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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. Invasive carcinoma of the cervix is usually caused By what kind of malignancy
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant
Placenta acreta
20 to 40
Squamous cell carcinoma

2. What bacteria is commone in acute prostatitis
Induces and maintains lactation - decreases reproductive function
Testosterone
Suckling - increased oxytocin - prolactin
E coli

3. when do primary oocytes begin meiosis I
During fetal life
Peyronie's dz
Testis determining factor
Just prior to ovulation

4. Which androgen is responsible for the closing of the epiphyseal plate
Abacterial
Prior c section - multiparity
Testosterone
Adolescents

5. Endometriosis is characterized By what clinical picture?
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
The centrioles
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Tight junctions between sertoli cells

6. What is the lymphatic drainage of the proximal 2/3 of the vagina/uterus
During fetal life
Obdurator - exterinal iliac - hypogastic nodes
Post menopausal
50 times

7. How is dyslpasi and carcinoma in situ of the cervix classified
Testosterone
increased size and tenderness with increased estrogen
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
CIN 1 - 2 - 3

8. Breast path - diseases of the stroma
Malignant in males not in females
Fibroadenoma - phyllodes tumor
Low back pain with increased serum alk phos
increased in total - and dec in free fraction

9. What is the single most important prognostic factor for malignant breast tumors
2 months
Axillary node involvement
46 xx
Lobular carcinoma - sclerosing adenosis

10. What is the genetic material in the primary oocyte?
Inhibition LH and FSH
Diploid - 4N - 46 sister chromatids
Prior c section - multiparity
Call exner bodies

11. What does the SRY gene do
Testis determining factor
Erythroplasia of Queyrat - carcinoma in situ of penis
Polyhydramnios
Upregulation - LH surge - ovulation

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

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13. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Preductal coarctication
Upregulation - LH surge - ovulation
Haploid - N - 23 single chromatids
Bicornute uterus

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

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15. small - mobile - firm breast mass with sharp edges - most common in <25
Inflammatory
The centrioles
Puberty
Fibroadenoma

16. What are causes of female pseudoHerm
Testosterone secreting tumor - exogenous steroids
Smoking - HTN - cocaine
Congenital adrenal hyperplasia - exogenous administration of steroids
Hypogondadotropic hypogonadism

17. large - hyperchromatic syncytiotrophoblasts cells - increased freq theca leutin cysts - develops during pregnancy in mom or baby - marked by hCG
Preductal coarctication
Choriocarcinoma
2 months
6

18. What is the karyotype of a complete mole
51 yo
Trophoblasts
46 xx
Fructose

19. What does FSH do
Cystic
Stimulates sertoli cells to produce ABP and inhibin
Feedback inhibition
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

20. When is follicular growth the fastest?
The semiT and the blood vessels
Sertoli cell tumor
Peripheral conversion of androgens
2nd week of proliferative phase

21. What does progesterone do in the endometrium
Estradiol and possible growth promoting effects of DHT
69 xxy
Serous cystadenoma
Stimulate glandular secretions - and spiral artery development

22. histo: simple columnar epithelium
Preductal coarctication
Blacks
Endocervix
Distention and hypertrophy of bladder - hydronephrosis - UTIs - not premalignant

23. What does gynecomastia result from?
Hyperestrogenism
Inflammatory
Upregulation - LH surge - ovulation
Stimulates testosterone release from leydig cells

24. > 35 day cycle
GnRH from hypoTh - LH and FSH from ant pituitary
95%
Oligomenorrhea
Posterior lobe peripheral zone

25. What metastasis is most common with prostatic adenocarcinoma
Ovarian > cervical > endometrial
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
Osteoblastic in bone
Chromosomal abnormalities

26. What changes in the aorta are common in Turner's?
DIC
Cirrhosis - testicular tumor - puberty - old age - klinefelter's syndrome - drugs
Theca cell - desmolase - androstenedione
Preductal coarctication

27. What is the lymphatic drainage the ovaries/testis
2nd week of proliferative phase
Ectocervix
Mimics LH
Para - aortic lymph nodes

28. What becomes the main source of hCG
Varicocele
Cystic
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Syncytiotrophoblasts of placenta

29. tumor with firm fibrous - 'rock hard' mass with sharp margins and small glandular duct like cells - worst prognosis and most common
Premature ovarian failure (Pof)
Testosterone
Invasive ductal
Haploid - N - 23 single chromatids

30. When is the peak occurrence of leiomyoma
20 to 40
Down regulation
Osteoblastic in bone
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility

31. Testosterone and estrogen in androgen insensitivity syndrome
Increase (and LH)
95%
Spermatogonia (germ cells)
Ligament of the ovary

32. Breast path - diseases of the lactiferous sinus
Increased FSH
Calcifications
Theca cell - desmolase - androstenedione
Intraductal papilloma - breast abscess - mastitis

33. What is the flaggelum derived from
Comedocarcinoma
One of the centrioles
Testosterone secreting tumor - exogenous steroids
Brenner tumor

34. What happens to a leiomyoma in pregs and menopause and why
Hemorrhage
Round ligament of the uterus
Testosterone - DHT - androstenedione
Increase in size in pregs - decrease in size meno - estrogen sens

35. What are predisposing factors for placenta previa
DIC
Prior c section - multiparity
Prementsrual breast pain and multiple lesions
History of infertility - salpingitis - ruptured appendix - prior tubal surgery

36. What are the risk factors for endometrial hyperplasia
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Decrease
Squamo - columnar jxn
Suckling - increased oxytocin - prolactin

37. hyperandrogenism due to deranged steroid synthesis by theca cells - increased LH leading to anovulation
Preeclampsia + siezures
Invasive ductal
PCOS
PSA

38. List the estrogens in order of decreasing potency
2 months
Krukenburg tumor
Estradiol > estrone > estriol
Endometrial > ovarian> cervical (in US)

39. attachment of palceta to lower uterine segment that may occlude internal os - painless bleeding in any trimester
Ectopic preg
Placenta previa
PCOS - obesity - Asherman's - HPO axis defect - Pof - hyperprolactinemia - thryoid - eating disorders - cushging's - adrenal insuff
Stimulate glandular secretions - and spiral artery development

40. decreased estrogen production due to age linked decline in the number of ovarian follices
Axillary node involvement
Spermatocele
Menopause
Placenta previa

41. What are the pathologic features of leiosarcoma
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Spermatocele
Necrosis - hemorrhage - can protrude from the cervix and bleed - tendency to recur
Oligomenorrhea

42. common cause of recurrent miscarriage in 2nd trimester
Bicornute uterus
Upregulation - LH surge - ovulation
The centrioles
Androgen insensitivity syndrome

43. What estrogen does the ovary secrete
17beta estradiol
Left
Estrogen - LH surge - ovulation - progesterone from CL - menstruation
PSA

44. Where does LH work - what enzyme works there and what product is secreted
6
Testosterone
Theca cell - desmolase - androstenedione
Phyllodes tumor

45. What are the treatments for BPH
Andogren binding protein - anti mullerian hormone
Smoking - HTN - cocaine
Alpha1 antagonists - terazosin - tamsulosin - finasteride
Sclerosing adenosis

46. Bent penis due to acquired fibrous tissue formation

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47. 20% of ovarian tumors - benign - lined with fallopian tube like epithelium
GnRH from hypoTh - LH and FSH from ant pituitary
Serous cystadenoma
Milk letdown - uterine contractions?
Mucinous cystadenoma

48. Breast path - diseases of the terminal duct
Severe bleeding iron def anemia - miscarriage
50 times
Tubular carcinoma
Primary hypogonadism

49. What does progesterone do for pregnancy
Metrorrhagia
Aortic bicuspid valve
Maintenance
Calcifications

50. when do primary oocytes complete meiosis I
Tunica vaginalis lesions
Sclerosing adenosis
Koilocytitic
Just prior to ovulation