anovluation

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22. What is a potential complication of endometrial hyperplasia
Tubular carcinoma
Endometrial carcinoma
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Polyhydramnios

23. How does progesterone inhibit sperm entry to uterus
Production of a thick cervical mucus
Trophoblasts
Testosterone
Ovary

24. hyperplasia - not hypertrophy of the prostate gland
Inhibition of HCG access
17beta estradiol
Follicular phase varies - luteal phase is 14
BPH

25. What are the four functions of estrogen
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Theca cell - desmolase - androstenedione
Neoplastic cells block lymphatic drainage
SANS - hypogastric nerve

26. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Choriocarcinoma
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Fallopian tube
Peripheral conversion of androgens

27. What does estrogen do to estrogen - LH and progesterone recepotrs
Upregulation
Increase (and LH)
Production of a thick cervical mucus
Suspensory ligament of ovaries

28. What is a true hermaphrodite
Prementsrual breast pain and multiple lesions
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
Sertoli cells

29. Which cells secrete beta hCG
Testosterone
Premature ovarian failure (Pof)
Trophoblasts
Whorled pattern of smooth muscle bundles

30. In what group are malignant breast tumors most commonly seen
Adolescents
PSA
Mittelschmerz syndrome
Post menopausal

31. Complications of BPH
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Sertoli cells
Follicular cyst
Production of a thick cervical mucus

32. What does SEVEN Up stand for in regards to the pathway of sperm
Adrenal gland
Sertoli cells - and adipose tissue via aromatase
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Hypogondadotropic hypogonadism

33. multilocular cyst lined by mucus secreting epi - benign - intestine like
Placenta acreta
Mucinous cystadenoma
Myometrial invasion
Hemorrhage

34. most common testicular cancer in older men
Hydatidiform mole
DES in utero (DES is a sythetic estrogen)
Testicular lymphoma
E coli

35. What can happen with no sertoli cell or lack of anti mullerian hormone
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Develop both male and female internal genitalia and male external genitalia
Retrograde mentrual flow or ascending infection
Seminoma

36. What does progesterone do to gonadotropins
Theca - leutin cysts
Inhibition LH and FSH
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs

37. decreased synthesis of gonadotropin in the ant pit - anosmia - lack of secondary sex characteristics
Invasive ductal
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
5 alpha reductase def
Kallman

38. What metastasis is most common with prostatic adenocarcinoma
Feedback inhibition
Intraductal papilloma
Low back pain with increased serum alk phos
Osteoblastic in bone

39. When does the secondary oocyte complete meosis II

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40. leiomyoma and leiosarcoma have an increased incidence in which ethnic group
Blacks
DCIS
Mature teratoma
IV mag sulfate - diazepam

41. what stimulation is required to maintain milk production and What is the pathway
increased cGMP - smooth muscle relax - vasodltn - proerectile
Suckling - increased oxytocin - prolactin
Neoplastic cells block lymphatic drainage
Decreasing progesterone

42. what structures supplies the energy to the middle piece (neck)
Serous cystadenocarcinoma
Ovary
Follicular phase varies - luteal phase is 14
Mitochondria

43. malignant - pseudomyxoma pertonei - intraperitoneal accumulation of mucinous material from ovarian or appendiceal tumor
Seminiferous tubules - epididymis - vas deferens - ejaculatory ducts - nothing - urethra - penis
Mucinous cystadenocarcinoma
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Prophase

44. How many functional sperm does 1 germ cell creat?
Prementsrual breast pain and multiple lesions
4
Insulin resistance
Bicornute uterus

45. What cellular structure is the acrosome derived from?
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
No
Golgi
Aortic bicuspid valve

46. Which system and nerve are responsible for emission
Calcifications
Prophase
Alpha1 antagonists - terazosin - tamsulosin - finasteride
SANS - hypogastric nerve

47. Connects ovary to lateral uterus
Post menopausal
Ligament of the ovary
69 xxy
Leydig cell tumor

48. What does HHAVOC stand for in menopause
S aureus
increased AFP and hCG
Good - late metastasis
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

49. pain with or without bleeding - increased in hCG - sudden lower abdominal pain - mistaken for appendicitis
Prophase
Increase
GnRH from hypoTh - LH and FSH from ant pituitary
Ectopic preg

50. What is the average age of onset for menopause
Superficial inguinal lymph nodes
Lack of spermatogenesis due to increased temp of testis inside body and associated risk of germ cell tumors
Down regulation
51 yo

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First Aid: Reproductive

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