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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. increased AFP - schiller duvel bodies - yellow mucinous
Fibrosis
Yolk sac - endodermal sinus - tumor
Smooth muscle
Phyllodes tumor

2. In what phase is meiosis I arrested
Just prior to ovulation
The semiT and the blood vessels
Prophase
Mammary duct epithelium or lobular glands

3. can present as precocious puberty in kids - can cause endometrial hyperplasia/carinoma in adults - abnormal uterine bleeding
Left
Granulosa cell tumor
Stimulates testosterone release from leydig cells
Hemorrhage

4. histologic subtype of fibrocystic with increased acini and intralobular fibrosis
Corpus luteum cyst
Esophogeal/duodenal atresia - can't swallow - anencephaly
Development of genitalia and breast - growth of follicle - hormonal interactions with HPG accesss - and increased transport proteins like SHBG increased HDL and dec LDL
Sclerosing adenosis

5. Connects uterus - fallopian tubes and ovaries to pelvic side wall - contains ovaries - fallapian tubes - and round ligaments of uterus
Sertoli cells - and adipose tissue via aromatase
Broad ligament
Choriocarcinoma
Malignant in males not in females

6. decreased estrogen - increased FSH - LH - signs of menopause after puberty but before 40
Abacterial
The anterior pituitary and hypothalamus
Inhibition LH and FSH
Premature ovarian failure (Pof)

7. Where does FSH work - what enzyme works there - what substrate comes in and what leaves
Golgi
One of the centrioles
Granulosa cell - aromatase - androstenedione - estrogen
Fructose

8. What causes preeclampsia
Low progesterone
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone
Testosterone
Hemolysis - elevated liver enzymes - low platelets

9. hemorrhage into persistent corpus luteum
Increase (and LH)
Corpus luteum cyst
Invasive ductal
DHT - testosterone - androstenedione

10. What does estrogen stimulate in the endometrium
Sclerosing adenosis
Proliferation
increased AFP and hCG
Placental ischemia due to impaired vasodltn of spiral arteries resulting in increased vasc tone

11. Testosterone and estrogen in androgen insensitivity syndrome
Testicular lymphoma
Esophogeal/duodenal atresia - can't swallow - anencephaly
Increase (and LH)
Asia - Africa - S. America - HPV - lack of circumcision

12. what usually causes endometrial hyperplasia
increased size and tenderness with increased estrogen
Estrogen overstimulation
Inhibit cGMP breakdown
Corpus luteum cyst

13. Arrange the androgens in order of most potent to least potent
Defective androgen receptor
Haploid - N - 23 single chromatids
DHT - testosterone - androstenedione
Polyhydramnios

14. How is prostatic adenocarcinoma diagnosed
increased in total - and dec in free fraction
DRE - hard nodule and biopsy
Tubular carcinoma
Inhibit FSH

15. how can struma ovarri present?
Hyperthyroidism - contains functional thyroid tissue
increased estrogen - increased total nunmber of cycles - older age at 1st live birth - obesity
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole
Prementsrual breast pain and multiple lesions

16. Breast path - diseases of the lactiferous sinus
5 alpha reductase def
Intraductal papilloma - breast abscess - mastitis
Dilation and curettage and methotrexate
Severe bleeding iron def anemia - miscarriage

17. Complication of retained placental tissue
Anovulatory cycles - hormone replacement therapy - PCOS - granulosa cell tumor
Follicular cyst
Hemorrhage
No

18. dx with decreased testosterone and decreased LH
Trophoblasts
Testosterone
Hypogondadotropic hypogonadism
20 to 40

19. What is the karyotype of a complete mole
Myometrial invasion
increased cGMP - smooth muscle relax - vasodltn - proerectile
Estradiol and possible growth promoting effects of DHT
46 xx

20. How many functional sperm does 1 germ cell creat?
Slight increase - 1.5 to 2
Feedback inhibition
Inhibit cGMP breakdown
4

21. What does the histo show for prostate cancer
2 months
No
Small infiltrating glands with prominent nucleoli
Koilocytitic

22. 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
Broad ligament
Increase
Seminoma
Sprinolactone - digitalis - cimetidine - alchohol - ketoconazole

23. What is a true hermaphrodite
Oligohydramnios
Both ovary and testicular tissue present - ambiguous genitals - rare 46 XX - 47XXY
No
Adrenal gland

24. What is the prognosis for seminoma
Polymenorrhea
Good - late metastasis
Yolk sace - endodermal sinus - tumor
Fallopian tube

25. > 35 day cycle
Oligomenorrhea
Prematurity
Stimulates testosterone release from leydig cells
Androgen insensitivity syndrome

26. What can happen with no sertoli cell or lack of anti mullerian hormone
Mature teratoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
Develop both male and female internal genitalia and male external genitalia
Lobular carcinoma - sclerosing adenosis

27. Breast path - diseases of the terminal duct
Mucinous cystadenoma
Left gonadal vein - left renal vein - IVC
BPH
Tubular carcinoma

28. What does progesterone do to myometrial excitability
Aortic bicuspid valve
Decrease
Brenner tumor
Periurethral lobes - lateral and middle

29. Which system and nerve are responsible for emission
Tubular carcinoma
SANS - hypogastric nerve
Endometriosis
Stimulates testosterone release from leydig cells

30. Which androgen is responsible for differentiation of epididymis - vas deferens - seminal vesicles - internal genitalia (except prostate)
Sarcoma botryoides - a rhabdomyosarcoma variant
Testosterone
Round ligament of the uterus
Stimulation of secretion - but blocks its action at the breast

31. Which cells secrete beta hCG
Testosterone
Testosterone - DHT - androstenedione
Inhibition of HCG access
Trophoblasts

32. What does increasing estrogen do to GnRH receptors on ant pit - and What does this lead to...
Testosterone
PCOS
Upregulation - LH surge - ovulation
DES in utero (DES is a sythetic estrogen)

33. Between What two phases does the sperm acquire the acrosome - flagellum - and middle piece
Final stage of spermatogenesis - spermiogenesis - spermatid to spermatozoa
Paget's disease - breast abscess
46 xx
Leydig cell tumor

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

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35. when do primary oocytes begin meiosis I
Endometrial carcinoma
Cyclic bleeding - chocolate cysts - severe menstrual related pain - infertility
During fetal life
Post menopausal bleeding

36. Where is testosterone secreted into?
Myometrial tumors
The semiT and the blood vessels
Endometriosis
Hirsutism - hot flashes - atrophy of the vagina - osteoporosis - coronary artery disease

37. What is hydatidiform mole and precurosor of...
No
Unopposed estrogen - obesity - diabetes - HTN - nulliparity - late menopause
Upregulation
Choriocarcinoma

38. malignant - increased hCG - disordered syncytiotrophoblastic and cytotrophoblastic elements - hematogenous spread
Ectopic preg
Mucinous cystadenoma
Choriocarcinoma
Fertilization 'an egg met a sperm'

39. is fibroadenoma a precursor to breast cancer
Corpus luteum cyst
No
Decreasing progesterone
Granulosa cell tumor

40. cystic swelling of chorionic villi and proliferation of chorionic epithelium that presents with abnormal vaginal bleeding
Hydatidiform mole
Stimulates testosterone release from leydig cells
Multiple sexual partners - also HIV and early sexual intercourse
Intraductal papilloma - breast abscess - mastitis

41. What is the pattern seen in leiomyoma
Golgi
Chocolate cyst
Whorled pattern of smooth muscle bundles
Prostate growth - balding - and sebaceous gland activity

42. dilated vein in pampiniform plexus - bag of worms
Milk letdown - uterine contractions?
Induces and maintains lactation - decreases reproductive function
Squamous cell carcinoma
Varicocele

43. androblastoma from sex cord stroma
Sertoli cell tumor
DRE - hard nodule and biopsy
50 times
Right gonadal vein - IVC

44. gynecological tumors from highest incidence to lowest
Endometrial > ovarian> cervical (in US)
CIN 1 - 2 - 3
Oligohydramnios
Testosterone

45. How does BPH present
Partial
increased freq of urination - nocturia - difficulty starting/stopping urination - dysuria
Stimulation of secretion - but blocks its action at the breast
Ectocervix

46. What is the lymphatic drainage the ovaries/testis
Increase (and LH)
Dilation and curettage and methotrexate
Fibromas
Para - aortic lymph nodes

47. What is the best test to confirm menopause
Axillary node involvement
Round ligament of uterus
Increased FSH
No

48. When are phyllodes tumors most common
The semiT and the blood vessels
In the 6th decade of life
Fibrcystic change - ductal cancer
Prior c section - inflammation - placenta previa

49. What does progesterone do for pregnancy
Hypogondadotropic hypogonadism
Uterus
Testis determining factor
Maintenance

50. < 21 day cycle
Hydrocele
Mucinous cystadenocarcinoma
Polymenorrhea
GnRH from hypoTh - LH and FSH from ant pituitary